Improve Parenting and Children’s Psychopathology with Mindful Parenting

Improve Parenting and Children’s Psychopathology with Mindful Parenting

 

By John M. de Castro, Ph.D.

 

“As parents, perhaps the most precious thing we can give our children is the gift of our full presence, in the moment. This is the deep intention and invitation for parents as they make space for mindfulness practice in their lives. Mindful parenting takes to heart the deep truth that we can only give to our children what we have given first and fundamentally to ourselves.” – Lisa Kring

 

Raising children, parenting, is very rewarding. But, it can also be challenging. Children test parents frequently. They test the boundaries of their freedom and the depth of parental love. They demand attention and seem to especially when parental attention is needed elsewhere. They don’t always conform to parental dictates or aspirations for their behavior. They are often affected more by peers, for good or evil, than by parents. It is the parents challenge to control themselves, not overreact, and act appropriately in the face of strong emotions. Meeting these challenges becomes more and more important as the youth approaches adolescence, as that is the time of the greatest struggle for independence and the potential for damaging behaviors, particularly, alcohol, drugs, and sexual behavior.

 

The challenges of parenting require that the parent be able to deal with stress, to regulate their own emotions, and to be sensitive and attentive to their child. These skills are exactly those that are developed in mindfulness training. It improves the psychological and physiological responses to stress. It improves emotion regulation. And it improves the ability to maintain attention and focus in the face of high levels of distraction. Mindful parenting involves having emotional awareness of themselves but also having emotional awareness of and compassion for the child and having the skills to pay full attention to the child in the present moment, to accept parenting non-judgmentally and be emotionally non-reactive to the child.

 

To date, there has not been a direct determination of the influence of mindfulness on parenting and the behavior of their children over childhood and adolescence. In today’s Research News article “The Association of Parent Mindfulness with Parenting and Youth Psychopathology across Three Developmental Stages.” See  summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520790/

Parent and colleagues recruited parents of children in three age ranges; young childhood (3 to 7 years old), middle childhood (8 to 12 years old), and adolescence (13 to 17 years old). They completed measures of mindfulness, mindful parenting, positive and negative parenting practices, and of their children’s internalizing and externalizing behaviors as indicators of the children’s mental health.

 

They found that older parents and parents from two parent households were significantly higher in mindful parenting and positive parenting, and that parents with at least a college education were lower in negative parenting. Importantly, they found that the higher the levels of parental mindfulness the higher the levels of mindful parenting and the lower the levels of negative parenting practices and the children’s internalizing and externalizing behaviors. In turn, higher levels of mindful parenting were associated with higher the levels of positive parenting practice and lower the levels of negative parenting practice. In turn, the higher the levels of negative parenting practices the higher the levels of the children’s internalizing and externalizing behaviors. These findings were true regardless of whether the children were in young childhood, middle childhood, or adolescence.

 

These results show that parental mindfulness is associated with lower psychopathology in the children both directly and indirectly by association with mindful parenting. They show that mindful parenting is also associated with lower psychopathology in the children by being associated with fewer negative parenting practices. Hence the results show that regardless of the age of the children, mindfulness and mindful parenting are associated with better mental health in the children.

 

This study was correlational and there was no manipulation of the levels of mindfulness. As such, it cannot be determined if there’s a causal relationship between mindfulness in mental health in the children. It is possible that high levels of the children’s internalizing and externalizing behaviors may be responsible for the parents’ levels of mindfulness and mindful parenting. It is important, then, that future research actively train parents in mindfulness to determine if higher levels of mindfulness cause better outcomes with the children. Regardless, these results support the contention that mindfulness and mindful parenting are important for successful outcomes in raising children.

 

So, improve parenting and children’s psychopathology with mindful parenting.

 

“The reality is that our childhood impacts our parenting. For a number of reasons, and in a variety of ways, our relationship with our children can trigger memories, emotions, and reaction from our earliest years. Sometimes we realize what’s going on, but more often than not, we don’t. Understanding this dynamic is a powerful first step towards changing some of the unskillful behaviors that may be impacting our experience of parenting and our relationship with our children.”Carla Naumburg

 

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 Twitter @MindfulResearch

 

Study Summary

Parent, J., McKee, L. G., Mahon, J., & Foreh, R. (2016). The Association of Parent Mindfulness with Parenting and Youth Psychopathology across Three Developmental Stages. Journal of Abnormal Child Psychology, 44(1), 191–202. http://doi.org/10.1007/s10802-015-9978-x

 

Abstract

The primary purpose of the current study was to test a model examining the process by which parent dispositional mindfulness relates to youth psychopathology through mindful parenting and parenting practices. The universality of the model across youth at three developmental stages was examined: young childhood (3 – 7 yrs.; n = 210), middle childhood (8 – 12 yrs.; n = 200), and adolescence (13 – 17 yrs.; n = 205). Overall, participants were 615 parents (55 % female) and one of their 3-to-17 year old children (45 % female). Parents reported on their dispositional mindfulness, mindful parenting, positive and negative parenting practices and their child’s or adolescent’s internalizing and externalizing problems. Consistent findings across all three developmental stages indicated that higher levels of parent dispositional mindfulness were indirectly related to lower levels of youth internalizing and externalizing problems through higher levels of mindful parenting and lower levels of negative parenting practices. Replication of these findings across families with children at different developmental stages lends support to the generalizability of the model.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520790/

Learn Mindfulness On-Line to Reduce Stress Effects

Learn Mindfulness On-Line to Reduce Stress Effects

 

By John M. de Castro, Ph.D.

 

“Mindfulness not only reduces stress but also gently builds an inner strength so that future stressors have less impact on our happiness and physical well-being.” –  Shamash Alidina

 

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

 

The vast majority of the mindfulness training techniques, adopted so far, however, require a certified trained therapist. This produces costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules. As a result, there has been attempts to develop on-line mindfulness training programs. These have tremendous advantages in decreasing costs and making training schedules much more flexible. But, the question arises as to whether these programs are as effective as their traditional counterparts. Many believe that the presence of a therapist is a crucial component to the success of the programs and the lack of an active therapist in on-line programs may greatly reduce their effectiveness.

 

In today’s Research News article “Effects of preventive online mindfulness interventions on stress and mindfulness: A meta-analysis of randomized controlled trials.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199155/

Jayewardene and colleagues review and perform a meta-analysis of the published research literature investigating the effectiveness of preventive mindfulness interventions delivered exclusively online for reducing stress responses in normal adults. They identified 8 randomized controlled trials with 75% having waitlist control groups and interventions lasting from 2 to 12 weeks. All but one study employed interventions that were modifications of the Mindfulness Based Stress Reduction (MBSR) program for completely online implementation. MBSR is composed of meditation, body scan and yoga training.

 

They found that overall the published literature reported significant improvements in mindfulness of small effect size and significant reductions in perceived stress of moderate size. They reported that there was no evidence suggesting publication bias as being responsible for the reported effects. So, the literature supports the assertion that mindfulness training online is effective in reducing perceived stress and increasing mindfulness.

 

These are exciting findings. It is well established that mindfulness training is effective for reducing the physical and psychological reactions to stress and that Mindfulness Based Stress Reduction (MBSR) programs are effective. What is new in this review is establishing that these benefits can be produced with training occurring exclusively online. This is important as it suggests that inexpensive mindfulness training can be offered to widespread audiences. In addition, online training is convenient for the participants, as they do not have to go to a practitioners site on a particular schedule. This, in turn, allows for the application of mindfulness training for the prevention and treatment of psychological and physical disorders with busy people, low income people, and even people in remote locations, thus greatly expanding the numbers of people who can benefit.

 

So, learn mindfulness on-line to reduce stress effects.

 

“A live, in-person Mindfulness-Based Stress Reduction (MBSR) class is still the best way to learn mindfulness, because it is more likely that you will complete the course, due to the live interaction and group support. But doing an in-person course is not always possible, for financial and logistical reasons. The online course uses precisely the same course curriculum and resources that are used in the local in-person course, and if you follow the suggestions and practices for each of the eight weeks of the course, the learning can be just as deep and profound.”Dave Potter

 

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 Twitter @MindfulResearch

 

Study Summary

Jayewardene, W. P., Lohrmann, D. K., Erbe, R. G., & Torabi, M. R. (2017). Effects of preventive online mindfulness interventions on stress and mindfulness: A meta-analysis of randomized controlled trials. Preventive Medicine Reports, 5, 150–159. http://doi.org/10.1016/j.pmedr.2016.11.013

 

Abstract

Empirical evidence suggested that mind-body interventions can be effectively delivered online. This study aimed to examine whether preventive online mindfulness interventions (POMI) for non-clinical populations improve short- and long-term outcomes for perceived-stress (primary) and mindfulness (secondary). Systematic search of four electronic databases, manuscript reference lists, and journal content lists was conducted in 2016, using 21 search-terms. Eight randomized controlled trials (RCTs) evaluating effects of POMI in non-clinical populations with adequately reported perceived-stress and mindfulness measures pre- and post-intervention were included. Random-effects models utilized for all effect-size estimations with meta-regression performed for mean age and %females. Participants were volunteers (adults; predominantly female) from academic, workplace, or community settings. Most interventions utilized simplified Mindfulness-Based Stress Reduction protocols over 2–12 week periods. Post-intervention, significant medium effect found for perceived-stress (g = 0.432), with moderate heterogeneity and significant, but small, effect size for mindfulness (g = 0.275) with low heterogeneity; highest effects were for middle-aged individuals. At follow-up, significant large effect found for perceived-stress (g = 0.699) with low heterogeneity and significant medium effect (g = 0.466) for mindfulness with high heterogeneity. No publication bias was found for perceived-stress; publication bias found for mindfulness outcomes led to underestimation of effects, not overestimation. Number of eligible RCTs was low with inadequate data reporting in some studies. POMI had substantial stress reduction effects and some mindfulness improvement effects. POMI can be a more convenient and cost-effective strategy, compared to traditional face-to-face interventions, especially in the context of busy, hard-to-reach, but digitally-accessible populations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199155/

Modulate Brain Processing of Emotions with Religious Chanting

Modulate Brain Processing of Emotions with Religious Chanting

 

By John M. de Castro, Ph.D.

 

“Mantras – properly practiced –  turn negative emotions into life-enriching creativity. It’s that simple and that powerful.” – Eric Klein

 

Alternative and Complementary techniques have been growing in acceptance and use over the last couple of decades. With good reason. They have been found to be beneficial for physical and mental health. Contemplative practices have been shown to improve health and well-being. These include mindfulness practicesmeditationyoga, mindful movement practices such as tai chi and qigong, and spiritual practices such as contemplative prayer. These practices, when engaged in over a period of time, have been shown to change brain structure and electrical activity relatively permanently in a process known as neuroplasticity.

 

One ancient practice that is again receiving acceptance and use is chanting. It is a very common component of many contemplative practices. Chanting is claimed to be helpful in contemplative practice and to help improve physical and mental well-being. But, there is very little empirical research on chanting or their effectiveness. One problem in studying chanting is that they are embedded in a contemplative practice. It is difficult then to separate the effects of the chanting from that of the overall practice. So, it is important to study the effects of chanting while isolating and extracting them from the practices.

 

Contemplative practices have also been shown to improve emotion regulation, allowing the practitioner to completely feel emotions but reducing the reactivity to them. Emotions, however are difficult to measure directly. One method to indirectly observe information processing in the brain is to measure the changes in the electrical activity that occur in response to specific stimuli. These are called event-related potentials or ERPs. The signal following a stimulus changes over time. The fluctuations of the signal after specific periods of time are thought to measure different aspects of the nervous system’s processing of the stimulus.

 

The N100 response in the ERP is a negative going response occurring around a tenth of a second following a visual stimulus presentation. The N100 response has been associated with the engagement of visual attention. So, the N100 response is often used as a measure of brain attentional engagement with the larger the negative change the greater the attentional focus. The late positive potential (LPP) response in the ERP is a positive going response occurring between 3 and 6 tenths of a second following stimulus presentation. The LPP response has been associated with the presence of emotional information. As such, these electrical responses can be used to measure the brains response to emotional laden stimuli and can perhaps measure brain process of emotion regulation.

 

In today’s Research News article “Repetitive Religious Chanting Modulates the Late-Stage Brain Response to Fear- and Stress-Provoking Pictures.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223166/

Gao and colleagues studied isolated chanting effects on emotion processing in the brain by recording event-related potentials, ERPs to emotion laden pictures while chanting. They recruited male and female adult, 42-50 years of age, Buddhists who had extensive experience with Buddhist chanting. They were presented with either neutral or emotionally negative pictures for 2 seconds while chanting for 20 seconds a religious chant, the word “Buddha”, or a secular chant, the words “Santa Claus”, or no chant. During each of the six, randomly presented conditions brain electrical activity was monitored with EEG electrodes and the electrical responses to the pictures was recorded (Event-Related Potentials, ERPs). To measure the physiological changes corresponding to negative emotions, electrocardiogram and galvanic skin response data were also collected.

 

They found that the N100 component was increased by viewing emotionally negative pictures but did not differ between chanting conditions. Hence, the negative pictures engaged visual attention equally regardless of chanting. They found that the LPP was strongest in the central-parietal regions of the brain. Viewing neutral pictures did not affect the LPP, but emotionally negative pictures produced a much smaller LPP responses, except in the chanting “Buddha” condition. This was not true for either no chant or chanting “Santa Clause.” Hence, the smaller late positive potential (LPP) in response to emotionally negative pictures while chanting “Buddha” was the same as that to neutral pictures. This indicates that emotion regulation is improved when engaging in the religious but not secular chanting.

 

These findings are interesting. Although the ERP is an indirect measure of brain activity to emotional stimuli, the late positive potential is associated with emotion regulation. The results suggest then that the smaller LPP response to emotionally negative pictures while chanting “Buddha”, is indicative of better emotion processing when engaged in a chant that has religious significance. Hence, the results suggest that religious chanting improves the important processes of regulating the responses to emotions. This suggests that spiritually significant activity may better prepare individuals to respond appropriately to their emotions.

 

So, modulate brain processing of emotions with religious chanting.

 

“The scans showed decreased blood flow to the parts of the brain that control emotion while chanting Om, when compared to another phrase. This suggests that the different forms of chanting prescribed in various mindfulness techniques (yoga or mindfulness meditation) can help manage negative emotions when practiced regularly.” – Pavitra Jayaraman

 

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

Gao, J., Fan, J., Wu, B. W., Halkias, G. T., Chau, M., Fung, P. C., … Sik, H. (2016). Repetitive Religious Chanting Modulates the Late-Stage Brain Response to Fear- and Stress-Provoking Pictures. Frontiers in Psychology, 7, 2055. http://doi.org/10.3389/fpsyg.2016.02055

 

Abstract

Chanting and praying are among the most popular religious activities, which are said to be able to alleviate people’s negative emotions. However, the neural mechanisms underlying this mental exercise and its temporal course have hardly been investigated. Here, we used event-related potentials (ERPs) to explore the effects of chanting the name of a Buddha (Amitābha) on the brain’s response to viewing negative pictures that were fear- and stress-provoking. We recorded and analyzed electroencephalography (EEG) data from 21 Buddhists with chanting experience as they viewed negative and neutral pictures. Participants were instructed to chant the names of Amitābha or Santa Claus silently to themselves or simply remain silent (no-chanting condition) during picture viewing. To measure the physiological changes corresponding to negative emotions, electrocardiogram and galvanic skin response data were also collected. Results showed that viewing negative pictures (vs. neutral pictures) increased the amplitude of the N1 component in all the chanting conditions. The amplitude of late positive potential (LPP) also increased when the negative pictures were viewed under the no-chanting and the Santa Claus condition. However, increased LPP was not observed when chanting Amitābha. The ERP source analysis confirmed this finding and showed that increased LPP mainly originated from the central-parietal regions of the brain. In addition, the participants’ heart rates decreased significantly when viewing negative pictures in the Santa Claus condition. The no-chanting condition had a similar decreasing trend although not significant. However, while chanting Amitābha and viewing negative pictures participants’ heart rate did not differ significantly from that observed during neutral picture viewing. It is possible that the chanting of Amitābha might have helped the participants to develop a religious schema and neutralized the effect of the negative stimuli. These findings echo similar research findings on Christian religious practices and brain responses to negative stimuli. Hence, prayer/religious practices may have cross-cultural universality in emotion regulation. This study shows for the first time that Buddhist chanting, or in a broader sense, repetition of religious prayers will not modulate brain responses to negative stimuli during the early perceptual stage, but only during the late-stage emotional/cognitive processing.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223166/

Improve Eating Disorders with Yoga

Improve Eating Disorders with Yoga

 

By John M. de Castro, Ph.D.

 

“One of the biggest ways yoga helped me heal from anorexia was the release it provided me. I had stored so much in my body, so much pain and sadness, that often when I practiced yoga I would sob. I wouldn’t know where the tears were coming from, which used to scare me, but eventually I realized I was softening my grip. I was letting go of who I was in order to become who I am.” – Jennifer Pastiloff

 

Around 30 million people in the United States of all ages and genders suffer from an eating disorder; either anorexia nervosa, bulimia, or binge eating disorder.  95% of those who have eating disorders are between the ages of 12 and 26. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Anorexia Nervosa is particular troubling as it is often fatal as sufferers literally starve themselves to death. It occurs in about 1% to 4% of women in the U.S.  Indeed, the mortality rate associated with anorexia nervosa is 12 times higher than the death rate associated with all causes of death for females 15-24 years old.

 

Binge eating disorder (BED) is characterized by the initiation of eating frequently in wildly excessive amounts. It is called disinhibited eating as there appears to be no restraints (inhibitions) that stop food intake. Once eating starts it goes on without anything holding it back. “Binge eating disorder is the most common eating disorder in the United States, affecting 3.5% of women, 2% of men, and up to 1.6% of adolescents.” – National Eating Disorders Association. Bulimia Nervosa is characterized by a cycle of binge eating followed by some form of purge, often induced vomiting. It is estimated that up to 4% of females in the United States will have bulimia during their lifetime. Tragically around 4% of the sufferers will die.

 

Disordered eating is difficult to deal with in part because it is frequently paired with other disorders. In fact, around 50% of people with eating disorders meet the criteria for clinical depression. They are also frequently accompanied by anxiety and body image disturbance Eating disorders are also difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders. In addition, yoga practice appears to be beneficial.

 

In today’s Research News article “Use of yoga in outpatient eating disorder treatment: a pilot study.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5148831/

Hall and colleagues recruited adolescent girls, aged 11-18 years, who were diagnosed with an eating disorder, either anorexia, bulimia, avoidant restrictive food intake disorder, or other specified feeding or eating disorder and received medical monitoring, nutritional counseling and social work intervention. They attended 6-10 weekly 60 to 90-minute yoga classes in addition to their usual treatment. They were measured before and after training for depression, anxiety, anorexia, and symptoms of eating disorders.

 

They found that participation in yoga produced a reduction in anorexia, depression, and anxiety. There were also significant decreases in weight concern and shape concern. Hence, participation in yoga appeared to have significant benefits for adolescent girls with eating disorders reducing body image concerns, improving mood, and reducing restrictive dieting. Yoga appears to be capable of reducing anxiety and depression in college students who do not have an eating disorder. So, the results simply extend these findings to eating disordered adolescent girls. Many girls with eating disorders engage in vigorous exercise to help control weight. It is possible that yoga practice was an effective substitute exercise.

 

It should be pointed out that this was a pilot study that did not have a control condition. So, it cannot be concluded that participation in yoga caused the observed changes, as a number of confounding factors such as participant expectancy effects, experimenter bias, spontaneous remission, attention effects, etc. could have been responsible for the effects. So, although promising, more rigorous research is needed to draw firm conclusions. The results, however, suggest that yoga may be a useful adjunctive treatment for adolescent girls with eating disorders.

 

Yoga is not a magic wand or an instant fix, but the practice consists of tiny changes which together will not in itself alter your life, but can alter your attitude to life, the tools you use to cope with difficult situations, the approach you take to daily activities, and thus, in all of this, be life changing.” – Francesca Baker

 

 

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 Twitter @MindfulResearch

 

Study Summary

Hall, A., Ofei-Tenkorang, N. A., Machan, J. T., & Gordon, C. M. (2016). Use of yoga in outpatient eating disorder treatment: a pilot study. Journal of Eating Disorders, 4, 38. http://doi.org/10.1186/s40337-016-0130-2

 

Abstract

Background

Individuals with restrictive eating disorders present with co-morbid psychiatric disorders and many attempt to control symptoms using strenuous exercises that increase caloric expenditure. Yoga offers a safe avenue for the engagement in physical activity while providing an outlet for disease-associated symptoms. This study sought to examine use of yoga practice in an outpatient setting and its impact on anxiety, depression and body image disturbance in adolescents with eating disorders.

Methods

Twenty adolescent girls were recruited from an urban eating disorders clinic who participated in weekly yoga classes at a local studio, in addition to standard multidisciplinary care. Yoga instructors underwent training regarding this patient population. Participants completed questionnaires focused on anxiety, depression and body image disturbance prior to the first class, and following completion of 6 and 12 classes.

Results

In participants who completed the study, a statistically significant decrease in anxiety, depression, and body image disturbance was seen, including: Spielberger State anxiety mean scores decreased after the completion of 7–12 yoga classes [47 (95%CI 42–52) to 42 (95%CI 37–47), adj. p = 0.0316]; as did the anorexia nervosa scale [10 (95% CI 7–12) vs. 6 (95%CI 4–8), adj. p = .0004], scores on Beck depression scales [18 (95%CI 15–22) to 10 (95%CI 6–14), adj. p = .0001], and weight and shape concern scores [16 (95%CI 12–20) to 12 (95%CI 8–16), adj. p =0.0120] and [31 (95%CI 25–37) to 20 (95%CI 13–27), adj. p = 0.0034], respectively. No significant changes in body mass index were seen throughout the trial.

Conclusions

Yoga practice combined with outpatient eating disorder treatment were shown to decrease anxiety, depression, and body image disturbance without negatively impacting weight. These preliminary results suggest yoga to be a promising adjunct treatment strategy, along with standard multidisciplinary care. However, whether yoga should be endorsed as a standard component of outpatient eating disorder treatment merits further study.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5148831/

Improve Depression and Cognitive Decline with Yoga

Improve Depression and Cognitive Decline with Yoga

 

By John M. de Castro, Ph.D.

 

“For years, we’ve been told to keep our minds sharp by doing crosswords and playing Sudoku. But yoga and meditation are more effective than memory exercises for combating the mental decline that often precedes Alzheimer’s. People who practised yoga regularly were also less likely to be depressed and anxious, and were better able to cope with stress. Regular practice could be a simple, safe and low-cost solution to improving brain fitness and ward off ageing.” Madlen Davies

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our mental abilities which decline with age including impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. But there are more serious declines.

 

Dementia is a progressive loss of mental function produced by degenerative diseases of the brain. Dementia patients require caregiving particularly in the later stages of the disease. Alzheimer’s disease is the most common type of dementia and accounts for 50 to 70 percent of dementia cases. Other types of dementia include vascular dementia, mixed dementia, dementia with Lewy bodies and frontotemporal dementia. Mild cognitive impairment (MCI) is an intermediate stage between the expected cognitive decline of normal aging and the more-serious decline of dementia. It can involve problems with memory, language, thinking and judgment that are greater than normal age-related changes.

 

There is some hope for age related cognitive decline, however, as there is evidence that they can be slowed. There are some indications that physical and mental exercise can reduce the rate of cognitive decline and lower the chances of dementia. For example, 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 with aging. Mindfulness practices have been shown to improve cognitive processes while gentle mindful exercises such as Tai Chi and Qigong have been shown to slow age related cognitive decline.

 

These age-related declines in mental ability are associated with mood disturbance, particularly depression. So, depression is a potentially modifiable risk factor for cognitive decline in aging. In today’s Research News article “The Roles of Exercise and Yoga in Ameliorating Depression as a Risk Factor for Cognitive Decline.” See summary below: Mathersul and Rosenbaum review the published research literature on the effectiveness of yoga and exercise to relieve depression and restrain cognitive decline.

 

They find that the published literature demonstrates that exercise, including aerobic exercise and strength training improve cognitive ability even in younger individuals and also relieves depression. In addition, the published literature demonstrates that yoga practice is also effective in reducing depression and also restraining cognitive decline. The hormonal system particularly the hypothalamic-pituitary adrenal axis that produces cortisol and sympathetic nervous system, involved in the stress response, may be the common intermediaries as both are associated with cognitive decline and depressions and both are reduced by both yoga and exercise. But, this speculation has yet to be definitively tested.

 

These findings are interesting but are correlational and do not demonstrate causal links between yoga and exercise effects on depression and, in turn, age related cognitive decline. It remains to future research to clarify this issue. Regardless, it is clear that both exercise and yoga are effective to reducing depression and cognitive decline in aging, making them excellent practices for healthy aging.

 

So, improve depression and cognitive decline with yoga.

 

“This ancient Indian practice of exercise, breathing, and meditation has been around for about 5,000 years, and now researchers are finding out why millions of Americans practice yoga to ease depression, anxiety, and stress. In fact, the American Yoga Association says just a few minutes of yoga three times every day can balance your body and mind and get your depression on the run.” – Chris Lliades

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Danielle C. Mathersul and Simon Rosenbaum, “The Roles of Exercise and Yoga in Ameliorating Depression as a Risk Factor for Cognitive Decline,” Evidence-Based Complementary and Alternative Medicine, vol. 2016, Article ID 4612953, 9 pages, 2016. doi:10.1155/2016/4612953

 

Abstract

Currently, there are no effective pharmaceutical treatments to reduce cognitive decline or prevent dementia. At the same time, the global population is aging, and rates of dementia and mild cognitive impairment (MCI) are on the rise. As such, there is an increasing interest in complementary and alternative interventions to treat or reduce the risk of cognitive decline. Depression is one potentially modifiable risk factor for cognitive decline and dementia. Notably, exercise and yoga are two interventions known to both reduce symptoms of depression and improve cognitive function. The current review discusses the efficacy of exercise and yoga to ameliorate depression and thereby reduce the risk of cognitive decline and potentially prevent dementia. Potential mechanisms of change, treatment implications, and future directions are discussed.

Improve Multiple Sclerosis Symptoms with Mindfulness

Improve Multiple Sclerosis Symptoms with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness can be conceptualized as a facilitator of transition, enabling people to adapt to living with a long-term condition, and that this transition is associated with improved, self-directed management, important to both people with long-term conditions and healthcare providers.” – Daniela Semedo

 

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

 

Although there is a progressive deterioration, MS is not fatal with MS patients having about the same life expectancy as the general population. Hence, most MS sufferers have to live with the disease for many years. So, quality of life becomes a major issue. Quality of life with MS is affected by fatigue, cognitive decrements, physical impairment, depression, and poor sleep quality. There is a thus a critical need for safe and effective methods to help relieve the symptoms of MS and improve quality of life. Since mindfulness has been previously shown to improve depressionsleep qualitycognitive impairments, emotion regulation, and fatigue, it would seem likely that mindfulness practice might be effective in improving the quality of life and lessening fatigue in patients with multiple sclerosis.

 

In today’s Research News article “The effect of group mindfulness-based stress reduction and consciousness yoga program on quality of life and fatigue severity in patients with MS.” See  summary below or view the full text of the study at http://journals.tbzmed.ac.ir/JCS/Manuscript/JCS-5-325.pdf

Nejati and colleagues recruited patients with multiple sclerosis, aged 20-45 years, who did not practice meditation or yoga, and randomly assigned them to receive either an 8-week program of meditation and yoga practice or treatment as usual (control). Training in meditation and yoga occurred in 8 weekly 2-hour sessions with home practice. Both groups were measured before and after treatment for multiple sclerosis quality of life, psychiatric diseases, and fatigue.

 

They found that the meditation and yoga practice produced significant improvements in the multiple sclerosis quality of life subscales including physical health, role limitations due to physical and emotional problems, energy, emotional well-being, health distress, health perception, and satisfaction with sexual function, overall quality of life, and fatigue severity. There was no improvement found in overall health.

 

It should be noted that this was a quasi-experimental design as the control group did not receive any active additional treatment. Hence, various confounding factors such as placebo effects, attentional effects, etc. could have been responsible for the results. In addition, since the intervention contained both meditation and yoga practice, it cannot be determined which one or both were responsible for the improvements.

 

Nevertheless, the results are encouraging and suggest the mindfulness training might be effective in relieving fatigue and improving the quality of life in patients with multiple sclerosis. Since these patients will likely be spending the rest of their lives coping with the disease, making it easier for them to function and improving the quality of their lives is vitally important to their ling-term well-being.

 

So, improve multiple sclerosis symptoms with mindfulness.

 

“Living with the pain, discomfort, and the uncertainties of MS can lead to feelings of frustration, anger, anxiety, and depression. These feelings can lead to physiological changes such as increased fatigue and muscle pain, impaired memory and concentration, and poor sleep. “By becoming mindful and aware of our thoughts, feelings, and body sensations, we can better control situations, and we have more choices. Mindful awareness helps us to become fully conscious of the world as it is, rather than how we wish it could be.” – Regina Boyle Wheeler

 

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Nejati S, Rajezi Esfahani S, Rahmani S, Afrookhteh G, Hoveida Sh. The effect of group mindfulness-based stress reduction and consciousness yoga program on quality of life and fatigue severity in patients with MS. J Caring Sci 2016; 5 (4): 325-35. doi:10.15171/jcs.2016.034.

 

Abstract

Introduction: The chronic nature of Multiple Sclerosis (MS), have can leave devastating effects on quality of life and fatigue. The present research aimed to study the effect of group Mindfulness-based Stress Reduction (MBSR) and conscious yoga program on the quality of life and fatigue severity among patients with MS. Methods: This study was quasi-experimental with intervention and control groups. The statistical population included all members to MS Society of Tehran Province, 24 of whom diagnosed with MS were selected as the sample based on the inclusion criteria. The subjects were randomly assigned into the test group (12 patients) and the control group (12 patients). MS Quality of Life-54 (MSQOL-54) and Fatigue Severity Scale (FSS) were used for data collection. Subjects in the test group underwent a MBSR and conscious yoga program in 8 two-hour sessions. The data were analyzed using the SPSS ver.13 software. Results: The study findings showed that there was a significant difference between subjects in the experimental and control groups in terms of mean score of some subscales of quality of life including physical health, role limitations due to physical and emotional problems, energy, emotional well-being, health distress, health perception, and satisfaction with sexual function, overall quality of life, and fatigue severity. Conclusion: The results show that the program is effective in reduction of fatigue severity and improving some subscales of quality of life in MS patients. Hence, this supportive method can be used as an effective way for improving quality of life and relieving fatigue in MS patients.

http://journals.tbzmed.ac.ir/JCS/Manuscript/JCS-5-325.pdf

 

Change the Genes and the Brain for the Better with Mindfulness

Change the Genes and the Brain for the Better with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Scientists looked at how mindfulness practice affected genetic differences between one group of expert meditators compared with a control group of untrained meditators. “most interestingly, the changes were observed in genes that are the current targets of anti-inflammatory and analgesic drugs.” – Perla Kaliman

 

There is an accumulating volume of research findings to demonstrate that mind-body therapies have highly beneficial effects on the health and well-being of humans. These include meditation, yoga, tai chi, qigong, biofeedback, progressive muscle relaxation, guided imagery, hypnosis, and deep breathing exercises. Because of their proven benefits the application of these practices to relieving human suffering has skyrocketed.

 

It is clear that Mind-body therapies affect the physiology. In other words, the mind can alter the body. One way it can do that is by altering the nervous system. Meditation training has been shown to alter the nervous system, increasing the size and connectivity of structures associated with present moment awareness, higher level thinking, and regulation of emotions, while decreasing the size and connectivity of structures associated with mind wandering and self-referential thinking, known as the Default Mode Network (DMN). The brain is capable of changing and adapting in a process called neuroplasticity. As a result, the neural changes produced by meditation training become relatively permanent.

 

The mind can also affect the physiology through altering genetic processes. The genes dictate all of the chemical processes in our bodies including the immune system and the inflammatory response. In turn, the genes can affect our minds. In fact, the genes have been shown to affect an individual’s inherent emotions and level of mindfulness.

 

There has been a considerable amount of research over the last decade on the effects of mind-body therapies on the nervous system and gene expression. In today’s Research News article “The Embodied Mind: A Review on Functional Genomic and Neurological Correlates of Mind-Body Therapies.” See summary below. Muehsam and colleagues review and summarize these studies. They categorized the studies as either top-down, where mind-body therapies alter the physiology by altering attention, intention, and cognitive processes, or bottom-up, where the physical processes involved in mind-body therapies affect the nervous system. Hence, mind-body therapies act by altering the immune systems and the nervous system.

 

One of the primary actions of mind-body therapies is to reduce the psychological and physiological responses to stress which, in turn, affects wellness and well-being.  Studies indicate that these therapies alter the response of the brain-hormone axis that results in the production of glucocorticoids and alters the balance of sympathetic and parasympathetic nervous systems. Both of these effects alter gene expression, cellular aging, immune function, and healthy brain function. In addition, mind-body therapies can alter the immune systems inflammatory processes via action on the vagus nerve. This reduces the damage that can occur due to chronic stress producing chronic inflammation. Thus mind-body therapies act by eliminating or lessening the harmful effects of chronic stressors, thus allowing the body’s innate healing responses to be fully expressed.

 

The second major way mind-body practices impact the individual’s health and well-being is through neuromodulation. Mind-body practices alter the individual’s cognitive/affective state which have been shown to influence activity in brain regions including orbitofrontal cortex, anterior cingulate cortex, amygdala, hippocampus, and somatosensory cortex. These practices alter the volume of brain tissue, its activity, and its connectivity with other brain regions and appear to produce relatively permanent changes in the brain via neuroplasticity. In addition, they decrease the size and connectivity of structures associated with mind wandering and self-referential thinking, known as the Default Mode Network (DMN). These changes, in turn, affect attention, learning, and emotion regulation, all of which are important for psychological health.

 

So, the published research literature reflects an increasing understanding of not only the beneficial effects of mind-body practices, but also the physiological processes and mechanisms though which these benefits occur. This produces a clear picture that mind-body practices act through the nervous and immune systems to improve the health and well-being of the practitioners.

 

“Mindfulness:  a way to keep our brains healthy, to support self-regulation and effective decision-making capabilities, and to protect ourselves from toxic stress. It can be integrated into one’s religious or spiritual life, or practiced as a form of secular mental training.  When we take a seat, take a breath, and commit to being mindful, particularly when we gather with others who are doing the same, we have the potential to be changed.” – Christina Congleton

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Muehsam D, Lutgendorf S, Mills PJ, Rickhi B, Chevalier G, Bat N, Chopra D, Gurfein B. The Embodied Mind: A Review on Functional Genomic and Neurological Correlates of Mind-Body Therapies. Neurosci Biobehav Rev. 2016 Dec 22. pii: S0149-7634(16)30325-6. doi: 10.1016/j.neubiorev.2016.12.027. [Epub ahead of print] Review.

 

Highlights

  • Functional genomic and neurological correlates of mind-body practices are reviewed.
  • EEG and Neuroimaging correlates of mind-body therapies and meditation are reviewed.
  • Mechanisms of action by which mind-body practices influence health outcomes are discussed

Abstract

A broad range of mind-body therapies (MBTs) are used by the public today, and a growing body of clinical and basic sciences research has resulted in evidence-based integration of many MBTs into clinical practice. Basic sciences research has identified some of the physiological correlates of MBT practices, leading to a better understanding of the processes by which emotional, cognitive and psychosocial factors can influence health outcomes and well-being. In particular, results from functional genomics and neuroimaging describe some of the processes involved in the mind-body connection and how these can influence health outcomes. Functional genomic and neurophysiological correlates of MBTs are reviewed, detailing studies showing changes in sympathetic nervous system activation of gene transcription factors involved in immune function and inflammation, electroencephalographic and neuroimaging studies on MBT practices, and persistent changes in neural function and morphology associated with these practices. While the broad diversity of study designs and MBTs studied presents a patchwork of results requiring further validation through replication and longitudinal studies, clear themes emerge for MBTs as immunomodulatory, with effects on leukocyte transcription and function related to inflammatory and innate immune responses, and neuromodulatory, with effects on brain function and morphology relevant for attention, learning, and emotion regulation. By detailing the potential mechanisms of action by which MBTs may influence health outcomes, the data generated by these studies have contributed significantly towards a better understanding of the biological mechanisms underlying MBTs.

Be My Mindful Valentine

Image may contain: cloud, sky, tree, outdoor and nature

Be My Mindful Valentine

 

By John M. de Castro, Ph.D.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Increase Connectedness by Meditating in Pairs

Increase Connectedness by Meditating in Pairs

 

By John M. de Castro, Ph.D.

 

“Couples meditation provides a great way for you and your partner to tune your instruments to one another. By taking a few minutes to meditate with your partner, you greatly increase your chances of having meaningful conversation and intimate connection. Couples meditation is a way of bringing your emotional state and psychological rhythms into alignment.” –  John Wise

 

Meditation training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, meditation training has been called the third wave of therapies. One problem with understanding meditation effects is that there are, a wide variety of meditation techniques and it is not known which work best for improving different conditions. Also, meditation occurs in a variety of social conditions. It is practiced, alone, with another, dyad, or with groups of varying sizes. It is not known what the effects, if any, of these different social conditions might be on the effectiveness of meditation practice.

 

Four types of meditation are the most commonly used practices for research purposes. In body scan meditation, the individual focuses on the feelings and sensations of specific parts of the body, systematically moving attention from one area to another. Loving kindness meditation is designed to develop kindness and compassion to oneself and others. The individual systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being. In focused attention meditation, the individual practices paying attention to a single meditation object, learns to filter out distracting stimuli, including thoughts, and learns to stay focused on the present moment, filtering out thoughts centered around the past or future. On the other hand, in open monitoring meditation, the individual opens up awareness to everything that’s being experienced regardless of its origin. These include bodily sensations, external stimuli, and even thoughts. The meditator just observes these stimuli and lets them arise, and fall away without paying them any further attention.

 

In today’s Research News article “Effects of Contemplative Dyads on Engagement and Perceived Social Connectedness Over 9 Months of Mental Training: A Randomized Clinical Trial.” See:summary below, Kok and Singer investigate the effectiveness of loving kindness meditation and open monitoring meditation practiced in dyads; meditating in pairs. They recruited normal adults aged between 20 to 55 and randomly assigned them to two different orders of conditions in a complex research design. Training in meditation began with a 3-day retreat, followed by 3 months of home-based breath focused attention and body scan meditations practiced in pairs, dyads. The first group of participants then spent 3 months practicing loving kindness meditation in combination with a taking turns for 5-minutes describing feelings and bodily sensations during a difficult situation. The next 3 months they practiced open monitoring meditation in combination with a taking turns for 5-minutes describing a recent situation from the perspective of a randomly assigned “inner part.,” e.g. “the judge” or “the loving mother.” The second group reversed the order to these home-based 3-month dyadic practices.  The participants reported daily on their feeling states, contents of thought, meta-cognition, closeness to their partner, valence, and arousal.

 

They found that the participants liked the loving kindness meditation segment best. Self-disclosures increased and became more personal over the training but this did not differ between conditions. Both conditions also produced significant increases in felt closeness to the partner, but the loving kindness meditation segment produced the greatest increase and the fastest rate of increase in this sense of connectedness.

 

These results suggest that meditating in pairs is an effective technique producing the usual benefits of meditation and also a social benefit of increasing felt closeness and self-disclosure. This could help in relieving loneliness that is often associated with depression. Loving kindness meditation appeared to be best in promoting these social benefits. Future research needs to investigate the impact of this improved social connectedness on the physical and mental health of the participants. This research is a step in the right direction of better understanding the consequences of different meditation types performed in different social conditions. Such an understanding should improve the targeting of specific meditation techniques to specific physical or psychological needs.

 

So, increase connectedness by meditating in pairs.

 

 “If you are partnered perhaps either you haven’t felt as connected as you used to or things are going great but you want to make them even better. In either case, meditating together daily, or as often as possible, could make a big difference in the quality of your relationship.” – Your Tango

 

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

Kok BE, Singer T. Effects of Contemplative Dyads on Engagement and Perceived Social Connectedness Over 9 Months of Mental Training A Randomized Clinical Trial. JAMA Psychiatry. Published online December 28, 2016. doi:10.1001/jamapsychiatry.2016.3360

 

Key Points

Question  Can 2 newly developed dyadic contemplative exercises increase perceived social connectedness?

Findings  In this randomized clinical trial of 242 healthy adults, social closeness increased during a 10-minute dyadic practice session for both the socioaffective affect dyad and the sociocognitive perspective dyad. Furthermore, predyad social closeness and self-disclosure increased significantly for both dyads over the 3 months of a given training module.

Meaning  Contemplative dyadic exercises may effectively prevent or reduce the detrimental effects of loneliness and the social deficits often observed in many psychopathologies by increasing perceived social connectedness.

Abstract

IMPORTANCE:

Loneliness is a risk factor for depression and other illnesses and may be caused and reinforced by maladaptive social cognition. Secularized classical meditation training programs address social cognition, but practice typically occurs alone. Little is known about the effectiveness of contemplative practice performed in dyads.

OBJECTIVE:

To introduce and assess the effectiveness of contemplative dyadic practices relative to classical-solitary meditation with regard to engagement and perceived social connectedness.

DESIGN, SETTING, AND PARTICIPANTS:

The ReSource Project was a 9-month open-label efficacy trial of three, 3-month secularized mental training modules. Replacement randomization was used to assign 362 healthy participants in Leipzig and Berlin, Germany. Eligible participants were recruited between November 11, 2012, and February 13, 2013, and between November 13, 2013, and April 30, 2014. Intention-to-treat analyses were conducted.

INTERVENTIONS:

Breathing meditation and body scan (the presence module), loving-kindness meditation and affect dyad (the affect module), and observing-thoughts meditation and perspective dyad (the perspective module).

MAIN OUTCOMES AND MEASURES:

Primary outcomes were self-disclosure and social closeness. Engagement measures included compliance (ie, the mean [95% margin of error] number of meditation sessions that a participant engaged in per week), liking, and motivation to practice.

RESULTS:

Thirty participants dropped out after assignment to 3 experimental groups; 90 participants were assigned to a retest control that did not complete the main outcome measures; 16 participants provided no state-change data for the affect and perspective modules (226 remaining participants; mean age of 41.15 years; 59.3% female). Results are aggregated across training cohorts. Compliance was similar across the modules: loving-kindness meditation (3.78 [0.18] sessions), affect dyad (3.59 [0.14] sessions), observing-thoughts meditation (3.63 [0.20] sessions), and perspective dyad (3.24 [0.18] sessions). Motivation was higher for meditation (11.20 [0.40] sessions) than the dyads (9.26 [0.43] sessions) and was higher for the affect dyad (10.11 [0.46] sessions) than the perspective dyad (8.41 [0.46] sessions). Social closeness increased during a session for the affect dyad (1.49 [0.12] sessions) and the perspective dyad (1.06 [0.12] sessions) and increased over time for the affect dyad (slope of 0.016 [0.003]) and the perspective dyad (slope of 0.012 [0.003]). Self-disclosure increased over time for the affect dyad (slope of 0.023 [0.004]) and the perspective dyad (slope of 0.006 [0.005]), increasing more steeply for the affect dyad (P < .001).

CONCLUSIONS AND RELEVANCE:

Contemplative dyads elicited engagement similar to classical contemplative practices and increased perceived social connectedness. Contemplative dyads represent a new type of intervention targeting social connectedness and intersubjective capacities deficient in participants who experience loneliness and in many psychopathologies.

Where Can Permanence be Found?

No automatic alt text available.

Where Can Permanence be Found?

 

By John M. de Castro

 

“We suffer from a hallucination, from a false and distorted sensation of our own existence as living organisms. It is almost banal to say so, yet it needs to be stressed continually: all is creation, all is change, all is flux, all is metamorphosis.” – Alan Watts

 

There is a prevalent delusion that there is permanence and stability in our existence. In fact, we so expect it that we are upset when things change. In truth, permanence is hard to find when one looks. Our immediate experience is constantly changing. As the Buddha taught, it’s impermanent. This is clear as sounds, sights, smells, tastes, and touches come and go constantly. They never stick around for long.

 

It’s a little harder to notice that our bodies are also constantly changing. It happens at a slower rate than immediate experience, but is constantly happening nonetheless. Over time every cell in our body degenerates and is replaced. We take in new molecules in the forms of air, water, and nutrients, using them to fuel the body and grow and replace tissues and excrete old and toxic molecules in the breath, sweat, and elimination processes. These ongoing processes mean that we are physically different than we were just a few minutes ago. This is most evident in the maturation process, growing, developing, maturing, and aging. Hence, not only our experience but also our physiology is impermanent and constantly changing.

 

The mind seems reasonably constant. But, with a little study and reflection, it can be seen that it too is constantly changing. We learn and change as we grow, acquiring language and mathematics, fundamentally changing the mind, from purely experiential to conceptual, from present moment to future planning, and as we acquire memories, from present to past. Increasingly the mind moves away from raw present moment experience to memories of the past and images of the future. From moment to moment our thoughts and images are changing. Hence, not only our experience and physiology but also our mind is impermanent and constantly changing.

 

But, surely there is permanence in our world. The ground we stand on is solid and unmoving. It is apparently unchanging and permanent. But, this is an illusion produced by the limited time spans that we directly experience. Every aspect of the earth itself is also changing and impermanent. We recently spent a week exploring the National Parks in Utah. The rock formations and canyons teach lessons that are written in a time frame that extends, not days or years or decades, or even millennia, but in billions of years. It’s recorded in geological time. To see the impermanence, it is necessary to view the parks from the perspective of this time frame. When one does, it becomes clear that everything about the earth is in motion, including the very ground under our feet.

 

We learned that the sand under our feet in Utah was formed from eroding sandstone that itself was formed from the erosion of the Appalachian Mountains, being washed westward by erosion into the rivers, forming a shoreline that millions of years ago was located in what is now Utah. As the Colorado Plateau raised up these sands formed into sandstone. This sandstone has been in turn eroding and washing toward the west coast. In fact, it has already formed sandstone in California. Hence, it has moved and reformed only to have it eroded moved and reformed again. It has, is, and will be in constant motion. But, not in human time rather in geologic time.

 

I spent reflective time looking over the Sulphur Creek Canyon in Capitol Reef National Park. It was carved 800 feet into the Colorado Plateau by erosion from the movement of water in Sulphur Creek. It took over 6 million years to carve the canyon. Here were 280 million years of geological changes right in front of my eyes. The lowest layers near the current creek bed were formed over 280 million years ago when this was the edge of the Pacific Ocean and the layer is composed of ancient sand dunes which as stated above originated in the sandstone of the Appalachian Mountains. Looking carefully and contemplatively at the canyon walls, I could see the aliveness of the earth, its impermanence. To put this in perspective, what I was looking at was actually only a small part of the 4.5 billion years of geological changes that we call the Earth. Hence, not only our experience, physiology, and mind but also the earth itself is impermanent and constantly changing.

 

Again, not apparent in the human life timeframe, but the entire universe itself is impermanent. Throughout its 13.8 billion-year history it has been constantly changing. Starting with the “Big Bang” itself to the present moment, stars have been created, matured, aged, and died, sometimes spectacularly in supernova, sometimes forming nebula, and sometimes collapsing into black holes. During their lives they’ve been moving further apart from each other as the universe continues expanding. Around the stars, planets, comets, etc. have formed each of which constantly changes and their fates determined by their constantly changing stars. Eventually, they all will cease existence in their current forms and their matter and energy will be redistributed into other forms.

 

This is disconcerting. There doesn’t appear to be any permanence whatsoever, anywhere. Everything is in constant motion. In fact, one might think that the only thing that appears to be permanent is impermanence itself. But, wait a second, what a revelation! This is actually a helpful mindset. If impermanence is embraced, then the effort to keep everything the same ceases. Instead, impermanence is accepted. Once it is embraced, the beauty and grandeur of the constantly changing internal and external landscape becomes evident. Change is beautiful and wonderful when one ceases to fight it. Knowing that we are constantly changing means that there are always opportunities to reinvent ourselves, to move in new and exciting directions, to grow and develop, and to be happy with life. Knowing that others are constantly changing means that we can discard our stereotypes and expectations about them. They will be different tomorrow than they are today. They can reinvent themselves, grow, develop and learn to enjoy the ever changing life they’ve been given. Seeing the impermanence can make our mortality more evident, focusing us more on the present moment and what is most important in our lives. In other words, accepting, indeed relishing, impermanence can transform our lives, making them happier, richer, fuller, and with deeper meaning than ever before.

 

Adopting this, we are now positioned to observe the one thing that does appear to be permanent in our existence; our awareness. Not what we are aware of, as that’s constantly changing, but, that which is aware of that content. It never seems to change. The content changes but the awareness itself does not. It’s been the same from our earliest memories of being aware, to the present moment, unchanging and ever present. Because it doesn’t change, we have a hard time becoming aware of it. Our minds have evolved to detect change as changes are the most significant events in the environment. They can contribute to or threaten our very survival. So, they stand out. But, in the background, mostly unnoticed, is this mysterious, magical, spiritual thing, awareness.

 

Grasp it, enjoy it, observe the wonder of it. It was seeing this that led the Buddha to his enlightenment. This has also been true for countless sages, mystics, saints, and yogis. Clearing away the delusion of permanence of everything else opens the eyes to the primacy of awareness in all of existence. This revelation is itself a spiritual revelation, opening a path to ultimate understanding of existence.

 

So, find permanence by seeing impermanence.

 

“Nature’s first green is gold,
Her hardest hue to hold.
Her early leaf’s a flower;
But only so an hour.
Then leaf subsides to leaf.
So Eden sank to grief,
So dawn goes down to day.
Nothing gold can stay.”

― Robert Frost

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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