Relieve the Symptoms of Post-Traumatic Stress Disorder with Mindfulness

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Relieve the Symptoms of Post-Traumatic Stress Disorder with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness can help people train themselves to get unstuck from a vicious cycle of negative thinking, often a cornerstone of trauma.” – Jennifer Wolkin

 

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

 

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

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. But, it is not known which components of mindfulness training are effective and which are not. In today’s Research News article “A Qualitative Study of Mindfulness Among Veterans With Posttraumatic Stress Disorder: Practices Differentially Affect Symptoms, Aspects of Well-Being, and Potential Mechanisms of Action.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871168/ ), Colgan and colleagues recruited military veterans with chronic Post-Traumatic Stress Disorder (PTSD)and assigned them to practice either body scan, mindful breathing, slow breathing, or sitting quietly. The veterans were trained once a week for six weeks for 20 minutes. They were asked to practice once daily at home. After the interventions they were interviewed and asked “Did you benefit from the intervention?” and “Did your PTSD symptoms improve?” Their responses were recorded, transcribed and subjected to qualitative analysis.

 

They found that the participants in the mindfulness conditions of mindful breathing and body scan reported significantly greater improvements in PTSD symptoms than participants who practiced either slow breathing or sitting quietly. They reported “enhanced present moment awareness, increased nonreactivity, increased nonjudgmental acceptance, decreased physiological arousal and stress reactivity, increased active coping skills, and greater relaxation.“

 

These findings are consistent with the literature that mindfulness training is effective in relieving the symptoms of PTSD. These findings, however, begin to identify the effective components of mindfulness trainings. For, example Mindfulness-Based Stress Reduction (MBSR) is frequently used as an intervention for PTSD. MBSR, however, is a package of techniques including meditation, body scan, and yoga. It is not clear which of these components is necessary and sufficient for the relief of the symptoms of PTSD. The present findings demonstrate that either body scan alone or mindful breathing alone are effective, but simply sitting quietly or slow breathing are not. In other words, only those practices that produce mindfulness are effective. This suggests that the induction of mindfulness is the critical component for the effectiveness of the technique to relieve the symptoms of PTSD.

 

So, relieve the symptoms of post-traumatic stress disorder with mindfulness.

 

“Mindfulness practices can be very helpful in relieving the symptoms of toxic stress and PTSD, however, some caution is advised. It is important to choose the practices that fit the learning style and tolerance levels of the person who uses them.” – Trauma Recovery

 

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

 

Colgan, D. D., Wahbeh, H., Pleet, M., Besler, K., & Christopher, M. (2017). A Qualitative Study of Mindfulness Among Veterans With Posttraumatic Stress Disorder: Practices Differentially Affect Symptoms, Aspects of Well-Being, and Potential Mechanisms of Action. Journal of Evidence-Based Complementary & Alternative Medicine, 22(3), 482–493. http://doi.org/10.1177/2156587216684999

 

Abstract

This qualitative study explored and compared the subjective experiences of 102 veterans with posttraumatic stress disorder (PTSD) who were randomly assigned to 1 of 4 arms: (a) body scan, (b) mindful breathing, (c) slow breathing, or (d) sitting quietly. Qualitative data were obtained via semistructured interviews following the intervention and analyzed using conventional content analysis. The percentage of participants within each intervention who endorsed a specific theme was calculated. Two-proportion z tests were then calculated to determine if the differences among themes endorsed in specific groups were statistically significant. Six core themes emerged from analysis of participant responses across the 4 groups: (a) enhanced present moment awareness, (b) increased nonreactivity, (c) increased nonjudgmental acceptance, (d) decreased physiological arousal and stress reactivity, (e) increased active coping skills, and (f) greater relaxation. More participants in the mindfulness intervention groups reported improvement in PTSD symptoms when compared to participants in non-mindfulness groups. Different types of intervention targeted different symptoms and aspects of well-being. Furthermore, type of intervention may have also differentially targeted potential mechanisms of action. This article highlights the importance of employing both quantitative and qualitative research methods when investigating the dynamic process of mindfulness and may inform how practices can be tailored to the needs of the veteran with PTSD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871168/

 

Can Prosocial Behavior be Improved with Mindfulness

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Can Prosocial Behavior be Improved with Mindfulness

 

By John M. de Castro, Ph.D.

 

“meditation made people feel moderately more compassionate or empathic, compared to if they had done no other new emotionally-engaging activity. But further analysis revealed that it played no significant role in reducing aggression or prejudice or improving how socially-connected someone was.” – James Anderson

 

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. This ability to cooperate is so essential to human flourishing that it is built deep into our DNA and is reflected in the structure of the human nervous system. Empathy and compassion are essential for appropriate social engagement and cooperation. In order for these abilities to emerge and strengthen, individuals must be able to see that other people are very much like themselves.

 

Mindfulness has been found to increase prosocial behaviors such as altruism, compassion and empathy and reduce antisocial behaviors such as violence and aggression. In today’s Research News article “The limited prosocial effects of meditation: A systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799363/ ), Kreplin and colleagues review, summarize and perform a meta-analysis of the published research literature on the effectiveness of meditation practice for the promotion of prosocial behaviors. They reviewed randomized controlled trials that examined meditation or mindfulness effects on “empathy, relationship, connectedness, compassion, love, interpersonal, anger, social, altruism, outgroup, thankfulness, forgiveness, prosocial.”

 

They found 16 published randomized controlled trials. The meta-analysis indicated that there were overall small but significant effects of meditation or mindfulness training on prosocial behavior, especially compassion and empathy. There were no significant effects on aggression or prejudice. These results suggest that meditation or mindfulness training has small but positive effects on prosocial but not antisocial behaviors.

 

Limiting the interpretation of the findings, they found that the effects on compassion were only present when the trainer for meditation or mindfulness was a listed author on the study. This raises the possibility that experimenter bias may have had a major influence such that the beliefs of the researcher that the training would be effective influenced the participants behaviors. In addition, they found that the effects on compassion were only present when the control, comparison, condition was passive, such as a wait-list or no-treatment control, with no significant effects when an active, alternative treatment, control condition was included. This raises the possibility that participant expectancies may have had major influences such that the beliefs of the participants that the training would be effective influenced the participants behaviors. Hence, the small positive results on prosocial behaviors may have been due to weaknesses in the research designs of the studies rather than to the effects of meditation and mindfulness training.

 

These results are important in that they point to issues with the research design that may have been responsible for significant effects. This calls into question the actual effectiveness of meditation and mindfulness training on prosocial behavior. Obviously, more tightly controlled research is necessary to determine if meditation and mindfulness training can be used to improve positive social behaviors.

 

“Mindfulness is more than just moment-to-moment awareness. It is a kind, curious awareness that helps us relate to ourselves and others with compassion.” – Shauna Shapiro

 

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

 

Kreplin, U., Farias, M., & Brazil, I. A. (2018). The limited prosocial effects of meditation: A systematic review and meta-analysis. Scientific Reports, 8, 2403. http://doi.org/10.1038/s41598-018-20299-z

 

Abstract

Many individuals believe that meditation has the capacity to not only alleviate mental-illness but to improve prosociality. This article systematically reviewed and meta-analysed the effects of meditation interventions on prosociality in randomized controlled trials of healthy adults. Five types of social behaviours were identified: compassion, empathy, aggression, connectedness and prejudice. Although we found a moderate increase in prosociality following meditation, further analysis indicated that this effect was qualified by two factors: type of prosociality and methodological quality. Meditation interventions had an effect on compassion and empathy, but not on aggression, connectedness or prejudice. We further found that compassion levels only increased under two conditions: when the teacher in the meditation intervention was a co-author in the published study; and when the study employed a passive (waiting list) control group but not an active one. Contrary to popular beliefs that meditation will lead to prosocial changes, the results of this meta-analysis showed that the effects of meditation on prosociality were qualified by the type of prosociality and methodological quality of the study. We conclude by highlighting a number of biases and theoretical problems that need addressing to improve quality of research in this area.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799363/

 

Relieve Chronic Fatigue Syndrome with Yoga

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Relieve Chronic Fatigue Syndrome with Yoga

 

By John M. de Castro, Ph.D.

 

“Severe fatigue is a significant problem for many cancer survivors.  A meta-analysis of yoga studies of cancer survivors found yoga programs produced large reductions in distress, anxiety, and depression; moderate reductions in fatigue; moderate increases in quality of life, emotional function and social functioning; and a small increase in functional well-being.” – Cort Johnson

 

Chronic Fatigue Syndrome (CFS) occurs in about 0.2% of the population. It produces a profound, prolonged, and debilitating tiredness. When severe, it can produce a chronic and extreme tiredness, so severe that sufferers can become bed-bound or need to use a wheel-chair. It produces muscle pain, brain fog and dizziness, poor memory, disturbed sleep and trouble with digestion. But, deep fatigue can also be produced by a myriad of conditions including diseases and their treatment, including cancer, multiple sclerosis, rheumatoid arthritis, insomnia, and chronic obstructive pulmonary disease (COPD). Fatigue is also associated with aging. Fatigue is widespread. Some form of chronic fatigue has been reported by about 10% of the population.

 

Unfortunately, there are no known cures for CFS. The usual treatments for fatigue are targeted at symptom relief and include exercise and drugs. As an alternative to these traditional treatments, mindfulness training has been shown to reduce fatigue. The mindfulness practice of Yoga also includes exercise and it has been shown to be an effective treatment for the symptoms of Chronic Fatigue Syndrome (CFS). But, the mechanism is not known of how yoga may be affecting the symptoms of CFS.

 

In today’s Research News article “Changes in fatigue, autonomic functions, and blood biomarkers due to sitting isometric yoga in patients with chronic fatigue syndrome.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891891/ ), Oka and colleagues recruited patients suffering from Chronic Fatigue Syndrome (CFS) who had not responded in six months to traditional treatments and who completed 8-weeks, of twice a week for 20 minutes seated yoga practice. To examine the immediate, acute effects of the yoga practice, the final 20-minute session was preceded and followed by measures of fatigue, vigor, mood, heart rate, and respiration. In addition, a medical exam and a blood draw was included. The blood was assayed for cortisol, prolactin, 3-methoxy-4-hydroxyphenylglycol (MHPG), homovanillic acid (HVA), Brain-derived neurotrophic factor (BDNF), DHEA-s, TGF-β1, IL-6, TNF-α, IFN-α, and IFN-γ.

 

They found, as expected that the 20-minute yoga practice resulted in significantly decreased fatigue and increased vigor. This was accompanied by a decrease in heart rate and an increase in the high frequency components of the electrocardiogram. In the blood, there were significant increases following yoga in DHEA-s and decreases in cortisol and TNF-α. To determine which factors were associated with fatigue and vigor, they performed a correlational analysis. They found that the larger the changes in TGF- β1 and BDNF the greater the reduction in fatigue. Also, the greater the increase in homovanillic acid (HVA) the greater the increase in vigor.

 

The pattern of results suggests that, on a short-term basis, yoga practice tends to reduce stress, as indicated by heart rate changes and DHEA-s and cortisol levels and reduce inflammatory responses, as indicated by changes in TNF-α and TGF- β1. This suggests that yoga may improve the symptoms of Chronic Fatigue Syndrome (CFS) by decreasing stress and inflammation. This is an interesting conclusion that may help lead to more effective treatments to end the suffering of CFS patients.

 

So, relieve chronic fatigue syndrome with yoga.

 

“CFS, or Chronic Fatigue Syndrome can be debilitating. It causes all kinds of non-specific symptoms including weakness, impaired memory, and fatigue for no reason, loss of concentration, varied muscle pains, headaches, sore throat, insomnia and apathy. . .  Yoga addressed the root of the problem, because instead of exhausting the body further, as traditional exercise might, it re-stores energy in the body for use in healing itself. Yoga does this primarily through pranayama (breathing exercise), relaxation, meditation and in this case, gentle, restorative asana.” – YogiDiva

 

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

 

Oka, T., Tanahashi, T., Sudo, N., Lkhagvasuren, B., & Yamada, Y. (2018). Changes in fatigue, autonomic functions, and blood biomarkers due to sitting isometric yoga in patients with chronic fatigue syndrome. Biopsychosocial Medicine, 12, 3. http://doi.org/10.1186/s13030-018-0123-2

 

Abstract

Background

In a previous randomized controlled trial, we found that sitting isometric yoga improves fatigue in patients with chronic fatigue syndrome (CFS) who are resistant to conventional therapy. The aim of this study was to investigate possible mechanisms behind this finding, focusing on the short-term fatigue-relieving effect, by comparing autonomic nervous function and blood biomarkers before and after a session of isometric yoga.

Methods

Fifteen patients with CFS who remained symptomatic despite at least 6 months of conventional therapy practiced sitting isometric yoga (biweekly 20 min practice with a yoga instructor and daily home practice) for eight weeks. Acute effects of sitting isometric yoga on fatigue, autonomic function, and blood biomarkers were investigated after the final session with an instructor. The effect of a single session of sitting isometric yoga on fatigue was assessed by the Profile of Mood Status (POMS) questionnaire immediately before and after the session. Autonomic nervous function (heart rate (HR) variability) and blood biomarkers (cortisol, DHEA-S, TNF-α, IL-6, IFN-γ, IFN-α, prolactin, carnitine, TGF-β1, BDNF, MHPG, and HVA) were compared before and after the session.

Results

Sitting isometric yoga significantly reduced the POMS fatigue score (p < 0.01) and increased the vigor score (p < 0.01). It also reduced HR (p < 0.05) and increased the high frequency power (p < 0.05) of HR variability. Sitting isometric yoga increased serum levels of DHEA-S (p < 0.05), reduced levels of cortisol (p < 0.05) and TNF-α (p < 0.05), and had a tendency to reduce serum levels of prolactin (p < 0.1). Decreases in fatigue scores correlated with changes in plasma levels of TGF-β1 and BDNF. In contrast, increased vigor positively correlated with HVA.

Conclusions

A single session of sitting isometric yoga reduced fatigue and increased vigor in patients with CFS. Yoga also increased vagal nerve function and changed blood biomarkers in a pattern that suggested anti-stress and anti-inflammatory effects. These changes appear to be related to the short-term fatigue-relieving effect of sitting isometric yoga in patients with CFS. Furthermore, dopaminergic nervous system activation might account for sitting isometric yoga-induced increases in energy in this patient population.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891891/

 

High Mindfulness and Low Anxiety is Associated with High Level Cognitive Ability

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High Mindfulness and Low Anxiety is Associated with High Level Cognitive Ability

 

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.” – Integrative Therapeutics

 

There is a tremendous amount of information present at any moment. It is a challenge to the nervous system to sort it out and pay attention to only the most significant information. This involves ignoring competing or conflicting stimuli and concentrating on only the most salient and pertinent stimuli. Mindfulness training can help. It involves a greater emphasis on attention to the immediate stimulus environment. So, it builds the capacity to focus on what is transpiring in the present moment. 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 differences in thought processes, increases creativity, and improves cognitive processes.

 

In general, anxiety tends to interfere with high level thinking; interfering with cognitive ability. So, it would seem that people high in mindfulness and also low in anxiety would perform better on cognitive tasks compared to people low in mindfulness and high in anxiety. In today’s Research News article “Better Cognitive Performance Is Associated With the Combination of High Trait Mindfulness and Low Trait Anxiety.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00627/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_640301_69_Psycho_20180515_arts_A ), Jaiswal and colleagues examine this prediction.

 

They recruited adults aged 18 to 30 years through Facebook and measured them for mindfulness and anxiety. They identified participants who were 0.85 standard deviations above the mean in mindfulness and 0.85 standard deviations below the mean in anxiety (High Mindfulness – Low Anxiety) and participants who were 0.85 standard deviations below the mean in mindfulness and 0.85 standard deviations above the mean in anxiety (Low Mindfulness – High Anxiety). These participants were asked to perform a flanker distraction task to measure attentional ability, a Stroop color test to measure interference with attention, and a visual working memory task.

 

They found that the High Mindfulness – Low Anxiety group performed significantly better than the Low Mindfulness – High Anxiety group on the Stroop attention interference task and the visual working memory task, and overall working memory capacity. The results confirmed the initial hypothesis that individuals with a combination of high mindfulness and low anxiety have superior attentional and cognitive abilities. Hence, it appears that mindfulness improves cognition while anxiety interferes with it.

 

The study was a cross sectional design and neither mindfulness nor anxiety were manipulated. Thus, causation cannot be determined. The results, though, support the initiation of a study where groups are trained in mindfulness and exposed to anxiety evoking situations to determine the causal connections of the combinations of mindfulness and anxiety on the ability for high level attentional ability and thought processes.

 

Nevertheless, it appears that high mindfulness and low anxiety is associated with high level attentional and cognitive ability.

 

“new research now suggests that the mind may be easier to cognitively train than we previously believed. Psychologists studying the effects of a meditation technique known as “mindfulness ” found that meditation-trained participants showed a significant improvement in their critical cognitive skills (and performed significantly higher in cognitive tests than a control group) after only four days of training for only 20 minutes each day.” – Science daily

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Jaiswal S, Tsai S-Y, Juan C-H, Liang W-K and Muggleton NG (2018) Better Cognitive Performance Is Associated With the Combination of High Trait Mindfulness and Low Trait Anxiety. Front. Psychol. 9:627. doi: 10.3389/fpsyg.2018.00627

 

There are several ways in which cognitive and neurophysiological parameters have been consistently used to explain the variability in cognitive ability between people. However, little has been done to explore how such cognitive abilities are influenced by differences in personality traits. Dispositional mindfulness and anxiety are two inversely linked traits that have been independently attributed to a range of cognitive functions. The current study investigated these two traits in combination along with measures of the attentional network, cognitive inhibition, and visual working memory (VWM) capacity. A total of 392 prospective participants were screened to select two experimental groups each of 30 healthy young adults, with one having high mindfulness and low anxiety (HMLA) and the second having low mindfulness and high anxiety (LMHA). The groups performed an attentional network task, a color Stroop task, and a change detection test of VWM capacity. Results showed that the HMLA group was more accurate than the LMHA group on the Stroop and change detection tasks. Additionally, the HMLA group was more sensitive in detecting changes and had a higher WMC than the LMHA group. This research adds to the literature that has investigated mindfulness and anxiety independently with a comprehensive investigation of the effects of these two traits in conjunction on executive function.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00627/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_640301_69_Psycho_20180515_arts_A

 

Mindfulness Training has Long-Lasting Positive Effects

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Mindfulness Training has Long-Lasting Positive Effects

 

By John M. de Castro, Ph.D.

 

“These findings suggest that mindfulness training has both short-term and long-term effects on coping. These effects (six years on) were found despite poor to moderate adherence to formal mindfulness practice.” – de Vibe et al.

 

Mindfulness training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, mindfulness training has been called the third wave of therapies. The vast majority of studies of mindfulness, however, are conducted over relatively short periods of time, often without follow-up and if there is follow-up it is often only for a few weeks. Hence, it is not known whether mindfulness training has long-term persisting benefits that are detectable years later.

 

In today’s Research News article “Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; 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/PMC5916495/ ), de Vibe and colleagues examine whether mindfulness training has detectable benefits 6 years after training. They recruited second year medical and clinical psychology students and randomly assigned them to either receive a 7-week Mindfulness-Based Stress Reduction (MBSR) program or a no-treatment control condition. MBSR consists of training in meditation, yoga, and body scan. The students were measured at baseline and then one month and two, four and six years after training for mindfulness, well-being, coping, and class attendance.

 

“During the six-year follow-up period, students in the intervention group were invited to participate in optional 1.5-hour mindfulness booster sessions once every semester.” Two thirds of the students attended one or no booster sessions. “During the six-year follow-up period, the number of participants in the intervention group who reported to practice formal mindfulness exercises decreased from 112 of 140 (80%), one month after the intervention to 28 of 48 (58%), at six-year follow-up.”

 

They found that in comparison to the control group and regardless of attendance at booster sessions or home practice, participants in the MBSR training demonstrated higher levels of mindfulness, improved well-being, decreased avoidance coping, and increased problem focused coping at the six year follow-up. Hence mindfulness training resulted in improvements in mindfulness, well-being, and adaptive coping ability that lasted over a six years period with no trend toward weakening.

 

These are remarkable results that suggest that the benefits of mindfulness training are not fleeting, but rather last over substantial periods of time. To my knowledge, this is the first demonstration that the effects last for such a prolonged, 6-year, period. They underscore the ability of mindfulness training to fundamentally alter the individual’s approach to life resulting in relatively permanent improvements in their mental and physical well-being.

 

So, produce long lasting positive effects with mindfulness training.

 

“mindfulness exercises can result in long-lasting positive psychological effects, especially for people new to these experiences.” – Monique Tello

 

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

 

Michael de Vibe, Ida Solhaug, Jan H. Rosenvinge, Reidar Tyssen, Adam Hanley, Eric Garland. Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial, PLoS One. 2018; 13(4): e0196053. Published online 2018 Apr 24. doi: 10.1371/journal.pone.0196053

 

Abstract

Longitudinal research investigating the enduring impact of mindfulness training is scarce. This study investigates the six-year effects of a seven-week mindfulness-based course, by studying intervention effects in the trajectory of dispositional mindfulness and coping skills, and the association between those change trajectories and subjective well-being at six-year follow-up. 288 Norwegian medical and psychology students participated in a randomized controlled trial. 144 received a 15-hour mindfulness course over seven weeks in the second or third semester with booster sessions twice yearly, while the rest continued their normal study curricula. Outcomes were subjective well-being, and dispositional mindfulness and coping assessed using the Five Facet Mindfulness Questionnaire and the Ways of Coping Checklist. Analyses were performed for the intention-to-treat sample, using latent growth curve models. At six-year follow-up, students receiving mindfulness training reported increased well-being. Furthermore, they reported greater increases in the trajectory of dispositional mindfulness and problem-focused coping along with greater decreases in the trajectory of avoidance-focused coping. Increases in problem-focused coping predicted increases in well-being. These effects were found despite relatively low levels of adherence to formal mindfulness practice. The findings demonstrate the viability of mindfulness training in the promotion of well-being and adaptive coping, which could contribute to the quality of care given, and to the resilience and persistence of health care professionals.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916495/

Mindful Fatherhood

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Mindful Fatherhood

 

By John M. de Castro, Ph.D.

 

“Mindful Fathering is the act of consciously checking into your life as a father. It’s about staying present in your life as a father, observing the dreary, ugly, and painful parts of fathering with acceptance and non-judgement, and honoring those parts with our full attention, just as we honor the wonderful and sublime moments of fatherhood, rather than numbing ourselves out of our lives through substances, technology, or boredom.” – MindfulFathering

 

Fathers’ Day, like Mother’s Day was basically invented and promoted by the greeting card and florist industries. But, even though its origins were crass, the idea took off, because it hit upon a truth; that most of us love our fathers. As a result, Fathers’ Day has become a culturally accepted and encouraged time for the celebration of fatherhood and all that it means. The deep bonds and love that most people feel for their fathers and their fathers for them fuels the celebration of the holiday.

 

The holiday is also popular as everyone has a father, who in turn, has had a father, who has had a father, etc. Many are, or want to be fathers. It has and always will, play an immensely important role in our individual and societal existence. The effectiveness, or lack thereof, of fathering has a major impact on the children that continues throughout their lives. It is such an important role that it seems reasonable to explore what goes into successful fathering and child rearing and what might be of assistance in improving fathering. There has accumulated a tremendous amount of scientific evidence that mindfulness, (“awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally”) can be an important asset for fathers. So, on this day celebrating fatherhood, we’ll explore the role of mindfulness.

 

Mindfulness has been found to be important to becoming a father in the first place. Mindfulness makes the individual more attractive to the opposite sex, it improves sexual relationships, it helps to relieve infertility, and it improves relationships in general. All of which underscores the importance of mindfulness in improving the likelihood that conception will occur and that the infant will be born into a supportive social context. Mindfulness continues after birth to be of assistance as it improves caregiving and parenting, even in the case where the child has developmental disabilities. Mindfulness not only helps the parents deal with the stresses of childrearing, but developing mindfulness in the child can be of great assistance to helping the kids develop emotionally and cognitively, develop high level thinking, develop healthy self-concepts, develop socially, deal with stress, and cope with trauma and childhood depression. It even improves the child’s psychosocial development and academic performance and grades in school. In addition, it seems to be able to assist children through the troubled times of adolescence.

 

Fathering does not occur in a vacuum. It’s been said that “It takes a village” to rear a child. Indeed, fatherhood is embedded in a community. There are many people who are either directly or indirectly involved, from the mother, to the extended family, the community, the medical profession, teachers, clergy, social workers, childcare workers, and even the government. So relationships become an essential part of fathering from conception, to birth, and family and social life. Mindfulness is important to the father in developing and promoting these social connections that are so important for the child’s development. Mindful people generally connect better and are better liked by others, making them socially much more effective.

 

Why would mindfulness be such an important component of fatherhood? There are a number of reasons that mindfulness helps. It reduces the psychological and physical effects of stress on the father and let’s face it, raising children can be quite stressful. Mindfulness helps the father maintain his health and well-being, and to recover quicker should he become ill. Mindfulness also improves emotion regulation making the father better able to be in touch with his emotions yet react to them adaptively and effectively. This skill is needed as children are capable of learning how to push all the parents buttons and reacting well is essential to dealing successfully with the child.

 

With the increasing frequency of divorce and single parent households, the first and most important function of a father is simply to be present for their child. This may take the form of a traditional family, but may also be as the primary custodian, or only during delineated visitations, or there may be shared responsibility with separate households, or as a step-parent. The mindful father takes this role and his responsibilities to the child very seriously and regardless of the living arrangements invests time and resources in the child. Regardless of the circumstances being mindfully involved in the child’s life is crucial. But being present doesn’t just mean being physically present hanging around. Probably the most important thing a father can do is to simply be present with the child, devoting singular attention to the child. It means attending to the children emotionally, listening carefully, and being caring and compassionate.

 

The essential capacity developed in mindfulness training is paying much greater attention to what’s occurring in the present moment. This can be of immense help to the father. It makes him better attuned to his child’s and to his own needs. It reduces rumination and recriminations about past mistakes. It tends to diminish the worry and anxiety about the future. It helps him to focus on what needs to be done now, making him much more effective. And it helps him to experience the joys of fatherhood to their fullest. In general, by focusing on now, he is tuned into the only time that matters for himself or his child, improving his relationship with reality, dealing with its problems and relishing its wonders.

 

This is where mindfulness comes in. Mindfulness training promotes paying close attention to what is happening in the present moment. So, when interacting with their children a mindful father is truly present for them and not thinking about other things. Mindfulness promotes careful attentive listening. One of the most important things a child wants is to be truly heard. That is the gift of a mindful father. Mindfulness also promotes compassion, being aware of the emotional state of another. This is also important for a child. Childhood can be difficult and being in touch with a child’s moods is an important part of effective fathering. Mindfulness also develops the ability to closely observe without judging the child. This is immensely important for the development of the child’s self-concept and for the flowering of experimentation and creativity. Yes, children need direction, but too much judging can cause harm. So, observing the child with non-judgmental awareness is important for children flourishing.

 

Hence, mindfulness can make fathering better, both for the father, and the child. So, on this important day of celebration of fathers, let’s adopt mindfulness and make it a part of our relationship with our fathers and our children. Most of us love our fathers but we love mindful fathers even more especially when we ourselves are mindful.

 

“But mindfulness is really about being the best parent you can be. When we are mindful, we think about what we are doing and why we are doing it.  If we are grounded in principles, it is easier to be more aware of what is happening at the moment and to be more observant.  Connecting with the deep reasons why we chose to be a parent can help us see what is going on in a clearer light.” – Wayne Parker

 

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

 

Reduce Menopausal Symptoms, Anxiety, and Depression during Menopause with Mindfulness

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Reduce Menopausal Symptoms, Anxiety, and Depression during Menopause with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness cannot entirely remove the symptoms of menopause, but it can help you deal with them in a calmer and more compassionate way – and self compassion boosts mental health.” – Karita Cullen

 

Menopause occurs in the 40s and 50s in most women, on average at 51 years of age. It is a natural physical process that marks the end of the menstrual cycle. The symptoms that occur over the years preceding menopause include irregular periods, vaginal dryness, hot flashes, chills

night sweats, sleep problems, mood changes, weight gain and slowed metabolism, thinning hair and dry skin, and loss of breast fullness. This is a natural process that is healthy and needs to occur. So, treatments are designed for symptomatic relief and include drugs and hormone treatments.

 

Mindfulness training may be a more natural treatment for the symptoms of menopause. Indeed, the mindful practice of yoga has been shown to improve the cardiac symptoms of menopause. It is important to study the effectiveness of other mindfulness practices in relieving these symptoms. In today’s Research News article “Mindfulness-Based Stress Reduction (MBSR) or Psychoeducation for the Reduction of Menopausal Symptoms: A Randomized, Controlled Clinical Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919973/ ), Wong and colleagues examine the effectiveness for the treatment of menopausal symptoms of a Mindfulness-Based Stress Reduction (MBSR) program, which includes meditation, yoga, and body scan practices.

 

They recruited women 40-60 years of age who were experiencing menopausal symptoms. They were randomly assigned to receive either Mindfulness-Based Stress Reduction (MBSR) training of once-a-week 2.5-hour sessions for 8 weeks or Menopausal education on a similar schedule. Both groups were encouraged to practice at home for 40 minutes daily. They were measured before and after training and 3 and 6 months later for menopausal symptoms, perceived stress, health related quality of life, and mindfulness.

 

They found that both groups had significant reductions in menopausal symptoms at all follow-up measurements including the 6-month follow-up, but the MBSR group had significantly greater improvement than the menopausal education group. In addition, the MBSR group had significantly greater reductions in anxiety and depression at the follow-up measurements. Hence, MBSR appears to produce greater improvements in menopausal symptoms than an active control condition.

 

Mindfulness-Based Stress Reduction (MBSR) is a complex program including, meditation, yoga, and body scan practices. In the present study, it cannot be determined which of these components or combinations of components are effective and which are not. It has been previously shown, however, that yoga practice improves the cardiac symptoms of menopause. So, it would seem likely that at least the yoga component is effective. It remains for future research to determine whether meditation and body scan are necessary or sufficient to relieve the symptoms of menopause. Regardless, it is clear that the complex of practices of MBSR has beneficial effects for women undergoing menopause.

 

So, reduce menopausal symptoms, anxiety, and depression during menopause with mindfulness.

 

“The degree of bother reported from hot flashes and night sweats in the mindfulness group decreased over time, indicating time and persistence using mindfulness techniques may be key to obtaining beneficial results.” – Lena Suhaila

 

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

 

Carmen Wong, Benjamin Hon-Kei Yip, Ting Gao, Kitty Yu Yuk Lam, Doris Mei Sum Woo, Annie Lai King Yip, Chloe Yu Chin, Winnie Pui Yin Tang, Mandy Mun Tse Choy, Katrina Wai Key Tsang, Suzanne C. Ho, Helen Shuk Wah Ma, Samuel Yeung Shan Wong. Mindfulness-Based Stress Reduction (MBSR) or Psychoeducation for the Reduction of Menopausal Symptoms: A Randomized, Controlled Clinical Trial. Sci Rep. 2018; 8: 6609. Published online 2018 Apr 26. doi: 10.1038/s41598-018-24945-4

 

 

Abstract

Psychological and behavioural interventions may be effective in reducing menopause-related symptoms. This randomized controlled trial aimed to evaluate the effectiveness of Mindfulness-based Stress Reduction (MBSR) in reducing menopause-related symptoms by comparing with an active control group, the menopause education control (MEC). Symptomatic peri-menopausal and post-menopausal women with mild to moderate symptoms were recruited. The primary outcome was overall menopausal symptoms measured by modified Greene Climacteric Scale (GCS). Secondary outcomes include subscales of the GCS perceived stress, mindfulness and health related Quality of Life. All outcome measures were collected at baseline, 2 months (immediately post intervention), 5 and 8 months (3 and 6 months post intervention respectively). Both MBSR (n = 98) and MEC (n = 99) groups reported a reduction in total GCS score at 8 months. Between group analysis show significant symptom score reduction in MBSR group on Anxiety and Depression subscales of GCS. No differences were found between groups on other GCS subscales and majority of the secondary outcome measures. The findings show that menopausal symptoms in both MBSR and MEC significantly reduced over the study period. MBSR show a greater reduction of psychological symptoms of depression and anxiety above active controls but do not reduce other somatic, urogenital and vasomotor symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919973/

Reduce the Symptoms of Fibromyalgia with Tai Chi

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Reduce the Symptoms of Fibromyalgia with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai chi mind-body treatment results in similar or greater improvement in symptoms than aerobic exercise, the current most commonly prescribed non-drug treatment. This mind-body approach may be considered a therapeutic option in the multi-disciplinary management of fibromyalgia.” – Wang et al.

 

Fibromyalgia is a mysterious disorder whose causes are unknown. It is very common affecting over 5 million people in the U.S., about 2% of the population with about 7 times more women affected than men. It is characterized by widespread pain, abnormal pain processing, sleep disturbance, and fatigue that lead to psychological distress. Fibromyalgia may also have morning stiffness, tingling or numbness in hands and feet, headaches, including migraines, irritable bowel syndrome, sleep disturbances, thinking and memory problems, and painful menstrual periods. The symptoms are so severe and debilitating that about half the patients are unable to perform routine daily functions and about a third have to stop work. Although it is not itself fatal, suicide rates are higher in fibromyalgia sufferers.

 

There are no completely effective treatments for fibromyalgia. Symptoms are generally treated with pain relievers, antidepressant drugs and exercise. But, these only reduce the severity of the symptoms and do not treat the disease directly. Mindfulness practices have also been shown to be effective in reducing pain from fibromyalgia. Mindfulness practices that are also exercises may be particularly effective. Indeed, yoga practice has been shown to improve the symptoms of fibromyalgia. This suggests that Tai Chi, another mindful exercise might be similarly effective.

 

In today’s Research News article “Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5861462/ ), Wang and colleagues recruited patients with fibromyalgia and randomly assigned them to one of three groups; 60 minutes of Tai Chi once a week for 24 weeks, 60 minutes of Tai Chi twice a week for 12 weeks, or 60 minutes of light to moderate aerobic exercises twice a week for 24 weeks. Participants were encouraged to practice at home and continue the exercises after the end of formal sessions. Participants were measured before and at 12, 24, and 52 weeks into the intervention for overall severity of fibromyalgia, including intensity of pain, physical function, fatigue, morning tiredness, depression, anxiety, job difficulty, and overall wellbeing, anxiety, depression, self-efficacy, sleep quality, symptom severity, physical and mental health, coping strategies, social support, disability, and physical function, including muscle strength and power.

 

They found that at 24 and again at 52 weeks all groups showed significant improvement but the Tai Chi groups had significantly greater improvement than the aerobic exercise group in overall fibromyalgia severity, self-efficacy, anxiety, and coping strategies. Hence, participation in Tai Chi exercise produce significant improvement in the symptoms of fibromyalgia that were better than those produced by aerobic exercise.

 

These are remarkable findings that Tai Chi practice is better than aerobic exercise in treating the symptoms of fibromyalgia. Both helped, but Tai Chi helped more. Fibromyalgia patients suffer greatly and to bring relief with a simple, gentle, safe exercise is very important. Tai Chi 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. In addition, 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. Hence, Tai Chi practice would appear to be a wonderful effective treatment for the relief of the suffering of fibromyalgia patients.

 

So, reduce the symptoms of fibromyalgia with Tai Chi.

 

“The authors attributed the success of the program to the postures and low impact movements of Tai Chi, and to the “controlled breathing and movements leading to restful state and mental tranquility.” Pain thresholds were likely raised in the process, which helped break the cycle of movement pain.“ – Joanna Fernandes

 

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

 

Wang, C., Schmid, C. H., Fielding, R. A., Harvey, W. F., Reid, K. F., Price, L. L., … McAlindon, T. (2018). Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. The BMJ, 360, k851. http://doi.org/10.1136/bmj.k851

 

Abstract

Objectives

To determine the effectiveness of tai chi interventions compared with aerobic exercise, a current core standard treatment in patients with fibromyalgia, and to test whether the effectiveness of tai chi depends on its dosage or duration.

Design

Prospective, randomized, 52 week, single blind comparative effectiveness trial.

Setting

Urban tertiary care academic hospital in the United States between March 2012 and September 2016.

Participants

226 adults with fibromyalgia (as defined by the American College of Rheumatology 1990 and 2010 criteria) were included in the intention to treat analyses: 151 were assigned to one of four tai chi groups and 75 to an aerobic exercise group.

Interventions

Participants were randomly assigned to either supervised aerobic exercise (24 weeks, twice weekly) or one of four classic Yang style supervised tai chi interventions (12 or 24 weeks, once or twice weekly). Participants were followed for 52 weeks. Adherence was rigorously encouraged in person and by telephone.

Main outcome measures

The primary outcome was change in the revised fibromyalgia impact questionnaire (FIQR) scores at 24 weeks compared with baseline. Secondary outcomes included changes of scores in patient’s global assessment, anxiety, depression, self efficacy, coping strategies, physical functional performance, functional limitation, sleep, and health related quality of life.

Results

FIQR scores improved in all five treatment groups, but the combined tai chi groups improved statistically significantly more than the aerobic exercise group in FIQR scores at 24 weeks (difference between groups=5.5 points, 95% confidence interval 0.6 to 10.4, P=0.03) and several secondary outcomes (patient’s global assessment=0.9 points, 0.3 to 1.4, P=0.005; anxiety=1.2 points, 0.3 to 2.1, P=0.006; self efficacy=1.0 points, 0.5 to 1.6, P=0.0004; and coping strategies, 2.6 points, 0.8 to 4.3, P=0.005). Tai chi treatment compared with aerobic exercise administered with the same intensity and duration (24 weeks, twice weekly) had greater benefit (between group difference in FIQR scores=16.2 points, 8.7 to 23.6, P<0.001). The groups who received tai chi for 24 weeks showed greater improvements than those who received it for 12 weeks (difference in FIQR scores=9.6 points, 2.6 to 16.6, P=0.007). There was no significant increase in benefit for groups who received tai chi twice weekly compared with once weekly. Participants attended the tai chi training sessions more often than participants attended aerobic exercise. The effects of tai chi were consistent across all instructors. No serious adverse events related to the interventions were reported.

Conclusion

Tai chi mind-body treatment results in similar or greater improvement in symptoms than aerobic exercise, the current most commonly prescribed non-drug treatment, for a variety of outcomes for patients with fibromyalgia. Longer duration of tai chi showed greater improvement. This mind-body approach may be considered a therapeutic option in the multidisciplinary management of fibromyalgia.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5861462/

 

Improve Health Message Effectiveness with Mindfulness

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Improve Health Message Effectiveness with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Individuals may benefit from cultivating mindful attention when processing potentially threatening yet beneficial health information. It’s possible that incorporating mindfulness cultivation into existing intervention strategies can promote more widespread positive health behavior.” – Yoona Kang

 

Health professionals know that lifestyle is a major contributor to health and alternatively disease. In an attempt to help alter lifestyles to promote health a frequent tactic is education; promoting positive behaviors with health messaging. Unfortunately, health messages are often met with defensiveness. They can be threatening and or induce shame in the targeted individual and thereby become counterproductive. So, it is important to develop methodologies to make health messaging less negative and more effective.

 

Mindfulness has been shown to reduce the emotional responding to a myriad of stimuli. It is therefore possible that mindfulness may improve the effectiveness of health messages.  In today’s Research News article “Dispositional Mindfulness Predicts Adaptive Affective Responses to Health Messages and Increased Exercise Motivation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363856/ ), Kang and colleagues examine the ability of mindfulness to improve the ability of health messages to promote physical exercise.

 

They recruited relatively inactive healthy adults who came to the laboratory on three occasions. In the first visit they were measured for body size, mindfulness, exercise motivation, physical activity, and depression. For the next week they wore an accelerometer to measure their physical activity and reported to the laboratory for their second visit. At this visit they received a health message regarding the negative health consequences of a sedentary lifestyle, the benefits of exercise and ideas on how to incorporate exercise into their lives. They were also measured for positive and negative affect and exercise motivation. Over the next month they continued to wear the accelerometer and received daily health messages by text. They then reported to the lab for their third visit where they turned in their accelerometers and completed self-report measures of exercise motivation and physical activity.

 

They found that the higher the levels of mindfulness that the participants had, the lower the levels of negative emotions and feelings of shame. They also found that the higher the levels of mindfulness at the beginning of the study, the greater the levels of exercise motivation after the health messaging. They then investigated mediation for the effects of mindfulness on the effectiveness of the health messaging on exercise motivation after the month and found that mindfulness was associated with increased exercise motivation directly and indirectly by being associated with decreased negative emotions which, in turn were associated with reduced exercise motivation. In addition, they found that mindfulness was associated with increased exercise motivation directly and indirectly by being associated with decreased shame which in turn were associated with reduced exercise motivation. So, the effectiveness of the health messaging in increasing the participants motivation to engage in exercise was to some extent dependent upon their levels of mindfulness. Mindfulness appeared to work directly on exercise motivation and indirectly by reducing negative emotions and shame which were deterrents to being receptive to the messaging.

 

It should be kept in mind that this study was correlational, so causation cannot be determined. In addition, there wasn’t a no-health-messaging control condition, so the effects of potential bias and contaminants cannot be assessed. But, this study suggests that further research using more controlled conditions and manipulation of mindfulness with training is warranted. In order to make health messages effective in changing behavior, it may be necessary to combine the messaging with mindfulness exercises.

 

So, improve health message effectiveness with mindfulness.

 

“When you aren’t focused on what you’re doing, you may lose that sense of satisfaction for a job well done and, not only that, your workouts may not be as effective. Think about it; when you’re in a rush to be done, how careful are you with your form? If you added more focus to your workouts, more mindfulness to your exercises, you might get more out of them than you think.” – Paige Wehner

 

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

 

Kang, Y., O’Donnell, M. B., Strecher, V. J., & Falk, E. B. (2017). Dispositional Mindfulness Predicts Adaptive Affective Responses to Health Messages and Increased Exercise Motivation. Mindfulness, 8(2), 387–397. http://doi.org/10.1007/s12671-016-0608-7

Abstract

Feelings can shape how people respond to persuasive messages. In health communication, adaptive affective responses to potentially threating messages constitute one key to intervention success. The current study tested dispositional mindfulness, characterized by awareness of the present moment, as a predictor of adaptive affective responses to potentially threatening health messages and desirable subsequent health outcomes. Both general and discrete negative affective states (i.e., shame) were examined in relation to mindfulness and intervention success. Individuals (n=67) who reported less than 195 weekly minutes of exercise were recruited. At baseline, participants’ dispositional mindfulness and exercise outcomes were assessed, including self-reported exercise motivation and physical activity. A week later, all participants were presented with potentially threatening and self-relevant health messages encouraging physical activity and discouraging sedentary lifestyle, and their subsequent affective response and exercise motivation were assessed. Approximately one month later, changes in exercise motivation and physical activity were assessed again. In addition, participants’ level of daily physical activity was monitored by a wrist worn accelerometer throughout the entire duration of the study. Higher dispositional mindfulness predicted greater increases in exercise motivation one month after the intervention. Importantly, this effect was fully mediated by lower negative affect and shame specifically, in response to potentially threatening health messages among highly mindful individuals. Baseline mindfulness was also associated with increased self-reported vigorous activity, but not with daily physical activity as assessed by accelerometers. These findings suggest potential benefits of considering mindfulness as an active individual difference variable in theories of affective processing and health communication.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363856/

 

Lower High Blood Pressure with Yoga

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Lower High Blood Pressure with Yoga

 

By John M. de Castro, Ph.D.

 

“Yoga can reduce stress-induced hypertension, while addressing its underlying causes. It pacifies the sympathetic nervous system and slows down the heart, while teaching the muscles and mind to relax deeply.” – Marla Apt

 

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease.  It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control.

 

High blood pressure, because it doesn’t have any primary symptoms, is usually only diagnosed by direct measurement of blood pressure usually by a health care professional. When hypertension is chronically present over three quarters of patients are treated with antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely. Obviously, there is a need for alternative to drug treatments for hypertension. Mindfulness practices have been shown to aid in controlling hypertension. Exercise is also known to help. So, yoga practice, which combines mindfulness practice with exercise would seem to be a good candidate practice for the treatment of hypertension,

 

In today’s Research News article “Effect of 1-week yoga-based residential program on cardiovascular variables of hypertensive patients: A Comparative Study.” (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=170;epage=174;aulast=Metri ), Metri and colleagues recruited adults (aged 30-60 years) with hypertension; half of which participated in a 1-week Integrative Yoga Therapy program, while half were on antihypertensive medications. The Integrative Yoga Therapy program included poses, breathing exercises, meditation, and relaxation. They were measured before, during, and after treatment for heart rate, blood pressure, cardiac output, cardiac stroke volume, total peripheral vascular resistance, and baroreflex sensitivity.

 

They found that compared to baseline and the group on antihypertensive medications after the 1-week Integrative Yoga Therapy program there were significant decreases in both systolic and diastolic blood pressure, mean arterial pressure, Total peripheral vascular resistance, and baroreflex sensitivity. Hence, one week of Yoga Therapy appears to be a safe and effective treatment for hypertension.

 

It should be kept in mind that the control condition was not an active control. Thus, it is possible that any activity might have produced comparable benefits. In future research that Yoga Therapy program needs to be compared to other activities such as aerobic exercise. In addition, it is not known which components of Yoga Therapy or which combinations of components were needed to produce the benefits. Future research should perform a component analysis to determine whether poses, breathing exercises, meditation, and/or relaxation were necessary for the effects. But, it is clear that participation in a 1-week program of Integrative Yoga Therapy can improve hypertension.

 

So, lower high blood pressure with yoga.

 

“People who follow the ancient practice of yoga may be getting an added health boost, with a new study suggesting it can fight high blood pressure — also known as hypertension.” – Robert Preidt

 

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

 

Metri KG, Pradhan B, Singh A, Nagendra H R. Effect of 1-week yoga-based residential program on cardiovascular variables of hypertensive patients: A Comparative Study. Int J Yoga 2018;11:170-4

 

Introduction: Hypertension (HTN) is an important public health concern and a leading cause of morbidity and mortality worldwide. Yoga is a form of mind–body medicine shown to be effective in controlling blood pressure (BP) and reduces cardiac risk factors in HTN. Integrated approach of Yoga therapy (IAYT) is a residential yoga-based lifestyle intervention proven to be beneficial in several health conditions. Aim: To study the efficacy of 1 week of residential IAYT intervention on cardiovascular parameters in hypertensive patients. Methodology: Twenty hypertensive individuals (7 females) within age range between 30 and 60 years (average; 46.62 ± 9.9 years), who underwent 1 week of IAYT treatment for HTN, were compared with age- gender-matched non-IAYT group (5 females; average age; 47.08 ± 9.69 years) in terms of systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), cardiac output (CO), stroke volume (SV), baroreflex sensitivity (BRS), and total peripheral vascular resistance (TPVR), IAYT program consisted of sessions of asanas, breathing practices, meditation and relaxation techniques, low salt, low-calorie diet, devotional session, and counseling. Individuals in non-IAYT group followed their normal routine. All the variables were assessed before and after one week. Data were analyzed using SPSS version 16. RM-ANOVA was applied to assess within group and between group changes after intervention. Results: There was a significant improvement in SBP (P = 0.004), DBP (P = 0.008), MAP (0.03), BRS (P < 0.001), and TPVR (P = 0.007) in IAYT, group whereas in control group, we did not find significant difference in any of the variables. Between-group comparison showed a significant improvement in SBP (P = 0.038), BRS (P = 0.034), and TPVR (P = 0.015) in IAYT group as compared to non-IAYT group. Conclusion: One-week IAYT intervention showed an improvement in baroreflex sensitivity, systolic BP, and total peripheral vascular resistance in hypertensive patients. However, further randomized control trials need to be performed to confirm the present findings.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=2;spage=170;epage=174;aulast=Metri