Relieve Depression with Mindfulness-Based Stress Reduction (MBSR) Training

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Relieve Depression with Mindfulness-Based Stress Reduction (MBSR) Training

 

By John M. de Castro, Ph.D.

 

“Still, there are a handful of key areas — including depression, chronic pain, and anxiety — in which well-designed, well-run studies have shown benefits for patients engaging in a mindfulness meditation program, with effects similar to other existing treatments.” – Alvin Powell

 

Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. Major depression can be quite debilitating. Depression can be difficult to treat and is usually treated with anti-depressive medication. But, of patients treated initially with drugs only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. But, drugs often have troubling side effects and can lose effectiveness over time. In addition, many patients who achieve remission have relapses and recurrences of the depression. Even after remission some symptoms of depression may still be present (residual symptoms).

 

Being depressed and not responding to treatment or relapsing is a terribly difficult situation. The patients are suffering and nothing appears to work to relieve their intense depression. Suicide becomes a real possibility. So, it is imperative that other treatments be identified that can relieve the suffering. Mindfulness training is an alternative treatment for depression. It has been shown to be an effective treatment for depression and its recurrence and even in the cases where drugs fail.

 

In today’s Research News article “Effects of Mindfulness-Based Stress Reduction on Depression in Adolescents and Young Adults: A Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01034/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_686352_69_Psycho_20180626_arts_A ), Chi and colleagues review, summarize, and perform a meta-analysis of published randomize controlled trials (RCTs) of the application of a Mindfulness-Based Stress Reduction (MBSR) program for the treatment of depression in adolescents and young adults. They discovered 18 published studies including a total of 2042 patients from 18 to 25 years of age.

 

They found that the published studies found that Mindfulness-Based Stress Reduction (MBSR) treatment effectively reduced depression in these patients with a moderate effect size. The type of control condition made a difference as active control groups as opposed to no-treatment control groups also produced significant reductions in depression. So, in comparison to active control groups MBSR had a smaller effect size. This suggests that placebo effects (subject expectancy effects) were responsible for some of the improvements and overall MBSR had an even greater impact on depression.

 

Hence, the published research literature supports the conclusion that MBSR is a safe and moderately effective treatment for depression in adolescents and young adults. MBSR is a compound treatment program which contains meditation, body scan, and yoga practices. It would be interesting in future research to begin to determine which components are necessary for the ability of MBSR treatment to reduce depression.

 

So, relieve depression with Mindfulness-Based Stress Reduction (MBSR) training.

 

“Through mindfulness, individuals start to see their thoughts as less powerful. These distorted thoughts – such as “I always make mistakes” or “I’m a horrible person” – start to hold less weight. . . watching ourselves think. We ‘experience’ thoughts and other sensations, but we aren’t carried away by them. We just watch them come and go.” – William Marchand

 

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

 

Chi X, Bo A, Liu T, Zhang P and Chi I (2018) Effects of Mindfulness-Based Stress Reduction on Depression in Adolescents and Young Adults: A Systematic Review and Meta-Analysis. Front. Psychol. 9:1034. doi: 10.3389/fpsyg.2018.01034

 

Abstract

Background: Mindfulness as a positive mental health intervention approach has been increasingly applied to address depression in young people. This systematic review and meta-analysis evaluated the effects of mindfulness-based stress reduction (MBSR) in the treatment of depression among adolescents and young adults.

Methods: Electronic databases and references in articles were searched. Randomized controlled trials (RCTs) evaluating MBSR and reporting outcomes for depressive symptoms among young people aged 12 to 25 years were included. Data extraction and risk of bias assessment were conducted by two reviewers independently. Hedges’ gwith a 95% confidence interval was calculated to represent intervention effect.

Results: Eighteen RCTs featuring 2,042 participants were included in the meta-analysis. Relative to the control groups (e.g., no treatment, treatment as usual, or active control), MBSR had moderate effects in reducing depressive symptoms at the end of intervention (Hedges’ g = −0.45). No statistically significant effects were found in follow-up (Hedges’ g = −0.24) due to a lack of statistical power. Meta-regression found that the average treatment effect might be moderated by control condition, treatment duration, and participants’ baseline depression.

Conclusion: MBSR had moderate effects in reducing depression in young people at posttest. Future research is needed to assess the follow-up effects of MBSR on depressive symptoms among adolescents and young adults.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01034/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_686352_69_Psycho_20180626_arts_A

 

Improve Proactive Cognition with Mindfulness

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Improve Proactive Cognition with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness meditation has been found to elicit a positive impact on cognitive performance and abilities such as attention, memory, cognitive flexibility, and quality of task performance.” – Lauren Martin

 

Mindfulness is the ability to focus on what is transpiring in the present moment. It involves a greater emphasis on attention to the immediate stimulus environment. Mindful people generally have better attentional abilities and have fewer intrusive thoughts and less mind wandering. As a result, mindfulness has been shown to be associated with improved cognition (thinking). Cognition can involve planning for the future (proactive cognition) or it can also involve processing what has, or is, occurring (reactive cognition). It is not known whether mindfulness training affects either or both forms of cognition.

 

In today’s Research News article “The Effect of Mindfulness Training on Proactive and Reactive Cognitive Control.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01002/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_686352_69_Psycho_20180626_arts_A ), Li and colleagues recruited meditation naïve adults and randomly assigned them to either receive 8 weeks of mindfulness training or a no-treatment control condition. Mindfulness training occurred with a once per week, 2.5-hour group training session and 30 minutes of daily home practice. It included meditation, body scan, and yoga practices. They were measured before and after training for mindfulness and its 5 facets, Observing, Describing, Acting with awareness, Non-judging, and Non-reacting.

 

The participants also performed a Continuous Performance Test before and after training. Participants pressed a left button or a right button depending on whether a target or non-target letter followed an “A” on the screen and only one button regardless of letter type if it followed a “B” on the screen. Proactive cognition can be assessed by the tendency to react to the first letter (the “A” or “B”) regardless of what follows. Retroactive cognition can be assessed by the tendency to react to the target letter regardless of what preceded it (the “A” or “B”).

 

Not surprisingly, the mindfulness trained group had significant increases in all facets of mindfulness where the control group did not. More significantly, they found that the mindfulness trained group had higher scores for proactive control relative to retroactive control than the no-treatment group. This suggests that mindfulness training enhances proactive control and not retroactive cognitive control.

 

These results suggest that increasing mindfulness results in an enhancement in responding to the present moment (proactive) and less to the past (retroactive). Since, mindfulness training is designed to do just that, the results suggest that the training makes the individual more sensitive to immediate stimuli, just as its’ supposed to.

 

So, improve proactive cognition with mindfulness.

 

“The meditation group did especially better on all the cognitive tests that were timed. In tasks where participants had to process information under time constraints causing stress, the group briefly trained in mindfulness performed significantly better.” – Fadel Zeidan

 

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

 

Li Y, Liu F, Zhang Q, Liu X and Wei P (2018) The Effect of Mindfulness Training on Proactive and Reactive Cognitive Control. Front. Psychol. 9:1002. doi: 10.3389/fpsyg.2018.01002

 

Abstract

Previous studies have demonstrated that mindfulness practice can improve general cognitive control. However, little research has examined whether mindfulness practices affect different cognitive control strategies. According to the dual mechanisms of control (DMC) model, different cognitive control strategies may play distinct roles in individuals’ lives. Proactive control allows people to maintain and prepare for goals, whereas reactive control allows them to respond flexibly to a changing environment. Thus, this study investigates the influences of mindfulness training on proactive and reactive control measured by the AX version of the Continuous Performance Test (AX-CPT). Thirty participants completed AX-CPT and the Five Facet Mindfulness Questionnaire (FFMQ) before and after random assignment to either an 8-week mindfulness training group or a control group. The results showed no interaction between group and test time for AY or BX trial type, but the training group had fewer post-test errors on the BX trial and a higher Behavior Shift Index (BSI) of reaction time (RT) compared with the control group. This finding indicates enhanced trend of proactive control with mindfulness training. A positive correlation between the BSI of RT and observing scores on the FFMQ confirmed the connection between attentional components in mindfulness and proactive control. Errors on the AY trial in the post-test decreased in both groups, reflecting reactive control that did not differ between groups. The 8-week mindfulness training demonstrates a potential improvement effect on proactive control and could be helpful in overcoming interference.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01002/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_686352_69_Psycho_20180626_arts_A

 

Improve the Psychological Well-Being of Patients with Multiple Sclerosis with Meditation

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Improve the Psychological Well-Being of Patients with Multiple Sclerosis with Meditation

 

By John M. de Castro, Ph.D.

 

“Meditation has been shown to decrease cortisol levels and improve sleep in both beginning and experienced meditation practitioners. Since stress has been linked to MS relapses, and meditation has been shown to relieve biological markers of stress, it could help slow MS progression by regulating the body’s stress response.” – Maria Joao Almeida

 

Multiple Sclerosis (MS) is a progressive demyelinating disease which attacks the coating on the neural axons which send messages throughout the body and nervous system. It affects about 2 million people worldwide and about 400,000 in the U.S. It is most commonly diagnosed in people between the ages of 20 and 50 years.  Unfortunately, there is no cure for multiple sclerosis. There are a number of approved medications that are used to treat MS but are designed to lessen frequency of relapses and slow the progression of the disease, but they don’t address individual symptoms.

 

Although there is a progressive deterioration, MS is not fatal with MS patients having about the same life expectancy as the general population. Hence, most MS sufferers have to live with the disease for many years. Mindfulness practices have been shown to improve the symptoms of multiple sclerosis. But it is not known what changes in the patients that mindfulness produces that are responsible for the improvements. One possibility is that mindfulness practice may fundamentally alter the enduring personality characteristics of the patients allowing them to better cope with stress and their disease.

 

In today’s Research News article “Effect of Mindfulness Meditation on Personality and Psychological Well-being in Patients with Multiple Sclerosis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991502/ ), Crescentini and colleagues recruited adults with Multiple Sclerosis forming a meditation group and a treat-as-usual control group. Meditation training occurred in 8-weekly 2-hour sessions containing training, 30 minutes of meditation followed by discussion. Patients were also asked to meditate daily for 30 minutes at home. The patients were measured before and after training for the Big 5 personality characteristics of neuroticism, conscientiousness, agreeableness, extraversion, and openness and also for self-directedness, cooperativeness, self-transcendence, anxiety, depression, and mindfulness.

 

They found that following meditation practice but not treatment-as-usual, there were significant increases in mindfulness and self-maturity as reflected by the self-directedness, cooperativeness, and conscientiousness and a significant decrease in anxiety levels. Mindfulness training has been previously routinely shown to reduce anxiety levels. The changes in personality characteristics produced by meditation in multiple sclerosis patients are interesting and have not been previously reported.

 

The changes in the personality characteristics reflect an increased self-maturity in the patients. The increased conscientiousness, self-directedness, cooperativeness suggests that the meditation practice improves the patients’ ability to take control of their situation and feelings. These appear to result from the increases in thoughtfulness, impulse control, goal-directed behaviors, organization, and mindfulness of details. This greater self-maturity would allow them to better cope with their disease. This is important for effectively living with this life-long disease.

 

So, improve the psychological well-being of patients with Multiple Sclerosis with meditation.

 

“Mindfulness practice appears to be a safe, drug-free approach to coping with stress and anxiety, which may in turn help reduce your MS symptoms.” – Amit Sood

“Mindfulness teaches important life lessons aside from helping you manage chronic symptoms. What you learn through meditation is that life is not perfect, but the journey is very interesting. Along the way, you’ll examine the roses and smell the flowers. You’ll look at that rainbow and say, ‘Wow, that’s incredible!’” – Ruth Geller

 

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

 

Crescentini, C., Matiz, A., Cimenti, M., Pascoli, E., Eleopra, R., & Fabbro, F. (2018). Effect of Mindfulness Meditation on Personality and Psychological Well-being in Patients with Multiple Sclerosis. International Journal of MS Care, 20(3), 101–108. http://doi.org/10.7224/1537-2073.2016-093

 

PRACTICE POINTS

  • Personality changes, a common symptom in patients with MS, are often associated with poor coping and reduced quality of life.
  • We exposed patients with MS to an 8-week mindfulness-oriented meditation course and evaluated the effects on personality traits and anxiety and depression symptoms.
  • Mindfulness-oriented meditation led to changes in personality/character traits reflecting the maturity of the self at the intrapersonal and interpersonal levels and also led to decreases in trait anxiety.

Abstract

Background:

Varied evidence shows that mindfulness-oriented meditation improves individuals’ mental health, positively influencing practitioners’ personality profiles as well. A limited number of studies are beginning to show that this type of meditation may also be a helpful therapeutic option for persons with multiple sclerosis (MS).

Methods:

We evaluated the effects of an 8-week mindfulness-oriented meditation training on the personality profiles, anxiety and depression symptoms, and mindfulness skills of a group of patients with MS. A control group of patients with MS not enrolled in any training was also tested.

Results:

After mindfulness-oriented meditation training, participants in this group (n = 15) showed an increase in character traits reflecting the maturity of the self at the intrapersonal (self-directedness) and interpersonal (cooperativeness) levels. Moreover, increased mindfulness and conscientiousness and decreased trait anxiety were observed in participants after the training.

Conclusions:

These data support the utility for patients with MS of therapeutic interventions based on mindfulness meditation that may lead to enhanced character and self-maturity.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991502/

 

Improve Attentional Focus with Meditation

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Improve Attentional Focus with Meditation

 

By John M. de Castro, Ph.D.

 

“realize that everything we think, feel, say, or do from one moment to the next all ultimately depend on the interactions between attention and awareness. Mindfulness is the optimum interaction between the two. Therefore, by skillfully working with attention and awareness to cultivate mindfulness, we can change everything we think, feel, say, and do for the better. In other words, we can completely transform who we are.” – Travis May

 

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 evoked 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 Pd response in the evoked potential (ERP) is a positive going electrical response occurring between a tenth to 3 tenths of a second following the target stimulus presentation. The Pd (distractor positivity) component is thought to reflect an attentional suppression process involved in preventing shifts in attention. The N2pc response is a negative electrical change that occurs around 2 tenths of a second following the target stimulus presentation. The N2pc response has been associated with the engagement of visual attention, deploying attentional processes when needed. 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 “Meditation Effects on the Control of Involuntary Contingent Reorienting Revealed With Electroencephalographic and Behavioral Evidence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962705/ ), Tsai and colleagues recruited a group of college students who were meditators and a group who were not. They were asked to perform a rapid serial visual presentation task before and after a 30-minute meditation or rest. Order was counterbalanced on two different days. During the task the Electroencephalogram (EEG) was recorded and event related potentials identified and recorded related to the onset of the target stimulus.

 

The rapid serial visual presentation task consisted of the rapid presentation on a computer screen of three letters on the left, center, and right of the middle of the screen. The subjects were asked to respond by pressing a key with the right hand when the central letter was red and between the letter A to J in the alphabet and with the left hand when the red letter was present and between letter Q to Z. A red letter in the center occurred only once in every 24 trials. New letters were presented very rapidly, every .067 seconds. On occasions a red letter was presented as a distractor in either the left or right position. The participants were instructed to only respond to the letter in the center.

 

They found that when the red distractor was present in the left or right positions performance was significantly less accurate than when it was absent. But, although performance significantly improved after both meditation and rest, it was significantly better after meditation than after rest. In addition, after meditation, the Pd (distractor positivity) component of the evoked potential in response to the presence of a distractor red letter was stronger than after rest.

 

These results are interesting and suggest that after meditation the individual is better able to ignore a distractor and respond more accurately to a target. The EEG results with the evoked potentials suggest that the nervous system, after meditation, becomes better able to suppress responding to distractors in the immediate environment. This suggests that meditation enhances attention by preventing a shift in attention to other stimuli in the environment and thereby maintaining attention on the intended focus. Hence, the results suggest that meditation may improve attention by altering the brain’s processing of the stimuli present making it better able to focus by preventing responding to other stimuli.

 

So, improve attentional focus with meditation.

 

“A long-term study finds that consistent and intensive meditation sessions can have a long-lasting effect on a person’s attention span and other cognitive abilities.” – Rick Nauert

 

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

 

Tsai, S.-Y., Jaiswal, S., Chang, C.-F., Liang, W.-K., Muggleton, N. G., & Juan, C.-H. (2018). Meditation Effects on the Control of Involuntary Contingent Reorienting Revealed With Electroencephalographic and Behavioral Evidence. Frontiers in Integrative Neuroscience, 12, 17. http://doi.org/10.3389/fnint.2018.00017

 

Abstract

Prior studies have reported that meditation may improve cognitive functions and those related to attention in particular. Here, the dynamic process of attentional control, which allows subjects to focus attention on their current interests, was investigated. Concentrative meditation aims to cultivate the abilities of continuous focus and redirecting attention from distractions to the object of focus during meditation. However, it remains unclear how meditation may influence attentional reorientation, which involves interaction between both top-down and bottom-up processes. We aimed to investigate the modulating effect of meditation on the mechanisms of contingent reorienting by employing a rapid serial visual presentation (RSVP) task in conjunction with electrophysiological recording. We recruited 26 meditators who had an average of 2.9 years of meditation experience and a control group comprising 26 individuals without any prior experience of meditation. All subjects performed a 30-min meditation and a rest condition with data collected pre- and post-intervention, with each intervention given on different days. The state effect of meditation improved overall accuracy for all subjects irrespective of their group. A group difference was observed across interventions, showing that meditators were more accurate and more efficient at attentional suppression, represented by a larger Pd (distractor positive) amplitude of event related modes (ERMs), for target-like distractors than the control group. The findings suggested that better attentional control with respect to distractors might be facilitated by acquiring experience of and skills related to meditation training.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962705/

 

Improve the Physical and Psychological State of HIV-Infected Youth with Mindfulness

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Improve the Physical and Psychological State of HIV-Infected Youth with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Even in the midst of this stressful experience of testing positive for HIV, coaching people to feel happy, calm and satisfied — what we call positive affect — appears to influence important health outcomes,” – Judith Moskowitz

 

More than 35 million people worldwide and 1.2 million people in the United States are living with HIV infection. HIV is a virus that gradually attacks the immune system. It destroys a type of white blood cell called a T-helper cell (CD4 Cell). This isn’t a problem unto itself, but the immune system is our body’s natural defense against illness. Hence, HIV infection makes it harder to combat other infections and diseases. If HIV is untreated, these secondary infections produce chronic illness and eventually death. It is important, then, in treating HIV infection to strengthen the immune system and increase the levels of CD4 in the blood to fight off disease.

 

In 1996, the advent of the protease inhibitor and the so-called cocktail changed the prognosis for HIV. Since this development a 20 year-old infected with HIV can now expect to live on average to age 69. Hence, living with HIV is a long-term reality for a very large group of people. People living with HIV infection experience a wide array of physical and psychological symptoms which decrease their perceived quality of life. The symptoms include muscle aches, anxiety, depression, weakness, fear/worries, difficulty with concentration, concerns regarding the need to interact with a complex healthcare system, stigma, and the challenge to come to terms with a new identity as someone living with HIV. Hence, patients with HIV infection, even when controlled with drugs, have a reduction in their quality of life.

 

Mindfulness has been shown to strengthen the immune system. It also improve psychological and physical well-being in people suffering from a wide range of disorders including depression and anxiety. It has also been shown that mindfulness is associated with psychological well-being and lower depression in patients with HIV infection. Hence, it makes sense to further study the ability of mindfulness training as a treatment for the physical and psychological issues associated with living with HIV.

 

In today’s Research News article “Mindfulness instruction for HIV-infected youth: a randomized controlled trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987527/ ), Webb and colleagues recruited HIV infected youths 14-22 aged years who were being treated with drugs. They were randomly assigned to receive a Mindfulness-Based Stress Reduction (MBSR) program or health education program. Both the MBSR and health education programs were presented for 2.5 hours, once a week, for 8 weeks. MBSR consisted of discussion and meditation, body scan, and yoga practices and included 30-minute daily home practice. They were measured before and after training and 3-months later for mindfulness, perceived stress, cognitive self-regulation, emotional attention, coping, life satisfaction, problem solving, aggression, HIV drug regimen adherence, HIV viral load, and CD4 counts.

 

At the 3-month follow-up, the youths who received the MBSR program had significantly higher levels of mindfulness, life satisfaction, problem solving, and lower levels of aggression. MBSR participants were significantly more likely to have markedly improved HIV viral loads after treatment. These results are potentially very important and demonstrate that mindfulness training improves the psychological state of HIV infected youths. But significantly appeared to also improve their physiological state, lowing the levels of virus in their blood.

 

This suggests that the Mindfulness-Based Stress Reduction (MBSR) program may be an effective treatment for HIV infected youths. MBSR was designed to and has been repeatedly been shown to improve the individual’s ability to cope with the physiological and psychological effect of stress. Since stress is known to worsen the symptoms of HIV, it would seem reasonable to speculate that the improved stress coping underlies the ability of MBSR to improve the physical and psychological state of HIV sufferers.

 

So, improve the physical and psychological state of HIV-infected youth with mindfulness.

 

“mindfulness meditation stress-management training can have a direct impact on slowing HIV disease progression. . . . it’s possible that such training can be used as a powerful complementary treatment for HIV disease, alongside medications.” – David Creswell

 

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

 

Webb, L., Perry-Parrish, C., Ellen, J., & Sibinga, E. (2018). Mindfulness instruction for HIV-infected youth: a randomized controlled trial. AIDS Care, 30(6), 688–695. http://doi.org/10.1080/09540121.2017.1394434

 

Abstract

HIV-infected youth experience many stressors, including stress related to their illness, which can negatively impact their mental and physical health. Therefore, there is a significant need to identify potentially effective interventions to improve stress management, coping, and self-regulation. The object of the study was to assess the effect of a mindfulness-based stress reduction (MBSR) program compared to an active control group on psychological symptoms and HIV disease management in youth utilizing a randomized controlled trial. Seventy-two HIV-infected adolescents, ages 14–22 (mean age 18.71 years), were enrolled from two urban clinics and randomized to MBSR or an active control. Data were collected on mindfulness, stress, self-regulation, psychological symptoms, medication adherence, and cognitive flexibility at baseline, post-program, and 3-month follow-up. CD4+ T lymphocyte and HIV viral load (HIV VL) counts were also pulled from medical records. HIV-infected youth in the MBSR group reported higher levels of mindfulness (P = .03), problem-solving coping (P = .03), and life satisfaction (P = .047), and lower aggression (P = .002) than those in the control group at the 3-month follow-up. At post-program, MBSR participants had higher cognitive accuracy when faced with negative emotion stimuli (P = .02). Also, those in the MBSR study arm were more likely to have or maintain reductions in HIV VL at 3-month follow-up than those in the control group (P = .04). In our sample, MBSR instruction proved beneficial for important psychological and HIV-disease outcomes, even when compared with an active control condition. Lower HIV VL levels suggest improved HIV disease control, possibly due to higher levels of HIV medication adherence, which is of great significance in both HIV treatment and prevention. Additional research is needed to explore further the role of MBSR for improving the psychological and physical health of HIV-positive youth.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987527/

 

Balance and Fitness in the Elderly and Tai Chi Training

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Balance and Fitness in the Elderly and Tai Chi Training

 

By John M. de Castro, Ph.D.

 

“Tai chi is an ancient Chinese exercise that can help older adults improve their balance and lower their fall risk. And by reducing their risk of falls, seniors can lower their odds of suffering a debilitating fracture.” – Harvard Health Letter

 

The process of aging affects every aspect of the physical and cognitive domains. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. Impaired balance is a particular problem as it can lead to falls. In the U.S. one third of people over 65 fall each year and 2.5 million are treated in emergency rooms for injuries produced by falls. About 1% of falls result in deaths making it the leading cause of death due to injury among the elderly.

 

Falls, with or without injury, also carry a heavy quality of life impact. A growing number of older adults, fear falling and, as a result, limit their activities and social engagements. This can result in further physical decline, depression, social isolation, and feelings of helplessness. It is obviously important to discover methods to improve balance and decrease the number of fall in the elderly.

 

Tai Chi training is designed to enhance and regulate the functional activities of the body through regulated breathing, mindful concentration, and gentle movements. It includes balance training and has been shown to improve balance and coordination. These studies, however, employ Tai Chi training over long time frames of 6 months to a year. It is not known if shorter term training would also be effective.

 

In today’s Research News article “Effects of 12 Weeks of Tai Chi Chuan Training on Balance and Functional Fitness in Older Japanese Adults.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968980/ ), Takeshima and colleagues recruited older adults averaging 73 years of age and assigned them to either receive 12 weeks of Tai Chi training for 2 days per week for 60 minutes or to a no-treatment control group. They were measured before and after training for static balance, dynamic balance, and functional fitness, including upper and lower body strength, balance and agility, upper and lower body flexibility, and cardiorespiratory fitness.

 

Contrary to longer-term studies, they did not find any significant differences between the Tai Chi training and no-treatment control groups in static balance, dynamic balance, or functional fitness.  This lack of benefit of Tai Chi training may well be due to the relative shortness of the 12-week program relative to previous studies employing 6-month to one year trainings. Indeed, previous research by Holmes and colleagues also employing a 12 week program could not detect any overall improvement in balance, but could detect a subtle improvement in postural-respiratory coupling. This may be a precursor to improvements in overall balance. So, 12-weeks of training may produce subtle changes that, if continued over a longer period of time, will lead to improvements in balance.

 

Tai Chi movement patterns can be fairly complex and the elderly may have difficulty learning them over a few sessions. Indeed, it has been reported that it takes 8 to 16 sessions before the patterns are mastered. So, there may need for longer periods of training to master the technique and benefit from it. Hence, there is a need for further research on the amount of Tai Chi training needed to improve balance and reduce falls in the elderly.

 

“I’ve always been clumsy, so Tai Chi has offered me the opportunity to be able to think more about what I’m doing, pay attention to what I’m doing, and not fall. I’m able to catch myself if I trip over something because of Tai Chi,” – Velma Chapman

 

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

 

Takeshima, N., Islam, M. M., Kato, Y., Koizumi, D., Narita, M., Kitabayashi, Y., … Rogers, M. E. (2017). Effects of 12 Weeks of Tai Chi Chuan Training on Balance and Functional Fitness in Older Japanese Adults. Sports, 5(2), 32. http://doi.org/10.3390/sports5020032

 

Abstract

The purpose of this study was to determine the effects of Tai Chi Chuan on static and dynamic balance, and functional fitness in older adults. Forty-nine volunteers were divided into an exercise group (EX: 9 men and 16 women, average age 72 ± 5 years) and control group (13 men and 11 women, average age 73 ± 6 years). The EX participated in a 12-week supervised exercise program (60 min/day, 2 days/week) that consisted of 10-min warm-up and stretching, 40-min Tai Chi Chuan exercise (long-form Yang style with 108 movements), and 10-min cool-down/relaxation exercises. The control group was asked to not change their physical activity habits. Static (sway velocity standing on firm or foam surfaces with eyes open or closed) and dynamic balance (limits of stability (LOS)), as well as functional fitness measures of body mass; upper- and lower-body strength; and flexibility, mobility, and aerobic fitness were taken before and after the intervention. After the 12-week Tai Chi Chuan exercise program, there were no improvements in any functional fitness or balance variable although components of LOS tended to increase (13.1%, p = 0.052). These results indicate that 12 weeks of Tai Chi Chuan exercise has no significant effect on balance and functional fitness parameters in older Japanese adults.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968980/

 

Improve Brain Size and Function in Healthy Elderly with Tai Chi

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Improve Brain Size and Function in Healthy Elderly with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Epidemiologic studies have shown repeatedly that individuals who engage in more physical exercise or are more socially active have a lower risk of Alzheimer’s disease. The current findings suggest that this may be a result of growth and preservation of critical regions of the brain affected by this illness.” –  James Mortimer

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our mental abilities which decline with age including impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. Using modern neuroimaging techniques, scientists have been able to view the changes that occur in the nervous system with aging. In addition, they have been able to investigate various techniques that might slow the process of neurodegeneration that accompanies normal aging. They’ve found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation and yoga have been found to degenerate less with aging than non-practitioners.

 

Tai Chi and Qigong have also been shown to be beneficial in slowing or delaying physical and mental decline with aging and to increase brain matter in the elderly. In today’s Research News article “The Effects of Tai Chi Intervention on Healthy Elderly by Means of Neuroimaging and EEG: A Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915963/ ), Pan and colleagues review, summarize, and perform a meta-analysis of the 11 published research articles that examine the effects of Tai Chi practice on the brain of the elderly.

 

They find that there was 1 published study reporting that long-term Tai Chi practitioners have a thicker cortex in the brain. This is interesting but it cannot be determined if people who practice Tai Chi are simply people who have thicker cortexes. Other studies using functional Magnetic Imaging (fMRI) indicate that Tai Chi results in increased connectivity between brain structures and increased functional activity in the brain, so there is greater activity and signals are better sent from one area to another. Still other studies employing electroencephalographic (EEG) recordings indicate that Tai Chi produces greater electrical activity in the frontal areas of the cortex that are known to be involved in high level cognitive function (executive function)

 

One weakness in the studies is that the comparison groups are most often sedentary, not engaging in any exercise. As a result, it cannot be determined if the changes in the brain are due to Tai Chi per se or whether any form of exercise might have a similar effect. Future research should employ comparisons to groups performing other exercises.

 

Nevertheless, the results are encouraging; suggesting that Tai Chi can alter the brain in ways that may improve memory and cognitive performance. Significantly, Tai Chi practice is gentle and completely safe, can be used with the elderly and sickly, is inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. Also, it can be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. So, Tai Chi practice may be ideal for slowing or reversing age-related deterioration of the brain and the related cognitive decline.

 

So, improve brain size and function in healthy elderly with Tai Chi.

 

“The ability to reverse this trend with physical exercise and increased mental activity implies that it may be possible to delay the onset of dementia in older persons through interventions that have many physical and mental health benefits.” –  James Mortimer

 

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

 

Pan, Z., Su, X., Fang, Q., Hou, L., Lee, Y., Chen, C. C., … Kim, M.-L. (2018). The Effects of Tai Chi Intervention on Healthy Elderly by Means of Neuroimaging and EEG: A Systematic Review. Frontiers in Aging Neuroscience, 10, 110. http://doi.org/10.3389/fnagi.2018.00110

 

Abstract

Aging is a process associated with a decline in cognitive and motor functions, which can be attributed to neurological changes in the brain. Tai Chi, a multimodal mind-body exercise, can be practiced by people across all ages. Previous research identified effects of Tai Chi practice on delaying cognitive and motor degeneration. Benefits in behavioral performance included improved fine and gross motor skills, postural control, muscle strength, and so forth. Neural plasticity remained in the aging brain implies that Tai Chi-associated benefits may not be limited to the behavioral level. Instead, neurological changes in the human brain play a significant role in corresponding to the behavioral improvement. However, previous studies mainly focused on the effects of behavioral performance, leaving neurological changes largely unknown. This systematic review summarized extant studies that used brain imaging techniques and EEG to examine the effects of Tai Chi on older adults. Eleven articles were eligible for the final review. Three neuroimaging techniques including fMRI (N = 6), EEG (N = 4), and MRI (N = 1), were employed for different study interests. Significant changes were reported on subjects’ cortical thickness, functional connectivity and homogeneity of the brain, and executive network neural function after Tai Chi intervention. The findings suggested that Tai Chi intervention give rise to beneficial neurological changes in the human brain. Future research should develop valid and convincing study design by applying neuroimaging techniques to detect effects of Tai Chi intervention on the central nervous system of older adults. By integrating neuroimaging techniques into randomized controlled trials involved with Tai Chi intervention, researchers can extend the current research focus from behavioral domain to neurological level.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915963/

 

Improve Acceptance with Mindfulness Training or a Psychedelic Drug

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Improve Acceptance with Mindfulness Training or a Psychedelic Drug

 

By John M. de Castro, Ph.D.

 

“If someone gives you 100 micrograms of acid something is going to happen. Two hours later the significance of your existence will have just been borne down on you like an avalanche. And again this can be terrifying or it can be absolutely sublime depending on various causes and conditions. But the one thing it cannot be is boring. And that is you can’t say that about yoga or meditation or just going into solitude or anything else that – any other, you know, non-pharmacological means of inquiry.” – Big Think

 

Psychedelic substances such as peyote, mescaline, LSD, ayahuasca and psilocybin  have been used almost since the beginning of recorded history to alter consciousness and produce spiritually meaningful experiences. A substantial number of Brazilian religious groups ingest the natural psychedelic substance ayahuasca on a regular basis for ritual purposes. These groups, like many users of psychedelic substances, employ them to develop spirituality and self-transcendence.

 

Psychedelics produce effects that are similar to those that are reported in spiritual awakenings. They report a loss of the personal self, a decentering. They experience what they used to refer to as the self as just a part of an integrated whole. They report feeling interconnected with everything else in a sense of oneness with all things. They experience a feeling of timelessness where time seems to stop and everything is taking place in a single present moment. They experience ineffability, being unable to express in words what they are experiencing and as a result sometimes producing paradoxical statements. And they experience a positive mood, with renewed energy and enthusiasm.

 

It is easy to see why people find these experiences so pleasant and eye opening. They often report that the experiences changed them forever. Even though the effects of psychedelic substances have been experienced and reported on for centuries, only very recently have these effects come under rigorous scientific scrutiny.  In today’s Research News article “Four Weekly Ayahuasca Sessions Lead to Increases in “Acceptance” Capacities: A Comparison Study With a Standard 8-Week Mindfulness Training Program.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869920/ ), Soler and colleagues compare the ability of the psychedelic drug ayahuasca and mindfulness training to change the mindfulness of volunteers.

 

They formed two matched groups from the volunteers, based upon levels of decentering. One group were provided a Mindfulness-Based Stress Reduction (MBSR) program. The MBSR program was presented for 2.5 hours, once a week, for 8 weeks with 30-minute daily home practice. It consisted of discussion and meditation, body scan, and yoga practices. The second group of volunteers received 4 weekly 6-8-hour ayahuasca sessions. They were measured before and after treatment for decentering and mindfulness, including the mindfulness facets of observing, describing, non-reacting, non-judging, and acting with awareness.

 

They found that following the MBSR program there were significant increases in decentering and all 5 mindfulness facets. On the other hand, after ayahuasca treatment there was a significant increase only in the non-judging mindfulness facet. Hence, the MBSR program produced the routinely observed improvements in mindfulness and decentering, while ayahuasca treatments only altered “acceptance” (non-judging facet of mindfulness).

 

It is very interesting and perhaps puzzling that ayahuasca treatment did not increase decentering. Decentering changes the nature of experience by having the individual step outside of experiences and observe them from a distanced perspective and be aware of their impermanent nature. This is exactly the type of perspective that is promoted by experiences with psychedelic drugs. The fact that it was not increased with the ayahuasca treatments calls into question the effectiveness of the treatments and dosing used in the current study.

 

Nevertheless the ayahuasca treatments did produce increases in acceptance. This suggests that some of the therapeutic benefits of ayahuasca treatments may be due to changes in mindfulness which, in turn, produce physical and psychological benefits. It will remain for future research to continue to explore the means by which such psychedelic treatments alter the psychological landscape of the individual. It is clear, though, in the current study that Mindfulness-Based Stress Reduction (MBSR) is a potent facilitator of all facets of mindfulness and decentering.

 

So, improve acceptance with mindfulness training or a psychedelic drug.

 

“Meditating can be hard, lonely work, but if recent research is to be believed there may be a quick-and-dirty shortcut to enlightenment: psychedelic drugs. According to an exploratory study, drinking the hallucinogenic brew ayahuasca can bring about improvements in mindfulness that would take years of dedicated meditation to achieve. The research found that ayahuasca raised mindfulness abilities to levels equal to or even greater than those of people who have been practising meditation for around seven years.” – Plastic Brain

 

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

 

Soler, J., Elices, M., Dominguez-Clavé, E., Pascual, J. C., Feilding, A., Navarro-Gil, M., … Riba, J. (2018). Four Weekly Ayahuasca Sessions Lead to Increases in “Acceptance” Capacities: A Comparison Study With a Standard 8-Week Mindfulness Training Program. Frontiers in Pharmacology, 9, 224. http://doi.org/10.3389/fphar.2018.00224

 

Abstract

Background: The therapeutic effects of the Amazonian plant tea ayahuasca may relate to its ability to enhance mindfulness capacities. Ayahuasca induces a modified state of awareness through the combined action of its active principles: the psychedelic N,N-dimethyltryptamine (DMT) and a series of centrally acting β-carbolines, mainly harmine and tetrahydroharmine. To better understand the therapeutic potential of ayahuasca, here we compared the impact on mindfulness capacities induced by two independent interventions: (a) participation in four ayahuasca sessions without any specific purpose related to improving mindfulness capacities; and (b) participation in a standard mindfulness training course: 8 weeks mindfulness-based stress reduction (MBSR), with the specific goal of improving these skills.

Methods: Participants of two independent groups completed two self-report instruments: The Five Facet Mindfulness Questionnaire (FFMQ) and the Experiences Questionnaire (EQ). The MINDSENS Composite Index was also calculated, including those EQ and FFMQ items that have proven to be the most sensitive to meditation practice. Group A (n = 10) was assessed before and after the last of four closely spaced consecutive ayahuasca sessions. Group B (n = 10) was assessed before and after completion of a standard 8-week MBSR course.

Results: MBSR training led to greater increases in overall mindfulness scores after the 8-week period. MBSR but not ayahuasca led to increases in the MINDSENS Composite Index. However, the ayahuasca sessions induced comparable increases in the Non-Judging subscale of the FFMQ, specifically measuring “acceptance.” Improving this capacity allows for a more detached and less judgmental stance toward potentially distressing thoughts and emotions.

Results: The present findings suggest that a small number of ayahuasca sessions can be as effective at improving acceptance as more lengthy and costly interventions. Future studies should address the benefits of combining ayahuasca administration with mindfulness-based interventions. This will allow us to investigate if ayahuasca will improve the outcome of psychotherapeutic interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869920/

 

Improve Caregivers Emotion Regulation with Mindfulness

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Improve Caregivers Emotion Regulation with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Caregivers have a habit of neglecting their own wellbeing for their patients’ sakes. Some caregivers even believe taking a few minutes out of the day to practice mindfulness is “selfish.” Nothing could be further from the truth. In fact, taking a few minutes to practice mindfulness everyday will improve the quality of care you can give to your patient. It should be mandatory that all caregivers practice some form of mindfulness today” – Caregiver Space

 

There is a tremendous demand for caregiving in the US. It is estimated that over 65 million (29% of the adult population) provides care to someone who is mentally or physically ill, disabled or aged, averaging 20 hours per week spent caring for their loved ones. This caregiving comes at a cost to the caregiver. It exacts a tremendous toll on caregivers’ health and well-being. Caregiving has been associated with increased levels of depression and anxiety as well as higher use of psychoactive medications, poorer self-reported physical health, compromised immune function, and increased mortality.

 

Mindfulness training has been shown to be beneficial for both the caregiver and the patients. But, this is reactive, working with already stressed caregivers. It is important to be able to be proactive and better prepare caregivers to withstand the difficulties and stress of caregiving and provide better care for patients. In today’s Research News article “Developing professional caregivers’ empathy and emotional competencies through mindfulness-based stress reduction (MBSR): results of two proof-of-concept studies.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5781061/ ), Lamothe and colleagues investigate the effects of mindfulness training on the emotion regulation ability of psychology students and professional caregivers.

 

They recruited psychology students in a university and professional caregivers in a pediatric hematology-oncology unit of a hospital. They were provided a Mindfulness-Based Stress Reduction (MBSR) program. The MBSR program was presented for 2 hours, once a week, for 8 weeks with 30-minute daily home practice. It consisted of discussion and meditation, body scan, and yoga practices. They were measured before and after the program and 3 months later for mindfulness, empathy, emotional competencies, recognition of emotions in others, emotional acceptance, and emotion regulation.

 

They found that in both groups there were large increases in mindfulness that were maintained 3 month later. In addition, they found that there were significant improvements after training in empathy, emotional competencies, recognition of emotions in others, identification of emotions in others, emotional acceptance, and emotion regulation, with the exception that the caregivers change in recognition of emotions in others was not statistically significant. At the 3-month follow-up they found that there were still significant improvements in identifying emotions and emotional acceptance.

 

These results are preliminary as there wasn’t a comparison, control, condition. As such, they are interpreted as a proof of concept. To reach firm conclusions a randomized controlled clinical trial with an active control condition is necessary. The results are interesting and powerful enough that such an extensive study is warranted. Nevertheless, the results provide preliminary evidence that mindfulness training improves the emotional competences of both students and professional caregivers. This suggests that mindfulness training can be used both for practicing caregivers and those in training. Hence, mindfulness training may be helpful both reactively and proactively to promote the emotional health of the caregivers and, in turn, provide better care.

 

So, improve caregivers emotion regulation with mindfulness.

 

“mindfulness practices can help both caregivers and their loved ones maintain their emotional well-being. This is important for two reasons. First, strong emotional well-being is a good defense against such stress-related problems as depression and anxiety. Second, emotional well-being supports the resiliency that makes a person’s life not just tolerable, but enjoyable and meaningful: restful sleep, invigorating exercise, healthful food and some form of spiritual or emotional nourishment.” – Adam Perlman

 

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

 

Lamothe, M., McDuff, P., Pastore, Y. D., Duval, M., & Sultan, S. (2018). Developing professional caregivers’ empathy and emotional competencies through mindfulness-based stress reduction (MBSR): results of two proof-of-concept studies. BMJ Open, 8(1), e018421. http://doi.org/10.1136/bmjopen-2017-018421

 

Abstract

Objectives

To assess the feasibility and acceptability of a mindfulness-based stress reduction (MBSR)-based intervention and determine if the intervention is associated with a significant signal on empathy and emotional competencies.

Design

Two pre–post proof-of-concept studies.

Setting

Participants were recruited at the University of Montreal’s Psychology Department (Study 1) and the CHU Sainte-Justine Department of Hematology-Oncology (Study 2).

Participants

Study 1: 12 students completed the 8-week programme (mean age 24, range 18–34). Study 2: 25 professionals completed the 8-week programme (mean age 48, range 27–63).

Intervention

Standard MBSR programme including 8-week mindfulness programme consisting of 8 consecutive weekly 2-hour sessions and a full-day silent retreat.

Outcomes measures

Mindfulness as measured by the Mindful Attention Awareness Scale; empathy as measured by the Interpersonal Reactivity Index (IRI)’s Perspective Taking and Empathic Concern subscales; identification of one’s own emotions and those of others as measured by the Profile of Emotional Competence (PEC)’s Identify my Emotions and Identify Others’ Emotions subscales; emotional acceptance as measured by the Acceptance and Action Questionnaire-II (AAQ-II) and the Emotion Regulation Scale (ERQ)’s Expressive Suppression subscale; and recognition of emotions in others as measured by the Geneva Emotion Recognition Test (GERT).

Results

In both studies, retention rates (80%–81%) were acceptable. Participants who completed the programme improved on all measures except the PEC’s Identify Others’ Emotions and the IRI’s Empathic Concern (Cohen’s d median=0.92, range 45–1.72). In Study 2, favourable effects associated with the programme were maintained over 3 months on the PEC’s Identify my Emotions, the AAQ-II, the ERQ’s Expressive Suppression and the GERT.

Conclusions

The programme was feasible and acceptable. It was associated with a significant signal on the following outcomes: perspective taking, the identification of one’s own emotions and emotional acceptance, thus, justifying moving towards efficacy trials using these outcomes.

The programme was feasible and acceptable. It was associated with a significant signal on the following outcomes: perspective taking, the identification of one’s own emotions and emotional acceptance, thus, justifying moving towards efficacy trials using these outcomes.

 

Strengths and limitations of this study

Two feasibility studies of a mindfulness-based stress reduction (MBSR)-based intervention in students and professionals had high attendance rates and acceptability levels.

Results suggested a significant clinical signal on most measured outcomes in the domains of emotion regulation and empathy, with effects lasting at follow-up for identification of one’s own emotions and emotional acceptance.

The same pattern of results was obtained in two independent small-scale studies.

A limitation to theses studies is that samples were not randomly selected, had limited size, and no control groups were used.

Another limitation is that most outcomes were self-reported and could be subject to desirability bias.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5781061/

 

Improve Psychological Health in the Elderly with Mindfulness

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Improve Psychological Health in the Elderly with Mindfulness

 

By John M. de Castro, Ph.D.

 

“In nursing homes and other long-term care facilities, loneliness, depression, and anxiety are considerable risk factors for residents. Mindfulness may help elders to find peace within themselves with daily practice.” – GoldenCares

 

Human life is one of constant change. We revel in our increases in physical and mental capacities during development but regret their decline during aging. As we age, there are systematic progressive declines in every system in the body, the brain included. This includes our mental abilities and results in impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. Aging also results in changes in mental health. Depression is very common in the elderly. The elderly cope with increasing loss of friends and family, deteriorating health, as well as concerns regarding finances on fixed incomes. All of these are legitimate sources of worry. In addition, many elderly experience withdrawal and isolation from social interactions. But, no matter how reasonable, the increased loneliness, worry and anxiety add extra stress that can impact on the elderly’s already deteriorating physical and psychological health.

 

Mindfulness appears to be effective for an array of physical and psychological issues that occur with aging. It appears to strengthen the immune system and reduce inflammation. It has also been shown to be beneficial in slowing or delaying physical and mental decline with aging. and improve cognitive processes. It has also been shown to reduce anxiety, worry, and depression and improve overall mental health. Since the global population of the elderly is increasing at unprecedented rates, it is imperative to investigate safe and effective methods to improve mental health in the elderly. In addition, more and more elderly individuals are residing in continuing care retirement communities. Hence it is important to find treatment methods amenable to implementation in these facilities.

 

In today’s Research News article “An Adapted Mindfulness-Based Stress Reduction Program for Elders in a Continuing Care Retirement Community: Quantitative & Qualitative Results from a Pilot Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973835/ ), Moss and colleagues recruited elderly residents, predominantly female (82%), of a continuing care retirement community. They were 62 to 92 years of age. They were randomly assigned to either receive an adapted Mindfulness-Based Stress Reduction (MBSR) program or to a wait-list control condition. The MBSR program was presented for 2 hours, once a week, for 8 weeks with 30-minute daily home practice. It consisted of the standard meditation, body scan, and yoga practices. But, yoga practice was changed to chair yoga to be better practiced by the elderly. The participants were measured before and after the treatment for acceptability of the program including attendance and rate of home practice, health, psychological flexibility, mindfulness, self-compassion, anxiety, depression, and somatization.

 

They found a high degree of acceptability of the program with only 20% dropping out and the participants averaged 5 days a week of home practice. In comparison to the baseline and wait-list control group, the participants who received the Mindfulness-Based Stress Reduction (MBSR) had significantly improved psychological flexibility and reduced physical limitations. In comparison to baseline the MBSR participants had significantly greater observing mindfulness, mental health, and vitality, and significantly less emotional limitations. The participants reflected that after the training they were better able to attend to the present moment, had greater well-being, self-compassion and kindness, and reduced self-judgement and stress.

 

These are wonderful results that demonstrate that Mindfulness-Based Stress Reduction (MBSR) is an acceptable, safe, and effective program to enhance the psychological health of elderly residents of a continuing care retirement community. The adaptations to the program to recognize the physical limitations of the elderly did not appear to blunt its’ effectiveness and perhaps made it more acceptable. Future research should employ an active control condition, such as aerobic exercise to better control for confounding variables. Regardless, the MBSR program would appear to have great benefits for the aging population.

 

So, improve psychological health in the elderly with mindfulness.

 

“Often elderly people can live uncomfortable, lonely, quiet lives. Teaching them to pay attention moment by moment, on purpose but without judgement, to each of their experiences, can improve of the quality of their lives, based on the demonstrated effectiveness of mindfulness techniques in many forms of therapy. Mindfulness practice has a definite positive impact on issues such as recurrent depression, stress, anxiety, chronic physical pain and loneliness. For the elderly, chronic health conditions, the loss of self-determination in their daily lives, isolation, and a lack of interaction with the outside world can understandably take much of the joy out of life.” – MyHomecare

 

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

 

Moss, A. S., Reibel, D. K., Greeson, J. M., Thapar, A., Bubb, R., Salmon, J., & Newberg, A. B. (2015). An Adapted Mindfulness-Based Stress Reduction Program for Elders in a Continuing Care Retirement Community: Quantitative & Qualitative Results from a Pilot Randomized Controlled Trial. Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, 34(4), 518–538. http://doi.org/10.1177/0733464814559411

 

Abstract

The purpose of this study was to test the feasibility and effectiveness of an adapted 8-week mindfulness-based stress reduction (MBSR) program for elders in a continuing care community. This mixed-methods study used both quantitative and qualitative measures. A randomized wait-list control design was used for the quantitative aspect of the study. Thirty-nine elderly were randomized to MBSR (n=20) or a wait-list control group (n=19); mean age 82 years. Both groups completed pre-post measures of health related quality of life, acceptance and psychological flexibility, facets of mindfulness, self-compassion, and psychological distress. A subset of MBSR participants completed qualitative interviews. MBSR participants showed significantly greater improvement in acceptance and psychological flexibility and in role limitations due to physical health. In the qualitative interviews, MBSR participants reported increased awareness, less judgment and greater self-compassion. Study results demonstrate the feasibility and potential effectiveness of an adapted MBSR program in promoting mind-body health for elders.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973835/