Improve Alzheimer’s Disease Risk Factors with Mindfulness

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Improve Alzheimer’s Disease Risk Factors with Mindfulness

 

By John M. de Castro, Ph.D.

 

“MBSR may reduce hippocampal atrophy and improve functional connectivity in the same areas of the brain most affected by Alzheimer’s disease. MBSR is a relatively simple intervention, with very little downside that may provide real promise for these individuals who have very few treatment options.” – Rebecca Wells

 

In the course of normal aging, there is a slow decline in cognitive ability. But, for some the decline can be excessive producing dementia. Alzheimer’s disease is the most common form of dementia. It involves an irreversible progressive loss of mental function associated with brain degeneration. The early stages are typified by memory loss but as the disease progresses patients can lose the ability to carry on a conversation or carry on normal life functions, and eventually leads to death. In fact, Alzheimer’s disease is the sixth leading cause of death in the U.S. On average, this progression lasts about 8 years but can last as long as 20 years. Alzheimer’s typically first emerges after age 65, but can occur at younger ages.

 

It is estimated that 5 million Americans have Alzheimer’s disease. Unfortunately, there are no known cures for Alzheimer’s disease. But, there are treatments that can help relieve the symptoms. These include drug treatments. Recently, mindfulness practices have been shown to improve the symptoms of age related dementia. It has been shown that chronic stress is a risk factor for the development of Alzheimer’s disease. Mindfulness-Based Stress Reduction (MBSR) is a mindfulness technique that was designed to reduce stress and its effects. So, it would seem reasonable to study the ability of MBSR to relieve the symptoms of Alzheimer’s disease.

 

In today’s Research News article “Plasma REST: a novel candidate biomarker of Alzheimer’s disease is modified by psychological intervention in an at-risk population.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537638/, Ashton and colleagues examined the association of a biomarker, repressor element 1-silencing transcription (REST), with Alzheimer’s disease and the ability of Mindfulness-Based Stress Reduction (MBSR) to alter REST and the early symptoms of Alzheimer’s disease. They recruited patients over 65 years of age with diagnosed Alzheimer’s disease and healthy elderly control participants. They scanned their brains with Magnetic Resonance Imaging (MRI) and collected blood samples to measure the plasma levels of REST. They also recruited individuals over 65 years of age with anxiety, depression, and mild cognitive impairment. They were randomly assigned to receive an 8-week program of either MBSR or health education. They measured memory, verbal fluency, executive function, anxiety, depression, worry, and collected blood samples to measure the plasma levels of REST.

 

They found that REST levels were significantly lower in Alzheimer’s disease patients than healthy control participants. Also, the lower the levels of REST the lower the brain volumes in these patients. In addition, the REST levels in participants with mild cognitive impairment who later expressed full blown Alzheimer’s disease were significantly lower than those participants who did not. MBSR produced a significant increase in REST and the greater the level of REST increase the greater the improvement in anxiety and depression.

 

These are very interesting and potentially important findings that suggest that levels of repressor element 1-silencing transcription (REST) in the blood may be a marker for Alzheimer’s disease. It is lower in patients with active Alzheimer’s disease and in people with mild cognitive impairment who would eventually develop Alzheimer’s disease and is associated with reduced brain volume. MBSR participation increases REST and the increase is associated with improved symptoms. This suggests that low REST levels identify Alzheimer’s disease patients and that mindfulness practice can increase REST levels.

 

Repressor element 1-silencing transcription (REST) promotes the development of neurons. So, low levels of REST may be a sign that neural development has slowed or stopped and this may be an important mechanism for the development of Alzheimer’s disease. Interestingly, mindfulness training may be able to reverse the decline in REST and could potentially restrain the development of the disease. It is not known how MBSR could affect REST, but it can be speculated that the ability of MBSR to reduce the physiological and psychological responses to stress may be involved.

 

So, improve Alzheimer’s disease risk factors with mindfulness.

 

“Perceived stress can be altered by mindfulness-based stress reduction, cognitive-behavioural therapies and stress-reducing drugs. These interventions may postpone or even prevent an individual’s cognitive decline.” – Mindy Katz

 

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

 

Ashton, N. J., Hye, A., Leckey, C. A., Jones, A. R., Gardner, A., Elliott, C., … Marchant, N. L. (2017). Plasma REST: a novel candidate biomarker of Alzheimer’s disease is modified by psychological intervention in an at-risk population. Translational Psychiatry, 7(6), e1148–. http://doi.org/10.1038/tp.2017.113

 

Abstract

The repressor element 1-silencing transcription (REST) factor is a key regulator of the aging brain’s stress response. It is reduced in conditions of stress and Alzheimer’s disease (AD), which suggests that increasing REST may be neuroprotective. REST can be measured peripherally in blood plasma. Our study aimed to (1) examine plasma REST levels in relation to clinical and biological markers of neurodegeneration and (2) alter plasma REST levels through a stress-reduction intervention—mindfulness training. In study 1, REST levels were compared across the following four well-characterized groups: healthy elderly (n=65), mild cognitive impairment who remained stable (stable MCI, n=36), MCI who later converted to dementia (converter MCI, n=29) and AD (n=65) from the AddNeuroMed cohort. REST levels declined with increasing severity of risk and impairment (healthy elderly>stable MCI>converter MCI>AD, F=6.35, P<0.001). REST levels were also positively associated with magnetic resonance imaging-based hippocampal and entorhinal atrophy and other putative blood-based biomarkers of AD (Ps<0.05). In study 2, REST was measured in 81 older adults with psychiatric risk factors for AD before and after a mindfulness-based stress reduction intervention or an education-based placebo intervention. Mindfulness-based training caused an increase in REST compared with the placebo intervention (F=8.57, P=0.006), and increased REST was associated with a reduction in psychiatric symptoms associated with stress and AD risk (Ps<0.02). Our data confirm plasma REST associations with clinical severity and neurodegeneration, and originally, that REST is modifiable by a psychological intervention with clinical benefit.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537638/

Improve Post-Traumatic Stress Disorder in Combat Veterans with Mindfulness

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Improve Post-Traumatic Stress Disorder in Combat Veterans with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness-based approaches have been shown to be useful for problems commonly seen in trauma survivors such as anxiety and hyperarousal. Mindfulness practice has potential to be of benefit to individuals with PTSD, either as a tertiary or a stand-alone treatment.” – National Center for PTSD

 

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

 

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

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. Mindfulness Based Stress Reduction (MBSR) has been found to improve PTSD symptoms. MBSR involves a combination of mindfulness practices including, meditation, body scan, and yoga. In today’s Research News article “A Pilot Study of the Effects of Mindfulness-Based Stress Reduction on Post-traumatic Stress Disorder Symptoms and Brain Response to Traumatic Reminders of Combat in Operation Enduring Freedom/Operation Iraqi Freedom Combat Veterans with Post-traumatic Stress Disorder.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574875/, Bremner and colleagues examine the effectiveness of Mindfulness Based Stress Reduction (MBSR) for the treatment of PTSD in combat veterans.

 

They recruited combat veterans from the wars in Iraq and randomly assigned them to receive either an 8-week program of Mindfulness Based Stress Reduction (MBSR) or Present-Centered Group Therapy (PCGT). PCGT involved 8-weeks of psycho-education and group discussion of present day problems. They were measured before and after treatment and 6 months later for PTSD symptoms, psychiatric issues, mindfulness, and spiritual well-being. The veterans also underwent a Positron Emission Tomography (PET) brain scan while viewing pictures of the Iraq war or neutral pictures.

 

They found that MBSR, but not the control PCGT condition, produced significant reductions in PTSD symptoms, particularly avoidance and hyperarousal, and increases in mindfulness that were maintained even 6-months after the end of treatment. All of the veterans showed increased activation in frontal and temporal cortical regions and decreased activation in subcortical areas when viewing combat related pictures. After MBSR, in comparison to baseline and the control group, the veterans had significantly increased activation of the anterior cingulate and inferior parietal cortex, and decreased activation in the insula and precuneus. Activation of the anterior cingulate cortex is associated with improved emotion regulation and has been previously associated with relief of trauma symptoms while decreased activity in the insula has been associated with decreases in hyperarousal.

 

The results of this pilot study are interesting and potentially important. The study is unusual in that it had an active control condition that improves the strength of the conclusions. The results demonstrate that Mindfulness Based Stress Reduction (MBSR) produces lasting improvements in PTSD symptoms in combat veterans. They also show that MBSR produces changes in the nervous system areas that may underlie the symptoms. Hence, MBSR appears to be a safe and effective treatment of Post-Traumatic Stress Disorder (PTSD) that can relieve the suffering resulting from trauma.

 

So, improve post-traumatic stress disorder in combat veterans with mindfulness.

 

“Mindfulness-based stress reduction approaches are likely to work just as well for non-veterans who have been exposed to civilian traumas such as physical or sexual assaults.” Alan Peterson

 

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

 

Bremner, J. D., Mishra, S., Campanella, C., Shah, M., Kasher, N., Evans, S., … Carmody, J. (2017). A Pilot Study of the Effects of Mindfulness-Based Stress Reduction on Post-traumatic Stress Disorder Symptoms and Brain Response to Traumatic Reminders of Combat in Operation Enduring Freedom/Operation Iraqi Freedom Combat Veterans with Post-traumatic Stress Disorder. Frontiers in Psychiatry, 8, 157. http://doi.org/10.3389/fpsyt.2017.00157

 

Abstract

Objective

Brain imaging studies in patients with post-traumatic stress disorder (PTSD) have implicated a circuitry of brain regions including the medial prefrontal cortex, amygdala, hippocampus, parietal cortex, and insula. Pharmacological treatment studies have shown a reversal of medial prefrontal deficits in response to traumatic reminders. Mindfulness-based stress reduction (MBSR) is a promising non-pharmacologic approach to the treatment of anxiety and pain disorders. The purpose of this study was to assess the effects of MBSR on PTSD symptoms and brain response to traumatic reminders measured with positron-emission tomography (PET) in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) combat veterans with PTSD. We hypothesized that MBSR would show increased prefrontal response to stress and improved PTSD symptoms in veterans with PTSD.

Method

Twenty-six OEF/OIF combat veterans with PTSD who had recently returned from a combat zone were block randomized to receive eight sessions of MBSR or present-centered group therapy (PCGT). PTSD patients underwent assessment of PTSD symptoms with the Clinician-Administered PTSD Scale (CAPS), mindfulness with the Five Factor Mindfulness Questionnaire (FFMQ) and brain imaging using PET in conjunction with exposure to neutral and Iraq combat-related slides and sound before and after treatment. Nine patients in the MBSR group and 8 in the PCGT group completed all study procedures.

Results

Post-traumatic stress disorder patients treated with MBSR (but not PCGT) had an improvement in PTSD symptoms measured with the CAPS that persisted for 6 months after treatment. MBSR also resulted in an increase in mindfulness measured with the FFMQ. MBSR-treated patients had increased anterior cingulate and inferior parietal lobule and decreased insula and precuneus function in response to traumatic reminders compared to the PCGT group.

Conclusion

This study shows that MBSR is a safe and effective treatment for PTSD. Furthermore, MBSR treatment is associated with changes in brain regions that have been implicated in PTSD and are involved in extinction of fear responses to traumatic memories as well as regulation of the stress response.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574875/

Reduce Fatigue with Breast Cancer with Yoga

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Reduce Fatigue with Breast Cancer with Yoga

 

By John M. de Castro, Ph.D.

 

“Yoga works on the principle of mind and body health and it would help women cope with systemic therapy side effects better. Yoga nidra and pranayama also improve sleep patterns. Thus, all this together may reduce fatigue and pain.” – Nita Nair

 

Because of great advances in treatment, many women today are surviving breast cancer. But, cancer survivors frequently suffer from anxiety, depression, mood disturbance, post-traumatic stress disorder (PTSD), sleep disturbance, fatigue, sexual dysfunction, loss of personal control, impaired quality of life, an alteration of their body image, and psychiatric symptoms which have been found to persist even ten years after remission. Also, breast cancer survivors can have to deal with a heightened fear of reoccurrence. This is particularly true with metastatic cancer. So, safe and effective treatments for the symptoms in breast cancer and the physical and psychological effects of the treatments are needed.

 

Mindfulness training has been shown to help with general cancer recovery and breast cancer recovery. Yoga practice of has also been shown to be helpful with the residual symptoms, the psychological and physical ability to deal with cancer treatment and improves sleep in women with metastatic breast cancer. So, it’s reasonable to further explore the potential benefits of yoga practice to relieve fatigue and stress in women fighting metastatic breast cancer.

 

In today’s Research News article “Effects of Yoga in Managing Fatigue in Breast Cancer 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/PMC5545948/, Vadiraja and colleagues recruited women with advanced metastatic breast cancer. They received treatment as usual and were randomly assigned to receive either education and supportive counseling or an integrated yoga program for 12 weeks consisting of 60-min sessions twice a week combined with home practice of relaxation, breathing exercises, postures, and meditation. They were measured before and after treatment for perceived stress and fatigue.

 

In comparison to baseline and the control group the yoga practice group had significant reductions in perceived stress and in fatigue, including severity, how often they felt fatigued, how much fatigue interfered with their everyday activities, and the difference between daytime and nighttime fatigue.  It would have been better if the control group had performed some other form of exercise to determine if it was yoga practice per se or simply exercise was responsible for the results. In addition, since the integrated yoga program contained multiple components it is impossible to differentiate which or which combination of components was effective. Nevertheless, these are impressive and exciting results that integrated yoga practice can have such positive effects on women with advanced metastatic breast cancer.

 

Mindfulness practices, including yoga practice, has been shown to reduce the physiological and psychological responses to stress and fatigue in other populations. It is particularly good that yoga has these effects in women with cancer where stress and fatigue exacerbate an already difficult situation. These effects may help to contribute to these women’s ability to fight off the cancer and improve their longevity.

 

So, reduce fatigue with breast cancer with yoga.

 

“Even on my worst days, in terms of fatigue, if I just got up and did a little something, whether it be some light stretching, gentle yoga, just some yoga, that definitely made me feel better.” – Amy Schnitzler

 

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

 

Vadiraja, H., Rao, R. M., Nagarathna, R., Nagendra, H., Patil, S., Diwakar, R. B., … Ajaikumar, B. (2017). Effects of Yoga in Managing Fatigue in Breast Cancer Patients: A Randomized Controlled Trial. Indian Journal of Palliative Care, 23(3), 247–252. http://doi.org/10.4103/IJPC.IJPC_95_17

 

Abstract

Background:

Cancer-related fatigue is widely prevalent in cancer patients and affects quality of life in advanced cancer patients. Fatigue is caused due to both psychologic distress and physiological sequel following cancer progression and its treatment. In this study, we evaluate the effects of yogic intervention in managing fatigue in metastatic breast cancer patients.

Methods:

Ninety-one patients with metastatic breast cancer were randomized to receive integrated yoga program (n = 46) or supportive therapy and education (n = 45) over a 3-month period. Assessments such as perceived stress, fatigue symptom inventory, diurnal salivary cortisol, and natural killer cell counts were carried out before and after intervention. Analysis was done using an intention-to-treat approach. Postmeasures for the above outcomes were assessed using ANCOVA with respective baseline measure as a covariate.

Results:

The results suggest that yoga reduces perceived stress (P = 0.001), fatigue frequency (P < 0.001), fatigue severity (P < 0.001), interference (P < 0.001), and diurnal variation (P < 0.001) when compared to supportive therapy. There was a positive correlation of change in fatigue severity with 9 a.m. salivary cortisol levels.

Conclusion:

The results suggest that yoga reduces fatigue in advanced breast cancer patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545948/

Improve the Physical and Psychological Condition of Breast Cancer Patients with Yoga

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Improve the Physical and Psychological Condition of Breast Cancer Patients with Yoga

 

By John M. de Castro, Ph.D.

 

“Studies suggest that doing yoga while going through breast cancer treatment helps you get through it with fewer side effects. Often doctors have to stop chemo or lower doses to levels that may not be as effective because people don’t tolerate the side effects. But yoga appears to decrease all kinds of side effects.” – Timothy McCall

 

About 12.5% of women in the U.S. develop invasive breast cancer over their lifetimes and every year about 40,000 women die. Indeed, more women in the U.S. die from breast cancer than from any other cancer, besides lung cancer. Breast cancer diagnosis, however, is not a death sentence. Death rates have been decreasing for decades from improved detection and treatment of breast cancer. Five-year survival rates are now at around 95%. The improved survival rates mean that more women are now living with cancer.

 

Cancer treatment involving surgery and radiation therapy and/or chemotherapy is extremely difficult physically and emotionally. In addition, surviving cancer, however, 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). Also, breast cancer survivors can have to deal with a heightened fear of reoccurrence, and an alteration of their body image. Additionally, cancer survivors frequently suffer from anxiety, depression, mood disturbance, Post-Traumatic Stress Disorder (PTSD), sleep disturbance, fatigue, sexual dysfunction, loss of personal control, impaired quality of life, and psychiatric symptoms which have been found to persist even ten years after remission. So, safe and effective treatments for the symptoms in breast cancer and the physical and psychological effects of the treatments are needed.

 

Mindfulness training has been shown to help with general cancer recovery and breast cancer recovery. Mindfulness helps to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. The mindfulness practice of Yoga has also been shown to be helpful with the residual symptoms. So, it’s reasonable to further explore the potential benefits of yoga practice for women during and after treatment.

 

In today’s Research News article “Salute to the sun: a new dawn in yoga therapy for breast cancer.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587658/, Galliford and colleagues reviewed and summarized the published research studies of the application of yoga therapy or Mindfulness-Based Stress Reduction (MBSR), which contains yoga, for women with breast cancer. They found 38 published studies. They report that the research fids that yoga is effective in improving emotion regulation, quality of life, sleep quality, lymphatic system integrity, and social functioning, and decreasing anxiety, depression, and stress hormones (cortisol).

 

These are important findings that are fairly consistent across a variety of studies. The research clearly suggests that practicing yoga can benefit the social, psychological, and physical functioning of women with breast cancer. These are important benefits that suggest that yoga practice may improve women’s ability to fight breast cancer and maintain health and improve overall well-being.

 

So, improve the physical and psychological condition of breast cancer patients with yoga.

 

”For women with breast cancer, research shows those who practice yoga may also have less stress and fatigue, and better quality of life.” – Stacy Simon

 

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

 

Galliford, M., Robinson, S., Bridge, P., & Carmichael, M. (2017). Salute to the sun: a new dawn in yoga therapy for breast cancer. Journal of Medical Radiation Sciences, 64(3), 232–238. http://doi.org/10.1002/jmrs.218

 

Abstract

Introduction

Interest in the application of yoga for health benefits in western medicine is growing rapidly, with a significant rise in publications. The purpose of this systematic review is to determine whether the inclusion of yoga therapy to the treatment of breast cancer can improve the patient’s physical and psychosocial quality of life (QoL).

Methods

A search of peer reviewed journal articles published between January 2009 and July 2014 was conducted. Studies were included if they had more than 15 study participants, included interventions such as mindfulness‐based stress reduction (MBSR) or yoga therapy with or without comparison groups and had stated physical or psychological outcomes.

Results

Screening identified 38 appropriate articles. The most reported psychosocial benefits of yoga therapy were anxiety, emotional and social functioning, stress, depression and global QoL. The most reported physical benefits of yoga therapy were improved salivary cortisol readings, sleep quality and lymphocyte apoptosis. Benefits in these areas were linked strongly with the yoga interventions, in addition to significant improvement in overall QoL.

Conclusion

The evidence supports the use of yoga therapy to improve the physical and psychosocial QoL for breast cancer patients with a range of benefits relevant to radiation therapy. Future studies are recommended to confirm these benefits. Evidence‐based recommendations for implementation of a yoga therapy programme have been derived and included within this review. Long‐term follow‐up is necessary with these programmes to assess the efficacy of the yoga intervention in terms of sustainability and patient outcomes.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587658/

Mindfulness Decreases the Impact of Abusive Supervision at Work

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Mindfulness Decreases the Impact of Abusive Supervision at Work

 

By John M. de Castro, Ph.D.

 

“Mindfulness has stopped many workplace snafus from happening in the first place. Once the mind is calm, a resolution can be reached.” – Diane Dye Hansen

 

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

 

To help overcome unhappiness, stress, and burnout, mindfulness practices have been implemented in the workplace. Indeed, mindfulness practices have been shown to markedly reduce the physiological and psychological responses to stress. As a result, it has become very trendy for business to incorporate meditation into the workday to help improve employee well-being, health, and productivity. For example, Google offers “Search Inside Yourself” classes to teach mindfulness at work. But, although there is a lot of anecdotal evidence of meditation improving well-being and work performance, there is actually very little systematic research on mindfulness’ effectiveness at work. In addition, there is no information on the effectiveness of mindfulness to help overcome the effects of a hostile work environment.

 

In today’s Research News article “The Buffering Effect of Mindfulness on Abusive Supervision and Creative Performance: A Social Cognitive Framework.” See summary below or view the full text of the study at: http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01588/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_398354_69_Psycho_20170921_arts_A, Zheng and Liu recruited employees and managers from an electronics manufacturer. They had them complete measures of abusive supervision, mindfulness, self-efficacy. The supervisors also rated them for their levels of creative performance at work.

 

They found, as expected, that the higher the level of abusive supervision, the lower the level of self-efficacy and creativity and the higher the level of self-efficacy the greater the level of creativity. Further, they found that employees who were low in mindfulness were severely impacted by abusive supervision by showing significantly lower levels of creativity and self-efficacy when they were subjected to high levels of abusive supervision. On the other hand, when mindfulness was high abusive supervision had no significant effect on either creativity or self-efficacy. Hence, mindfulness appeared to buffer the employees from the negative impact of abusive supervision.

 

This is a correlational study, so causation cannot be conclusively concluded. But, the relationships are clear. Mindfulness is associated with an improved ability to function effectively regardless of the supervisory methods used. This may result from the ability of mindfulness to improve the individual’s physical and psychological responses to stress. In this way, mindful individuals do not react to the stress imposed by an abusive manager and thereby their performance is unaffected. It is also possible that the ability of mindfulness to increase the individual’s ability to respond to and regulate their emotions. As a result, they are able to cope with the negative emotions produced by abusive supervision and can be productive nonetheless.

 

So, decreases the impact of abusive supervision at work with mindfulness.

 

“Blunting the harm of a workplace stressor like abusive supervision may unwittingly promote acceptance of mistreatment, potentially interfering with adaptive responses, such as proactively addressing supervisor conflicts and behavior, filing a grievance, or changing jobs. So while mindfulness may leave individuals less affected by negative work events, an open question is whether it coincides with passivity, allowing unhealthy patterns to continue unchecked.” – Darren Good

 

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

 

Zheng X and Liu X (2017) The Buffering Effect of Mindfulness on Abusive Supervision and Creative Performance: A Social Cognitive Framework. Front. Psychol. 8:1588. doi: 10.3389/fpsyg.2017.01588

 

Our research draws upon social cognitive theory and incorporates a regulatory approach to investigate whyand when abusive supervision influences employee creative performance. The analyses of data from multiple time points and multiple sources reveal that abusive supervision hampers employee self-efficacy at work, which in turn impairs employee creative performance. Further, employee mindfulness buffers the negative effects of abusive supervision on employee self-efficacy at work as well as the indirect effects of abusive supervision on employee creative performance. Our findings have implications for both theory and practice. Limitations and directions for future research are also discussed.

http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01588/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_398354_69_Psycho_20170921_arts_A

Meditation Can Produce Uncomfortable Effects

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Meditation Can Produce Uncomfortable Effects

 

By John M. de Castro, Ph.D.

 

“While the benefits of mediation are being recorded in scientific journals, what’s not discussed as often are the negative meditation side effects. It can be a frustrating, sometimes agonizing process that will bring you into contact with your limitations and inner conflicts. Rather than a metamorphosis, you can experience a setback.” – Linda Kaban

 

People begin meditation with the misconception that meditation will help them escape from their problems. Nothing could be further from the truth. In fact, meditation does the exact opposite, forcing the meditator to confront their issues. In meditation, the practitioner tries to quiet the mind. But, in that relaxed quiet state, powerful, highly emotionally charged thoughts and memories are likely to emerge. The strength here is that meditation is a wonderful occasion to begin to deal with these issues. But, often the thoughts or memories are overwhelming. At times, professional therapeutic intervention may be needed.

 

Meditation practice can also produce some troubling experiences beyond unmasking deep psychological issues. Not the least of these experiences are awakening experiences themselves. If they are not properly understood, they can lead to sometimes devastating consequences. These experiences are so powerful and unusual that they can be misinterpreted. Awakening experiences have been misdiagnosed as psychotic breaks and the individual placed on powerful drugs and/or institutionalized. At the very least, the individual may believe that they are losing their sanity or as one has said, “I just got used to the idea that occasionally I would have just one of those days.”

 

Meditation practice can sometimes produce energetic states that can vary in intensity, location, and duration. If and when these occur, they are usually quite surprising and unexpected. They can be readily misinterpreted. They involve energy focused in specific parts of the body or overall. They can feel like nervousness, tension, or almost like electrical currents flowing through the body and can produce spontaneous and undirected movements. These energy states are usually found to be aversive and difficult to cope with.

 

Many practitioners never experience these issues or only experience very mild states. There are, however, no systematic studies of the extent of this problem. In today’s Research News article “Unwanted effects: Is there a negative side of meditation? A multicentre survey.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584749/, Cebolla and colleagues conducted an on-line survey of meditation practitioners that engaged in a variety of different meditation techniques. They were asked if they had experienced any unwanted experiences. If they had, they were asked to describe the nature of these experiences. These incidents were categorized into 8 clusters; anxiety symptoms (including panic attacks), pain (stomach, headache, muscular, nausea), depersonalization and derealization, hypomania or depressive symptoms, emotional lability, visual focalization problems, loss of consciousness or dizziness, and other symptoms. They also completed a checklist of unwanted experiences.

 

They found that the incidence of negative events was quite high with 25.4% of the respondents reporting unwanted experiences. But most reported that the experiences were mild and transitory and most did not lead to the need for medical assistance or the cessation of meditation practice. These unwanted experiences occurred more frequently with individual rather than group practice and with focused meditation practice, particularly when practices was longer then 20 minutes. The most frequently described reactions were anxiety symptoms (including panic attacks) and depersonalization or derealization (“when I began to focus on my breath, a shift seemed to occur in my spatial awareness quite quickly. I felt like my awareness was becoming very close to me, and everything around me was becoming very distant.)

 

The results suggest that unwanted (negative) experiences are quite common with meditators, but for the most part are short-lived and mild. It should be kept in mind, however, that practitioners who had more severe and long lasting negative experience may well not continue meditation and not be included in the sample. So, the actual frequency and severity of unwanted (negative) experiences may actually be higher. There was also no comparison condition. It is possible that similar unwanted experiences occur over time in people who do not meditate.

 

The results suggest that better instruction is needed for beginning meditators regarding the types of experiences that meditators may have and resources provided for dealing with these experiences. In the West meditation has been promoted as a completely positive and beneficial practice. For the most part, it is. But, it can have significant, unpleasant, and potentially harmful consequences. It is important that practitioners be aware of this and have access to experienced teachers who can help them navigate through the difficulties if they appear.

 

It needs to be publicized that meditation can produce uncomfortable effects.

 

“To put things in perspective, many millions of people have meditated, over the past several thousands of years, and written about it extensively – there is a vast literature. If you look at this history as a vast trial run of a new drug, there are remarkably few negative side effects for such a powerful process.” – Lorin Roche

 

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

 

Cebolla, A., Demarzo, M., Martins, P., Soler, J., & Garcia-Campayo, J. (2017). Unwanted effects: Is there a negative side of meditation? A multicentre survey. PLoS ONE, 12(9), e0183137. http://doi.org/10.1371/journal.pone.0183137

 

Abstract

Objectives

Despite the long-term use and evidence-based efficacy of meditation and mindfulness-based interventions, there is still a lack of data about the possible unwanted effects (UEs) of these practices. The aim of this study was to evaluate the occurrence of UEs among meditation practitioners, considering moderating factors such as the type, frequency, and lifetime duration of the meditation practices.

Methods

An online survey was developed and disseminated through several websites, such as Spanish-, English- and Portuguese-language scientific research portals related to mindfulness and meditation. After excluding people who did not answer the survey correctly or completely and those who had less than two months of meditation experience, a total of 342 people participated in the study. However, only 87 reported information about UEs.

Results

The majority of the practitioners were women from Spain who were married and had a University education level. Practices were more frequently informal, performed on a daily basis, and followed by focused attention (FA). Among the participants, 25.4% reported UEs, showing that severity varies considerably. The information requested indicated that most of the UEs were transitory and did not lead to discontinuing meditation practice or the need for medical assistance. They were more frequently reported in relation to individual practice, during focused attention meditation, and when practising for more than 20 minutes and alone. The practice of body awareness was associated with UEs to a lesser extent, whereas focused attention was associated more with UEs.

Conclusions

This is the first large-scale, multi-cultural study on the UEs of meditation. Despite its limitations, this study suggests that UEs are prevalent and transitory and should be further studied. We recommend the use of standardized questionnaires to assess the UEs of meditation practices.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584749/

Meditation Can Reduce the Age-Associated Degeneration of the Brain

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Meditation Can Reduce the Age-Associated Degeneration of the Brain

 

By John M. de Castro, Ph.D.

 

“The brain begins to decline in the 20s, and continues to decrease in volume and weight through old age. Meditation, in addition to boosting emotional and physical well-being at any time in life, may be an effective way to prevent neurodegenerative diseases like dementia, Alzheimer’s and Parkinson’s, as well as help stave off some of the normal cognitive decline that comes with aging. The strategy is free, and it comes with no side effects.” – Carolyn Gregoire

 

Human life is one of constant change. We revel in our increases in physical and mental capacities during development, but regret their decreases during aging. 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.

 

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. In addition, they 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 and yoga have been found to degenerate less with aging than non-practitioners.

 

In today’s Research News article “Reduced age-associated brain changes in expert meditators: a multimodal neuroimaging pilot study.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578985/, Chételat and colleagues recruited expert meditators with at least 10 years of experience and a total of at least 15,000 hours of meditation practice and age matched meditation naïve controls. They also included non-meditators at a wide range of ages, 20-87 years. They all underwent scanning of the brain with either Positron Emission Tomography (PET) or Magnetic Resonance Imaging (MRI). They were measured for verbal fluency, episodic memory, short-term memory, and working memory, processing speed and executive functions, frequency of participation in leisure activities before 30 and from 30 to 65 years, and the highest level of occupation reached, adherence to Mediterranean diet, sleep quality and sleep disturbance.

 

They found that the older the meditation naïve participants the lower the volume of the brain gray matter and the lower the brain metabolism. Hence, they demonstrated, as have many others, age related degeneration of the brain. On the other hand, the expert meditators had significantly greater brain gray matter volume and metabolic activity than the age matched controls in the bilateral ventromedial prefrontal and anterior cingulate cortex, insula, temporo-parietal junction, and posterior cingulate cortex /precuneus. All of the expert meditators were over 60 yet their brain volumes were in the range of meditation naïve controls in their 30s and 40s.

 

These are remarkable results that suggest that large amounts of meditation practice can help to preserve the brain countering age related decline. The amount of meditation performed by these expert meditators is so high as to be unrealistic for use with the general population. Fortunately, other research suggests that the elderly brain changes positively in response to much lower amounts of mindfulness practice. So, mindfulness training may well be a feasible practice to protect the brains of seniors from further deterioration.

 

So, use meditation to reduce the age-associated degeneration of the brain

 

“A growing body of research supports the immediate benefits of meditation, such as reduced stress and anxiety levels, lower blood pressure, and enhanced happiness. Studies on mindfulness interventions show these effects are common in as few as eight weeks. While these initial perks may be reason enough for us to practice, meditation’s positive impact appears to be even more far-reaching, potentially adding years to our lives and improving cognitive function well into old age.” – Rina Deshpande

 

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

 

Chételat, G., Mézenge, F., Tomadesso, C., Landeau, B., Arenaza-Urquijo, E., Rauchs, G., … Lutz, A. (2017). Reduced age-associated brain changes in expert meditators: a multimodal neuroimaging pilot study. Scientific Reports, 7, 10160. http://doi.org/10.1038/s41598-017-07764-x

 

Abstract

Aging is associated with progressive cerebral volume and glucose metabolism decreases. Conditions such as stress and sleep difficulties exacerbate these changes and are risk factors for Alzheimer’s disease. Meditation practice, aiming towards stress reduction and emotion regulation, can downregulate these adverse factors. In this pilot study, we explored the possibility that lifelong meditation practice might reduce age-related brain changes by comparing structural MRI and FDG-PET data in 6 elderly expert meditators versus 67 elderly controls. We found increased gray matter volume and/or FDG metabolism in elderly expert meditators compared to controls in the bilateral ventromedial prefrontal and anterior cingulate cortex, insula, temporo-parietal junction, and posterior cingulate cortex /precuneus. Most of these regions were also those exhibiting the strongest effects of age when assessed in a cohort of 186 controls aged 20 to 87 years. Moreover, complementary analyses showed that these changes were still observed when adjusting for lifestyle factors or using a smaller group of controls matched for education. Pending replication in a larger cohort of elderly expert meditators and longitudinal studies, these findings suggest that meditation practice could reduce age-associated structural and functional brain changes.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578985/

Improve Fibromyalgia with Tai Chi

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Improve Fibromyalgia with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Compared with patients who received wellness education and stretching exercises, those who practiced tai chi saw their fibromyalgia become much less severe. They also slept better, felt better, had less pain, had more energy, and had better physical and mental health.” – Chenchen Wang

 

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

 

There are no completely effective treatments for fibromyalgia. Drugs and lifestyle changes are recommended but produce only limited symptomatic relief but also can produce unwanted side effects. Alternatively, mindfulness practices have been shown to be effective in reducing pain from fibromyalgia. Tai Chi is an ancient mindfulness practice involving slow prescribed movements. It is gentle and completely safe, can be used with the elderly and sickly, is inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can also be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. In addition, Tai Chi  has been shown to reduce pain in patients with spinal cord injury. Hence, Tai Chi may be an excellent treatment for the symptoms of fibromyalgia.

 

In today’s Research News article “A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571653/, Jones and colleagues recruited fibromyalgia sufferers and randomly assigned them to either practice Tai Chi or receive education on fibromyalgia from physicians, dieticians, and counselors for 90 minutes, twice a week, for 12 weeks. Homework and home practice was also prescribed. The participants were measured before and after the 12-week treatment period for fibromyalgia impact, including fatigue, morning tiredness, stiffness, depression, anxiety, work ability, and physical function

 

They found that the Tai Chi group in comparison to baseline and the education group had significant decreases in fibromyalgia impact, pain, sleep quality, self-efficacy, functional mobility, and balance. There were also significant reductions in pain, and improvements in sleep quality, self-efficacy, functional mobility, and balance. Importantly, none of the participants dropped out from the Tai Chi group. Hence, Tai Chi was found to be well tolerated and acceptable, and to produce clinically significant improvements in the symptoms of fibromyalgia.

 

Tai Chi can significantly improve the suffering from fibromyalgia while being acceptable for practice for patients in pain. It has no known negative side effects, is inexpensive and convenient to practice, and can be practiced alone or in groups. It appears to not only improve the psychological symptoms that can be produced by other mindfulness practices, but can also improve physical mobility including balance. Hence, Tai Chi would appear to be a nearly ideal treatment for fibromyalgia, either alone or in combination with other treatments.

 

So, improve fibromyalgia with Tai Chi.

 

“Aside from reductions in pain, patients in the tai chi group reported improvements in mood, quality of life, sleep, self-efficacy and exercise capacity. The potential efficacy and lack of adverse effects now make it reasonable for physicians to support patients’ interest in exploring these types of exercises, even if it is too early to take out a prescription pad and write ‘tai chi,’” – Gloria Yeh

 

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

 

Jones, K. D., Sherman, C. A., Mist, S. D., Carson, J. W., Bennett, R. M., & Li, F. (2012). A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients. Clinical Rheumatology, 31(8), 1205–1214. http://doi.org/10.1007/s10067-012-1996-2

 

Abstract

Previous researchers have found that 10-form Tai chi yields symptomatic benefit in patients with fibromyalgia (FM). The purpose of this study was to further investigate earlier findings and add a focus on functional mobility. We conducted a parallel-group randomized controlled trial FM-modified 8-form Yang-style Tai chi program compared to an education control. Participants met in small groups twice weekly for 90 min over 12 weeks. The primary endpoint was symptom reduction and improvement in self-report physical function, as measured by the Fibromyalgia Impact Questionnaire (FIQ), from baseline to 12 weeks. Secondary endpoints included pain severity and interference (Brief Pain Inventory (BPI), sleep (Pittsburg sleep Inventory), self-efficacy, and functional mobility. Of the 101 randomly assigned subjects (mean age 54 years, 93 % female), those in the Tai chi condition compared with the education condition demonstrated clinically and statistically significant improvements in FIQ scores (16.5 vs. 3.1, p=0.0002), BPI pain severity (1.2 vs. 0.4, p=0.0008), BPI pain interference (2.1 vs. 0.6, p=0.0000), sleep (2.0 vs. −0.03, p=0.0003), and self-efficacy for pain control (9.2 vs. −1.5, p=0.0001). Functional mobility variables including timed get up and go (−.9 vs. −.3, p=0.0001), static balance (7.5 vs. −0.3, p= 0.0001), and dynamic balance (1.6 vs. 0.3, p=0.0001) were significantly improved with Tai chi compared with education control. No adverse events were noted. Twelve weeks of Tai chi, practice twice weekly, provided worthwhile improvement in common FM symptoms including pain and physical function including mobility. Tai chi appears to be a safe and an acceptable exercise modality that may be useful as adjunctive therapy in the management of FM patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571653/

A Mindful Halloween and Day of the Dead

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A Mindful Halloween and Day of the Dead

 

By John M. de Castro, Ph.D.

 

For death,
Now I know, is that first breath
Which our souls draw when we enter
Life, which is of all life center.
~Edwin Arnold

 

The beginning of the month of November is marked by a variety of celebrations throughout the world including the Day of the Dead and Halloween, the night before All Souls Day. Halloween was actually a pagan holiday called Samhain that was coopted by the Christians. But, they are all celebrations of those who have passed away, a celebration of our ancestors, a celebration of the dead. This might seem a bit macabre to be celebrating death. And, indeed, the macabre is an integral part of the celebration.

 

It does seem to be strange, however, that death is celebrated when it is in fact the second most frequent fear. So why do we celebrate? Perhaps Mark Twain put his finger on it “The fear of death follows from the fear of life. A man who lives fully is prepared to die at any time.” The celebration is not really about death. It’s actually a celebration of life. Death reminds us that our lives are limited. We celebrate to help us experience life while we still have it. As pointed out by Angelina Jolie “There’s something about death that is comforting. The thought that you could die tomorrow frees you to appreciate your life now.”

 

These ideas are well stated in the Zen Evening Gatha that is recited every evening in Buddhist monasteries.

Let me respectfully remind you,
life and death are of supreme importance.
Time swiftly passes by and opportunity is lost.
Each of us should strive to awaken.
Awaken.  Take heed.
Do not squander your life.

 

Rather than not squandering our lives, many of us live in a state of unaware numbness, going through the motions of life, but not really living. Focusing on an anticipated happiness in the future or ruminating about past issues. We seem to not comprehend that the essence of life is the present moment. That is all life is, a long-lasting present moment. It is the only time that we can actually live. So, if we do not relish what is in the present moment, we might as well already be dead. This is where contemplative practice and mindfulness comes in. These practices help us to learn to live fully in the present, experiencing what life has to offer.

 

Somehow, in our everyday lives we see the present as unsatisfactory or boring. But, nothing could be further from the truth. If we truly do focus on the present we are often surprised by its richness. Even focusing on something simple like our breathing, really paying attention to it in all its exquisite detail, we can see that this simple experience is replete with beauty and nuance. We can feel the delicious sensations of our body in action. We can see how remarkable this simple process really is. We can see how essential it is to our very existence, yet we take it for granted. And that is only breathing. There is so much in the present moment that when we carefully look at it we’re amazed as to how we could ever have missed it. Life is a miracle. Life is special. Only by being mindful can we deeply immerse in the wonder of life.

 

Halloween and the Day of the Dead is also an opportunity to recognize our ancestors without whom we would not exist. It’s a time to view how interconnected we are to all of humanity. All one has to do is follow the family tree back a few generations to see how widespread our connections are throughout time, culture, religion, race, etc. If we go very far back, we can see that everyone is connected to everyone else somewhere in our ancestry. Also, by looking at our ancestors and understanding what they have contributed to our existence, we can see how important it is for us to commit to future generations to promote understanding, peace, and prosperity for the future.

 

But what about death itself, should we be as afraid of it as we are? It is helpful to remember that life is bounded by birth and death. Do we fear the state we were in prior to birth? In fact, many psychologists think of birth, the entry into life, as a traumatic event. It involves leaving a very peaceful state for the chaos of life, what William James called the “blooming, buzzing confusion”. So, maybe we should fear birth and not fear death which may simply return us to the peaceful prenatal state. Perhaps we should look forward to it.

 

The important thing and the message of Halloween and the Day of the Dead is to experience this precious time of life that we’ve been given. Indeed, many have suggested that the entire purpose of life is simply to experience it. So celebrate life and don’t worry about death. Enjoy Halloween and the Day of the Dead in the present moment. Stay in the present moment and be truly alive, celebrate every experience, and when death comes welcome it having experienced life to its fullest.

 

 “On no subject are our ideas more warped and pitiable than on death. Instead of the sympathy, the friendly union, of life and death so apparent in Nature, we are taught that death is an accident, a deplorable punishment for the oldest sin, the arch-enemy of life, etc…. But let children walk with Nature, let them see the beautiful blendings and communions of death and life, their joyous inseparable unity, as taught in woods and meadows, plains and mountains and streams of our blessed star, and they will learn that death is stingless indeed, and as beautiful as life, and that the grave has no victory for, for it never fights. All is divine harmony.” ~John Muir

 

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

Relieve Medical Professional Burnout with Mindfulness

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Relieve Medical Professional Burnout with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness programs in the workplace may help employees better deal with stress, and develop the ability to observe negative emotions and automatic thought patterns and behaviors, and remain calm, present, self-aware and alert, rather than succumbing to the slippery slope of negative emotions.” – Grace Bullock

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. It is estimated that over 45% of healthcare workers experience burnout. Currently, over a third of healthcare workers report that they are looking for a new job. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion. Burnout it is a threat to the healthcare providers and their patients. In fact, it is a threat to the entire healthcare system as it contributes to the shortage of doctors and nurses.

 

Preventing burnout has to be a priority. But, it is beyond the ability of the individual to change the environment to reduce stress and prevent burnout, so it is important that methods be found to reduce the individual’s responses to stress; to make the individual more resilient when high levels of stress occur. Contemplative practices have been shown to reduce the psychological and physiological responses to stress. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep.

 

In today’s Research News article “Effect of heartfulness meditation on burnout, emotional wellness, and telomere length in health care professionals.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463663/, Thimmapuram and colleagues recruited hospital medical residents, staff physicians and nurses and allowed them to choose to participate in a no-treatment control condition or receive once a week for 12 weeks of meditation training consisting of one weekly 30-minute training session and morning and evening home practice. They were measured before and after training for burnout and emotional wellness. They also supplied salivary samples that were assayed for the molecular genetic aging marker of telomere length.

 

Following the 12-week intervention the meditation group had significant improvements in burnout including decreases in emotional exhaustion and depersonalization and a significant increase in feelings of personal accomplishment. The meditation group also had significant increases in measures of emotional wellness. In addition, the younger meditation participants (< 35 years of age) had a significant increase in telomere length.

 

The results are interesting but the study has a number of methodological shortcomings that prevent clear conclusions. These include self-selection for conditions and a no-treatment control producing potential confounding from participant bias, placebo effects, attention effects, experimenter bias, etc. There is evidence, however, from a number of better controlled prior studies that indicate that meditation practice can significantly relieve the symptoms of burnout and increase telomere length.

 

So, relieve medical professional burnout with mindfulness.

 

“Dealing with sick, scared, suffering and dying patients is draining all by itself. Throw in distraction by negative emotions like worry, anger, frustration, righteous indignation … and you can easily double the energy drain. Mindfulness is incredibly valuable, because it brings the energy drain of non-supportive thoughts and feelings to a screeching halt.” – Dike Drummond

 

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

 

Thimmapuram, J., Pargament, R., Sibliss, K., Grim, R., Risques, R., & Toorens, E. (2017). Effect of heartfulness meditation on burnout, emotional wellness, and telomere length in health care professionals. Journal of Community Hospital Internal Medicine Perspectives, 7(1), 21–27. http://doi.org/10.1080/20009666.2016.1270806

 

ABSTRACT

Background: Burnout poses significant challenges during training years in residency and later in the career. Meditation is a tool to treat stress-related conditions and promote wellness. Telomere length may be affected by burnout and stress. However, the benefits of meditation have not been fully demonstrated in health care professionals.

Objective: We assessed the effects of a 12-week ‘Heartfulness Meditation’ program on burnout, emotional wellness, and telomere length in residents, faculty members, and nurses at a large community teaching hospital during the 2015–16 academic year.

Methods: All subjects completed a baseline Maslach Burnout Inventory (MBI) and Emotional Wellness Assessment (EWA) at the beginning of the study. Meditators received instructions in Heartfulness Meditation. At week 12, subjects completed a follow up MBI and EWA scores. Salivary telomere length was measured at baseline and week 12.

Results: Twenty-seven out of a total 155 residents (17.4%) along with eight faculty physicians and 12 nurses participated in the study. Thirty-five enrolled as meditators and 12 as controls. At 12 weeks, the meditators had statistically significant improvement in all measures of burnout and in nearly all attributes of EWA. Controls showed no statistically significant changes in either burnout or emotional wellness scores. Relative telomere length increased with statistical significance in a younger subset of meditators.

Conclusion: Our results indicate that meditation offers an accessible and efficient method by which physician and nurse burnout can be ameliorated and wellness can be enhanced. The increased telomere length is an interesting finding but needs to be confirmed with further research.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463663/