Change Gene Expression to Lessen the Effects of Chronic Stress with Mind-Body Practices

September 11, 2017 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Millions of people around the world already enjoy the health benefits of mind-body interventions like yoga or meditation, but what they perhaps don’t realise is that these benefits begin at a molecular level and can change the way our genetic code goes about its business. These activities are leaving what we call a molecular signature in our cells, which reverses the effect that stress or anxiety would have on the body by changing how our genes are expressed. Put simply, MBIs cause the brain to steer our DNA processes along a path which improves our wellbeing.” – Ivana Buric

There is an accumulating volume of research findings to demonstrate that Mind-body practices have highly beneficial effects on the health and well-being of humans. These include meditation, yoga, tai chi, qigong, biofeedback, progressive muscle relaxation, guided imagery, hypnosis, and deep breathing exercises. Because of their proven benefits the application of these practices to relieving human suffering has skyrocketed.

It is clear that Mind-body practices affect the physiology. In other words, the mind can alter the body. In turn, the genes can affect our minds. In fact, the genes have been shown to affect an individual’s inherent level of mindfulness. These interactions are well documented. The mechanisms by which they occur, however, are not well understood. It has been shown that contemplative practices help create balance in the inflammatory response which is very beneficial for health. But, the mechanism through which contemplative practices affect the immune system is not known. The genes dictate all of the chemical processes in our bodies including immune and inflammatory responses. So, it would seem reasonable to investigate whether alterations in gene expressions might be the intermediary between mind-body therapies and health.

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. Its primary effect is to increase blood circulation around the infected area, dilating the blood vessels around the site of inflammation. It also produces gaps in the cell walls surrounding the infected area, allowing the larger immune cells, to pass. It also tends to increase body temperature to further fight infection. This response works quite well for short-term infections and injuries and as such is an important defense mechanism for the body. But when inflammation is protracted and becomes chronic, it can itself become a threat to health, producing autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression.

Mind-body practices appear to relax the physical systems of the body including the immune system, reducing inflammation. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. Hence, it makes sense to investigate the effects of mind-body practices on gene expressions that underlie the immune and inflammatory responses. In today’s Research News article “What Is the Molecular Signature of Mind–Body Interventions? A Systematic Review of Gene Expression Changes Induced by Meditation and Related Practices.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472657/, Buric and colleagues review and summarize the published research literature on the effects of mind-body practices on gene expressions.

They found 18 published research articles. These articles, in general, report that following engaging in mind-body practices there is a reduction in the expression of genes that are involved in the inflammatory response resultant from chronic stress, particularly downregulation of NF-κB-targeted genes. It has been well established that mind-body practices reduce the psychological and physiological responses to stress. The published research on the effects of mind-body practices on gene expressions provide a mechanism by which these practices affect the stress response. They do so by affecting the physiology on the molecular level altering the genes that underlie the chemical processes involved in the inflammatory responses to stress.

These findings suggest that Mind-body practices can improve the health and well-being of the practitioner. One of the premiere mechanisms by which this is accomplished is by reducing the individual’s responses to the debilitating effects of chronic stress. Many of the difficulties produced by chronic stress are caused by producing a chronic inflammatory response damaging tissues. It appears that mind-body practices improve health by altering the genes that underlie these processes.

So, change gene expression to lessen the effects of chronic stress with mind-body practices.

“doing yoga or meditating may lead to a decrease in cyctokine production, and a reversal of the inflammatory gene, which ultimately lowers the risk of inflammation-related diseases and conditions.” – Brianna Steinhilber

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Buric, I., Farias, M., Jong, J., Mee, C., & Brazil, I. A. (2017). What Is the Molecular Signature of Mind–Body Interventions? A Systematic Review of Gene Expression Changes Induced by Meditation and Related Practices. Frontiers in Immunology, 8, 670. http://doi.org/10.3389/fimmu.2017.00670

Abstract

There is considerable evidence for the effectiveness of mind–body interventions (MBIs) in improving mental and physical health, but the molecular mechanisms of these benefits remain poorly understood. One hypothesis is that MBIs reverse expression of genes involved in inflammatory reactions that are induced by stress. This systematic review was conducted to examine changes in gene expression that occur after MBIs and to explore how these molecular changes are related to health. We searched PubMed throughout September 2016 to look for studies that have used gene expression analysis in MBIs (i.e., mindfulness, yoga, Tai Chi, Qigong, relaxation response, and breath regulation). Due to the limited quantity of studies, we included both clinical and non-clinical samples with any type of research design. Eighteen relevant studies were retrieved and analyzed. Overall, the studies indicate that these practices are associated with a downregulation of nuclear factor kappa B pathway; this is the opposite of the effects of chronic stress on gene expression and suggests that MBI practices may lead to a reduced risk of inflammation-related diseases. However, it is unclear how the effects of MBIs compare to other healthy interventions such as exercise or nutrition due to the small number of available studies. More research is required to be able to understand the effects of MBIs at the molecular level.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472657/

Ease Medical Student Stress with Mindfulness

September 9, 2017 psyjdc Leave a comment

Ease Medical Student Stress with Mindfulness

By John M. de Castro, Ph.D.

“I realized that the majority of my stress was self-generated. I put an inordinate amount of pressure on myself to succeed and get work done. Luckily, through mindfulness techniques, I gained some serious insight as to what makes me tick. I paid attention to my inner self and tried to implement changes in my life that could alleviate stress. To my surprise, I would perform far better in school because of these changes.” – Daniel Olson

Medical School is challenging both intellectually and psychologically. Stress levels are high and burnout is common. It’s been estimated that 63% of medical students experience negative consequences from stress while symptoms of severe stress were present in 25% of students. The prevalence of stress is higher among females than among males. High stress levels lead to lower performance in medical school and higher levels of physical and mental health problems, especially anxiety and depression. Indeed 50% of medical students report burnout and 11% have considered suicide in the last year.

Obviously, there is a need to either lower stress levels in medical education or find methods to assist medical students in dealing with the stress. One promising possibility is mindfulness training. It has been shown to reduce both the psychological and physiological responses to stress. It has also been shown to reduce stress in students, to help with the negative consequences of stress, and to reduce burnout in medical professionals. So, it would seem reasonable to suspect that mindfulness would be related to medical students’ ability to cope with the stress.

In today’s Research News article “Coping, perceived stress, and job satisfaction among medical interns: The mediating effect of mindfulness.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479094/, Vinothkumar and colleagues recruited medical interns and had them complete measures of mindfulness, emotion regulation strategies, perceived stress, and job satisfaction and then conducted a regression analysis to determine the relationship between these variables.

They found that the higher the levels of mindfulness and adaptive strategies to cope with emotions the lower the levels of perceived stress and the higher the levels of maladaptive strategies to cope with emotions the higher the levels of perceived stress. Additionally, the higher the levels of mindfulness the higher the levels of adaptive strategies and the lower the levels of maladaptive strategies to cope with emotions. In other words, mindfulness was associated with lower perceived stress and adaptive strategies and lower levels of maladaptive strategies to cope with emotions.

Applying a mediational analysis revealed that adaptive strategies to cope with emotions had a significant relationship to lower perceived stress levels but that relationship was due to mindfulness, such that adaptive coping was associated with higher levels of mindfulness which in turn was associated with lower perceived stress levels. Alternatively, maladaptive strategies to cope with emotions had a significant relationship to higher perceived stress levels but that relationship was due to mindfulness, such that maladaptive coping was associated with lower mindfulness which in turn was associated with higher perceived stress levels. In other words, the relationship between adaptive and maladaptive strategies to cope with emotions with the interns’ perceived levels of stress was completely due to the coping strategies relationships with mindfulness.

These are interesting results that suggest that how medical interns go about coping with emotions is important in regulating their responses to stress and that this is due to the fact that these coping strategies are associated with the interns’ levels of mindfulness. It has been well established that mindfulness is associated with lower perceived stress levels. The present results suggest that coping strategies affect mindfulness producing changes in stress levels. These results further suggest that instructing medical students in how to cope with emotions may be helpful in lowering stress effects and thereby improving their performance in school and in their later careers and decreasing burnout.

So, ease medical student stress with mindfulness.

“the use of mindfulness and meditation become ingrained in the fabric of medical care-and alleviate the suffering of countless practitioners and while allowing us to take better care of our patients — and ourselves.” – Jeffrey Taekman

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Vinothkumar, M., Arathi, A., Joseph, M., Nayana, P., Jishma, E. J., & Sahana, U. (2016). Coping, perceived stress, and job satisfaction among medical interns: The mediating effect of mindfulness. Industrial Psychiatry Journal, 25(2), 195–201. http://doi.org/10.4103/ipj.ipj_98_14

Abstract

Background:

Past research studies on the exploration of attributes to the stress of doctors/medical interns were reported more often than the types of coping strategies, healthy practices to strengthen their internal resources to deal effectively with the stressful situations.

Objectives:

The present study was conducted to find such internal resource – “mindfulness” as a mediator of coping, perceived stress, and job satisfaction among medical interns.

Methods:

A cross-sectional descriptive study comprised 120 medical interns forms from various medical colleges in Mangalore were recruited and completed the assessment on mindfulness, cognitive-emotive regulation, coping strategies, perceived stress, and job satisfaction from doctoral interns were collected.

Results:

Initial correlation analysis results indicate that adaptive coping strategies significantly associate with greater mindfulness and less perceived stress. In turn, mindfulness is negatively correlated with nonadaptive coping strategies and perceived. Job satisfaction showed no significant relationship with any of the other variables. Mediational models indicate that the relationship between adaptive coping strategies and perceived stress was significantly mediated by mindfulness. Furthermore, partial mediation between nonadaptive strategies and perceived stress through mindfulness indicates that respondents reported a high level of nonadaptive strategy experience and a lower level of mindfulness can be counterproductive as they encourage the ineffective way to deal with the stresses.

Conclusion:

The implication of the results were discussed with suggesting a possible intervention to improve the adaptive strategies and mindfulness among the medical interns.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479094/

Improve Periodontal Disease with Yoga

August 24, 2017 psyjdc Leave a comment

Improve Periodontal Disease with Yoga

By John M. de Castro, Ph.D.

“By stimulating saliva production through yoga practice, we can aid our bodies in reducing the growth of bacteria in our mouth and mitigating the spread of toxins through our bloodstream and in our digestive system. . . By reducing stress, improving posture, and stimulating saliva production, we can help prevent a number of dental health issues, from plaque buildup to enamel erosion and tooth decay. Using yoga practice for dental health combined with good oral hygiene practices . . . is an effective way to promote healthy teeth and gums.” – Carefree Dental

If you asked most people what’s one of the most common health problems that people have, probably the last thing that they would come up with us oral health. Yet, about half of all American adults, around 65 million, have mild, moderate or severe periodontitis, the more advanced form of periodontal disease. In adults 65 and older, prevalence rates increase to over 70 percent. Periodontitis means “inflammation around the tooth” – it is a serious gum infection that damages the soft tissue and bone that supports the tooth. If it is not treated periodontitis will eventually lead to tooth loss, and increases the risk of stroke, heart attack and other health problems.

Treatment for periodontitis is straightforward including professional plaque removal and general at home oral hygiene. If severe, surgical procedures are called for. But, like many infections, periodontitis is exacerbated by stress. So, practices like mindfulness and yoga training, that reduce stress, may well help with periodontitis. In addition, mindfulness practices have been found to reduce the inflammatory response which would in turn reduce the inflammation of the gums. So, it would make sense to investigate the effects of yoga practice on periodontal disease.

In today’s Research News article “Impact of yoga on periodontal disease and stress management.” See summary below or view the full text of the study at: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2017;volume=10;issue=3;spage=121;epage=127;aulast=Sudhanshu, Sudhanshu and colleagues recruited adult patients with periodontal disease and randomly assigned them to either receive treatment as usual or to receive treatment as usual plus 3 months of yoga practice. The yoga intervention was practiced for 1 hour per day for 6 days per week and consisted of postures, breathing exercises, meditation, and relaxation. Before, during (every month), and after treatment the patients were measured for perceived stress and periodontal health, including measures of plaque, pocket depth, clinical attachment loss, and bleeding.

They found that after treatment the yoga practice group, in comparison to baseline and the treatment as usual group, had significant improvements in plaque, pocket depth, clinical attachment loss, bleeding, and perceived stress. They also found that for the treatment as usual group the greater the stress, the greater the plaque index and pocket depth, indicating a strong positive relationship between periodontal disease and stress. On the other hand, for the yoga group, who had reduced stress, the relationships between periodontal disease and stress were greatly weakened.

These results are very significant. This suggests that the yoga treatment produced a reduction of stress which, in turn, produced a reduction of the symptoms of periodontal disease. In a previous study, yoga practitioners were found to have less and less severe periodontal disease. This study is particularly significant as it demonstrates in a randomized controlled trial that yoga practice causes the improvement in gum health.

So, improve periodontal disease with yoga.

“A healthier mouth typically is not the first thing that comes to people’s minds when they think about the benefits of doing yoga. However, yoga is very effective for alleviating stress, which can cause dental problems. It can also help prevent TMJ disorder by improving posture. Furthermore, yoga can help reduce inflammation, which is another problem that can affect oral health.” – Bohle Family

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Sudhanshu A, Sharma U, Vadiraja H S, Rana RK, Singhal R. Impact of yoga on periodontal disease and stress management. Int J Yoga 2017;10:121-7

Abstract

Background: Yoga is considered to be one of the most important, effective, and valuable tools available for man to overcome various physical and psychological problems. Stress contributes significantly to the pathogenesis of periodontal diseases; hence, it becomes important to reduce the level of stress for prevention and management of diseases. Aims and Objectives: The present study was aimed: (1) To understand and analyze the possibilities of employing yogic practices in the treatment of periodontal disease along with conventional dental therapy, (2) to understand the effect of stress on periodontal treatment outcome, (3) to evaluate the efficacy of yoga in the management of periodontal disease with reference to stress. Materials and Methods: An outpatient department-based parallel group randomized study was performed with standard treatment for periodontal disease yoga therapy as Group II and only standard treatment as Group I. Periodontal health status was recorded using indices of modified plaque index (PI), bleeding on probing (BOP), probing depth, and clinical attachment loss (CAL). The Cohen’s perceived stress questionnaire was also used to determine stress severity. The yogic intervention consists of lectures and practical sessions on asanas, pranayama, kriyas, and meditation. Results: Repeated measure analysis of variance revealed a significant difference (P < 0.001) in all the outcome variables with respect to time in both groups. It was observed that mean PI score reduced by 1.35 in Group II as compared to 0.54 in Group I, mean probing pocket depth reduced by 1.60 in Group II as compared to only 0.68 in Group I, and mean CAL score reduced by 1.60 in Group II as compared to 0.68 in Group I. Similarly, Cohen’s perceived stress scale score also reduced by 18.76 points in Group II as compared to only 2.58 points in Group I, BOP also shows better improvement in Group II with a reduction of 0.68 as compared to reduction of only 0.08 in Group I. The results obtained ascertained the role of yoga in stress reduction in periodontal disease. Conclusion: Although yoga does not play a direct role in improving periodontal disease, it accelerates the treatment outcomes by combating the stress which is a major factor affecting the treatment of periodontal disease.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2017;volume=10;issue=3;spage=121;epage=127;aulast=Sudhanshu

Improve Nursing Student Psychological Well-Being with Yoga

August 23, 2017September 25, 2020 psyjdc Leave a comment

Improve Nursing Student Psychological Well-Being with Yoga

By John M. de Castro, Ph.D.

“How can mindfulness help nurses? Greater awareness and less distraction in the clinical setting can improve your assessment skills and your performance of complex technical procedures that may reduce the risk of clinical errors. Mindfulness can enhance your communication with patients and other healthcare team members by bringing a greater awareness to how and what others are communicating. Listening and speaking with greater attention can lead to more effective communication and better clinical outcomes, particularly in crisis situations. Moreover, . . . mindfulness training can help nurses cope more effectively with stress and reduce the risk of professional burnout.” – Lois Howland

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. It is estimated that over 45% of healthcare workers experience burnout. Currently, over a third of healthcare workers report that they are looking for a new job. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion. Burnout it is a threat to the healthcare providers and their patients. In fact, it is a threat to the entire healthcare system as it contributes to the shortage of doctors and nurses.

Preventing burnout has to be a priority. But, it is beyond the ability of the individual to change the environment to reduce stress and prevent burnout, so it is important that methods be found to reduce the individual’s responses to stress; to make the individual more resilient when high levels of stress occur. Contemplative practices have been shown to reduce the psychological and physiological responses to stress. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. It has also been shown that the combination of yoga, aerobic exercise and meditation is effective in improving the mental health of stressed employees.

Developing mindfulness early in healthcare careers could work to prevent later burnout. So, it makes sense to investigate the combination of mindfulness training and exercise that occurs in yoga training for nursing students to promote mental health and lower the likelihood of future burnout. In today’s Research News article “Effect of Yoga on Psychological Functioning of Nursing Students: A Randomized Wait List Control Trial.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483709/, Mathad and colleagues recruited 1^st to 3^rd year nursing students and randomly assigned them to be on a wait-list control or receive 8 weeks of yoga instruction and practice. The yoga practice was conducted daily and included breathing exercises, stretching, postures and meditation. The students were measured before and after training for mindfulness, resilience, self-compassion, satisfaction with life, empathy, and perceived stress.

They found that compared to baseline and the wait-list controls, the yoga training produced significant increases in mindfulness and self-compassion and a trend toward decreased perceived stress. Hence, yoga practice produced improvements in the psychological well-being of the nursing students. It remains to be determined if the students maintain the yoga practice and if the improvements persist into the future of their education and their practice as nurses. A longitudinal follow-up would be very helpful in this regard. In addition, future research should contain an active control condition, perhaps aerobic exercise, to determine if yoga practice per se was responsible for the observed benefits.

So, improve nursing student psychological well-being with yoga.

“The faculty of voluntarily bringing back a wandering attention, over and over again, is the very root of judgment, character, and will . An education which should improve this faculty would be the education par excellence. But it is easier to define this ideal than to give practical directions for bringing it about.” — William James

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Mathad, M. D., Pradhan, B., & Sasidharan, R. K. (2017). Effect of Yoga on Psychological Functioning of Nursing Students: A Randomized Wait List Control Trial. Journal of Clinical and Diagnostic Research : JCDR, 11(5), KC01–KC05. http://doi.org/10.7860/JCDR/2017/26517.9833

Abstract

Introduction

Nursing students experience considerable amount of stress to meet their professional demands. Yoga is an effective practice to reduce stress and improve psychological well being. However, improvement in psychological well being aids in stress management.

Aim

To evaluate the effectiveness of eight week yoga intervention on psychological functioning of nursing students.

Materials and Methods

This was a randomised Wait List Control (WLC) trial, we recruited total 100 students from Kempegowda Institute of Nursing, Bengaluru, Karnataka, India and randomized them into two groups (yoga=50 and WLC=50 students). The following instruments were used to collect the data, Freiburg Mindfulness Inventory (FMI), Self-Compassion Scale- Short Form (SCS-SF), Connor–Davidson Resilience Scale (CD-RISC), Satisfaction with Life Scale (SWLS), Jefferson Scale of Empathy HPS-Version (JSE-HPS), and Perceived Stress Scale (PSS). Data was analysed using Repeated Measures Analysis of Variance (RM-ANOVA) followed by post-hoc Bonferroni correction for all psychological variables.

Results

The results of our study report that eight week yoga intervention was significantly effective in improving self compassion and mindfulness among nursing students in experimental group than compared to WLC group. Even though there were improvements in resilience, satisfaction in life and perceived stress, results were not statistically significant.

Conclusion

Overall, results of the present study have demonstrated impact of eight week yoga intervention on the psychological functioning of nursing students. Yoga intervention can be inculcated in the nursing education to meet demands of the profession.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483709/

Reduce Negative Emotions and Stress Sensitivity with Mindfulness

August 12, 2017 psyjdc Leave a comment

Reduce Negative Emotions and Stress Sensitivity with Mindfulness

By John M. de Castro, Ph.D.

“Mindfulness training teaches people to be fully attentive to their present experience in a nonjudgmental way, which is believed to help reduce the rumination common to mood disorders. A mindful perspective teaches people how to apply a brake between a single lonely thought and what could be a resulting chain of distressing thoughts and feelings,” – J. David Creswell

Mindfulness training has been shown to improve the psychological well-being of healthy people. It also has been shown to be beneficial for a variety of mental health problems, including anxiety, depression, Antisocial Personality Disorder, Borderline personality disorder, impulsivity, obsessive compulsive disorder, phobias, post-traumatic stress disorder , sexual dysfunction, suicidality and even with psychosis. Mindfulness is thought to work in part by improving the physiological and psychological responses to stress. This increases the individual’s ability to withstand the negative effects of stress on emotions and to cope with it adaptively. It also appears to work by improving emotion regulation. This improves the individual’s ability to fully sense and experience emotions, but respond to them in more appropriate and adaptive ways. In other words, mindful people are better able to cope with stress and experience yet control emotions.

These is a very important consequence of mindfulness. Humans are very emotional creatures and emotions can be very pleasant, providing the spice of life. But, when they get extreme they can produce misery and even mental illness. Humans, particularly in the developed world, are also embedded in a high stress environment that can damage their health and well-being. So, it is important to understand, in depth, how mindfulness training may reduce responses to stress and improve the responses to emotions. It would also be useful to learn how these factors change over the course of treatment.

In today’s Research News article “The Shape of Change in Perceived Stress, Negative Affect, and Stress Sensitivity During Mindfulness-Based Stress Reduction.” (See summary below). Snoppe and colleagues recruited people who had enrolled in a Mindfulness-Based Stress Reduction (MBSR) program that met once a week for 2.5 hours for eight weeks and consisted of body scan, meditation, and yoga practice. Participants were also request to practice at home for 40 minutes each day. The participants completed pretraining measures and daily on-line diaries during the 8-weeks of the program which included measures of perceived stress, mindfulness practice, and negative emotions including depression, tension, anger, and fatigue.

They found that over the 8 weeks of the program negative emotions and perceived stress decreased in a linear fashion, improving day by day. They also found that the lower the daily levels of perceived stress, the lower the levels of negative emotions. In addition, they found that the degree of association between stress and negative emotions did not change over the 8 weeks. So, mindfulness training appeared to reduce their levels but did not decouple their mutual influences. Hence, day by day of mindfulness practice produces a progressive reduction in perceived stress and negative emotions.

It has been well established that mindfulness programs like MBSR are effective in reducing the physiological and psychological responses to stress and negative emotions such as depression, anxiety, anger, and fatigue. What is new in the present study is the documentation of the linear growth in these benefits. Each day of practice appeared to produce increased benefit. It would be interesting to follow this growth over a longer period of time to determine at what point do the benefits stabilize. But for now, it appears that the more practice the better.

So, reduce negative emotions and stress sensitivity with mindfulness.

“Instead of ‘turning away’ from pain in avoidance we can learn to gently ‘turn towards’ what we’re experiencing. We can bring a caring open attention towards the wounded parts of ourselves and make wise choices about how to respond to ourselves and to life. It’s a paradox that we all must understand: It is by turning towards negative emotions that we find relief from them – not by turning away.” – Melli O’Brien

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Snippe, E., Dziak, J.J., Lanza, S.T., Nyklíček, I., Wichers, M. The Shape of Change in Perceived Stress, Negative Affect, and Stress Sensitivity During Mindfulness-Based Stress Reduction. Mindfulness (2017) 8: 728. doi:10.1007/s12671-016-0650-5

Abstract

Both daily stress and the tendency to react to stress with heightened levels of negative affect (i.e., stress sensitivity) are important vulnerability factors for adverse mental health outcomes. Mindfulness-based stress reduction (MBSR) may help to reduce perceived daily stress and stress sensitivity. The purpose of this study was to examine how change in perceived stress, negative affect (NA), and the decoupling between perceived stress and NA evolved over the course of a MBSR program, without making any a priori assumptions on the shape of change. Seventy-one adults from the general population participating in MBSR provided daily diary assessments of perceived stress and NA during MBSR. The time-varying effect model (TVEM) indicated that perceived stress and NA decreased in a linear fashion rather than in a nonlinear fashion, both as a function of time and as a function of the cumulative number of days of mindfulness practice. Both TVEM and multilevel growth modeling showed that the association between perceived stress and NA did not decrease over the course of MBSR. The findings support the hypothesis that MBSR reduces NA and also reduces the extent to which individuals perceive their days as stressful. Also, the results suggest that there is a dose-response relationship between the amount of mindfulness practice and reductions in daily stress and NA.

Teacher Training Improves the Effectiveness of Mindfulness Training

August 1, 2017 psyjdc Leave a comment

Teacher Training Improves the Effectiveness of Mindfulness Training

By John M. de Castro, Ph.D.

“Ultimately, it is the depth of your own personal commitment to learning, growing and healing – as well as a dedication to the well-being of others – that will contribute most to your integrity and effectiveness as a teacher.” ~Center for Mindfulness, UMass Medical Center

“Mindfulness is awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally. It’s about knowing what is on your mind.” (Jon Kabat-Zinn). It has been shown to be highly related to the health and well-being of the individual. Mindfulness training has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, mindfulness training has been called the third wave of therapies. In fact, though, little is known about the components that maximize the effectiveness of mindfulness training.

Mindfulness-Based Stress Reduction (MBSR) is a classic mindfulness training that combines meditation, yoga, and body scan meditation practices. In most cases MBSR is conducted by a certified trained therapist. But, recently, it has been shown to be effective when presented on-line without the presence of an instructor. When MBSR is taught live by a certified instructor is costly and many clients can’t afford it. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules or at locations that may not be convenient. But many believe that that the interpersonal interactions, compassion, understanding, and modelling provided by a teacher is crucial for MBSR effectiveness. So, it is unclear whether the presence of an instructor produces benefits that balance or exceed the added costs.

In today’s Research News article “Impact of Mindfulness-Based Teacher Training on MBSR Participant Well-Being Outcomes and Course Satisfaction.” (See summary below). Ruijgrok-Lupton and colleagues examined whether the amount of training that MBSR instructors have received is associated with improved outcomes. They recruited Mindfulness-Based Stress Reduction (MBSR) certified instructors who varied in the amount of training either Basic Teacher Training (Level 1), Advanced Teacher Training (Level 2) or Advanced Teacher Training with Continuing Professional Development (Level 3). They then recruited participants who were attending one of the instructors’ 8-week MBSR classes. They measured the participants before and after the class for mindfulness, self-compassion, well-being, perceived stress, and teacher satisfaction including impact on daily life and teacher support.

There were too few teachers in the Level 1 group (n=2), so comparisons were restricted to the Level 2 and Level 3 groups. They found that overall the participants in the MBSR classes not surprisingly showed significant gains in mindfulness and reductions in perceived stress. Importantly, they also found that the participants in the MBSR classes taught by Level 3 teachers had significantly greater gains in well-being and significantly greater reductions in perceived stress than those taught by Level 2 teachers. In addition, the participants in the MBSR classes taught by Level 3 teachers indicated significantly greater satisfaction with their teachers than those taught by Level 2 teachers.

The findings suggest that MBSR teachers with advanced teacher training plus continuing professional development produce better results than teachers with advanced teacher training only. The lack of a sufficient number of teachers with only basic teacher training was disappointing since this greatly restricted the range of teacher training levels. But, the fact that only adding continuing professional development to advanced teacher training had significant effects is striking. After all, both groups are highly professionally trained. These results, then, clearly suggest that the greater the training, even of highly trained teachers, of the MBSR teachers the greater their effectiveness. Future research should include more basic level instructors and an on-line comparison condition.

But, it’s clear that teacher training improves the effectiveness of mindfulness training.

“The teaching of mindfulness is never a matter of merely teaching or operationalizing techniques. Mindfulness is a way of being in a wiser relationship to one’s experience, not one particular mental state to be pursued and attained. Thus, the non-instrumental dimensionality of the work and of the practice of mindfulness is the foundation of effective practice and teaching.” – Jon Kabat-Zinn

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Ruijgrok-Lupton, P.E., Crane, R.S. & Dorjee, D. Impact of Mindfulness-Based Teacher Training on MBSR Participant Well-Being Outcomes and Course Satisfaction. Mindfulness (2017). doi:10.1007/s12671-017-0750-x

Abstract

Growing interest in mindfulness-based programs (MBPs) has resulted in increased demand for MBP teachers, raising questions around safeguarding teaching standards. Training literature emphasises the need for appropriate training and meditation experience, yet studies into impact of such variables on participant outcomes are scarce, requiring further investigation. This feasibility pilot study hypothesised that participant outcomes would relate to teachers’ mindfulness-based teacher training levels and mindfulness-based teaching and meditation experience. Teachers (n = 9) with different MBP training levels delivering mindfulness-based stress reduction (MBSR) courses to the general public were recruited together with their course participants (n = 31). A teacher survey collected data on their mindfulness-based teacher training, other professional training and relevant experience. Longitudinal evaluations using online questionnaires measured participant mindfulness and well-being before and after MBSR and participant course satisfaction. Course attendees’ gains after the MBSR courses were correlated with teacher training and experience. Gains in well-being and reductions in perceived stress were significantly larger for the participant cohort taught by teachers who had completed an additional year of mindfulness-based teacher training and assessment. No correlation was found between course participants’ outcomes and their teacher’s mindfulness-based teaching and meditation experience. Our results support the hypothesis that higher mindfulness-based teacher training levels are possibly linked to more positive participant outcomes, with implications for training in MBPs. These initial findings highlight the need for further research on mindfulness-based teacher training and course participant outcomes with larger participant samples.

Improve Mental Health in the Elderly with Mindfulness

July 19, 2017 psyjdc Leave a comment

Improve Mental Health in the Elderly with Mindfulness

By John M. de Castro, Ph.D.

“The interconnectedness of mind and body lies at the heart of mindfulness and this makes it highly relevant to older people who are more likely to experience physical health problems with associated psychological issues such as reduced mobility and depression. It is thought that mindfulness can be particularly empowering to older people as it focuses on abilities rather than difficulties which may help older people to feel more engaged in decisions about their care.” – MyAgingParent.com

Human life is one of constant change. We revel in our increases in physical and mental capacities during development, but regret their decline during aging. As we age, there are systematic progressive declines in every system in the body, the brain included. This includes our mental abilities and results in impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. Aging also results in changes in mental health. Depression is very common in the elderly. The elderly cope with increasing loss of friends and family, deteriorating health, as well as concerns regarding finances on fixed incomes. All of these are legitimate sources of worry. In addition, many elderly experience withdrawal and isolation from social interactions. But, no matter how reasonable, the increased loneliness, worry and anxiety add extra stress that can impact on the elderly’s already deteriorating physical and psychological health.

Mindfulness appears to be effective for an array of physical and psychological issues that occur with aging. It appears to strengthen the immune system and reduce inflammation. It has also been shown to be beneficial in slowing or delaying physical and mental decline with aging. and improve cognitive processes. It has also been shown to reduce anxiety, worry, and depression and improve overall mental health. Since the global population of the elderly is increasing at unprecedented rates, it is imperative to investigate safe and effective methods to slow physical and mental aging and improve mental health in the elderly.

In today’s Research News article “Meditation in Stressed Older Adults: Improvements in Self-Rated Mental Health Not Paralleled by Improvements in Cognitive Function or Physiological Measures.” (See summary below). Oken and colleagues recruited health elderly between the ages of 50-85 (average age = 60 years) who did not evidence cognitive decline and who were at least mildly stressed. They were randomly assigned to either receive 6 weeks of mindfulness meditation practice or to a wait-list control condition. Mindfulness meditation practice included one-on-one instruction in body scan, sitting meditation, and breathing exercises. The participants were measured before and after training for mindfulness, perceived stress, positive and negative emotions, neuroticism, fatigue, quality of life, self-efficacy, sleep, executive function, memory, attention, physiological vital signs, and salivary cortisol levels.

They found that the mindful meditation group in comparison to the wait-list group and the baseline measures showed significant reductions in negative emotions, neuroticism, and perceived stress following training and significant increases in mindfulness, vitality, self-efficacy, agreeableness and conscientiousness. Hence, mindfulness meditation produced significant improvements in the overall mental health of the participants, but did not alter physical health or cognitive abilities.

These are important results that suggest that mindfulness meditation practice produces major improvements in the mental health of the elderly. The participants, however, were relatively young elderly with an average age of 60 and only one participant over 75. They were all in good health and demonstrated no cognitive issues. Hence, the failure to demonstrate any effects of mindfulness meditation on the physical health or cognitive ability of this group may have been due to the fact that they were high functioning at the beginning making it difficult to produce further improvements. Regardless, the results clearly show large and important effects of mindfulness meditation on the overall mental health of these young elderly. This suggests that mindfulness meditation should be incorporated into the lives of the elderly to improve their psychological state during their declining years.

So, improve mental health in the elderly with mindfulness.

“Mindfulness practice has a definite positive impact on issues such as recurrent depression, stress, anxiety, chronic physical pain and loneliness. For elderly people, loneliness is a major risk factor for health problems-such as cardiovascular disease and Alzheimer’s. Mindfulness meditation training can be used as a novel approach for reducing loneliness and the risk of disease. Research suggests that mindfulness meditation training is a promising intervention for improving the health of older adults.” – Bláthnait Ní Mhurchú

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Oken, B.S., Wahbeh, H., Goodrich, E. et al. Meditation in Stressed Older Adults: Improvements in Self-Rated Mental Health Not Paralleled by Improvements in Cognitive Function or Physiological Measures. Mindfulness (2017) 8: 627. doi:10.1007/s12671-016-0640-7

Abstract

To determine if mindfulness meditation (MM) in older adults improves cognition and, secondarily, if MM improves mental health and physiology, 134 at least mildly stressed 50–85-year olds were randomized to a 6-week MM intervention or a waitlist control. Outcome measures were assessed at baseline and 2 months later at visit 2. The primary outcome measure was an executive function/attentional measure (flanker task). Other outcome measures included additional cognitive assessments, salivary cortisol, respiratory rate, heart rate variability, Positive and Negative Affect Schedule (PANAS), Center for Epidemiologic Studies Depression (CESD), Perceived Stress Scale (PSS), Neuroticism-Extraversion-Openness (NEO) personality traits, and SF-36 health-related quality of life. One hundred twenty-eight participants completed the study though visit 2 assessments. There was no significant change in the primary or other cognitive outcome measures. Even after statistical adjustment for multiple outcomes, self-rated measures related to negative affect and stress were all significantly improved in the MM intervention compared to waitlist group (PANAS-negative, CESD, PSS, and SF-36 health-related quality of life Vitality and Mental Health Component). The SF-36 Mental Health Component score improved more than the minimum clinically important difference. There were also significant changes in personality traits such as Neuroticism. Changes in positive affect were not observed. There were no group differences in salivary cortisol or heart rate variability. These moderate-sized improvements in self-rated measures were not paralleled by improvements in cognitive function or physiological measures. Potential explanations for this discrepancy in stress-related outcomes are discussed to help improve future studies.

Reduce Stress with Preventative On-line Mindfulness Training

July 6, 2017July 6, 2017 psyjdc Leave a comment

Reduce Stress with Preventative On-line Mindfulness Training

By John M. de Castro, Ph.D.

“Mindfulness not only reduces stress but also gently builds an inner strength so that future stressors have less impact on our happiness and physical well-being.” – Shamash Alidina

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress. Techniques such as Mindfulness Training, Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) as well as Yoga practice and Tai Chi or Qigong practice have been demonstrated to be effective. This has led to an increasing adoption of these mindfulness techniques for the health and well-being of both healthy and ill individuals.

The vast majority of the mindfulness training techniques, however, require a certified trained therapist. This produces costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules. As a result, there has been attempts to develop on-line mindfulness training programs. These have tremendous advantages in decreasing costs and making training schedules much more flexible. But, the question arises as to whether these programs are as effective as their traditional counterparts.

In today’s Research News article “Effects of preventive online mindfulness interventions on stress and mindfulness: A meta-analysis of randomized controlled trials.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199155/, Jayawardene and colleagues reviewed and conducted a meta-analysis of the published research literature on the effectiveness of preventative mindfulness training on-line with normal, non-clinical, individuals for the relief of stress effects. They found 8 published randomized controlled trials. Most used modifications of the Mindfulness-Based Stress Reduction (MBSR) program and lasted from 2 to 12 weeks. MBSR includes body scan, meditation, and yoga practices.

They found that the published studies report significant reductions in perceived stress of moderate effect sizes and increases of mindfulness of small effect sizes following mindfulness training in comparison to baseline and control conditions. These effects persisted up to several months after the end of training. They also found that the older the participant the larger the reduction in perceived stress produced by mindfulness training.

These results are significant but not unexpected as Mindfulness-Based Stress Reduction (MBSR) was developed specifically to target perceived stress. What is significant is that this effectiveness occurs even when the training occurs strictly over the internet and with normal, non-clinical, populations. This is important as it suggests that inexpensive mindfulness training can be offered to widespread audiences. In addition, online training is convenient for the participants, as they do not have to go to a practitioners site on a particular schedule. This, in turn, allows for the application of mindfulness training for the prevention and treatment of psychological and physical disorders with busy people, low income people, and even people in remote locations, thus greatly expanding the numbers of people who can benefit.

Mindfulness training has been shown to have a myriad of physical and psychological benefits. The present findings are exciting in that they suggest that mindfulness training can occur inexpensively to disparate populations. The on-line mindfulness training may then, by reducing stress effects in normal people, act to prevent the many physical and psychological problems that result from chronic stress, improving their health and well-being.

So, reduce stress with preventative on-line mindfulness training.

“These are difficult times right now for a lot of people. Learning to become more “present,” frees us to be more flexible and creative – and ultimately, more resilient, enjoying better health and well-being.’”– Elisha Goldstein

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Jayawardene, W. P., Lohrmann, D. K., Erbe, R. G., & Torabi, M. R. (2017). Effects of preventive online mindfulness interventions on stress and mindfulness: A meta-analysis of randomized controlled trials. Preventive Medicine Reports, 5, 150–159. http://doi.org/10.1016/j.pmedr.2016.11.013

Abstract

Empirical evidence suggested that mind-body interventions can be effectively delivered online. This study aimed to examine whether preventive online mindfulness interventions (POMI) for non-clinical populations improve short- and long-term outcomes for perceived-stress (primary) and mindfulness (secondary). Systematic search of four electronic databases, manuscript reference lists, and journal content lists was conducted in 2016, using 21 search-terms. Eight randomized controlled trials (RCTs) evaluating effects of POMI in non-clinical populations with adequately reported perceived-stress and mindfulness measures pre- and post-intervention were included. Random-effects models utilized for all effect-size estimations with meta-regression performed for mean age and %females. Participants were volunteers (adults; predominantly female) from academic, workplace, or community settings. Most interventions utilized simplified Mindfulness-Based Stress Reduction protocols over 2–12 week periods. Post-intervention, significant medium effect found for perceived-stress (g = 0.432), with moderate heterogeneity and significant, but small, effect size for mindfulness (g = 0.275) with low heterogeneity; highest effects were for middle-aged individuals. At follow-up, significant large effect found for perceived-stress (g = 0.699) with low heterogeneity and significant medium effect (g = 0.466) for mindfulness with high heterogeneity. No publication bias was found for perceived-stress; publication bias found for mindfulness outcomes led to underestimation of effects, not

studies. POMI had substantial stress reduction effects and some mindfulness improvement effects. POMI can be a more convenient and cost-effective strategy, compared to traditional face-to-face interventions, especially in the context of busy, hard-to-reach, but digitally-accessible populations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199155/

Relieve Anxiety following Surgery with Meditation

June 29, 2017 psyjdc Leave a comment

Relieve Anxiety following Surgery with Meditation

By John M. de Castro, Ph.D.

“Mindfulness trains you to view your thoughts differently. You learn to recognize and stop “mental time travel” — worrying about the future and ruminating about the past. Instead of following a worrying thought down the path of all possible negative outcomes, you learn to recognize it for what it is — one thought — and then let it go. This trains your brain to be less anxious.” – Deane Alban

It’s a normal human response to become anxious when confronted with highly stressful or frightening situations, such as undergoing heart surgery. Being overly anxious, however, can interfere with coping and recovery after surgery. It has been demonstrated repeatedly that mindfulness counteracts anxiety and mindfulness training is an effective treatment for a variety of forms of anxiety. Mindfulness training has been shown to be effective for anxiety disorders in general and in relieving test anxiety and social anxiety. It has yet to be demonstrated that mindfulness training can relieve the anxiety preceding and following major surgery.

In today’s Research News article “.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408519/, Kiran and colleagues examine the ability of meditation training to relieve anxiety before and after coronary artery bypass grafting. They recruited patients (average age of 55 years) who were scheduled to undergo coronary artery bypass grafting for coronary artery disease and randomly assigned them to either receive meditation training or counseling about the surgical procedure. The mindfulness training occurred upon admission to the hospital and consisted of three instructional sessions on Rajyoga meditation and 3 10-minute meditations per day, once before breakfast, lunch, and dinner. Meditation continued daily prior to and following surgery. Prior to training anxiety was measured with a self-report and on the day of surgery and 2 and 5 days later anxiety and plasma cortisol levels (to measure stress responding) were measured.

They found that before training and right before surgery the groups did not differ in anxiety levels. But, on the 2^nd day after surgery the meditation group was significantly less anxious than the control group and on the 5^th postoperative day the difference was even greater. Before surgery plasma cortisol levels did not differ between groups but the meditation group had a significantly smaller increase in cortisol immediately after surgery and a return to the normal range on the 5^th postoperative day. Hence, meditation appears to lower postsurgical anxiety and stress levels. This may promote faster recovery from the procedure. It is interesting that such a simple and short-term mindfulness intervention can have such a large effect on anxiety and stress responding.

Anxiety is a fear of potential future negative events. It is dependent upon future oriented thought processes. Mindfulness training may counteract this by focusing the individual on the present moment. Since, there are no negative events there in the present moment, anxiety dissipates. In addition, mindfulness training improves the individual’s ability to see the negative future projections as they arise in the mind and recognize that they are not based in present reality. This can lead to reduced anxiety.

So, relieve anxiety following surgery with meditation.

“We have a bad habit of gathering up dramatic feelings and situations, clutching them to us as if they were prized possessions. We feel we are entitled to our ownership of this anxiety, and we believe we must hold onto it in order to keep ourselves emotionally safe. It takes a little courage, but meditation can help us see and nurture our internal strength, so we can separate ourselves from drama and achieve anxiety relief.” – Ram Das

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Kiran, U., Ladha, S., Makhija, N., Kapoor, P. M., Choudhury, M., Das, S., … Airan, B. (2017). The Role of Rajyoga Meditation for Modulation of Anxiety and Serum Cortisol in Patients Undergoing Coronary Artery Bypass Surgery: A Prospective Randomized Control Study. Annals of Cardiac Anaesthesia, 20(2), 158–162. http://doi.org/10.4103/aca.ACA_32_17

Abstract

Introduction:

Rajyoga meditation is a form of mind body intervention that is promoted by the Brahma Kumaris World Spiritual University. This form of meditation can be easily performed without rituals or mantras and can be practiced anywhere at any time. The practice of Rajyoga meditation can have beneficial effects on modulating anxiety and cortisol level in patients undergoing major cardiac surgery.

Materials and Methods:

A prospective randomized control study was carried out in a single tertiary care center. One hundred and fifty patients undergoing elective coronary artery bypass surgery were enrolled in the study. The patients were randomized in two groups namely, Group 1 (Rajyoga group) and Group 2 (Control Group). Anxiety was measured on a visual analog scale 1–10 before the start of Rajyoga training or patient counseling (T1), on the morning of the day of surgery (T2), on the 2nd postoperative day (T3), and on the 5th postoperative day (T4). The serum cortisol level was measured in the morning of the day of surgery (T1), on the 2nd postoperative day (T2) and on the 5th postoperative day (T3), respectively.

Results:

In the study, it was seen that the anxiety level of the patients before the surgery (T1) and on the day of surgery (T2) were comparable between the two groups. However on the 2nd postoperative day (T3), the patients who underwent Rajyoga training had lower anxiety level in comparison to the control group (3.12 ± 1.45 vs. 6.12 ± 0.14, P < 0.05) and on the 5th postoperative day (T4) it was seen that Rajyoga practice had resulted in significant decline in anxiety level (0.69 ± 1.1 vs. 5.6 ± 1.38, P < 0.05). The serum cortisol level was also favorably modulated by the practice of Rajyoga meditation.

Conclusion:

Mindbody intervention is found to effective in reducing the anxiety of the patients and modulating the cortisol level in patients undergoing wellknown stressful surgery like coronary artery bypass surgery.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408519/

Mindfulness Training is Effective when Learned over the Internet.

May 20, 2017 psyjdc 1 Comment

Mindfulness Training is Effective when Learned over the Internet.

By John M. de Castro, Ph.D.

“online mindfulness/stress management programs can be as effective as real-world programs, delivered at a fraction of the cost. . . . online programs could make mindfulness more accessible to underserved populations—as long as they have a computer and an Internet connection.” – Hooria Jazaieri

In today’s Research News article “Mindfulness Interventions Delivered by Technology Without Facilitator Involvement: What Research Exists and What Are the Clinical Outcomes?” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010616/

Fish and colleagues review and summarize the published research literature on the effectiveness of mindfulness therapies delivered online. They identified 9 randomized controlled trials of web-based mindfulness training. “All interventions introduced participants to some form of mindfulness practice including body scans, mindfulness of breathing, mindful movement and loving kindness” meditation.

They found that the studies reported that mindfulness training resulted in large improvements in mindfulness, reductions in stress, and clinically significant reductions in depression and anxiety. A large proportion of participants, 83%, continued practice after training ceased and the beneficial effects of the practice were still significant as much as 6-months later. These are impressive results which are comparable to the effects reported for therapist guided mindfulness training for stress, anxiety, and depression. The studies, however, generally used weak control conditions and there is a need to continue the research with stronger research designs.

These are important findings in that mindfulness therapies were successfully implemented on-line. Web-based therapy allows for widespread, inexpensive, and convenient distribution of the treatment programs thereby opening up treatment to individuals who live in remote areas, cannot afford traditional therapist led treatment, or do not have the time to come repeatedly to a clinic during the workday. Hence, mindfulness training can be provided at low cost to widespread communities and individuals at their convenience. This greatly magnifies the potential societal benefits of mindfulness training; improving health and well-being.

So, mindfulness training is effective when learned over the internet.

“One of the benefits of living in a digital age is that we can pretty much access whatever we want. That is certainly true of meditation. Every major meditation center or university has an online component, offering you virtual courses, guided meditations, information on retreats and workshops. “ – Mindful

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Fish, J., Brimson, J., & Lynch, S. (2016). Mindfulness Interventions Delivered by Technology Without Facilitator Involvement: What Research Exists and What Are the Clinical Outcomes? Mindfulness, 7(5), 1011–1023. http://doi.org/10.1007/s12671-016-0548-2

Abstract

New cost-effective psychological interventions are needed to contribute to treatment options for psychiatric and physical health conditions. This systematic review aims to investigate the current literature on one potentially cost-effective form of mindfulness-based therapy, those delivered through technological platforms without any mindfulness facilitator input beyond the initial design of the programme. Three electronic databases (Ovid Medline, PsychINFO and Embase) were searched for relevant keywords, titles, medical subject headings (MeSH) and abstracts using search terms derived from a combination of two subjects: ‘mindfulness’ and ‘technology’. Overall, ten studies were identified. The majority of studies were web-based and similar in structure and content to face-to-face mindfulness-based stress reduction courses. Clinical outcomes of stress (n = 5), depression (n = 6) and anxiety (n = 4) were reported along with mindfulness (n = 4), the supposed mediator of effects. All eight studies that measured significance found at least some significant effects (p < .05). The highest reported effect sizes were large (stress d = 1.57, depression d = .95, both ps > .005). However, methodological issues (e.g. selection bias, lack of control group and follow-up) which reflect the early nature of the work mean these largest effects are likely to be representative of maximal rather than average effects. Whilst there are important differences in the construction, length and delivery of interventions, it is difficult to draw firm conclusions about the most effective models. Suggestions of key characteristics are made though, needing further investigation preferably in standardised interventions. Given the existing research and the speed at which technology is making new platforms and tools available, it seems important that further research explores two parallel lines: first, refinement and thorough evaluation of already established technology-based mindfulness programmes and second, exploration of novel approaches to mindfulness training that combine the latest technological advances with the knowledge and skills of experienced meditation teachers.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010616/