Be Mindful for Improved Psychological Health

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Be Mindful for Improved Psychological Health

 

By John M. de Castro, Ph.D.

 

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

 

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

 

In fact, the degree of mindfulness, inherent in the individual, without training, known as dispositional mindfulness, has been shown to be associated with the degree of mental and physical health. In today’s Research News article “Dispositional Mindfulness and Psychological Health: a Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770488/ ), Tomlinson and colleagues review and summarize the published scientific research regarding the relationship of dispositional mindfulness to psychological health. They identified 93 research studies that found three different areas of relationship.

 

They report that the published research found that dispositional mindfulness was associated with improved psychopathological symptoms. The published research report that the higher the individuals’ levels of dispositional mindfulness the lower the levels of depression, anxiety, disordered eating, Post-Traumatic Stress Disorder (PTSD) symptoms, and Borderline Personality Disorder (DPD) symptoms.

 

They report that the published research found that dispositional mindfulness was associated with improved cognitive performance. It was found that that the higher the individuals’ levels of dispositional mindfulness the lower the levels of avoidant coping strategies e.g. procrastination, rumination, impulsivity, catastrophizing and neuroticism, and the higher the levels of executive function (high level thinking).

 

Finally, they report that dispositional mindfulness was associated with improved emotional control. It was reported that the higher the individuals’ levels of dispositional mindfulness the lower the levels of perceived stress, emotional distress, and higher levels of emotion regulation, emotional stability, psychological well-being, and recovery following stressful conditions.

 

This review of the published research suggests that being generally mindful (dispositional mindfulness) is associated with psychological health and well-being. The problem with dispositional characteristics is that they cannot be manipulated as they are relatively stable characteristics of the individual. They can only be correlated with other characteristics. As such, it is impossible to conclude causal relationships between dispositional mindfulness and psychological health. It is equally likely that psychological health produces dispositional mindfulness, that dispositional mindfulness produces psychological health, or that a third factor causes both.

 

Manipulative research, producing changes in the short-term state of mindfulness, however, demonstrates that increases in mindfulness cause improvements in psychological well-being. So, it is likely that the observed relationships of dispositional mindfulness and psychological health are the result of dispositional mindfulness causing improved emotional and cognitive function and thereby reduced psychopathology and improved mental health.

 

So, be mindful for improved psychological health.

 

“A great deal of research has documented physical health benefits of mindfulness, such as an improved immune system, lower blood pressure, and better sleep. Mindfulness has also been linked to mental health benefits, such as reduced stress and anxiety, and improved concentration and focus, less emotional reactivity.” – American Psychiatric Association

 

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

 

Eve R. Tomlinson, Omar Yousaf, Axel D. Vittersø, Lauraine Jones. Dispositional Mindfulness and Psychological Health: a Systematic Review. Mindfulness (N Y) 2018; 9(1): 23–43. Published online 2017 Jul 1. doi: 10.1007/s12671-017-0762-6

 

Abstract

Interest in the influence of dispositional mindfulness (DM) on psychological health has been gathering pace over recent years. Despite this, a systematic review of this topic has not been conducted. A systematic review can benefit the field by identifying the terminology and measures used by researchers and by highlighting methodological weaknesses and empirical gaps. We systematically reviewed non-interventional, quantitative papers on DM and psychological health in non-clinical samples published in English up to June 2016, following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A literature search was conducted using PsycINFO, PubMED, Medline and Embase, and 93 papers met the inclusion criteria. Within these, three main themes emerged, depicting the relationship between DM and psychological health: (1) DM appears to be inversely related to psychopathological symptoms such as depressive symptoms, (2) DM is positively linked to adaptive cognitive processes such as less rumination and pain catastrophizing and (3) DM appears to be associated with better emotional processing and regulation. These themes informed the creation of a taxonomy. We conclude that research has consistently shown a positive relationship between DM and psychological health. Suggestions for future research and conceptual and methodological limitations within the field are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770488/

Retreat for Health

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Retreat for Health

 

By John M. de Castro, Ph.D.

 

“retreat confirmed the importance of taking time out of our busy lives to quietly reflect and connect with ourselves. I learned countless lessons that could have only happened through direct experience. Perhaps most importantly, I deeply accepted myself and vowed to continue leaning into my fears.” – Alyssa Siefert

 

Retreat can be a powerful experience. But, in some ways, is like being on vacation. Everything is taken care of, beds made, towels and linens provided, all meals prepared, and time is dictated by a detailed schedule of meditations, talks, question and answer periods, and reflective time. All the individual has to do is show up, meditate, relax, contemplate and listen. The retreatants are terribly spoiled! That seeming ease, however, is deceptive.

 

Retreat is actually quite difficult and challenging. It can be very tiring as it can run from early in the morning till late at night every day. It can also be physically challenging as engaging in sitting meditation repeatedly over the day is guaranteed to produce many aches and pains in the legs, back, and neck. But the real challenges are psychological, emotional, and spiritual. Retreat can be a real test. The darkness can descend. Deep emotional issues can emerge and may even overwhelm the individual. Many participants will spontaneously burst out in tears. Others may become overwhelmed with fear and anxiety and break out in cold sweats, and still others are sleepless and tormented. How can this be, that something so seemingly peaceful as silent retreat can be so emotionally wrenching? The secret is that the situation removes the minds ability to hide and distract.

 

Humans have done a tremendous job of providing distractions for the mind including books, movies, magazines, music, television, sports, amusement parks, surfing the internet, tweeting, texting, etc. Any time troubling thoughts or memories of traumatic experiences begin to emerge in everyday life, the subject can easily be changed by engaging in a distraction. So, the issues never have to truly be confronted. But, in silent retreat there is no escape. Difficult issues emerge and there is no place to hide. They must be confronted and experienced. With all these difficulties, why would anyone want to put themselves through such an ordeal and go on a meditation retreat? People go because they find that retreat produces many profound and sometimes life altering benefits.

 

In today’s Research News article “The health impact of residential retreats: a systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5761096/ ), Naidoo and colleagues review and summarize the effects on health of attending a retreat. They discovered 23 scientific studies of the health effects of retreat of which 8 were randomized controlled trials. These studies included a wide range of participants including healthy individuals and people with mental and physical disorders. The retreats lasted from 2.5 to 15 days with most around a week.

 

They found that without exception the studies reported statistically significant improvements following the retreat in some outcome measures of mental or physical health. These benefits included significant improvements in quality of life, perceived physical health and health symptoms, as well as psychological and spiritual well-being, and even genetic markers of longevity. These benefits appear to last long after the completion of the retreat. So, retreat appears to produce substantial and lasting health benefits.

 

It is very difficult to find appropriate comparison conditions for a retreat or have a retreat with blind participants or researchers. So, there is a considerable risk of bias in all of these studies. Nevertheless, the universal findings of the scientific studies that have investigated the effects of participating in a retreat find significant psychological, physical, and spiritual benefits for healthy or sick individuals.

 

So, retreat for health.

 

“A 1-month Vipassana meditation retreat may yield improvements in mindfulness, affect and personality, even in experienced meditators.” – Montero Marin

 

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

 

Dhevaksha Naidoo, Adrian Schembri, Marc Cohen, The health impact of residential retreats: a systematic review. BMC Complement Altern Med. 2018; 18: 8. Published online 2018 Jan 10. doi: 10.1186/s12906-017-2078-4

 

Abstract

Background

Unhealthy lifestyles are a major factor in the development and exacerbation of many chronic diseases. Improving lifestyles though immersive residential experiences that promote healthy behaviours is a focus of the health retreat industry. This systematic review aims to identify and explore published studies on the health, wellbeing and economic impact of retreat experiences.

Methods

MEDLINE, CINAHL and PsychINFO databases were searched for residential retreat studies in English published prior to February 2017. Studies were included if they were written in English, involved an intervention program in a residential setting of one or more nights, and included before-and-after data related to the health of participants. Studies that did not meet the above criteria or contained only descriptive data from interviews or case studies were excluded.

Results

A total of 23 studies including eight randomised controlled trials, six non-randomised controlled trials and nine longitudinal cohort studies met the inclusion criteria. These studies included a total of 2592 participants from diverse geographical and demographic populations and a great heterogeneity of outcome measures, with seven studies examining objective outcomes such as blood pressure or biological makers of disease, and 16 studies examining subjective outcomes that mostly involved self-reported questionnaires on psychological and spiritual measures. All studies reported post-retreat health benefits ranging from immediately after to five-years post-retreat. Study populations varied widely and most studies had small sample sizes, poorly described methodology and little follow-up data, and no studies reported on health economic outcomes or adverse effects, making it difficult to make definite conclusions about specific conditions, safety or return on investment.

Conclusions

Health retreat experiences appear to have health benefits that include benefits for people with chronic diseases such as multiple sclerosis, various cancers, HIV/AIDS, heart conditions and mental health. Future research with larger numbers of subjects and longer follow-up periods are needed to investigate the health impact of different retreat experiences and the clinical populations most likely to benefit. Further studies are also needed to determine the economic benefits of retreat experiences for individuals, as well as for businesses, health insurers and policy makers.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5761096/

The Noble Eightfold Path – Right Mindfulness

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The Noble Eightfold Path – Right Mindfulness

 

By John M. de Castro, Ph.D.

 

“Buddhism began by encouraging its practitioners to engage in smrti (sati) or mindfulness, that is, developing a full consciousness of all about you and within you — whether seated in a special posture, or simply going about one’s life. This is the kind of meditation that Buddha himself engaged in under the bodhi tree, and is referred to in the seventh step of the eightfold path.” – C. George Boeree
The predominant iconic image of the Buddha is of him sitting in blissful meditation. This results in the popular conception that meditation is at the center of Buddhism.  But, as is evident from the first six components of the Noble Eightfold Path, at the center is how one goes about one’s life. This is evident in Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort and Right Concentration. The real center of Buddhism is contained in the seventh component of the Buddha’s Noble Eightfold Path, Right Mindfulness. Mindfulness is the basis for all of the other components on the path. Unless one is mindful, there cannot be a right view, intention, speech, action, livelihood, effort, or concentration. The Buddha used meditation as a practice to develop mindfulness, thereby allowing progress on the path and eventually attaining enlightenment. So, meditation is a means to an end and that end is mindfulness and beyond.

 

Mindfulness is all about presence of mind or paying attention. But, it’s a particular kind of attention. We are forever paying attention to something. Mindfulness involves paying attention to what is occurring in the present moment. Paying attention to memories, daydreams, ruminations about the past, thoughts about the future, planning, problem solving, dreaming, visualizing, etc. are not mindfulness. Rather it is paying attention to the sensations from inside the body and from the outside environment, to the momentary thoughts floating through the mind, and to momentary awareness itself. In addition, it is intentional paying attention, doing so on purpose, and witnessing what is transpiring in the present moment without judgment, without consideration of it being good or bad, right or wrong, pleasant or unpleasant, or smart or stupid, rather, simply letting things be as they are. It can be thought of as thoughtless awareness, pure awareness of now, or bare attention, without reference to the past or the future or for that matter without any processing of the information whatsoever.

 

Mindfulness helps to lead to serenity, insight, deep concentration, or wisdom. It makes sure that the mind does not slip away and get lost in random undirected thoughts. Its primary tasks are to observe, to note, to discern phenomena with utmost precision until their fundamental characteristics and nature are brought to awareness. In order to attain these deeper understandings, the Buddha directed his followers that they should concentrate on four types of mindfulness being mindful of the body, feelings, mental states, and mental contents.

 

A sad aspect of our lack of mindfulness is an unawareness of the body. With the mind occupied with thoughts, ruminations, plans, etc. it is easy to lose track of the body and its physical state. It is eye opening when introducing people to a simple body scan, how amazed they are that they’re so unaware of it. So, to be truly in the present moment an acute awareness of the state of the body needs to be developed. This involves a number of components. Mindfulness of the body includes recognizing the position of the body, whether standing, sitting, lying down, and the various parts of the body, from toes to scalp and everything in between. Mindfulness of the body also includes a recognition of its composition of matter, air, and water, that are acquired from the environment, and thereby recognizing the body’s dependence and integration with the greater world. Finally, it involves a recognition of the body’s ever changing, impermanent nature, including its growth, development, deterioration, and eventual cessation in death. Yes, mindfulness of the body includes recognition of its mortality.

 

There is not only a lack of awareness of the body itself but also of the sensations from the body, including those associated with emotional states and how we evaluate, judge and respond to them. Mindfulness of feelings includes bring to awareness the sensations and feelings from the body and all its parts in the present moment, including feelings of temperature, pressure, pain, tingling, etc. As this awareness emerges so can an awareness of how we are judging these feelings as pleasurable, likable, distasteful, unlikable, or neutral and how we are reacting to them of doing things to develop or hold onto pleasant feelings and to eliminate or abbreviate unpleasant feelings. These are all deeply imbedded in human nature, but often appear to occur unconsciously. Mindfulness of feelings brings them into the light of awareness.

 

Emotions always involve both mental and physical components. Mindfulness of feelings is generally seen as pertaining to the bodily sensations accompanying emotions. It’s quite striking as mindfulness of feelings emerges and develops the degree to which they often occur without awareness or even recognition. Anger and fear are accompanied by a physiological activation, including increases in heart rate and blood pressure, muscle tone, blood moving away from the skin and gut to the muscles, and facial expressions. Yet, these are frequently not recognized. In developing mindfulness of feelings, the feelings produced by emotions are brought to awareness and felt deeply. This produces an ability to recognize the emotional state before it elicits a reaction that might harmful or regretted later. Mindfulness of feelings, then, allows for not only recognition but also the control of emotional reactions.

 

The mind is constantly interpreting and judging experience. These processes are responsible for forming ideas about these experiences, sometimes called mental formations, because they are formed in the mind. In psychology it is recognized that what emotion is felt is determined not only by our physical state but also how the mind interprets the environment. For example, fear is thought to occur when a physiological reaction occurs within what the mind interprets as a fearful context, e.g. the presence of a threat. Mindfulness of mental states involves firstly recognizing the state, e.g. anger, happiness, boredom, etc. and observing the workings of the mind that produce these mental formations. By watching how the mind interprets experience the practitioner becomes more and more aware of how the mind effects how experience is perceived and interpreted and the roots and conditions of these experiences. It may underline how the interpretation of the experience is based upon prior experiences or memories or how they are interconnected to other things in the environment. As the practice continues, it becomes easier and easier to see experiences in the raw, without interpretation, devoid of judgment, disconnected from prior experiences.

 

Every experience contains objects that are detected by our senses. Mindfulness of mental contents involves bringing these objects into awareness in all their aspects. This involves not only seeing and perceiving the object exactly as it is at the moment but also observing its impermanence and it interconnectedness to everything else. It’s seeing the object as an absolutely unique and ever changing expression of the entire universe. Deep mindfulness of an object includes perceiving how it is dynamically changing from moment to moment. An apple has a particular immediate appearance but this is just a snapshot of the apple which has changed moment to moment, from a seed, earth, and water, to a tree, to a bud, to an unripe piece of fruit, to its current state as a one of a kind apple. It is also to see that this apple will continue to change to overripe, to rotten, to garbage on the ground, to its component elements of soil and water, to its return to the earth. In other words, mindfulness of mental contents involves seeing the object as a transitory impermanent expression. In addition, it is to see how it is connected to everything else, the sunlight, the rain, the soil, the evolution of apple trees, the farmer, the machinery, the inventors of the machinery, the metal, plastics, and gasoline in the machinery, etc. In other words, it’s to see the apple as and ever changing and interconnected to all of existence. When objects are viewed in this way, they are truly seen mindfully.

 

So, Right Mindfulness is the development of an accurate and precise awareness of the present moment uncolored by ideas, memories, beliefs, expectations, etc., just the experience as it is. This is essential to progress on the path as it’s impossible to develop the other seven components of the path without being able to accurately perceive exactly what is actually transpiring in the present moment. It is the essential foundation for everything else. With it we have hope of progressing toward enlightenment, without it, we’re lost in delusion. So practice resolutely to develop mindfulness and move forward on the path.

 

 “When right mindfulness is developed and made much of, one realizes what one should do and should not do. Whether one should speak or not speak. When one speaks, what should be spoken and not spoken. Right mindfulness is the basis for the development of the right path that culminates in knowledge, wisdom, contentment and the highest happiness.” – Mithra Wettimuny

 

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Improve Cognition in the Elderly with Tai Chi

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Improve Cognition in the Elderly with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai Chi has consistent, small effects on improving cognitive performance in both healthy older adults and older adults with some cognitive impairment.” – PM Wayne

 

The aging process involves a systematic progressive decline of the body and the brain. Every system in the body deteriorates including cognitive function (thinking ability) and 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 and cognitive 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.

 

Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Only recently though have the effects of Tai Chi practice been scrutinized with empirical research. But, it has been found to be effective for an array of physical and psychological issues. Tai Chi has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain. Because Tai Chi is not strenuous, involving slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion.

 

In today’s Research News article “Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797349/ ), Siu and Lee examine the effectiveness of Tai Chi practice for elderly individuals with mild cognitive impairment. They recruited elderly individuals (> 60 years of age) with mild cognitive impairment from 4 community centers for the elderly. Participants from two community centers were randomly assigned to a no-treatment control condition or to receive 16 weeks of Tai Chi training for 1-hour twice a week. They were measured before and after training for cognitive ability and daily living activities; including using telephone, shopping, preparing food, doing house-keeping and laundry, using transportation, managing finances, handling medication, and doing handyman work.

 

They found that the Tai Chi practice group compared to baseline and the control group had significant improvements in cognitive ability and in the performance of daily activities. These are important findings. With an aging population, the maintenance of ability to perform daily activities may reduce the burden and cost of caregivering. In addition, the improvements in cognitive function may reduce the incidence of dementia and allow for better quality of life in the elderly. Importantly, these benefits can be produced with a convenient, inexpensive, safe, and fun social activity.

 

So, improve cognition in the Elderly with Tai Chi.

 

“A comparison of the effects of regular sessions of tai chi, walking, and social discussion, has found tai chi was associated with the biggest gains in brain volume and improved cognition.” – Fiona MsPherson

 

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

 

Mei-yi Siu, Diana T. F. Lee. Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment. BMC Geriatr. 2018; 18: 37. Published online 2018 Feb 2. doi: 10.1186/s12877-018-0720-8

 

Abstract

Background

Cognitive impairment places older adults at high risk of functional disability in their daily-life activities, and thus affecting their quality of life. This study aimed to examine the effects of Tai Chi on general cognitive functions and instrumental activities of daily living (IADL) in community-dwelling older people with mild cognitive impairment (MCI) in Hong Kong.

Methods

The study adopted a multi-site nonequivalent control-group pretest-posttest design. 160 community-dwelling older people, aged ≥60, with MCI, from four community elderly centers participated in the study. The intervention group (IG, n = 80) received training in the Yang-style simple form of Tai Chi, at a frequency of two lessons per week for 16 weeks. Each lesson lasted for one hour. The control group (CG, n = 80) had no treatment regime and joined different recreational activity groups in community centers as usual within the study period. Outcome measures included measures of global cognitive status and IADL. The Chinese version of the Mini-Mental State Examination (CMMSE) was used for global cognitive assessment. The Hong Kong Chinese version of Lawton’s Instrumental Activities of Daily Living (IADL-CV) was used to assess the participants’ IADL levels. General Estimating Equations (GEE) was used to examine each of the outcome variables for the two groups at the two study time points (the baseline and at the end of the study). Meanwhile, minimum detectable change (MDC) was calculated to estimate the magnitude of changes required to eradicate the possibility of measurement error of outcome measures.

Results

Seventy four participants in the IG and 71 participants in the CG completed the study. With adjustments for differences in age, education, marital status and living conditions, the findings revealed that the participants in the IG scored significantly better on the CMMSE test (P = 0.001), and the instrumental ADL questionnaire (P = 0.004). However, those scores changes did not exceed the limits of the respective MDCs in the study, the possibility of measurement variation due to error could not be excluded.

Conclusion

Tai Chi may be an effective strategy to enhance cognitive health and maintain functional abilities in instrumental ADL in older people with MCI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797349/

Relieve Tinnitus with Yoga

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Relieve Tinnitus with Yoga

 

By John M. de Castro, Ph.D.

 

“With this new research we now know that regular yoga practice can reduce these symptoms and tinnitus without medication.” – Barry Keate

 

Tinnitus is one of the most common symptoms to affect humanity. People with tinnitus live with a phantom noise that can range from a low hiss or ringing to a loud roar or squeal which can be present constantly or intermittently. It can have a significant impact on people’s ability to hear, concentrate, or even participate in everyday activities. The vast majority of people with tinnitus have what is known as subjective tinnitus. This is caused by unknown problems somewhere in the auditory system; the inner, middle, or outer ear, the part of the brain that translates nerve signals as sounds, or the auditory nerves.

 

Approximately 25 million to 50 million people in the United States experience it to some degree. Approximately 16 million people seek medical attention for their tinnitus, and for up to two million patients, debilitating tinnitus interferes with their daily lives. There are a number of treatments for tinnitus including, counseling, sound therapy, drugs, and even brain stimulation. Unfortunately, none of these treatments is very effective. Mindfulness practices have been shown to be effective in treating Tinnitus. Hence there is a need to further explore the various forms of mindfulness practices as alternative treatments for tinnitus.

 

In today’s Research News article “The Effects of Yoga in Patients Suffering from Subjective Tinnitus.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786150/ ), Köksoy and colleagues recruited tinnitus patients and provided them with yoga instruction for an hour once a week for 12 weeks. The practice consisted of postures, breathing exercises, meditation, and relaxation. The participants were instructed to practice as often as possible at home. They were measured before and after yoga practice for tinnitus severity, the everyday and emotional handicap produced by tinnitus, and stress symptoms produced by tinnitus.

 

They found that after the yoga practice there was a large, 58%, and significant reduction in tinnitus severity, a 44% reduction in the handicap produced by tinnitus, and a 21% reduction in the stress produced by tinnitus, including the psychological, physical, and pain facets of tinnitus produced stress. Hence the yoga practice was very effective in improving the symptoms of tinnitus.

 

It should be noted that there wasn’t a comparison (control) condition present in the study. So, the results should be viewed as preliminary and a proof of concept. In addition, 1//3 of the original patient sample dropped out during the study. Nevertheless, the results provide a clear rationale for the performance of a large randomized controlled clinical trial of yoga for tinnitus. Tinnitus is such a widespread problem with few treatment options that a non-invasive and non-drug treatment that is safe and effective, would be a great step forward in relieving the suffering produced by this mysterious disease.

 

So, relieve tinnitus with yoga.

 

“Tinnitus sufferers will definitely be able to benefit from this type of yoga because of how relaxing it is and also beneficial in terms of overall health. When people who have tinnitus are more relaxed and less tense, they have a tendency to not perceive the ringing or buzzing sounds which they usually hear as much. Although this may not be a definitive cure for tinnitus, it is a rather good treatment option to explore.” – Ramdev Yoga

 

 

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

 

Sümbüle Köksoy, Can Mehmet Eti, Meltem Karataş, Yusuf Vayisoglu. The Effects of Yoga in Patients Suffering from Subjective Tinnitus. Int Arch Otorhinolaryngol. 2018 Jan; 22(1): 9–13. Published online 2017 Apr 3. doi: 10.1055/s-0037-1601415

 

Abstract

Introduction  Tinnitus is a perception of sound in the absence of an external source and it is a distressing issue. Yoga is a system of mind-body practices with the goal of uniting the body, mind and soul. It has been shown to reduce anxiety and stress, as well as improving the quality of life.

Objective  The aim of this study is to investigate the effects of yoga in patients suffering from chronic subjective tinnitus.

Methods  Twelve subjects previously diagnosed with chronic subjective tinnitus were selected for the study. The patients were asked to attend to yoga classes once a week and to practice yoga at home using a worksheet for 3 months. Each yoga class consisted of body exercises (asana), breathing (pranayama) and meditation (shavasana and yoga nidra). Tinnitus scores before and after the yoga classes were compared using the Wilcoxon test.

Results  Among the 12 patients, there were 4 men and 8 women and their mean age was 52.5 years. The median duration of tinnitus among the group was 5.4 years. There were statistically significant differences in the stress ( p  = 0.01), handicap ( p  = 0.004) and severity ( p  = 0.007) questionnaires scores.

Conclusion  This study indicated that yoga practices may reduce life stress and symptoms of subjective tinnitus.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786150/

Could Mindfulness Help Save the World?

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Could Mindfulness Help Save the World?

 

By John M. de Castro, Ph.D.

 

“While the link between mindfulness, nature, and well-being is not concrete, research suggests an interrelationship between these three attributes. This research supports the sense of well-being and renewal I found from meditating in the garden, and perhaps why I sought the garden while taking a course in mindfulness practice.” – Joanna Shaw

 

The ability of humans to manipulate and control the environment has developed to the point that human activity is now threatening to destroy that environment. This can be seen in the rapid extinction of once thriving species, the loss of forestation, the historic rise in atmospheric carbon dioxide levels, sea level rise, and climate change. It has been argued that we may have crossed a tipping point where the environmental damage is irreversible. But, if we haven’t, there is a pressing need to address the very activities that are producing the damage. We need to begin acting more responsibly toward our environment in an attempt to reverse and heal the damage,

 

This will require actions by humans. This will require positive ecological behaviors. Ecological behavior is defined “as behaviors that protect/avoid harm to the environment and span all areas of life such as nutrition, mobility and transportation, energy and water consumption, waste avoidance, and consumerism.” In other words, humans need to change their behaviors toward more sustainable patterns.

 

Mindfulness promotes awareness of the internal and external environments. As such, it promotes sensitivity to these environments and to the impact of our actions on ourselves and the environment. In fact, mindfulness has been shown to be associated with the individual’s feelings of connectedness to nature. It is thus possible that mindfulness can stimulate ecological behavior and be a positive force for reversing the damage to our precious environment.

 

In today’s Research News article “Mindfully Green and Healthy: An Indirect Path from Mindfulness to Ecological Behavior.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2017.02306/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_527044_69_Psycho_20180130_arts_A ), Geiger and colleagues examine the relationship of mindfulness with ecological behavior. They recruited participants from a University community including students, faculty, and staff and had them complete measures of mindfulness, health behaviors, and ecological behaviors. Health behaviors include “behaviors on nutrition, hygiene, stress recovery, risk prevention and physical exercise.” Ecological behaviors include “energy conservation, mobility, waste avoidance and recycling, consumerism, and vicarious, social behaviors toward conservation.”

 

Geiger and colleagues found that high levels of mindfulness were strongly related to high levels of health behaviors, but only moderately related to high levels of ecological behaviors, while health behaviors were strongly related to ecological behaviors. This suggests that mindfulness may be related directly and indirectly to ecological behaviors through the intermediary of health behavior. Indeed, an indirect effects analysis demonstrated exactly that, high levels of mindfulness were associated with high levels of ecological behaviors directly and also indirectly through mindfulness’ associations with health behaviors and in turn ecological behaviors.

 

This study is correlational and as such causation cannot be determined. It will remain for future research to demonstrate that increasing mindfulness through mindfulness training increases ecological behaviors. Nevertheless, the study demonstrates clear and strong relationships between mindfulness and behaviors that tend to protect and develop the environment. This further suggests that mindfulness may be a key to saving the planet. Developing mindfulness in the population may lead to the development of sustainable action toward the environment and perhaps reversing the present damage.

 

So, start saving the planet with mindfulness.

 

“Nature and mindfulness inform each other in profound ways. They are both aligned. Nature can provide the same kind of calming, quieting effect, which is enormously therapeutic and joyous for me.” – Mark Tercek

 

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

 

Geiger SM, Otto S and Schrader U (2018) Mindfully Green and Healthy: An Indirect Path from Mindfulness to Ecological Behavior. Front. Psychol. 8:2306. doi: 10.3389/fpsyg.2017.02306

 

This paper examines the nature of the link between mindfulness and ecological behavior. Based on the notion that mindfulness incorporates heightened awareness of bodily sensations, we suggest an indirect path from mindfulness to ecological behavior that is mediated through individual health behavior, such as improved nutrition and increased exercise. This indirect path is corroborated with two online studies (n = 147/n = 239) where mindfulness, personal health behavior and ecological behavior were assessed. We conclude that increased mindful awareness of momentary experience indeed favors more healthy lifestyles, which in turn relate to increased ecological behavior beyond personal health benefits. The findings support an agreeableness of personal and planetary health behavior and open up a path for environmental educational interventions based on mindfulness practices and personal health gains.

https://www.frontiersin.org/articles/10.3389/fpsyg.2017.02306/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_527044_69_Psycho_20180130_arts_A

Improve Post-Traumatic Stress Disorder (PTSD) with Mindfulness

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Improve Post-Traumatic Stress Disorder (PTSD) with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Overall, there is a lot of evidence supporting mindfulness as a treatment approach for adults with PTSD, and a recent burgeoning literature corroborating positive neurological changes is following suit.” – 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. Mindfulness Based Stress Reduction (MBSR) has been found to improve PTSD symptoms. It has been shown that mindfulness practices can alter the brain structures and connectivity and this may underlie the beneficial effects of mindfulness on PTSD.

 

In today’s Research News article “Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747539/ ), Boyd and colleagues review and summarize the published research literature on the effects of mindfulness training on the brain and its relationship to improvements in PTSD symptoms. They report that there is substantial evidence that a variety of mindfulness-based treatments including Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), and Loving Kindness Meditation are effective for relieving the symptoms of PTSD.

 

In regards to brain function, they report that mindfulness practices result in greater activity in the prefrontal cortex, structures that are involved in higher level thought processes and attention and lower activity in the amygdala region that is associated with emotional arousal. In addition, there is increased connectivity between these two regions. This could explain the ability of mindfulness practices to reduce hyperarousal and emotionality with more rational thought and improvement in emotional regulation. In addition, they report that a series of midline cortical structures labelled the default mode network (DMN) have increased connectivity, suggesting an improvement in self-referential thinking.

 

There is increased activity in a series of cortical structures that connect to lower centers in the brain labelled the salience network (SN) that appears to be involved in detecting particularly important stimuli and regulating emotional responses to them. This may result in the PTSD sufferer having a greater ability to respond appropriately to things in the environment that may have previously produced flashbacks and hyperarousal. Finally, mindfulness training appears to improve the activity and connectivity of the brain’s Central Executive Network (CEN), including dorsolateral prefrontal cortex and the posterior parietal cortex, that is associated with high level thinking.

 

These findings suggest that mindfulness training alters brain function to increase thinking and reasoning in contrast to emotional arousal. This is exactly what the PTSD patient needs as PTSD tends to produce the opposite pattern with decreased reasoning and increased emotional responding. Hence these findings suggest that mindfulness training acts on the nervous system to counter the abnormal brain responses that occur with PTSD and thereby relieve the symptoms of PTSD. Obviously much more research is needed. But a coherent picture is emerging of the alterations in the nervous system produced by mindfulness training that are responsible for its beneficial effects on the symptoms of PTSD.

 

So, improve post-traumatic stress disorder (PTSD) with mindfulness.

 

“This type of attention training may help patients notice when they are stuck in a negative pattern of thought or rumination and make it a little easier to shift their attention to other things. And if you think about what mindfulness meditation is, that makes perfect sense. The ‘muscle’ that you are training is the ability to catch yourself when you are not thinking about your breath and move it to something else.” – Tony King

 

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

 

Jenna E. Boyd, Ruth A. Lanius, Margaret C. McKinnon. Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence. J Psychiatry Neurosci. 2018 Jan; 43(1): 7–25. Published online 2017 Oct 3. doi: 10.1503/jpn.170021

 

Abstract

Mindfulness-based treatments for posttraumatic stress disorder (PTSD) have emerged as promising adjunctive or alternative intervention approaches. A scoping review of the literature on PTSD treatment studies, including approaches such as mindfulness-based stress reduction, mindfulness-based cognitive therapy and metta mindfulness, reveals low attrition with medium to large effect sizes. We review the convergence between neurobiological models of PTSD and neuroimaging findings in the mindfulness literature, where mindfulness interventions may target emotional under- and overmodulation, both of which are critical features of PTSD symptomatology. Recent emerging work indicates that mindfulness-based treatments may also be effective in restoring connectivity between large-scale brain networks among individuals with PTSD, including connectivity between the default mode network and the central executive and salience networks. Future directions, including further identification of the neurobiological mechanisms of mindfulness interventions in patients with PTSD and direct comparison of these interventions to first-line treatments for PTSD are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747539/

The Variety of Transcendent States During Meditation

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The Variety of Transcendent States During Meditation

 

By John M. de Castro, Ph.D.

 

“Ancient masters described intense transcendent states that result from meditation. A true awakening, transformation of consciousness, oneness with the ALL. Many esoterics have glimpsed these levels of consciousness, and for a few it became a persistent state – enlightenment.” – Future Thinkers

 

Millions of people worldwide seek out transcendent experiences by engaging in practices, such as meditation, yoga, and prayer. Others use drugs such as peyote, mescaline, LSD, ayahuasca and psilocybin to induce these experiences. Transcendent experiences have many characteristics which are unique to the experiencer, their religious context, and their present situation. But, the common, central feature of transcendence is a sense of oneness, that all things are contained in a single thing, a sense of union with the universe and/or God and everything in existence. This includes a loss of the personal self. What they used to refer to as the self is experienced as just a part of an integrated whole. People who have had these experiences report feeling interconnected with everything else in a sense of oneness with all things. Although transcendent experiences can vary widely, they all contain this experience of oneness.

 

I published a summary and review of these characteristics in a paper entitles “A Model of Enlightened/Mystical/Awakened Experience. It can be found on Research Gate at https://www.researchgate.net/publication/281807307_A_Model_of_EnlightenedMysticalAwakened_Experience.

 

Because of their relatively rare, ineffable, and completely subjective characteristics, transcendent experiences have received only a small amount of scientific attention. This, however, flies in the face of their importance to humans of spirituality. They are central to the human search for the nature and meaning of existence. Hence, there is a need for greater scientific attention to transcendent experiences.

 

In today’s Research News article “A Systematic Review of Transcendent States Across Meditation and Contemplative Traditions.” Wahbeh and colleagues summarize the published peer-reviewed scientific literature on transcendent experiences occurring during meditation. They identified 25 studies involving a total of 672 participants that measured a variety of physiological, psychological, and experiential variables during or after the experience of transcendence during meditation.

 

They found that “as meditation progresses, a person’s sense of agency, location and boundaries in time and space become weaker and the sense of self dissolves”. This was associated with relaxed wakefulness which included decreased respiration, skin conductivity, and muscle relaxation, increase in the brain’s alpha rhythm power, alpha blocking, and changes in brain area interconnectedness and activity. The meditators report experiencing “a sense of timelessness, spacelessness, unconditional love, peace, profound joy, and loss of boundaries of the self. In Christian contemplative traditions, there is a “transformative presence of God” and religious ecstasy.” The meditators report changes in perception that are reflected in changes in brain activity in the sensory cortices. Phenomenologically these changes are reported to not alter the present sensory environment but transcends it producing a sense on oneness of all things.

 

The studies reported were very heterogenous with different methodologies, measurements, and focus and with great differences in scientific quality and bias. This is unfortunate, as this is such an important area of study. There is a need for more work under similar conditions with standardized measurements and tighter experimental controls. Rather than considering the published research as definitive, it should be viewed as a first step in the investigation of transcendent experiences during meditation. But, the published studies to date produce a tantalizing glimpse into these states, reflecting an altered interpretation of reality and perhaps insight into the nature of being.

 

“during transcendent states, we slip into an altered state of consciousness different from our ordinary waking or rational consciousness. “No account of the universe in its totality can be final which leaves these other forms of consciousness quite disregarded.” – William James

 

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

 

Wahbeh H, Sagher A, Back W, Pundhir P, Travis F. A Systematic Review of Transcendent States Across Meditation and Contemplative Traditions. Explore (NY). 2018 Jan – Feb;14(1):19-35. doi: 10.1016/j.explore.2017.07.007. Epub 2017 Oct 23.

 

Background

Across cultures and throughout history, transcendent states achieved through meditative practices have been reported. The practices to attain transcendent states vary from transcendental meditation to yoga to contemplative prayer, to other various forms of sitting meditation. While these transcendent states are ascribed many different terms, those who experience them describe a similar unitive, ineffable state of consciousness. Despite the common description, few studies have systematically examined transcendent states during meditation.

Objectives

The objectives of this systematic review were to: 1) characterize studies evaluating transcendent states associated with meditation in any tradition; 2) qualitatively describe physiological and phenomenological outcomes collected during transcendent states and; 3) evaluate the quality of these studies using the Quality Assessment Tool.

Methods

Medline, PsycINFO, CINAHL, AltHealthWatch, AMED, and the Institute of Noetic Science Meditation Library were searched for relevant papers in any language. Included studies required adult participants and the collection of outcomes before, during, or after a reported transcendent state associated with meditation.

Results

Twenty-five studies with a total of 672 combined participants were included in the final review. Participants were mostly male (61%; average age 39 ± 11 years) with 12.7 ± 6.6 (median 12.6; range 2–40) average years of meditation practice. A variety of meditation traditions were represented: (Buddhist; Christian; Mixed (practitioners from multiple traditions); Vedic: Transcendental Meditation and Yoga). The mean quality score was 67 ± 13 (100 highest score possible). Subjective phenomenology and the objective outcomes of electroencephalography (EEG), electrocardiography, electromyography, electrooculogram, event-related potentials, functional magnetic resonance imaging, magnetoencephalography, respiration, and skin conductance and response were measured. Transcendent states were most consistently associated with slowed breathing, respiratory suspension, reduced muscle activity and EEG alpha blocking with external stimuli, and increased EEG alpha power, EEG coherence, and functional neural connectivity. The transcendent state is described as being in a state of relaxed wakefulness in a phenomenologically different space-time. Heterogeneity between studies precluded any formal meta-analysis and thus, conclusions about outcomes are qualitative and preliminary.

Conclusions

Future research is warranted into transcendent states during meditation using more refined phenomenological tools and consistent methods and outcome evaluation.

https://www-sciencedirect-com.ezproxy.shsu.edu/science/article/pii/S1550830717300460

Improve Heart Disease with Mindfulness

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Improve Heart Disease with Mindfulness

 

By John M. de Castro, Ph.D.

 

“it is not the stress in our life, but the reaction to stress that is so potentially harmful to our health, including cardiovascular health. Hence, being in a potentially very stressful profession, meditation and relaxation techniques are extremely important and useful to minimize these unhealthy reactions to stress.” – 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). 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. Cardiac rehabilitation programs for patients recovering from a heart attack, emphasize these lifestyle changes. Unfortunately, for a variety of reasons, 60% of cardiac patients decline participation, making these patients at high risk for another attack.

 

Other safe and effective 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. Although death from heart disease is decreasing in men it is actually increasing in women. So, there is a need to study the effectiveness of mindfulness practice for the treatment of cardiovascular disease in women.

 

In today’s Research News article “Impact of Mindfulness Based Stress Reduction Therapy on Myocardial Function and Endothelial Dysfunction in Female Patients with Microvascular Angina.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5762694/ ), Kim and colleagues recruited women who were diagnosed with microvascular angina which is “heart disease that affects the heart’s smallest coronary artery blood vessels. Causes of microvascular angina: Spasms within the walls of these very small arterial blood vessels causes reduced blood flow to the heart muscle leading to a type of chest pain referred to as microvascular angina.” (American Heart Association). The women were provided with an 8-week, 2.5 hour once-a-week program of Mindfulness-Based Stress Reduction (MBSR) which includes of meditation, yoga, and body scan practices and on hour per day of home practice. Participants were measured for heart function and stress parameters before and after the 8-week practice.

 

Kim and colleagues found that following the 8-week MBSR program there was a marked and significant decrease in most stress parameters including somatization, compulsivity, interpersonal sensitivity, depression, anxiety, phobic anxiety, paranoid ideation, and psychoticism. Importantly there were improvements in cardiovascular functions including a decrease in systolic blood pressure and improvements in heart left ventricular function and heart arterial blood vessel function. Additionally, they found that the greater the reduction in the stress parameters the greater the improvements in heart function.

 

Conclusions from this study must be tempered as there wasn’t a comparison group included in the study, only females were examined, and no short- or long-term follow-up was included. But previous research has clearly established that mindfulness training, including MBSR, produces significant reductions in the psychological and physiological responses to stress and improves cardiovascular function. These prior findings combined with the present findings makes the case that MBSR reduces stress response which in turn improves cardiovascular function. This is very important for the promotion of longevity and well being in everyone but particularly for patients with cardiovascular disease.

 

So, improve heart disease with mindfulness,

 

“an analysis of 23 controlled trials into heart disease determined that psychosocial interventions (such as meditation, breathing exercises, and physical relaxation techniques) improved the outcomes when they were added to cardiac rehabilitation programmes for patients with CHD.” – 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

 

Bong Joon Kim, In Suk Cho, Kyoung Im Cho. Impact of Mindfulness Based Stress Reduction Therapy on Myocardial Function and Endothelial Dysfunction in Female Patients with Microvascular Angina. J Cardiovasc Ultrasound. 2017 Dec; 25(4): 118–123. Published online 2017 Dec 29. doi: 10.4250/jcu.2017.25.4.118

 

Abstract

Background

Mindfulness-based stress reduction (MBSR) is a structured group program that employs mindfulness meditation to alleviate suffering associated with physical, psychosomatic, and psychiatric disorders. In this study, we investigate the impact of MBSR on left ventricular (LV) and endothelial function in female patients with microvascular angina.

Methods

A total of 34 female patients (mean age 52.2 ± 13.8 years) diagnosed with microvascular angina underwent a MBSR program with anti-anginal medication for 8 weeks. The global longitudinal strain (GLS) of the LV was used as a parameter to assess myocardial function and reactive brachial flow-mediated dilatation (FMD) was used to assess endothelial function. Symptoms were analyzed by the Symptom Checklist 90 Revised to determine emotional stress. Changes in GLS and FMD between baseline and post-MBSR were analyzed.

Results

After 8 weeks of programmed MBSR treatment, stress parameters were significantly decreased. In addition, GLS (−19.5 ± 2.1% vs. −16.6 ± 2.5%, p < 0.001) and reactive FMD significantly improved (8.9 ± 3.0% vs. 6.9 ± 2.6%, p = 0.005) after MBSR compared to baseline. The changes in GLS correlated to changes in FMD (r = 0.120, p = 0.340) and with the changes in most stress parameters.

Conclusion

MBSR has beneficial impacts on myocardial and endothelial function in female patients with microvascular angina.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5762694/

 

The Noble Eightfold Path: Right Effort

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The Noble Eightfold Path: Right Effort

 

By John M. de Castro, Ph.D.

 

“The Fourfold Right Diligence is nourished by joy and interest. If your practice does not bring you joy, you are not practicing correctly.” – Thich Nhat Hahn

 

In order to progress on the Buddha’s Noble Eightfold Path, effort must be exerted. One cannot simply sit back and wait for something to happen, one has to practice, one has to work at it. To some people that means working very, very, hard, perhaps meditating for hours on end, day after day. This comes from the Western work ethic that teaches that the harder you work, the more likely it is that you’ll achieve your goals. This is also the case in some Zen schools. A meditation teacher once described a Zen retreat as “Buddha boot camp,” requiring extreme endurance and perseverance. For many people this simply does not work and may lead to them abandoning practice and the path completely.

 

“Right Effort” sometimes called right diligence is the sixth component of the Buddha’s Noble Eightfold Path, Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort, Right Mindfulness and Right Concentration.” The idea of “Right Effort” is that the effort exerted in practice and in life needs to be “Right.” It needs to be finely tuned, neither too lax, nor too effortful. The Buddha taught that practice should be like a well-tuned string instrument. If the strings are too loose, they won’t play a sound. If they are too tight, they will break. Practice should be nourishing, not draining. So, “Right Effort” actually points precisely to the Buddha’s “Middle Way.”

 

The notion of “Right Effort” is not just for meditation practice but for how we conduct our lives. It calls for us to develop and encourage good qualities, ones that will lead forward on the path, and reduce or discourage bad qualities, ones that interfere or block progress. There are many good qualities to be cultivated but the ones that the Buddha particularly targeted were mindfulness, investigation of phenomena, energy, joy, tranquility, concentration, and equanimity.

 

This suggests that we should work to develop mindfulness, paying attention, on purpose, without judgment, to what is occurring in the present moment. After all, how are we going to progress on a spiritual path if our minds are lost in thought, memories of the past or projections of the future? Only by being attentive to what is happening right now, do we have any hope of seeing things as the truly are. Mindfulness can be developed by engaging in contemplative practices such as meditation, yoga, contemplative prayer, mindful movement practices, etc. So, “Right Effort” mandates that we practice to cultivate our mindfulness, but do so with energy and striving, but not too much or too little. We need to practice on the “Middle Way.”

Investigation of phenomena needs to also be cultivated. Whereas mindfulness is observing what is, investigation is probing into the nature of what is. Investigation involves exerting concentration and energy to search out the characteristics, conditions, and consequences of the phenomena we observe with mindfulness. So, we look carefully as to what exactly composes a feeling, what leads up to the feeling arising, and what is produced by the feeling. So as anger arises, we look with mindfulness as to how exactly it feels in the body and mind, we look at what produced the anger, and we look at what consequence it might have for our actions and thoughts. If we can truly see these aspects of anger, we can better recognize it when it begins to arise, control it, and manage its consequences to lead away from harm and toward greater wisdom and happiness.

 

Fundamental to the entire process is energy. It must be cultivated and distributed carefully as there is only a limited amount available. We must first develop the energy to initiate mindfulness and investigation. It is impossible in real life to be constantly in the present moment and probing its nature. But, we must have the energy to return to these healthy processes whenever we have the opportunity to come back. Once mindfully engaged it is important to cultivate the energy to persevere and remain mindful as long as possible. Finally, we have to learn how to hold some energy in reserve so that when we reach a significant juncture in our practice we can focus our energy to break through and make a leap forward.

 

All of this energy can be built and cultivated by making our efforts joyful. Joy will replenish and charge our batteries for use when we need it. So, practice with joy, allow yourself to experience the beauty and awe available in every moment, and refrain from pushing too hard and losing the joy and happiness of practice. If we are careful and follow this joy, it will build and build and reach crescendos of bliss. This fuels our progress on the path. But, it is impossible to remain in a state of continuous bliss. Eventually the practice leads to tranquility, a peacefulness that comes from knowing the joyfulness of existence and practice. This tranquility now can allow the practice to proceed with knowing serenity. This peacefulness is the foundation for ceasing seeking and quieting the mind. Maintaining this stillness requires concentration. Once stabilized equanimity develops, an inward poise, free from the extremes of inertia and excitement. A state is reached like when driving a car with the cruise control on, neither having to press the gas peddle harder nor letting up on the peddle, just rolling along enjoying the scenery, without effort or striving, just observing things as they are. Just moving along the “Middle Way.”

 

It is wonderful to be cultivating positive qualities but at the same time it is necessary to prevent bad qualities from hindering progression on the path. There are also many bad qualities to be discouraged or removed but the ones that the Buddha particularly targeted were sensual desire, ill will, dullness and drowsiness, restlessness and worry, and doubt. As part of pursuing “Right Effort” on the path effort should be exerted to prevent these bad qualities from arising and if they do to refrain from pursuing or reinforcing them so that they can diminish or extinguish on their own.

 

Sensual desires is actually a broad category that includes cravings for all those objects or states that are pleasing, sights, sounds, emotions, feelings, tastes etc. The actual experiences are fine and need not be avoided. It’s the pursuit of them and the attempt to hold onto them that produces hindrance. “Right Effort” involves not seeking them out, but if they arise letting them come and go without striving to hold onto them. Just letting them pass by like a sunrise or a sunset, looking, seeing, appreciating, and letting go. Trying to hold on only produces unsatisfactoriness and frustration.

 

At times negative feeling arise toward objects or people. These can be a hindrance also if they are focused on, held onto, or pursued. Feelings such as hatred, anger, resentment, repulsion, jealousy, etc. arise at times in the normal course of life and in our practice. This is normal and need not be actively pushed aside. This will only tend to strengthen them. They should simply be let go, allowed to dissipate on their own, noticing, taking note, sensing the feelings and releasing them. Situations and people who tend to evoke these feeling should be avoided as much as possible. It is easier to handle them if they never arise. So, if someone should cause you harm and anger and resentment begin to arise, let them. Just observe them with mindfulness. Feel the feelings and the mental anguish. Don’t avoid it, but don’t pursue or react to it. This can be difficult, but the more it is practiced the easier and easier it becomes. This is how to exert “Right Effort” toward these ill feelings.

 

Dullness and drowsiness are often indicators of too little rest and sleep or too much exertion.  “Right Effort” involves staying on the “Middle Way” and getting sufficient rest and sleep and not overdoing anything. These states of dullness and drowsiness are actually very good indicators and guides to return to the “Middle Way.” So, when tired, rest, when sleepy, sleep, and when dull, relax and recharge. Similarly, restlessness and worry are indicators of straying from attention to the present moment and wanting things to be different than they are, ruminating about the past, or fantasizing about the future. These states can also be useful as signposts and guides leading back to the present moment. “Right Effort” is to use these states to assist in maintaining energy, staying with mindfulness, and concentrating. The more they are used in this way the easier it gets to sense straying from the path and the sooner the return can happen.

 

The path can be difficult and progress is haphazard, improving one day, falling back another. It can sometimes be difficult to tell that progress is actually being made. This can lead to doubt that the “Eightfold Path” is the right way toward spiritual development. When doubt arises don’t fret. This is normal. It signals that questions should be asked of others, particularly those who have navigated the path. This can help to elucidate that the up and down course of practice is normal and if energy is invested in persistence, progress will be made. Doubt also signals that studying the teachings, reading, and contemplation may be needed to strengthen resolve and provide direction. This is truly “Right Effort.”

 

Obviously, there’s a lot to “Right Effort.” But the keys are joyful practice and the “Middle Way.” Look carefully at discursions from the path of unhealthy desires, bad feelings toward others, sleepiness or restlessness, worry, or doubt. There’s no need to feel bad about them. They are part of being human and everyone from time to time experiences them. Rather than regretting them, let them be pointers to returning to the path. Slowly, improvement will occur and falling off the path will happen less and less often, the good qualities will be present more and more often for longer and longer periods, and forward movement will occur on the path toward awakening and enlightenment.

 

“Enlightenment is not your birthright.
Those who succeed do so only through proper effort.” – Ramana Maharshi

 

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