Improve eating Disorders with Yoga

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Improve eating Disorders with Yoga

 

By John M. de Castro, Ph.D.

 

“The practice of yoga can offer a therapeutic venue for engaging in physical activity while providing an outlet for many of the symptoms associated with eating disorders.“ – Jacquelyn Ekern
Around 30 million people in the United States of all ages and genders suffer from an eating disorder; either anorexia nervosa, bulimia, or binge eating disorder. 95% of those who have eating disorders are between the ages of 12 and 26. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Eating disorders can be difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders. In addition, yoga practice appears to be beneficial.

 

In today’s Research News article “Effect of yoga in the treatment of eating disorders: A single-blinded randomized controlled trial with 6-months follow-up.” (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=166;epage=169;aulast=Karlsen ), Karlsen and colleagues recruited young adult women, over 18 years of age, with eating disorders, primarily bulimia and unspecified eating disorders and randomly assigned them to either a yoga practice condition or a wait-list control group. The Hatha Yoga practice occurred twice a week for 90 minutes for 11 weeks. They were measured before and after treatment and 6 months later for global eating disorders, restraint, eating concern, weight concern, and shape concern.

 

They found that the yoga practice women in comparison to baseline and the wait-list control group had significantly lower global eating disorders scores, restraint, eating concern, and weight concern at the end of training. These improvements increased over time being largest at the 6-month follow up measurements. No adverse events were observed. Unfortunately, about a third of the women in the yoga group dropped out over the course of training. This is comparable to drop out rates observed from other eating disorder treatments. Hence, Hatha Yoga practice appears to be a safe and effective treatment of eating disorders in young adult women.

 

It is not known how yoga may assist with eating disorders. But, eating disorders are often associated with distorted body images and yoga practice emphasizes the appreciation of the body as it is. This may work to improve the accuracy of the women’s body images. It is also possible that the mindfulness aspects of yoga practice ground the women more in the present moment. Eating disorders are associated with the projection of the impact of eating on future body fatness. By, focusing on the present moment and the experience of eating in the present moment, yoga practice may increase the pleasure of eating and decrease the worry about its future impact.

 

So, improve eating disorders with yoga.

 

“Yoga can be an effective tool to restore the imbalances in both the body and the mind that occur with eating disorders. Yoga has a profound ability to balance the emotions and has been shown to help relieve depression, anger and anxiety and to promote equanimity: a calm, clear focused mind. Yoga can also promote self-esteem and a positive body image, which play primary roles in eating disorders, through the cultivation of non-judgment, confidence, self-acceptance, openness and inner strength. Physically, a regular yoga practice can help rebuild the strength, energy and bone density that is damaged and lost with Anorexia.” – Timothy Burgin

 

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

 

Karlsen KE, Vrabel K, Bratland-Sanda S, Ulleberg P, Benum K. Effect of yoga in the treatment of eating disorders: A single-blinded randomized controlled trial with 6-months follow-up. Int J Yoga 2018;11:166-9

 

Aim of the Study: The aim of this study is to examine the effect of yoga treatment of eating disorders (EDs). Methods: Adult females meeting the Diagnostic and Statistical Manual-IV criteria for bulimia nervosa or ED not otherwise specified (n = 30) were randomized to 11-week yoga intervention group (2 × 90 min/week) or a control group. Outcome measures, the Eating Disorder Examination (EDE)-Interview and Eating Disorders Inventory-2 (EDI-2) scores, were administered at baseline, posttest, and at 6-month follow-up. There was a dropout rate of 30% (posttest) and 37% (6-month follow-up). Results: The intervention group showed reductions in EDE global score (P < 0.01), the EDE subscale restraint (P < 0.05), and eating concern (P < 0.01) compared to the control group. The differences between the groups increased at 6-month follow-up. There were no differences between the groups in the EDI-2 score. Conclusion: The results indicate that yoga could be effective in the treatment of ED.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=2;spage=166;epage=169;aulast=Karlsen

Mindful People Better Regulate Their Emotions

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Mindful People Better Regulate Their Emotions

 

By John M. de Castro, Ph.D.

“With MM training or practice (even a little practice has been shown to make a difference), we become more able to allow disturbing emotions and thoughts to pass through awareness. We develop the ability to NOT act or react to every emotion or thought we have.” – Timothy Pychyl

 

Mindfulness practice has been shown to improve emotion regulation. Practitioners demonstrate the ability to fully sense and experience emotions, but respond to them in more appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. This is a very important consequence of mindfulness. Humans are very emotional creatures and these emotions can be very pleasant, providing the spice of life. But, when they get extreme they can produce misery and even mental illness. The ability of mindfulness training to improve emotion regulation is thought to be the basis for a wide variety of benefits that mindfulness provides to mental health and the treatment of mental illness especially depression and anxiety disorders.

 

In today’s Research News article “Mindfulness Dampens Cardiac Responses to Motion Scenes of Violence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866822/ ), Brzozowski and colleagues examine the relationship of mindfulness with the ability of college students to regulate emotional responses to viewing a violent video.

 

In the first experiment they had the students complete a mindfulness scale and then view a 5-minute violent video. Afterwards they were measured for positive and negative emotions and arousal. They found that students high in mindfulness experienced the film less negatively. In the second experiment the students completed mindfulness and anxiety scales and were measured with and electrocardiogram (ECG) for cardiovascular activity, before, during, and after viewing the 5-minute violent video. They found that students high in mindfulness had lower heart rates before watching the clip, had lower heart rate increases during the clip, and reduced their heart rates to baseline levels faster after the clip.

 

This is a laboratory correlational study and as such is artificial, not necessarily representative of responses to emotions in everyday contexts. It also limits causal conclusions. In addition, there wasn’t a control comparison condition so it cannot be concluded that the recorded responses were due to watching violence or the reactivity to engaging in a scientific study in a laboratory. Nevertheless, the results suggest that mindful individuals have smaller negative emotional responses and less cardiovascular reactivity to watching a violent video. This suggests that mindfulness improves both psychological and physiological responses to viewing violence. Hence, it appears that mindfulness is associated with improved emotion regulation. It remains for future research to examine causation by actively training mindfulness, having a comparison condition, and making the situation more like real life.

 

But, it can be tentatively concluded that mindful people better regulate their emotions.

 

“So rather than getting rid of emotional experience altogether, . . . we can prevent or limit the disruptive aspects of emotions, like rumination. And this can be done by monitoring your thoughts and sensations, but also by adopting a non-judgmental attitude towards them.” – Emily Nauman

 

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

 

Brzozowski, A., Gillespie, S. M., Dixon, L., & Mitchell, I. J. (2018). Mindfulness Dampens Cardiac Responses to Motion Scenes of Violence. Mindfulness, 9(2), 575–584. http://doi.org/10.1007/s12671-017-0799-6

 

Abstract

Mindfulness is linked with improved regulatory processes of attention and emotion. The potential benefits of mindfulness are vast, including more positive emotional states and diminished arousal in response to emotional stimuli. This study aims to expand of the current knowledge of the mechanisms of mindfulness by relating the latter to cardiovascular processes. The paper describes two studies which investigated the relationship of trait mindfulness to self-report measures of emotions elicited during a violent video clip and cardiovascular responses to the clip. Both studies recruited male and female participants, mainly university undergraduate students. The clip was 5-min-long and evoked mainly feelings of tension and disgust. In study 1, we found that higher scores for trait mindfulness were associated with increased scores for valence (r = .370, p = .009), indicating a more positive interpretation of the clip. In study 2, the average heart rate during the clip was lower than during the preceding (p < .05) and following (p < .01) non-exposure conditions. Higher trait mindfulness was related to diminished heart rate reactivity (r = −.364, p = .044) and recovery (r = −.415, p = .020). This latter effect was obtained only when trait anxiety was used as a statistical covariate. Additionally, increased trait mindfulness was accompanied by higher resting heart rate (r = .390, p = .027). These outcomes suggest that mindfulness is linked with reductions in negative feelings evoked by violent motion stimuli.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866822/

 

Sustain Attention, Vigilance, and Energy in Nurses with Mindfulness

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Sustain Attention, Vigilance, and Energy in Nurses with Mindfulness

 

By John M. de Castro, Ph.D.

 

“As attention is rooted more firmly in the present and less on the past and/or future, depression, rumination, and anxiety decrease,” the article explains. “The resulting effect is energy that was once spent clinging to the past or worrying about the future can now be spent in the present.” Mindful nurse leaders are likewise aware of the employees and organizations behind their day-to-day work. They’re authentic. They connect with others. They stay in touch with their values.”

 

Medical professionals have to pay close and sustained attention to their jobs. The consequences of lapses and error can be catastrophic. Yet often their jobs are repetitive which can tax attention and reduce needed vigilance. Contemplative practices have been shown to improve attention and vigilance and to maintain high levels of performance on the job. In today’s Research News article “Positive Effects of Mindfulness-Based Training on Energy Maintenance and the EEG Correlates of Sustained Attention in a Cohort of Nurses.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838011/ ), Wong and colleagues investigate the effectiveness of mindfulness training to improve attention and vigilance in nurses tested in a laboratory environment.

 

They recruited nurses and trained them in mindfulness with an 8-week, once a week for 90 minutes, program based upon the Mindfulness-Based Stress Reduction (MBSR) program, containing meditation, body scan, and yoga practices. Training attendance was monitored and recorded. They were measured before and after training with a 20-minute psychomotor task requiring sustained attention and vigilance. In addition, the nurses were measured for sleep duration for two nights. They also completed scales of energy and mood and had their brain activity monitored during rest and during meditation, and with an electroencephalogram (EEG). They also recorded the event related potentials (ERP) in the EEG evoked by stimulus presentation during the attention and vigilance task.

 

They found that following mindfulness training the nurses had significantly smaller reduction in energy during performance of the attention and vigilance task and the greater the attendance at the mindfulness training sessions, the greater the energy sustainment. This was also true for their attention and vigilance, with nurses with high training attendance having significantly smaller reductions in response speed and significantly smaller increases in attentional lapses over the 20-minute task duration. Hence, those nurses with high mindfulness training attendance sustained their energy and attention better over the task period.

 

With the electroencephalogram (EEG), they found that after mindfulness training there were significantly smaller reductions in alpha rhythm power during meditation, suggesting improved attention. These improvements were higher in nurses who attended training more regularly. Similar findings were present with the EEG event related potentials (ERP), such that P3 amplitude reductions were lower over the attention and vigilance task, indicating greater sustainment of arousal and attention. Hence, brain electrical activity also suggested greater sustainment of attention following mindfulness training.

 

The results are interesting and potentially important. They suggest that mindfulness training can improve nurses’ abilities to sustain attention and vigilance over a prolonged period. This was evidenced by both behavioral and EEG indicators of sustained attention and vigilance. This is potentially important as it may suggest that mindfulness training may improve performance on the job, reducing lapses and errors. Future research is needed to verify if, indeed, mindfulness training has similar effects on the job that it has in the laboratory.

 

So, sustain attention, vigilance, and energy in nurses with mindfulness.

 

“Burnout continues to be a significant occupational hazard in the nursing profession. Mindfulness may be the necessary approach to help combat nursing burnout, affording considerable promise for the future of the nursing profession.” – Pamela Heard

 

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

 

Wong, K. F., Teng, J., Chee, M. W. L., Doshi, K., & Lim, J. (2018). Positive Effects of Mindfulness-Based Training on Energy Maintenance and the EEG Correlates of Sustained Attention in a Cohort of Nurses. Frontiers in Human Neuroscience, 12, 80. http://doi.org/10.3389/fnhum.2018.00080

 

Abstract

Mindfulness based training (MBT) is becoming increasingly popular as a means to improve general wellbeing through developing enhanced control over metacognitive processes. In this preliminary study, we tested a cohort of 36 nurses (mean age = 30.3, SD = 8.52; 2 male) who participated in an 8-week MBT intervention to examine the improvements in sustained attention and its energetic costs that may result from MBT. Changes in sustained attention were measured using the psychomotor vigilance task (PVT) and electroencephalography (EEG) was collected both during PVT performance, and during a brief period of meditation. As there was substantial variability in training attendance, this variable was used a covariate in all analyses. Following the MBT program, we observed changes in alpha power across all scalp regions during meditation that were correlated with attendance. Similarly, PVT performance worsened over the 8-week period, but that this decline was mitigated by good attendance on the MBT program. The subjective energy depletion due to PVT performance (measured using self-report on Likert-type scales) was also less in regular attendees. Finally, changes in known EEG markers of attention during PVT performance (P300 and alpha-band event-related desynchronization) paralleled these behavioral shifts. Taken together, our data suggest that sustained attention and its associated costs may be negatively affected over time in the nursing profession, but that regular attendance of MBT may help to attenuate these effects. However, as this study contained no control condition, we cannot rule out that other factors (e.g., motivation, placebo effects) may also account for our findings.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838011/

 

Mindfulness is Associated with Fewer Worries about Cessation of the Use of Sleeping Pills for Insomnia

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Mindfulness is Associated with Fewer Worries about Cessation of the Use of Sleeping Pills for Insomnia

 

By John M. de Castro, Ph.D.

 

“If insomnia is at the root of your sleepless nights, it may be worth trying meditation. The deep relaxation technique has been shown to increase sleep time, improve sleep quality, and make it easier to fall (and stay) asleep.” – National Sleep Foundation

 

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. In addition, these medications can become addictive such that the individual cannot sleep without them. So, there is a need to find better methods to improve sleep.

 

Mindfulness-based practices have been reported to improve sleep amount and quality and to help treat addictions. Indeed, Mindfulness-based Relapse Prevention (MBRP) was developed to specifically assist in relapse prevention and has been shown to be effective. In today’s Research News article “Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856331/ ), Barros and colleagues examined the relationship between mindfulness and addiction to sleeping pills in women.

 

They recruited adult women who used sleeping pills on a daily basis and had them complete paper and pencil measures of mindfulness, insomnia severity, anxiety, and dependence on sleeping pills, including problematic use, preoccupation with availability, lack of compliance with prescription, and withdrawal symptoms. They performed a regression analysis to examine the relationships between these variables.

 

They found that the higher the levels of mindfulness and particularly the observing facet of mindfulness, the lower the preoccupation with the availability of sleeping pills. This preoccupation frequently involves anxiety about not having the medication available for use. In addition, the higher the levels of mindfulness and particularly the non-reacting facet of mindfulness, the lower the lack of compliance with prescription. The women with high mindfulness were less likely to use the sleeping pills more often or in different circumstances than prescribed by their physician. Finally, the higher the levels of the mindfulness facets of observing and non-reacting, the lower the belief that withdrawal would produce severe uncomfortable experiences.

 

This study was correlative and as such conclusions regarding causation cannot be reached, Nevertheless, the results suggest that the levels of mindfulness prior to treatment for sleeping pill addiction are associated with the characteristics of the addiction and the patients’ anxieties regarding the availability of the pills and the consequences of withdrawal. This suggests that more mindful women would find it easier to withdraw from their use and treatment for the addiction would be more likely to be effective. It remains for future research to examine whether high levels of mindfulness prior to treatment is predictive of greater success in treatment.

 

“Imagine a country where we no longer have to depend on medication to help manage depression, chronic pain, or insomnia. . . mindfulness is just as effective as side-effect loaded medications. “ – Ruth Buczynski

 

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

 

Barros, V. V., Opaleye, E. S., Demarzo, M., Bowen, S., Curado, D. F., Hachul, H., & Noto, A. R. (2018). Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study. PLoS ONE, 13(3), e0194035. http://doi.org/10.1371/journal.pone.0194035

 

Abstract

Introduction

Dispositional mindfulness can be described as the mental ability to pay attention to the present moment, non-judgmentally. There is evidence of inverse relation between dispositional mindfulness and insomnia and substance use, but as of yet, no studies evaluating the specific association between dispositional mindfulness and the components of hypnotic use disorder.

Objective

To evaluate the association between dispositional mindfulness and the components of dependence among female chronic hypnotic users.

Design and method

Seventy-six women, chronic users of hypnotics, who resorted to Mindfulness-Based Relapse Prevention for the cessation of hypnotic use were included in the study. The Five Facet Mindfulness Questionnaire (FFMQ) evaluated the levels and facets of mindfulness, and the subscales of the Benzodiazepine Dependence Questionnaire (BENDEP) assessed dependence on hypnotics. We also evaluated sociodemographic variables and symptoms of insomnia and anxiety. The associations between the FFMQ facets and the BENDEP subscales were evaluated with binomial logistic regression, adjusted for income, schooling, anxiety, and insomnia.

Results

We observed associations between facets of the FFMQ and specific aspects of hypnotic dependence. The facet “observing” was inversely associated with the “concern about lack of availability of the hypnotic” [aOR = 0.87 95% CI (0.79–0.97)], and the facet “non-reacting to inner experience” with “noncompliance with the prescription recommendations” [aOR = 0.86 95% CI (0.75–0.99)]. The total score of the FFMQ was inversely associated to those two dependence subscales [aOR = 0.94 95% CI (0.89–0.99)]. “Observing” and “non-reactivity to inner experience” were also inversely associated with the “impairments related to the withdrawal symptoms” [aOR = 0.84 95% CI (0.73–0.97)] and [aOR = 0.78 95% CI (0.63–0.96)], respectively. The FFMQ was not associated with “awareness of problematic hypnotic use”.

Conclusion

Dispositional mindfulness, specifically the facets “observing” and “non-reactivity to inner experience, were inversely associated with the components of hypnotic dependence related to the anticipation of having the substance, its expected effect, and the impairments caused by the abstinence. We discuss the implications of those results for the clinical practice and future investigations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856331/

Reduce Addictions with Mindfulness

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Reduce Addictions with Mindfulness

 

By John M. de Castro, Ph.D.

 

“it’s tempting to conclude that mindfulness is the “best new thing” for addiction treatment, but that in reality, further study is needed. “It absolutely has promise, we have a lot more to learn. This is the beginning.” – Sarah Bowen

 

Substance abuse is a major health and social problem. There are estimated 22.2 million people in the U.S. with substance dependence. It is estimated that worldwide there are nearly ¼ million deaths yearly as a result of illicit drug use which includes unintentional overdoses, suicides, HIV and AIDS, and trauma. In the U.S. about 17 million people abuse alcohol. Drunk driving fatalities accounted for over 10,000 deaths annually. “Tobacco use remains the single largest preventable cause of death and disease in the United States. Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths from exposure to secondhand smoke. In addition, smoking-related illness in the United States costs more than $300 billion a year. In 2013, an estimated 17.8% (42.1 million) U.S. adults were current cigarette smokers.”  (Centers for Disease Control and Prevention).

 

Obviously, there is a need to find effective methods to prevent and treat substance abuse. There are a number of programs that are successful at stopping the drug abuse, including the classic 12-step program emblematic of Alcoholics Anonymous. Unfortunately, the majority of drug and/or alcohol abusers relapse and return to substance abuse. Hence, it is important to find an effective method to both treat substance abuse disorders and to prevent relapses. Mindfulness practices have been shown to improve recovery from various addictions. In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907295/ ), Garland and Howard review and summarize the published research findings of the use of mindfulness interventions in the treatment of an array addictive behaviors, including drinking, smoking, opioid misuse, and use of illicit substances like cocaine and heroin.

 

They find that mindfulness training appears to alter brain structures that act to relieve the effects of addictions. They appear to strengthen the prefrontal lobe and its connection to lower brain structures. These alterations of the addict’s brain lead to changes in biological mechanisms underlying reward processing; increasing natural reward processes which in turn replace and reduce drug cravings. They also strengthen decision making executive functions and abilities to control behavior. This interferes with the automatic, reflexive, behaviors of addiction. In addition, the brain changes results in increased mindfulness resulting in improved acceptance and non-judgmental awareness of themselves. The changes also improve physiological and psychological responses to stress; resulting in the addict not reacting to stress with drug use. Also, the changes reduce the addict’s reactivity to the stimuli that usually signal drug use. Finally, they stop the addict’s tendency to try to suppress thoughts about drugs and rather deal with the thoughts directly producing more lasting reductions in drug use. All of this results in decreases in drug cravings and psychological distress, and improved sense of well-being, producing reduced drug use and improved recovery.

 

Garland and Howard review the published research and find that well controlled clinical trials of mindfulness-based interventions for a variety of different substance use disorders demonstrate that the interventions produce significant reductions in addictions, improved recovery, and reduced relapse. They note, however, the need for long-term follow-up to better elucidate the long-term effectiveness of the interventions. In general, the published research indicates that mindfulness-based interventions are a safe and effective treatment for a variety of addictions. They act by altering the brain which alters biological and psychological processes that underly addiction, improve psychological health and well-being, and thereby reduce cravings and drug use.

 

So, reduce addictions with mindfulness.

 

“It may not be possible for people to completely escape cravings, but they can learn to live with them. Mindfulness meditation is an excellent tool that allows the individual to have increased control over their mind. There is a saying that, the mind is a wonderful servant but a terrible master.” – DARA Thailand

 

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

 

Garland, E. L., & Howard, M. O. (2018). Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addiction Science & Clinical Practice, 13, 14. http://doi.org/10.1186/s13722-018-0115-3

 

Abstract

Contemporary advances in addiction neuroscience have paralleled increasing interest in the ancient mental training practice of mindfulness meditation as a potential therapy for addiction. In the past decade, mindfulness-based interventions (MBIs) have been studied as a treatment for an array addictive behaviors, including drinking, smoking, opioid misuse, and use of illicit substances like cocaine and heroin. This article reviews current research evaluating MBIs as a treatment for addiction, with a focus on findings pertaining to clinical outcomes and biobehavioral mechanisms. Studies indicate that MBIs reduce substance misuse and craving by modulating cognitive, affective, and psychophysiological processes integral to self-regulation and reward processing. This integrative review provides the basis for manifold recommendations regarding the next wave of research needed to firmly establish the efficacy of MBIs and elucidate the mechanistic pathways by which these therapies ameliorate addiction. Issues pertaining to MBI treatment optimization and sequencing, dissemination and implementation, dose–response relationships, and research rigor and reproducibility are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907295/

 

Improve Psychological Well-being in Coronary Artery Disease Patients with Mindfulness-Based Art Therapy

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Improve Psychological Well-being in Coronary Artery Disease Patients with Mindfulness-Based Art Therapy

 

By John M. de Castro, Ph.D.

 

“Given the proven role of stress in heart attacks and coronary artery disease, effective meditation would be appropriate for almost all patients with coronary artery disease.” – Joon Sup Lee

 

Cardiovascular disease is the number one killer, claiming more lives than all forms of cancer combined. “Heart disease is the leading cause of death for both men and women. About 610,000 people die of heart disease in the United States every year–that’s 1 in every 4 deaths. Every year about 735,000 Americans have a heart attack.” (Centers for Disease Control). “Coronary artery disease develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Cholesterol-containing deposits (plaque) in your arteries and inflammation are usually to blame for coronary artery disease.” – (Mayo Clinic)

 

A myriad of treatments has been developed for heart disease including a variety of surgical procedures and medications. But the safest effective treatments are lifestyle changes. These include quitting smoking, weight reduction, improved diet, physical activity, and reducing stresses. Safe and effective alternative treatments for cardiovascular disease are contemplative practices, such as meditation, tai chi, and yoga, have also been shown to be helpful for heart health. These practices have also been shown to be helpful for producing the kinds of lifestyle changes needed to prevent heart disease such as smoking cessation, weight reduction, and stress reduction.

 

In today’s Research News article “Effects of Mindfulness-Based Art Therapy on Psychological Symptoms in Patients with Coronary Artery Disease.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852419/ ), Jang and colleagues studied the effectiveness of Mindfulness-Based Art Therapy (MBAT) on the psychological states of patients with coronary artery disease. They recruited outpatients with coronary artery disease and randomly assigned them to either receive 12 weeks, once a week for 45 minutes, of Mindfulness-Based Art Therapy (MBAT) or a treatment as usual control. MBAT was based on the Mindfulness-Based Stress Reduction (MBSR) Program and included meditation, yoga, and body scan practices along with training in expressing their emotions through art and drawing. Patients were measured before and after training for anxiety, depression, and anger.

 

They found that the MBAT trained patients in comparison to baseline and the treatment as usual group had large and significant reduction in depression, anxiety and depression following treatment. In addition, there were large and significant decreases in experiences of anger and expressions of anger and also increases in anger control. Hence, the Mindfulness-Based Art Therapy (MBAT) program was successful in improving the psychological well-being of patients with coronary heart disease.

 

It should be noted that there wasn’t an active control conditions so the conclusions must be tempered with the understanding that there were considerable opportunities for bias and participant expectations to affect the results and there was no long-term follow-up to determine the durability of the effects. The findings, however, are encouraging and should provide encouragement for conducting a larger trial with active control conditions, e.g. aerobic exercise and long-term follow-up.

 

So, improve psychological well-being in coronary artery disease patients with mindfulness-based art therapy.

 

“15 minutes of meditation a day reduced the risk of death, heart attack, and stroke by 48 per cent” – British Heart Foundation

 

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

 

Jang, S.-H., Lee, J.-H., Lee, H.-J., & Lee, S.-Y. (2018). Effects of Mindfulness-Based Art Therapy on Psychological Symptoms in Patients with Coronary Artery Disease. Journal of Korean Medical Science, 33(12), e88. http://doi.org/10.3346/jkms.2018.33.e88

 

Abstract

Background

Mindfulness-based art therapy (MBAT) induces emotional relaxation in coronary artery disease (CAD) patients, and is a treatment known to improve psychological stability. The objective of this study was to evaluate the treatment effects of MBAT for CAD patients.

Methods

A total of 44 CAD patients were selected as participants, 21 patients belonged to a MBAT group, and 23 patients belonged to the control group. The patients in the MBAT group were given 12 sessions of treatments. To measure depression and anxiety, Beck Depression Inventory (BDI) and Trait Anxiety Inventory (TAI) were used. Anger and anger expression were evaluated using the State Trait Anger Expression Inventory (STAXI). The treatment results were analyzed using two-way repeated measures analysis of variance (ANOVA).

Results

The results showed that significant effects for groups, time, and interaction in the depression (interaction effect, [F(1,36) = 23.15, P < 0.001]; between groups, [F(1,36) = 5.73, P = 0.022]), trait anxiety (interaction effect, [F(1,36) = 13.23, P < 0.001]; between groups, [F(1,36) = 4.38, P = 0.043]), state anger (interaction effect, [F(1,36) = 5.60, P = 0.023]), trait anger (interaction effect, [F(1,36) = 6.93, P = 0.012]; within group, [F(1,36) = 4.73, P = 0.036]), anger control (interaction effect, [F(1,36) = 8.41, P = 0.006]; within group, [F(1,36) = 9.41, P = 0.004]), anger out (interaction effect, [F(1,36) = 6.88, P = 0.012]; within group, [F(1,36) = 13.17, P < 0.001]; between groups, [F(1,36) = 5.62, P = 0.023]), and anger in (interaction effect, [F(1,36) = 32.66, P < 0.001]; within group, [F(1,36) = 25.90, P < 0.001]; between groups, [F(1,36) = 12.44, P < 0.001]).

Conclusion

MBAT can be seen as an effective treatment method that improves CAD patients’ psychological stability. Evaluation of treatment effects using program development and large-scale research for future clinical application is needed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852419/

 

Democracy on the Eightfold Path

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Democracy on the Eightfold Path

 

By John M. de Castro, Ph.D.

 

“It is important to realize that a well-functioning democracy — a republic — depends not just on freedom from censorship, but also on a set of common experiences and on unsought, unanticipated, and even unwanted exposures to diverse topics, people, and ideas. A system of “gated communities” is as unhealthy for cyberspace as it is for the real world.” ~Scott Meyer

 

With the US midterm elections on the horizon, I thought that it would be a good time to reflect on what the teachings of the Buddha tell us about how we should approach voting and engaging in the democratic process in general. Right now, the political landscape is characterized by tremendous rancor and division. I believe that this situation results from not following these teachings. Perhaps looking at their application to engaging in the democratic process will help us in the future to begin to heal the deep wounds that have been opened and begin to engage in a more constructive and beneficial political process.

 

We often think of meditation or spiritual practice as occurring in quiet places removed from the hubbub of life. This is useful to develop skills and deep understanding. Unfortunately, most people do not have the luxury of withdrawing into solitary or monastic life. But it is possible to practice even in the midst of the chaos of everyday life. In fact, there are wonderful opportunities to practice presented to us all the time in the complexities of the modern world. I find that engagement in democracy is one of many wonderful contexts in which to practice the Buddha’s Eightfold Path, the Buddha’s prerequisites for the cessation of suffering; Right View, Right Intentions, Right Actions, Right Speech, Right Livelihood, Right Effort, Right Mindfulness, and Right Concentration. Engaging in democracy on the eightfold path can not only help our spiritual practice but also help further peace, happiness, and harmony in our society.

 

Engagement in democracy is a wonderful opportunity to practice Right View. The impermanence of everything is on display. No matter how bad or good the political situation is we can be sure that it will change. This is especially true with democracy where the ability to change the current laws or leadership is its strength. If we don’t like it, we have a route to try to change it. By recognizing this we not only practice Right View but also relax and accept what is. Democracy is also a situation that reflects how interconnected everything is. Engagement in democracy is a cooperative social venture. Without everyone’s cooperation, there would be political chaos. Each of us has only one vote. The outcome of an election depends upon the votes of many. But beyond that democracy can only function if everyone cooperates and accepts the decision of the majority.

 

In the context of democracy, if we take a moment to look, it is easy to develop Right View. We can view the transitoriness of our thoughts and emotions as they arise and fall away in response to the election process and political debate. We may become very worked up about an issue, but see that these feelings are only temporary and will subside in a short time. We can see that our political identity as Democrat or Republican, as conservative or liberal, or any other label is never truly accurate and is subject to change. We can see that there is no permanent thing that is our political self and that is also true for others. This is a tremendous learning experience and laboratory to not only personally develop Right View, but to help develop Right View in our society.

 

Engagement in democracy allows us to observe our suffering, unsatisfactoriness, and its roots. We seem to want our system and its outcomes to be exactly as we want them to be and when they are not we suffer. We want other voters to think the way we do, for our candidates to always win, we want the laws passed to always match our world view and beliefs, we want the media to always present arguments in favor of our positions, etc. In other words, we can learn, if we are observant of what is happening during participation in democracy, that our suffering is caused by our lack of acceptance of how things are. So, political engagement constitutes a laboratory to practice Right View. We can learn to accept things as they are, to see things without judgment, to view the others just as they are, and to understand how we vote has consequences, affecting ourselves and others, in other words, we learn Right View.

 

We can quite readily practice Right Intentions while engaging in democracy and this can lead to Right Actions.  Right Intentions involves targeting what we do to increase peace, happiness, prosperity, and happiness in ourselves and throughout society. These intentions include the abandonment of unwholesome desires. If we engage in the democratic process with anger, impatience, selfishness, resentment we are likely to harm others and ourselves. The harm may not be major or direct, but indirect by affecting the other citizens in negative ways. Perhaps interrupting another while arguing their position produces anger in them that causes them suffering and elicits anger and aggression from them toward the positions of others. Perhaps, not simply listening to others ideas may unnecessarily cause them to suffer and induce impatience and an inability on their part to simply listen to others. But sometimes direct physical harm to others can be produced as in the case of violent political protests or confrontations with people with whom we strongly disagree. But if we practice Right Intentions with sincere intentions to create good and happiness, relieve suffering in ourselves and others, and not harm any living thing, we will act and interact with our fellow citizens with courtesy, with tolerance and understanding, with kindness and good will. When listen deeply to another’s position and try to understand it or react to an aggressive political post on social media with patience and tolerance, we may have prevented harm. Had the reaction be angry or judgmental it might provoke even more divisive or aggressive actions in response, creating an upward spiral of anger and frustration. It is good to reflect on the ripples of good that may have been created through Right Actions with unknown consequences extending broadly well into the future.

 

Intentions are a key. They become our moral compass. They tend to lead us in the right direction even though we may at times stumble.  It is often difficult or impossible to predict all of the consequences of our actions. It is also very difficult not to create some harm. Just the fact of taking positions and backing certain candidates can result in an ineffectual or even corrupt candidate being elected or damaging laws being passed. We need to try to not only have Right Intentions, but to discern and accept that even the best of intentions can sometime produce harmful outcomes. We have to sometimes balance the good we’re doing with the harm produced by the same actions. This requires Right Intentions. This is where engaging in politics can be such a great practice as we can learn what works and what doesn’t and become better at discerning what are the wholesome Right Actions from those that produce more harm than good. But, if we form Right Intentions and aspire to create good and happiness we’ll be better citizens and will produce more harmony and good will and more importantly will be moving ourselves along the eightfold path.

 

Verbal interactions are a fundamental process in a democracy, providing many opportunities to practice Right Speech. Political discussions, like any discussion include communicating ideas and feelings both verbally and also non-verbally. Non-verbal communications include facial expressions and body postures. I have a bad habit of often reacting with grimaces or looking away when someone presents a point I don’t agree with. This obvious non-verbal judgement of the others position can harden their position making it more difficult to truly discuss the issue. But, predominantly Right Speech is verbal. I have another bad habit of often getting very frustrated when in a discussion, someone presents, as true, a different set of facts than I believe to be true. It becomes impossible to have an honest discussion when the underlying facts differ. I often react reflexively with anger and frustration and blurt out something like “that’s not true.” This cuts off the possibility of listening deeply to the other’s ideas and short circuits the possibility of a reasoned discussion of the facts. This does no good and often aggravates others. Practicing Right Speech involves engaging in civil, respectful discourse. The facts, beliefs, and conclusions can be questioned and discussed but simply as a difference and not judged as good or bad, right or wrong, just simply a difference that can be investigated and resolved.  For me, this is a work in progress. I have a long way to go. But I can clearly feel the benefits for myself and for the quality of the interaction when I am mindful and engage in Right Speech.

 

Right Speech is non-violent and non-judgmental speech. So much political discourse involves trying to be right or to convince someone of your position. Right Speech, on the other hand, is directed to understanding and producing good feelings. Here, deep listening is a key. It is impossible to respond appropriately to another if you haven’t listened carefully to exactly what the other said. We, too often, spend our time while another is speaking composing our next speech for whenever they stop. This doesn’t allow deep listening and can poison a conversation. Political Right Speech involves listening as much as talking and what is said is directed to improving harmony and understanding. This is a lofty goal that few of us are able to achieve. But, striving in that direction will make us better citizens.

 

Being a politician can be itself Right Livelihood. It can be directed to creating good, helping people, keeping peace, and moving society forward in a positive direction. It is not ours to judge the “rightness” of politicians. This is a personal matter where intention matters, that must be reflected upon deeply. But representational democracy is a system that demands that members of the society make their living as the people’s representatives. This is important and can create great good for the society. If it is Right Livelihood and adheres to the seven other components of the eightfold path it helps the individual in their personal development and the development of the greater society.

 

Once again, engagement in democracy presents a fine context to practice Right Effort. It takes substantial effort to be an engaged citizen. If one simply assumes that their right without doing the hard work of learning the facts, there is little or no mindfulness and little or no effort. When we first engage politically we have to set the intention to act in such a way as to lessen suffering in ourselves and others. We need to interact with other people with kindness, compassion, patience, and courtesy, to drop fear, anger, hatred, and selfishness, and to bring to our political interactions with others the intention to promote well-being and happiness. This is hard and requires Right Effort.  But, we can try too hard. Right Effort involves acting according to the “Middle Way.” That is, not trying too hard and getting stressed about politics, but also not being lackadaisical, rather it involves relaxed effort. The “Middle Way” is where effort should be targeted. But, nonetheless effort is needed. Democracy cannot function without an informed electorate and in today’s information age it can be devilishly difficult work to discern the truth. Right Effort on the part of citizens is not only needed but essential to the successful operation of democracy.

 

Democracy requires an accurate understanding of the nature of the current situation in order to determine what political steps are needed to promote good, happiness, and harmony. Unfortunately, mindless political engagement is probably the norm. Rather than seeing things as they are, we tend to view society through a lens of how it was in the past, or how we believe it should be. But, this can be corrected by the practice of Right Mindfulness. Jon Kabat-Zinn defined mindfulness as “paying attention on purpose, in the present moment, and nonjudgmentally, to the unfolding of experience moment to moment.” What better opportunity to practice this than in seeing what is present right in front of us right now in our society and with the people who compose it? Right Mindfulness makes us acutely aware of what is happening around us and how we’re feeling during every moment of our day; seeing the situation accurately, unclouded by beliefs or prejudgment. This allows us to better craft ideas and solutions to the ills of society. Seeing a welfare recipient, a homeless person, or a prisoner as a person and their situation as it actually is and not judging the individual based upon our political beliefs and social media memes, we can much better understand what is the truth and what can best be done to help. Right Mindfulness provides the data to engage politically. Right Mindfulness is not just part of the eightfold path it is a prerequisite for the practice of the seven other components of the path. So, being mindful is fundamental to all aspects of political engagement.

 

Right Concentration” is the practice of focusing the mind solely on one object or a specific unchanging set of objects. Mindfulness is paying attention to whatever arises, but concentration is paying attention to one thing to the exclusion of everything else. This is usually developed during contemplative practice such as meditation and is nearly impossible to practice in real life. But, improvement in attentional ability is a consequence of practicing Right Concentration. This can lead to improved political engagement. It can reduce the impact of distractions and mind wandering, making us better at focusing on the topic at hand and increasing the likelihood that we’ll discern the best course of action. In addition, Right Concentration requires Right Effort, Right Intention, and Right Mindfulness so these can be developed while applying Right Concentration to our political activities. In a political discourse, there is often a jumping around from topic to topic without every reaching a conclusion about any of them. Right Concentration can be the antidote, allowing for focus and hopefully resolution.

 

Engaging in democratic activity on the eightfold path is not easy. But, remember that it is a practice. Over time I have gotten better and better at it, but nowhere near perfect. Frequently the discursive mind takes over or my emotions get the better of me. But, by continuing the practice I’ve slowly progressed. I’ve become a better at discussing politics with others and I’ve become better at seeing what needs to be accomplished in our society. I’ve become better at seeing people with different ideas and beliefs not as the enemy but simply as worthy people who simply hold different opinions that I can learn from. I am learning to be relaxed with a smile on my face when I engage politically and enjoy being part of a democracy where diversity of people and ideas is not a problem but a strength.

 

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

 

“To engage in politics—the system through which we take care of one another—is to bring mindfulness outward. To participate, to speak out, is to address the complexities of our modern world.” ~Lisette Cheresson

 

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

Improve Functional Fitness with Yoga

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Improve Functional Fitness with Yoga

 

By John M. de Castro, Ph.D.

 

“All forms of exercise are important for the body. The right amount of it keeps us in shape, improves longevity, and certainly keeps me sane if nobody else. Yoga is so much more than simple stretches, and it’s certainly not just for flexible people who can already wrap their legs around their heads. Yoga is about creating balance, strength, flexibility and relaxation in the body through a series of postures, movements and breathing patterns.” – Victoria Adams

 

We celebrate the increasing longevity of the population. But, aging is a mixed blessing. The aging process involves a systematic progressive decline of the body and the brain. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. It is inevitable. In addition, many elderly experience withdrawal and isolation from social interactions. There is some hope as there is evidence that these declines can be slowed. For example, a healthy diet and a regular program of exercise can slow the physical decline of the body with aging. Also, contemplative practices such as meditation, yoga, and tai chi or qigong have all been shown to be beneficial in slowing or delaying physical and mental decline.

 

Yoga practice has been shown to have a myriad of benefits for psychological and physical health. It is both an exercise and a mind-body practice that stresses both mental attention to present moment movements, breath control, and flexibility, range of motion, and balance. It has been shown to improve balance and flexibility in older individuals.  It is safe and can be practiced by anyone from children to seniors. Recently, there have been a number of high profile athletes who have adopted a yoga practice to improve their athletic performance. But, the lack of exercise that is often associated with aging is a major problem. It is not known whether yoga practice is as good as traditional exercise programs in improving the overall functional fitness of sedentary older adults and slow the age related physical decline.

 

In today’s Research News article “Yoga Is as Good as Stretching–Strengthening Exercises in Improving Functional Fitness Outcomes: Results From a Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864160/ ), Gothe and McAuley recruited older sedentary adults over 55 years of age and randomly assigned them to engage in either 8 weeks, 3 times per week, Hatha yoga practice or stretching–strengthening exercises. The Senior Fitness test was administered before and after training. It measured strength, agility, balance, endurance, flexibility, and gait speed.

 

They found that both the yoga and stretching–strengthening exercise practices produced significant improvements in the older participants’ functional fitness for all measured parameters. So, yoga practice produced as good improvements in fitness as more traditional exercise. In, addition, yoga practice was found to produce significantly better leg balance than stretching–strengthening exercise. This is important as problems with balance contributes to falls in the elderly which is a major contributor to poor health and mortality.

 

These are important and interesting results that suggest that older individuals can choose between yoga and more traditional exercise to improve their fitness and slow their physical decline. In general, yoga practice has been found to be safe and effective and if practiced with groups it can also be more fun and tend to offset the social isolation experienced by the elderly. Hence, yoga practice may be an excellent choice to maintain fitness during aging.

 

So, improve functional fitness with yoga.

 

“Yoga promotes physical health in multiple different ways. Some of them derive from better stress management. Others come more directly from the physical movements and postures in yoga, which help promote flexibility and reduce joint pain.” – Harvard Health

 

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

 

Gothe, N. P., & McAuley, E. (2016). Yoga Is as Good as Stretching–Strengthening Exercises in Improving Functional Fitness Outcomes: Results From a Randomized Controlled Trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 71(3), 406–411. http://doi.org/10.1093/gerona/glv127

 

Abstract

Background.

Despite yoga’s popularity, few clinical trials have employed rigorous methodology to systematically explore its functional benefits compared with more established forms of exercise. The objective of this study was to compare the functional benefits of yoga with the conventional stretching–strengthening exercises recommended for adults.

Methods.

Sedentary healthy adults ( N = 118; Mage = 62.0) participated in an 8-week (three times a week for 1 hour) randomized controlled trial, which consisted of a Hatha yoga group ( n = 61) and a stretching–strengthening exercise group ( n = 57). Standardized functional fitness tests assessing balance, strength, flexibility, and mobility were administered at baseline and postintervention.

Results.

A repeated measures multivariate analysis of variance showed a significant time effect for measures of balance [ F (3,18) = 4.88, p < .01, partial η 2 = .45], strength [ F (2,19) = 15.37, p < .001, partial η 2 = .62], flexibility [ F (4,17) = 8.86, p < .001, partial η 2 = .68], and mobility [ F (2,19) = 8.54, p < .002, partial η 2= .47]. Both groups showed significant improvements on measures of balance (left–right leg and four square step); strength (chair stands and arm curls); flexibility (back scratch and sit-and-reach); and mobility (gait speed and 8-feet up and go), with partial η 2 ranging from .05 to .47.

Conclusions.

These data suggest that regular yoga practice is just as effective as stretching–strengthening exercises in improving functional fitness. To our knowledge, this is the first study to examine functional benefits of yoga in comparison with stretching–strengthening exercises in sedentary, healthy, community-dwelling older adults. These findings have clinical implications as yoga is a more amenable form of exercise than strengthening exercises as it requires minimal equipment and can be adapted for individuals with lower levels of functioning or disabilities.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864160/

 

Reduce Health Symptoms of Burnout with Yoga and Mindfulness

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Reduce Health Symptoms of Burnout with Yoga and Mindfulness

 

By John M. de Castro, Ph.D.

 

“Teachers who practice yoga say it has given them an outlet for the daily stresses and frustrations of teaching. It also equips them with strategies to stay calm during chaotic moments and helps them understand and reflect on both their mindset and that of their students.” – Madeline Will

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations burnout is all too prevalent. It frequently results from emotional exhaustion. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. Sleep disruption is an important consequence of the stress.  This exhaustion produces a loss of enthusiasm, empathy, and compassion. Regardless of the reasons for burnout or its immediate presenting consequences, it is a threat to the workplace. From a business standpoint, it reduces employee efficiency and productivity and increases costs. From the worker perspective, it makes the workplace a stressful, unhappy place, promoting physical and psychological problems that can become so severe as to result in sick leave. Hence, preventing burnout in the workplace is important.

 

Mindfulness techniques, including meditation, yoga, and Mindfulness-Based Cognitive Therapy (MBCT) are gaining increasing attention for the treatment of the symptoms of stress and burnout. They have been demonstrated to be helpful in reducing the psychological and physiological responses to stress and for treating and preventing burnout in a number of work environments. It is not known, however, which of the myriad of mindfulness training techniques is best for the treatment of burnout.

 

In today’s Research News article “Effect of traditional yoga, mindfulness–based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: a randomized controlled trial on patients on sick leave because of burnout.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839058/ ), Grensman and colleagues recruited workers who were on sick leave for work-related burnout. They were randomly assigned to receive either traditional yoga (Ashtanga Yoga), Mindfulness-Based Cognitive Therapy (MBCT), or Cognitive Behavioral Therapy (CBT). Therapy included three hours of supervised group training per week and the participants practiced on their own for 1–1½ hours, 3–4 times a week, including homework. They were measured before and after treatment for health-related quality of life.

 

They found that all three interventions produced significant improvements in 12 of the 13 subscales of health-related quality of life; including physical well-being, emotional well-being, sleep, cognitive function, general health perceptions, satisfaction with family and with partner, and sexual function. The outcomes produced by the interventions containing mindfulness training (yoga and Mindfulness-Based Cognitive Therapy (MBCT)) were slightly, albeit significantly better than those produced by Cognitive Behavioral Therapy (CBT).

 

The study implies that the physical and psychological state of workers on sick leave for work-related burnout can be significantly improved by all of the three therapies tested. It is unfortunate that a no-treatment control or a non-effective treatment was included as without such comparison conditions it is impossible to tell if the treatment was effective or that the patients improved due to healing over time, spontaneous recovery, or participant expectancy effects.

 

But the fact that yoga and Mindfulness-Based Cognitive Therapy (MBCT) were slightly better than those produced by Cognitive Behavioral Therapy (CBT) suggests that the effects of these treatments that contained mindfulness training were not due to these potential confounding variables. This further suggests that mindfulness-based treatments are effective in reducing the symptoms of severe burnout. It appears that training in mindfulness is a very important component of any treatment for the symptoms of burnout.

 

So, reduce health symptoms of burnout with yoga and mindfulness.

 

“meditation helps in a number of ways. When you are forever on the go, you can easily disconnect from the fact that you’re ready to drop, your neck is crippled with tension or you haven’t breathed deeper than your upper chest for over 24 hours. Meditation provides an opportunity for you to check in with your body. It also provides a framework within which you can practice observing your thoughts and emotions rather than trying to tackle them. This gives you a new perspective on a very busy mind and far more space to make more rational decisions and reduce procrastination.” – Shona Mitchell

 

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

 

Grensman, A., Acharya, B. D., Wändell, P., Nilsson, G. H., Falkenberg, T., Sundin, Ö., & Werner, S. (2018). Effect of traditional yoga, mindfulness–based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: a randomized controlled trial on patients on sick leave because of burnout. BMC Complementary and Alternative Medicine, 18, 80. http://doi.org/10.1186/s12906-018-2141-9

 

Abstract

Background

To explore if health related quality of life(HRQoL) increased after traditional yoga(TY), mindfulness based cognitive therapy(MBCT), or cognitive behavioral therapy(CBT), in patients on sick leave because of burnout.

Methods

Randomized controlled trial, blinded, in ninety-four primary health care patients, block randomized to TY, MBCT or CBT (active control) between September 2007 and November 2009. Patients were living in the Stockholm metropolitan area, Sweden, were aged 18–65 years and were on 50%–100% sick leave. A group treatment for 20 weeks, three hours per week, with homework four hours per week. HRQoL was measured by the SWED-QUAL questionnaire, comprising 67 items grouped into 13 subscales, each with a separate index, and scores from 0 (worse) to 100 (best). SWED-QUAL covers aspects of physical and emotional well-being, cognitive function, sleep, general health and social and sexual functioning. Statistics: Wilcoxon’s rank sum and Wilcoxon’s sign rank tests, Bonett-Price for medians and confidence intervals, and Cohen’s D.

Results

Twenty-six patients in the TY (21 women), and 27 patients in both the MBCT (24 women) and in the CBT (25 women), were analyzed. Ten subscales in TY and seven subscales in MBCT and CBT showed improvements, p < 0.05, in several of the main domains affected in burnout, e.g. emotional well-being, physical well-being, cognitive function and sleep. The median improvement ranged from 0 to 27 points in TY, from 4 to 25 points in CBT and from 0 to 25 points in MBCT. The effect size was mainly medium or large. Comparison of treatments showed no statistical differences, but better effect (small) of both TY and MBCT compared to CBT. When comparing the effect of TY and MBCT, both showed a better effect (small) in two subscales each.

Conclusions

A 20 week group treatment with TY, CBT or MBCT had equal effects on HRQoL, and particularly on main domains affected in burnout. This indicates that TY, MBCT and CBT can be used as both treatment and prevention, to improve HRQoL in patients on sick leave because of burnout, reducing the risk of future morbidity.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839058/

 

Grazing is Associated with Lower Mindful Eating and Greater Body Fatness

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Grazing is Associated with Lower Mindful Eating and Greater Body Fatness

 

By John M. de Castro, Ph.D.

 

“Yep, most vets suggest not leaving food out to graze on. As humans, we can follow the same guidelines to avoid becoming overweight. A consistent routine is more easily transitioned into habit. If you currently graze all day long, shift to scheduled meals and snacks. It will take some mindfulness, but try to leave two to three hours between all points of eating.” – Jill Koegel

 

Obesity has become an epidemic in the industrialized world. In the U.S. the incidence of obesity, defined as a Body Mass Index (BMI) of 30 or above has more than doubled over the last 35 years to currently around 35% of the population, while two thirds of the population are considered overweight or obese (BMI > 25). Although the incidence rates have appeared to stabilize, the fact that over a third of the population is considered obese is very troubling. This is because of the health consequences of obesity. Obesity has been found to shorten life expectancy by eight years and extreme obesity by 14 years. This occurs because obesity is associated with cardiovascular problems such as coronary heart disease and hypertension, stroke, metabolic syndrome, diabetes, cancer, arthritis, and others. Obviously, there is a need for effective treatments to prevent or treat obesity.

 

Eating is produced by two categories of signals. Homeostatic signals emerge from the body’s need for nutrients and usually work to balance intake with expenditure. Non-homeostatic eating, on the other hand, is not tied to nutrient needs but rather to the environment and or to the pleasurable and rewarding qualities of food. These cues can be powerful signals to eat even when there is no physical need for food. A pattern of food intake called “grazing” is defined as the uncontrolled and repetitive eating of small amounts of food. It is not known if this pattern may be associated with overeating and obesity.

 

Mindful eating involves paying attention to eating while it is occurring, including attention to the sight, smell, flavors, and textures of food, to the process of chewing and may help reduce intake by affecting the individual’s response to non-homeostatic cues for eating. Indeed, high levels of mindfulness are associated with lower levels of obesity. Hence, mindful eating may counter non-homeostatic eating. It is also possible that it may counter the “grazing” pattern of intake.

 

In today’s Research News article “How does grazing relate to body mass index, self-compassion, mindfulness and mindful eating in a student population?” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846935/ ), Mantzios and colleagues recruited college students and measured them for body size, mindfulness, self-compassion, mindful eating, and “grazing”. The relationships between these measures were explored with a regression analysis.

 

As predicted, they found that the higher the levels of “grazing” the larger the degree of obesity (Body Mass Index, BMI) and the lower the levels of self-compassion. In addition, they found that the higher the levels of mindful eating the smaller the degree of obesity. Finally, they found that the relationship between ”grazing” and body fatness was mediated by mindful eating. That is, ”grazing” is associated with reduced mindful eating which, in turn, is associated with lower body fatness. Hence, it appears that “grazing” is associated with obesity by being associated with less mindful eating.

 

This study is correlative and thus no conclusions regarding causation can be supported. But, the result suggests an interesting potential association between “grazing” and obesity, mediated by mindful eating. Future research should look at the effect in increasing mindful eating on the relationship between “grazing” and obesity and also at the effect of reducing “grazing” on mindful eating and body fatness. It is possible that altering the grazing pattern may be a useful strategy in reducing intake and perhaps body weight and fatness.

 

“Learning how to snack mindfully can help you create a healthy relationship with your food, mind and body. We need to accept our cravings and recognise when we’re experiencing them but also arm ourselves with snacks that are wise and nutritious.” – Mindfood

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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Study Summary

 

Mantzios, M., Egan, H., Bahia, H., Hussain, M., & Keyte, R. (2018). How does grazing relate to body mass index, self-compassion, mindfulness and mindful eating in a student population? Health Psychology Open, 5(1), 2055102918762701. http://doi.org/10.1177/2055102918762701

 

Abstract

Contemporary research investigating obesity has focused on grazing (i.e. an uncontrolled and repetitive consumption of small amounts of food). Meanwhile, constructs such as mindfulness, mindful eating and self-compassion have received much attention in assisting individuals with eating behaviours and weight regulation. The association between those constructs and grazing, however, has not been explored. In a cross-sectional study, university students (n = 261) were recruited to explore the relationship of mindfulness, mindful eating and self-compassion with current weight and grazing. Results indicated that all constructs were negatively related to grazing, but only mindful eating related negatively to current weight. In addition, mindful eating mediated the relationship between grazing and current weight. Possible explanations and future directions are discussed further with an emphasis on the need for more empirical work.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846935/