Improve Balance in Stroke Survivors with Qigong

Improve Balance in Stroke Survivors with Qigong

 

By John M. de Castro, Ph.D.

 

One of the main issues that a stroke survivor experiences is a problem with balance. Factors contributing to this issue include vision impairments, unbalanced inner-ear equilibrium, or physical weakness on one side of the body. This is where tai chi can make a huge difference. With a complete focus on slow, controlled, and repetitive movements, tai chi is effective in improving one’s balance through dynamic motion and coordination, which is crucial to prevent falls.” – Saebo

 

Every year, more than 795,000 people in the United States have a stroke and it is the third leading cause of death, killing around 140,000 Americans each year. A stroke results from an interruption of the blood supply to the brain, depriving it of needed oxygen and nutrients. This can result in the death of brain cells and depending on the extent of the damage produce profound loss of function.

 

There are a number of risk factors for stroke that are unchangeable, such as family history, age, and genes. But there are a very large number of factors that are under our control including high blood pressure, smoking, high cholesterol, poor diet, sedentariness, and obesity. Given this list it is clear that basic physical fitness and exercise would be excellent for stroke prevention. Yoga practice is an exercise that can be adapted to the needs and limitations of stroke victims. The ancient mindful movement technique Tai Chi and Qigong are very safe forms of gentle exercise that appears to be beneficial for stroke victims. It is difficult to get stroke survivors to engage in exercise. Perhaps the practices of yoga or Tai Chi and Qigong, since they are adaptable and very gentle, might be acceptable and effective in the treatment of stroke survivors.

 

In today’s Research News article “Effects of Mind–Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025433/ ), Zou and colleagues review, summarize, and perform a meta-analysis of the published research literature on the effectiveness of the mindful movement practices of yoga or Tai Chi and Qigong for assisting in the rehabilitation of stroke victims. They found 18 published randomized controlled studies.

 

They found that mindful movement practices produced strong and significant improvements in balance of the patients recovering from stroke. This is particularly important as problems with balance can lead to falling which is a leading cause of injury and death among stroke victims. So, improved balance is an important benefit to the patients. These results are encouraging and suggest that the mindful movement practices of yoga or Tai Chi and Qigong should be used in the rehabilitation or stroke victims.

 

So, improve balance in stroke survivors with yoga, tai chi or qigong.

 

“The main physical benefits of Tai Chi are better balance, improved strength, flexibility and aerobic endurance. Psycho-social benefits include less depression, anxiety and stress, and better quality of life.” –Ruth E. Taylor-Piliae

 

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

 

Zou, L., Yeung, A., Li, C., Chiou, S.-Y., Zeng, N., Tzeng, H.-M., … Thomas, G. A. (2018). Effects of Mind–Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health, 15(6), 1292. http://doi.org/10.3390/ijerph15061292

 

Abstract

Objective: We performed a systematic review with meta-analysis and meta-regression to determine if mind–body movements (MBM) could be effective in rehabilitating balance function among stroke survivors. Methods: A literature search was conducted using major Chinese and English electronic databases from an inception until January 2018. Randomized controlled studies were included in our meta-analysis. Data was independently extracted by two review authors using a pre-developed table and confirmed by a third party to reach a consensus. Pooled effect size (Hedge’s g) was computed while the random-effect model was set. Results: The meta-analytic results showed a significant benefit of the MBM intervention on increased balance function compared to the control groups (Hedge’s g = 1.59, CI 0.98 to 2.19, p < 0.001, I2 = 94.95%). Additionally, the meta-regression indicated that the total number of sessions (β = 0.00142, 95% CI 0.0039 to 0.0244, p = 0.0067) and dose of weekly training (β = 0.00776, 95% CI0.00579 to 0.00972, p = 0.00) had significantly positive effects on balance function. Conclusions: The study encouraging findings indicate the rehabilitative effect of a MBM intervention for balance function in stroke survivors. However, there were significant limitations in the design among several of the included trials. Additional studies with more robust methodologies are needed to provide a more definitive conclusion.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025433/

 

Improve Happiness and Meditative Experiences with Yoga

Improve Happiness and Meditative Experiences with Yoga

 

By John M. de Castro, Ph.D.

 

“Happiness, not in another place but this place…not for another hour, but this hour.” – Walt Whitman

 

“Meditation leads to concentration, concentration leads to understanding, and understanding leads to happiness” – This wonderful quote from the modern day sage Thich Nhat Hahn is a beautiful pithy description of the benefits of mindfulness practice. Mindfulness allows us to view our experience and not put labels on it, not make assumptions about it, not relate it to past experiences, and not project it into the future. Rather mindfulness lets us experience everything around and within us exactly as it is arising and falling away from moment to moment.

 

A variety of forms of mindfulness training have been shown to increase psychological well-being and happiness. So, it would be expected that yoga practice would similarly increase these positive states. It is not known, however, if yoga training can produce a cross-training effects, improving the effectiveness of other mindfulness practices.

 

In today’s Research News article “Effects of Maharishi Yoga Asanas on Mood States, Happiness, and Experiences during Meditation. International Journal of Yoga.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769201/ ), Gobec and colleagues recruited college students who practiced Transcendental Meditation. They were provided a 2-week course in yoga that met for 2 hours on 8 days over 2 weeks and included instruction in theory and practice of postures. The participants were measured before and after the training for mood states and resilience. They found that after training there was a significant decrease in total disturbance of their mood states.

 

In a second experiment the yoga training occurred for 4 weeks and a matched group of control participants was included. The participants were measured before and after the training for mood states and meditative experiences including: hindrances, relaxation, personal self, transpersonal qualities, and transpersonal self. They found that in comparison to the control participants after yoga training there were significant increases in happiness and meditative experiences, including personal self, transpersonal qualities, and transpersonal self.

 

The results suggest that yoga practice improves mood particularly increasing happiness as has been found to be true for contemplative practices in general. In addition, the results suggest that yoga practice alters the experiences that occur during meditation, including increased ability to transcend experiences of body and mind during meditation. This should greatly enhance the depth and effectiveness of the meditation. This is a completely new finding that yoga practice can enhance the individual’s experience during a separate mindfulness practice, meditation. This “cross-training” effect may greatly increase the effects of yoga practice on the psychological and spiritual health of the individual.

 

So, improve happiness and meditative experiences with yoga.

 

According to yoga philosophy, santosha, which means contentment, is a form of self-discipline. In other words, happiness is a skill and practice. Happier people do not have easier lives, with less hard work, grief, divorce, or financial strain than the rest of us. They’re simply more grateful for what they have and choose to be conscious of their contentment more often.” – Rebecca Pacheco

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Gobec, S., & Travis, F. (2018). Effects of Maharishi Yoga Asanas on Mood States, Happiness, and Experiences during Meditation. International Journal of Yoga, 11(1), 66–71. http://doi.org/10.4103/ijoy.IJOY_66_16

 

Abstract

Context/Background:

Many studies showed positive effects of Yoga Asanas. There is no study on Maharishi Yoga Asanas yet. This research replicated and expanded observed improvements on the profile of mood states (POMS) as a result of 2-week Maharishi Yoga Asanas course. Thirteen college students taking part in a 4-week course on Maharishi Yoga Asanas were matched with 13 students taking other courses at the university.

Aims and Objective:

The main objective of the study was to assess the effects of Maharishi Yoga Asanas on mood states, degree of happiness, and experiences in Transcendental Meditation (TM) practice.

Methods:

All students were given two psychological tests and additional question before and after their 4-https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769201/happiness.

Results:

Repeated measure MANOVA showed the 4-week Maharishi Yoga Asanas course resulted in significant increase in happiness during the day and significant improvements in (1) sense of personal self, (2) transpersonal qualities, and (3) transpersonal self during their TM practice.

Conclusion:

This research shows that Maharishi Yoga Asanas affect more than body and mind. Rather they influence much deeper levels of one’s subjectivity including one’s transpersonal self.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769201/

Improve Psychological Well-Being Regardless of Income with Mindfulness

Improve Psychological Well-Being Regardless of Income with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Contrary to what most of us believe, once we have enough to meet our basic needs, a higher income may not significantly increase our wellbeing and may even have a negative effect in some cases!” – University of Minnesotta

 

Income is only weakly related to happiness, satisfaction with life, and psychological well-being. Indeed, studies of happiness have shown that people with very low incomes are generally unhappy. Surprising, those who are quite rich tend to be generally unhappy. It’s the people in the middle, with sufficient, but not excessive income, who are generally the happiest. A surprising fact in this regard is that people who have won large amounts of money in the lottery afterward are much less happy than before.

 

In the U.S. as individual incomes rose over decades the percent of people considering themselves very happy fell and depression rose. Indeed, higher incomes are associated with higher levels of stress, increased likelihood of divorce, and less enjoyment of small activities. It is possible that a higher income may mean more work, less leisure time, and fewer strong social connections. In other words, the benefits of having more money might be offset by the sacrifices people are making in other aspects of wellbeing.

 

Mindfulness has been found to be associated with happiness and well-being. It is possible that mindfulness may affect the relationship between income and happiness, satisfaction with life, and psychological well-being. In today’s Research News article “Mindfulness as a Moderator in the Relation Between Income and Psychological Well-Being.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099076/ ), Sugiura and colleagues recruited adult participants (aged 20 to 59 years) on-line and measured their income levels, mindfulness, satisfaction with life, and psychological well-being, including subscales for self-acceptance, environmental mastery, positive relations with others, personal growth, purpose in life, and autonomy.

 

They found, similar to previous research, that income had a significant but very small positive relationship with satisfaction with life and psychological well-being. Interestingly, income was also significantly positively related to the mindfulness facet of non-reacting and negatively with the observing facet. They found further that the association of income with psychological well-being with life was moderated by the non-judging and describing facets of mindfulness such that when these facets were high psychological well-being was high irrespective of income but when they were low income had a strong positive association with psychological well-being.

 

These results are correlational so caution must be exercised in reaching conclusions. But, the results are interesting and suggest that the amount of money that the individual makes only effects their psychological state when mindfulness is low. When mindfulness is high, psychological well-being is high no matter their financial state. Hence, maintaining high levels of mindfulness may be a key to happiness and well-being

 

So, improve psychological well-being regardless of income with Mindfulness.

 

“As much as income and well-being may be connected, it’s important not to give that link too much weight. How you live your live, the values you live by, the pleasures you take in the small moments of your life, your connections to the people important to you and your general outlook all have as much and likely more of an impact on your individual happiness.” – Christy Matta

 

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

 

Sugiura, Y., & Sugiura, T. (2018). Mindfulness as a Moderator in the Relation Between Income and Psychological Well-Being. Frontiers in Psychology, 9, 1477. http://doi.org/10.3389/fpsyg.2018.01477

 

Abstract

The relation between income and life satisfaction has been found to be weak, albeit positive (r = 0.10–0.20). This study introduced psychological well-being (PWB) as a dependent variable predicted by income in addition to life satisfaction. Furthermore, individual differences might determine the strength of this relation, that is, act as moderators. Thus, this study introduced mindfulness as one such possible moderator. Participants (N = 800, 50% women, aged 20–59 years) completed an Internet questionnaire. Of them, 734 reported income and were included in the analyses. Income had weak, yet positive, zero-order correlations with life satisfaction and PWB (r = 0.13 and 0.11). Hierarchical regression controlling for demographics indicated that the relation between income and PWB was moderated by mindfulness facets. Specifically, among those low in not judging or describing of experiences, PWB was positively related to income. On the other hand, those high in these mindfulness dimensions indicated higher PWB irrespective of income.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099076/

 

Reduce Stress and Improve Well-Being in a Workplace with Mindfulness

Reduce Stress and Improve Well-Being in a Workplace with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Becoming aware of what’s going on around you can make a huge difference, because we spend so much time wrapped up in our thoughts that we lose contact with the real world. That’s especially the case if you’re constantly bombarded by email, Facebook posts and Twitter. It’s not really conducive to a calm and productive work environment.“ – Danny Penman

 

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 people we work with. 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 burnoutmindfulness practices have been implemented in the workplace. Indeed, mindfulness practices have been shown to markedly reduce the physiological and psychological responses to stress. As a result, it has become very trendy for business to incorporate meditation into the workday to help improve employee well-being, health, and productivity. These programs attempt to increase the employees’ mindfulness at work and thereby reduce stress and burnout.

 

In today’s Research News article “A mindfulness training program based on brief practices (M-PBI) to reduce stress in the workplace: a randomised controlled pilot study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060839/ ), Arredondo and colleagues recruited stressed employees and randomly assigned them to either be in a wait-list control group or to receive an 8-week mindfulness training program. The training occurred once a week for 1.5 hours and included daily practices. The participants were measured before and after training and 20 weeks later for mindfulness, perceived stress, self-compassion, decentering, burnout, and heart rate variability.

 

They found that in comparison to baseline and the wait-list control group the mindfulness trained group had significant decreases in perceived stress and the components of burnout of emotional exhaustion, depersonalization, and reduced personal accomplishment, and significant increases in mindfulness, self-compassion, and decentering. These differences were enduring as they were still significant at the 20-week follow-up. They also found an increase in heart rate variability indicative of reduced stress.

 

These results are very encouraging and suggest that mindfulness training can be very beneficial in reducing workplace stress levels and burnout. It also appears to improve the overall psychological well-being of the employees improving mindfulness, self-compassion, and decentering. The ability of mindfulness training to reduce stress and burnout, and to increase self-compassion and decentering have been previously observed with different participant population. The study would have been stronger had an active control group been included. But, nevertheless the findings are suggestive that mindfulness training can be quite beneficial for stressed employees.

 

So, reduce stress and improve well-being in a workplace 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

 

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

 

Study Summary

 

Arredondo, M., Sabaté, M., Valveny, N., Langa, M., Dosantos, R., Moreno, J., & Botella, L. (2017). A mindfulness training program based on brief practices (M-PBI) to reduce stress in the workplace: a randomised controlled pilot study. International Journal of Occupational and Environmental Health, 23(1), 40–51. http://doi.org/10.1080/10773525.2017.1386607

 

Abstract

Work stress is a major contributor to absenteeism and reduced work productivity. A randomised and controlled study in employee-volunteers (with Perceived Stress Scale [PSS-14]>22) was performed to assess a mindfulness program based on brief integrated mindfulness practices (M-PBI) with the aim of reducing stress in the workplace. The PSS-14 of the employees before and after 8-weeks M-PBI program, as well as after a 20-week follow-up, was assessed (primary endpoint). The employees also carried the following questionnaires (secondary endpoints): Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS), Experiences Questionnaire-Decentering (EQ-D), and Maslach Burnout Inventory-General Survey (MBI-GS). Heart Rate Variability (HRV) was measured during each session in a subgroup of employees (n = 10) of the interventional group randomly selected. A total of 40 employees (77.5% female median [SD] age of 36.6 [5.6] years) took part in this study: 21 and 19 in the intervention and control group, respectively. No differences in baseline characteristics were encountered between the groups. Results show a significant decrease in stress and increase in mindfulness over time in the intervention group (PSS-14 and FFMQ; p < 0.05 both). Additionally, an improvement in decentering (EQ-D), self-compassion (SCS) and burnout (MBI-GS) were also observed compared to the control group (p < 0.05 in all). HRV measurement also showed an improvement. In conclusion, a brief practices, 8-weeks M-BIP program is an effective tool to quickly reduce stress and improve well-being in a workplace.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060839/

 

Improve Opioid-Treated Chronic Low Back Pain with Mindfulness

Improve Opioid-Treated Chronic Low Back Pain with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness meditation and CBT-based interventions have the potential to safely reduce pain severity in patients with chronic lower back pain that’s treated with opioids,” – Dr. Aleksandra Zgiersk

 

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. There is a need to explore the utility of mindfulness training when it is used as a supplement to opioid treatment for chronic low back pain.

 

In today’s Research News article “Cost of Opioid-Treated Chronic Low Back Pain: Findings from a Pilot Randomized Controlled Trial of Mindfulness Meditation-Based Intervention.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836724/ ), Zgierska and colleagues recruited adults with chronic low back pain and were being treated with opioids. They were randomly assigned to either continue with only treatment as usual or receive additional mindfulness training delivered in 8-weekly 2-hour sessions with home practice. They were measured before and after training for pain severity, pain responses to heat, healthcare utilization, productivity loss, medication use, and costs associated with disability and treatment.

 

They found that in comparison to baseline and the treatment as usual control, the patients that received mindfulness training had significantly reduced pain severity and pain response to heat. In addition, the mindfulness group tended to have fewer lost days of work while the control group tended to use more opioid medication. In looking at the economic costs of opioid treatment for low back pain, they found that adding the mindfulness training did not increase overall costs. Hence, mindfulness training appears to additionally relieve chronic low back pain beyond the effects of opioid medication, yet does not cost any more.

 

So, improve opioid-treated chronic low back pain with mindfulness.

 

“Chronic pain is a condition best managed when patients take an active role and . . . . according to the research, mindfulness should now be a part of a multi-disciplinary strategy for those willing to put in the effort.” —Stephani Sutherland

 

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

 

Zgierska, A. E., Ircink, J., Burzinski, C. A., & Mundt, M. P. (2017). Cost of Opioid-Treated Chronic Low Back Pain: Findings from a Pilot Randomized Controlled Trial of Mindfulness Meditation-Based Intervention. Journal of Opioid Management, 13(3), 169–181. http://doi.org/10.5055/jom.2017.0384

 

Abstract

Objective

Opioid-treated chronic low back pain (CLBP) is debilitating, costly and often refractory to existing treatments. This secondary analysis aims to pilot-test the hypothesis that mindfulness meditation (MM) can reduce economic burden related to opioid-treated CLBP.

Design

26-week unblinded pilot randomized controlled trial, comparing MM, adjunctive to usual-care, to usual care alone.

Setting

Outpatient

Participants

Thirty-five adults with opioid-treated CLBP (≥ 30 morphine-equivalent mg/day) for 3+ months enrolled; none withdrew.

Intervention

8 weekly therapist-led MM sessions and at-home practice.

Outcome Measures

Costs related to self-reported healthcare utilization, medication use (direct costs), lost productivity (indirect costs), and total costs (direct+indirect costs) were calculated for 6-month pre- and post-enrollment periods and compared within and between the groups.

Results

Participants (21 MM; 14 control) were 20% men, age 51.8 ± 9.7 years, with severe disability, opioid dose of 148.3 ± 129.2 morphine-equivalent mg/day, and individual annual income of $18,291 ± $19,345. At baseline, total costs were estimated at $15,497 ± 13,677 (direct: $10,635 ± 9,897; indirect: $4,862 ± 7,298) per participant. Although MM group participants, compared to controls, reduced their pain severity ratings and pain sensitivity to heat-stimuli (p<0.05), no statistically significant within-group changes or between-group differences in direct and indirect costs were noted.

Conclusions

Adults with opioid-treated CLBP experience a high burden of disability despite the high costs of treatment. Although this pilot study did not show a statistically significant impact of MM on costs related to opioid-treated CLBP, MM can improve clinical outcomes and should be assessed in a larger trial with long-term follow-up.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836724/

 

Improve Attention with Even Very Brief Meditation

Improve Attention with Even Very Brief Meditation

 

By John M. de Castro, Ph.D.

 

“We practice meditation in the end not to become great meditators but to have a different life. As we deepen the skills of concentration, mindfulness, and compassion, we find we have less stress, more fulfillment, more insight, and vastly more happiness. We transform our lives.” – Sharon Salzberg

 

One of the primary effects of mindfulness training is an improvement in the ability to pay attention to the task at hand and ignore interfering stimuli. This is an important consequence of mindfulness training and produces improvements in thinking, reasoning, and creativity. The importance of heightened attentional ability to the individual’s ability to navigate the demands of complex modern life cannot be overstated. It helps at work, in relationships, or simply driving a car.

 

There is evidence that mindfulness training improves attention by altering the brain. It appears That mindfulness training increases the size, connectivity, and activity of areas of the brain that are involved in paying attention. A common method to study the activity of the nervous system is to measure the electrical signal at the scalp above brain regions. Changes in this activity are measurable with mindfulness training. One method to observe attentional processing in the brain is to measure the changes in the electrical activity that occur in response to specific stimuli. These are called event-related potentials or ERPs. The signal following a stimulus changes over time. The fluctuations of the signal after specific periods of time are thought to measure different aspects of the nervous system’s processing of the stimulus.

 

The P3b response in the evoked potential (ERP) is a positive going electrical response occurring between a 2.5 to 5 tenths of a second following the target stimulus presentation. The P3b (distractor positivity) component is thought to reflect an attentional suppression process involved in preventing shifts in attention. The N2 response is a negative electrical change that occurs around 2 tenths of a second following the target stimulus presentation. The N2 response has been implicated in conflict detection and executive attention. These components of the evoked potential can be used to assess the nature of attentional processing before and after meditation, reflecting how meditation might improve attention.

 

In today’s Research News article “Brief Mindfulness Meditation Improves Attention in Novices: Evidence From ERPs and Moderation by Neuroticism.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088366/ ), Norris and colleagues recruited undergraduate students for two experiments to examine the ability of a very brief meditation experience to affect attentional abilities.

 

In the first study they had the students listen to a 10-minute recording either of mindfulness meditation instructions or a reading of a National Geographic article about giant sequoias. The participants then performed a flanker task, a measure of executive cognitive function. In this task the participant has to respond to the direction of an arrow, when it is surrounded by distracting arrows that point either in the same (congruent) or opposite (incongruent) directions. Afterwards they completed the Big 5 Personality Inventory. They found that the participants who listened to the meditation recording were significantly more accurate on the flanker task on incongruent trials. This suggests that a brief meditation improves cognitive attentional ability to screen out irrelevant material.

 

In the second study students listened to recordings like in study 1 and performed an attention network task. It includes the flanker task but also includes measures of different types of attention, including alerting, orienting, and executive control. While performing the task the electroencephalogram (EEG) was recorded and the event related potential recorded in response to the presentation of the task. They found that the participants who listened to the meditation recording were significantly faster in responding on the attentional network task. They found that the low neuroticism participants who listened to the meditation recording had significantly larger N2 ERP responses and significantly smaller P3b ERP responses during incongruent (conflict) task than controls. These changes in the ERP suggests that after meditation, the brain functions better in allocating attentional resources to the task at hand.

 

These results are interesting and suggest that even a single brief meditation experience can alter both behavioral and EEG measures of attention. They suggest that even a 10-minute meditation enhances attentional mechanisms. This extends the literature on the effectiveness of mindfulness training on attention, demonstrating that even 10 minutes of meditation exposure can improve the individual’s ability to attend to and process information in the present environment.

 

So, improve attention with even very brief meditation.

 

“intensive and continued meditation practice is associated with enduring improvements in sustained attention and response inhibition, with the potential to alter longitudinal trajectories of cognitive change across a person’s life,” – Anthony Zanesco

 

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

 

Norris, C. J., Creem, D., Hendler, R., & Kober, H. (2018). Brief Mindfulness Meditation Improves Attention in Novices: Evidence From ERPs and Moderation by Neuroticism. Frontiers in Human Neuroscience, 12, 315. http://doi.org/10.3389/fnhum.2018.00315

 

Abstract

Past research has found that mindfulness meditation training improves executive attention. Event-related potentials (ERPs) have indicated that this effect could be driven by more efficient allocation of resources on demanding attentional tasks, such as the Flanker Task and the Attention Network Test (ANT). However, it is not clear whether these changes depend on long-term practice. In two studies, we sought to investigate the effects of a brief, 10-min meditation session on attention in novice meditators, compared to a control activity. We also tested moderation by individual differences in neuroticism and the possible underlying neural mechanisms driving these effects, using ERPs. In Study 1, participants randomly assigned to listen to a 10-min meditation tape had better accuracy on incongruent trials on a Flanker task, with no detriment in reaction times (RTs), indicating better allocation of resources. In Study 2, those assigned to listen to a meditation tape performed an ANT more quickly than control participants, with no detriment in performance. Neuroticism moderated both of these effects, and ERPs showed that those individuals lower in neuroticism who meditated for 10 min exhibited a larger N2 to incongruent trials compared to those who listened to a control tape; whereas those individuals higher in neuroticism did not. Together, our results support the hypothesis that even brief meditation improves allocation of attentional resources in some novices.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088366/

 

Reduce Perceived Stress with Mindfulness

Reduce Perceived Stress with Mindfulness

 

By John M. de Castro, Ph.D.

 

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

 

Mindfulness training has been shown to be effective in improving physical and psychological health. One reason for these benefits is that mindfulness training improves the individual’s physical and psychological reactions to stress. Stress is an integral part of life, that is actually essential to the health of the body. In moderation, it is healthful, strengthening, and provides interest and fun to life. If stress, is high or is prolonged, however, it can be problematic. It can significantly damage our physical and mental health and even reduce our longevity, leading to premature deaths. So, it is important that we develop methods to either reduce or control high or prolonged stress or reduce our responses to it.

 

Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress. The research, however, at times, involves weak research designs and suffers from lack of control for social support and experimenter and participant expectancy effects. In addition, it is not known how mindfulness training influences levels of perceived stress. In today’s Research News article “Investigating the Specific Effects of an Online Mindfulness-Based Self-Help Intervention on Stress and Underlying Mechanisms.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061241/ ),  Gu and colleagues examined the effects of mindfulness training on stress levels in a well controlled experimental design.

 

They recruited university students and staff and randomly assigned them to one of three conditions; online Mindfulness-Based Self-Help training, listening to classical music online, or to a wait list. The Mindfulness training occurred over 2 weeks with 4 times per week 10-minute online recordings and home practice. The online listening to classical music conditions paralleled the mindfulness condition in being presented over 2 weeks with 4 times per week 10-minute recorded instructions and home practice. The participants were measured before during and after the training for mindfulness, self-compassion, worry, perceived stress, how engaged was the participant in practice, and participant expectancies.

 

They found that in comparison to before training and the music and wait list conditions, the mindfulness group had significantly lower levels of perceived stress and worry and significantly higher levels of mindfulness and self-compassion. They also performed a mediation analysis to investigate whether the effects of stress may have been mediated by the effects on mindfulness, worry, and or self-compassion. They found that higher mindfulness scores produced by the mindfulness intervention were associated with lower perceived stress. Similarly, lower worry scores produced by the mindfulness intervention were associated with lower perceived stress and higher self-compassion or scores produced by the mindfulness intervention were associated with lower perceived stress. Importantly, there were no significant differences between the conditions in engagement or expectancy effects.

 

These results demonstrate that mindfulness training lowers perceived stress levels and this could not be accounted for by expectancy or engagement effects. They further demonstrated that a mindfulness intervention lowers perceived stress by increasing mindfulness and self-compassion and lowers worry. Previous research has demonstrated that mindfulness training decreases perceived stress and worry, and increases mindfulness and self-compassion. The contribution of the current study is to demonstrate that the effects were not due to experimental contaminants and that the effects on perceived stress are due to effects on all three of these variables.

 

So, reduce perceived stress with mindfulness.

 

“There is nothing a busy man is less busied with than living; there is nothing harder to learn.” — Seneca

 

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

 

Gu, J., Cavanagh, K., & Strauss, C. (2018). Investigating the Specific Effects of an Online Mindfulness-Based Self-Help Intervention on Stress and Underlying Mechanisms. Mindfulness, 9(4), 1245–1257. http://doi.org/10.1007/s12671-017-0867-y

 

Abstract

Previous research examining the effects of mindfulness-based interventions (MBIs) and their mechanisms of change has been hampered by failure to control for non-specific factors, such as social support and interaction with group members, facilitator contact and expectation of benefit, meaning that it remained possible that benefits of MBIs could have been attributable, perhaps entirely, to non-specific elements. This experimental study examined the effects of a 2-week online mindfulness-based self-help (MBSH) intervention compared to a well-matched classical music control condition and a waitlist control condition on perceived stress. This study also tested mindfulness, self-compassion and worry as mechanisms of the effects of MBSH versus both control conditions on stress. University students and staff (N = 214) were randomised to MBSH, classical music, or waitlist conditions and completed self-report measures pre-, mid- and post-intervention. Post-intervention, MBSH was found to significantly reduce stress compared to both control conditions. Bootstrapping-based mediation analyses used standardised residualised change scores for all variables, with mediators computed as change from baseline to mid-intervention, and the outcome computed as change from baseline to post-intervention. Changes in mindfulness, self-compassion and worry were found to significantly mediate the effects of MBSH versus both control conditions on changes in stress. Findings suggest that cultivating mindfulness specifically confers benefits to stress and that these benefits may occur through improving theorised mechanisms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061241/

 

Reduce Symptoms of Post-Traumatic Stress Disorder (PTSD) with Yoga

 

Reduce Symptoms of Post-Traumatic Stress Disorder (PTSD) with Yoga

 

By John M. de Castro, Ph.D.

 

“The first step in yoga practice is to link the mind and body through the breath, bringing awareness to what is happening in the moment. Intense feelings and thoughts can be experienced and reduced in intensity as the mind becomes more still and calm and the body allows the sensations to pass. An experience of a deeper level of existence is possible allowing the body mind complex to feel peace and generate positive emotions and enter a transformative period. With repeated practice and guidance, a yoga practice can bring long term relief and a fresh perspective on life for PTSD sufferers.” – Art of Living

 

Experiencing trauma is quite common. It has been estimated that 60% of men and 50% of women will experience a significant traumatic event during their lifetime. But, only a fraction will develop Post-Traumatic Stress Disorder (PTSD). But this still results in a frightening number of people with 7%-8% of the population developing PTSD at some point in their life. For military personnel, it’s much more likely for PTSD to develop with about 11%-20% of those who have served in a war zone developing PTSD.

 

PTSD involves a number of troubling symptoms including reliving the event with the same fear and horror in nightmares or with a flashback. PTSD sufferers avoid situations that remind them of the event this may include crowds, driving, movies, etc. and may avoid seeking help because it keeps them from having to think or talk about the event. They often experience negative changes in beliefs and feelings including difficulty experiencing positive or loving feelings toward other people, avoiding relationships, memory difficulties, or see the world as dangerous and no one can be trusted. Sufferers may feel hyperarousal, feeling keyed up and jittery, or always alert and on the lookout for danger. They may experience sudden anger or irritability, may have a hard time sleeping or concentrating, may be startled by a loud noise or surprise.

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. Yoga practice is a mindfulness practice that has been shown to be helpful for PTSD. If the practice was tailored for the patients’ specific traumas and environment perhaps it would be even more effective. In today’s Research News article “Military-Tailored Yoga for Veterans with Post-traumatic Stress Disorder.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086130/ ), Cushing and colleagues examine the effectiveness of a yoga practice that was tailored for military personnel and combat-related PTSD for the relief of PTSD symptoms of military veterans.

 

They recruited veterans of either the Iraq or Afghanistan wars who were diagnosed with Post-Traumatic Stress Disorder (PTSD). They were provided a weekly 60-minute yoga training for 6 weeks. The yoga training consisted of relaxation, postures, and body scan meditation. The participants were measured before and after the 6-week training for PTSD symptoms, anxiety, sleep quality, and mindfulness.

 

They found that after training there was a very large significant reduction in PTSD symptoms, including hyperarousal, re-experiencing, and avoidance symptoms. There were also large significant reductions in sleep disturbance and anxiety and increases in mindfulness. Hence, there were marked improvements in the psychological well-being of the combat veterans following yoga training.

 

The study suffers from the fact that there wasn’t a control, comparison, condition. As a result, the results might have been influenced by participant and experimenter biases. But, the observed changes were large and robust making it unlikely that they were due to contamination. The findings were also in line with previous findings in better controlled trial that mindfulness training is an effective treatment for the symptoms of PTSD.

 

So, reduce symptoms of Post-Traumatic Stress Disorder (PTSD) with yoga.

 

“I-Rest can produce a number of important changes in PTSD sufferers, like improved sleep, moderated behavior, and better emotional regulation. It can even lead to a decreased pharmaceutical regimen for PTSD patients.” – Armin Rosen

 

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

 

Cushing, R. E., Braun, K. L., Alden, S. W., & Katz, A. R. (2018). Military-Tailored Yoga for Veterans with Post-traumatic Stress Disorder. Military Medicine, 183(5-6), e223–e231. http://doi.org/10.1093/milmed/usx071

 

Abstract

Introduction:

Among veterans of post-9/11 conflicts, estimates of post-traumatic stress disorder (PTSD) range from 9% shortly after returning from deployment to 31% a year after deployment. Clinical and pharmaceutically based treatments are underutilized. This could be due to concerns related to lost duty days, as well as PTSD patients’ fears of stigma of having a mental health condition. Yoga has been shown to reduce PTSD symptoms in the civilian population, but few studies have tested the impact of yoga on veterans of post-9/11 conflicts. The purpose of this study is to test the impact of yoga on post-9/11 veterans diagnosed with PTSD.

Materials and Methods:

Participants were 18 yr of age or older and veterans of post-9/11 conflicts. They had subthreshold or diagnostic-level PTSD related to their combat military service, as determined by a score of 30 or higher on the PTSD Checklist-Military version (PCL-M). Veterans participated in 60-min weekly yoga sessions for 6 wk taught by a Warriors at Ease-trained yoga instructor who is a, post-9/11 veteran. The yoga sessions incorporated Vinyasa-style yoga and a trauma-sensitive, military-culture informed approach advocated by two separate organizations: Warriors at Ease and Meghan’s Foundation. Data were collected at baseline and again after 7 wk. The primary outcome was PCL-M score. Participants also completed the Patient Health Questionnaire, the Beck Anxiety Inventory, the Pittsburgh Sleep Quality Index, and the Mindful Attention Awareness Scale at both time points.

Results:

Eighteen Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans completed the pre- and post-intervention self-report questionnaires. Age ranged from 26 to 62 yr (median = 43 yr), length of service ranged from 2 to 34 yr (median = 18.8 yr), and 13 (72.2%) had completed college. Decreased PTSD symptomatology was demonstrated in the three-symptom clusters represented in the PCL-M (i.e., hyperarousal, re-experiencing, and avoidance). In addition, the total score on the PCL-M decreased significantly, by both statistical and clinical measures. The participants also demonstrated improved mindfulness scores and reported decreased insomnia, depression, and anxiety symptoms.

Conclusion:

This study demonstrates that a trauma-sensitive yoga intervention may be effective for veterans with PTSD symptoms, whether as stand-alone or adjunctive therapy. The impressive decrease in PTSD symptomatology may be due to the tailored military-specific nature of this intervention and the fact that it was led by a veteran of post-9/11 conflicts. More research is needed with a larger sample and a more diverse veteran population.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086130/

 

Lessen the Frequency and Impact of Obsessional Intrusive Thoughts with Mindfulness

Lessen the Frequency and Impact of Obsessional Intrusive Thoughts with Mindfulness

 

By John M. de Castro, Ph.D.

 

Mindfulness is a useful technique for decreasing anxiety because of its emphasis on accepting your thoughts. When an intrusive thought pops up, you let it exist in your mind without providing it any weight. You experience the thought, but don’t judge it, change it or try to make it go away. You wait until it passes instead of thinking it should or shouldn’t be there.” – OCD

 

Obsessive-Compulsive Disorder (OCD) sufferer have repetitive anxiety producing intrusive thoughts (obsessions) that result in repetitive behaviors to reduce the anxiety (compulsions). In a typical example of OCD, the individual is concerned about germs and is unable to control the anxiety that these thoughts produce. Their solution is to engage in ritualized behaviors, such as repetitive cleaning or hand washing that for a short time relieves the anxiety. The obsessions and compulsions can become so frequent that they become a dominant theme in their lives. Hence OCD drastically reduces the quality of life and happiness of the sufferer and those around them. About 2% of the population, 3.3 million people, are affected at some time in their life. Mindfulness training has been shown to be effective in treating OCD.

 

Obsessional thoughts are not restricted to those diagnosed with OCD. In fact, many normally functioning individuals have occasional obsessional intrusive thoughts. It is not known if mindfulness affects these thoughts in otherwise high functioning adults. In today’s Research News article “Which Facets of Mindfulness Protect Individuals from the Negative Experiences of Obsessive Intrusive Thoughts?” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061236/ ), Emerson and colleagues examined the relationships of dispositional mindfulness with obsessional intrusive thoughts in normal adults.

 

They recruited staff, students or alumni of a university and had them complete a number of psychometric scales on-line. These scales measured obsessive compulsive symptoms, obsessional intrusive thoughts, and mindfulness. The relationships among these variables were then explored with univariate and multivariate regression analysis.

 

They found that the higher the individual’s level of dispositional mindfulness the lower the levels of obsessional intrusive thoughts, the less of an emotional reaction they had to them, the less difficulty they had controlling them, the lower the levels of dysfunctional appraisals they engaged in, the fewer the control strategies they applied, and the fewer compulsions they had. In other words, mindfulness predicted significantly lower obsessional intrusive thoughts and lessened reactions to them. They further found that the facets of mindfulness of nonjudgment, nonreactivity and acting with awareness were associated with fewer obsessional intrusive thoughts and less difficulty controlling them. In contrast, the observing facet of mindfulness was associated with a greater number of obsessional intrusive thoughts and more difficulty controlling them.

 

The results suggest that dispositional mindfulness overall tends to counteract obsessional intrusive thoughts in normal adults. This is especially true for acting toward them with awareness, treating them without judgement, and without reacting to them. But, mindfully observing these thoughts by itself tends to heighten them. These results also suggest that mindfulness training might be effective in lessening the frequency of obsessional intrusive thoughts and their effects on the individual.

 

So, lessen the frequency and impact of obsessional intrusive thoughts with mindfulness.

 

“most OCD sufferers I know who practice mindfulness find it very helpful in fighting their disorder. To be able to focus on what is really happening in any given moment, as opposed to dwelling on the past or anticipating the future, takes away the power of OCD.” – Janet Singer

 

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

 

Emerson, L.-M., Heapy, C., & Garcia-Soriano, G. (2018). Which Facets of Mindfulness Protect Individuals from the Negative Experiences of Obsessive Intrusive Thoughts? Mindfulness, 9(4), 1170–1180. http://doi.org/10.1007/s12671-017-0854-3

 

Obsessive intrusive thoughts (OITs) are experienced by the majority of the general population, and in their more extreme forms are characteristic of obsessive–compulsive disorder (OCD). These cognitions are said to exist on a continuum that includes differences in their frequency and associated distress. The key factors that contribute to an increased frequency and distress are how the individual appraises and responds to the OIT. Facets of mindfulness, such as nonjudgment and nonreactivity, offer an alternative approach to OITs than the negative appraisals and commonly utilised control strategies that often contribute to distress. Clarifying the role of facets of mindfulness in relation to these cognitions offers a means to elucidate individual characteristics that may offer protection from distress associated with OITs. A sample of nonclinical individuals (n = 583) completed an online survey that assessed their experiences of OITs, including frequency, emotional reaction and appraisals, and trait mindfulness. The findings from a series of multiple regression analyses confirmed that specific facets of mindfulness relating to acting with awareness and acceptance (nonjudgment and nonreactivity) consistently predicted less frequent and distressing experiences of OITs. In contrast, the observe facet emerged as a consistent predictor of negative experiences of OITs. These findings suggest that acting with awareness and acceptance may confer protective characteristics in relation to OITs, but that the observe facet may reflect a hypervigilance to OITs. Mindfulness-based prevention and intervention for OCD should be tailored to take account of the potential differential effects of increasing specific facets of mindfulness.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061236/

 

Reduce Stress with Mindfulness-Based Stress Reduction (MBSR)

Reduce Stress with Mindfulness-Based Stress Reduction (MBSR)

 

By John M. de Castro, Ph.D.

 

“We’ve seen this in the clinical domain for many years. People, in concert with their physicians… actually going off their medications for pain, for anxiety, for depression, as they begin to learn the self-regulatory elements of mindfulness. They discover that the things that used to be symptomatically problematic for them are no longer arising at the same level.” – Jon Kabat-Zinn

 

Mindfulness training has been shown to be effective in improving physical and psychological health. One reason for these benefits is that mindfulness training improves the individual’s physical and psychological reactions to stress. Stress is an integral part of life, that is actually essential to the health of the body. In moderation, it is healthful, strengthening, and provides interest and fun to life. If stress, is high or is prolonged, however, it can be problematic. It can significantly damage our physical and mental health and even reduce our longevity, leading to premature deaths. So, it is important that we develop methods to either reduce or control high or prolonged stress or reduce our responses to it.

 

Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress. In today’s Research News article “Effectiveness of Mindfulness-Based Stress Reduction in a Self-Selecting and Self-Paying Community Setting.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061242/ ), Juul and colleagues recruited healthy adults who self-selected and paid to participate in an 8-week program of Mindfulness-Based Stress Reduction (MBSR). The program consisted of once weekly 2.5-hour sessions and assigned home practice of meditation, yoga, body scan and discussion. The participants were measured on-line before and after training for mindfulness, perceived stress, anxiety, and depression.

 

They found that following MBSR training there were significant decreases, with large effect sizes, in perceived stress and significant increases in mindfulness, including the describing, observing, acting with awareness, non-judging, and non-reacting facets. The improvements in perceived stress were significantly greater in the 38% of participants who indicated that their perceived stress was very high. Juul and colleagues compared these results to those obtained in a comparable randomized controlled trial with assigned, non-paying, participants. They found that the reductions in perceived stress were significantly larger in the current study with self-selected, paying, participants than the reduction in the comparison study.

 

These results suggest that Mindfulness-Based Stress Reduction (MBSR) is effective in relieving stress in otherwise healthy individuals. This has been previously observed. The present study, however, also suggests that the stress reduction is greatest in highly stressed individuals and in people who self-select and pay for the program. Paying for the program is thought to produce high levels of motivation and high expectations for positive benefits. These motivation and expectancy effects maybe important in producing large improvements in perceive stress.

 

So, reduce stress with Mindfulness-Based Stress Reduction (MBSR).

 

“When we treat stress as an opportunity instead of a threat, we can change our mindset and meet the challenge head-on, contributing to our own growth and development instead of throwing up our hands and waiting to be swallowed whole. So, how do we turn our “stressed” into “desserts?” What can we do to turn times of struggle into opportunities for positive change? Mindfulness-Based Stress Reduction has answers.” – Positive Psychology

 

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

 

Juul, L., Pallesen, K. J., Piet, J., Parsons, C., & Fjorback, L. O. (2018). Effectiveness of Mindfulness-Based Stress Reduction in a Self-Selecting and Self-Paying Community Setting. Mindfulness, 9(4), 1288–1298. http://doi.org/10.1007/s12671-017-0873-0

 

Abstract

We aimed to evaluate the effectiveness of Mindfulness-Based Stress Reduction (MBSR) when implemented in a community setting as a self-referred and self-paid course. Pre-post changes and Cohen’s d effect sizes were calculated for questionnaire measures of mindfulness, perceived stress, and symptoms of anxiety and depression. We compared these effect sizes with those from intervention groups in randomized controlled trials (RCTs), with populations similar to our study sample. These RCTs reported significant effects of MBSR compared to control condition. MBSR was delivered in three different Danish cities by ten different MBSR teachers with various professional backgrounds and MBSR teaching experience. One hundred and thirty-two participants were included in the study: 79% were women, mean age 45 ± 10.4 years, 75% of the participants had more than 15 years of education, 38% had a Perceived Stress Scale (PSS) score≥18, and 27% had a history of mental disorder. Post MBSR, the proportion of participants with a PSS≥18 decreased by 16% points (95%CI −26 to −6), p = 0.0032. Within-group effect sizes for (i) the total study population (ii) the subgroup with PSS≥18 at baseline (iii) intervention group in reference RCTs were as follows: PSS: d = 0.50:1.47:1.00, Symptom Check List 5: d = 0.48:0.81:0.77, Five Facet Mindfulness Questionnaire: d = 0.67:1.09:1.00. Our results showed that MBSR was effective. The effects were largest among the participants reporting highest perceived stress level at baseline. Our participants were mainly women who were middle-aged, with high educational levels, and more perceived stress and a greater history of mental disorder than the general population, and who were able to seek out and pay for an MBSR course. Reaching vulnerable groups with a clear need for stress management will, however, require other implementation strategies.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061242/