Be My Mindful Valentine

psyjdc Leave a comment

Be My Mindful Valentine

 

By John M. de Castro, Ph.D.

 

“Love is like a friendship caught on fire. In the beginning a flame, very pretty, often hot and fierce, but still only light and flickering. As love grows older, our hearts mature and our love becomes as coals, deep-burning and unquenchable.” – Bruce Lee

 

Valentine’s Day was invented for the greeting card and florist industries but it caught on because there are few things more worth celebrating than love. Valentine’s Day is usually considered a celebration of romantic love, but I prefer it to be a celebration of love in all of its magnificent manifestations. Mindfulness is an important part as there is nothing more beautiful than mindful love. It’s pure, non-judgmental, and non-contingent love. It’s a completely unfettered outpouring of the heart.

 

Mindful love is not necessarily expressed with romantic greeting cards, roses, and chocolates. There is nothing wrong with these concrete expressions of love except when they are used as a substitute for the real thing. Too often we go through the motions of buying symbols of love and believing that these are all we need to express our feelings. True expressions of love are not concrete and tangible. They are deep connections and feelings that flow direct from the source and, if the truth be known, are the source. Let this love flow first and if it leads to giving tangible symbols, wonderful. Let it flow in any and every way it wishes to express itself.

 

The great sage Thích Nhất Hạnh said that “When you love someone, the best thing you can offer is your presence. How can you love if you are not there?” This sounds so simple, but it is not. What he means by “presence” is much more than being in physical proximity to another. It means to be really there for them, mindfully and totally, with the mind dedicated to them and not off thinking of something else. Rather the mind is totally focused and attentive to the other person. You are deeply listening to their words. You are deeply sensing their non-verbal messages. You are totally committed to them in the present moment. So, on Valentine’s Day offer the people you love your mindful presence. There is no greater way to express your love.

 

Mindful love is non-judgmental. It is accepting the other person for exactly who and what they are. It is appreciating their humanness with all its flaws, physical, psychological, and social. It is encouraging their aspirations and supporting them in their pursuit of them. It is filled with loving kindness and compassion. Thích Nhất Hạnh teaches “You must love in such a way that the person you love feels free.” In other words, there’s no clinging or holding on. If there is, then the love is not mindful love, it is needy love.

 

Before mindful love can be given to others it must first be given to the self. Each of us has to truly love ourselves before we can freely and completely offer mindful love to another. For many westerners this can be a real challenge as many do not even like themselves. This is frequently due to westerners having unrealistic models, and beliefs and expectations about themselves. It is imperative to overcome this as this lack of self-love is the foundation of needy, demanding, self-centered love. Learn to fully accept your humanness and to understand that what you see as imperfections are nothing more than expressions of your humanity. Begin to accept that you are extraordinary, beautiful, capable, and special; a one of a kind, never to be seen again, exemplar of what it means to be a living, imperfect, human being. Recognize that you are worthy not only of your own love but the love of others. Realize that you are just as capable and competent and simultaneously just as inadequate and ineffectual as everyone else. Learn to love yourself and then you can truly love others.

 

It is nearly impossible to divorce romantic love from sexuality. From an evolutionary perspective the feelings between members of the opposite sex are driven by the needs to reproduce, making sexuality an integral part of romantic love. Unfortunately, many people separate love and sex, but this is often due to religious morality or societal dictates. There is no need to separate the two, in fact, they both are best when they work together. When mindful love is accompanied with mindful sex, each reinforces the other, producing an upward spiral of positive feelings. Recent research discovered that people are the most mindful at any time in their lives when they are engaged in sex. So, the phrase “mindful sex” may actually be redundant. But, when combined with mindful love, sexuality is a shared giving experience. Each partner is not simply engaged to satisfy their own needs, but to give, be present, and be sensitive to the other, to be non-judgmental and accepting of the other, to share one of life’s extraordinary experiences, and to truly come to understand why the word intercourse is used to label it. With mindfulness sex becomes an expression of deep and satisfying shared love.

 

Mindful love includes but expands far, far, beyond romantic love. When practiced it extends to everyone around the individual, including family, friends, co-workers, neighbors, acquaintances, and even enemies. As you practice mindful love it will slowly begin to become evident that deep in the core of your being is nothing but love. The more aware you become of this the more that love gushes and envelops you and everyone around you. It even extends to all of existence. Unless you are exceptionally blessed it will take a while to get to this level. But, it doesn’t have to be sought as it is a natural outgrowth of the practice of mindful love.

 

The words, practice mindful love, are so easy to say. But, it is not easy. It’s very hard. It, like most things about mindfulness, is a practice. We work at it and try to get a little better all the time, but knowing that the ideal is not humanly possible. But the effort itself, is a true expression of mindful love. The practice of loving kindness meditation is a method that can help in the development of mindful love. But, if you work at it, invest in it, and patiently practice you will be deeply rewarded. The more you love, the more you love, the more you are loved, and the happier you become, not just superficial happiness, but the deep and abiding happiness of being a mindful valentine.

 

“We come to love not by finding a perfect person, but by learning to see an imperfect person perfectly.” – Sam Keen

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

Improve Pain Responding in Adolescents with Mindfulness

psyjdc 1 Comment

Improve Pain Responding in Adolescents with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness was a significant predictor of both real-world and experimental pain outcomes. Adolescents who were more mindful tended to experience less interference in their day-to-day life as a result of pain. Additionally, . . . more mindful adolescents reported less intense pain and a higher level of pain tolerance.” – Mark Petter

 

We all have to deal with pain. It’s inevitable, but hopefully it’s mild and short lived. For a wide swath of humanity, however, pain is a constant in their lives. At least 100 million adult Americans have chronic pain conditions. Sadly, about a quarter to a third of children experience chronic pain. It has to be kept in mind that pain is an important signal that there is something wrong or that damage is occurring. This signals that some form of action is needed to mitigate the damage. This is an important signal that is ignored at the individual’s peril. So, in dealing with pain, it’s important that pain signals not be blocked or prevented. They need to be perceived. But, methods are needed to mitigate the psychological distress produced by chronic pain.

 

The most common treatment for chronic pain is drugs. These include over-the-counter analgesics and opioids. But opioids are dangerous and prescription opioid overdoses kill more than 14,000 people annually. The use of drugs in adolescents is even more complicated and potentially directly harmful or could damage the developing brain. So, there is a great need to find safe and effective ways to lower the psychological distress and improve adolescents’ ability to cope with the pain.

 

Pain involves both physical and psychological issues. The stress, fear, and anxiety produced by pain tends to elicit responses that actually amplify the pain. So, reducing the emotional reactions to pain may be helpful in pain management. There is an accumulating volume of research findings to demonstrate that mind-body therapies have highly beneficial effects on the health and well-being of humans. These include meditation, yoga, tai chi, qigong, biofeedback, progressive muscle relaxation, guided imagery, hypnosis, acupuncture, and deep breathing exercises. Mindfulness practices have been shown to improve emotion regulation producing more adaptive and less maladaptive responses to emotions. Indeed, mindfulness practices are effective in treating pain in adults. But there is very little systematic study of the application of these practices for the treatment of chronic pain in adolescents.

 

In today’s Research News article “I Learned to Let Go of My Pain”. The Effects of Mindfulness Meditation on Adolescents with Chronic Pain: An Analysis of Participants’ Treatment Experience.” (See summary below or view the full text of the study at:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742755/ ), Ruskin and colleagues recruited adolescents between the ages of 12 to 18 years who suffered from chronic pain. They provided the adolescents with an 8-week program or Mindfulness-Based Stress Reduction (MBSR) modified for adolescents, including meditation, yoga, and body scan, but with reduced expectation for home practice and shortened sessions. One week after the end of the program the youths were asked about their satisfaction with the program and participated in focus groups to provide feedback, evaluations, and suggestions regarding the program. The groups discussions were transcribed and a content analysis performed.

 

The participants rated their satisfaction program at 8.29 out of 10, suggesting a high degree of satisfaction. Ruskin and colleagues found that the “Qualitative analysis of focus group transcripts revealed six main themes: Mindfulness Skills, Supportive Environment, Group Exercises, Empowerment, Program Expectations, and Logistics.”

 

In terms of the mindfulness category the participants reported that the program improved their awareness of the present moment, their ability to let go of their pain, their ability to cope with the emotions produced by the pain, and increased their overall emotional well-being and happiness. In addition, they reported that the mindfulness skills transferred to other aspects of their life such as work, and became a part of how they normally viewed the world.

 

In terms of the supportive environment, the participants reported that the group developed a sense of openness and trust, provided emotional support and made them feel less alone. They also reported that being able to discuss their pain issues with others who were also suffering was very beneficial. In terms of the group exercises, the participants reported that the “weather report”, reporting on their current state with the group was very helpful, that focusing on the pain in meditation was helpful. In terms of empowerment, the participants felt that the program did not actually ease their pain but empowered them to take actions to cope with it and not let it interfere with their activities. In terms of the program expectations, they reported that they had great misconceptions of mindfulness at the beginning believing it to be uninteresting and dumb and some reported that they thought the program would actually lower their pain levels. Finally,

in terms of the logistics, the meeting room was too sterile and needed to be decorated in a more interesting fashion, there needed to be more meetings, and they liked working with other adolescents with chronic pain.

 

Hence, the participants viewed the program very positively as improving their ability to appreciate and stay in the present moment and better cope with the emotional and practical consequences of their pain. That the practice was conducted in a group of other adolescents with chronic pain was viewed as an important and helpful characteristic of the program. In other words, they were pleased and felt the program was helpful to them in dealing with their pain.

 

These results must be interpreted carefully. They should be viewed as constructive feedback on the program and nothing more. More empirical evidence is needed to reach firm conclusions regarding the programs efficacy. But, the results are suggestive that more systematic studies are warranted as mindfulness training may be very helpful to adolescents in coping with chronic pain.

 

 “Mindful meditation can have profound effects for those who suffer from chronic pain. This simple practice seems to be able to change a patient’s perception of pain, making it less intense. . . . consistent meditation helped patients locate and turn down the “volume knob” on sensations. Often pain sufferers are unable to focus on anything but their pain, which increases their perception of it.” – Pain Doctor

 

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

 

Danielle Ruskin, Lauren Harris, Jennifer Stinson, Sara Ahola Kohut, Kathryn Walker, Erinn McCarthy. I Learned to Let Go of My Pain”. The Effects of Mindfulness Meditation on Adolescents with Chronic Pain: An Analysis of Participants’ Treatment Experience. Children (Basel) 2017 Dec; 4(12): 110. Published online 2017 Dec 15. doi: 10.3390/children4120110

 

Abstract

Chronic pain can lead to significant negative outcomes across many areas of life. Recently, mindfulness-based interventions (MBIs) have been identified as potentially effective tools for improved pain management among adolescents living with pain. This study aimed to explore the experience of adolescents who participated in an eight-week mindfulness group adapted for adolescents with chronic pain (MBI-A), and obtain their feedback and suggestions on group structure and content. A mixed method design was used employing qualitative data from focus groups and data from a satisfaction questionnaire. Focus group data were transcribed and analyzed using inductive simple descriptive content analysis. Of the total participants (n = 21), 90% (n = 19) provided feedback by completing satisfaction questionnaires and seventeen (n = 17) of those also participated across two focus groups. Analysis of the focus group transcripts uncovered six themes: mindfulness skills, supportive environment, group exercises (likes and dislikes), empowerment, program expectations, and logistics. Participants reported positive experiences in the MBI-A program, including support received from peers and mindfulness skills, including present moment awareness, pain acceptance, and emotion regulation. Group members suggested increasing the number of sessions and being clearer at outset regarding a focus on reduction of emotional suffering rather than physical pain.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742755/

Reduce Inflammatory Processes with Mindfulness

psyjdc Leave a comment

Reduce Inflammatory Processes with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Millions of people around the world already enjoy the health benefits of mind-body interventions like yoga or meditation, but what they perhaps don’t realize is that these benefits begin at a molecular level and can change the way our genetic code goes about its business. These activities are leaving what we call a molecular signature in our cells, which reverses the effect that stress or anxiety would have on the body by changing how our genes are expressed. Put simply, MBIs cause the brain to steer our DNA processes along a path which improves our wellbeing.” – Ivana Buric

 

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression. Needless to say, chronic inflammation can create major health problems. Indeed, the presence of chronic inflammation is associated with reduced longevity. So, it is important for health to control the inflammatory response, allowing it to do its job in fighting off infection but reducing its activity when no external threat is apparent.

 

Of course, it is far better to prevent chronic inflammation in the first place than to treat it later. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. In today’s Research News article “Effects of Mind-Body Training on Cytokines and Their Interactions with Catecholamines.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561407/ ), Jang and colleagues recruited healthy adult Mind-Body Training (MBT) practitioners and a group of healthy adult non-practitioners. MBT consists of a combination of mindful movements, breathing exercises, and meditation. The recruited practitioners engaged in MBT on average for about an hour three or four times per week. Blood samples from all participants were drawn and assayed for cytokines, including TNF-Alpha, IL-6, IL-10, and IFN-Gamma, and the catecholamines, Norepinephrine, Epinephrine, and Dopamine.

 

They found that the Mind-Body Training (MBT) group had significantly higher levels of the anti-inflammatory cytokine, IL-10. Levels of the pro-inflammatory cytokines were lower in the MBT groups but the differences were not significant. In addition, they found that the higher the levels of IL-10, the higher the levels of the catecholamine ratios of Norepinephrine/Epinephrine and Dopamine/Epinephrine. Hence, MBT practice appears to be associated with decreases in inflammatory processes. In addition, high catecholamine ratios are associated with decreased stress levels, suggesting that the high IL-10 levels observed in the MBT group are associated with lower levels of stress.

 

The study did not actively manipulate MBT practice, so no conclusions about causation can be reached. The results, however, support the hypothesis that Mind-Body Training (MBT) is associated with decreased inflammatory responses and stress levels. Other research has shown that mindfulness practice can reduce inflammation and stress. So, it is reasonable to conclude that the present results were due to MBT practice. Since, chronic inflammation is detrimental to the health of the individual, the results suggest that MBT practice would help to improve or maintain the health and longevity of the individual.

 

So, reduce inflammatory processes with mindfulness.

 

“Chronic inflammation is associated with increased risk for psychiatric disorders, autoimmune conditions such as asthma and arthritis, cardiovascular disease, neurodegenerative disease and some types of cancer. But . . . mind-body interventions might help reduce the risk for inflammation-related disorders. And not just psychological ones, but even the physical ones like asthma or arthritis.” – Jo Marchant

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Jang, J. H., Park, H. Y., Lee, U. S., Lee, K.-J., & Kang, D.-H. (2017). Effects of Mind-Body Training on Cytokines and Their Interactions with Catecholamines. Psychiatry Investigation, 14(4), 483–490. http://doi.org/10.4306/pi.2017.14.4.483

 

Abstract

Objective

Mind-body training (MBT) may control reactions to stress and regulate the nervous and immune systems. The present study was designed to assess the effects of MBT on plasma cytokines and their interactions with catecholamines.

Methods

The study group consisted of 80 subjects who practice MBT and a control group of 62 healthy subjects. Plasma catecholamine (norepinephrine, NE; epinephrine, E; and dopamine, DA) and cytokine (TNF-alpha, IL-6, IFN-gamma, and IL-10) levels were measured, and the differences between the MBT and control groups and the interactions of cytokines with catecholamines were investigated.

Results

A significant increase in IL-10+IFN-gamma was found in females of the MBT group compared with controls. Also, a significant increase of IL-10 (anti-inflammatory cytokine) in the MBT group was shown in a specific condition in which TNF-alpha and IL-6 (pro-inflammatory cytokines) are almost absent (≤1 ng/L) compared with controls. In the MBT group, significant positive correlations were found between IL-10 and the NE/E ratio and between IL-10 and the DA/E ratio, whereas the control group did not show any such correlations.

Conclusion

MBT may increase IL-10, under specific conditions such as a decrease of pro-inflammatory cytokines or E, which may regulate the stress response and possibly contribute to effective and beneficial interactions between the nervous and immune systems.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561407/

The Noble Eightfold Path: Right Communications

psyjdc Leave a comment

The Noble Eightfold Path: Right Communications

 

By John M. de Castro, Ph.D/

 

“If you propose to speak, always ask yourself, is it true, is it necessary, is it kind?” – Buddha

Communications is the key to the dominance of the human race. Because we developed language and speech we’ve been able to share knowledge and build upon prior knowledge. Speech and language are so important that a substantial amount of the human cortex is devoted to it. As important as language is we still have not mastered communications. We are often misunderstood, use language inappropriately, use it to bully, or lash out in anger. We harm and hurt others by our speech both intentionally and also innocently. Communications between humans is so powerful and important that the Buddha made it a component of his eightfold path to enlightenment.

 

The Noble Eightfold Path consists of “Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort, Right Mindfulness and Right Concentration.” – Buddha. In previous posts “Right View” and “Right Intention” were discussed. Now we will discuss the third component “Right Speech” which is also known as “Wise Speech” or “Virtuous Speech.” Since, the word “Speech” here is used very broadly it would probably be better interpreted as “Communications.” So, for the purpose of this discussion we’ll use “Right Communications.” These include not only speech, but writing, signs and signals, emails, texts, tweets, social media posts, and even non-verbal communications provided by posture and facial expressions. To simplify the discussion, we will focus only on speech.

 

“Right Communications” urges us to communicate in ways that promote harmony among people, to only communicate what we know to be true, to use a tone that is pleasing, kind, and gentle, and to communicate mindfully in order that our speech is useful and purposeful. It asks us to refrain from false, malicious, harsh, or cynical communications and from idle chatter or gossip. All of this sounds straightforward, but can be devilishly difficult to implement. We’ve been trained from a very early age to be critical, skeptical, cynical, and to talk about one another incessantly. To practice “Right Communications” we must work to overcome all of this conditioning.

 

An essential component of “Right Communications” is deep listening. It is nearly impossible to communicate “Rightly” with another without a clear understanding of the other person. It is easy to hurt or harm someone unknowingly when we lack knowledge of the other person’s history, aspirations, sensitivities, fears, etc. In order to understand them we need to be able to listen carefully, attentively, and deeply to what the other communicates to us. Most of the time most people are not carefully listening to another when they’re communicating, instead waiting their turn and mentally composing their response. Practicing “Right Communications” requires that we not do this, but instead focus on the other’s communication and process its meaning completely and to ask for clarification when it is not clear. The intent of listening should be to provide the deep understanding of another to allow for mindful, kind interactions.

 

“Right Communications” is truthful. Obviously this means no lying. But this can be subtler, as it demands that we really know something to be true before stating it. How much of what we say are we really 100% sure of its truth? Probably very little as much of our speech includes speculation, guesswork, reports of what we’ve heard or inferred, and idle talk. “Right Communications” demands that we be very careful and verify the truth of what we communicate. If we’re unsure of the truth of what we’re saying we should make it clear that we are unsure, that makes it truthful. That the communication is truthful does not mean, however, that it should be said. The old expression “the truth can hurt” is an important reminder. Sometimes it is better to not speak at all rather than hurt or harm another with a truth that they are not ready to hear. “Right Communications” requires discernment and deep listening to the other person to be sure when to speak the truth or remain silent.

 

“Right Communications” promotes friendship and harmony among people. This means refraining from slanderous speech that is aimed at producing division and dissention and instead communicate in way that unites people and creates mutual understanding. This form of communications emanates from loving kindness and compassion for others. When we communicate we do so to benefit everyone involved. This does not mean that there should be no differences in ideas or opinions between people. Differences, in fact, can be a source of creativity and learning. It means, though, that communications celebrate, accept, and value the differences allowing their expression to produce greater understanding. So, a healthy political debate can promote understanding and harmony as long as it’s engaged in with loving kindness, tolerance, and friendliness, where the debate is not competitive or designed to belittle another or heighten one’s self-esteem, but to learn from an exchange of views. Once again, this requires discernment and deep listening to know what words will heal and promote goodwill and which will divide or harm.

 

“Right Communications” is pleasing, kind, and gentle. It is designed to set a tone which can make the communication enjoyable and produce wholesome results. This, includes non-verbal components. A smile while communicating produces positive feelings that a frown does not. This means refraining from harsh speech, including swearing and angry speech. We must be vigilant to prevent communications when anger arises. I find this particularly difficult, as expletives explode forth when my anger is tripped. “Right Communications” is positive and encouraging and not critical or discouraging. So, it emphasizes the positive and primarily passes over the negative. “Right Communications” involves meeting angry, hostile, critical, or sarcastic communications from others with loving kindness and understanding. It means that we don’t retaliate, instead we meet it with kindness. This requires practice as it is difficult to control our emotions and deep conditioning to respond to threats with anger and aggression. But, if we are successful in “Right Communications” we will generally find that the results are far more pleasing, other people like us and like to be around us more, and we and everyone around us are happier.

 

“Right Communications” also involves purposive communications. This is where “Right Intentions” come to bare setting the directions for the communications. “Right Communications”

Involves a judicious use of language only when it will promote good. It “is like a treasure, uttered at the right moment, accompanied by reason, moderate and full of sense” (Bhikkhu Bodhi). This means that we should inhibit idle chatter and especially gossip. Idle chatter communicates nothing of value and uselessly occupies the mind interfering with mindfulness making it more likely that we’ll communicate something harmful. Gossip is of its nature critical of others and shallow. It demeans others and causes harm. It lacks loving kindness and compassion. Hence, practicing “Right Communications” means not gossiping and not responding to gossip communicated by others. Words are precious and powerful. We need to use them pointedly to create happiness and harmony both in ourselves and others.

 

“Right Communications” requires mindfulness. It requires us to review our words before we actually speak them, so that we can apply discernment and insure that they promote harmony and understanding. “Right Communications” is thoughtful communications that we’ve determined ahead of time is likely to produce good. This requires considerable practice. It is not easy. But life provides numerous occasions every day to practice “Right Communications.” Rest assured that the effort is well worth it. You and everyone around you will discover its benefits promoting happiness and harmony and development along the eightfold path toward enlightenment.

 

 “Aware of the suffering caused by unmindful speech and the inability to listen to others, I am committed to cultivating loving speech ( and compassionate listening in order to relieve suffering and to promote reconciliation and peace in myself and among other people, ethnic and religious groups, and nations. Knowing that words can create happiness or suffering, I am committed to speaking truthfully using words that inspire confidence, joy, and hope. . . . I am determined not to spread news that I do not know to be certain and not to utter words that can cause division or discord.” – Thich Nhat Hahn

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

Improve the Ability to Control the Brain’s Activity with Prayer and Meditation

psyjdc Leave a comment

Improve the Ability to Control the Brain’s Activity with Prayer and Meditation

 

By John M. de Castro, Ph.D.

 

“You can sculpt your brain just as you’d sculpt your muscles if you went to the gym. Our brains are continuously being sculpted, whether you like it or not, wittingly or unwittingly.” – Ritchie Davidson

 

The nervous system is a dynamic entity, constantly changing and adapting to the environment. It will change size, activity, and connectivity in response to experience. For example, the brain area that controls the right index finger has been found to be larger in blind subjects who use braille than in sighted individuals.  Similarly, cab drivers in London who navigate the twisting streets of the city, have a larger hippocampus, which is involved in spatial navigation, than predefined route bus drivers. These changes in the brain are called neuroplasticity. Over the last decade neuroscience has been studying the effects of contemplative practices on the brain and has identified neuroplastic changes in widespread areas. In other words, meditation practice appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

 

Prayer and meditation can be quite similar. It is possible that they can both produce changes to the brain. Since, both involve a degree of self-control, it is possible that they both change the brain to enhance self-control mechanisms. In today’s Research News article “Ability to Gain Control Over One’s Own Brain Activity and its Relation to Spiritual Practice: A Multimodal Imaging Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442174/ ), Kober and colleagues studied the ability of meditation and prayer to alter the nervous system and improve self-control. They recruited healthy adults who reported either a low or a high frequency of prayer or meditation. They were measured for spirituality and religiousness, mindfulness and locus of control. In addition, the participants had their brains scanned with Magnetic Resonance Imaging (MRI).

 

The participants had their brain activity measured with an electroencephalogram (EEG). They were shown a display with three bars the height of which was determined by brain activity in the 4-7 hertz (Theta), 12-25 hertz (SMR- Sensory-motor rhythm), and 21-35 hertz (Beta) range respectively. They received rewards (points) whenever their SMR was above a prescribed threshold and both their Theta and Beta were below a certain threshold. In other words, whenever their EEG reflected a specific prescribed pattern. If the participant was able to increase their SMR and decrease their Theta and Beta rhythms over training, it indicated and ability to control their brain activity.

 

They found, not surprisingly, that the high frequency group had higher levels of religiosity and mindfulness than the low frequency group. Importantly, they found a significant difference in the groups in their ability to control their brains. In particular, they found that the high frequency of meditation or prayer group was able to significantly increase their SMR while decreasing their Theta and Beta rhythms over training, while the low frequency group was not. When asked about their mental strategies to control their brain waves, the high frequency group reported significantly more “doing nothing”, similar to meditating or praying, than the low frequency group. Hence, the group who meditated and prayed often showed an ability to control their brains activity by employing a meditative strategy.

 

These are striking results. It has been known that with reward (biofeedback) people could learn to change their brain activity. But, it has never been shown before that people who prayed or meditated often would be significantly better at it than those who didn’t. The high frequency group is “assumed to be experts in focusing attention on inner states and self-referential processes.” This suggests that focused meditative practice improves the individual’s ability to control their brain activity. In other words, spiritual practice made them better at “doing nothing” and preventing thoughts from disrupting control of brain activity.

 

So, improve the ability to control the brain’s activity with prayer and meditation.

 

“The idea that there’s something specific about religious practices that changes your brain is just ridiculous. Everything changes your brain. Your brain is changing now, as is mine, as we’re having this conversation. There’s nothing special or magical about engaging in religious practices and showing certain changes in brain structure or function.” – Richard Sloan

 

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

 

Kober, S. E., Witte, M., Ninaus, M., Koschutnig, K., Wiesen, D., Zaiser, G., … Wood, G. (2017). Ability to Gain Control Over One’s Own Brain Activity and its Relation to Spiritual Practice: A Multimodal Imaging Study. Frontiers in Human Neuroscience, 11, 271. http://doi.org/10.3389/fnhum.2017.00271

 

Abstract

Spiritual practice, such as prayer or meditation, is associated with focusing attention on internal states and self-awareness processes. As these cognitive control mechanisms presumably are also important for neurofeedback (NF), we investigated whether people who pray frequently (N = 20) show a higher ability of self-control over their own brain activity compared to a control group of individuals who rarely pray (N = 20). All participants underwent structural magnetic resonance imaging (MRI) and one session of sensorimotor rhythm (SMR, 12–15 Hz) based NF training. Individuals who reported a high frequency of prayer showed improved NF performance compared to individuals who reported a low frequency of prayer. The individual ability to control one’s own brain activity was related to volumetric aspects of the brain. In the low frequency of prayer group, gray matter volumes in the right insula and inferior frontal gyrus were positively associated with NF performance, supporting prior findings that more general self-control networks are involved in successful NF learning. In contrast, participants who prayed regularly showed a negative association between gray matter volume in the left medial orbitofrontal cortex (Brodmann’s area (BA) 10) and NF performance. Due to their regular spiritual practice, they might have been more skillful in gating incoming information provided by the NF system and avoiding task-irrelevant thoughts.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442174/

Improve Physical and Psychological Well-Being with Cancer with Yoga

psyjdc Leave a comment

Improve Physical and Psychological Well-Being with Cancer with Yoga

 

By John M. de Castro, Ph.D.

 

“For those enduring chemotherapy and radiation, yoga for cancer provides a means to strengthen the body, boost the immune system, and produce a much-sought-after feeling of well-being. For those recovering from surgery, such as that for breast cancer, yoga can help restore motion and flexibility in a gentle, balanced manner.” – Yoga U

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. These feeling can result from changes in body image, changes to family and work roles, feelings of grief at these losses, and physical symptoms such as pain, nausea, or fatigue. People might also fear death, suffering, pain, or all the unknown things that lie ahead. So, coping with the emotions and stress of a cancer diagnosis is a challenge and there are no simple treatments for these psychological sequelae of cancer diagnosis.

 

But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. It is estimated that 15 million adults and children with a history of cancer are alive in the United States today. But, surviving cancer carries with it a number of problems. “Physical, emotional, and financial hardships often persist for years after diagnosis and treatment. Cancer survivors are also at greater risk for developing second cancers and other health conditions.” National Cancer Survivors Day.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. In today’s Research News article “Yoga into cancer care: A review of the evidence-based research.” (See summary below or view the full text of the study at: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=1;spage=3;epage=29;aulast=Agarwal), Agarwal and Maroko-Afek review and summarize the published research literature on the effects of yoga practice on the physical and psychological symptoms of cancer diagnosis. They found 138 published studies with patients suffering from cancer and cancer treatment-related symptoms and side effects.

 

They found that yoga practice had widespread positive benefits for the psychological state and quality of life of the patients including reductions in anxiety, depression, anger, stress, PTSD symptoms, fear of reoccurrence, delirium, memory and concentration problems, and increases in self-esteem and social function. They also found that the literature demonstrated that yoga practice reduced a wide variety of physical symptoms of cancer or cancer treatment, including cardiovascular and pulmonary problems, inflammation, sleep and sexual dysfunctions, urinary and bladder problems, and skin and hair problems.

 

Hence, the published research makes a compelling case for the addition of yoga practice to the usual treatment of cancer. It is a safe, effective, and inexpensive treatment, with profound benefits for the psychological and physical health and quality of life of cancer patients.

 

So, improve physical and psychological well-being with cancer with yoga.

 

“Yoga for cancer patients—what better way to manage anxiety, gain strength, increase flexibility, and create feelings of well-being! A growing body of research points to the potential of yoga for supporting cancer patients, both during and after treatment.” – Tari Prinster

 

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

 

Agarwal RP, Maroko-Afek A. Yoga into cancer care: A review of the evidence-based research. Int J Yoga 2018;11:3-29

 

Abstract

To cope with cancer and its treatment-related side effects and toxicities, people are increasingly using complementary and alternative medicine (CAM). Consequently, integrative oncology, which combines conventional therapies and evidence-based CAM practices, is an emerging discipline in cancer care. The use of yoga as a CAM is proving to be beneficial and increasingly gaining popularity. An electronic database search (PubMed), through December 15, 2016, revealed 138 relevant clinical trials (single-armed, nonrandomized, and randomized controlled trials) on the use of yoga in cancer patients. A total of 10,660 cancer patients from 20 countries were recruited in these studies. Regardless of some methodological deficiencies, most of the studies reported that yoga improved the physical and psychological symptoms, quality of life, and markers of immunity of the patients, providing a strong support for yoga’s integration into conventional cancer care. This review article presents the published clinical research on the prevalence of yoga’s use in cancer patients so that oncologists, researchers, and the patients are aware of the evidence supporting the use of this relatively safe modality in cancer care.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=1;spage=3;epage=29;aulast=Agarwal

Virtual Reality Enhances Meditative Experience

psyjdc Leave a comment

Virtual Reality Enhances Meditative Experience

 

By John M. de Castro, Ph.D.

 

“It seems that a technology that pries your eyes and ears wide open to absorb as much sensory input as possible is working at cross-purposes with a discipline that asks you to forgo distraction, to close your eyes and direct your attention inward.” – Michael Gollust

 

Over the last several decades, research and anecdotal experiences have accumulated an impressive evidential case that the development of mindfulness has positive benefits for the individual’s mental, physical, and spiritual life. Mindfulness appears to be beneficial both for healthy people and for people suffering from a myriad of illnesses. It appears to be beneficial across ages, from children to the elderly. And it appears to be beneficial across genders, personalities, race, and ethnicity. The breadth and depth of benefits is unprecedented. There is no other treatment or practice that has been shown to come anyway near the range of mindfulness’ positive benefits. With impacts so great it is important to know how to promote the development of mindfulness even in individuals who dislike or avoid the discipline of practice.

 

Technology has recently been applied to training in mindfulness. Indeed, mindfulness training carried out completely on-line has been shown to be effective for as number of conditions. But, now virtual reality (VR) devices are improving and becoming readily available. Previously it has been shown the virtual reality (VR) can be helpful in treating phobias. and Borderline Personality Disorder (BPD). But, can VR enhance the development of mindfulness?

 

In today’s Research News article “Meditation experts try Virtual Reality Mindfulness: A pilot study evaluation of the feasibility and acceptability of Virtual Reality to facilitate mindfulness practice in people attending a Mindfulness conference.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699841/ ), Navarro-Haro and colleagues had mindfulness experts who were attending a conference on mindfulness evaluate a Virtual Reality system that was designed to enhance the instructions of Dialectical Behavioral Therapy (DBT). They had the experts wear a VR helmet that presented a scene of floating “down a calm 3D computer generated virtual river while listening to digitized DBT mindfulness skills training instructions.” They listened to one of three 10-minute DBT instructions on “Wise Mind, Observing Sound, or Observing visuals.” Before and after the VR experience they were measured for mindfulness, state of presence, their emotional state, including happiness, sadness, anger, surprise, anxiety, relax/calm vigor/energy, previous experience with technologies and the acceptability of the method.

 

They found that in comparison to their pre-VR state, after the session the participants had significantly higher levels of mindfulness and relaxation and lower levels of sadness, anger, and anxiety. The system was acceptable as the participants gave high ratings to it and the experience. This acceptability was also significantly correlated with the changes in emotions. These results suggest that in the eyes of experts on mindfulness, using Virtual Reality to enhance mindfulness instruction was a good thing and made them feel more mindful and emotionally better.

 

This is a good start. Of course, the next step will be to determine if VR is acceptable and can enhance mindfulness instruction in individuals who were not adept at, or practiced mindfulness. Additionally, this was an extremely short-term experience. It will be necessary to determine the effects of longer-term use of VR. Since, mindfulness training involves quieting the mind, it is possible that the VR stimulus environment may work counter to the goals of mindfulness practice. Finally, it will be necessary to try VR enhanced mindfulness training with individuals with physical and/or psychological problems.

 

Nevertheless, VR is an interesting technology that has been shown to help in treating some forms of psychological issues; phobias. and Borderline Personality Disorder (BPD) and holds promise for further applications. It may be a method that can help train mindfulness even in resistant individuals.

 

“As I continued my exploration of this virtual world, at some point I noticed my mind had gone completely still. The monkey-mind, that great enemy of meditation, mindfulness, and really, of life, had all but vanished. I’d gone from zero to zen and the stillness that followed was glorious.’ – Mind Prana

 

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

 

Navarro-Haro, M. V., López-del-Hoyo, Y., Campos, D., Linehan, M. M., Hoffman, H. G., García-Palacios, A., … García-Campayo, J. (2017). Meditation experts try Virtual Reality Mindfulness: A pilot study evaluation of the feasibility and acceptability of Virtual Reality to facilitate mindfulness practice in people attending a Mindfulness conference. PLoS ONE, 12(11), e0187777. http://doi.org/10.1371/journal.pone.0187777

 

Abstract

Regular mindfulness practice benefits people both mentally and physically, but many populations who could benefit do not practice mindfulness. Virtual Reality (VR) is a new technology that helps capture participants’ attention and gives users the illusion of “being there” in the 3D computer generated environment, facilitating sense of presence. By limiting distractions from the real world, increasing sense of presence and giving people an interesting place to go to practice mindfulness, Virtual Reality may facilitate mindfulness practice. Traditional Dialectical Behavioral Therapy (DBT®) mindfulness skills training was specifically designed for clinical treatment of people who have trouble focusing attention, however severe patients often show difficulties or lack of motivation to practice mindfulness during the training. The present pilot study explored whether a sample of mindfulness experts would find useful and recommend a new VR Dialectical Behavioral Therapy (DBT®) mindfulness skills training technique and whether they would show any benefit. Forty four participants attending a mindfulness conference put on an Oculus Rift DK2 Virtual Reality helmet and floated down a calm 3D computer generated virtual river while listening to digitized DBT® mindfulness skills training instructions. On subjective questionnaires completed by the participants before and after the VR DBT® mindfulness skills training session, participants reported increases/improvements in state of mindfulness, and reductions in negative emotional states. After VR, participants reported significantly less sadness, anger, and anxiety, and reported being significantly more relaxed. Participants reported a moderate to strong illusion of going inside the 3D computer generated world (i.e., moderate to high “presence” in VR) and showed high acceptance of VR as a technique to practice mindfulness. These results show encouraging preliminary evidence of the feasibility and acceptability of using VR to practice mindfulness based on clinical expert feedback. VR is a technology with potential to increase computerized dissemination of DBT® skills training modules. Future research is warranted.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699841/

Reduce Genetic Markers of Inflammation with Yoga

psyjdc Leave a comment

Reduce Genetic Markers of Inflammation with Yoga

 

By John M. de Castro, Ph.D.

 

“Yoga is fantastic for decreasing stress levels, and research has also shown that those who practice yoga regularly have higher levels of leptin and adiponectin in their bodies. Both of these natural chemicals work to alleviate inflammation in the body.” – Julie Montagu

 

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression. Needless to say, chronic inflammation can create major health problems. Indeed, the presence of chronic inflammation is associated with reduced longevity. So, it is important for health to control the inflammatory response, allowing it to do its job in fighting off infection but reducing its activity when no real external threat is apparent.

 

Of course, it is far better to prevent chronic inflammation in the first place than to treat it later. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. In today’s Research News article “Preliminary indications of the effect of a brief yoga intervention on markers of inflammation and DNA methylation in chronically stressed women.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290356/ ), Harkess and colleagues recruited women who were psychologically distressed and randomly assigned them to either a wait-list or to receive 8 weeks of twice a week for 1-hour yoga practice. Blood samples were obtained from the participants and measures of psychological distress, perceived stress, and positive and negative emotions, before and after the practice and 1 month later. Blood was assayed for concentrations of cytokines (IL-6, TNF), DNA methylation for immune candidates IL-6, CRP, and TNF.

 

They found that there were trends for improvements in all of the inflammation markers, but most were not significant. But, there was a significant improvement in the marker of DNA methylation in the region of Tumor Necrosis Factor, TNF. DNA methylation have been associated with poor physical health, and high levels of inflammation. So, the reduction in DNA methylation in the TNF region suggests a reduction in chronic inflammation. This may suggest that yoga practice might improve general health by reducing chronic inflammation.

 

It is reasonable to conclude that although there were many suggestive results, this pilot trial did not have sufficient statistical power to detect significant differences for most markers. Also, more extensive yoga practice beyond the 16 sessions in this trial, might produce more robust effects. In addition, the pilot trial lacked an active control condition. So, a number of sources of bias could be responsible for the results. The results, however, are sufficiently interesting and suggestive that they support conducting a larger randomized controlled clinical trial with an active control, perhaps aerobic exercise on the effectiveness of yoga practice on genetic markers of inflammation.

 

“There’s evidence that such “mind-body practices” dampen the activity of genes associated with inflammation – essentially reversing molecular damage caused by stress.” – Jo Marchant

 

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

 

Harkess, K. N., Ryan, J., Delfabbro, P. H., & Cohen-Woods, S. (2016). Preliminary indications of the effect of a brief yoga intervention on markers of inflammation and DNA methylation in chronically stressed women. Translational Psychiatry, 6(11), e965–. http://doi.org/10.1038/tp.2016.234

 

Abstract

Yoga is associated with reduced stress and increased well-being, although the molecular basis for these benefits is not clear. Mounting evidence implicates the immune response, with current studies focused on protein immune markers (such as cytokines) in clinical populations. To explore the molecular impact, this pilot study uses a subsample (n=28) from a randomised waitlist control trial investigating the impact of an 8-week yoga intervention in a community population of women reporting psychological distress (N=116). We measured interleukin-6 (IL-6), tumour necrosis factor (TNF) and C-reactive protein (CRP) protein levels, and the DNA methylation of these genes and the global indicator, LINE-1. Correlations between these and psychological variables were explored, identifying moderate correlations with CRP protein levels, and methylation of IL-6, CRP and LINE-1. Many cytokine samples were below detection, however a Mann–Whitney U demonstrated a trend of moderate between-group effect for elevated IL-6 in the yoga group. Methylation analyses applied cross-sectional and non-controlled longitudinal analyses. Waist-to-height ratio and age were covaried. We demonstrated reduced methylation of the TNF region in the yoga group relative to the waitlist control group. No other genes demonstrated a significant difference. Longitudinal analysis further supported these results. This study is one of the first to explore yoga and immunological markers in a non-clinical population, and is the first study to explore DNA methylation. These findings indicate that further research into molecular impact of yoga on markers of immune function is warranted, with larger studies required.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290356/

Reduce Depression During and After Pregnancy with Mindfulness

psyjdc Leave a comment

Reduce Depression During and After Pregnancy with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness practice, when attention increases in one area of life, the awareness expands in many other areas, as well. A mother who is able to care for and attend to her own vulnerabilities will have much more access to those very same skills as a parent.” – Sonya Dimidjian

 

The perinatal period, from the onset of pregnancy to the end of the infants first year, is a time of intense physiological and psychological change in both the mother and the infant. Anxiety, depression, and fear are quite common during pregnancy. More than 20 percent of pregnant women have an anxiety disorder, depressive symptoms, or both during pregnancy. It is difficult to deal with these emotions under the best of conditions but in combinations with the stresses of pregnancy can turn what could be a joyous experience of creating a human life into a horrible worrisome, torment. The psychological health of pregnant women has consequences for fetal development, birthing, and consequently, child outcomes. Depression during pregnancy is associated with premature delivery and low birth weight. Hence, it is clear that there is a need for methods to treat depression during and after pregnancy.

 

Since, many drugs can affect the fetus, non-pharmacological treatments for depression are preferable. Mindfulness training has been shown to improve anxiety and depression normally and to relieve maternal anxiety and depression during pregnancy. Mindfulness-Based Cognitive Therapy (MBCT) was specificly developed to treat depression and consists of mindfulness training and Cognitive Behavioral Therapy (CBT). During therapy the patient is trained to investigate and alter aberrant thought patterns underlying depression. So, it would make sense to further study the effectiveness of MBCT for depression during the perinatal period.

 

In today’s Research News article “Staying Well during Pregnancy and the Postpartum: A Pilot Randomized Trial of Mindfulness Based Cognitive Therapy for the Prevention of Depressive Relapse/Recurrence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5718345/ ), Dimidjian and colleagues recruited pregnant women with Major Depressive Disorder and randomly assigned them to receive either treatment as usual or to Mindfulness-Based Cognitive Therapy (MBCT). MBCT was modified for pregnant women and administered for 2 hours, once a week, for 8 weeks and home practice was assigned. The women were measured for depression before and after treatment and at 1 and 6 months after birth.

 

In regards to depression, they found that relapse rates for depression over the 6-month follow-up period were significantly lower for the MBCT group; 18% vs. 50% for treatment as usual. In addition, the MBCT group had significantly lower levels of depression after treatment. Although the differences were not significant the MBCT group took fewer antidepressant medications and had fewer visits for therapy. A goal of this pilot research study was to assess the acceptability of the program and compliance with its requirements. They found that 89% completed the MBCT program and home practice occurred on over 70% of the available days. In addition, the women reported a high degree of satisfaction with the program.

 

These are impressive results for a pilot study and should provide the encouragement to perform a large randomized controlled clinical trial with an active control group. The results suggest that MBCT treatment is a safe and effective treatment for perinatal depression and has high acceptability and compliance among pregnant women. Hence it is a promising treatment for perinatal depression.

 

So, reduce depression during and after pregnancy with mindfulness.

 

“Not only does cultivating moment-to-moment awareness of thoughts and surroundings seem to help pregnant women keep their stress down and their spirits up—benefits that are well-documented among other groups of people—it may also lead to healthier newborns with fewer developmental problems down the line.” – Kira Newman

 

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

 

Dimidjian, S., Goodman, S. H., Felder, J., Gallop, R., Brown, A. P., & Beck, A. (2016). Staying Well during Pregnancy and the Postpartum: A Pilot Randomized Trial of Mindfulness Based Cognitive Therapy for the Prevention of Depressive Relapse/Recurrence. Journal of Consulting and Clinical Psychology, 84(2), 134–145. http://doi.org/10.1037/ccp0000068

Abstract

Objective

Clinical decision-making regarding the prevention of depression is complex for pregnant women with histories of depression and their healthcare providers. Pregnant women with histories of depression report preference for non-pharmacological care, but few evidence-based options exist. Mindfulness-based cognitive therapy has strong evidence in the prevention of depressive relapse/recurrence among general populations and indications of promise as adapted for perinatal depression (MBCT-PD). With a pilot randomized clinical trial, our aim was to evaluate treatment acceptability and efficacy of MBCT-PD relative to treatment as usual (TAU).

Methods

Pregnant adult women with depression histories were recruited from obstetrics clinics at two sites and randomized to MBCT-PD (N= 43) or TAU (N=43). Treatment acceptability was measured by assessing completion of sessions, at-home practice, and satisfaction. Clinical outcomes were interview-based depression relapse/recurrence status and self-reported depressive symptoms through 6-months postpartum.

Results

Consistent with predictions, MBCT-PD for at-risk pregnant women was acceptable based on rates of completion of sessions and at-home practice assignments, and satisfaction with services was significantly higher for MBCT-PD than TAU. Moreover, at-risk women randomly assigned to MBCT-PD reported significantly improved depressive outcomes compared to participants receiving TAU, including significantly lower rates of depressive relapse/recurrence and lower depressive symptom severity during the course of the study.

Conclusions

MBCT-PD is an acceptable and clinically beneficial program for pregnant women with histories of depression; teaching the skills and practices of mindfulness meditation and cognitive behavioral therapy during pregnancy may help to reduce the risk of depression during an important transition in women’s lives.

Public Health Significance Statement

This study’s findings support MBCT-PD as a viable non-pharmacological approach to preventing depressive relapse/recurrence among pregnant women with histories of depression.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5718345/

Improve Cancer Survivor Quality of Life with Exercise or Mindfulness

psyjdc Leave a comment

Improve Cancer Survivor Quality of Life with Exercise or Mindfulness

 

By John M. de Castro, Ph.D.

 

“One of the main reasons people with cancer use meditation is to help them to feel better. Meditation can reduce anxiety and stress. It might also help control problems such as: pain, difficulty sleeping, tiredness, feeling sick, high blood pressure.” – Cancer Research UK

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. These feeling can result from changes in body image, changes to family and work roles, feelings of grief at these losses, and physical symptoms such as pain, nausea, or fatigue. People might also fear death, suffering, pain, or all the unknown things that lie ahead. So, coping with the emotions and stress of a cancer diagnosis is a challenge and there are no simple treatments for these psychological sequelae of cancer diagnosis.

 

But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. It is estimated that 15 million adults and children with a history of cancer are alive in the United States today. But, surviving cancer carries with it a number of problems. “Physical, emotional, and financial hardships often persist for years after diagnosis and treatment. Cancer survivors are also at greater risk for developing second cancers and other health conditions.” National Cancer Survivors Day.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. In today’s Research News article “Review of systematic reviews of non-pharmacological interventions to improve quality of life in cancer survivors.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719270/ ), Duncan and colleagues summarize the published scientific reviews of randomized controlled trials on the effects of non-drug interventions on the quality of life of adult cancer survivors. The interventions included fell into a number of categories including physical (e.g. aerobic exercise, yoga), psychological education,  peer support, and mind-body therapies (Mindfulness-Based Stress Reduction (MBSR), cognitive behavioral therapy (CBT), psychotherapy, relaxation training).

 

They discovered 21 published reviews of 362 randomized controlled trials. They found that the literature supported the efficacy of aerobic exercise, yoga, cognitive behavioral therapy (CBT), and Mindfulness-Based Stress Reduction (MBSR) in improving the quality of life in cancer survivors. Hence, published scientific randomized controlled trials of non-drug treatment approaches demonstrate that the quality of life of cancer survivors can be improved with exercise, CBT, and mindfulness practices such as MBSR and yoga.

 

It was not reported how these practices might improve quality of life in cancer survivors. But, it can be speculated that because cancer treatments are physically demanding and of themselves produce physical debilitation, that exercise is a useful countermeasure to help overcome the physical losses occurring in treatment. It can also be speculated that mindfulness training may be helpful by improving the survivor’s ability to regulate the emotions produced by a cancer diagnosis and its treatment. These include anxiety, depression, fear, catastrophizing etc. By improving the ability to feel these emotions but react to them adaptively and thereby not amplifying them, the survivors may help to improve their emotional well-being and as a result their quality of life.

 

So, improve cancer survivor quality of life with exercise or mindfulness.

 

“We already know that psychosocial interventions like mindfulness meditation will help you feel better mentally, but now for the first time we have evidence that they can also influence key aspects of your biology,” – Linda Carlson

 

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

 

Duncan, M., Moschopoulou, E., Herrington, E., Deane, J., Roylance, R., Jones, L., … Bhui, K. (2017). Review of systematic reviews of non-pharmacological interventions to improve quality of life in cancer survivors. BMJ Open, 7(11), e015860. http://doi.org/10.1136/bmjopen-2017-015860

 

Strengths and limitations of this study

  • This is a systematic review of reviews and evidence synthesis of non-pharmacological interventions in cancer survivors.
  • Longer term studies are needed and studies of greater methodological quality that adopt similar reporting standards.
  • Definitions of survivor varied and more studies are needed for different types of cancer, and specifically for patients who have poor quality of life.
  • More studies are needed that investigate educational, online and multidisciplinary team-based interventions.
  • This review has some limitations in the methodology. Studies not in English and grey literature were not included. This was a review of reviews: we did not review individual studies focused on specific cancers or stage, and we did not reassess the quality of the primary studies included in each review.

 

Abstract

Objectives

Over two million people in the UK are living with and beyond cancer. A third report diminished quality of life.

Design

A review of published systematic reviews to identify effective non-pharmacological interventions to improve the quality of life of cancer survivors.

Data sources

Databases searched until May 2017 included PubMed, Cochrane Central, EMBASE, MEDLINE, Web of Science, the Cumulative Index to Nursing and Allied Health Literature, and PsycINFO.

Study selection

Published systematic reviews of randomised trials of non-pharmacological interventions for people living with and beyond cancer were included; included reviews targeted patients aged over 18. All participants had already received a cancer diagnosis. Interventions located in any healthcare setting, home or online were included. Reviews of alternative therapies or those non-English reports were excluded. Two researchers independently assessed titles, abstracts and the full text of papers, and independently extracted the data.

Outcomes

The primary outcome of interest was any measure of global (overall) quality of life.

Analytical methods

Quality assessment assessing methdological quality of systematic reviews (AMSTAR) and narrative synthesis, evaluating effectiveness of non-pharmacological interventions and their components.

Results

Of 14 430 unique titles, 21 were included in the review of reviews. There was little overlap in the primary papers across these reviews. Thirteen reviews covered mixed tumour groups, seven focused on breast cancer and one focused on prostate cancer. Face-to-face interventions were often combined with online, telephone and paper-based reading materials. Interventions included physical, psychological or behavioural, multidimensional rehabilitation and online approaches. Yoga specifically, physical exercise more generally, cognitive behavioural therapy (CBT) and mindfulness-based stress reduction (MBSR) programmes showed benefit in terms of quality of life.

Conclusions

Exercise-based interventions were effective in the short (less than 3–8 months) and long term. CBT and MBSR also showed benefits, especially in the short term. The evidence for multidisciplinary, online and educational interventions was equivocal.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719270/