Grazing is Associated with Lower Mindful Eating and Greater Body Fatness

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Grazing is Associated with Lower Mindful Eating and Greater Body Fatness

 

By John M. de Castro, Ph.D.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

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

 

Abstract

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

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

 

Reduce Metabolic Syndrome with Mindfulness

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Reduce Metabolic Syndrome with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness training may promote sustained improvements in healthy eating that may contribute to better longer-term improvement in some aspects of metabolic health.” – Jennifer Daubenmier

 

Metabolic Syndrome is a major risk factor for cardiovascular disease and diabetes. It generally results from overweight and abdominal obesity and includes high blood pressure, insulin resistance and elevation of plasma cholesterol and triglycerides. It is an important risk factor as it increases the risk of developing type-2 diabetes five-fold and heart attack or stroke three-fold. Metabolic Syndrome incidence has been rising rapidly and it currently affects 34% of U.S. adults. Needless to say, this is a major health problem. The good news is that timely treatment can prevent or reverse the risk. The simplest treatment is simply exercise and weight loss. Also, mindfulness techniques have been shown to be effective in treating Metabolic Syndrome.

 

In today’s Research News article “Mindfulness Is Associated with the Metabolic Syndrome among Individuals with a Depressive Symptomatology.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852808/ ), Guyot and colleagues examine the relationship of mindfulness with depression and metabolic syndrome in a large sample of adults in France. Beginning in 2009, participants were assessed every year for body size, nutritional status, and exercise. Four years into the study, they were also assessed for mindfulness, depression, demographic and lifestyle measures and the presence of metabolic syndrome.

 

They compared participants with and without depression and observed that depressed participants were significantly more likely to have metabolic syndrome, a high waist circumference, a high level of triglycerides, a low level of HDL-cholesterol, and be smokers. The depressed participants also had lower levels of mindfulness and exercise participation.

 

They did not find a simple relationship of mindfulness with metabolic syndrome but rather it covaried with depression. In participants high in depression, mindfulness, especially the non-judging and non-reacting facets of mindfulness, was associated with lower levels of metabolic syndrome, waist circumference, fasting blood glucose, and HDL-cholesterol.

 

This study employed a very large sample of adults and thus is likely to be representative of the population. It should be noted that it is correlational in nature and no manipulation was employed. So, causation cannot be determined. But, the associations are clear. Mindfulness in depressed individuals is associated with healthier body size and metabolic condition. It is interesting that this was not true for non-depressed individuals. Mindfulness is known to lower depression levels. This suggests the speculation that depression results in behaviors that produce an unhealthy body size and metabolic condition and that mindfulness, by lowering depression, improves this situation.

 

So, reduce metabolic syndrome with mindfulness.

 

“Mindfulness appears to improve certain metabolic risk factors, even without weight loss. In particular triglycerides, cholesterol ratios, blood sugar levels and blood pressure.” – Kimberly Yawitz

 

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

 

Guyot, E., Baudry, J., Hercberg, S., Galan, P., Kesse-Guyot, E., & Péneau, S. (2018). Mindfulness Is Associated with the Metabolic Syndrome among Individuals with a Depressive Symptomatology. Nutrients, 10(2), 232. http://doi.org/10.3390/nu10020232

 

Abstract

The Metabolic Syndrome (MetS) is a major public health burden. Dispositional mindfulness has recently been associated with eating disorders, being overweight, and could therefore be associated with the MetS. We aimed to examine in a cross-sectional design the relationship between mindfulness, the MetS, and its risk factors in a large sample of the adult general population and the influence of depressive symptomatology on this association. Adults participating in the NutriNet-Santé study who had completed the Five Facets Mindfulness Questionnaire and attended a clinical and biological examination were available for inclusion. Multivariable logistic regression models adjusted for socio-demographic and lifestyle factors were performed. A total of 17,490 individuals were included. Among individuals with a depressive symptomatology, those with higher mindfulness were less likely to have a MetS (OR: 0.73, 95% CI: 0.57–0.93), a high waist circumference, a low HDL-cholesterol level and an elevated fasting blood glucose level (all p <0.05). In those without depressive symptomatology, individuals with higher mindfulness were less likely to have a high waist circumference (p <0.01). In conclusion, higher mindfulness was associated with lower odds of developing a MetS only among individuals with a depressive symptomatology.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852808/

 

Improve Enjoyment of Exercise with Mindfulness

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Improve Enjoyment of Exercise with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Kick your boring treadmill cardio up a notch with mindfulness! Practicing mindfulness while on the treadmill doubles your cardio’s health benefits without any extra work or time.” – Justin Vict

 

There are clearly established benefits to regular exercise for the health and well-being of the individual. But many people find exercise aversive and as a result do not exercise. In fact, the number of people who exercise regularly has been declining over the last few decades, while at the same time, the understanding of the health benefits of exercise has been increasing. It has been estimated that only about 20% of adults meet minimal criteria of engagement in aerobic activity. Hence, there in order to improve the health of the population, method need to be discovered to help motivate people to exercise.

 

Mindfulness practices have been shown to heighten the enjoyment of many activities and heighten positive emotional experiences and lower aversive emotional experiences. It is reasonable to expect, then, that training in mindfulness would increase the enjoyment of exercise and reduce the aversion to exercise. This would make it more likely that exercise averse people would begin and sustain an exercise program. In today’s Research News article “Mindfulness and Affective Responses to Treadmill Walking in Individuals with Low Intrinsic Motivation to Exercise.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841682/ ), Cox and colleagues examined the effects of mindfulness instructions on participants’ feelings while exercising.

 

They recruited college students between the ages of 18 to 35 years who either engaged in no or moderate physical activity and who had low motivation to exercise. They participated in 3 30-minute sessions. In the first they performed a progressive walking exercise on a treadmill designed to bring their heart rate to 65% of their maximum heart rate for 10 minutes. In the 2nd and 3rd sessions they engaged in identical sessions while in the 3rd they also listened to a recorded mindfulness script. The script was designed to bring attention to the physical experience of walking on a treadmill during the 10-minute target heart rate period. Measurements were taken before during and after the exercise of feelings of pleasure and displeasure and perceived exertion.

 

They found that when the participants were exercising while listening to a mindfulness script their emotions were significantly more positive and their attention significantly more focused than when simply exercising. Hence, the mindfulness condition resulted in a better exercise experience for individuals who do not enjoy exercise; they had more positive feelings and were more attentive to the exercise. This suggests that mindfulness may be of assistance in motivating exercise averse people to engage in exercise. Future research should explore the long-term effects of mindfulness training on the likelihood of engaging in exercise and sustaining  participation.

 

So, improve enjoyment of exercise with mindfulness.

 

“Adding a practice of mindfulness to your workouts not only takes the dread out of exercise, but increases your connection to your body and the wisdom it has to offer.” – Sandra Pawula

 

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

 

Cox, A. E., Roberts, M. A., Cates, H. L., & Mcmahon, A. K. (2018). Mindfulness and Affective Responses to Treadmill Walking in Individuals with Low Intrinsic Motivation to Exercise. International Journal of Exercise Science, 11(5), 609–624.

 

Abstract

An aversion to the sensations of physical exertion can deter engagement in physical activity. This is due in part to an associative focus in which individuals are attending to uncomfortable interoceptive cues. The purpose of this study was to test the effect of mindfulness on affective valence, ratings of perceived exertion (RPE), and enjoyment during treadmill walking. Participants (N=23; Mage=19.26, SD = 1.14) were only included in the study if they engaged in no more than moderate levels of physical activity and reported low levels of intrinsic motivation. They completed three testing sessions including a habituation session to determine the grade needed to achieve 65% of heart rate reserve (HRR); a control condition in which they walked at 65% of HRR for 10 minutes and an experimental condition during which they listened to a mindfulness track that directed them to attend to the physical sensations of their body in a nonjudgmental manner during the 10-minute walk. ANOVA results showed that in the mindfulness condition, affective valence was significantly more positive (p = .02, ηp2 = .22), enjoyment and mindfulness of the body were higher (p < .001, ηp2 = .36 and .40, respectively), attentional focus was more associative (p < .001, ηp2 =.67) and RPE was minimally lower (p = .06, ηp2 =.15). Higher mindfulness of the body was moderately associated with higher enjoyment (p < .05, r =.44) in the mindfulness but not the control condition. Results suggest that mindfulness during exercise is associated with more positive affective responses.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841682/

 

Improve Psychological Well-Being and Productivity with Work-Place Mindfulness

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Improve Psychological Well-Being and Productivity with Work-Place Mindfulness

 

“Toxic emotions disrupt the workplace, and mindfulness increases your awareness of these destructive patterns, helping you recognize them before they run rampant. It’s a way of reprogramming your mind to think in healthier, less stressful, ways.” – Drew Hansen

 

Work is very important for our health and well-being. We spend approximately 25% of our adult lives at work. How we spend that time is immensely important for our psychological and physical health. Indeed, the work environment has even become an important part of our social lives, with friendships and leisure time activities often attached to the work environment. But, more than half of employees in the U.S. and nearly 2/3 worldwide are unhappy at work. This is partially due to work-related stress which is epidemic in the western workplace. Almost two thirds of workers reporting high levels of stress at work. This stress can result in impaired physical and mental health and can result in burnout; producing fatigue, cynicism, and professional inefficacy.

 

To help overcome unhappiness, stress, and burnout, mindfulness practices have been implemented in the workplace. Indeed, mindfulness practices have been shown to markedly reduce the physiological and psychological responses to stress. As a result, it has become very trendy for business to incorporate meditation into the workday to help improve employee well-being, health, and productivity. There is a need, however, to better document the benefits of these programs.

 

In today’s Research News article “A Workplace Mindfulness Intervention May Be Associated With Improved Psychological Well-Being and Productivity. A Preliminary Field Study in a Company Setting.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00195/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_568639_69_Psycho_20180313_arts_A ), Kersemaekers and colleagues recruited employees in major European corporations and provided them with a workplace mindfulness program that consisted of 2 day-long training days plus eight 2.5 h-long sessions implemented in a group setting and included trainings in mindfulness meditation, walking meditation, pausing meditation, body scan and compassion meditation. They were also encouraged to practice at home. Participants were measured one month before, just before, and after the program for burnout, perceived stress, mindfulness, well-being, team environment; including organizational climate, team climate and personal performance, and program feasibility and satisfaction.

 

They compared the changes during the one-month baseline period to those occurring during the mindfulness training period and found that after training there were significantly greater reductions in burnout, perceived stress, particularly tension and worry, and organizational stress, and significantly greater improvements in psychological well-being and mindfulness, including presence and acceptance. There were also significant improvements in the participants perceptions of the organizational culture, including team decision making and cooperation, of the organizational climate, including atmosphere and respect, and of personal performance and productivity. There were high compliance and participation rates in the program. Hence, the workplace mindfulness program appeared to be feasible, safe, and effective.

 

The results have to be interpreted with caution as there wasn’t a control group. But, the fact that there was a one-month baseline where reactivity, bias, and time-based changes could be assessed, the conclusion would appear to be guardedly valid. Workplace mindfulness training improved the psychological well-being and mindfulness of the workers, the organizational climate, and the workers productivity. This suggests that workplace mindfulness programs can be of substantial benefit to the workers and the organization.

 

So, Improve Psychological Well-Being and Productivity with work-Place mindfulness.

 

“By letting it go it all gets done. The world is won by those who let it go. But when you try and try, the world is beyond winning.” – Lao Tzu

 

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

 

Kersemaekers W, Rupprecht S, Wittmann M, Tamdjidi C, Falke P, Donders R, Speckens A and Kohls N (2018) A Workplace Mindfulness Intervention May Be Associated With Improved Psychological Well-Being and Productivity. A Preliminary Field Study in a Company Setting. Front. Psychol. 9:195. doi: 10.3389/fpsyg.2018.00195

 

Background: Mindfulness trainings are increasingly offered in workplace environments in order to improve health and productivity. Whilst promising, there is limited research on the effectiveness of mindfulness interventions in workplace settings.

Objective: To examine the feasibility and effectiveness of a Workplace Mindfulness Training (WMT) in terms of burnout, psychological well-being, organizational and team climate, and performance.

Methods: This is a preliminary field study in four companies. Self-report questionnaires were administered up to a month before, at start of, and right at the end of the WMT, resulting in a pre-intervention and an intervention period. There was no separate control group. A total of 425 participants completed the surveys on the different time points. Linear mixed model analyses were used to analyze the data.

Results: When comparing the intervention period with the pre-intervention period, significantly greater improvements were found in measures of burnout (mean difference = 0.3, p < 0.001), perceived stress (mean difference = -0.2, p < 0.001), mindfulness [mean difference = 1.0 for the Freiburg Mindfulness Inventory (FMI) and 0.8 for the Mindfulness Attention Awareness Scale (MAAS), both p < 0.001], and well-being (mean difference = 0.4, p < 0.001). Additionally, greater increases in team climate, organizational climate and personal performance were reported during the intervention compared to the pre-intervention period with largest improvements in team cooperation (mean difference = 0.3, p < 0.001), productivity (mean difference = 0.5, p < 0.001), and stress (mean difference = -0.4, p < 0.001). Effect sizes were large for mindfulness (d > 0.8), moderate for well-being, burnout and perceived stress (d = 0.5–0.8), and ranged from low to moderate for organizational and team climate and personal performance (d = 0.2–0.8).

Conclusion: These preliminary data suggest that compared to the pre-intervention period, the intervention period was associated with greater reductions in burnout and perceived stress, improvements in mindfulness, well-being, and increases in team and organizational climate and personal performance. Due to design limitations, no conclusions can be drawn on the extent to which the WMT or non-specific factors such as time have contributed to the findings. Further studies, preferably using randomized controlled designs with longer follow up periods are needed to evaluate whether the associations found can be attributed to the WMT and whether these sustain after the training.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00195/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_568639_69_Psycho_20180313_arts_A

 

The Power of Retreat 6 – Darkness, Light, and Nothingness

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The Power of Retreat 6 – Darkness, Light, and Nothingness

 

By John M. de Castro, Ph.D.

 

“Silent retreats are a kind of crucible that reveal the workings of the mind in a unique and illuminating way.” James Baraz

 

This essay is the 6th of a continuing series of essays about the experience of silent meditation retreat. Click on the numbers to follow the links to the prior essays, titled “The Power of Retreat 1, 2, 3, 4, and 5”. This essay is written as we are about to embark on another 7-day silent retreat at one of our favorite retreat sites located in the beautiful smoky mountains in North Carolina. In a sense we’ll be on vacation as everything will be taken care of for us, beds made, towels and linens provided, all meals prepared for us, and our time will be dictated by a detailed schedule of meditations, talks, question and answer periods, and reflective time. All we have to do is show up, meditate, relax, contemplate and listen. We’re terribly spoiled!

 

That seeming ease, however, is deceptive. Retreat is actually quite difficult and challenging. It can be very tiring as it runs from 7:00 in the morning till 10:00 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.

 

Retreat isn’t all relaxation and fun. Far from it. The darkness can descend. During silent retreat deep emotional issues can emerge and may even overwhelm the individual. There are plenty of tissues available at the site as many 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, we can easily change the subject by engaging in a distraction. So, we never have to truly confront the issues. But, in silent retreat there is no escape. Difficult issues emerge and there is no place to hide. They must be confronted and experienced. For some people this may be the first time in their entire life that they’ve had to directly face themselves and their darkest thoughts. It’s no wonder that retreat can be so wrenching.

 

So, why, you might ask, should someone put themselves into such a position? Simply put, you can’t address problems until you recognize them. Retreat is a safe place to do so. Many other people there, have gone through similar experiences and as a result, there’s a great deal of acceptance and compassion from others. It is, however, advised to not intervene but to let anyone in crisis simply work it through themselves. They’ll let you know if they really need help. In the warm and accepting environment of retreat it is actually possible to work on these issues that may have been impossible to address elsewhere. This can lead to substantial personal growth. This is the benefit, that individuals can begin to resolve the very issues that may have, unbeknownst to themselves, been holding them back for their entire life. This is very powerful, and confronting the darkness begins to let the light through.

 

There are much more positive and pleasant sides to silent retreat. One simple one is that many modern adults are overworked, stressed, and as a result sleep deprived. The opportunity to rest and sleep is priceless. Many people fall asleep during meditations and talks early in the retreat. This is not only OK, it’s desirable. If need be it is encouraged to skip sessions and take naps.

The positive benefits of retreat can only emerge when the individual is sufficiently rested to have the energy available to meditate deeply, to look inside, and to begin to remove the veil of delusion that blinds us all.

 

The opportunity to have repeated meditation sessions over prolonged periods of time in a quiet, accepting, and peaceful setting provides the ability to build from meditation to meditation. It allows for deep, repeated engagement into the inner realms, to begin to peel away the layers of awareness, and to begin to dissolve the delusions standing between the individual and their true nature. This progressive process can reveal the light, the positive and pleasant side of retreat. The individual begins to feel happier, more peaceful, and more mindful of themselves and their environment. They can even develop into deeply blissful states. Many people can go no further, but this is far enough. They emerge from retreat feeling peaceful, happy, insightful, having a better understanding of themselves, being better able to deal with their emotions, and with a sense of well-being. In fact, toward the end of retreat the most frequent question asked is how can this be held onto as the process of reintegration into everyday life unfolds.

 

Just going this far makes the retreat worthwhile, but there is a possibility for much deeper experiences and realizations. It is possible to enter the realm of nothingness. It seems like five to ten people in each retreat have some form of spiritual awakening. It is, however, not predictable who will this happen too. It sometimes occurs to long-time veterans of retreat and meditation practice, but it also often happens to complete novices on their first retreat. One has to always be open to the possibility. It is sometimes a nearly complete enlightenment, but sometimes a relatively shallow but real awakening. Again it is unpredictable. The teacher, Adyashanti, calls it falling into grace.

 

What is the nature of these experiences? They tend to have a common property of an experience of oneness, an experience that everything is singular, there is no distinction between subject and object, such that the sound and the listener, the sight and the seer, and the feeling and the feeler, are one and the same. These can be what are termed extrovertive awakening experiences wherein one experiences and observes the entire environment, sights, sound, smells, feelings, thoughts, etc. as simply an experience that all are one, with no distinction or separation. They can also be very deep experiences of nothingness that are termed introvertive awakenings. In these experiences everything dissolves into a void a nothingness, in which only pure awareness exists.

 

These are shattering experiences revealing a reality that was entirely unseen previously. People having had these experiences frequently state that death is not to be feared but rather seen as part of the fabric of existence, not an ending, but simply a change. These are frequently life changing experiences, forever altering the individual. They are never the same again. Needless to say, these are powerful spiritual experiences that many people previously believed were only open to special enlightened beings such as the Buddha. They are glimpses into our true nature and the workings of the universe.

 

There is no requirement that a retreat is necessary for these awakening experiences. Indeed, they occur spontaneously, quite frequently in everyday and even unlikely settings. But, retreat appears to greatly increase the probability that an awakening, a descent into the void, the nothingness, that is the basis for all existence, will happen. We have no expectations regarding what will happen on our upcoming retreat. We have enough experience to know that every retreat is different and to expect to repeat or build on an experience from a prior retreat is a fundamental error. Whatever, happens, if anything, can’t be predicted. On a previous retreat I went with great expectations only to get terribly sick and missed about half of the retreat sick in bed. You never know what will happen. But, know that whatever it is, it will move you in a positive direction.

 

So, go on retreat and feel its power, it’s power to fundamentally change you in mundane ways and sometimes in the most profound ways imaginable.

 

“One of the most powerful aspects of retreat in aiding the factor of determination is the collective energy of the community that is inherent to the retreat setting. When the bell rings and 150 people make their way into the meditation hall to sit, again and again, it becomes evident that this impulsion is like a powerful, gentle, loving force calling us back to remember again and again that we are loving, connected, resilient and forgiving. We, like so many others carry the responsibility of influencing the overall humanness of our totality.” – Scott Francis

 

CMCS – Center for Mindfulness and Contemplative Studies

 

The Power of Retreat 5 – Meditation and Spirituality

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The Power of Retreat 5 – Meditation and Spirituality

 

“Meditation is the discovery that the point of life is always arrived at in the immediate moment.” – Alan Watts

 

In a prior essay ‘The Power of Retreat 4 – the Container of Silence’ (https://www.facebook.com/ContemplativeStudiesCenter/insights/?section=navPosts), the effects of the container in which retreat is conducted were explored. But, the point of retreat is not the container, it is what transpires within it. Meditation and contemplation are the primary practices of the retreat. The amount varies with different types of retreats. The one we just returned from the amount of meditation varied between 3 to 4+ hours per day occurring in 6 to 8 periods beginning at 7:30 in the morning through 9:30 in the evening. The retreat not only allows for deep meditative experiences that build over the course of the retreat, but it also allows for time for contemplation. Just sitting or walking while reflecting on our environment, immediate experience, or the insights occurring in meditation is as important as the meditation itself.

 

The specific type of meditation practiced can vary with different retreats (see links below for explanations of meditation techniques). But, all practices emphasize quieting the mind, reducing the internal conversation and chatter, in order to better see and understand the operation of the mind. The amount of meditation is important as it is a ‘practice’ and over time the mind gets quieter. When the mind quiets all sorts of things can emerge, some expected, some a complete surprise, some sublime, but some very uncomfortable and upsetting. Be forewarned, meditation can produce wrenching experiences. We’ve seen many people spontaneously break out in tears at any moment. Most deal with it effectively, confronting and experiencing troubling experiences and the attached strong emotions. This is actually a very good thing as it can help to heal inner wounds that may have festered for decades. But, some participants are overwhelmed and need assistance or need to leave the retreat. Don’t be put off, these are important experiences and may constitute breakthrough moments, leading to self-transformation.

 

The intent of meditation is not to elicit thinking or emotions, even though thinking and emotions occur frequently during meditation. The intent is to allow inner silence to prevail. At the retreat we attended we all wore tags stating “I am observing silence.” This can be viewed very practically as a message to everyone around who may not be participating in the retreat, that we’re not open to conversation, or even everyday niceties. But, it’s true meaning is deeper. It suggests that we are observing silence itself, the silence within that is ever present and the foundation upon which all experiences emerge. It is a wonderful experience to be deeply immersed in the silence.

 

A powerful component of retreat is the commitment and intention that the participants bring. Most people coming to a retreat are very committed. The investment of money and especially a week’s time is a concrete expression of that commitment. The week taken away from work and everyday activities is dear to many. It could have been used to take a cruise, tour a foreign country, go to a beach or theme park, visit friends and family, etc. So, the choice to go on retreat instead is meaningful. This commitment provides the motivation for the individual to focus on the work of the retreat and particularly on their intention. Most come with an intention to work on self-understanding, which may paradoxically include a loss of self! In addition, the fact that there is a group of committed individuals with a shared intention present energizes the retreat.

 

For many the intention is for spiritual development. Some come to retreat with a specific intention to experience spiritual awakening or to experience a union with God. But, even those who come for personal development reasons often migrate toward spiritual development. This is a natural outgrowth of meditation. It is impossible to look deeply inside, particularly at the silence and emptiness and not be spiritually affected, to not glimpse the deeper aspects of existence. In fact, it is common in retreat for people to have awakening experiences. These frequently occur not in the meditation itself but during the contemplative time. That’s frequently where the fruits of meditation ripen. Additionally, the supportive environment of retreat can promote awakenings as the individual knows that these unusual experiences will be accepted and understood, whereas in everyday life they are not.

 

Silent meditation retreat is an opportunity to move away from our everyday lives. Some may see this as an opportunity to escape them but the power of retreat is not to escape our lives but to provide perspective on them. Yes, work, chores etc. must be done. But, by putting perspective on their true importance we become less stressed and anxious about them and don’t ruminate about unfinished tasks. Rather, we can begin to live our life with balance, making sure that we take care of what constitutes the to do list of our happiness and growth. It has been pointed out that absolutely no one, on their death bed, wishes that they had spent more time at work. Retreat can provide this same kind of perspective. We come away from retreat with a clear realization that we must give higher priorities and more time to our emotional and spiritual lives. We must invest the precious time of our lives in rest and contemplation. We must devote ourselves more to others and especially, to caring for ourselves. We can see how important our relationships, family and friends are to our inner reality. Retreat can provide this perspective for us and is part of its life-altering power.

 

We highly recommend retreat, especially silent retreat, for those who wish for personal or spiritual development. But, be prepared. It is often not the pleasant relaxing time off that many envision. It can be emotional and spiritual dynamite that needs to be approached with caution.

 

“As gold purified in a furnace loses its impurities and achieves its own true nature, the mind gets rid of the impurities of the attributes of delusion, attachment and purity through meditation and attains Reality. – Adi Shankara”

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Arthritis in Older Adults with Seated Yoga

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Improve Arthritis in Older Adults with Seated Yoga

 

By John M. de Castro, Ph.D.

 

“Chair yoga may help to reduce pain in older adults suffering from arthritis. Based around the ancient form of exercise, it allows people with reduced mobility to also take part. It helps to boost the strength and flexibility of older people and could become an effective treatment for those with the debilitating condition.” Stephen Matthews

 

Osteoarthritis is a chronic degenerative joint disease that is the most common form of arthritis. It produces pain, swelling, and stiffness of the joints. It is the leading cause of disability in the U.S., with about 43% of arthritis sufferers limited in mobility and about a third having limitations that affect their ability to perform their work. Knee osteoarthritis effects 5% of adults over 25 years of age and 12% of those over 65. It is painful and disabling. Its causes are varied including, hereditary, injury including sports injuries, repetitive stress injuries, infection, or from being overweight.

 

There are no cures for knee osteoarthritis. Treatments are primarily symptomatic, including weight loss, exercise, braces, pain relievers and anti-inflammatory drugs, corticosteroids, arthroscopic knee surgery, or even knee replacement. Gentle movements of the joints with exercise and physical therapy appear to be helpful in the treatment of knee osteoarthritis. This suggests that alternative and complementary practices that involve gentle knee movements may be useful for treatment.

 

Mindfulness practices such as Tai Chi and Qigong  and yoga have been shown to reduce the physical symptoms of knee osteoarthritis. Yoga, has been shown to be a safe and effective treatment for a wide variety of physical and psychological conditions, including arthritis. But, people with lower extremity osteoarthritis have difficulty with balance making standing postures problematic. So, it would seem reasonable to look into the effectiveness of yoga practice performed while sitting in a chair in treating knee osteoarthritis.

 

In today’s Research News article “A Pilot Randomized Controlled Trial of the Effects of Chair Yoga on Pain and Physical Function Among Community-Dwelling Older Adults With Lower Extremity Osteoarthritis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357158/ ), Park and colleagues recruited older adults (>65 years of age) with osteoarthritis of the lower extremity joints; hip, knee; ankle, and foot. They were randomly assigned to either receive health education or seated Hatha yoga practice. Both Health Education and yoga was practiced for 45 minutes twice a week for 8 weeks and home practice was encouraged. The participants were measured before and after treatment and at a 1-month and 3-month follow-up for pain interference in everyday activities, fatigue, balance, walking speed, pain, and functional ability.

 

They found that after the 8-weeks of practice and at the 1- and 3-month follow-ups, the yoga group had significantly greater reductions in pain, pain interference in daily activities, fatigue, and walking speed. There were no significant adverse events observed. Hence, practicing yoga while seated was well tolerated and safe and produced significant improvements in the symptoms of lower extremity osteoarthritis in elderly adults. This suggests that seated yoga practice may be a welcome, safe and effective alternative to pharmacologic or surgical treatment for osteoarthritis in the elderly.

 

So, improve arthritis in older adults with seated Yoga.

 

“The potential impact of this study on public health is high, as this program provides an approach for keeping community-dwelling elders active even when they cannot participate in traditional exercise that challenges their balance,” – Patricia Liehr

 

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

 

Park, J., McCaffrey, R., Newman, D., Liehr, P., & Ouslander, J. G. (2017). A Pilot Randomized Controlled Trial of the Effects of Chair Yoga on Pain and Physical Function Among Community-Dwelling Older Adults With Lower Extremity Osteoarthritis. Journal of the American Geriatrics Society, 65(3), 592–597. http://doi.org/10.1111/jgs.14717

 

Abstract

Objectives

To determine effects of Sit ‘N’ Fit Chair Yoga, compared to a Health Education program (HEP), on pain and physical function in older adults with lower extremity osteoarthritis (OA) who could not participate in standing exercise

Design

Two-arm randomized controlled trial

Setting

One HUD senior housing facility and one day senior center in south Florida

Participants

Community-dwelling older adults (N = 131) were randomly assigned to chair yoga (n = 66) or HEP (n = 65). Thirteen dropped after assignment but prior to the intervention; 6 dropped during the intervention; 106 of 112 completed at least 12 of 16 sessions (95% retention rate).

Interventions

Participants attended either chair yoga or HEP. Both interventions consisted of twice-weekly 45-minute sessions for 8 weeks.

Measurements

Primary: pain, pain interference; secondary: balance, gait speed, fatigue, functional ability measured at baseline, after 4 weeks of intervention, at the end of the 8-week intervention, and post-intervention (1 and 3 months).

Results

The chair yoga group showed greater reduction in pain interference during the intervention (p = .01), sustained through 3 months (p = .022). WOMAC pain (p = .048), gait speed (p = .024), and fatigue (p = .037) were improved in the yoga group during the intervention (p = .048) but improvements were not sustained post intervention. Chair yoga had no effect on balance.

Conclusion

An 8-week chair yoga program was associated with reduction in pain, pain interference, and fatigue, and improvement in gait speed, but only the effects on pain interference were sustained 3 months post intervention. Chair yoga should be further explored as a nonpharmacologic intervention for older people with OA in the lower extremities.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357158/

 

Improve Students Transition to College with Mindfulness

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Improve Students Transition to College with Mindfulness

 

By John M. de Castro, Ph.D.

 

“The first semester of college is a time of great transition for many students — they often are living away from home for the first time, have a much more fluid schedule than in high school and are potentially surrounded by a new peer group. For all of these reasons and more, this can be an incredibly stressful time in a student’s life.” – Victoria M. Indivero

 

In the modern world education is a key for success. Where a high school education was sufficient in previous generations, a college degree is now required to succeed in the new knowledge-based economies. There is a lot of pressure on students to excel so that they can be admitted to the best universities and there is a lot of pressure on university students to excel so that they can get the best jobs after graduation. As a result, colleges, parents, and students are constantly looking for ways to improve student performance in school.

 

The primary tactic has been to pressure the student and clear away routine tasks and chores so that the student can focus on their studies. But, this might in fact be counterproductive as the increased pressure can actually lead to stress and anxiety which can impede performance. These stressors are at their peak when new students transition to college. Mindfulness training for incoming students may be an answer as mindfulness have been shown to be helpful in reducing the physiological and psychological responses to stress and to improve coping with the school environment and enhance performance. So, perhaps, mindfulness training may help ease students’ transition to college.

 

In today’s Research News article “Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810370/ ), Dvořáková and colleagues recruited first year college students who resided on campus and randomly assigned them to either a wait-list control condition or to a 6-week mindfulness training condition with 2 80-minute sessions for the first two weeks and 1 session per week for the remaining 4 weeks. The training occurred in a group format during their first semester on campus and included instruction on emotion regulation, mindfulness techniques, and daily home practice. The students were measured before and after training for mindfulness, anxiety, depression, satisfaction with life, compassion, self-compassion, social connectedness, sleep, alcohol use and consequences, and program acceptability.

 

They found that the students who attended the mindfulness trainings had significantly lower levels of anxiety depression, alcohol-related consequences, and sleep issues and higher levels of life satisfaction in comparison to baseline and the wait-list control students. Hence, the mindfulness program improved the psychological health of the new college students, thereby easing their transition to the university environment. This is a pilot study, so results need to be interpreted with caution. But, the results are sufficiently interesting and potentially important that a large scale controlled clinical trial with an active control group is warranted.

 

The Freshman year in college is critical. Most of the students who fail to complete a college degree drop out in the first year. So, it is particularly important to find ways to help Freshman transition to university life and be successful. The present study suggests that mindfulness training may be an effective component in a university’s programs for Freshman to help promote their psychological health and academic performance in their critical first year.

 

So, improve students transition to college with mindfulness.

 

“Rather than telling the students what to do, we had them explore and talk about how to be mindful in their daily lives and discover the benefits for themselves. We found that underneath the stress that students are experiencing is a deep desire to appreciate life and feel meaningful connections with other people.” – Kamila Dvorakova

 

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

 

Dvořáková, K., Kishida, M., Li, J., Elavsky, S., Broderick, P. C., Agrusti, M. R., & Greenberg, M. T. (2017). Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial. Journal of American College Health : J of ACH, 65(4), 259–267. http://doi.org/10.1080/07448481.2017.1278605

 

Abstract

Objective

Given the importance of developmental transitions on young adults’ lives and the high rates of mental health issues among U.S. college students, first-year college students can be particularly vulnerable to stress and adversity. This pilot study evaluated the effectiveness and feasibility of mindfulness training aiming to promote first-year college students’ health and wellbeing.

Participants

109 freshmen were recruited from residential halls (50% Caucasian, 66% female). Data collection was completed in November 2014.

Methods

A randomized control trial was conducted utilizing the Learning to BREATHE (L2B) program, a universal mindfulness program adapted to match the developmental tasks of college transition.

Results

Participation in the pilot intervention was associated with significant increase in students’ life satisfaction, and significant decrease in depression and anxiety. Marginally significant decrease was found for sleep issues and alcohol consequences.

Conclusions

Mindfulness-based programs may be an effective strategy to enhance a healthy transition into college.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5810370/

 

Improve Stress Related Disease Symptoms with Mindfulness in Nature

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Improve Stress Related Disease Symptoms with Mindfulness in Nature

 

By John M. de Castro, Ph.D.

 

“Nature is always here and now. Your breath, your senses, anything around you. When you are being aware of the life within you and around you, you are being mindful of this present moment, and it will always calm you down. You can not do nature, you can just be there. Being is calming.” – Hanne Suorza

 

Stress is an integral part of life. People often think of stress as a bad thing. But, it is actually essential to the health of the body. In fact, we invest time and resources in stressing ourselves, e.g ridding rollercoasters, sky diving, competing in sports, etc. We say we love a challenge, but, challenges are all stressful. So, we actually love to stress ourselves. In moderation, it is healthful and provides interest and fun to life. If stress, is high or is prolonged, however, it can be problematic. It can significantly damage our physical and mental health and even reduce our longevity, leading to premature deaths. So, it is important that we develop methods to either reduce or control high or prolonged stress or reduce our responses to it.

 

Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress. It has long been reported that walking in nature elevates mood. It appears intuitively obvious that if it occurred in a beautiful natural place, it would greatly lift the spirits. But, there is little systematic research regarding these effects. It’s possible that conducting walking meditation in nature might potentiate the effects by combining two mood enhancing practices.

 

In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800236/  ), Corazon and colleagues recruited adult patients with stress-related diseases who had been not able to work for at least the last three months. They were randomly assigned to receive either a mindfulness nature-based therapy or Cognitive Behavioral Therapy (CBT). The mindfulness nature-based therapy occurred 3 times per week for 3 hours each session for 10 weeks and consisted “of five interrelated components: (i) individual therapeutic conversations based on CBT; (ii) individual and group mindfulness exercises, such as mindful walking in the garden; (iii) individual and social gardening activities, depending on the season, which integrates training in mindful awareness; (iv) individual relaxation and reflection time in the garden; and (v) homework to practice the techniques introduced.” The Cognitive Behavioral Therapy (CBT) was a group based therapy that occurred twice per week for 1 hour each session for 10 weeks. From the government records the participants amount of sick leave from work and health care consumption were recorded over the year following completion of treatment.

They found that the participants in both the mindfulness nature-based therapy and the Cognitive Behavioral Therapy (CBT) had progressively less sick leave over the 12 months following the treatment such that 72% of the participants reported no sick leave at all during month 12. In addition, there were significant reductions (31%) in the number of visits to physicians over the follow-up period. Hence, both treatment programs resulted in significant improvements in stress-related disease impacts on work life and healthcare consumption.

 

It needs to be mentioned that since participants in both treatments improved and there was not a no-treatment comparison condition, it cannot be concluded that the treatments produced the improvements. The improvements may have been due to spontaneous recovery over the years, time. Future research needs to contain other comparison conditions. Nevertheless, the results are encouraging suggesting that CBT and mindfulness nature-based therapy may be effective treatments for stress-related diseases; easing the suffering of the individuals and reducing the load on the health care and sick leave systems.

 

“All truly great thoughts are conceived while walking” – Friedrich Nietzsche

 

“Me thinks that the moment my legs begin to move, my thoughts begin to flow” – Henry David Thoreau

 

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

 

Corazon, S. S., Nyed, P. K., Sidenius, U., Poulsen, D. V., & Stigsdotter, U. K. (2018). A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 15(1), 137. http://doi.org/10.3390/ijerph15010137

 

Abstract

Stress-related illnesses are a growing health problem in the Western world; which also has economic significance for society. As a consequence; there is a growing demand for effective treatments. The study investigates the long-term efficacy of the Nacadia® nature-based therapy (NNBT) by comparing it to the efficacy of a validated cognitive behavioral therapy, called STreSS. The study is designed as a randomized controlled trial in which 84 participants are randomly allocated between the treatments. Long-term efficacy is investigated through data extracts from the national database of Statistics Denmark on the sick leave and the health-care consumption. The results show that both the NNBT and the STreSS lead to a significant decrease in number of contacts with a general practitioner in the period from twelve months prior to treatment to twelve months after treatment; and, a significant decrease in long-term sick leave from the month prior to treatment to twelve months after treatment. The positive long-term effects provide validation for the NNBT as an efficient treatment of stress-related illnesses.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800236/

Mindful Patients with Multiple Sclerosis Have Less Interference in Living from Pain

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Mindful Patients with Multiple Sclerosis Have Less Interference in Living from Pain

 

By John M. de Castro, Ph.D.

 

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

 

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

 

Although there is a progressive deterioration, MS is not fatal with MS patients having about the same life expectancy as the general population. Hence, most MS sufferers have to live with the disease for many years. So, quality of life becomes a major issue. Quality of life with MS is affected by fatigue, cognitive decrements, physical impairment, depression, and poor sleep quality. For most MS patients pain accompanies the disease and in about a third of patients the pain is clinically significant. There is a thus a critical need for safe and effective methods to help relieve pain in MS sufferers. Mindfulness practices have been shown to relieve pain from a number of different conditions and also to improve the symptoms of multiple sclerosis. It has yet to be demonstrated that mindfulness can reduce the pain in MS patients.

 

In today’s Research News article “Association Between Pain and Mindfulness in Multiple Sclerosis: A Cross-sectional Survey.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825983/ ), Senders and colleagues examine the relationship between the mindfulness of patients with Multiple Sclerosis (MS) and the interference of the pain with daily activities (pain interference). They recruited adult MS patients with average age of 50 years. They measured them for the degree to which pain interfered with their everyday lives and also their levels of mindfulness.

 

They found that there was a highly significant negative relationship between the MS patients’ levels of pain interference and levels of mindfulness such that patients with high levels of mindfulness tended to have low levels of pain interference and patients with low levels of mindfulness tended to have high levels of pain interference. It should be noted that this finding is correlative and causation cannot be concluded. But in previous research mindfulness training has been shown to cause pain reduction in other disorders. This makes it highly likely that mindfulness reduced the pain interference for MS patients.

 

Mindfulness involves an appreciation of the sensations and feelings in the present moment without judging them. This appears to be important to reduce the tendency to magnify the pain by reacting negatively to it and allows the patient to function effectively even with pain. It remains to be shown that training mindfulness in MS patients will reduce their suffering and its interference with everyday living.

 

“Living with the pain, discomfort, and the uncertainties of MS can lead to feelings of frustration, anger, anxiety, and depression. . . By becoming mindful and aware of our thoughts, feelings, and body sensations, we can better control situations, and we have more choices. It also means that we are less likely to end up striving for too long toward goals that it might be wiser to let go. Mindful awareness helps us to become fully conscious of the world as it is, rather than how we wish it could be.” – Regina Boyle Wheeler

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

 

Senders, A., Borgatti, A., Hanes, D., & Shinto, L. (2018). Association Between Pain and Mindfulness in Multiple Sclerosis: A Cross-sectional Survey. International Journal of MS Care, 20(1), 28–34. http://doi.org/10.7224/1537-2073.2016-076

 

Abstract

Background:

Chronic pain is a common symptom in people with multiple sclerosis (MS) and often requires a multimodal approach to care. The practice of mindfulness has been shown to decrease the experience of pain in other conditions, yet little is known about the relationship between mindfulness and pain in people with MS. The objective of this study was to evaluate the association between pain interference and trait mindfulness in people with MS.

Methods:

In this cross-sectional survey, 132 people with any type of MS completed the Patient-Reported Outcomes Measurement Information System Pain Interference scale and the Five Facet Mindfulness Questionnaire. Linear regression was used to test the association between pain and mindfulness while adjusting for demographic and MS-related characteristics.

Results:

The relationship between pain and mindfulness was clinically meaningful and highly significant (t = −5.52, P < .0001). For every 18-point increase in mindfulness scores, pain interference scores are expected to decrease by 3.96 (95% CI, −2.52 to −5.40) points (β = −0.22, P < .0001). The adjusted model, including age, type of MS, the interaction between mindfulness and age, and the interaction between mindfulness and MS type, explains 26% of the variability in pain interference scores (R2 = 0.26).

Conclusions:

These results suggest a clinically significant association between mindfulness and pain interference in MS and support further exploration of mindfulness-based interventions in the management of MS-related pain.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825983/