Well-being

Improve Caregiver Quality of Life with Yoga

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“Caring for someone with dementia is made up of an infinite number of small moments where we can go either way, adding more stress or bringing more ease. The problem when we are not mindful is our words come out and our actions unfold too quickly for us to have a chance to choose the wisest, most beneficial route. Mindfulness practice slows us down and takes some of the edge off our reactive tendencies.” – Marguerite Manteau-Rao

 

Caregiving for dementia patients is a daunting and all too frequent task. It is estimated that over 15 million Americans are dementia caregivers. It is an intense experience that can go on for four to eight years with increasing responsibilities as the loved one deteriorates. In the last year, 59% of the caregivers report that they are effectively on duty 24/7. It is sad that 72% report relief when their loved one passes away.

 

This long and difficult process can take a major toll on the caregiver. On a practical level they frequently experience financial problems from lost income and have their careers interrupted. But, the greatest problems occur due to the intense levels of stress experienced by the caregivers. Around 2/3rd of caregivers report high emotional stress and over 1/3rd report high physical stress. This stress, in turn can have emotional consequences with over 1/3rd of caregivers reporting depression and many report family problems. In addition, dementia caregivers are more likely to have physical issues such as high levels of stress hormones, reduced immune function, increased hypertension, and coronary heart disease. Needless to say caregivers need care for themselves.

 

Reducing stress is very important for dementia caregivers. Stress not only jeopardizes their own health but also the quality of care they provide for their loved ones. Since mindfulness training has been shown to be effective in reducing both the psychological and physical responses to stress (see http://contemplative-studies.org/wp/index.php/category/research-news/stress/), it would seem be potentially useful for the relief of caregiver stress. Indeed, mindfulness training has been shown to reduce stress and depression, improve the quality of caregiving, and improve the quality of life for the caregiver (see http://contemplative-studies.org/wp/index.php/category/research-news/caregiving/). Hence, it would seem reasonable to further explore mindfulness practices to care for the caregiver.

 

In today’s Research News article “Yoga and compassion meditation program improve quality of life and self-compassion in family caregivers of Alzheimer’s disease patients: A randomized controlled trial”

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Danucalov and colleagues applied an 8-week program of yoga and compassion meditation to a group of female Alzheimer’s caregivers and compared their response to those of a wait-list control group. At the end of yoga and compassion meditation training in comparison to before training and to the control group, the yoga group reported significant improvements in their quality of life including physical, psychological, environmental, and social domains. They showed increased mindfulness, improved vitality both immediately and in general, and increased self-compassion and self-kindness.

 

These findings are remarkable and potentially important. Yoga and compassion meditation training markedly improved the psychological and physical conditions for the caregivers producing a major improvement in quality of life. Training also increased their vitality which is critical given the intense fatigue that the caregiving can produce. How this practice might produce these benefits was not explored. But, the documented ability of yoga practice in reducing stress responses would seem a likely explanation. In addition, the compassion meditation may be a useful component as Loving Kindness Meditation has been shown to improve self-compassion and kindness toward others (see http://contemplative-studies.org/wp/index.php/category/contemplative-practice/loving-kindness/).

 

Regardless of the explanation, it appears clear that mindfulness training is effective in improving the physical and psychological problems experienced by dementia caregivers.

 

So, improve caregiver quality of life with yoga.

 

“Many of us follow the commandment ‘Love One Another.’ When it relates to caregiving, we must love one another with boundaries. We must acknowledge that we are included in the ‘Love One Another.” ― Peggi Speers

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Headaches are a Headache – Reduce them with Mindfulness 2

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“To diminish the suffering of pain, we need to make a crucial distinction between the pain of pain, and the pain we create by our thoughts about the pain. Fear, anger, guilt, loneliness and helplessness are all mental and emotional responses that can intensify pain.” ~Howard Cutler

 

Headaches are the most common disorders of the nervous system. It has been estimated that 47% of the adult population have a headache at least once during the last year. The most common type of headache is the tension headache with 80 to 90 percent of the population suffering from tension headaches at least some time in their lives. The second most common type of headache is the migraine headache. Around 16 to 17 percent of the population complains of migraines. It is the 8th most disabling illness in the world with more than 90% of sufferers unable to work or function normally during their migraine. American employers lose more than $13 billion each year as a result of 113 million lost work days due to migraine.

 

There are a wide variety of drugs that are prescribed for chronic headache pain with varying success. Most tension headaches can be helped by taking pain relievers such as aspirin, naproxen, acetaminophen, or ibuprofen. A number of medications can help treat and prevent migraines and tension headaches, including ergotamine, blood pressure drugs such as propranolol, verapamil, antidepressants, antiseizure drugs, and muscle relaxants. Drugs, however, can have some problematic side effects particularly when used regularly and are ineffective for many sufferers. So, almost all practitioners consider lifestyle changes that help control stress and promote regular exercise to be an important part of headache treatment and prevention. Avoiding situations that trigger headaches is also vital.

 

A Mindfulness Based Stress Reduction (MBSR) program has been shown to be an effective treatment for tension headache (see http://contemplative-studies.org/wp/index.php/2015/09/07/headaches-are-a-headache-reduce-them-with-mindfulness/). Unfortunately, migraine sufferers were not included in the study. In today’s Research News article “The Effectiveness of Mindfulness-Based Stress Reduction on Perceived Pain Intensity and Quality of Life in Patients with Chronic Headache”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1144418128915445/?type=3&theater

Bakhshani and colleagues examine the effectiveness of an 8-week Mindfulness Based Stress Reduction (MBSR) program compared to a treatment as usual (primarily drugs) control group for chronic headaches including tension and migraine headaches. They found that in comparison to the control group which primarily controlled pain with drugs the MBSR group had a clinically significant reduction in pain intensity with a moderate effect size. They also found that MBSR produced a significant improvement in quality of life including role limitation due to physical health, bodily pain, general health, energy and vitality, emotional health and physical and mental health. These results indicate that MBSR is a clinically meaningful effective treatment for both tension and migraine headaches, not only reducing pain but also improving the patients’ quality of life. Importantly, MBSR effects were superior to drug treatment.

 

MBSR is structured to reduce stress and has been empirically shown to significantly reduce both the physiological and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/). Since tension headaches are primarily produced by stress and migraine headaches are frequently triggered by stress, it would seem reasonable to conclude that the stress reduction contributed to the effectiveness of MBSR for chronic headaches. Mindfulness training, by focusing attention on the present moment has also been shown to reduce worry and catastrophizing (see http://contemplative-studies.org/wp/index.php/category/research-news/worry/ and http://contemplative-studies.org/wp/index.php/2015/08/07/pain-is-a-pain-relieve-it-with-meditation/). Pain is increased by worry about the pain and the expectation of greater pain in the future. So, reducing worry and catastrophizing should reduce headache pain. In addition, negative emotions are associated with the onset of headaches. Mindfulness has been shown to increae positive emotions and decrease negative ones (see http://contemplative-studies.org/wp/index.php/2015/08/15/spiraling-up-with-mindfulness/). Finally, mindfulness has been shown to change how pain is processed in the brain reducing the intensity of pain signals in the nervous system.

 

Regardless of the mechanism, it is clear that MBSR is a safe and effective treatment that is more effective than drugs for chronic headaches. So, reduce headache pain and improve quality of life with mindfulness.

 

“The way to live in the present is to remember that ‘This too shall pass.’ When you experience joy, remembering that ‘This too shall pass’ helps you savor the here and now. When you experience pain and sorrow, remembering that ‘This too shall pass’ reminds you that grief, like joy, is only temporary.” ~Joey Green

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Mind-body Practices Promote Health and Well-being by Changing Gene Expression

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“We can’t any longer have the conventional understanding of genetics which everybody peddles because it is increasingly obvious that epigenetics – actually things which influence the genome’s function – are much more important than we realised.” – Robert Winston

 

There is an accumulating volume of research findings to demonstrate that Mind-body therapies 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 therapies 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 (see http://contemplative-studies.org/wp/index.php/category/research-news/genetics/). 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 (see http://contemplative-studies.org/wp/index.php/category/research-news/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. In today’s Research News article “Functional Genomics in the Study of Mind-Body Therapies”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1140382739318984/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295747/

Niles and colleagues review the literature on the effects of mind-body therapies on the functional expression of the genes. Out of the vast number of genomic pathways that can be affected, they found one which appears to be altered by mind-body therapies in general. This was a reduction in activity (downregulation) of the expression of genes that elicit the inflammatory response. In other words mindfulness practices reduce inflammation by reducing the activity of the genes that produce it.

 

This finding is extremely important as an overactive inflammatory system underlies many chronic diseases. Inflammation is a normal response of the body to outside threats like stress, infection, injury, and toxic chemicals. It is designed to protect the body and ward off these threats. It 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. Chronic inflammation can produce 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. Needless to say chronic inflammation can create major health problems. Indeed, the presence of chronic inflammation is associated with reduced longevity. So, it is important for health to control the inflammatory response, allowing it to do its job in fighting off infection but then reducing its activity when no external threat is apparent. Mind-body therapies appear to do just that by reducing the expression of the genes that produce inflammation.

 

Niles and colleagues also found that a number of mind-body therapies increase the activity of telomerase, an enzyme that protects the genes from deterioration, particularly during aging. Hence, mind-body therapies appear to have anti-aging properties by increasing the activity of genes the reduce age related deterioration (see http://contemplative-studies.org/wp/index.php/2015/07/17/aging-healthily-yoga-and-cellular-aging/).

 

All of these results suggest that mind-body therapies promote health and well-being by altering gene expression. This is interesting and important. The next question is what are the mechanisms by which these practices affect gene expressions? It will be up to future research to investigate this link in the causal chain from mind-body therapies to the promotion of health and well-being.

 

So engage in mind-body practices, change gene expression and promote health and well-being.

 

“Our genes are quite dynamic in their expression and …. the calmness of our mind can actually have a potential influence on their expression.” – Richard Davidson

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

 

Improve Physical Well-being with Bikram Yoga

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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/

 

 

Improve Mental and Physical Well-being with Yoga

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Yoga cognition Nagendra2

“The breathing and meditative exercises aim at calming the mind and body and keeping distracting thoughts away while you focus on your body, posture or breath. Maybe these processes translate beyond yoga practice when you try to perform mental tasks or day-to-day activities.” – Neha Gothe

 

If we are lucky enough to navigate life’s dangers we are rewarded with the opportunity to experience aging! The aging process involves a progressive deterioration of the body including the brain. It actually begins in the late 20s and continues throughout the lifespan. It’s inevitable. We can’t stop it or reverse it. But, it is becoming more apparent that life-style changes can slow down and to some extent counteract the process and allow us to live longer and healthier lives. This is true for both physical and mental deterioration including degeneration and shrinkage of the nervous system. Aging healthily to a large extent involves strategies to slow down the deterioration.

 

Contemplative practices including yoga practice (See links below) have been shown to reduce the physical deterioration that occurs with aging (see http://contemplative-studies.org/wp/index.php/category/research-news/aging/). Yoga practice has many physical and mental benefits including protection of brain structures from degeneration with aging (see http://contemplative-studies.org/wp/index.php/2015/07/17/age-healthily-protect-the-brain-with-yoga/). These structural changes have been demonstrated by neuroimaging techniques with yoga practitioners. They document change in the size and connectivity of brain structures that result from yoga practice.

 

Yoga is a mind-body practice that involves both physical and mental exercises. This is accompanied by changes in the activity of virtually every component of the body including general physiology and the peripheral and central nervous systems. So, another potential method to investigate yoga’s effects on the nervous system is to measure the electrical signals emanating from the nervous system.

 

In today’s Research News article “Cognitive Behavior Evaluation Based on Physiological Parameters among Young Healthy Subjects with Yoga as Intervention”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1136173913073200/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4339827/

Nagendra and colleagues trained naive adults in yoga practice for a period of five months for 1.5 hours per day and compared physiological measure to a no-treatment control group. They found that yoga practice produced an increase in parasympathetic (vegetative) and decrease in sympathetic (activation) activity in the peripheral nervous system including a decrease in heart rate and heart rate variability. This indicates a calming and relaxing effect of yoga on the physiology.

 

Nagendra and colleagues also found significant differences in EEG activity of the central nervous system. The changes were complex and varied. But they are indicators that yoga practice produces alterations of brain activity in ways that are indicative of improved vigilance, alertness, attention, concentration ,memory, visual information processing, sense of wellbeing, responsiveness, emotion process, cognition, and executive function and reduced stress and strain. In other words the changes in the brain activity indicated vast improvements in mental processing produced by yoga practice.

 

It should be noted that these are indirect measures and the researchers did not directly measure the psychological variables. So, although suggestive they are not conclusive. They are, however, similar to findings of yoga effects in other research with direct measures (see http://contemplative-studies.org/wp/index.php/category/contemplative-practice/yoga-contemplative-practice/). But, even with this caution, the results suggest that yoga practice has widespread beneficial effects on the mental and physical well-being of the individual.

 

So, practice yoga and improve mental and physical well-being.

 

“True yoga is not about the shape of your body, but the shape of your life. Yoga is not to be performed; yoga is to be lived. Yoga doesn’t care about what you have been; yoga cares about the person you are becoming. Yoga is designed for a vast and profound purpose, and for it to be truly called yoga, its essence must be embodied.” — Aadil Palkhivala

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

Yoga and aging links

Yoga reduces physical degeneration in the elderly http://contemplative-studies.org/wp/index.php/2015/07/17/age-healthily-yoga/

Yoga reduces cellular aging http://contemplative-studies.org/wp/index.php/2015/07/17/aging-healthily-yoga-and-cellular-aging/

Yoga practice improves the symptoms of arthritis in the elderly http://contemplative-studies.org/wp/index.php/2015/08/14/age-healthily-yoga-for-arthritis/

 

 

Improve Teacher Well-Being with Mindfulness

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“The connection between mindfulness and education is both natural and fundamentally important, now more than ever.  The difference between a good teacher and a great teacher, it is often that ineffable quality that you know but cannot pin down in words.”  – The Mindful teacher

 

Teaching is a stressful profession causing many to burn out and leave the profession. A recent survey found that roughly half a million U.S. teachers move or leave the profession each year. That’s a turnover rate of about 20 percent compared to 9 percent in 2009. Indeed, anywhere from 40 and 50 percent of teachers will leave the classroom within their first five years, with over nine percent leaving before the end of their first year.

 

The high stress of the occupation shows up in higher rates of anxiety disorders, but particularly in physical ailments, with higher rates of laryngitis, conjunctivitis, lower urinary tract infections, bronchitis, eczema/dermatitis and varicose veins in female teachers. There is a pressing need to retain good teachers. So, it has become very important to identify means to help relieve the stress and lower burnout rates.

 

Mindfulness has been shown repeatedly to decrease physiological and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/destress-with-mindfulness/ and http://contemplative-studies.org/wp/index.php/category/research-news/stress/). Mindfulness has also been shown to help improve performance and relieve stress in students (see http://contemplative-studies.org/wp/index.php/2015/08/08/building-a-better-adult-with-elementary-school-mindfulness-training/ and http://contemplative-studies.org/wp/index.php/2015/09/04/go-to-college-with-mindfulness/). In addition, mindfulness has been shown to decrease burnout in the medical profession (see http://contemplative-studies.org/wp/index.php/2015/08/10/burnout-burnout-with-mindfulness/). So, it would seem reasonable to suspect that mindfulness training would help teachers to reduce stress, the consequent physical symptoms, and burnout.

 

In today’s Research News article “The Effectiveness of Mindfulness-Based Stress Reduction on Educator Stress and Well-Being: Results from a Pilot Study”

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Frank and colleagues investigate the effectiveness of a mindfulness -based stress reduction (MBSR) program to improve high school teacher stress and well-being. They found that MBSR produced significant improvement in emotion regulation, self-kindness, mindfulness, overall self-compassion, and sleep quality in comparison to a no-treatment control group.

 

Hence it appears that MBSR is effective in improving well-being and reducing stress in high school teachers. Of course, more research is needed particularly with randomly assigned active control conditions and long term follow-up. But, these results are very promising. Given the importance of education to the well-being of our entire society, helping to relieve the problems experienced by teachers has to be a high priority.

 

This as well as research with students points to a development of a total mindful environment in education, where both students and teachers are trained in mindfulness and mindfulness practice is incorporated in the school day. The research suggests that this could have a major positive effect on education.

 

So, teach and learn with mindfulness

 

“I had decided that this would be my last year teaching until the mindfulness program began at my school. Now I am rededicated to my profession.” – Teacher, East Oakland

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Psychological Well Being with Spirituality

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“Enlightened leadership is spiritual if we understand spirituality not as some kind of religious dogma or ideology but as the domain of awareness where we experience values like truth, goodness, beauty, love and compassion, and also intuition, creativity, insight and focused attention.” – Deepak Chopra
Psychological well-being is sometimes thought of as a lack of mental illness. But, it is more than just a lack of something. It is a positive set of characteristics that lead to happy, well-adjusted life. These include the ability to be aware of and accept one’s strengths and weaknesses, to have goals that give meaning to life, to truly believe that your potential capabilities are going to be realized, to have close and valuable relations with others, the ability to effectively manage life issues especially daily issues, and the ability to follow personal principles even when opposed to society. These are also all characteristics that the great psychologist Abraham Maslow labelled self-actualization.

 

These are lofty goals that only few truly accomplish completely. But, we can strive to improve at each. Religion and spirituality encourage such personal growth. Indeed, spirituality appears to be associated with more positive attitudes toward physical and psychological difficulties and toward the end of life (see http://contemplative-studies.org/wp/index.php/category/spirituality/religiosity/). In today’s Research News article “Predicting Dimensions of Psychological Well Being Based on Religious Orientations and Spirituality: An Investigation into a Causal Model”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1116883255002266/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434429/

Khashab and colleagues investigated the relationship of spirituality with psychological well-being in college students.

 

They found significant positive relationships between spirituality overall and the dimensions of psychological well-being including self-acceptance, relations with others, autonomy, goal-directed life, personal growth, and dominance on environment. In addition spirituality was associated with internal, external, and questioning religious orientations which were, in turn, associated with the dimensions of psychological well-being.

 

Hence, the study found clear, strong, and significant relationships between spirituality, religious orientation, and psychological well-being. But, the results do not establish a causal connection. It cannot be concluded that spirituality caused psychological well-being, or that psychological well-being psychological well-being spirituality, or some third factor such as religious orientation was responsible for both. But, nevertheless, the findings are suggestive of a clear relationship, at least for college students.

 

How might spirituality promote psychological well-being. Obviously, it provides goals and meaning to life. In addition, virtually all spiritual practices and religious belief systems promote acceptance of one’s strengths and weaknesses, the need to maintain a principled life, having harmonious relationships with others. So, at least some forms of spirituality can directly provide teachings that lead directly to psychological well-being. When this occurs within a religious context there is the added benefit of a like-minded community that can provide social support and help during difficult times.

 

So, improve psychological well-being with spirituality

 

“There is one thing that, when cultivated and regularly practiced, leads to deep spiritual intention, to peace, to mindfulness and clear comprehension, to vision and knowledge, to a happy life here and now, and to the culmination of wisdom and awakening. And what is that one thing? It is mindfulness centred on the body” – Buddha

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Diabetes Psychological Well-Being with Mindfulness

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“I am a type-2 diabetic, and they took me off medication simply because I ate right and exercised. Diabetes is not like a cancer, where you go in for chemo and radiation. You can change a lot through a basic changing of habits.” – Sherri Shepherd

 

It is estimated that 30 million people in the United States have diabetes and the numbers are growing. Diabetes is the 7th leading cause of death in the United States. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

 

Depression affects people with diabetes more often than people without it — up to 15 percent compared with 6.7 percent in the general population. When depression occurs along with a chronic illness like diabetes, the symptoms tend to be more severe. Compounding the problem further, the symptoms can become worse as depression can lead to missing medication doses, overeating, or skipping exercise. This may mean poorer blood glucose control, which, in turn, means more long-term health complications.

 

So, in treating diabetes it is important to treat not only the physical problem but also the psychological problems such as depression. Mindfulness training, especially Mindfulness-Based Cognitive Therapy Mindfulness-Based Cognitive Therapy (MBCT) has been demonstrated to be effective in treating depression (see http://contemplative-studies.org/wp/index.php/2015/08/15/spiraling-up-with-mindfulness/ and http://contemplative-studies.org/wp/index.php/2015/07/17/dealing-with-major-depression-when-drugs-fail/).

 

In today’s Research News article “Individual Mindfulness-Based Cognitive Therapy for People with Diabetes: a Pilot Randomized Controlled Trial”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1113222965368295/?type=3&theater

Schroevers and colleagues examined whether an individualized version of MBCT might be effective for depression in people with diabetes. In comparison to diabetic patients on a waiting list, MBCT resulted in clinically significant reductions in depressive symptoms and diabetes related psychological distress and increases in the levels of acting with awareness and attention regulation. These improvements were still present three months after completing the program.

 

These are impressive results and suggest that MBCT is an effective treatment for the psychological issues that frequently accompany diabetes. MBCT may be effective due to its emphasis on the present moment in mindfulness. Depression is often rooted in the past and the individual ruminates about the misery of the past. By shifting focus to the present moment, mindfulness can move the individual from being preoccupied with a troubling past to being focused  on addressing the manageable problems in the present. Indeed, Schroevers and colleagues demonstrated that MBCT produces an increase in acting with awareness. The individual then is more aware of what they’re doing. For the depressed diabetic individual this can help in the recognition of how he/she is acting in response to the depression or the diabetes. This allows them to reprogram their responses to be more appropriate to the circumstances of the present rather than responding to the depression itself.

 

Mindfulness also stresses non-judgmental awareness of the present. There is a decreased tendency to be constantly judging what is happening and instead just accept it as what is. This reduces worrying. Indeed, mindfulness practice has been shown to reduce worry (see http://contemplative-studies.org/wp/index.php/2015/07/17/stop-worrying/). Since worry involves concerns about future occurrences to some extent based upon past experiences, the more one can focus on the present the less opportunity there is for worries to arise. Mindfulness training also trains the individual to accept the worry, experience it, and then move on. This reduces the impact of the worry and prevents the development of worrying about worrying.

 

Another possibility is mindfulness’ ability to increase emotion regulation. That is mindfulness assists the individual in recognizing emotions as they arise and not over respond to them. It doesn’t prevent emotions. It simply allows the individual to better deal with them when they do arise. So when depression occurs the individual can recognize it, accept it, and then let it go and not respond to it. This liberates the individual to find new ways of responding to the environment and other people.

 

So, be mindful and improve psychological well-being with diabetes.

 

“Life is not over because you have diabetes. Make the most of what you have, be grateful.” – Dale Evans

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Well-Being and Performance at Work with Mindfulness

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“In light of the mind’s tendency to wander, we view mindfulness (in the workplace and elsewhere) as a remarkable feat: situating the mind in present moment time despite psychological pressures to the contrary. In performing this mental feat in a dynamic work environment, individuals attend to a number of stimuli and events and, as a result, perform effectively.” – Erik Dane

 

We spend approximately 25% of our adult lives at work. How we spend that time is immensely important for our overall well-being, including our psychological and physical health. Indeed the work environment has even become an important part of our social lives, with friendships and leisure time activities often attached to the work environment. But, more than half of employees in the U.S. are unhappy at work and worldwide nearly 2/3 of workers are unhappy.

 

Workers indicate that interest in their work is the number one thing that makes them happy with work and the people with whom they work is the second. One way to accentuate interest in work is through mindfulness. Indeed, it has been demonstrated that meditation practice is associated with improved job performance, job satisfaction, and work engagement (see http://contemplative-studies.org/wp/index.php/2015/07/17/work-smarter-with-meditation/). In addition, mindfulness has been shown to improve workplace mental health (see http://contemplative-studies.org/wp/index.php/2015/11/04/healing-in-the-workplace-with-mindfulness/). Hence, further exploration of the relationship of mindfulness to work satisfaction is warranted.

 

In today’s Research News article “Mindfulness at Work: Antecedents and Consequences of Employee Awareness and Absent-mindedness”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1112769178747007/?type=3&theater

Reb and colleagues surveyed 231 workers and their supervisors in Singapore measuring their levels of mindfulness and work satisfaction and performance. They found that the more mindfully aware the employee was the higher the employees well-being, including higher levels of job satisfaction, need satisfaction, task performance, and work above expectations, and the lower the levels of emotional exhaustion and performance deviance.

 

These are interesting and potentially important findings that mindful awareness is significantly positively associated with greater employee well-being and superior job performance. Mindful workers not only feel better, they also perform better. It should be kept in mind that this study looked at existing levels of mindfulness and existing levels of well-being and performance and consequently does not demonstrate which is cause and which is effect or whether some other factor is responsible for the relationship. A study is needed where the effects of active mindfulness training on well-being and performance are assessed in the workplace.

 

Since mindfulness is known to be associated with improvements in attention and present moment awareness it would appear obvious that this would produce better job performance. In addition, mindfulness is known to reduce the psychological and physiological responses to stress. This would help in dealing with the difficulties encountered in everyday work. Finally, mindfulness has been shown to improve emotion regulation. This would allow a worker to clearly feel their emotional reactions to situations at work and to be able to appropriately and constructively respond to the emotions.

 

So, improve well-being and productivity at work with mindfulness.

 

“Toxic emotions disrupt the workplace, and mindfulness increases your awareness of these destructive patterns, helping you recognize them before they run rampant. It’s a way of reprogramming your mind to think in healthier, less stressful, ways.” – Drew Hansen

 

CMCS – Center for Mindfulness and Contemplative Studies

 

ACT for Depression in Childhood Diabetes

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“Self-acceptance means you refuse to buy into your judgments your mind makes about you, whether they’re good judgments or bad ones. Instead of judging yourself, you recognize your strengths and your weaknesses, and you do what you can to be the person you want to be.” – Russ Harris

 

There is an image, a societal meme, of childhood being a time of great happiness, fancifulness, freedom, creativity, and play. But, the reality is frequently starkly different. It has been estimated that 2% to 4% of children are depressed. This is particularly true with children under intense stress from childhood illness, particularly chronic illness. Indeed, 2.4% of children suffer from childhood diabetes. The day to day struggle with diabetes and the feelings that they are burdens on the family frequently produces depression in these children.

 

Acceptance and Commitment Therapy (ACT) has been shown to be effective for depression in adults (see http://contemplative-studies.org/wp/index.php/2015/09/17/act-for-depression/). ACT employs mindfulness practices to increase awareness and develop an attitude of acceptance and compassion in the presence of painful thoughts and feelings. Additionally, ACT helps people strengthen aspects of cognition such as in committing to living according to their values. It is not known, however, if ACT is effective for depression in diabetic children

 

In today’s Research News article “Effectiveness of Acceptance and Commitment Therapy for Depression, Psychological Well-Being and Feeling of Guilt in 7 – 15 Years Old Diabetic Children”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1111453218878603/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4575800/

Moghanloo and colleagues provided ACT modified for children and adolescents in ten weekly sessions to a randomly assigned group of 7-15 year old diabetic children. The change from before to after was compared to a no intervention control group of children. They found that the children treated with ACT reported lower depression and feelings of guilt and had improved psychological well-being. The effects sizes were large and clinically meaningful. Hence, ACT appeared to be effective in children as it’s been shown to be in adults.

 

It should be noted that there was no follow-up to determine if the effects persisted after the end of active therapy. Also, since the control group did not receive psychological treatment of any kind, it is impossible to determine if ACT is particularly effective or any form of therapy would have worked as well.

 

Like most mindfulness techniques ACT is targeted to improving awareness and acceptance of experiences in the present moment. These include emotions. This may be particularly important in children. By making the children more aware of how they’re feeling and why, they may become better able to deal with and accept these sometimes overpowering emotions. In addition, ACT supplies tools to look at their own thoughts about their disease and psychological state and recognize, accept, and form a different relationship with them. This allows the individual to be more psychologically flexible and mindful. In this way ACT can assist the children in coping with not only their emotions but also their disease and thoughts about it in a more accepting and productive fashion.

 

So, ACT for depression in childhood diabetes.

 

“We have not passed that subtle line between childhood and adulthood until… we have stopped saying “It got lost,” and say “I lost it.” – Sydney J Harris

 

CMCS – Center for Mindfulness and Contemplative Studies