Maintain a Yoga Practice to Improve Absences due to Back Pain

Maintain a Yoga Practice to Improve Absences due to Back Pain

 

By John M. de Castro, Ph.D.

 

“For people with lower back pain, stretching is very important. For example, stretching the hamstring muscles (in the back of the thigh) helps expand the motion in the pelvis, decreasing stress across the lower back. In addition, stretching with yoga increases blood flow, allowing nutrients to flow in, toxins to flow out, and overall nourishment of the muscles and soft tissues in the lower back.” – Fred Busch

 

Low Back Pain is the leading cause of disability worldwide and affects between 6% to 15% of the population. It is estimated, however, that 80% of the population will experience back pain sometime during their lives. The pain interferes with daily living and with work, interfering with productivity and creating absences. There are varied treatments for low back pain including chiropractic care, acupuncture, biofeedback, physical therapy, cognitive behavioral therapy, massage, surgery, opiate pain killing drugs, steroid injections, and muscle relaxant drugs. These therapies are sometimes effective particularly for acute back pain. But, for chronic conditions the treatments are less effective and often require continuing treatment for years and opiate pain killers are dangerous and can lead to abuse, addiction, and fatal overdoses. Obviously, there is a need for safe and effective treatments for low back pain that are low cost and don’t have troublesome side effects.

 

Pain involves both physical and psychological issues. Physically, exercise can be helpful in strengthening the back to prevent or relieve pain. Psychologically, the stress, fear, and anxiety produced by pain tends to elicit responses that actually amplify the pain. So, reducing the emotional reactions to pain may be helpful in pain management. Mindfulness practices have been shown to improve emotion regulation producing more adaptive and less maladaptive responses to emotions. Indeed, mindfulness practices are effective in treating pain and have been shown to be safe and effective in the management of low back pain. Yoga practice is both an exercise and a mindfulness practice which has been shown to have a myriad of health benefits, including relief of chronic pain and relief of chronic low-back pain.  So, it makes sense to further explore the effectiveness of exercise and yoga practice for chronic low back pain.

 

In today’s Research News article “Effects of yoga, strength training and advice on back pain: a randomized controlled trial.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372262/

Brämberg and colleagues recruited adult patients with non-disabling low back pain and randomly assigned them to a strength training exercise, kundalini yoga, or evidence-based education group. Strength training consisted of six weeks of 60-minute supervised strength training with encouragement to practice at least twice weekly at home. Kundalini yoga training consisted of six weeks of 60-minute supervised yoga sessions with meditations, breathing, and posture practice, with encouragement to practice at least twice weekly at home.  Evidence-based education consisted of readings that encourage strategies for self-care, information on medication, sick leave and strategies for managing pain. All participants were measured before and after training and 6 and 12 months later for back and neck pain, absences from work, going to work in pain, and adherence to treatment.

 

They found that yoga had a significantly lower drop-out rate suggesting that it was better liked and tolerated than strength training or education. In addition, neck disability was significantly lower in the yoga and strength training groups than the education group, while back pain was significantly improved in the strength training group. Overall there were no significant group differences in absences from work. But, when the groups were separated into participants who adhered to the recommendations and exercised at least twice a week after training and those who practiced less, the adhering groups had significantly fewer absences, greater than 40% fewer, than the education group or the low adherence participants.

 

These are interesting results and suggest that exercise is helpful with low back pain and its consequences for work life. Yoga practice did not appear to produce superior results to strength training for pain or absences. This suggests that the exercise component of yoga practice is what is effective. But, yoga appeared to be preferred and better tolerated as fewer participants dropped out. The results also clearly indicate that continued practice is crucial. No matter what the exercise practice was, it had to be continued after active training in order to continue being effective.

 

So, maintain a yoga practice to improve absences due to back pain.

 

“And in a new, nationally representative survey from the Consumer Reports National Research Center of more than 3,500 adults, yoga (and tai chi, or the like) was helpful to almost 90 percent of the back-pain suffers who tried it. In comparison, 75 percent of people who saw a physical therapist and 64 percent who saw a primary care doctor said the advice or treatment they received gave them relief.” – Consumer Reports

 

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

Brämberg, E. B., Bergström, G., Jensen, I., Hagberg, J., & Kwak, L. (2017). Effects of yoga, strength training and advice on back pain: a randomized controlled trial. BMC Musculoskeletal Disorders, 18, 132. http://doi.org/10.1186/s12891-017-1497-1

 

Abstract

Background

Among the working population, non-specific low-back pain and neck pain are one of the most common reasons for sickness absenteeism. The aim was to evaluate the effects of an early intervention of yoga – compared with strength training or evidence-based advice – on sickness absenteeism, sickness presenteeism, back and neck pain and disability among a working population.

Methods

A randomized controlled trial was conducted on 159 participants with predominantly (90%) chronic back and neck pain. After screening, the participants were randomized to kundalini yoga, strength training or evidence-based advice. Primary outcome was sickness absenteeism. Secondary outcomes were sickness presenteeism, back and neck pain and disability. Self-reported questionnaires and SMS text messages were completed at baseline, 6 weeks, 6 and 12 months.

Results

The results did not indicate that kundalini yoga and strength training had any statistically significant effects on the primary outcome compared with evidence-based advice. An interaction effect was found between adherence to recommendations and sickness absenteeism, indicating larger significant effects among the adherers to kundalini yoga versus evidence-based advice: RR = 0.47 (CI 0.30; 0.74, p = 0.001), strength training versus evidence-based advice: RR = 0.60 (CI 0.38; 0.96, p = 0.032). Some significant differences were also found for the secondary outcomes to the advantage of kundalini yoga and strength training.

Conclusions

Guided exercise in the forms of kundalini yoga or strength training does not reduce sickness absenteeism more than evidence-based advice alone. However, secondary analyses reveal that among those who pursue kundalini yoga or strength training at least two times a week, a significantly reduction in sickness absenteeism was found. Methods to increase adherence to treatment recommendations should be further developed and applied in exercise interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372262/

Improve Anxiety and Work Better with Mindfulness

Improve Anxiety and Work Better with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Being mindful means paying attention to the present moment, exactly as it is. It is really hard to be anxious if you are completely focused on the present moment” – AnxietyBC

 

Anxiety disorders are the most common mental illness in the United States, affecting 40 million adults, or 18% of the population. Generalized Anxiety Disorder (GAD) affects about 3.1% of the U.S. population. GAD involves excessive worry about everyday problems. People with GAD become anxious in anticipation of problems with their finances, health, employment, and relationships. They typically have difficulty calming their concerns, even though they realize that their anxiety is more intense than the situation warrants. Physically, GAD sufferers will often show excessive fatigue, irritability, muscle tension or muscle aches, trembling, feeling twitchy, being easily startled, trouble sleeping, sweating, nausea, diarrhea or irritable bowel syndrome, and headaches. Clearly, GAD will interfere with the performance of normal daily activities including impairing work performance.

 

Anxiety disorders have generally been treated with drugs. It has been estimated that 11% of women in the U.S. are taking anti-anxiety medications. But, there are considerable side effects and these drugs are often abused. So, there is a need to develop alternative treatments. Recently, it has been found that mindfulness training can be effective for anxiety disorders. Mindfulness-Based Stress Reduction (MBSR) contains three mindfulness trainings, meditation, body scan, and yoga, and has been shown to be effective in treating anxiety. So, it would be reasonable to expect that MBSR training would improve work performance in people with Generalized Anxiety Disorder (GAD).

 

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

http://www.sciencedirect.com.ezproxy.shsu.edu/science/article/pii/S0022399917300661

Hoge and colleagues recruited male and female adult patients who were diagnosed with Generalized Anxiety Disorder (GAD) and randomly assigned them to receive either an 8-week program of Mindfulness-Based Stress Reduction (MBSR) or a comparable stress management program. Participants were measured before and after the 8-week training period and also followed up 24 weeks later for workplace performance, absenteeism, including entire workdays missed and partial workdays missed, healthcare utilization practices, and home meditation practice.

 

They found that at the conclusion of treatment the MBSR group had significantly fewer partial days lost than the control group. In addition, they found that at follow-up the greater the amount of meditation practice the fewer the partial days missed and the fewer the visits to a mental health professional. Hence, MBSR training helps to improve attendance at work and reduce the utilization of mental health care in people with Generalized Anxiety Disorder (GAD). Hence, MBSR appears to improve GAD sufferers’ ability to function in their occupations.

 

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 and better performance at work.

 

So, improve anxiety and work better with mindfulness.

 

“The goal of mindful practices is to force us to be present, so we don’t waste precious days worrying. Needless anxiety and stress cannot burden us if the thoughts don’t enter our mind. And fortunately, we are only capable of focusing on one thing at a time. When you’re aware of only what you’re working on and the sensations of your body, conscious worry is not possible.” – Jordan Bates

 

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

Hoge EA, Guidos BM, Mete M, Bui E, Pollack MH, Simon NM, Dutton MA. Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety. J Psychosom Res. 2017 Apr;95:7-11. doi: 10.1016/j.jpsychores.2017.01.011.

 

Highlights

  • Individuals that received mindfulness training had a reduction in partial workdays missed.
  • Work loss, specifically partial days missed decreased as patients practiced mindfulness more often at home.
  • Mental health visits decreased more in patients who practiced mindfulness more often at home.

Abstract

Objectives

To examine the effect of mindfulness meditation on occupational functioning in individuals with Generalized anxiety disorder (GAD).

Methods

Fifty-seven individuals with GAD (mean (SD) age = 39 (13); 56% women) participated in an 8-week clinical trial in which they were randomized to mindfulness-based stress reduction (MBSR) or an attention control class. In this secondary analysis, absenteeism, entire workdays missed, partial workdays missed, and healthcare utilization patterns were assessed before and after treatment.

Results

Compared to the attention control class, participation in MBSR was associated with a significantly greater decrease in partial work days missed for adults with GAD (t = 2.734, df = 51, p = 0.009). Interestingly, a dose effect was observed during the 24-week post-treatment follow-up period: among MBSR participants, greater home mindfulness meditation practice was associated with less work loss and with fewer mental health professional visits.

Conclusion

Mindfulness meditation training may improve occupational functioning and decrease healthcare utilization in adults with GAD.

http://www.sciencedirect.com.ezproxy.shsu.edu/science/article/pii/S0022399917300661

Improve Attitudes and Mental Health at Work with Mindfulness

Improve Attitudes and Mental Health at Work with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness is, above all, about being aware and awake rather than operating unconsciously. When you’re consciously present at work, you’re aware of two aspects of your moment-to-moment experience—what’s going on around you and what’s going on within you. To be mindful at work means to be consciously present in what you’re doing, while you’re doing it, as well as managing your mental and emotional state.” –  Shamash Alidina

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations burnout is all too prevalent. It frequently results from emotional exhaustion. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. Sleep disruption is an important consequence of the stress.  This exhaustion produces a loss of enthusiasm, empathy, and compassion. Regardless of the reasons for burnout or its immediate presenting consequences, it is a threat to the workplace. From a business standpoint, it reduces employee efficiency and productivity and increases costs. From the worker perspective, it makes the workplace a stressful, unhappy place, promoting physical and psychological problems. Hence, preventing burnout in the workplace is important. One technique that is gaining increasing attention is mindfulness training. It has been demonstrated to be helpful in treating and preventing burnout in a number of work environments.

 

In today’s Research News article “Mindful2Work: Effects of Combined Physical Exercise, Yoga, and Mindfulness Meditations for Stress Relieve in Employees. A Proof of Concept Study.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241323/

de Bruin and colleagues performed a pilot study of the effectiveness of a program of exercise, meditation, and yoga for the relief of work related stress symptoms. They recruited

workers who were referred by physicians who diagnosed them with work related stress issues. The workers received training in six weekly 2-hour sessions and a follow-up session, consisting of 20 minutes of aerobic exercise, 20 minutes of Hatha restorative yoga, and 80 minutes of mindfulness meditation including psycho-education. The participants were encouraged to practice at home. They were measured before and after the intervention, 6 weeks and 6 months after the completion of the program for workability, perceived stress, anxiety, depression, emotions, and sleep.

 

They found that the participants liked the program rating it at 8.1 on a 10-point scale. Following the intervention work-related fatigue and exhaustion (burnout) was markedly and significantly reduced while motivation, activation, focus and concentration, and energy were significantly increased. The employees became significantly less likely to leave their job, worked a significantly greater proportion of their contract hours, and found the work environment to be significantly better. Hence, the employees showed markedly improved attitudes and behavior toward their jobs. The employees’ psychological health was also greatly improved, with significant reductions in anxiety, depression, perceived stress, and increases in sleep quality and positive emotions. These effects all had very large effect sizes and were still strong and present 6 months after the conclusion of training. Hence, work-related psychological issues were improved in a lasting way with the intervention.

 

These results of this pilot study were impressive. But, the lack of a control group or condition markedly limits the conclusions that can be reached. Also, since the intervention contained meditation, yoga, and aerobic exercise, it cannot be determined which, or which combination of components are necessary for the benefits. But, the results certainly suggest that a large randomized controlled clinical trial should be conducted. With the intense stresses of the modern work environment, a program that reduced stress and improved attitudes and emotions, would be extremely valuable both to the employer and the employees.

 

So, improve attitudes and mental health at work with mindfulness.

 

“Many corporations and employees are realizing that the benefits of mindfulness practices can be dramatic. In addition to supporting overall health and well-being, mindfulness has been linked to improved cognitive functioning and lower stress levels.” – Carolyn Gregoire

 

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

De Bruin, E. I., Formsma, A. R., Frijstein, G., & Bögels, S. M. (2017). Mindful2Work: Effects of Combined Physical Exercise, Yoga, and Mindfulness Meditations for Stress Relieve in Employees. A Proof of Concept Study. Mindfulness, 8(1), 204–217. http://doi.org/10.1007/s12671-016-0593-x

 

Abstract

Work-related stress and associated illness and burnout is rising in western society, with now as much as almost a quarter of European and half of USA’s employees estimated to be at the point of burnout. Mindfulness meditation, yoga, and physical exercise have all shown beneficial effects for work-related stress and illness. This proof of concept study assessed the feasibility, acceptability, and preliminary effects of the newly developed Mindful2Work training, a combination of physical exercise, restorative yoga, and mindfulness meditations, delivered in six weekly group sessions plus a follow-up session. Participants (n = 26, four males), referred by company doctors with (work-related) stress and burnout complaints, completed measurements pre and post the intervention, as well as at 6-week (FU1) and 6-month (FU2) follow-up. Results showed very high feasibility and acceptability of the Mindful2Work training. The training and trainers were rated with an 8.1 and 8.4 on a 1–10 scale, respectively, and training dropout rate was zero. Significant improvements with (very) large effect sizes were demonstrated for the primary outcome measures of physical and mental workability, and for anxiety, depression, stress, sleep quality, positive and negative affect, which remained (very) large and mostly increased further over time. Risk for long-term dropout from work (checklist individual strength [CIS]) was 92 % at pre-test, reduced to 67 % at post-test, to 44 % at FU1, and 35 % at FU2, whereas employees worked (RTWI) 65 % of their contract hours per week at pre-test, which increased to 73 % at post-test, 81 % at FU1 and 93 % at FU2. Intensity of home practice or number of attended sessions were not related to training effects. To conclude, the newly developed Mindful2Work training seems very feasible, and acceptable, and although no control group was included, the large effects of Mindful2Work are highly promising.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241323/

 

Improve Employee Well-being with Mindfulness

 

By John M. de Castro, Ph.D.

 

“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 Hanson

 

Work is very important for our health and well-being. We spend approximately 25% of our adult lives at work. How we spend that time is immensely important for 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. and nearly 2/3 worldwide are unhappy at work. This is partially due to work-related stress which is epidemic in the western workplace. Almost two thirds of workers reporting high levels of stress at work. This stress can result in impaired health and can result in burnout; producing fatigue, cynicism, and professional inefficacy.

 

To help overcome unhappiness, stress, and burnout, mindfulness practices have been implemented in the workplace. In fact, it has become very trendy for business to incorporate meditation into the workday to help improve productivity. For example, Google offers “Search Inside Yourself” classes to teach mindfulness at work. But, although there is a lot of anecdotal evidence of meditation improving work performance, there is actually very little systematic research on its effectiveness.

 

In today’s Research News article “Systematic review: complementary therapies and employee well-being.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1305498966140693/?type=3&theater

or see summary below. Ravalier and colleagues reviewed the published research literature on the effects of mindfulness practices implemented in the work environment. They included only full-length peer-reviewed journal articles published since 2000. They found that mindfulness practices produced significant reductions in perceived stress and improvements in vigor, psychological health, and resilience in the employees. In other words, they found very promising research findings, suggesting marked improvements in employee psychological well-being produced by mindfulness practices. They point out, however, that there is a need for longer-term follow-up studies to ascertain whether mindfulness practices have lasting effects in the workplace.

 

These results complement the research findings of mindfulness effects in many other contexts. It has been shown in general to reduce the psychological and physical responses to stress and to improve mental and physical health. This suggests that mindfulness practices may improve health and productivity and reduce burnout in modern workers. Beyond overcoming the negative effects of the work environment, the workplace has been postulated to be an excellent environment to practice the Buddha’s Eightfold Path for spiritual development and the relief of suffering.

 

So, improve employee well-being with mindfulness.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

“By improving the way people relate to one another, ideally it can change corporate culture for the better, creating a more supportive, friendlier workplace with better relationships. In many organizations, there are bigger, systemic changes that need to be made, but I don’t think that instituting a mindfulness program will prevent those changes from happening. At the least, a mindfulness program provides workers with some relief from stress and anxiety while they campaign for systemic changes; at best, it helps to catalyze those bigger systemic changes.”Jason Marsh

 

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

 

Study Summary

  1. M. Ravalier, P. Wegrzynek and S. Lawton Systematic review: complementary therapies and employee well-being. Occup Med (Lond) April 4, 2016, doi: 10.1093/occmed/kqw047

 

Abstract

Background A variety of workplace-based interventions exist to reduce stress and increase productivity. However, the efficacy of these interventions is sometimes unclear.

Aims To determine whether complementary therapies offered in the workplace improve employee well-being.

Methods We performed a systematic literature review which involved an electronic search of articles published between January 2000 and July 2015 from the databases Cochrane Central Register of Controlled Trials, PsycINFO, MEDLINE, AMED, CINAHL Plus, EMBASE and PubMed. We also undertook a manual search of all applicable article reference lists to ensure that no relevant studies were missed. We only selected published, full-length, English-language, peer-reviewed journal articles. Articles had to address the research objective using valid and reliable measures. We excluded articles concerning return to work or whose populations had been adversely affected by work resulting in the development of health issues.

Results We included 10 articles in the review from 131 identified. Mindfulness and meditation-based interventions were most effective in improving workplace health and work performance; the latter demonstrating some evidence of maintaining gains up to 3 months later. The evidence for relaxation interventions was inconclusive.

Conclusions Mindfulness and meditation interventions may be helpful in improving both psychosocial workplace health and work performance, but long-term efficacy has yet to be fully determined.

 

Reduce Aggression and Counterproductive Work in the Office with Yoga

 

By John M. de Castro, Ph.D.

 

“Making office yoga exercises a part of your routine can work wonders as they wipe away body pain, fatigue and tension and increase overall muscle strength and flexibility, keeping you fresh and revitalized through the day.” – The Art of Living

 

Sometimes in the workplace employees engage in behaviors that harm the organization or other employees. These are known as counterproductive work behavior and include behaviors such as absenteeism, bullying, abuse of others, excessive use of social media, incivility, aggression, chronic lateness, sabotage, harassment, substance abuse, and theft. These behaviors are quite common as 75% of employees have reportedly stolen from their employer and 33% to 75% of all employees have engaged in fraud, sabotage, and voluntary absenteeism. In addition, it has been estimated that around 40% of employees have been bullied in the workplace. Such behaviors can cost organizations dearly. It has been estimated that in the U.S. workplace violence costs around $4.2 billion, theft costs around $80, and delinquent behavior costs around $100 billion annually. Hence, it is important to organizations to find methods to reduce or control these counterproductive work behaviors.

 

Mindfulness practices have been shown to be effective in promoting the work performance and the well-being of workers including the prevention and treatment of burnout. Yoga is a mindfulness practice that has been shown to have a wide range of physical and psychological benefits. It has also been used to promote health in the workplace. In today’s Research News article “Effect of yoga practices in reducing counterproductive work behavior and its predictors.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1303749202982336/?type=3&theater

or see summary below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919969/

Dwivedi and colleagues investigate whether yoga practice can reduce counterproductive work behavior. They recruited working professionals who had engaged in counterproductive work behavior and randomly assigned them to a yoga practice group or a control condition which included lectures on management and mild to moderate exercise. Both groups practiced for one hour per day, five days per week, for ten weeks. The participants were measured prior to and after the training for counterproductive work behaviors, aggression, and positive and negative emotions.

 

They found that after the ten-week practice the yoga practice group, but not the control group, had significant reductions of 15% in counterproductive work behaviors, 14% in aggression, and 22% in negative emotions. These are very good results and suggest that yoga practice can improve the psychological state of workers and reduce counterproductive work behaviors. This suggests that yoga practice may be of great use in organizations and improve employee behavior and the costs of wasteful counterproductive work behaviors.

 

It will be important to establish whether these effects are lasting with follow-up measurements. Regardless, the results suggest that yoga practice is a safe and effective method to improve employee health and reduce the negative behaviors that interfere with organizational effectiveness and add unnecessary costs.

 

So, reduce aggression and counterproductive work in the office with yoga.

 

Taking breaks in the workday with yoga has proven to be one of the most effective ways in helping employees relieve stress and become refreshed and more focused. Employees will then be able to make better decisions, be more productive, and have a more positive attitude with co-workers.” – Kreg Weiss

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Dwivedi, U., Kumari, S., & Nagendra, H. R. (2016). Effect of yoga practices in reducing counterproductive work behavior and its predictors. Indian Journal of Psychiatry, 58(2), 216–219. http://doi.org/10.4103/0019-5545.183778

 

Abstract

Context: Aggression and negative affectivity (NA) are known for moderating relationship between job stressors and counterproductive work behavior. Yoga has been demonstrated earlier to reduce the parameters of aggression and negative emotions.

Aim: The present study examined the effectiveness of yoga practices in reducing counterproductive work behavior and its predictors such as aggression and NA.

Settings and Design: A pretest–posttest randomized controlled design.

Materials and Methods: The study sample included yoga group (n = 80) and control group (n = 80). Yoga module that included asanas, pranayama, meditation, and yogic theory were taught to the yoga group. Mild to moderate physical exercises and management theories were taught to the control group. Both groups received intervention for 10 weeks, covering 1 h daily, 5 days a week. Measurements of self-reported counterproductive work behaviors, aggression, and NA were taken as baseline and postintervention for assessment.

Results: Yoga group reported significant reductions in aggression, NA, and counterproductive work behavior in comparison with the control group after 10 weeks.

Conclusions: This study contributes by introducing a cost-effective way to prevent the heavy losses organizations are incurring due to counterproductive work behavior and its predictors. The findings support that yoga at workplace may result in positive psychological empowerment of the employees as well.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919969/

 

Reduce Job Burnout with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness’s deliberate presence allows for improvement in care of peers and patients even when not directly caring for them in a medical manner. And it is this deliberate presence that can provide individuals with tools to be mentally and emotionally centered in a professional field that demands continuously increasing forms of self-sacrifice.”Ayoosh Pareek

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations burnout is all too prevalent. This is the fatigue, cynicism, emotional exhaustion, and professional inefficacy that comes with work-related stress. Healthcare and teaching are high stress occupations. It is estimated that over 45% of healthcare workers experience burnout with emergency medicine at the top of the list, over half experiencing 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. Teachers also experience burnout at high rates. Roughly a half a million teachers out of a workforce of three million, leave the profession each year and the rate is almost double in poor schools compared to affluent schools. Indeed, nearly half of new teachers leave in their first five years.

 

Burnout frequently results from emotional exhaustion. This exhaustion not only affects the healthcare providers and teachers personally, but also the patients and students, as it produces a loss of enthusiasm, empathy, and compassion. Regardless of the reasons for burnout or its immediate presenting consequences, it is a threat to the healthcare providers and their patients and to schools and their students. In fact, it is a threat to the entire healthcare and educational systems as it contributes to the shortage of doctors, nurses, and teachers. Hence, preventing burnout has to be a priority. Mindfulness has been demonstrated to be helpful in treating and preventing burnout.

 

In today’s Research News article “Systematic Review of Mindfulness Practice for Reducing Job Burnout.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1284829924874264/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776732/

Luken and Sammons reviewed the published research literature on the effectiveness of mindfulness training in treating professional burnout. They found that all of the published studies used between-groups designs with waitlist control groups. The studies also employed either modified forms of the Mindfulness-Based Stress Reduction (MBSR) program or other mindfulness training programs. They found that the majority of the published research literature provided clear evidence of efficacy. Mindfulness training was found to significantly reduce burnout in both healthcare professionals and teachers.

 

The hallmark of Mindfulness-Based Stress Reduction (MBSR) and mindfulness training in general is the reduction in stress; not actual stress but the individual’s physical and psychological responses to stress. Stress is still felt but the individual reacts less and responds more adaptively to it. This is very helpful in dealing with the high levels of stress that teachers and healthcare workers experience on a daily basis. It is this stress that drains the individual and eventually produces exhaustion. Hence, stress reduction is a major contributor to the observed reduction in burnout.

 

Mindfulness training also makes the individual more aware of their own immediate physical and emotional state. Since this occurs in real time, it provides the individual the opportunity to recognize what is happening and respond to it effectively before it contributes to an overall state of burnout. Indeed, mindfulness training has been shown to significantly improve emotion regulation. This produces clear experiencing of the emotion in combination with the ability to respond to the emotion adaptively and effectively. So, teachers and healthcare worker can recognize their state, realize its origins, not let it affect their performance, and respond to it appropriately, perhaps by the recognition that rest is needed. This too contributes to mindfulness training’s ability to reduce burnout.

 

So, reduce job burnout with mindfulness.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

“While the practice of mindfulness is never a “cure-all”, research suggests that it is a powerful foundation upon which teachers can start to build their social-emotional skills—and, in turn, improve their teaching. So while we may never be able to stop that student from making an offensive remark, we can control our reaction—which, in the end, may make the student think twice about doing it again.” – Vicki Zakrzewski

 

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

 

Study Summary

Luken, M., & Sammons, A. (2016). Systematic Review of Mindfulness Practice for Reducing Job Burnout. The American Journal of Occupational Therapy, 70(2), 7002250020p1–7002250020p10. http://doi.org/10.5014/ajot.2016.016956

 

Abstract

OBJECTIVE. A systematic search and critical appraisal of interdisciplinary literature was conducted to evaluate the evidence for practicing mindfulness to treat job burnout and to explore implications for occupational therapy practitioners.

METHOD. Eight articles met inclusion criteria. Each study was assessed for quality using the Physiotherapy Evidence Database scale. We used the U.S. Agency for Health Care Policy and Research guidelines to determine strength of evidence.

RESULTS. Of the studies reviewed, participants included health care professionals and teachers; no studies included occupational therapy practitioners. Six of the 8 studies demonstrated statistically significant decreases in job burnout after mindfulness training. Seven of the studies were of fair to good quality.

CONCLUSION. There is strong evidence for the use of mindfulness practice to reduce job burnout among health care professionals and teachers. Research is needed to fill the gap on whether mindfulness is effective for treating burnout in occupational therapy practitioners.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776732/

 

The Eightfold Path at Work

By John M. de Castro, Ph.D.

 

 “So where do we begin if we want to improve our work life for ourselves and those around us? I suggest starting with the mind. Ask yourself: what is the quality of my mind at work? What’s happening in my mind as the hours at work go by day in and day out? Is my mind working at its utmost? . . . . Through mindfulness, we can train our minds to work better.” – Tara Healey

 

The work environment as an excellent context in which to practice the Buddha’s Eightfold Path. It is filled with interpersonal interactions and clashes, task focusing, dealing with authority, frustrations, successes, self-worthiness, and emotionality. In other words, the work environment has all the ingredients to put to the test all the principles of mindfulness and the Eightfold Path for the cessation of suffering; Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort, Right Mindfulness, and Right Concentration.

 

We often think of meditation or spiritual practice as occurring in quiet places removed from the hubbub of life. This is useful to develop skills and deep understanding. Unfortunately, most people do not have the luxury of withdrawing into a solitary or monastic life. Fortunately, it is possible to practice even in the midst of the chaos of everyday life. In fact, there are wonderful opportunities to practice presented to us all the time embedded in the complexities of the modern world. In a previous essay we discussed driving an automobile as an almost perfect venue for practice. In today’s essay we’ll discuss practicing in the work environment.

 

There are many wonderful opportunities at work to practice Right View. The view that all things are impermanent can be practiced. Indeed, the situation at work is constantly changing and no matter how bad or good the work conditions or the daily experiences are you can be sure that they’ll change; the business cycle is constantly changing as are the people you work with and for. By recognizing this we not only practice Right View but also relax and accept what is. Work is a cooperative venture. It’s a situation that reflects how interconnected everything is including the thing we label self. Working without consideration of our superiors or co-workers and their needs and aspirations would be chaotic and very unproductive. How you work effects how they work and vice versa. In this context if you take a moment to look, it is easy to develop Right View including the transitoriness of our thoughts and emotions. At work they arise and fall away in response to the ever changing experiences occurring at work and your reactions to them. This thing called self that you think of a permanent and static actually changes moment to moment in reaction to these experiences at work. This is a tremendous learning experience with work being a wonderful laboratory to practice and develop your Right View.

 

It is hard to find a better context than working to develop the Right View on suffering and unsatisfactoriness, and their roots. While working we seem to want everything to be exactly as we want it to be, and when it isn’t we suffer. We want meetings to be short, incisive, and productive, we want technology to always be working properly, we want to always be recognized for our efforts and accomplishments, we want less dull repetition and paperwork, we want our co-workers to be cooperative rather than competitive, we want a raise, we want a promotion, we want our bosses to always make the right decisions, we want everyone to like us, etc. When these things don’t happen, we suffer. In other words, you can learn, if you are observant of what is happening during working, that your suffering is caused by your lack of acceptance of how things are at work. So, working constitutes a wonderful laboratory to practice Right View. You can learn to accept things as they are, to see things without judgment, to view the job, your bosses, and other workers just as they are, and to understand how you work has consequences, affecting yourself and others, in other words, you practice and develop Right View.

 

You can quite readily practice Right Intentions while working and this can lead to Right Actions. These intentions include the abandonment of unwholesome desires. If you work with anger, impatience, selfishness, resentment you are likely to harm others and yourself. The harm may not be major or direct, but indirect by affecting the other workers in negative ways. Perhaps your anger at an unsatisfactory work situation causes the intentional sabotage of a project. Perhaps, your selfishness causes you to refuse to help a struggling co-worker eliciting frustration or worry about the security of their job, or simply cause them to suffer. But sometimes direct harm to others can be produced by greed resulting in your undercutting or obstructing their work in order to make yourself look better and step over them for promotion. But if you practice Right Intentions with sincere intentions to create good and happiness, relieve suffering in ourselves and others, and not harm any living thing, you will work cooperatively, with courtesy, with tolerance and understanding, with kindness and good will. When co-workers are treated with respect, compassion, and helpfulness or when a co-worker’s anger or frustration are reacted to with patience, kindness, and tolerance, harm and suffering have likely been prevented. It is good to reflect on the ripples of good that may have been created with Right Actions producing positive consequences, which produce more positive consequences, producing more positive consequences, etc. well into the future.

 

Intentions are a key. They become your moral compass. They tend to lead you in the right direction even though you may at times stumble.  It is often difficult or impossible to predict all of the consequences of your actions. It is also very difficult not to create some harm. You have to consider that your competitive success may be causing others to lose their jobs, or that the manufacturing processes you’re using compromises the natural environment, or that trying to minimize costs, you use suppliers who employ people at less than a living wage. You need to try to not only have Right Intentions, but to discern how even the best of intentions can sometime produce harmful outcomes. You have to sometimes balance the good you’re doing with the harm produced by the same actions. This requires Right View. This is where working can be such a great practice as you can learn what works and what doesn’t and become better at discerning what are the wholesome Right Actions from those that produce more harm than good. But, if you form Right Intentions and aspire to create good and happiness you’ll be a better worker and will produce more harmony and good will in the work place and more importantly will be moving yourself along the eightfold path.

 

There are many opportunities to practice Right Speech while working. This can include non-verbal communications such as facial expressions, body postures, etc. But, predominantly Right Speech is verbal. A worker may have a bad habit of often reacting to a mistake with reflexive emotional expletives. This can occur in response to something as simple as dropping a part, to another worker’s dangerous actions. This can also include gestures. They do no good and create harm in myself and sometimes aggravate and harm others. Office gossip is rampant in the work environment. This often hurts others in unpredictable and sometimes unknown ways. Right speech involves refraining from gossip. At work frequently guesses and rumors are spread. Right Speech involves only speaking things that you know are absolutely true. This can promote trust and harmony in the workplace. By practicing Right Speech you can work toward alleviating the suffering produced in ourselves and others. Simply react, rather than with expletives, with words such as “be safe” or a silent recitation of the loving kindness meditation wishes for health, happiness, safety etc. Right Speech takes practice. We have years of training and daily multiple examples of wrong speech. So, be patient and practice. Slowly the effects and benefits will become apparent.

 

The notion of Right Livelihood mandates that your work not only earns you a living but also creates greater happiness, wisdom, and well-being, and relieves suffering in yourself and others. Conversely, you should not produce harm. This doesn’t discourage earning profits and accumulating wealth. It simply indicates that it must be done in the right way. It indicates that you should acquire wealth only by legal means, peacefully, without coercion or violence; you should acquire it honestly, not by trickery or deceit; and you should acquire it in ways which do not entail harm and suffering for others. Some occupations can be clearly seen as creating harm such as manufacturing, selling, or delivering weapons, cigarettes, or harmful drugs, or driving animals to slaughter. Some occupations clearly seem to create greater good and happiness, such as teacher, aid worker, nurse, etc. But, most occupations are a little more difficult to tell. Sometimes harm is produced indirectly, such as by damaging the environment, or resulting in layoffs from a competitor, or by producing goods or services that can be misused or used by others to create harm. It is not yours to judge the “rightness” of other people’s occupations. This is a personal matter where intention matters, that must be reflected upon deeply to ascertain whether your practicing Right Livelihood.

 

Once again, working presents a great context to practice Right Effort. It takes substantial effort to work mindfully. If you work automatically as most people do most of the time, there is little or no mindfulness and little or no effort. When you first get to work you have to set the intention to engage in your work in such a way as to lessen suffering in yourself and others, to work with kindness, compassion, patience, and courtesy, to drop fear, anger, hatred, selfishness, and the survival of the fittest attitude, and to bring to our interactions with others at work the intention to promote well-being and happiness. Right Effort is working the “Middle Way.” That is not trying too hard and getting stressed about working mindfully, and also not being lackadaisical, but rather to try, but relax. Don’t beat yourself up when you’re not working mindfully, but congratulate yourself when you do. The “Middle Way” is where effort should be targeted.

 

Mindless working is probably the norm. Most people perform their routine work activities while their minds are elsewhere, ruminating about the past, planning for the future, or off in fantasy and daydreams. This provides you with a terrific opportunity to practice Right Mindfulness. Jon Kabat-Zinn defined mindfulness as “paying attention on purpose, in the present moment, and nonjudgmentally, to the unfolding of experience moment to moment.” What better opportunity to practice this than while working? Right Mindfulness while working precludes focusing on social media or engaging in other distractions that detract from our efforts. Right Mindfulness makes you acutely aware of what is happening and how you’re feeling during every moment of your work. This makes not only for a more enjoyable work, but also for much better working. Awareness of how you’re feeling and what’s producing those feelings, and how you’re reacting to them makes you better able to work effectively without emotional outbursts that are non-productive and can damage the efforts of co-workers. Right Mindfulness while working is not just part of the eightfold path it is a prerequisite for the practice of the seven other components of the path. So, working mindfully is a fundamental practice and working is a great situation for practice.

 

Right Concentration is the practice of focusing the mind solely on one object or a specific unchanging set of objects. This is developed during contemplative practice such as meditation. It is essential to effective work. Very few people have the luxury of working in quiet isolated circumstances. Most work in environments that are replete with distractions and interruptions.

Improvement in attentional ability is a consequence of practicing Right Concentration  improves focused attention on the work, reducing distractions and mind wandering. The ability to concentrate and screen out intrusive sounds, sights, speech and thoughts allow you to focus on your work, producing higher quality work while being more efficient and productive. In addition, it is thought that Right Concentration requires Right Effort, Right Intentions, and Right Mindfulness and these can also be practiced and developed while working. So, working is a wonderful situation for the practice of Right Concentration, benefiting the individual and the quality of the work.

 

Working the eightfold path is not easy. But, remember that it is a practice. Over time you’ll better and better at it, but nowhere near perfect. Frequently the discursive mind takes over or your emotions will get the better of you. But, by continuing the practice you’ll slowly progress. you’ll become a better worker and a more relaxed and happier worker. You then can leave work at the end of the day relaxed with a smile on your face rather than angry and stressed.

 

Through engaging in the eightfold path at can we achieve enlightenment? Probably not! But we can practice it and the Buddha taught that it leads there. The strength of practicing the eightfold path at work is that it occurs in the real world of our everyday life. Quiet secluded practice is wonderful and perhaps mandatory for progress in spiritual development. But for most people it only can occur during a very limited window of time. By extending the practice directly into the mainstream of our lives we can greatly enhance its impact. Keep in mind the teaching that actions that lead to greater harmony and happiness should be practiced, while those that lead to unsatisfactoriness and unhappiness should be let go.  Without doubt, practicing the eightfold path at work leads to greater harmony and happiness and as such should be included in our spiritual practice.

 

“As an executive coach and physician, I often sing the praises of mindfulness approaches and recommend them to clients to manage stress, avoid burnout, enhance leadership capacity, and steady their minds when in the midst of making important business decisions, career transitions, and personal life changes.” – David Brendel

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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Improve Well-Being and Performance at Work with Mindfulness

 

“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

 

Work Smarter with Meditation

It has become very trendy for business to incorporate meditation into the workday to help improve productivity. In fact, Google offers “Search Inside Yourself” classes to teach mindfulness at work. But, although there is a lot of anecdotal evidence of meditation improving work performance, there is actually very little systematic research on its effectiveness.

In today’s Research News article “The Association between Meditation Practice and Job Performance: A Cross-Sectional Study”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1051648664859059/?type=1&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449168/

Shiba and colleagues take an empirical look at whether meditation improves job performance. They found that meditation practice was associated with better job performance, job satisfaction, and work engagement.

It should be noted that the study was correlational and as such does not show a causal connection. A controlled trial with manipulation of meditation is needed. Regardless, this is an important first step and suggests that meditation practice is associated with improved performance at work. This raises the question as to what does meditation do to facilitate work performance.

The most obvious possible mechanism is stress reduction. In the modern business environment stress is ever present. Stress can impair performance by decreasing the ability to concentrate, by increasing fatigue and nervousness, and by reducing wellness. Under high levels of stress people are more emotional and less rational in their behavior. Meditation has been well established to significantly reduce stress by altering both physiological and psychological responses to stress. Meditation doesn’t change the external sources of stress. Rather it improves job performance by reducing our responses to stressors.

But meditation does much more that can positively affect work. It can reduce the individual’s responsivity to “sunk costs.” People have a tendency to respond not only too what is appropriate for the present conditions but also tend to overly consider how much they have already invested in the situation, “sunk costs.” This can lead to decisions that are overly reliant upon past history rather than what is right for the present situation. Meditation by focusing the individual on the present moment can thus produce better decisions.

Meditation has been shown to improve emotional intelligence. It makes us better at understanding and responding to emotions. In other words it makes us smarter regarding our emotions. This can be a great asset in a job making the individual less apt to make rash emotional decisions and more likely to factor in but not be overly influenced by emotions.

Meditation has been shown to increase creativity. Hence, in a work environment the individual is more likely to come up with out-of-the-box solutions to problems. The individual can look at more alternative solutions and evaluate which are most likely to work the best.

Finally, meditation has been shown to improve concentration. Meditation is a practice in controlling and focusing attention. This practice pays off in increased ability to concentrate on a problem. This can improve job productivity by keeping the individual more “on task.” The ability to concentrate also improves memory by excluding inappropriate intrusive memories. This can allow for better use of information from past decisions to inform current decisions.

Hence meditation produces multiple effects that can positively affect job performance.

So meditate and work smarter.

CMCS