Improve Psychological Well-Being with EcoMeditation

Improve Psychological Well-Being with EcoMeditation

 

By John M. de Castro, Ph.D.

 

“Eco Meditation ,. . .is a powerful meditation, a synergy of multiple techniques, doing certain physiological moves to help you get into a deep delta meditative state, the same as a meditative master, and in only 90 seconds. You can do this meditation any time of the day, and cumulative benefits accrue with long-term use.” – Inspire Nation

 

Meditation training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, meditation training has been called the third wave of therapies. One problem with understanding meditation effects is that meditation is not a specific practice but rather a category encompassing a wide array of practices. It is not known which work best for the health and well-being of the practitioners and for improving different conditions.

 

In today’s Research News article “The Interrelated Physiological and Psychological Effects of EcoMeditation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871048/ ), Groesbeck and colleagues study the effects of a relatively new, less commonly practiced, technique called Eco-Meditation. As described by the authors, EcoMeditation “focuses on physiological cues. . . it has participants mimic the physiological state of an experienced practitioner. Participants mechanically assume breathing patterns and body postures that are characteristic of long-time meditators. EcoMeditation combines elements of 4 evidence-based techniques: the Quick Coherence Technique, Clinical Emotional Freedom Techniques, mindfulness meditation, and neurofeedback.

 

In an uncontrolled pilot study, they recruited participants who were attending a weekend meditation workshop at a residential conference center where they practiced EcoMeditation. Before and after the workshop and 2 months later, the participants were measured for anxiety, depression, happiness, pain, Posttraumatic stress disorder (PTSD), resting blood pressure, heart rate, heart rate variability, heart coherence, and Salivary immunoglobulin A and cortisol levels as physiological markers of stress.

 

They found that in comparison to the levels prior to the workshop, afterward there were significant decreases in anxiety, depression, pain, resting heart rate, salivary cortisol levels, and a significantly increase in happiness. Unfortunately, none of these effects were still present 2 months later. Hence, after participating in the workshop but not 2 months later the participants reported improved psychological well-being and less stress.

 

This is an uncontrolled pilot study and no firm conclusions can be made. Without a control group there are many sources of confounding present and many alternative explanations for the results. But, the results were interesting and provide support for a more controlled study.

 

So, improve psychological well-being with EcoMeditation.

 

“In meditation, you’re seeking a state, like peace of mind, not an outcome. The rest of your life is about doing; meditation is about being.” – Anne Siret

 

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

 

Groesbeck, G., Bach, D., Stapleton, P., Blickheuser, K., Church, D., & Sims, R. (2018). The Interrelated Physiological and Psychological Effects of EcoMeditation. Journal of Evidence-Based Integrative Medicine, 23, 2515690X18759626. http://doi.org/10.1177/2515690X18759626

 

Abstract

This study investigated changes in psychological and physiological markers during a weekend meditation workshop (N = 34). Psychological symptoms of anxiety, depression, posttraumatic stress disorder (PTSD) and happiness were assessed. Physiological markers included cortisol, salivary immunoglobulin A (SigA), heart rate variability (HRV), blood pressure (BP), and resting heart rate (RHR). On posttest, significant reductions were found in cortisol (−29%, P < .0001), RHR (−5%, P = .0281), and pain (−43%, P = .0022). Happiness increased significantly (+11%, P = .0159) while the increase in SigA was nonsignificant (+27%, P = .6964). Anxiety, depression, and PTSD all declined (−26%, P = .0159; −32%, P = .0197; −18%, P = .1533), though changes in PTSD did not reach statistical significance. No changes were found in BP, HRV, and heart coherence. Participants were assessed for psychological symptoms at 3-month follow-up, but the results were nonsignificant due to inadequate sample size (n = 17). EcoMeditation shows promise as a stress-reduction method.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871048/

Manage Stress in Cancer Patients with Mindfulness

Manage Stress in Cancer Patients with Mindfulness

 

By John M. de Castro, Ph.D.

 

“For many people who have been diagnosed with cancer — or have been diagnosed with advanced cancer and are facing end-of-life issues — their mind is so full of worries about the future… that they can’t fully be aware and enjoy the time they have now. Emotional distress, in turn, can have a significant impact on the course of the illness. Depression has been shown to hasten decline in cancer patients, and also to increase the risk of death. By reducing stress and negative emotions, mindfulness programs could potentially play an important role in the treatment process. [Cancer] is very demanding on the body and the mind, so the aim of this program is to help people learn ways to focus and calm their mind, and live more fully in the present moment so they can better manage difficult thoughts and difficult feelings,” – Joanna Bell

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. These feeling can result from changes in body image, changes to family and work roles, feelings of grief at these losses, and physical symptoms such as pain, nausea, or fatigue and insomnia. People might also fear death, suffering, pain, or all the unknown things that lie ahead. So, coping with the emotions and stress of a cancer diagnosis is a challenge and there are no simple treatments for these psychological sequelae of cancer diagnosis.

 

But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. It is estimated that 15 million adults and children with a history of cancer are alive in the United States today. But, surviving cancer carries with it a number of problems. “Physical, emotional, and financial hardships often persist for years after diagnosis and treatment. Cancer survivors are also at greater risk for developing second cancers and other health conditions.” National Cancer Survivors Day. It is estimated that nearly a third of breast cancer survivors have major disturbances of sleep that adds to the stress and damages recovery.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. In today’s Research News article “Mindfulness-Based Stress Reduction as a Stress Management Intervention for Cancer Care: A Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871193/ ), Rush and Sharma review and summarize the findings of the published research on the effectiveness of one particular frequently used mindfulness training technique,  Mindfulness-Based Stress Reduction (MBSR) in reducing stress in cancer patients. MBSR is generally a 8-week program including meditation, yoga, and body scan, combined with home practice.

 

They identified 13 published research studies, 8 of which involved breast cancer. They found that the studies indicate that MBSR is effective in reducing the psychological and physiological responses to the stress of cancer and its treatment. Since, this stress produced can interfere with the patients ability of withstand treatment and its’ psychological consequences, reducing stress responding may be greatly beneficial to the patients’ health and well-being. Hence, the published literature supports the use of MBSR training for patients diagnosed with cancer, improving their physiological and psychological responses to the diagnosis and treatment of the disease. This can improve quality of life with cancer and hopefully lead to improved health and survival.

 

So, manage stress in cancer patients with Mindfulness-Based Stress Reduction (MBSR).

 

“Women who had the most stress before the study started benefited the most from the Mindfulness-Based Stress-Reduction for Breast Cancer program. The results of this study echo results from other small studies showing that mindfulness-based meditation can help ease the stress, anxiety, fear, and depression that often come along with a breast cancer diagnosis and treatment.” – BreastCancer.org

 

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

 

Rush, S. E., & Sharma, M. (2017). Mindfulness-Based Stress Reduction as a Stress Management Intervention for Cancer Care: A Systematic Review. Journal of Evidence-Based Complementary & Alternative Medicine, 22(2), 348–360. http://doi.org/10.1177/2156587216661467

 

Abstract

Cancer is acknowledged as a source of stress for many individuals, often leading to suffering, which can be long-lasting. Mindfulness-based stress reduction offers an effective way of reducing stress among cancer patients by combining mindfulness meditation and yoga in an 8-week training program. The purpose of this study was to inspect studies from October 2009 to November 2015 and examine whether mindfulness-based stress reduction can be utilized as a viable method for managing stress among cancer patients. A systematic search from Medline, CINAHL, and Alt HealthWatch databases was conducted for quantitative articles involving mindfulness-based stress reduction interventions targeting cancer patients. A total of 13 articles met the inclusion criteria. Of these 13 studies, 9 demonstrated positive changes in either psychological or physiological outcomes related to anxiety and/or stress, with 4 describing mixed results. Despite the limitations, mindfulness-based stress reduction appears to be promising for stress management among cancer patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871193/

Improve Response Inhibition with Yogic Breathing

Improve Response Inhibition with Yogic Breathing

 

By John M. de Castro, Ph.D.

 

“At its core YOGA is early study of human psychology. For me, to be curious about yoga is to be curious about yourself, and about other people…I’m curious about YOU! I’m interested in the way our community responds, and more importantly how we behave, IN REAL LIFE.” – Erica Mather

 

Mindfulness practices such as meditationyoga, and tai chi/qigong have been shown to have a myriad of positive benefits for the practitioner and they have been shown to alter a large variety of cognitive (thought) processes, such as attentional ability, memory, verbal fluency, critical thinking, learning, analytic thinking, mathematical ability, higher level (meta-cognitive) thinking, and cognitive reappraisal. A very important cognitive ability for the control of behavior is response inhibition. This is the ability to restrain or withhold an inappropriate behavior when necessary. This ability is particularly underdeveloped in adolescents frequently resulting in impulsive behavior.

 

In today’s Research News article “Immediate effects of yoga breathing with intermittent breath holding on response inhibition among healthy volunteers.” (See summary below or view the full text of the study at: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=2;spage=99;epage=104;aulast=Saoji ), Saoji and colleagues examine the ability of yoga breathing practices to improve short-term response inhibition. Yoga practitioners between the ages of 18 – 25 years were recruited and participated in 8 weeks of breathing practice followed by baseline assessment. On separate days the participants engaged in either a 40-minute conditions of yoga breathing with intermittent breath holding or yoga breathing with breath awareness.

 

Yoga breathing with intermittent breath holding included the regulated yogic breathing for 20 min incorporating phases of inhalation, internal retention of breath, exhalation, and external retention of breath. Yoga breathing with breath awareness involved normal breathing while attending to the breath. At baseline and immediately after the breathing sessions they participated in a Go – No Go task where they pressed keys in response to stimuli unless a No Go signal was presented after the stimulus in which case they were to not respond; inhibit responding.

 

They found that after both the Yogic breathing with breath awareness condition and the Yogic breathing with intermittent breath holding condition the participants demonstrated significantly improved performance in the No Go condition but not the Go condition. This suggests that after either breathing sessions response inhibition was enhanced but not simple responding. This is an interesting result, but it does not demonstrate that the breathing condition was responsible as any attention task may have produced similar results. So, future work needs to include alternative attentional tasks not involving breathing. Nevertheless, the results suggest that short-term yogic breathing may be beneficial to the practitioner in improving their ability to withhold responses when appropriate.

 

So, improve response inhibition with yogic breathing.

 

a growing number of scientific studies suggest that yoga may enhance students’ mind-body awareness, self-regulation, and physical fitness which may, in turn, promote improved behavior, mental state, health, and performance ” – Bethany Butzer

 

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

 

Saoji AA, Raghavendra B R, Rajesh S K, Manjunath N K. Immediate effects of yoga breathing with intermittent breath holding on response inhibition among healthy volunteers. Int J Yoga 2018;11:99-104

 

Abstract
Background: There is very little evidence available on the effects of yoga-based breathing practices on response inhibition. The current study used stop-signal paradigm to assess the effects of yoga breathing with intermittent breath holding (YBH) on response inhibition among healthy volunteers. Materials and Methods: Thirty-six healthy volunteers (17 males + 19 females), with mean age of 20.31 ± 3.48 years from a university, were recruited in a within-subject repeated measures (RM) design. The recordings for stop signal task were performed on three different days for baseline, post-YBH, and post yogic breath awareness (YBA) sessions. Stop-signal reaction time (SSRT), mean reaction time to go stimuli (go RT), and the probability of responding on-stop signal trials (p [r/s]) were analyzed for 36 volunteers using RM analysis of variance. Results: SSRT reduced significantly in both YBH (218.33 ± 38.38) and YBA (213.15 ± 37.29) groups when compared to baseline (231.98 ± 29.54). No significant changes were observed in go RT and p (r/s). Further, the changes in SSRT were not significantly different among YBH and YBA groups. Conclusion: Both YBH and YBA groups were found to enhance response inhibition in the stop-signal paradigm. YBH could be further evaluated in clinical settings for conditions where response inhibition is altered.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=2;spage=99;epage=104;aulast=Saoji

 

Improve Headache Pain with Mindfulness

Improve Headache Pain with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness-based stress reduction (MBSR) can be a safe and effective means of lessening the effect of migraine headache and can be carried out while patients continue to take migraine medication.” – Pauline Anderson

 

Headaches are the most common disorders of the nervous system. It has been estimated that 47% of the adult population have a headache at least once during the last year. There are a wide variety of drugs that are prescribed for chronic headache pain with varying success. Headaches are treated with pain relievers, ergotamine, blood pressure drugs such as propranolol, verapamil, antidepressants, antiseizure drugs, and muscle relaxants. Drugs, however, can have some problematic side effects particularly when used regularly and are ineffective for many sufferers. So, almost all practitioners consider lifestyle changes that help control stress and promote regular exercise to be an important part of headache treatment and prevention. Avoiding situations that trigger headaches is also vital.

 

Individual studies have reported that mindfulness training is an effective treatment for headache pain. There is a need, however, to summarize and analyze the existing literature. In today’s Research News article “Mindfulness Meditation for Primary Headache Pain: A Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887742/ ), Gu and colleagues review, summarize, and perform a meta-analysis of the effectiveness of meditation practice for headache pain. They identified 11 published studies with adult patients. They find that the studies report that mindfulness meditation produces not only a significant reduction in headache pain but also a significant reduction in the frequency of headaches. Subgroup analysis revealed that Mindfulness-Based Stress Reduction (MBSR) was effective in reducing pain and 8 weeks of mindfulness meditation was effective in producing pain reduction.

 

Hence, the published research literature supports the conclusion that mindfulness meditation is a safe and effective treatment for headaches, reducing their number and intensity. Some of the effects of mindfulness practices are to alter thought processes, changing what is thought about. In terms of pain, mindfulness training, by focusing attention on the present moment has been shown to reduce worry and catastrophizing. Pain is increased by worry about the pain and the expectation of greater pain in the future. So, reducing worry and catastrophizing can reduce headache pain. In addition, mindfulness improves self-efficacy, the belief that the individual can adapt to and handle headache pain. In addition, mindfulness training also has been shown to alter not only what is thought, but also how thoughts are processed. Central to this cognitive change is mindfulness and acceptance. By mindfully viewing pain as a present moment experience it can be experienced just as it is and by accepting it, the individual stops fighting against the pain which can amplify the pain.

 

So, improve headache pain with mindfulness.

 

“Mindfulness meditation is proving to be of significant help in not only reducing migraines or chronic pain, but improvements in mood, outlook on life and illness, increased coping skills, enhanced sense of well-being, changes in perception of pain, higher tolerance of pain, enhanced immune function, less fatigue and stress and better sleep. Beyond that, other benefits that are derived from mindfulness include improved cognitive functioning and memory, more inner peace, empathy and compassion, higher levels of self-awareness, joy, pleasure, creativity, insight and intuition, all of which result in a life that is deeper and more fulfilling on many levels.” – Cynthia Perkins

 

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, Q., Hou, J.-C., & Fang, X.-M. (2018). Mindfulness Meditation for Primary Headache Pain: A Meta-Analysis. Chinese Medical Journal, 131(7), 829–838. http://doi.org/10.4103/0366-6999.228242

 

Abstract

Background:

Several studies have reported that mindfulness meditation has a potential effect in controlling headaches, such as migraine and tension-type headache; however, its role remains controversial. This review assessed the evidence regarding the effects of mindfulness meditation for primary headache pain.

Methods:

Only English databases (PubMed, Cochrane Central Register of Controlled Trials [the Cochrane Library], PsycINFO, Psychology and behavioral science collection, PsyArticles, Web of Science, and Scopus) were searched from their inception to November 2016 with the keywords (“meditation” or “mindfulness” or “vipassana” or “dzogchen” or “zen” or “integrative body-mind training” or “IBMT” or “mindfulness-based stress reduction” or “MBSR” or “mindfulness-based cognitive therapy” or “MBCT” and “Headache” or “Head pain” or “Cephalodynia” or “Cephalalgia” or “Hemicrania” or “Migraine”). Titles, abstracts, and full-text articles were screened against study inclusion criteria: controlled trials of structured meditation programs for adult patients with primary headache pain. The quality of studies included in the meta-analysis was assessed with the Yates Quality Rating Scale. The meta-analysis was conducted with Revman 5.3.

Results:

Ten randomized controlled trials and one controlled clinical trial with a combined study population of 315 patients were included in the study. When compared to control group data, mindfulness meditation induced significant improvement in pain intensity (standardized mean difference, −0.89; 95% confidence interval, −1.63 to −0.15; P = 0.02) and headache frequency (−0.67; −1.24 to −0.10; P = 0.02). In a subgroup analysis of different meditation forms, mindfulness-based stress reduction displayed a significant positive influence on pain intensity (P < 0.000). Moreover, 8-week intervention had a significant positive effect (P< 0.000).

Conclusions:

Mindfulness meditation may reduce pain intensity and is a promising treatment option for patients. Clinicians may consider mindfulness meditation as a viable complementary and alternative medical option for primary headache.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887742/

Improve Mental Health with Mindfulness

Improve Mental Health with Mindfulness

 

By John M. de Castro, Ph.D.

 

“While mindfulness will not solve all of our problems, it is a powerful tool with great potential to help us all transform our relationship with our problems when it is not possible, or desirable, to eliminate them.” – Elana Miller

 

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

 

In today’s Research News article “Mindfulness-Based Interventions in Psychiatry.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870875/ ), Shapero and colleagues review and summarize the published research literature on the application of mindfulness techniques to the treatment of mental illnesses.

 

They report that the most commonly used mindfulness technique for the treatment of mental illness is Mindfulness-Based Cognitive Therapy (MBCT) particularly for the treatment of major depressive disorder. MBCT has been shown to be as effective as antidepressant drugs in relieving the symptoms of depression and preventing depression reoccurrence and relapse. In addition, it appears to be effective as either a supplement to or a replacement for these drugs.

 

Mindfulness-based interventions (MBIs) have also been found to improve mood and relieve anxiety in patients suffering from anxiety and mood disorders and treat the symptoms of Bipolar Disorder, Obsessive Compulsive Disorder, Generalized Anxiety Disorder, and eating disorders. They have also been found to reduce drug cravings and use as well as reduce substance abuse relapse after treatment.

 

They further report that the research suggests that Mindfulness-based interventions (MBIs) produce these benefits by focusing on the present moment in a non-reactive and non-judgmental way and improving emotion regulation and thereby decreasing negative thought patterns, emotional reactivity, rumination, and worry, and increasing self-compassion. In the cognitive realm, MBIs appear to produce a different relationship with the thoughts of the individuals by noticing them and developing different ways of relating and reacting to them.

 

One way that MBIs appear to have their effects is by altering the nervous system in a process known as neuroplasticity. These include changes to eight brain regions, including areas associated with meta-awareness (frontopolar cortex), exteroceptive and interoceptive body awareness (sensory cortices and insula), memory consolidation and reconsolidation (hippocampus), self and emotion regulation (anterior and mid cingulate; orbitofrontal cortex), and intra- and interhemispheric communication (superior longitudinal fasciculus; corpus callosum).

 

These are striking findings that strongly suggest that Mindfulness-based interventions (MBIs) are safe and very effective treatments for a wide array of psychiatric disorders. They appear to work by altering thought processes, emotion regulation, and focus on the present moment. They appear to alter the brain to produce these benefits. This suggests that MBIs should be widely prescribed to relieve the symptoms and suffering produced by mental illness.

 

So, improve mental health with Mindfulness.

 

“Mindfulness and the traditional way psychiatry is practiced are really more divergent than anything else. Psychiatry is about removing emotional pain, whereas mindfulness teaches us the value of being present with our pain. It was through the practice of mindfulness that I started to learn this new perspective and started to relate to my own pain differently. Instead of running away from it, I was taught to welcome it; to befriend it and thus convert it into a source for my own emotional and spiritual growth.” – Russel Razzaque

 

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

 

Shapero, B. G., Greenberg, J., Pedrelli, P., de Jong, M., & Desbordes, G. (2018). Mindfulness-Based Interventions in Psychiatry. Focus (American Psychiatric Publishing), 16(1), 32–39. http://doi.org/10.1176/appi.focus.20170039

 

Abstract

Mindfulness meditation has a longstanding history in eastern practices that has received considerable public interest in recent decades. Indeed, the science, practice, and implementation of Mindfulness Based Interventions (MBIs) have dramatically increased in recent years. At its base, mindfulness is a natural human state in which an individual experiences and attends to the present moment. Interventions have been developed to train individuals how to incorporate this practice into daily life. The current article will discuss the concept of mindfulness and describe its implementation in the treatment of psychiatric disorders. We further identify for whom MBIs have been shown to be efficacious and provide an up-to-date summary of how these interventions work. This includes research support for the cognitive, psychological, and neural mechanisms that lead to psychiatric improvements. This review provides a basis for incorporating these interventions into treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870875/

 

Improve Psychological and Physical Health in End Stage Renal Disease with Mindfulness

Improve Psychological and Physical Health in End Stage Renal Disease with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Meditation could be a valuable, low-cost, nonpharmacologic intervention for reducing blood pressure and adrenaline levels in patients with chronic kidney disease” –  Kurtis Pivert

 

End-stage renal disease (ESRD) is a serious and all too common medical problem that results from a total and permanent failure of the kidneys. As a result, the body retains fluid and harmful wastes build up. Treatment, usually dialysis, is required to replace the work of the failed kidneys. Kidney dialysis uses a machine to filter harmful wastes, salt, and excess fluid from your blood. This restores the blood to a normal, healthy balance. Without dialysis or a kidney transplant the ESRD patient cannot survive It is estimated that ESRD occurs in more than 650,000 patients per year in the United States and is increasing by 5% per year. Those who live with ESRD are 1% of the U.S. Medicare population but account for 7% of the Medicare budget. Worldwide there are an estimated 2 million ESRD patients.

 

End-stage renal disease (ESRD) is frequently accompanied by a number of other serious diseases, such as cardiovascular disease and diabetes. Making matters worse is the fact that ESRD patients often experience psychological distress including depression. It is possible that mindfulness training may be helpful as it has been found be helpful for patients with kidney disease and help relieve depression.

 

In today’s Research News article “Effectiveness of group cognitive behavioral therapy with mindfulness in end-stage renal disease hemodialysis patients.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875579/ ), Sohn and colleagues conducted and uncontrolled pilot study to investigate the effectiveness of group based Cognitive Behavioral Therapy that includes mindfulness training for improving the psychological health or 7 patients with End-Stage Renal Disease (ESRD) undergoing dialysis and suffering from depression.

 

The therapy included muscle relaxation, meditation, and cognitive therapy to uncover automatic thinking regarding their emotions and was conducted once a week for 12 weeks. The participants were measured before, at 8 weeks and after treatment for the biochemical variables of albumin, serum creatinine, calcium/phosphorus, and interdialytic weight gain and for the psychological variables of quality of life, anxiety, depression, perceived stress. They found that compared to baseline the participants had significant increases in quality of life, and significant decreases in albumin, serum creatinine, anxiety, depression, perceived stress.

 

Hence, after Cognitive Behavioral Therapy with mindfulness training the patients psychological and physical states were greatly improved. These are intriguing results that must be interpreted cautiously as this was an uncontrolled pilot study with just 7 patients. But, the findings clearly justify conducting a large randomized controlled trial with an active control condition. These patients suffer greatly and identifying a safe and effective therapy to relieve their psychological distress and improve their physical well-being is sorely needed.

 

So, improve psychological and physical health in end stage renal disease with mindfulness.

 

“Not only did mindfulness meditation decrease the anxiety related to dialysis, many patients also used this technique to assist relaxation and improve sleep at home.” – Raymond Chang

 

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

 

Sohn, B. K., Oh, Y. K., Choi, J.-S., Song, J., Lim, A., Lee, J. P., … Lim, C. S. (2018). Effectiveness of group cognitive behavioral therapy with mindfulness in end-stage renal disease hemodialysis patients. Kidney Research and Clinical Practice, 37(1), 77–84. http://doi.org/10.23876/j.krcp.2018.37.1.77

 

Abstract

Background

Many patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) experience depression. Depression influences patient quality of life (QOL), dialysis compliance, and medical comorbidity. We developed and applied a group cognitive behavioral therapy (CBT) program including mindfulness meditation for ESRD patients undergoing HD, and measured changes in QOL, mood, anxiety, perceived stress, and biochemical markers.

Methods

We conducted group CBT over a 12-week period with seven ESRD patients undergoing HD and suffering from depression. QOL, mood, anxiety, and perceived stress were measured at baseline and at weeks 8 and 12 using the World Health Organization Quality of Life scale, abbreviated version (WHOQOL-BREF), the Beck Depression Inventory II (BDI-II), the Hamilton Rating Scale for Depression (HAM-D), the Beck Anxiety Inventory (BAI), and the Perceived Stress Scale (PSS). Biochemical markers were measured at baseline and after 12 weeks. The Temperament and Character Inventory was performed to assess patient characteristics before starting group CBT.

Results

The seven patients showed significant improvement in QOL, mood, anxiety, and perceived stress after 12 weeks of group CBT. WHOQOL-BREF and the self-rating scales, BDI-II and BAI, showed continuous improvement across the 12-week period. HAM-D scores showed significant improvement by week 8; PSS showed significant improvement after week 8. Serum creatinine levels also improved significantly following the 12 week period.

Conclusion

In this pilot study, a CBT program which included mindfulness meditation enhanced overall mental health and biochemical marker levels in ESRD patients undergoing HD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875579/

 

Make Self-Views More Positive and Relieve Social Anxiety Disorder with Mindfulness

Make Self-Views More Positive and Relieve Social Anxiety Disorder with Mindfulness

 

By John M. de Castro, Ph.D.

 

“I call this type of mindfulness practice while we are interacting with others—or even while we are simply around others—curiosity training. We are learning to get out of our heads and into the moment. Instead of focusing our attention on ourselves—criticizing our performance or appearance, trying to guess what others are thinking of us, struggling to script out what to say—we learn to treat all those thoughts as background noise—something we’re aware of but not paying attention to—and instead return our attention to taking interest in the situation, the person, and the conversation.” – Larry Cohen

 

It is a common human phenomenon that being in a social situation can be stressful and anxiety producing. Most people can deal with the anxiety and can become quite comfortable. But many do not cope well and the anxiety is overwhelming, causing the individual to withdraw. Social Anxiety Disorder (SAD) is characterized by a persistent, intense, and chronic fear of being watched and judged by others and feeling embarrassed or humiliated by their actions. This fear may be so severe that it interferes with work, school, and other activities and may negatively affect the person’s ability to form relationships.

 

SAD is the most common form of anxiety disorder and it is widespread, occurring in about 7% of the U.S. population and is particularly widespread among young adults. Anxiety disorders have generally been treated with drugs. But, there are considerable side effects and these drugs are often abused. There are a number of psychological therapies for SAD. But, about 45% of the patients treated do not respond to the therapy. So, there is a need to develop alternative treatments. Recently, it has been found that mindfulness training can be effective for anxiety disorders including Social Anxiety Disorder (SAD)Mindfulness-Based Stress Reduction (MBSR) contains three mindfulness trainings, meditation, body scan, and yoga, and has been shown to be effective in treating anxiety disorders. It is not known, however, how these treatments produce their effects.

 

In today’s Research News article “Self-Views in Social Anxiety Disorder: The Impact of CBT versus MBSR.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376221/ ), Thurston and colleagues recruited unmedicated patients with Social Anxiety Disorder (SAD) and randomly assigned them to receive 12 weekly sessions of 2.5 hours of either Mindfulness-Based Stress Reduction (MBSR), Cognitive Behavioral Group Therapy (CBGT) or a wait-list control condition. They also recruited a group of healthy control participants. They were measured before and after training for social anxiety and positive and negative self-views.

 

They found that in comparison to healthy controls, participants with SAD had significantly lower positive self-views and significantly higher negative self-views. Both Mindfulness-Based Stress Reduction (MBSR), Cognitive Behavioral Group Therapy (CBGT) produced significant reductions in social anxiety and significant improvements in self-views, reducing negative and increasing positive self-views. Importantly, they found that changes in positive, but not negative self-views were the intermediary between MBSR and CBGT treatments and improvement in social anxiety. That is, the treatments improved the patients’ positive views of themselves and this in turn produced reduced social anxiety.

 

These results are interesting and potentially important. By demonstrating that changing the patients’ views concerning themselves was a key to improving social anxiety, the findings suggest that tailoring treatment to improving positive self-views might produce more effective therapies for Social Anxiety Disorder (SAD).

 

So, make self-views more positive and relieve social anxiety disorder with mindfulness.

 

“Our nervous system is like the soundtrack for every scene in life that we encounter. It is all but impossible to experience a scene as safe and happy when the music tells us otherwise. With a mindful, body-based approach, clients can learn to change their music.” – Jeena Cho

 

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

 

Thurston, M. D., Goldin, P., Heimberg, R., & Gross, J. J. (2017). Self-Views in Social Anxiety Disorder: The Impact of CBT versus MBSR. Journal of Anxiety Disorders, 47, 83–90. http://doi.org/10.1016/j.janxdis.2017.01.001

 

Go to:

Abstract

This study examines the impact of Cognitive-Behavioral Group Therapy (CBGT) versus Mindfulness-Based Stress Reduction (MBSR) versus Waitlist (WL) on self-views in patients with social anxiety disorder (SAD). One hundred eight unmedicated patients with SAD were randomly assigned to 12 weeks of CBGT, MBSR, or WL, and completed a self-referential encoding task (SRET) that assessed self-endorsement of positive and negative self-views pre- and post-treatment. At baseline, 40 healthy controls (HCs) also completed the SRET. At baseline, patients with SAD endorsed greater negative and lesser positive self-views than HCs. Compared to baseline, patients in both CBGT and MBSR decreased negative self-views and increased positive self-views. Improvement in self-views, specifically increases in positive (but not decreases in negative) self-views, predicted CBGT- and MBSR-related decreases in social anxiety symptoms. Enhancement of positive self-views may be a shared therapeutic process for both CBGT and MBSR for SAD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376221/

Mindful Memorial Day

Mindful Memorial Day

 

By John M. de Castro, Ph.D.

 

“We who are left how shall we look again
Happily on the sun or feel the rain
Without remembering how they who went
Ungrudgingly and spent
Their lives for us loved, too, the sun and rain?

~Wilfred Wilson Gibson

 

Memorial Day is the unofficial start of the Summer holiday season. But, it’s primary purpose is to remember and honor those men and women who have died in wars. As such it’s a somber occasion and a reminder of the human cost of warfare. This is usually a day celebrating patriotism and the righteousness of the country’s cause. Some may think that I’m being a little discourteous to the honored dead. But, I believe that the greatest honor we can provide is to work tirelessly to insure that no one else has to die for their country in warfare.

 

Some wars are regrettably necessary. At times, pacifism and nonviolence just can’t work. It requires a minimally just society. For example, in 1938 Adolph Hitler advised the British government on how to protect their empire from the threat posed in India of Mahatma Gandhi: “kill Gandhi, if that isn’t enough then kill the other leaders too, if that isn’t enough then two hundred more activists, and so on until the Indian people will give up the hope of independence.” Fortunately, the British did not follow this advice and Gandhi’s nonviolence triumphed. But, if this had been Hitler’s empire, pacifism, no matter how well led or intentioned, would have failed miserably.

 

Even the Buddha who taught love, compassion, and nonviolence, also taught that we should defend ourselves. There are sects of Buddhist monks who practice martial arts and are celebrated for their skills. When under attack, we have a right and perhaps an obligation to stand up and resist violent assault. If non-violent means aren’t successful, then violence and aggression may be necessary. This is never a good thing, but at times necessary. There have been far too many wars, most unnecessary. We should honor the courage, valor, and commitment of those who died in war by doing our best to make sure that unnecessary wars are never fought again.

 

It is right that we honor those who died in warfare, not just soldiers, but also civilians and merchant marine who often perish in massive numbers. They too should be remembered. We should always remember that what we have and enjoy, including peace, was paid for dearly. But, we should honor all who perished. This doesn’t mean just those who belonged to our side. We should remember that the vast majority of combatants entered into battle with the finest of intentions, believing that their cause was right and just, and that they were fighting for their families and their countries. Regardless of whether they were misled by unscrupulous, evil, or incompetent leaders, they entered into battle honorably and deserve our respect.

 

It is sometimes difficult to see, but their sacrifices have paid off for the rest of us. Since World War II, European countries and similarly, the Asian countries of China, Korea, and Japan, who had been at virtually constant war among themselves for thousands of years, are now peaceful and there has not been an armed conflict between them in over 70 years. So, even with all of the conflict in the world, there is less warfare now than at any time in recorded history. We have the honored dead from the terrible conflict of World War II to thank for the peace and prosperity that has been enjoyed since. We don’t need this reason to honor them, but it is reassuring to know that their sacrifices were not in vain.

 

To prevent these horrors in the future and honor our dead by abolishing warfare completely, there are a number of strategies that may be helpful. We should view our past, present, and future enemies, as the great sage Thich Nhat Hahn did during the Vietnam War, as people whose lives, backgrounds, training, and beliefs put them into the roles they are playing. If we lived in their shoes, we would likely make the same choice they did. No matter how despicable we may think they are, or how horrible their deeds, we need to understand that what they experienced in life, led them there. If we truly place ourselves in the shoes of our enemy, do we honestly believe that we would make different decisions. The terrorist, so despised in the west, may have been brought up in poverty, with little education save for religious indoctrination, that taught him that his god demands that he kill the infidel and that he will be rewarded in the next life for doing so. If we were raised similarly, would we act differently. This kind of understanding can lead to actions that may help to prevent future violence. Seeing the enemy as intrinsically evil can only lead to more warfare. Seeing them as human beings whose situation dictated their behavior can lead to peace.

 

A key strategy for preventing future wars is forgiveness. Violence begets violence. Retribution demands that the people who killed your family members must themselves be killed. But, this is a never ending cycle as the families of those you killed now seek to kill you. The only way to break the cycle is forgiveness. This can be very difficult.  But it is the only way. Nelson Mandela, when he took over leadership of South Africa from those who oppressed and imprisoned him and his people for decades, didn’t enact retribution. Instead he launched a massive campaign of forgiveness and reconciliation. He understood that this was the only way to heal his country. He was amazingly successful and South Africa, although far from perfect, has become peaceful and prosperous working for the betterment of all of its citizens.

 

Most people look at creating peace and preventing war as a massively difficult task that is beyond their capabilities to resolve. As a result, they do nothing waiting for a Ghandi, Mandela, or King to lead them. But, this is a grave mistake. We can all honor our fallen by contributing to world peace. We can do this if we stop looking for grand solutions and instead, contribute in the ways that we can during every day of our lives. By leading peaceful, nonviolent lives we contribute. We create ripples on the pond of life spreading out to the far horizons. “If in our daily life we can smile, if we can be peaceful and happy, not only we, but everyone will profit from it. This is the most basic kind of peace work.” ― Thich Nhat Hanh

 

Communications is a key to peace. By engaging in non-violent communications, what the Buddha calls “Right Speech,” we not only produce peace in ourselves but in the people we’re communicating with. Their peacefulness then affects others, who affect others, etc. interpersonal ripples of peace. We also become role models for our children who then become role models for their children, etc., producing intergenerational ripples of peace. If many of us practice non-violence the ripples will become build and sum into tidal waves of peace washing over the earth. “If we are peaceful, if we are happy, we can smile and blossom like a flower, and everyone in our family, our entire society, will benefit from our peace.” ― Thich Nhat Hahn

 

Practicing mindfulness can similarly promote peace and create ripples. By being focused on the present moment non-judgmentally, we are fully present for those around us. This produces the deepest kinds of human communications based upon understanding and compassion. In human communications there is great power in non-judgmental listening. It has a tremendously calming effect on people, particularly when they are highly agitated. In a leadership position I once held, I would quite often have people come into my office and just rail on about the injustices they’ve experienced and the horrible people around them. I would just listen and occasionally acknowledge their emotions. At the end, they would almost inevitably thank me and tell me how much that helped. I had done nothing other than deeply listen and this by itself had dramatic effects. Over time, I could see how the ripples moved outward and affected the entire organization. Listening is a powerful tool of peace.

 

Another key method for promoting individual, societal, and planetal peace is practicing compassion. This is simply looking deeply at ourselves and others to understand their suffering. First we must have compassion for ourselves. Unless we do, we cannot have true compassion for others. We have to acknowledge that we are flawed human beings and not scold ourselves for it, but compassionately understand and forgive ourselves. We are essentially good. But, sometimes our background, indoctrination, humanness, and circumstances conspire to produce harmful acts. Rather than looking at the actions as good or bad, think of them as skillful or unskillful; bringing greater or less harmony and happiness. We need to understand this about ourselves, forgive ourselves with the intentions to do better, to be more skillful, and look upon ourselves with eyes of kindness and caring.

 

It is important to also recognize and congratulate ourselves for all of the good we do. Celebrate our goodness while having compassion for our faults. Once, we can do this. We can then move on to others. Being compassionate to our enemies involves looking deeply into their suffering, looking deeply into their background, indoctrination, humanness, and circumstances that conspire to produce harmful acts, and then being forgiving, kind, and caring about them. This is essential to healing wounds and developing world peace.

 

So, on this Memorial Day, let us resolve to honor the fallen for what they have done. But let us truly honor them by working to make their sacrifices not in vain, to do what we can to develop peacefulness in ourselves and others, and to let their deaths be the foundation not of more war but of lasting peace.

 

 “On Memorial Day, I don’t want to only remember the combatants. There were also those who came out of the trenches as writers and poets, who started preaching peace, men and women who have made this world a kinder place to live.” – Eric Burdon

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Improve Sleep Quality in Older Adults with Mindfulness

Improve Sleep Quality in Older Adults with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Studies have shown that sleeping habits improve dramatically when participants where taught to respond to sleep disturbance with mindfulness skills- rather than reacting automatically by increasing effort to rest. After meditating regularly, the average time it took participants to fall asleep dropped from an hour and a half to only 15 minutes.” – IPNOS

 

It is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. Yet over 70 million Americans suffer from disorders of sleep and about half of these have a chronic disorder. It has been estimated that about 4% of Americans revert to sleeping pills. But, these do not always produce high quality sleep and can have problematic side effects.

 

Unfortunately. as we age it becomes more and more difficult to get that good night’s sleep. Although the need for sleep doesn’t change with age sleep patterns change.  Older people have a more difficult time falling asleep and staying asleep, waking up several times during the night, and waking early in the morning. In addition, there is less deep sleep, so we don’t feel as rested. Insomnia is much higher in older adults affecting as many as 44%. A safe and effective means for improving sleep in the elderly is important for the health and wellbeing of this vulnerable population. Mindfulness-based practices have been reported to improve sleep amount and quality. There is a need, however, to further study the impact of mindfulness training on sleep in older individuals.

 

In today’s Research News article “A Secondary Analysis of Sleep Quality Changes in Older Adults From a Randomized Trial of an MBSR Program.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874181/ ), Gallegos and colleagues recruited older adults over 65 years of age and randomly assigned them to receive either an 8-week, once a week, 2 hour session of Mindfulness-Based Stress Reduction (MBSR) or be assigned to a wait-list control condition. MBSR consists of a combination of meditation, yoga, and body scan practice in combination with discussion and home practice. The participants were measured before and after training and 6-months later for sleep quality.

 

They found that compared to baseline and the wait-list controls, the MBSR participants had significantly improved sleep quality that was maintained for 6 months following completion of training. The effectiveness of MBSR was amplified in participants who had sleep disturbance and was even greater in participants who had insomnia. Hence, the MBSR program improved sleep in the elderly, with the greater the sleep problem the greater the improvement. These are interesting and important results. Sleep disturbance in the elderly is common and is associated with health problems. So, improving sleep quality in this group may well lead to improvements in overall health and longevity.

 

So, improve sleep quality in older adults with mindfulness.

 

“When I first started using mindfulness to get sleep, I believed I needed to be meditating at bedtime if I wanted to cure my insomnia. I was completely wrong! I learned that my worries about sleep were happening all day long. I started using mindfulness during the day to notice those worries and learn to accept that I may not get as much sleep as I hope for each night.” – Mary Sauer

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

 

Gallegos, A. M., Moynihan, J., & Pigeon, W. R. (2016). A Secondary Analysis of Sleep Quality Changes in Older Adults From a Randomized Trial of an MBSR Program. Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, 733464816663553. Advance online publication. http://doi.org/10.1177/0733464816663553

 

Abstract

This secondary analysis examined changes in sleep quality associated with participation in a Mindfulness-Based Stress Reduction (MBSR) program among healthy older adults. Data were collected at baseline, 8-weeks post-treatment, and a 6-month follow-up from adults aged ≥ 65 (N = 200), randomly assigned to MBSR or a waitlist control. Group differences were examined using mixed analysis of covariance with repeated measures on the total Pittsburgh Sleep Quality Index (PSQI) score. A small-sized, significant effect was found on overall sleep among MBSR participants with baseline PSQI scores > 5, indicative of a sleep disturbance, F(2, 80) = 4.32, p = .02, η2P=.05. A medium-sized, significant effect was found for MBSR participants with baseline PSQI scores ≥ 10, F(2, 28) = 3.13, p = .04, η2P=.10. These findings indicate that improved sleep quality for older adults who have higher levels of sleep disturbance may be associated with participation in MBSR.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874181/

Improve Mental Health in Medical Residents with Mindfulness

Improve Mental Health in Medical Residents with Mindfulness

 

By John M. de Castro, Ph.D.

 

“increasing physician resilience, or the ability to “bounce back” from experiences such as burnout, has been shown to have a significant positive impact on patient care and physician wellbeing. . . benefits include improved quality of care, reduced errors and minimized attrition . . . mindfulness-influenced wellness programs for residents can improve self-compassion, empathy, burnout and stress reactions. Mindfulness meditation introduces a way of cultivating awareness of one’s relationship with the present moment. With practice, it may lead to healthier ways of working with stressful life experiences, including those inherent to residency training.” – Vincent Minichiello

 

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

 

Preventing burnout has to be a priority. Unfortunately, it is beyond the ability of the individual to change the environment to reduce stress and prevent burnout, so it is important that methods be found to reduce the individual’s responses to stress; to make the individual more resilient when high levels of stress occur. Contemplative practices have been shown to reduce the psychological and physiological responses to stress. Indeed, mindfulness has been shown to be helpful in treating and preventing burnoutincreasing resilience, and improving sleep. It would be best to provide techniques to combat burnout early in a medical career. Medical residency is an extremely stressful period and many express burnout symptoms. This would seem to be an ideal time to intervene.

 

In today’s Research News article “Mindfulness-Based Stress Reduction for Residents: A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880763/ ), Verweij and colleagues examined the ability of a Mindfulness-Based Stress Reduction (MBSR) program to treat the symptoms of burnout in medical residents. They recruited medical residents and randomly assigned them to either receive an 8-week, once a week, 2,5 hour session of Mindfulness-Based Stress Reduction (MBSR) or be assigned to a wait-list control condition. MBSR consists of a combination of meditation, yoga, and body scan practice in combination with discussion and home practice. The residents were measured before the program and 3 weeks later for emotional exhaustion, worry, home-work interference, mindfulness, self-compassion, positive mental health, physician empathy, and medical errors.

 

They found that in comparison to baseline and to the wait-list control condition, the residents who received MBSR training had significantly higher mindfulness, self-compassion, personal accomplishment, and perspective taking empathy, and significantly lower worry. These outcomes were all of moderate effect sizes. There were no significant effects on the primary measure of burnout, emotional exhaustion. But, the residents who had the highest levels of emotional exhaustion did show a significant improvements in emotional exhaustion after treatment.

 

These results suggest that Mindfulness-Based Stress Reduction (MBSR) maybe an effective treatment to improve the mental health of medical residents and perhaps reduce the tendency toward burnout. It should be noted, however, that medical residents are very restricted for time and MBSR training requires a considerable investment of time both in the training sessions and in home practice, making participation difficult. Future research should include an active control condition such as aerobic exercise to help control for potential sources of confounding and bias.

 

So, improve mental health in medical residents with mindfulness.

 

“I experienced burnout as a resident, and meditation was a key aspect to my recovery. My mother advised me to meditate, and afterwards, I felt like my brain had been rebooted.” – Louise Wen

 

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

 

Verweij, H., van Ravesteijn, H., van Hooff, M. L. M., Lagro-Janssen, A. L. M., & Speckens, A. E. M. (2018). Mindfulness-Based Stress Reduction for Residents: A Randomized Controlled Trial. Journal of General Internal Medicine, 33(4), 429–436. http://doi.org/10.1007/s11606-017-4249-x

 

Abstract

Background

Burnout is highly prevalent in residents. No randomized controlled trials have been conducted measuring the effects of Mindfulness-Based Stress Reduction (MBSR) on burnout in residents.

Objective

To determine the effectiveness of MBSR in reducing burnout in residents.

Design

A randomized controlled trial comparing MBSR with a waitlist control group.

Participants

Residents from all medical, surgical and primary care disciplines were eligible to participate. Participants were self-referred.

Intervention

The MBSR consisted of eight weekly 2.5-h sessions and one 6-h silent day.

Main Measures

The primary outcome was the emotional exhaustion subscale of the Dutch version of the Maslach Burnout Inventory–Human Service Survey. Secondary outcomes included the depersonalization and reduced personal accomplishment subscales of burnout, worry, work–home interference, mindfulness skills, self-compassion, positive mental health, empathy and medical errors. Assessment took place at baseline and post-intervention approximately 3 months later.

Key Results

Of the 148 residents participating, 138 (93%) completed the post-intervention assessment. No significant difference in emotional exhaustion was found between the two groups. However, the MBSR group reported significantly greater improvements than the control group in personal accomplishment (p = 0.028, d = 0.24), worry (p = 0.036, d = 0.23), mindfulness skills (p = 0.010, d = 0.33), self-compassion (p = 0.010, d = 0.35) and perspective-taking (empathy) (p = 0.025, d = 0.33). No effects were found for the other measures. Exploratory moderation analysis showed that the intervention outcome was moderated by baseline severity of emotional exhaustion; those with greater emotional exhaustion did seem to benefit.

Conclusions

The results of our primary outcome analysis did not support the effectiveness of MBSR for reducing emotional exhaustion in residents. However, residents with high baseline levels of emotional exhaustion did appear to benefit from MBSR. Furthermore, they demonstrated modest improvements in personal accomplishment, worry, mindfulness skills, self-compassion and perspective-taking. More research is needed to confirm these results.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880763/