Improve Memory and Frontal Lobe Function in Older Adults with Mind-Body Practices

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Improve Memory and Frontal Lobe Function in Older Adults with Mind-Body Practices

 

By John M. de Castro, Ph.D.

 

“Scientists . . . found increases in brain volume and improvements on tests of memory and thinking in Chinese seniors who practiced Tai Chi three times a week.” – Science Daily

 

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. 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 area. and have found that meditation practice appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. Starting in the 20s there is a progressive decrease in the volume and activity of the brain as the years go by. Researchers have been able to investigate various techniques that might slow the process of neurodegeneration that accompanies normal aging. They’ve found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation, yoga and Tai Chi have all been found to degenerate less with aging than non-practitioners. A practice, similar to Tai Chi, Baduanjin is a mind-body training consisted of 8 movements for limbs, body-trunk, and eye movements. But it has not been evaluated for application to aging individuals.

Because Tai Chi and Baduanjin are not strenuous, involving slow gentle movements, and are safe, having no appreciable side effects, they are appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion.

 

In today’s Research News article “Tai Chi Chuan and Baduanjin Mind-Body Training Changes Resting-State Low-Frequency Fluctuations in the Frontal Lobe of Older Adults: A Resting-State fMRI Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670503/ ), Tao and colleagues recruited older sedentary adults (50 to 70 years of age) and randomly assigned them to either a no-treatment control who were provided health information or to practice either Tai Chi or Baduanjin mind-body training for 12 weeks, one hour per day, five days per week. Participants were measured before and after training for memory and cognitive functions. They also underwent functional-Magnetic Resonance Imaging (f-MRI).

 

They found that the Tai Chi and Baduanjin groups did not differ, but, in comparison to baseline and the education control group they had significant (18%-24%) increases in memory performance after training. The brain scans demonstrated that, in comparison to the education control group the Baduanjin group had significant increases in activity in the low frequency range in the Medial Prefrontal Cortex while the Tai Chi group had significant increases in activity in the low frequency range in the Dorsal Lateral Prefrontal Cortex. Importantly, they found that the greater the increase in activity in the Prefrontal Areas the greater the improvement in memory.

 

Hence, the results showed that both mind-body practices of Tai Chi and Baduanjin improved memory in older adults in association with increases in Prefrontal Lobe activity. The Prefrontal cortex has been associated previously with memory, attention, and high-level thinking (executive function). The present results suggest that the mind-body practices of Tai Chi and Baduanjin act to improve memory in older adults by producing neuroplastic changes that increase activity in the brain’s Prefrontal Areas. Interestingly, the results also show that the two mind-body practices may act on different mechanisms in the brain; with Tai Chi acting on the medial areas of the Prefrontal Cortex while Baduanjin acting on the Dorsal Lateral areas.

 

Memory deteriorates with aging and this can progress to severe memory impairments and dementia. The results of this study suggest that engagement in the mind-body practices of Tai Chi and Baduanjin may be able to slow or prevent that decline by strengthening brain processing in the Prefrontal Cortex. Since both Tai Chi and Baduanjin are simple and safe exercises that can be easily learned and practiced at home alone or in groups, they are economical and scalable practices to improve memory during aging. As such, they should be recommended for older adults.

 

So, improve memory and frontal lobe function in older adults with mind-body practices.

 

“Because Tai Chi can be done indoors or out, and as a group activity or by yourself, it suits both people who like to work out alone at home and those who prefer to get their exercise in a social setting.” – Mark Huntsman

 

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

 

Tao, J., Chen, X., Liu, J., Egorova, N., Xue, X., Liu, W., … Kong, J. (2017). Tai Chi Chuan and Baduanjin Mind-Body Training Changes Resting-State Low-Frequency Fluctuations in the Frontal Lobe of Older Adults: A Resting-State fMRI Study. Frontiers in Human Neuroscience, 11, 514. http://doi.org/10.3389/fnhum.2017.00514

 

Abstract

Age-related cognitive decline is a significant public health concern. Recently, non-pharmacological methods, such as physical activity and mental training practices, have emerged as promising low-cost methods to slow the progression of age-related memory decline. In this study, we investigated if Tai Chi Chuan (TCC) and Baduanjin modulated the fractional amplitude of low-frequency fluctuations (fALFF) in different frequency bands (low-frequency: 0.01–0.08 Hz; slow-5: 0.01–0.027 Hz; slow-4: 0.027–0.073 Hz) and improved memory function. Older adults were recruited for the randomized study. Participants in the TCC and Baduanjin groups received 12 weeks of training (1 h/day for 5 days/week). Participants in the control group received basic health education. Each subject participated in memory tests and fMRI scans at the beginning and end of the experiment. We found that compared to the control group: (1) TCC and Baduanjin groups demonstrated significant improvements in memory function; (2) TCC increased fALFF in the dorsolateral prefrontal cortex (DLPFC) in the slow-5 and low-frequency bands; and (3) Baduanjin increased fALFF in the medial PFC in the slow-5 and low-frequency bands. This increase was positively associated with memory function improvement in the slow-5 and low-frequency bands across the TCC and Baduanjin groups. Our results suggest that TCC and Baduanjin may work through different brain mechanisms to prevent memory decline due to aging.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670503/

Improve Thinking in Older Adults with Tai Chi

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Improve Thinking in Older Adults with Tai Chi

 

By John M. de Castro, Ph.D.

 

“It may be no surprise that Tai Chi has physical benefits – after all, it involves movement. Well, did you know that Tai Chi may also have mental benefits? Specifically, . . . significant increases in the brain size, memory and thinking of older adults who practiced Tai Chi compared to other groups in the study.” – Tai Chi for Health

 

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

 

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

 

In today’s Research News article “The benefits of Tai Chi and brisk walking for cognitive function and fitness in older adults.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652256/ ), Ji and colleagues recruited health adults aged 60 to 72 years. Participants who engaged in Tai Chi, brisk walking, or no exercise were compared on cognitive performance. They were measured with the Stroop test where names of colors were presented in colors different from the word, e.g. the word RED appears in a blue color. The participants are asked to report the word (naming) or the color of the word ignoring the meaning of the word itself (inhibition) or switch back and forth (Executive function). They were also measured with a digit comparison task in which they were presented with two numbers and asked to identify which was larger. The numbers were presented either simultaneously (non-delay) or delayed by 1.5 seconds (delay).

 

They found that both the Tai Chi and brisk walking groups were superior on the tasks than the control group. But, the Tai Chi group responded faster on the Stroop naming and executive conditions and were more accurate on the inhibition condition than the brisk walking group. In addition, the Tai Chi group responded faster than the brisk walking group on the delayed digit comparison condition. This suggests that the both Tai Chi and brisk walking participation improves cognitive performance in older adults but that Tai Chi dose so better than brisk walking.

 

The interpretation of the results needs to be qualified as there was no active manipulations of the activity conditions. Older adults who already participated in these activities were simply compared. Hence, it is impossible to conclude causation. It is conceivable that people who chose to participate in Tai Chi may be different people with better cognitive ability than people who chose brisk walking. The observed differences, then, may be due to the typ of people whoe chose an activity rather than the effects of the activity.

 

But, taken at face value the results suggest the Tai Chi, which places greater cognitive demands on the practitioner than brisk walking, has greater cognitive benefits. Given the progressive inevitable decline with aging in cognitive ability, methods that can slow or delay the decline are valuable. Tai Chi would appear to be an almost ideal method to improve fitness and balance, reducing falls, in the elderly and improve cognitive performance.

 

So, improve thinking in older adults with tai chi.

 

“Epidemiologic studies have shown repeatedly that individuals who engage in more physical exercise or are more socially active have a lower risk of Alzheimer’s disease. The current findings suggest that this may be a result of growth and preservation of critical regions of the brain affected by this illness.” – James Mortimer

 

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

 

Ji, Z., Li, A., Feng, T., Liu, X., You, Y., Meng, F., … Zhang, C. (2017).. PeerJ, 5, e3943. http://doi.org/10.7717/peerj.3943

 

Abstract

The purpose of this study was to investigate the benefits of exercises with different cognitive demands for cognitive functions (Executive and non-Executive) in healthy older adults. A cross-sectional design was adopted. In total, 84 healthy older adults were enrolled in the study. They were categorized into the Tai Chi group (TG), the brisk walking group (BG) or the control group (CG). Each participant performed the Stroop task and a digit comparison task. The Stroop task included the following three conditions: a naming condition, an inhibition condition and an executive condition. There were two experimental conditions in the digit comparison task: the non-delay condition and the delay condition. The results indicated that participants of the TG and BG revealed significant better performance than the CG in the executive condition of cognitive tasks and fitness. There was no significant difference of reaction time (RT) and accuracy rate in the inhibition and delay conditions of cognitive tasks and fitness between the TG and BG. The TG showed shorter reaction time in the naming and the executive conditions, and more accurate in the inhibition conditions than the BG. These findings demonstrated that regular participation in brisk walking and Tai Chi have significant beneficial effects on executive function and fitness. However, due to the high cognitive demands of the exercise, Tai Chi benefit cognitive functions (Executive and non-Executive) in older adults more than brisk walking does. Further studies should research the underlying mechanisms at the behavioural and neuroelectric levels, providing more evidence to explain the effect of high-cognitive demands exercise on different processing levels of cognition.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652256/

Reduce Inflammatory Markers and Blood Fat Levels with Yoga

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Reduce Inflammatory Markers and Blood Fat Levels with Yoga

 

By John M. de Castro, Ph.D.

 

“So far, the results suggest that different mind-body interventions may well all be working in a similar way. If your main purpose is to reduce inflammation to improve health. “it seems it really doesn’t matter which one you choose”. – 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.

 

Cardiovascular disease is the number one killer, claiming more lives than all forms of cancer combined. High blood fat levels are an important risk factor for cardiovascular disease. They increase the risk of a heart attack or stroke three-fold. The good news is that in general, diet, exercise, and weight loss can reduce the levels of fat circulating in the blood.

 

Of course, it is far better to prevent chronic inflammation and cardiovascular disease 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. Similarly, contemplative practices have also been shown to be helpful for heart health particularly those that are also exercises such as tai chi and yoga. Most of these results were obtained from treating diseased individuals. It is important to establish if yoga practice can be effective in preventing chronic inflammation and cardiovascular disease also in healthy individuals who are in potentially toxic environments.

 

In today’s Research News article “Effect of yoga training on inflammatory cytokines and C-reactive protein in employees of small-scale industries.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561768/ ), Shete and colleagues recruited healthy adults who worked in manufacturing chemicals, paints, and steel; environments that are prone to producing inflammation. They were randomly assigned to either a wait-list control or to receive 3-minths of yoga practice, 6 days per week for 1 hour per day. The yoga practice consisted of stretching, postures, and breathing exercises. The participants were measured before and after training for blood levels of lipids including cholesterol, triglyceride, and HDL, LDL and VLDL, and blood levels of inflammatory markers, IL-6, TNF-α, and hs-CRP.

 

They found that in comparison to baseline and the wait-list control group, the group that practiced yoga had significantly improved levels of blood fats, including lower levels of cholesterol and Low Density Lipoprotein (LDL), and lower levels of the inflammatory markers Interleukin-6 (IL-6), and tumor necrosis factor (TNF-α). Hence, the results suggest that yoga practice produces significant reductions in inflammation and blood fat levels.

 

Conclusions from these results must be tempered as the control group did not have an active comparison such as aerobic exercise. So, it cannot be determined if exercise of yoga in particular was responsible for the improvements. But, the results clearly show that engaging in yoga practice can lower the levels of risk factors for chronic inflammation and cardiovascular disease even in workers who are employed in high risk occupations. This could improve health and well-being, and increase longevity.

 

So, reduce inflammatory markers and blood fat levels with yoga.

 

“new research . . . has demonstrated that individuals who are naturally mindful tend to have healthier hearts and a reduced risk of obesity. In the face of temptations to eat junk food and sit in front of the TV all day, they seem to have chosen a healthier path that we all could emulate.” – Adam Hoffman

 

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

 

Shete, S. U., Verma, A., Kulkarni, D. D., & Bhogal, R. S. (2017). Effect of yoga training on inflammatory cytokines and C-reactive protein in employees of small-scale industries. Journal of Education and Health Promotion, 6, 76. http://doi.org/10.4103/jehp.jehp_65_17

 

Abstract

OBJECTIVE:

The present study intends to see the effect of yoga practices on lipid profile, interleukin (IL)-6, tumor necrosis factor (TNF)-α, and high-sensitivity-C-reactive protein (hs-CRP) among apparently healthy adults exposed to occupational hazards.

MATERIALS AND METHODS:

In the present study, 48 participants aged 30–58 years (41.5 ± 5.2) who were exposed to occupational hazards were randomized into two groups, that is, experimental and wait-list control. All the participants were assessed for lipid profile, IL-6, TNF-α, and hs-CRP at the baseline and after completion of 3 months of yoga training intervention. The experimental group underwent yoga training intervention for 1 h for 6 days a week for 3 months, whereas control group continued with their daily activities except yoga training. Data analysis was done using statistical software SPSS Version 20.0. Data were analyzed using paired t-tests and independent t-test.

RESULTS:

The results of within group comparison revealed highly significant changes in cholesterol (P < 0.001), high-density lipoprotein (P < 0.001), low-density lipoprotein (LDL)(P < 0.01), hs-CRP (P < 0.01), IL-6 (P < 0.001), and TNF-α (P < 0.001) in experimental group. Comparison between experimental and control group revealed significant changes in cholesterol (P < 0.01), LDL (P < 0.05), IL-6 (P < 0.01), TNF-α (P < 0.01), and hs-CRP (P < 0.01).

CONCLUSION:

A yoga-based lifestyle intervention seems to be a highly promising alternative therapy which favorably alters inflammatory markers and metabolic risk factors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561768/

Be Better at Resisting Food with Mindfulness

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Be Better at Resisting Food with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness is paying attention to your surroundings, being in the present moment. Mindful eating is eating with purpose, eating on purpose, eating with awareness, eating without distraction, when eating only eating, not watching television or playing computer games or having any other distractions, not eating at our desks.” –  Carolyn Dunn

 

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. Hedonic eating, on the other hand, is not tied to nutrient needs but rather to the pleasurable and rewarding qualities of food, also known as food cues. These cues can be powerful signals to eat even when there is no physical need for food.

 

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. Indeed, high levels of mindfulness are associated with lower levels of obesity and mindfulness training has been shown to reduce binge eating, emotional eating, and external eating. It is suspected that mindful eating counters hedonic eating.

 

Mindfulness has two main components the first is present moment awareness while the second is decentering. This is a less well appreciated component of mindfulness. Decentering changes the nature of experience by having the individual step outside of experiences and observe them from a distanced perspective and be aware of their impermanent nature. The individual learns to observe thoughts and feelings as impermanent objective events in the mind rather than personally identifying with the thoughts or feelings. In other words, they’re not personal but simply things arising and falling away. This way of viewing the world should make the individual less responsive to outside stimuli.

 

In today’s Research News article “Mindfulness Reduces Reactivity to Food Cues: Underlying Mechanisms and Applications in Daily Life.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435775/ ), Keesman and colleagues review the published research literature on present moment awareness and decentering and reactivity to the stimuli from foods. They examine the ability of present moment awareness and decentering to decrease the individual’s resistance to food cues.

 

They found that the literature reported that when participants were induced to produce a decentering perspective rather than a present moment perspective, there was a large drop in their attraction to food and cravings for foods, and an increase in healthy food choices. Indeed, participants with a decentering perspective produced less saliva when confronted with an energy dense attractive food. There was even a reduction in chocolate consumption over a week when adopting a decentering perspective. Finally, it was reported that meditators who were high in decentering had much fewer food cravings.

 

Hence, decentering reduces reactivity to food cues while simple present moment awareness does not. It is likely that seeing these cues and one’s response to them as impermanent may well make the individual more resistant to them. It is also possible that seeing one’s response to foods cues as mere thoughts that come and go, makes it easier to resist them. Regardless, it is clear that mindfulness, particularly decentering reduces the ability of food cues to affect the individual’s behavior.

 

So, be better at resisting food with mindfulness.

 

“mindfulness can disrupt that automatic reaction by reducing the appeal of unhealthy foods. . . the trick is to think of your food craving, when it pops up, as nothing more than a mere thought. “It’s really like a soap bubble. As soon as you touch it, it’s going to disperse.” – Esther Papies

 

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

 

Keesman, M., Aarts, H., Häfner, M., & Papies, E. K. (2017). Mindfulness Reduces Reactivity to Food Cues: Underlying Mechanisms and Applications in Daily Life. Current Addiction Reports, 4(2), 151–157. http://doi.org/10.1007/s40429-017-0134-2

 

Abstract

Purpose of Review

Mindfulness-based interventions are becoming increasingly popular as a means to facilitate healthy eating. We suggest that the decentering component of mindfulness, which is the metacognitive insight that all experiences are impermanent, plays an especially important role in such interventions. To facilitate the application of decentering, we address its psychological mechanism to reduce reactivity to food cues, proposing that it makes thoughts and simulations in response to food cues less compelling. We discuss supporting evidence, applications, and challenges for future research.

Recent Findings

Experimental and correlational studies consistently find that the adoption of a decentering perspective reduces subjective cravings, physiological reactivity such as salivation, and unhealthy eating.

Summary

We suggest that the decentering perspective can be adopted in any situation to reduce reactivity to food cues. Considering people’s high exposure to food temptations in daily life, this makes it a powerful tool to empower people to eat healthily.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435775/

Happy New Year with Mindfulness

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Happy New Year with Mindfulness

 

By John M. de Castro, Ph.D.

 

“The object of a new year is not that we should have a new year. It is that we should have a new soul.”  ~G.K. Chesterton

 

At the stroke of midnight on December 31st all over the world revelers ring in the new calendar year with a hearty celebration. It’s a celebration of a relatively arbitrary day that has been designated as the first day of a new calendar year. The celebration of the solstice, 10 days before, at least has astrological meaning as the shortest day of the year. But, January 1 has no such physical meaning. January 1 was designated as the start of the year by Julius Caesar in 45 BC. That date was chosen to honor the Roman God Janus, the god of beginnings, whose two faces allowed him to look back into the past and forward into the future. That symbolism has stuck as the new year’s celebration involves a reflection about the year past and hope for the year to come.

 

Don’t Look Back

 

To some extent this looking back into the past and forward into the future is the antithesis of mindfulness which emphasizes the present moment. Our recollection of the past is, in fact, an illusion. When we look at the past we view it with the distorted lens of memory and the delusions that we have about the self. The memories of what happened during the last year bare only a fleeting resemblance to what actually happened. Recollections tend to be dominated by hazy and distorted memories of emotionally charged events and neglects everyday times of calm and contentment. When we look back we primarily remember the highs and the lows and believe that if we could simply keep repeating the highs and eliminate the lows then we’d be truly happy. This is the trap sometimes known as the hedonic treadmill. We keep seeking the highs and are unhappy when we can’t reproduce them or if we are successful are unhappy to find that we can’t maintain them. Unfortunately, our New Year’s celebration and our resolutions reinforce and amplify these ideas propelling us to even greater unhappiness in the new year.

 

Our view of the past is additionally distorted by the beliefs that we have about ourselves. These self-concepts are mainly incorrect and terribly distorted. Western culture, by its adoration of extraordinary and unrealistic models of perfection, produces and reinforces rampant self-dislike. We can never really attain the societal norm of perfection and this makes us feel horribly deficient. As a result, most westerners don’t like what they are and want to be different. As a consequence, people look back on the events of the year and interpret them through the lens of self-dislike.

 

We remember primarily those events that conform to our beliefs about what we should be, but cannot achieve. This creates a vicious cycle where the low self-esteem and self-worth causes us to remember events that exemplify this self-concept, creating even greater self-dislike. Those rare events that reveal us to be adequate are quickly forgotten. The events of the past year, then, are perceived as evidence to support our harsh view of ourselves. Rather than accurately remembering what actually happened during the year, our recollections are dominated by this distorted reality. So, don’t look back at the past year, rather look carefully and mindfully at yourself. You need to develop self-acceptance, before you can ever hope to have an honest idea of what the past contained.

 

Don’t Look to the Future

 

These distortions also color our thoughts about the upcoming year. We resolve to change ourselves to better conform to our unrealistic beliefs about what we should be. The New year’s resolutions that are such a common part of our new year’s celebration are a direct outgrowth of our self-dislike. The problem with these new year’s resolutions is that they are a declaration that we’re not happy with ourselves or the way things are. We want to be different. That’s not bad unto itself. Striving to better oneself is a good thing. The problem is that what we desire for ourselves is usually totally unrealistic as it’s based on a distorted reality. But, we strongly believe that this is what we need to be happy. It’s all a delusion that’s doomed to failure. In fact, research has suggested that only 8% of these resolutions are ever achieved.

 

Better New Year’s Resolutions

 

We need to craft a new set of resolutions, based upon self-acceptance, and a realistic view about what needs to be and can be achieved. The resolutions should be to better see things, including ourselves as they really are. To look at the world and ourselves mindfully without judgment, just as we are. These are the kinds of resolutions that can really work towards, not making us happy, but letting us be happy in the coming year; to simply experience the happiness that has been within us all along.

 

There are some rules of thumb about these resolutions. Don’t be too grandiose. Don’t set goals of perfection. Small steps with a recognition that you won’t always be successful are recommended. Make a resolution to practice mindfulness. Pick a practice that you not only can do, but that you can comfortably sustain. The only one perfect right practice is the one that you’ll do and keep doing. It may be meditation, yoga, body scan, tai chi or qigong, contemplative prayer, or another of the many available practices or some combination of practices. The only thing that matters is that you’re drawn to it, comfortable doing it, and you’ll stick with it. Once you start, don’t try too hard. Remember the Buddha recommended the middle way, with right effort, not too much and not too little. Practice nonjudgmentally. Don’t judge whether you’re doing it right or wrong, whether the particular practice was good or bad, or whether you’re making progress or not. Just practice. Just relax and let the practice do you. You don’t need to do it.

 

Focus on Now

 

All of these various practices promote nonjudgmental attention to what is occurring in the present moment, the now. Slowly you come to realize that the now is the only time available where you can be satisfied and happy. The past are only nows that are gone and the future are only nows that have yet to happen. So, focus on the present moment. It’s where life happens. If you can learn to be happy right now, then you’ll be able to happy in the future when it becomes now. As you look calmly, nonjudgmentally, and deeply at what is happening right now you begin to see the beauty and wonder that is there all of the time. You just need to stop ruminating about the past and worrying about the future. Learn to enjoy the moment.

 

Focusing on the present moment the impermanence of all things becomes evident. In the present we can observe things rising up and then falling away. Change is constant. If things are bad at the moment, you can be sure that it’ll change. So, be patient. On the other hand, if things are good, know also that this will change too. Don’t try to hang onto what is present. Learn to enjoy the moment as it is. These observations reveal that every moment is new. It has never happened before and it will never happen again. Every moment is a new opportunity. Don’t worry about it passing. The next moment will again provide a new opportunity. Make the most of it. If you can learn to do this, you’ll enjoy life to its fullest, as the dynamically changing perpetual now.

 

Renewal

 

In the new year, we need to not think about a “happy new year.” Rather think about a “happy new day.” In fact, it’s best to think about each “happy new moment.” Focus on the present moment and wish yourself and everyone else a “happy new moment.” Every moment is a unique opportunity to experience life as it is, appreciate its wonder, and enjoy it while it’s here, in the present moment. Each moment is an opportunity for renewal. If we’re not happy in the moment, we can be in the next. We have a new opportunity every new moment. If we pay attention to them, we can use the opportunity to create happiness.

 

So, have a “happy new moment” with mindfulness.

 

“Empty your glass and feel your way through this New Year. If it feeds your soul, do it. If it makes you want to get out of bed in the morning with a smile, carry on. Be present and let your energy synchronise with the earth and give you the clarity to move forward and be comfortable and contented with who you are. Let your intuition guide you through a wonderful year and attract an abundance of positive opportunity.” – Alfred James

 

“Many of us are thinking about new year’s resolutions and taking stock at this time, but how many of those typical resolutions are just ‘self’ improvement projects (which means we’re trying to get more, be more or have more) rather than ways to actually embrace the life we already have right here and now?” – Mrs. Mindfulness

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

Positive Mindfulness

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Positive Mindfulness

 

By John M. de Castro, Ph.D.

 

“It is possible to live happily in the here and the now. So many conditions of happiness are available – more than enough for you to be happy right now. You don’t have to run into the future in order to get more.” –  Thich Nhat Hanh
Much of the tone of Buddhist teachings was established with the Four Noble Truths; there is suffering, there are causes of suffering, suffering can be relieved, and there is a path to the end of suffering. This focuses us on suffering, the negative side of existence. Without a doubt, these Four Noble Truths are correct and following them is a means to end suffering, become happy, and become enlightened. But, the negative tone has permeated much of the practice. The focus on the unpleasant has made the practice seem to be a chore, a necessary chore, but, nevertheless a chore. The unpleasantness prompts escape into mind wandering.

 

But, this tone can be completely altered without altering the truth of the teachings. The Four Noble Truths can be simply restated in the positive; there is happiness, there are causes of happiness, happiness can be increased, and there is a path to endless happiness. This simple rejiggering of the teaching makes a tremendous difference. It focuses the practice on happiness, making it a pleasant endeavor that can be enjoyed, relished, pleasurable, and looked forward to. It changes the practice from a chore to a joyful endeavor.

 

The science of Psychology has long established that all creatures, and especially humans, respond best to the positive. Negatives produce distaste and avoidance behaviors. On the other hand, if someone receives a positive reward for doing something they are not only more likely to do it again, but they will also feel good about it. So, changing the Four Noble Truths into the positive, can make practice not only an enjoyable experience, but more likely to occur.

 

This does not suggest that we should pursue happiness as is done in the modern western world. In this paradigm, happiness is pursued by consumption and accomplishment. When we buy something new, say a designer watch, it makes us happy. But, this happiness, like everything is impermanent, it fades and the watch no longer makes us happy. So, now we pursue something else, perhaps a new car. After working hard and saving, we go out a buy a brand new luxury car. This brings us happiness. But, just like the happiness from buying the watch, it fades and eventually the car no longer makes us happy. In fact, the monthly payments may make it a source of suffering.

 

In the modern world happiness is also pursued by accomplishment. We go through a prolonged education to acquire a degree. Upon graduation, we feel very happy, but this too fades. So we think that when we get a good job, then we’ll be happy, and indeed when we obtain it we do feel very good and happy for a while, but unfortunately, that too fades. So, we look for a promotion or a new job to make us happy, and again it does but only temporarily. This whole cycle is termed by Psychologists as the “hedonic treadmill.” We keep pursuing things because they temporarily make us happy but each happiness is impermanent and we get back on the treadmill looking for the next thing that will make us happy, on and on and on. Instead of happiness it brings disappointment and suffering.

 

Perhaps there’s a better way, and that is pursuing happiness in our practice. We look carefully and mindfully at what actually produces more lasting happiness. This can begin very simply. When you feel happy, even for a brief moment, simply look at it carefully and reflect on exactly how you feel, what are the sensations you experience in your body. This practice can make you more sensitive to happiness and more aware when happiness actually arises. Also, reflect on what led up to this happiness. This can help to make it clearer what the roots of happiness are to you and perhaps how to produce it in the future.

 

This simple practice of meditating on the state and causes of your happiness will slowly begin to expand the frequency, duration, and depth of the happiness you experience. This can begin to interrupt and push suffering away. There’s a process in psychological practice called counter conditioning. In this process, you eliminate an unwanted state or behavior, not by stopping it, but by replacing it with a positive state or behavior. This is very effective. So, as you expand happiness you are in fact counter conditioning suffering and replacing it with happiness. This suggests that there’s no need to focus on the elimination of suffering. In fact, trying to eliminate it often amplifies it or becomes itself a suffering. In contrast, focusing on happiness, eliminates it in a joyful way, overwhelming the gloom with sunshine.

 

During mindfulness practice it’s good to keep in mind Thich Nhat Hahn’s instruction to start by putting a smile on your face. Even if it’s a bit forced, it still somehow makes you feel happier. It’s also a reminder to look for good feelings and happiness during the practice. I like to focus while meditating on what and where something feels good on my body, maybe a subtle tingling sensation in a foot or an obvious cool breeze striking the face. I meditate on how beautiful it is to just be alive and sitting quietly. I listen closely to the symphony of sounds, some even internally in my head, and wonder at the miracle of hearing and the beauty of the sounds themselves. In hearing you own internal voice you can laugh at its inane content, bring joy rather than frustration at not being able to quiet the voice. What actually is looked at doesn’t matter so much but that the habit be built of seeing the goodness, the aliveness, the joy, and the happiness that is right there, all the time while doing something as simple and mundane as meditating.

 

This may seem contrary to the instruction of focused meditation to pay attention to only one thing and become single pointed. But, you’ll find that when you focus on the good, it becomes easier to concentrate and you become better at single pointedness. It is transformed from a frustrating chore to a source of joy. This not only enhances meditation but also makes it more likely that you’ll meditate in the future and look forward to it. Positive practice might also seem contrary to the instruction of open monitoring meditation let go of trying to control experience but to allow everything to just arise and fall away on its own, while just noticing. Looking for the positive may seem to be controlling. But, as it turns out, positive practice leads to better open monitoring as you learn to experience the joy and happiness in what is spontaneously occurring around you. It becomes easier to continue observing and lessens the mind wandering.

 

Meditation is only a platform to practice skills to apply to everyday life. Happiness can be found while doing everyday things. I like to look for good feelings and happiness no matter where I am, what I’m doing, or the conditions around me. I sometimes swim laps in a pool. This can be excruciatingly boring. But, I focus on how good my body feels in the water, the exquisite feelings of the internal sensations of energy in each part of my body, and the miracle of body in motion and the automatic unconscious movements controlling it. This changes what could be experienced as a chore to a joyous, mindful, and pleasurable experience.

 

You can do something similar almost anywhere, perhaps driving a car. Looking at traffic and noticing how well people work together to produce a safe environment, or accommodate someone who is driving not so safely, can produces a loving smile. When stopped at a traffic light, looking around and at the sky, looking for and finding the beauty and wonder all around can transform impatience to happiness. While driving remembering and seeing the joy experienced when you first got behind the wheel and drove as a teenager. Again, what exactly you do is unimportant. Rather the practice is to see the happiness everywhere around you all of the time.

 

We need to accept that this will be an ongoing process. As Thich Nhat Hahn reflected “When I was a young monk, I wondered why the Buddha kept practicing mindfulness and meditation even after he had already become a buddha. Now I find the answer is plain enough to see. Happiness is impermanent, like everything else. In order for happiness to be extended and renewed, you have to learn how to feed your happiness. Nothing can survive without food, including happiness; your happiness can die if you don’t know how to nourish it.” This makes it clear that we should continually renew and reinforce the state of happiness.

 

Happiness is self-reinforcing. The more you find it the more it promotes more happiness. It slowly builds upon itself, generalizing to other similar activities and circumstances producing an upward spiral of good feelings. You’ll find that slowly happiness begins to fill more and more of your day displacing more and more of the suffering. This is an automatic byproduct of positive practice which can completely change your view and experience of existence. Life become transformed from constant suffering to constant happiness. Try it. You’ll like it.

 

“Mindfulness helps you go home to the present. And every time you go there and recognize a condition of happiness that you have, happiness comes.” – Thich Nhat Hanh
CMCS – Center for Mindfulness and Contemplative Studies

 

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Yoga Practice Can Improve Prisoner Well-Being and Improve Rehabilitation

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Yoga Practice Can Improve Prisoner Well-Being and Improve Rehabilitation

 

By John M. de Castro, Ph.D.

 

“Inmates are more likely to be dealing with negative emotions—anxiety, fear, despair, anger, depression, and trauma—than a practitioner not behind bars. With a present reality that hinges on past events, as well as an environment of hostility and potential danger, yoga presents an opportunity to break through from the cycles of negative thoughts and emotions that further imprison the self. Yoga presents an opportunity for a form of freedom.” – Pauline Busson

 

Around 2 ¼ million people are incarcerated in the United States. Even though prisons are euphemistically labelled correctional facilities very little correction actually occurs. This is supported by the rates of recidivism. About three quarters of prisoners who are released commit crimes and are sent back to prison within 5-years. The lack of actual treatment for the prisoners leaves them ill equipped to engage positively in society either inside or outside of prison. Hence, there is a need for effective treatment programs that help the prisoners while in prison and prepares them for life outside the prison.

 

Contemplative practices are well suited to the prison environment. Mindfulness training teaches skills that may be very important for prisoners. In particular, it puts the practitioner in touch with their own bodies and feelings. It improves present moment awareness and helps to overcome rumination about the past and negative thinking about the future. It’s been shown to be useful in the treatment of the effects of trauma and attention deficit disorder. It also relieves stress and improves overall health and well-being. Finally, mindfulness training has been shown to be effective in treating depression, anxiety, and anger. It has also been shown to help overcome trauma in male prisoners.

 

Yoga practice, because of its mindfulness plus physical exercise characteristics, would seem to be ideal for the needs of an incarcerated population. Indeed, it has been shown to be beneficial for prisoners. In today’s Research News article “Yoga in Correctional Settings: A Randomized Controlled Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650609/ ), Kerekes and colleagues recruited male and female prisoners in Sweden and randomly assigned them to either 10-weeks of yoga practice or a wait-list control. Yoga training occurred for 90 minutes once a week for 10 weeks. Control participants were encouraged to engage in another physical activity for 90 minutes once a week. At the end of the 10 weeks, the control participants practiced yoga for ten weeks. The prisoners were measured before and after training for perceived stress, prison aggression, positive and negative emotions, sleep quality, and psychiatric symptoms. They were also asked to perform a continuous performance task that measures attention, impulsivity, and vigilance.

 

They found that the group that practiced yoga had less perceived stress, better sleep quality, an increased psychological and emotional well-being, less aggressive, antisocial, and self-harm behaviors. Compared to the control group, the yoga group showed increased positive emotions, impulse control and attention, and decreased negative affect. Importantly, there was a significant decrease in anti-social behaviors of the prisoners practicing yoga.

 

Yoga practice was associated with significant improvements in the prisoners’ mental health and well-being. This is not surprising as yoga practice has been repeatedly shown to provide similar benefits to other, non-prisoner, participants. But the impact of these benefits are heightened in the high-stress prison environment. The results suggest that yoga practice not only makes prison life more tolerable and constructive, but also decreases the types of behaviors, anti-social behaviors, that resulted in their incarcerations in the first place. So, yoga practice while in prison may help to prepare the prisoners for successfully reengaging in life after prison and reduce recidivism.

 

So, improve improve prisoner well-being and rehabilitation with yoga.

 

“These boys came from neglectful and abusive backgrounds, most of them [were] on medication, a real mess. That was where I got it. I realized that working with their bodies was so much more effective than just working cognitively. I started to see yoga as complementary therapy. For healing to take place, the body has to be involved. The counselors were saying, “Wow, the boys are feeling more self-confidence and self-esteem after having done yoga for two or three months.” They were actually seeing changes in them.” – James Fox

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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Study Summary

 

Kerekes, N., Fielding, C., & Apelqvist, S. (2017). Yoga in Correctional Settings: A Randomized Controlled Study. Frontiers in Psychiatry, 8, 204. http://doi.org/10.3389/fpsyt.2017.00204

 

Abstract

Background

The effect of yoga in the reduction of depressive symptoms, anxiety, stress, anger as well as in the increased ability of behavioral control has been shown. These effects of yoga are highly relevant for prison inmates who often have poor mental health and low impulse control. While it has been shown that yoga and meditation can be effective in improving subjective well-being, mental health, and executive functioning within prison populations, only a limited number of studies have proved this, using randomized controlled settings.

Methods

A total of 152 participants from nine Swedish correctional facilities were randomly assigned to a 10-week yoga group (one class a week; N = 77) or a control group (N = 75). Before and after the intervention period, participants answered questionnaires measuring stress, aggression, affective states, sleep quality, and psychological well-being and completed a computerized test measuring attention and impulsivity.

Results

After the intervention period, significant improvements were found on 13 of the 16 variables within the yoga group (e.g., less perceived stress, better sleep quality, an increased psychological and emotional well-being, less aggressive, and antisocial behavior) and on two within the control group. Compared to the control group, yoga class participants reported significantly improved emotional well-being and less antisocial behavior after 10 weeks of yoga. They also showed improved performance on the computerized test that measures attention and impulse control.

Conclusion

It can be concluded that the yoga practiced in Swedish correctional facilities has positive effects on inmates’ well-being and on considerable risk factors associated with recidivism, such as impulsivity and antisocial behavior. Accordingly, the results show that yoga practice can play an important part in the rehabilitation of prison inmates.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650609/

Improve the Psychological Symptoms of Lupus with Mindfulness

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Improve the Psychological Symptoms of Lupus with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Before I got lupus, I had no idea what an anxiety attack felt like, let alone how to work to stave one off. I’d always used meditation for personal focus and professional clarity. Meditation and mindfulness are how I have accomplished a lot of goals over the years but I never thought they would help me with anxiety.” – Kellie McRae

 

Autoimmune diseases occur when the body’s systems that are designed to ward off infection attack the individual’s own tissues. Lupus is an autoimmune disease that affects a variety of organ systems including kidneys, joints, skin, blood, brain, heart and lungs. Lupus can produce fever, joint pain, stiffness and swelling, butterfly-shaped rash on the face or rashes elsewhere on the body, skin lesions that appear or worsen with sun exposure, fingers and toes that turn white or blue when exposed to cold or during stressful periods, shortness of breath, chest pain, dry eyes, headaches, confusion and memory loss. Lupus strikes between 10 to 25 people per 100,000, or about 322,000 cases in the U.S..

 

The symptoms of Lupus can look like a number of other diseases so it is hard to diagnose lupus. It is tipped off in many patients by the distinctive facial rash. There are no known cures for lupus and treatment is targeted at symptom relief. Drug treatments include pain relievers, corticosteroids, immunosuppressants, and even antimalarial drugs. Mindfulness practices have been shown to be effective for a wide variety of illnesses and to improve the immune system. So, it is possible that mindfulness training could improve Lupus and its symptoms.

 

In today’s Research News article “The Effectiveness of Mindfulness-based Cognitive Therapy on Psychological Symptoms and Quality of Life in Systemic Lupus Erythematosus Patients: 
A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632694/ ), Solati and colleagues investigated the effectiveness of mindfulness training as a treatment for Lupus. They recruited Lupus patients and randomly assigned them to receive either treatment as usual or an 8-week program of Mindfulness-Based Cognitive Therapy (MBCT). MBCT occurred in weekly 2-hour sessions and the patients were encouraged to practice at home. The control group in addition to usual medical care were provided advice on exercise, diet, and rest. They were measured before and after treatment and 6 months later for depression, anxiety, social function, somatization, and mental and physical quality of life.

 

They found that following MBCT there was a large, significant reduction in psychological symptoms including depression, anxiety, social function, somatization and a significant improvement in the patient’s psychological quality of life. The changes were clinically significant with large effect sizes. Importantly, these improvements remained significant at the 6-month follow-up.

 

Mindfulness-Based Cognitive Therapy (MBCT) is directed at assessing and altering negative thought patterns and judgements and developing mindfulness skills. Participants learn to become aware of their body sensation, thoughts, and emotions without judgement. MBCT was developed specifically to treat depression but has been found to be effective for a variety of psychological conditions. The present results demonstrate that it is also effective for the psychological symptoms of Lupus.

 

Lupus is a difficult painful condition that creates major stress and disruption of the patients’ lives. This, in turn, produces mental health challenges and marked decreases in the quality of life. The disease is difficult enough by itself. But, the psychological issues produced act to increase the suffering. Mindfulness training has been shown to reduce the psychological and physiological responses to stress, and stress has the effect of eliciting and amplifying Lupus symptoms. So, reducing response to stress can markedly improve the symptoms. The present study suggests that developing non-judgmental awareness of how and what they are feeling and what they are thinking in the present moment has tremendous beneficial effects, reducing the mental suffering and improving their quality of life.

 

So, improve the psychological symptoms of lupus with mindfulness.

 

“Meditation’s goal is to relax the mind and body, engage feelings about pain or other challenges, release tension and tap into a positive outlook – despite a chronic illness like Lupus. Focusing on negativity, especially on feelings of loss of health and well-being, only exacerbates pain.  Meditation helps bring things into present-moment awareness, to see where we are, and assess things in that moment.” – Jasmine Ly

 

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

 

Solati, K., Mousavi, M., Kheiri, S., & Hasanpour-Dehkordi, A. (2017). The Effectiveness of Mindfulness-based Cognitive Therapy on Psychological Symptoms and Quality of Life in Systemic Lupus Erythematosus Patients: 
A Randomized Controlled Trial. Oman Medical Journal, 32(5), 378–385. http://doi.org/10.5001/omj.2017.73

 

Abstract

Objectives

This study was conducted to determine the efficacy of mindfulness-based cognitive therapy (MBCT) on psychological symptoms and quality of life (QoL) in patients with systemic lupus erythematosus (SLE).

Methods

We conducted a randomized single-blind clinical trial in patients with SLE referred from the Imam Ali Clinic in Shahrekord, southwest Iran. The patients (46 in total in two groups of 23 each) were randomly assigned into the experimental and control groups. Both groups underwent routine medical care, and the experimental group underwent eight group sessions of MBCT in addition to routine care. The patient,s QoL was assessed using the General Health Questionnaire-28 and 36-Item Short Form Health Survey before, after, and six months after intervention (follow-up).

Results

A significant difference was seen in psychological symptoms and QoL between MBCT and control groups immediately after the intervention and at follow-up (p ≤ 0.050). However, the difference was not significant for the physical components of QoL (p ≥ 0.050).

Conclusions

MBCT contributed to decreased psychological symptoms and improved QoL in patients with SLE with a stable effect on psychological symptoms and psychological components of QoL, but an unstable effect on physical components.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632694/

Improve Chronic Back Pain with Mindfulness and Cognitive Therapy

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Improve Chronic Back Pain with Mindfulness and Cognitive Therapy

 

By John M. de Castro, Ph.D.

 

“Mindful mediation is an appealing option for treating your pain because it has an unusual benefit; it places you in a position of control. Unlike pain medications or surgical procedures, meditation is not done to you—but rather it is something you do for yourself.” – Stephanie Burke

 

Low Back Pain is the leading cause of disability worldwide and affects between 6% to 15% of the population. It is estimated, however, that 80% of the population will experience back pain sometime during their lives. The pain interferes with daily living and with work, interfering with productivity and creating absences. There are varied treatments for low back pain including chiropractic care, acupuncture, biofeedback, physical therapy, cognitive behavioral therapy, massage, surgery, opiate pain killing drugs, steroid injections, and muscle relaxant drugs. These therapies are sometimes effective particularly for acute back pain. But, for chronic conditions the treatments are less effective and often require continuing treatment for years.

 

Pain involves both physical and psychological issues. Physically, exercise can be helpful in strengthening the back to prevent or relieve pain. Psychologically, 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. 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 and have been shown to be safe and effective in the management of low back pain.

 

In today’s Research News article “Mindfulness-based stress reduction and cognitive-behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069124/ ), Turner and colleagues recruited adults suffering from chronic low back pain and randomly assigned them to either receive usual care, or 8 weeks, 2 hours per day, of Mindfulness-Based Stress Reduction (MBSR), or Cognitive Behavioral Therapy (CBT). The therapies were supplemented with home practice. They were measured before and after treatment and at 26 and 52 weeks later, for mindfulness, back pain bothersomeness, pain duration, pain frequency, pain catastrophizing, pain acceptance, and pain self-efficacy.

 

They found that before treatment the higher the levels of pain catastrophizing the lower the levels of mindfulness, pain acceptance, and pain self-efficacy. Following treatment both MBSR and CBT produced significant decreases in pain catastrophizing and increases in mindfulness, pain self-efficacy and pain acceptance that remained significant a year later. Hence, both Mindfulness-Based Stress Reduction (MBSR), or Cognitive Behavioral Therapy (CBT) produced significant improvements in the ability of the patients to adjust and cope with low back pain.

 

These results are interesting as MBSR and CBT are quite different treatments. MBSR consists of a combination of meditation, yoga, and body scan practices that are designed to improve mindfulness and reduce stress On the other hand, CBT is designed to assess and alter aberrant thought process that underlie catastrophizing and pain amplification. So, it would seem that the two therapies may work by different mechanisms but end up producing the same result. This would predict that their combination would be even more effective. On the other hand, it is also possible that they both improve mindfulness and this in turn produces the improvements. In which case their combination would only be as effective as each alone. It remains to be seen if Mindfulness-Based Cognitive Therapy (MBCT) would be even more effective for treating chronic low back pain.

 

Regardless, both MBSR and CBT appear to help relieve the suffering of patients with chronic low back pain. So, improve chronic back pain with mindfulness and cognitive therapy.

 

 

“Mindfulness-based stress reduction (MBSR) practices like yoga and meditation have also been found to improve chronic lower back pain and its physical limitations and can provide patients with ongoing pain management skills,” – Susan McQuillan

 

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

 

Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., & Cherkin, D. C. (2016). Mindfulness-based stress reduction and cognitive-behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain, 157(11), 2434–2444. http://doi.org/10.1097/j.pain.0000000000000635

 

Abstract

Cognitive-behavioral therapy (CBT) is believed to improve chronic pain problems by decreasing patient catastrophizing and increasing patient self-efficacy for managing pain. Mindfulness-based stress reduction (MBSR) is believed to benefit chronic pain patients by increasing mindfulness and pain acceptance. However, little is known about how these therapeutic mechanism variables relate to each other or whether they are differentially impacted by MBSR versus CBT. In a randomized controlled trial comparing MBSR, CBT, and usual care (UC) for adults aged 20-70 years with chronic low back pain (CLBP) (N = 342), we examined (1) baseline relationships among measures of catastrophizing, self-efficacy, acceptance, and mindfulness; and (2) changes on these measures in the 3 treatment groups. At baseline, catastrophizing was associated negatively with self-efficacy, acceptance, and 3 aspects of mindfulness (non-reactivity, non-judging, and acting with awareness; all P-values <0.01). Acceptance was associated positively with self-efficacy (P < 0.01) and mindfulness (P-values < 0.05) measures. Catastrophizing decreased slightly more post-treatment with MBSR than with CBT or UC (omnibus P = 0.002). Both treatments were effective compared with UC in decreasing catastrophizing at 52 weeks (omnibus P = 0.001). In both the entire randomized sample and the sub-sample of participants who attended ≥6 of the 8 MBSR or CBT sessions, differences between MBSR and CBT at up to 52 weeks were few, small in size, and of questionable clinical meaningfulness. The results indicate overlap across measures of catastrophizing, self-efficacy, acceptance, and mindfulness, and similar effects of MBSR and CBT on these measures among individuals with CLBP.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069124/

Improve Type 2 Diabetes with Qigong Practice

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Improve Type 2 Diabetes with Qigong Practice

 

By John M. de Castro, Ph.D.

 

“In addition to the importance of moderate physical activity, the relaxation element of Tai Chi may help to reduce stress levels, preventing the release of adrenalin which can lead to insulin resistance and high blood glucose levels.”  – Cathy Moulton

 

Diabetes is a major health issue. It is estimated that 30 million people in the United States have diabetes and the numbers are growing. Type 2 Diabetes results from a resistance of tissues, especially fat tissues, to the ability of insulin to promote the uptake of glucose from the blood. As a result, blood sugar levels rise producing hyperglycemia. Diabetes is the 7th leading cause of death in the United States. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

 

Type 2 diabetes is a common and increasingly prevalent illness that is largely preventable. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world. Qigong and Tai Chi have been practiced for thousands of years with benefits for health and longevity. Qigong and Tai Chi trainings are designed to enhance function and regulate the activities of the body through controlled breathing, mindful concentration, and gentle movements. Only recently though have the effects of these practices been scrutinized with empirical research. This research has found that they are effective for an array of physical and psychological issues.

 

Diet and exercise are prescribed to treat Type 2 Diabetes. Qigong and Tai Chi are gentle exercises that may be acceptable to the generally exercise averse obese. So, they may be useful in treating Type 2 Diabetes. In today’s Research News article “Qigong Exercises for the Management of Type 2 Diabetes Mellitus.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622394/), Putiri and colleagues review and summarize the published research literature on the application of Qigong practice for the treatment of Type 2 Diabetes.

 

They report that the published research literature finds that Qigong practice produces significant improvements in blood glucose, triglycerides, total cholesterol, weight, BMI and insulin resistance in patients with Type 2 Diabetes. It is known that exercise and weight reduction improves Type 2 Diabetes. In addition, stress tends to exacerbate the disorder. So, Putiri and colleagues speculate that the benefits of Qigong for Type 2 Diabetes are due to the aerobic exercise, weight loss, and stress reduction provided by the practice.

 

These are exciting findings. Qigong is a gentle practice, completely safe, can be used by anyone, including the elderly and sickly, is inexpensive to administer, is convenient as it can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can also be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. This suggests that Qigong practice may be an ideal alternative treatment for Type 2 Diabetes.

 

So, improve Type 2 Diabetes with qigong practice.

 

“Qigong is brilliant but it is not a miracle worker. It is merely a tool to maintaining good health and to prevent and improve your health; HOWEVER you may need to improve other aspects of your life such as increasing exercise (where Qigong can help) and changing the diet (removing toxic additives and sugar / processed products).” – Udemy

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Putiri, A. L., Close, J. R., Lilly, H. R., Guillaume, N., & Sun, G.-C. (2017). Qigong Exercises for the Management of Type 2 Diabetes Mellitus. Medicines, 4(3), 59. http://doi.org/10.3390/medicines4030059

 

Abstract

Background: The purpose of this article is to clarify and define medical qigong and to identify an appropriate study design and methodology for a large-scale study looking at the effects of qigong in patients with type 2 diabetes mellitus (T2DM), specifically subject enrollment criteria, selection of the control group and study duration. Methods: A comprehensive literature review of English databases was used to locate articles from 1980–May 2017 involving qigong and T2DM. Control groups, subject criteria and the results of major diabetic markers were reviewed and compared within each study. Definitions of qigong and its differentiation from physical exercise were also considered. Results: After a thorough review, it was found that qigong shows positive effects on T2DM; however, there were inconsistencies in control groups, research subjects and diabetic markers analyzed. It was also discovered that there is a large variation in styles and definitions of qigong. Conclusions: Qigong exercise has shown promising results in clinical experience and in randomized, controlled pilot studies for affecting aspects of T2DM including blood glucose, triglycerides, total cholesterol, weight, BMI and insulin resistance. Due to the inconsistencies in study design and methods and the lack of large-scale studies, further well-designed randomized control trials (RCT) are needed to evaluate the ‘vital energy’ or qi aspect of internal medical qigong in people who have been diagnosed with T2DM.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622394/