Observe Mindfully and be Less Stressed

MBCT Depression Internet Beck2

I wanted to share the experience of how yoga and meditation have transformed my life, how they have enabled me to observe who I am, first in my body, and then emotionally, and on to a kind of spiritual path.” – Mariel Hemingway

 

Stress is universal. We are constantly under some form of stress. In fact, if we don’t have enough stress, we seek out more. There appears to be an optimum level of stress for which we strive. If our stress level is too low, we feel bored and do things to increase it, such as riding a roller coaster, going out to an action movie, thrill seeking, engaging socially etc. On the other hand, if your stress level is too high, we feel tense and do things to decrease it, such as resting, taking depressant drugs like alcohol, withdrawing from social interactions, taking vacations etc.

 

Stress actually can strengthen us. Muscles don’t grow and strengthen unless they are moderately stressed in exercise. Moderate mental stress can actually increase the size and connectivity of brain areas devoted to the activity. Moderate social stress can help us become more adept in social interactions. Moderate work stress can help us be more productive and improve as an employee, etc. So, stress can be a good thing promoting growth and flourishing. The key word here is moderate or what we called the optimum level of stress. Too little or too much stress can be damaging.

 

Unfortunately for many of us living in a competitive modern environment stress is all too often higher than desirable. In addition, many of the normal mechanisms for dealing with stress have been eliminated. The business of modern life removes opportunities for rest, working extra hours, and limiting or passing up entirely vacations to stay competitive. Persistently high levels of stress are damaging and can directly produce disease or debilitation increasing susceptibility to other diseases. Chronic stress can produce a condition called distress which can lead to headaches, upset stomach, elevated blood pressure, chest pain, and problems sleeping and can make other diseases worse.

 

Stress is epidemic worldwide, but particularly in the United States. It has been found that over two thirds of Americans experienced symptoms of stress such as fatigue, irritability or anger, or changes in sleeping habits. Forty-three percent of all adults suffer adverse health effects from stress and 75% to 90% of all doctor’s office visits are for stress-related ailments and complaints.

 

It is beyond the ability of the individual to change the environment to reduce stress, so it is important that methods be found to reduce the individual’s responses to stress and thereby reduce the conversion of stress to distress, reducing the damaging effects of chronic stress. Contemplative practices have been shown to reduce the psychological and physiological responses to stress (see http://contemplative-studies.org/wp/index.php/category/research-news/stress/). Because of their ability to relieve stress, mindfulness trainings are increasingly being practiced by individuals and are even being encouraged in some workplaces.

 

Exactly what aspects of mindfulness are effective for stress are not known. There have been identified five facets of mindfulness; observing, describing, non-judging of inner experience, non-reactivity to inner experience, and acting with awareness. In today’s Research News article “The “Observing” Facet of Mindfulness Moderates Stress/Symptom Relations Only Among Meditators.”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1147269655296959/?type=3&theater

Neale-Lorello and colleagues investigate the relationship of these five facets of mindfulness with perceived levels of stress and physical symptoms of distress. They further separated their participants into experienced meditators and non-meditators. They found that meditators were higher in mindfulness, lower in perceived stress and had fewer physical symptoms than non-meditators demonstrating the efficacy of meditation for stress relief.

 

They further found marked differences between the groups in the relationships of the facets of mindfulness with stress and physical symptoms. In the non-meditators all of the facet except observing were negatively associated with both perceived stress and physical symptoms while for meditators none of the facets were associated with perceived stress while only non-judging and acting with awareness were negatively associated with physical symptoms. To some extent the lack of significant findings for the meditators may be the result of the fact that the meditators were already low in perceived stress and physical symptoms.

 

In a more complex analysis they found, not surprisingly, that life stress was positively associated with physical symptoms. But, this was not true for the meditators who were also high in the observing facet of mindfulness. “This result implies that mindfulness meditation training may allow people who attend closely to their experience to separate out the objective contents of what is observed from their cognitive and/or emotional reactions to them. Such a parsing would free up resources that might otherwise be expended on negative emotional responses … leaving the more mindful individual better able to deploy effective actions in response to stressors.” (Neale-Lorello).

 

These findings indicate that meditation increases mindfulness reducing the impact of stress on distress; physical symptoms. It does so, in part by increasing the observation of experience which appears to buffer the meditator from the negative physical effects of stress. So, meditation increases mindfulness, reduces perceived stress and physical symptoms and buffers the individual from the ability of stress to produce distress.

 

So, observe mindfully and be less stressed.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

“You begin by letting thoughts flow and watching them. The very observation slows down the mind till it stops altogether. Once the mind is quiet, keep it quiet. Don’t get bored with peace, be in it, go deeper into it.” – Nisargadatta Maharaj

 

Distress Produces Less Stress with Mindfulness

 

“If you want to conquer the anxiety of life, live in the moment, live in the breath.” ― Amit Ray

 

Psychological distress is related to an increase in physiological stress responses. That is, when the individual is anxious, ruminating, or having negative emotions, the physiology including the hormonal system reacts. The increased activity can be measured in heightened stress hormones in the blood and increased heart rate, blood pressure etc. These physiological stress responses on the short-term are adaptive and help to fight off infection, toxins, injury, etc. But when these stress responses are long lasting (chronic) they can themselves be a source of disease.

 

Chronic stress can produce a myriad of physical problems including mental health problems, such as depression, anxiety, and personality disorders; cardiovascular disease, including heart disease, high blood pressure, abnormal heart rhythms, heart attacks, and stroke; obesity and other eating disorders; menstrual problems; sexual dysfunction, such as impotence and premature ejaculation in men and loss of sexual desire in both men and women; skin and hair problems, such as acne, psoriasis, and eczema, and permanent hair loss; and gastrointestinal problems, such as gastroesophageal reflux disease (GERD), gastritis, ulcerative colitis, and irritable colon. Needless to say, chronic stress can be very harmful.

 

Unfortunately, psychological distress is often persistent and chronic and resulting in chronic stress which in turn can produce disease. Many of the symptoms of psychological distress have been shown to be related to a lack of mindfulness. Anxiety is often rooted in a persistent dread of future negative events while rumination is rooted in the past, with persistent replaying of negative past events. Since mindfulness is firmly rooted in the present it is antagonistic toward anything rooted in the past or future. Hence, high levels of mindfulness cannot coexist with anxiety and rumination. This has been repeatedly demonstrated (see http://contemplative-studies.org/wp/index.php/category/research-news/anxiety/ and http://contemplative-studies.org/wp/index.php/category/research-news/worry/). In addition, high mindfulness has been shown to be related to high levels of emotion regulation and positive emotions (see http://contemplative-studies.org/wp/index.php/category/research-news/emotions/). So, mindfulness would appear to be an antidote to psychological distress.

 

In today’s Research News article “It’s Not What You Think, It’s How You Relate to It: Dispositional Mindfulness Moderates the Relationship Between Psychological Distress and the Cortisol Awakening Response”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1141553695868555/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503930/

Daubenmier and colleagues investigated whether mindfulness could blunt the stress hormone response to psychological distress. They measured the cortisol awakening response. Cortisol is a stress hormone whose levels are very low during sleep. Upon awakening they increase. How much they increase is related to the level of chronic stress the individual is under. So, the increase in cortisol shortly after awakening is a good measure of the individual’s level of chronic physiological stress.

 

They found that, as expected, that the magnitude of the cortisol awakening response was positively related to the individuals’ levels of psychological distress. But, high levels of mindfulness were related to a smaller cortisol awakening responses to psychological distress. In particular, two facets of mindfulness, the ability to describe and the ability to accept thoughts and emotions were negatively related to the cortisol awakening response. This suggests that the ability to consciously label or accept negative thoughts and emotions may buffer their impact on stress hormone activation. In other words, if thoughts and emotions are experienced with mindful awareness they have a less stressful impact.

 

Mindfulness by focusing the individual’s awareness on the present moment, improving their ability to experience, label, and accept their responses to stress, while interfering with rumination rooted in the past and anxiety rooted in the future, provides a greater tolerance for psychological stress. This would predict that mindful individuals would have less illness as a result of psychological stress. Future research will be needed to verify this prediction.

 

So, be mindful and be less stressed by psychological distress.

 

All the suffering, stress, and addiction comes from not realizing you already are what you are looking for. – Jon Kabat-Zinn
CMCS – Center for Mindfulness and Contemplative Studies

 

Calm the Police with Yoga

“Yoga has a sly, clever way of short circuiting the mental patterns that cause anxiety.” – Baxter Bell

 

Policing is a very stressful occupation. Stress in police can result from role conflicts between serving the public, enforcing the law, and upholding ethical standards and personal responsibilities as spouse, parent, and friend. Stress also results from, threats to health and safety, boredom, responsibility for protecting the lives of others, continual exposure to people in pain or distress, the need to control emotions even when provoked, the presence of a gun, even during off-duty hours, and the fragmented nature of police work, with only rare opportunities to follow cases to conclusion or even to obtain feedback or follow-up information.

 

This stress can have serious consequences for the individual and in turn for society. Police officers have one of the highest suicide rates in the nation, possibly the highest. They have a high divorce rate, about second in the nation. They are problem drinkers about twice as often as the general population. This is a major problem as stress and the resultant complications can impact job performance, which sometimes involve life or death situations.

 

Given the difficulties with stress and the critical nature of their roles in society, it is imperative that methods be found to not just reduce the stressors of the job but also to assist the officers in stress management. Contemplative practices including yoga practice have been shown to be effective in the management of stress (see http://contemplative-studies.org/wp/index.php/category/research-news/stress/n). They’ve been shown to reduce both the physiological and the psychological responses to stress. Hence, contemplative practice may be an effective method to reduce stress in police.

 

In today’s Research News article “Evaluation of the benefits of a Kripalu yoga program for police academy trainees: a pilot study”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1139276302762961/?type=3&theater

http://www.researchgate.net/publication/256478725_Evaluation_of_the_benefits_of_a_kripalu_yoga_program_for_police_academy_trainees_a_pilot_study

Jeter and colleagues examined the effectiveness of yoga practice for reducing stress in police academy trainees. They administered six 75-minute classes during the 20-week police academy training and found that there was a significant reduction in perceived stress in the trainees. In addition, they found that the yoga training significantly reduced tension and fatigue.

 

Yoga practice has been shown previously to reduce not only perceived stress but also the hormonal and cardiovascular responses to stress. Unfortunately, these physiological indicators were not measured in the study by Jeter and colleagues. But, the reduction in the psychological perception of stress is normally linked to changes in the physiological response. So, it is likely that these were also present in the trainees.

 

The reduction in fatigue is very significant. Fatigue is a major problem with police. Rotating shift work, lack of sleep, financial pressures to take on extra work or second jobs induce fatigue which can, in turn, affect performance. It has been demonstrated that fatigue impairs judgment and eye-hand coordination, increases excessive use of force, severe mood swings, anxiety or depression, substance-abuse, back pain and frequent headaches, PTSD, gastrointestinal problems, and risk of serious health problems. So, the ability of yoga practice to reduce fatigue in the trainees is very important.

 

These results in trainees need to be reproduced in a more highly controlled trial and the effectiveness of yoga practice to reduce stress in police officers in the field needs to be established. But, these preliminary results certainly justify further research. The problem is too important to be left untreated and yoga practice definitely shows promise.

 

So, calm the police with yoga.

 

“Yoga, an ancient but perfect science, deals with the evolution of humanity. This evolution includes all aspects of one’s being, from bodily health to self realization. Yoga means union – the union of body with consciousness and consciousness with the soul. Yoga cultivates the ways of maintaining a balanced attitude in day to day life and endows skill in the performance of one’s actions.” – B.K.S. Iyenga

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Physical Well-being with Bikram Yoga

Yoga Bikram Hewett2

“My system works, as long as people let me do my job my way. It is not just the sequence, it is how you do it: the timing, the mirrors, the temperature, the carpet. But if people only do it 99% right, it is 100% wrong. When someone tries to mess with it, the people won’t get the yoga benefits.”Bikram Choudhury

 

Yoga practice has been shown to improve physical well-being (see http://contemplative-studies.org/wp/index.php/category/contemplative-practice/yoga-contemplative-practice/). But, there are a large number of different types of yoga practice including Ansura, Ashtanga, Bikram, Hatha, Hot Yoga, Iyengar, Jivamukti, Kripalu, Kundalini, Prenatal, Restorative, Viniypga, Vinyasa, and yin. One problem with the research on yoga effects is that different researchers use different types of yoga. So, it is difficult to compare results. In addition, the studies do not establish the relative effectiveness of each type of yoga.

 

Bikram Yoga is somewhat unique in that it employs a set sequence of 26 poses (asanas) and two breathing exercises. It is practiced in a heated environment (105°F, 40.6°C, 40% humidity) and there is a unique programmed instructional dialogue. The hot environment is thought to soften the muscles making them more pliable and loosen the joints making them more flexible allowing the practitioner to go deeper into poses. The sweating that occurs is thought to help remove toxins and impurities.

 

In today’s Research News article “The Effects of Bikram Yoga on Health: Critical Review and Clinical Trial Recommendations”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1137653292925262/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609431/

Hewett and colleagues review the published research on the effectiveness of Bikram Yoga on physical well-being. They report that in terms of physical fitness, Bikram Yoga increases lower body range of motion, balance, isometric dead-lift strength, isometric maximal voluntary contraction, total hip bone density, and balance compared to the control group. It appears to improve cardiovascular fitness, increasing carotid artery compliance and decreasing beta-stiffness, and HDL and total cholesterol. In overweight and obese practitioners Bikram Yoga improved a number of metabolic markers including blood lipids, insulin resistance, and glucose tolerance. Psychologically, this form of yoga appears to reduce perceived stress and increase mindfulness.

 

These are important findings suggesting that Bikram Yoga is effective in improving fitness, cardiovascular, health, and psychological well-being. The reviewed research studies were limited and did not investigate many other physical and mental parameters and did not investigate Bikram Yoga’s applicability to the treatment of diseases. Unfortunately, the research studies reviewed did not compare Bikram Yoga to other forms of yoga, so it is not known what if any of the reported benefits are specific to Bikram Yoga and which are in common with other practices. This review is an important first step in documenting the effects of Bikram Yoga which are shown to be widely beneficial. It is clear that much more research is warranted comparing the effects of the different forms of practice.

 

Regardless, the results are clear that you can improve well-being with Bikram Yoga.

 

“To sweat is to pray, to make an offering of your innermost self. Sweat is holy water, prayer beads, pearls of liquid that release your past. Sweat is an ancient and universal form of self healing, whether done in the gym, the sauna, or the sweat lodge … The more you sweat, the more you pray. The more you pray, the closer you come to ecstasy.”  – Gabrielle Roth
CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available at the Contemplative Studies Blog http://contemplative-studies.org/wp/

 

 

Women Behind Bars Benefit from Mindfulness Training

“Prison is quite literally a ghetto in the most classic sense of the world, a place where the U.S. government now puts not only the dangerous but also the inconvenient—people who are mentally ill, people who are addicts, people who are poor and uneducated and unskilled.” — Piper Kerman

“Two hundred women, no phones, no washing machines, no hair dryers–it was like Lord of the Flies on estrogen.” — Piper Kerman

 

Prison is an extremely difficult environment for anyone, but especially for women. The prison population is by far majority male, but 18% are female. These women are different from their male counterparts in that they are much more likely to have experienced poverty, intimate partner violence, sexual abuse, and/or other forms of victimization often linked to their offending behavior. They are also much more likely to have co-occurring disorders—in particular, substance abuse problems interlinked with trauma and/or mental illness. In addition, they often struggle with depression, anxiety and post-traumatic stress.

 

So, incarcerated women need to be treated differently, including mental health services, to help them move toward rehabilitation and successful reintegration into society. Education, job training, psychotherapy, addiction treatment etc. can obviously be helpful. In addition, mindfulness training may also be very helpful. It has been found to be beneficial for the treatment of mental health problems in general (see http://contemplative-studies.org/wp/index.php/category/research-news/mental-health/) and for the treatment for substance abuse (see http://contemplative-studies.org/wp/index.php/category/research-news/addiction/). In addition contemplative practice has been found to be helpful for prisoners (see http://contemplative-studies.org/wp/index.php/category/research-news/prison/). So, it makes sense that mindfulness training may be beneficial especially for incarcerated women.

 

In today’s Research News article “The Impact of a Mindfulness Based Program on Perceived Stress, Anxiety, Depression and Sleep of Incarcerated Women”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1121590894531502/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586693/

Ferszt and colleagues had incarcerated women participate in a 12-week Mindfulness Based Program called Path to Freedom. They found that the intervention produced a decrease in perceived stress, anxiety, and depression. In addition, the women who participated were consistently positive about the program and many who did not participate, but heard of the program through word of mouth, asked to be included in future programs.

 

It is not surprising that mindfulness training reduced stress, anxiety, and depression. There are  extensive research findings demonstrating its effectiveness for these issues (see http://contemplative-studies.org/wp/index.php/category/research-news/stress/ regarding stress and http://contemplative-studies.org/wp/index.php/category/research-news/anxiety/ regarding anxiety and http://contemplative-studies.org/wp/index.php/category/research-news/depression/ regarding depression).

 

These are encouraging results. Stress, anxiety, and depression are difficult issues for incarcerated women. The presence of these issues can interfere with other programs designed to help in rehabilitation. In addition, they can be problematic for the women in adjusting to everyday life after release. So, relief of stress, anxiety, and depression may be very beneficial for their eventual success in prison and their reintegration into society.

 

So, mindfulness is beneficial for women behind bars as it is for women in all circumstances.

 

“The women I met in Danbury helped me to confront the things I had done wrong, as well as the wrong things I had done. It wasn’t just my choice of doing something bad and illegal that I had to own; it was also my lone-wolf style that had helped me make those mistakes and often made the aftermath of my actions worse for those I loved.”  — Piper Kerman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Losing the Center

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For most people the self is the center of their universe. It is seen as the center of all experiences, as the initiator of all actions, and as the center of what they believe it means to be human. We are a very self-centered species. This has been useful from an evolutionary standpoint as it has fueled self-preservation and the desire to better the self. This has led to constructive and adaptive behaviors that have furthered the well-being of the individual and the species.

 

But, the idea of a self, of a center, also has its dark side. Problems with the self-image or a weak self-concept can produce suffering and maladaptive behavior. It can also lead to selfishness. It even leads us to miss how interconnected we are to other people, the earth itself, and the entire universe for that matter. This has led to a lack of appreciation of the environment which has resulted in devastating environmental degradation.

 

One of the many problems with the self, the center, is that it can exacerbate rumination which fuels depression and anxiety. Rumination is a repetitive thought process usually involving some negative life event or situation from the past or repeated worry about some potential negative event in the future. Rumination is a characteristic of anxiety and depression which focuses on past issues and future potential problems. In rumination, the individual is normally at the center, with all the repetitive thoughts revolving around the self.

 

Mindfulness training has been shown to decrease rumination and depression (see http://contemplative-studies.org/wp/index.php/2015/08/15/spiraling-up-with-mindfulness/) and reduce worry, depression and anxiety (see http://contemplative-studies.org/wp/index.php/2015/07/17/stop-worrying/). One hypothesis for mindfulness’ effectiveness is that it reduces the individual’s tendency to see the self as the center of everything. It may be producing a decentering such that events are no longer seen as personal. Occurrences then can be seen as just things happening that do not necessarily either involve or reflect upon the self.

In today’s Research News article “A shift in perspective: Decentering through mindful attention to imagined stressful events”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1115957915094800/?type=3&theater

Lebois and colleagues investigate whether mindfulness leads to decentering as evidenced by brain activity. They taught non-meditators a strategy for dealing with stressful events, mindful attention, which involved simply viewing events as fleeting experiences in the mind. They compared neural activity when imagining a stressful event between mindful attention and the normal self-centered process termed immersion. In general they found that immersion resulted in increased neural activity while imaging the stressful event, while mindful attention decreased neural activity. In other words, when the self was removed from the stressful event the nervous system became more relaxed, while when the self was the center of the stressful event the nervous system reacted more vigorously.

 

The systems in the brain that were activated differed between the mindful attention and the immersion conditions. In comparison to immersion, during mindful attention there was greater activation of brain areas that have been associated with changing ones perspective (Angular Gyrus), decision making and attentional control (Inferior prefrontal cortex), augmented inhibitory control (medial prefrontal cortex), and visual processing (inferior and middle occipital gyrus). In comparison to mindful attention, during immersion there was greater activation of brain areas involved when integrating visceral states, including the subgenual cingulate cortex, ventral anterior cingulate cortex, and ventromedial prefrontal cortex/medial orbitofrontal cortex. These areas are associated with monitoring and processing reward, attending to feelings, and labeling stimuli as self-relevant. Thus, immersion appeared to engage stronger self, bodily, and affective responses than did mindful attention, consistent with engaging oneself in events physically, becoming immersed in them, and experiencing them as subjectively real.

 

These results suggest that mindful attention produced a shift in perspective that disengaged the sense of self from events, decentering. As a consequence, imagined events could be experienced as transitory mental states occurring in the present moment. These results further support the hypothesis that mindfulness reduces worry and rumination by removing the self from the evaluation of events. Hence, mindfulness’ effectiveness for anxiety and depression may be due in part to the removal of the self from one’s perspective on events, leading to a blunted impact of worry and rumination, leading to reduced anxiety and depression.

 

So, practice mindfulness and decenter.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

Yoga Improves Stress Responses and Mood

“Yoga has a sly, clever way of short circuiting the mental patterns that cause anxiety.” – Baxter Bell

 

Depression and anxiety are great scourges on humankind. They affect millions of people worldwide decreasing productivity and increasing misery. The exact etiology of these disorders is unknown. But, modern research is slowly unraveling the mystery. One promising line of inquiry is investigating the linkage of depression and anxiety with the physiological responses to stress including stress hormone responses and the inflammatory response. Depression has been long known to be associated with increased stress hormone activity and increased inflammatory response. This raises the question as to what role the stress response plays in the development of depression.

 

The most common treatment for depression is antidepressant drugs. They are effective for some people and are also known to reduce the stress response and inflammation. But, they are not effective for everyone and they can have some unpleasant side effects. So, alternative treatment for depression and anxiety that are safe, effective and with few side effects are needed.

 

Yoga practice has been shown to reduce anxiety and depression (see http://contemplative-studies.org/wp/index.php/2015/09/03/keep-up-yoga-practice-for-anxiety-and-depression/) and to reduce stress and anxiety (see http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/). Yoga has also been shown to reduce inflammation (see http://contemplative-studies.org/wp/index.php/2015/09/11/reduce-inflammation-with-yoga/) and http://contemplative-studies.org/wp/index.php/2015/08/27/control-inflammation-with-mind-body-practices/) and immune system balance (see http://contemplative-studies.org/wp/index.php/2015/07/17/healthy-balance-through-yoga/). So, it would seem that the practice of yoga is potentially an alternative to antidepressant drug treatment for depression.

 

In today’s Research News article “A systematic review of randomised control trials on the effects of yoga on stress measures and mood

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1115024035188188/?type=3&theater

Pascoe and colleagues review 24 randomized controlled trials investigating the effectiveness of yoga practice for depression and anxiety and their linkages to the stress and inflammatory responses. They found that the published literature provided evidence that yoga practice reduces depression and anxiety and the stress and inflammatory responses.

 

In particular, Pascoe and colleagues report that the evidence suggests that yoga practice reduces anxiety and depression and at the same time reduces the nervous systems responses to stress as indicated by reductions in heart rate and blood pressure and by reductions in the levels of the stress hormone, cortisol. There was also reported to be a decrease in cytokine levels suggesting a decrease in the inflammatory response. Hence, yoga practice appears to be effective for anxiety and depression and reduces the associated stress and inflammatory responses.

 

Since, changes in depression and anxiety occurred at the same time as changes in stress and inflammatory responses, it strengthens the case of a causal link between the two. More research is need to further investigate this promising linkage.

 

So, yoga practice is a safe and effective treatment for anxiety and depression while reducing stress and inflammation.

 

“The yoga mat is a good place to turn when talk therapy and antidepressants aren’t enough.” – Amy Weintraub

 

CMCS – Center for Mindfulness and Contemplative Studies

Healing in the Workplace with Mindfulness

“The greatest weapon against stress is our ability to choose one thought over another.” ~ William James

 

The workplace, particularly in the modern competitive world, can be a very stressful environment. These stresses can produce problems by themselves and they can also magnify existing problems or weaknesses in the workers. So, it is not surprising that 18% of all workers report some kind of mental health problem during the last month. It has been estimated that among all physical and mental problems that depression is the most costly disorder to employers producing high levels of absenteeism and lost productivity.

 

The types of mental health problems that occur in workers are no different than those seen in the entire population. They can, however, present themselves differently due to the unique conditions of the workplace. Exacerbating the problem are workplace insecurities that cause the individual to not seek out treatment for their problems. They worry that the stigma attached to mental health problems could threaten their jobs and careers.

 

Hence, workplace mental health problems present special challenges. Preventive measures or treatments are needed that don’t threaten the individual’s career. One potential stealth treatment is mindfulness practice. These have become more and more accepted in the workplace, not as a mental health treatment, but as a method to boost productivity and creativity. In addition, meditation practice has been found to be associated with better job performance, job satisfaction, and work engagement (see http://contemplative-studies.org/wp/index.php/2015/07/17/work-smarter-with-meditation/).

 

In today’s Research News article “The Potential for Mindfulness-Based Intervention in Workplace Mental Health Promotion: Results of a Randomized Controlled Trial”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1111891638834761/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4569475/

Huang and colleagues investigate the effectiveness of mindfulness practices for mental health issues in the workplace. Based on a large survey of factory employees they selected and recruited 144 workers who displayed mental health problems, exhibiting both psychological distress and job strain. Half were randomly assigned to a Mindfulness-Based Intervention, very similar to a Mindfulness-Based Stress Reduction (MBSR) program, conducted over eight weeks. The other half of the workers constituted a waiting list control group.

 

The intervention resulted in significant reductions in psychological distress, prolonged fatigue, and perceived stress compared to the control group. Importantly, the effects were still present and significant four and again at eight weeks after the completion of the mindfulness training. These are very encouraging, clinically meaningful results and suggest that mindfulness training is effective for mental health issues in the workplace. The mindfulness training is safe and effective and because it is not seen as a mental health intervention does not produce stigma and fear of job loss.

 

There is considerable evidence that mindfulness practices are effective for a variety of mental health issues. They appear to work by improving present moment awareness which undercuts worry, rumination, and anxiety for the future (see http://contemplative-studies.org/wp/index.php/2015/08/25/alter-your-thinking-with-meditation-for-mental-health/). They also have been found to improve emotion regulation allowing for more effective responses to emotions (see http://contemplative-studies.org/wp/index.php/2015/09/10/take-command-and-control-of-your-emotions/). In addition mindfulness based programs have been shown to reduce both the physiological and physiological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/destress-with-mindfulness/). This may be particularly useful for the work environment.

 

So, heal workplace mental health issues with mindfulness.

 

“The primary cause of unhappiness is never the situation, but your thoughts about it.” ~Eckhart Tolle

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Well-being with HIV with Mindfulness

People wait in line to see me, saying there’s plenty of living to be done even if you have an HIV diagnosis. People say they are 10- or 15-year survivors and still moving forward. – Greg Louganis

 

More than 35 million people worldwide and 1.2 million people in the United States are living with HIV infection. In 1996, the advent of the protease inhibitor and the so-called cocktail changed the prognosis for HIV. Since this development a 20 year old infected with HIV can now expect to live on average to age 69. Hence, living with HIV is a long-term reality for a very large group of people.

 

People living with HIV infection experience a wide array of physical and psychological symptoms which decrease their perceived quality of life. The symptoms include muscle aches, depression, weakness, fear/worries, difficulty with concentration, concerns regarding the need to interact with a complex healthcare system, stigma, and the challenge to come to terms with a new identity as someone living with HIV. Hence there is a need to find methods to improve the quality of life in people who are living with HIV infection.

 

Mindfulness has been shown to improve psychological and physical well-being in people suffering from a wide range of disorders (see http://contemplative-studies.org/wp/index.php/2015/07/17/why-is-mindfulness-so-beneficial/ and http://contemplative-studies.org/wp/index.php/2015/07/17/how-do-mindfulness-based-interventions-improve-mental-health/). So, it would stand to reason that mindfulness would also be beneficial for people who are living with HIV infection.

 

In today’s Research News article “Dispositional mindfulness in people with HIV: Associations with psychological and physical health”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1107732272584031/?type=3&theater

Moskowitz and colleagues investigated the mindfulness, appraisal, positive and negative affect, coping, and indicators of psychological well-being and physical health of a group of primarily male HIV positive individuals. They found that mindfulness has significantly associated with a number of positive indicators of psychological well-being. HIV infected individuals who were high in mindfulness were found to have lower depression, lower perceived stress, fewer hassles, less negative affect, less escape-avoidance and self-blame forms of coping and more positive affect.

 

There are a number of potential explanations for the association of mindfulness with improved psychological well-being. The study demonstrated that the association between mindfulness and lower depression was mediated by lower perceived stress and negative emotions. This makes sense as mindfulness has been shown to reduce both the physical and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/destress-with-mindfulness/) and it is also known to improve emotion regulation (see http://contemplative-studies.org/wp/index.php/2015/09/10/take-command-and-control-of-your-emotions/) and stress reduction and emotion regulation are helpful in relieving depression. In addition, since mindful individuals are more attuned to the present moment they may be better able to deal with whatever symptoms are present and not worry and catastrophize about the future.

The results are impressive. They are, however, only associations and it cannot be concluded that there is a causal link between mindfulness and the improved psychological well-being. A trial where mindfulness training is actively manipulated is needed to resolve this issue. Nevertheless, these results are suggestive that mindfulness training may be a way to help the vast numbers of people living with HIV infection adapt and cope with the physical and psychological issues associated with living with infection.

 

So, be mindful of HIV

 

I’m not cured, but the HIV is asleep deep in my body.”- Magic Johnson

 

CMCS – Center for Mindfulness and Contemplative Studies

“Physician, Heal Thyself” with Mindfulness

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“As physicians we owe our patients two things– only two things– our time and our skill. We do not owe our patients our lives. To excessively devote our lives to the practice of medicine while we neglect other aspects of living may be tantamount to never having lived at all.” – Joseph D. Wassersug, M.D.

 

Primary healthcare provides are a critical component of any healthcare system. Yet there is a shortage of primary care providers. It is estimated that there is a shortage in the U.S. of over 9,000 physicians. The shortages are not just due to training insufficient numbers of healthcare provides but also due to high turnover rates. In part because of the shortage and high patient loads, primary healthcare providers experience high stress and burnout. They experience a loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment.

 

In a recent survey 46% of all physicians responded that they had burnout. Currently, over a third of healthcare workers report that they are looking for a new job. Nearly half plan to look for a new job over the next two years and 80% expressed interest in a new position if they came across the right opportunity. Since there is such a great need to retain primary healthcare providers, it is imperative that strategies be identified to decrease stress and burnout.

 

Mindfulness is a possible help in reducing perceived stress and burnout. Indeed, high mindfulness has been shown to be associated with less stress and burnout in emergency medicine personnel (see http://contemplative-studies.org/wp/index.php/2015/08/10/burnout-burnout-with-mindfulness/). This is promising and suggests theat there is a need for continued research into the relationship of mindfulness and stress in primary healthcare providers.

In today’s Research News article “Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1106301519393773/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557919/

Atanes and colleagues performed a survey of 450 primary healthcare provider in Brazil, including family physicians, registered nurses, nursing assistants, and community health workers. They measured mindfulness, perceived stress and subjective well-being and found that these groups reported high levels of perceived stress. Importantly, they found that high levels of mindfulness were associated with low levels of perceived stress and high levels of subjective well-being.

 

These results suggest that mindfulness is to some extent and antidote to high stress and burnout in primary healthcare providers. There are a number of benefits to mindfulness that could be responsible for the reduced perceived stress and increased well-being. In particular mindfulness has been shown to reduce both physiological and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/destress-with-mindfulness/). Mindfulness has also been shown to increase emotion regulation which prepares the individual to experience and respond to emotional situations appropriately and thereby reduces stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/be-smart-about-emotions/). Finally, mindfulness is associated with higher levels of focus on the present moment. This tends to reduce catastrophizing, worry, and anxiety (see http://contemplative-studies.org/wp/index.php/2015/07/17/stop-worrying/) and thereby can reduce psychological stress in primary healthcare providers.

 

These results are potentially important and strongly suggest that the employment of mindfulness training might help primary healthcare providers deal with the stresses of their work environments. This need to be studied with controlled trials. Additionally, the results may have more far reaching applicability than just to the healthcare field. Mindfulness may help with all kinds of stresses in all kinds of situations. Obviously more research is needed in this promising area.

 

So, practice mindfulness and heal thyself from stress and burnout.

 

“Stress, burnout and strain on the human heart are all increasingly taking their toll for millions of hardworking people. However, even someone who is working in a job that simply ‘pays the bills’ can turn mundane and stressful tasks into pleasant activities with a slight adjustment in attitude and by adopting a daily mindful practice.” ― Christopher Dines
CMCS – Center for Mindfulness and Contemplative Studies