Control Alcohol Intake by Reducing Stress with Mindfulness

psyjdc Leave a comment

Control Alcohol Intake by Reducing Stress with Mindfulness

 

By John M. de Castro, Ph.D.

 

“It’s all about awareness and experiencing what you are doing. Enjoying powerful substances like caffeine, sugar and alcohol doesn’t have to be bad, as long as you are aware if it hurts or hinders you.” – Marc David

 

Inappropriate use of alcohol is a major societal problem. In fact, about 25% of US adults have engaged in binge drinking in the last month and 7% have what is termed an alcohol use disorder. Alcohol abuse is very dangerous and frequently fatal. Nearly 88,000 people in the US and 3.3 million globally die from alcohol-related causes annually, making it the third leading preventable cause of death in the United States. Drunk driving accounted for over 10,000 deaths; 31% of all driving fatalities. Excessive alcohol intake has been shown to contribute to over 200 diseases including alcohol dependence, liver cirrhosis, cancers, and injuries. It is estimated that over 5% of the burden of disease and injury worldwide is attributable to alcohol consumption.

 

These are striking and alarming statistics and indicate that controlling alcohol intake is an important priority for the individual and society. There are a wide range of treatment programs for alcohol abuse, with varying success. Recently, mindfulness training has been successfully applied to treatment. One attractive feature of this training is that it appears to increase the ability of the drinker to control their intake, resulting in less binge drinking and dangerous inebriation. It appears that one way that mindfulness increases the control of intake is by reducing the desire to use alcohol to cope with emotional problems. Since, mindfulness appears to hold promise as a treatment for excessive alcohol intake, there is a need to better understand its mechanisms of action in order to maximize its effectiveness.

 

Cigarette smoking is highly linked to alcohol intake and stress is a known trigger for alcohol intake. So, in today’s Research News article “Testing a Moderated Mediation Model of Mindfulness, Psychosocial Stress, and Alcohol Use among African American Smokers.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1238379532852637/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384702/

Adams and colleagues investigate the relationship of stress to drinking and how mindfulness training might affect the relationship in African American participants who are undergoing treatment to stop cigarette smoking.

 

They found that individuals with high mindfulness had lower perceived stress, lower quantities of alcohol consumed, less frequent binge drinking, and lower likelihood of an alcohol use disorder. Also, the higher the mindfulness score the lower the level of all of these alcohol intake measures. In addition, they found that the higher the level of perceived stress the higher the levels of alcohol intake. So, both mindfulness and stress were associated, albeit in opposite directions, with alcohol intake. To sort out their influences Adams and colleagues performed a statistical technique called a mediation analysis. They found that for participants who had low levels of perceived stress, mindfulness did not influence alcohol intake, but for those who were high in stress there was a strong relationship, with high mindfulness associated with low drinking and low mindfulness associated with high alcohol intake.

 

These results suggest that mindfulness moderates the relationship between stress and alcohol intake. High stress was associated with high alcohol intake and binge drinking in African American smokers who were low, but not high, in mindfulness. Indeed, nearly half (45%) of participants who were low in mindfulness showed the drinking behavior reflective of alcohol abuse and dependence on alcohol (averaging 15 drinks per week and 3.4 binge episodes in the last three months), while only one in eight (12%) who were high in mindfulness did (averaging 5 drinks per week and 1.5 binge episodes in the last three months).

 

These results suggest that being mindful is counter to alcohol intake and this may occur as a result of mindfulness protecting the individual from the ability of stress to induce alcohol intake. It is known that mindfulness training decreases the individuals psychological and physiological responses to stress. So, it appears that one of the responses to stress that mindfulness affects, is the intake of alcohol. It should be noted that these results were correlational and not necessarily indicative of a causation. In future research the effect of active mindfulness training on stress’ relationship to alcohol intake needs to be explored.

 

Regardless, it appears likely that alcohol intake can be controlled by reducing stress with mindfulness.

 

“A drink or two can help us enjoy social gatherings, be a pleasurable part of meals (or baseball games), and help us celebrate important events. Still, there’s something to be said for taking pleasure in the moment for the moment itself — without the help of alcohol.” – Caren Osten Gerszberg

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Adams, C. E., Cano, M. A., Heppner, W. L., Stewart, D. W., Correa-Fernández, V., Vidrine, J. I., … Wetter, D. W. (2015). Testing a Moderated Mediation Model of Mindfulness, Psychosocial Stress, and Alcohol Use among African American Smokers. Mindfulness, 6(2), 315–325. http://doi.org/10.1007/s12671-013-0263-1

 

Abstract

Mindfulness-based strategies have received empirical support for improving coping with stress and reducing alcohol use. The present study presents a moderated mediation model to explain how mindfulness might promote healthier drinking patterns. This model posits that mindfulness reduces perceived stress, leading to less alcohol use, and also weakens the linkage between stress and alcohol use. African American smokers (N= 399, 51% female, Mage = 42) completed measures of dispositional mindfulness, perceived stress, quantity of alcohol use, frequency of binge drinking, and alcohol use disorder symptoms. Participants with higher levels of dispositional mindfulness reported less psychosocial stress and lower alcohol use on all measures. Furthermore, mindfulness moderated the relationship between perceived stress and quantity of alcohol consumption. Specifically, higher perceived stress was associated with increased alcohol use among participants low, but not high, in mindfulness. Mindfulness may be one strategy to reduce perceived stress and associated alcohol use among African American smokers.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384702/

 

Increase Mindfulness with a Brief On-line Training

psyjdc Leave a comment

 

By John M. de Castro, Ph.D.

 

“The best way to capture moments is to pay attention. This is how we cultivate mindfulness. Mindfulness means being awake. It means knowing what you are doing.” ~Jon Kabat-Zinn

 

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

 

“Mindfulness is defined as the “awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally” (John Kabat-Zinn). This is the goal of mindfulness training. There are, however, a vast array of techniques for the development of mindfulness. They include a variety of forms of meditation, yoga, mindful movements, contemplative prayer, and combinations of practices. Some are recommended to be practiced for years while others are employed for only a few weeks. Regardless of the technique, they all appear to develop and increase mindfulness. It is unclear what technique may be best and what components are essential. There does appear, however, to be one central component; the practice of awareness of the present moment.

 

Many mindfulness practices require experienced and/or accredited instructors. This in turn requires traveling to a facility, attending sometimes lengthy classes for many weeks, and involves expense. In today’s busy world many people find that this commitment of time and resources is difficult if not impossible. So, it is important to develop simple, convenient, and efficient means to develop mindfulness. The internet holds great promise. Instruction can be delivered inexpensively and conveniently to large numbers of people spread across wide geographic areas. Mindfulness training has been successfully conducted over the internet with positive benefit. So, on-line mindfulness training appears to be a viable method for developing mindfulness.

 

The issue then becomes how much training is needed. In today’s Research News article “A Moment of Mindfulness: Computer-Mediated Mindfulness Practice Increases State Mindfulness.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1237611539596103/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4841572/

Mahmood and colleagues examine if a very brief (5-min) instruction in mindfulness delivered on-line is sufficient to develop at least some improvement in mindfulness. They randomly assigned on-line participants to either a 5-minute body scan meditation condition or a control condition in which the participants were asked to simply sit in silence for 5-minutes. Participants levels of mindfulness were measured before and after the 5-minute training.

 

They found that the mindfulness condition produced significant increases in mindfulness while the control condition did not. Hence, a very brief body scan mindfulness training is capable of increasing mindfulness. It should be noted, however, that the effects were relatively small and there was no testing for how long the effects may last. It remains for future research to determine the amount of on-line practice needed to produce large and lasting increases in mindfulness. But, the fact that a brief mindfulness training can be delivered over the internet and have positive benefits is an encouraging step toward the development of a convenient and inexpensive means to deliver this beneficial training.

 

Regardless, it is clear that mindfulness can be increased with a brief on-line training

 

 

“Mindfulness is simply being aware of what is happening right now without wishing it were different; enjoying the pleasant without holding on when it changes (which it will); being with the unpleasant without fearing it will always be this way (which it won’t).” ~James Baraz

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Mahmood, L., Hopthrow, T., & Randsley de Moura, G. (2016). A Moment of Mindfulness: Computer-Mediated Mindfulness Practice Increases State Mindfulness. PLoS ONE, 11(4), e0153923. http://doi.org/10.1371/journal.pone.0153923

 

Abstract

Three studies investigated the use of a 5-minute, computer-mediated mindfulness practice in increasing levels of state mindfulness. In Study 1, 54 high school students completed the computer-mediated mindfulness practice in a lab setting and Toronto Mindfulness Scale (TMS) scores were measured before and after the practice. In Study 2 (N = 90) and Study 3 (N = 61), the mindfulness practice was tested with an entirely online sample to test the delivery of the 5-minute mindfulness practice via the internet. In Study 2 and 3, we found a significant increase in TMS scores in the mindful condition, but not in the control condition. These findings highlight the impact of a brief, mindfulness practice for single-session, computer-mediated use to increase mindfulness as a state.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4841572/

 

Improve Symptoms of Parkinson’s Disease with Mindfulness

psyjdc Leave a comment

By John M. de Castro, Ph.D.

 

“Stress is a primary instigator of symptoms associated with Parkinson’s Disease. A practical and powerful way to reduce stress is to become more mindful which, simply put, means we are present in the moment rather than agonizing over the past or anticipating the future.” – Robert Rodgers

 

Parkinson’s Disease (PD) has received public attention because of its occurrence in a number of celebrities such as Mohammed Ali, Michael J Fox, and Linda Ronstadt. PD is an incurable disease of the central nervous system that attacks the dopamine neurotransmitter system in the brain. There are around seven million people worldwide and one million people in the U.S. living with PD and about 60,000 people are diagnosed with PD every year. PD is associated with aging as the vast majority of patients are diagnosed after age 50. In fact, it has been speculated that everyone would eventually develop PD if they lived long enough.

 

PD is an incurable progressive degenerative disease. The condition is caused by the death of nerve cells in the brain that produce the neurotransmitter dopamine. Its physical symptoms include resting tremor, slow movements, muscle rigidity, problems with posture and balance, loss of automatic movements, and slurring of speech. PD itself is not fatal but is often associated with related complications can reduce life expectancy, such as falls, choking, and cardiovascular problems. There are also psychological effects, especially anxiety and depression. All of these symptoms result in a marked reduction in the quality of life.

 

Mindfulness training has been found to improve the psychological symptoms and the quality of life with PD patients. But, because PD is caused exclusively by a physiological degeneration it would be surprising if mindfulness practice can help improve the physical symptoms. But, in today’s Research News article “Mindfulness for Motor and Nonmotor Dysfunctions in Parkinson’s Disease.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1236994512991139/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842053/

Dissanayaka and colleagues investigated if mindfulness training could improve not only the psychological symptoms and the quality of life but also the physical symptoms of Parkinson’s Disease (PD). They treated PD patients for 8 weeks with a version of the Mindfulness Based Stress Reduction (MBSR) program that was adapted for PD. Measurements of physical and psychological symptoms were obtained before and after treatment and 6 months later.

 

They found that after mindfulness training there was a significant improvement in anxiety, depression and psychological distress. Cognitive ability also improved including improvements in memory and verbal fluency. These results are compatible with these shown in previous research on mindfulness training for PD patients. These are important effects as they reduce quality of life and can lead to suicidal thoughts. It can be speculated that these effects on psychological well-being were due to the known effects of mindfulness training on emotion regulation. These involve the full experience and recognition of the emotions, but with adaptive responses to them. So, the patients don’t deny how they feel but do not react to them negatively, instead cope with the feelings and act positively.

 

Of the physical symptoms, they observed improvement in postural instability gait dysfunction but not tremor. This is surprising as these motor symptoms are due to direct deterioration of the neural systems underlying movement. It is possible that the yoga component of MBSR may have improved strength, balance, and flexibility and thereby improved the posture and gait of the PD patients even though the underlying brain degeneration was not affected.

 

The psychological and motor improvements that were present immediately after mindfulness training were no longer present six months later. But, it should be noted that PD is a progressive disorder, with symptoms getting worse over time, which could have obscured the improvements detected after treatment. The study lacked an untreated control condition, so it is impossible to determine whether the continued deterioration produced the lack of effects at the 6-month follow-up. It should also be noted, however, that the lack of a control condition limits the conclusion that the mindfulness training was responsible for the improvements and not another confounding variable such as a placebo effect or experimenter bias.

 

Regardless, it is clear that both the psychological and motor symptoms of Parkinson’s Disease can be improve with mindfulness training.

 

“You would expect mindfulness-based interventions to alleviate the psychological symptoms of Parkinson’s – mindfulness has proved its worth at reducing both anxiety and depression – but a recent study suggests mindfulness training could also address some of the physical changes in the brain. An eight-week course of mindfulness training seemed to increase the density of grey matter in two areas of the brain associated with the disease.” – Plastic Brain

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Dissanayaka, N. N. W., Idu Jion, F., Pachana, N. A., O’Sullivan, J. D., Marsh, R., Byrne, G. J., & Harnett, P. (2016). Mindfulness for Motor and Nonmotor Dysfunctions in Parkinson’s Disease. Parkinson’s Disease, 2016, 7109052. http://doi.org/10.1155/2016/7109052

 

Abstract

Background. Motor and nonmotor symptoms negatively influence Parkinson’s disease (PD) patients’ quality of life. Mindfulness interventions have been a recent focus in PD. The present study explores effectiveness of a manualized group mindfulness intervention tailored for PD in improving both motor and neuropsychiatric deficits in PD. Methods. Fourteen PD patients completed an 8-week mindfulness intervention that included 6 sessions. The Five Facet Mindfulness Questionnaire (FFMQ), Geriatric Anxiety Inventory, Hamilton Depression Rating Scale, PD Cognitive Rating Scale, Unified PD Rating Scale, PD Quality of Life Questionnaire, and Outcome Questionnaire (OQ-45) were administered before and after the intervention. Participants also completed the FFMQ-15 at each session. Gains at postassessment and at 6-month follow-up were compared to baseline using paired t-tests and Wilcoxon nonparametric tests. Results. A significant increase in FFMQ-Observe subscale, a reduction in anxiety, depression, and OQ-45 symptom distress, an increase in PDCRS-Subcortical scores, and an improvement in postural instability, gait, and rigidity motor symptoms were observed at postassessment. Gains for the PDCRS were sustained at follow-up. Conclusion. The mindfulness intervention tailored for PD is associated with reduced anxiety and depression and improved cognitive and motor functioning. A randomised controlled trial using a large sample of PD patients is warranted.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842053/

 

Improve Breast Cancer Survivor Sleep with Mindfulness

psyjdc Leave a comment

By John M. de Castro, Ph.D.

 

“The mindfulness elements of accepting things as they are, turning towards rather than away from difficult emotional experience, and embracing change as a constant are helpful for cancer patients who are may be facing difficult realities. The emotion-regulation strategies practiced in mindfulness interventions help to prevent worry about the future and rumination over past events, and allow patients to live more fully in the present moment, regardless of what lies ahead.” – Tracey Aaron

 

People who are cancer survivors face a myriad of issues including sleep difficulties. It is estimated that one third to one half of cancer survivors experience sleep problems. 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. It is encouraging, however, that the 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. This can be difficult as breast cancer survivors can have to deal with the consequences of chemotherapy, and often experience increased fatigue, pain, and bone loss, reduced fertility, difficulty with weight maintenance, damage to the lymphatic system, heightened fear of reoccurrence, and an alteration of their body image. As a result, survivors often develop sleep problems, including difficulties initiating and maintaining sleep. These sleep disturbances can interfere with recovery as they can contribute to stress, fatigue, depression, and poorer treatment outcomes. So, it is important to address sleep disturbance in cancer survivors.

 

Mindfulness training has shown promise in treating sleep disorders. It has also been shown to be helpful with cancer treatment and recovery. So, it would make sense to test whether mindfulness training might be effective in treating sleep disturbances in breast cancer survivors. In today’s Research News article “The Effects of Mindfulness-Based Stress Reduction (MBSR(BC)) on Objective and Subjective Sleep Parameters in Women with Breast Cancer: A Randomized Controlled Trial.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1236247519732505/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487655/

Lengacher and colleagues performed a randomized controlled trial of the effects of an 8-week Mindfulness Based Stress Reduction (MBSR) program on the sleep of breast cancer survivors. Patients completed a questionnaire regarding their sleep and a sleep diary. They also wore and activity monitor for three days as an objective measure of sleep. Measurements were obtained before treatment and again at 6 and 12 weeks after treatment.

 

They found that MBSR training produced a significant improvement in sleep as assessed with the objective measure (activity monitor) at both 6 and 12 weeks after treatment. The improvements included better sleep efficiency and percentage of time asleep, and also fewer waking bouts. The self-report measures of sleep also showed improvement but were not statistically significant. Since direct, objective measures do not rely on memory or judgement, they are considered more accurate. Thus, the results show that MBSR training improves sleep in breast cancer survivors.

 

These are interesting and potentially important useful results. Improving sleep in cancer survivors may contribute to their health and well-being and their ability to stay in remission. How MBSR has this effect on sleep was not investigated. It can, however, be speculated that MBSR may effect sleep by reducing the patients psychological and physiological responses to stress. This would help to relax the patients making it easier for them to fall asleep and stay asleep. Alternatively, MBSR has been shown to improve emotion regulation, improving the individual’s ability to completely feel the emotion, yet respond to it adaptively. This may help sleep by allowing the individual to better cope with the anxiety, fear, and worry associated with being a cancer survivor.

 

So, improve breast cancer survivor sleep with mindfulness

 

“I am now more easily able to mindfully feel both the difficult and the pleasant emotions of this journey—the uncertainty, the worries and the fear, the relief as I recover, the acceptance of a new normal, and noticing my strength and resilience—each informing the other. Writing about it now I see that having experienced cancer brought with it some gifts: a new sense of integration, a new sense of knowing myself—grounded in the present—with hope for the future.” – Esther Brandon

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Lengacher, C. A., Reich, R. R., Paterson, C. L., Jim, H. S., Ramesar, S., Alinat, C. B., … Kip, K. E. (2015). The Effects of Mindfulness-Based Stress Reduction (MBSR(BC)) on Objective and Subjective Sleep Parameters in Women with Breast Cancer: A Randomized Controlled Trial. Psycho-Oncology,24(4), 424–432. http://doi.org/10.1002/pon.3603

 

Abstract

Objective: The purpose of this study was to investigate the effects of MBSR(BC) on multiple measures of objective and subjective sleep parameters among breast cancer survivors (BCS).

Methods: Data were collected using a two-armed randomized controlled design among BCS enrolled in either a six week MBSR(BC) program or a Usual Care (UC) group with a 12-week follow-up. The present analysis is a subset of the larger parent trial (ClinicalTrials.gov Identifier: NCT01177124). Seventy-nine BCS participants (mean age 57 years), stages 0-III, were randomly assigned to either the formal (in-class) six week MBSR(BC) program or UC. Subjective sleep parameters (SSP) (i.e., sleep diaries and the Pittsburg Sleep Quality Index (PSQI)) and objective sleep parameters (OSP) (i.e., actigraphy) were measured at baseline, six weeks and 12 weeks after completing the MBSR(BC) or UC program.

Results: Results showed indications of a positive effect of MBSR(BC) on OSP at 12 weeks on sleep efficiency (78.2% MBSR(BC) group vs. 74.6% UC group, p=0.04), percent of sleep time (81.0% MBSR(BC) vs. 77.4% UC, p=0.02) and less number waking bouts (93.5 in MBSR(BC) vs. 118.6 in the UC group, p<0.01). Small non-significant improvements were found in SSP in the MBSR(BC) group from baseline to 6 weeks (PSQI total score, p=0.09). No significant relationship was observed between minutes of MBSR(BC) practice and SSP or OSP.

Conclusions: These data suggest that MBSR(BC) may be an efficacious treatment to improve objective and subjective sleep parameters in BCS.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487655/

 

 

Promote Adaptive Emotions with Mindful Non-Judgment

psyjdc Leave a comment

By John M. de Castro, Ph.D.

 

“By cultivating such mindfulness of emotions, we can build our resiliency to handle all of the intense experiences associated with urban living. We can limit our ability to get hijacked by emotions, which can carry us away to undesired places (like getting on the wrong subway).” – Jonathan Kaplan

 

We are very emotional creatures. Without emotion, life is flat and uninteresting. Emotions provide the spice of life. We are constantly having or reacting to emotions. We often go to great lengths in an attempt to create or keep positive emotions and conversely to avoid, mitigate, or get rid of negative emotions. They are so important to us that they affect mostly everything that we do and say and can even be determinants of life or death. Anger, fear, and hate can lead to murderous consequences. Anxiety and depression can lead to suicide. At the same time love, joy, and happiness can make life worth living. Our emotions also affect us physically with positive emotions associated with health, well-being, and longevity and negative emotions associated with stress, disease, and shorter life spans.

 

The importance of emotions is only surpassed by our ignorance of them. Our rational side tries to downplay their significance and as a result research studies of emotions are fairly sparse and often ridiculed by politicians. So there is a great need for research on the nature of emotions, their effects, how they are regulated or not, and what factors affect them. One important factor is mindfulness, which has been shown to affect our ability to regulate emotions. Research has demonstrated that people either spontaneously high in mindfulness or trained in mindfulness are better able to be completely in touch with their emotions and feel them completely, while being able to respond to them more appropriately and adaptively. In other words, mindful people are better able to experience yet control emotions.

 

In today’s Research News article “Mindfulness and Emotional Outcomes: Identifying Subgroups of College Students using Latent Profile Analysis.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1235541963136394/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4269250/

Pearson and colleagues explore the components of mindfulness and how they relate to emotions in college students. They measured mindfulness with the Five Facet Mindfulness Questionnaire (FFMQ) which measures the mindfulness components of observing, describing, acting with awareness, non-judging, and non-reactivity. Using sophisticated statistical analysis they were able to identify 4 distinct classes of student responses; a high mindfulness group that were relatively high on every facet of mindfulness; a low mindfulness group that were relatively low on every facet of mindfulness; a judgmentally observing group that is high in observing but very low on non-judging of inner experience and acting with awareness;  and a non-judgmentally aware group that were high on non-judging of inner experience and acting with awareness, but very low on the observing facet of mindfulness.

 

They found that the “high mindfulness” and “non-judgmentally aware” groups did not differ and had lower depressive symptoms, anxiety symptoms, affective lability, and distress intolerance. On the other hand, the “judgmentally observing” groups had higher depressive symptoms, anxiety symptoms, affective lability, and distress intolerance. Finally, they found that the “low mindfulness group” was in the middle significantly better than the “judgmentally observing” group, but significantly worse than the “non-judgmentally aware” and “high mindfulness groups” in adaptive emotionality. Hence, having high mindfulness and being aware without judging are associated with relatively positive emotional states while observing while judging experiences is associated with relatively negative emotional states. Simply being low in mindfulness is associated with an average emotional state.

 

These results suggest that mindfulness is associated with positive emotional states but judging experience is associated with poor emotional states. So, being overall mindful and particularly non-judging leads to the most adaptive emotional states. This reinforces the previous findings of mindfulness promotion emotional regulation. But, they extend this understanding to emphasize just how important judging experience is; if its judged it leads to poor emotional outcomes while if it’s not, it leads to positive emotional outcomes. Although correlational these observations suggest that emotional states can be elevated with mindful non-judgement.

 

So, promote adaptive emotions with mindful non-judgment.

 

“For many of us, instead of feeling our emotions, we criticize ourselves for having them. We call ourselves weak, dramatic, stupid, too sensitive. . . we get angry with ourselves for feeling scared or upset. We become disgusted when we’re jealous of others. We get frustrated when we’re still grieving a breakup or a fight. The key is to accept our emotions.” – Margarita Tartakovsky

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Pearson, M. R., Lawless, A. K., Brown, D. B., & Bravo, A. J. (2015). Mindfulness and Emotional Outcomes: Identifying Subgroups of College Students using Latent Profile Analysis. Personality and Individual Differences,76, 33–38. http://doi.org/10.1016/j.paid.2014.11.009

 

Highlights

  • We used latent profile analysis to group college students based on mindfulness scores
  • A 4-class solution was selected, leading to four subgroups of college students
  • High mindfulness and non-judgmentally aware groups had adaptive outcomes
  • Low mindfulness and judgmentally observing groups had maladaptive outcomes
  • We discuss the implications of person-centered analyses for studying mindfulness

Abstract

In non-meditating samples, distinct facets of mindfulness are found to be negatively correlated, preventing the meaningful creation of a total mindfulness score. The present study used person-centered analyses to distinguish subgroups of college students based on their mindfulness scores, which allows the examination of individuals who are high (or low) on all facets of mindfulness. Using the Lo-Mendell-Rubin Adjusted LRT test, we settled on a 4-class solution that included a high mindfulness group (high on all 5 facets, N = 245), low mindfulness group (moderately low on all 5 facets, N = 563), judgmentally observing group (high on observing, but low on non-judging and acting with awareness, N =63), and non-judgmentally aware group (low on observing, but high on non-judging and acting with awareness, N =70). Consistent across all emotional outcomes including depressive symptoms, anxiety symptoms (i.e., worry), affective instability, and distress intolerance, we found that the judgmentally observing group had the most maladaptive emotional outcomes followed by the low mindfulness group. Both the high mindfulness group and the non-judgmentally aware group had the most adaptive emotional outcomes. We discuss the implications of person-centered analyses to exploring mindfulness as it relates to important psychological health outcomes.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4269250/

Make School More Effective with Mindfulness

psyjdc Leave a comment

 

By John M. de Castro, Ph.D.

 

“Before we can teach a kid how to academically excel in school, we need to teach him how to have stillness, pay attention, stay on task, regulate, make good choices. We tell kids be quiet, calm yourself down, be still. We tell them all these things they need in the classroom, but we’re not teaching them how to do that.” – Jean-Gabrielle Larochette

 

Childhood is a time of tremendous learning. This is not only true in the knowledge and skills spheres, but also in attitudes, inclinations, emotion regulation, and social skills. It is also the time when the child learns self-regulation, moving from spontaneous uninhibited thoughts, behaviors, and emotions to control and restraint. Guiding much of this learning is a class of cognitive abilities called executive functions. These include inhibitory control, cognitive flexibility, and working memory.

 

In recent years, drug abuse education has been incorporated into grammar school curricula. Although, at the beginning of grammar school most children have negative attitudes towards drugs, as schooling continues, attitudes become less negative. The idea is to build and reinforce negative attitudes toward illicit substances, alcohol, and cigarette smoking that will help to prevent future drug abuse. The effectiveness of these programs, however, has not yet been established.

 

Also, in recent years, mindfulness programs in schools have been initiated with positive effects. These include developing stronger executive functions, self-regulation, and social skills. In addition, in adults mindfulness training has been found to be helpful in treating drug, alcohol, and cigarette addictions and in preventing relapse after successful treatment. But, it is not known if mindfulness training might help build anti-drug attitudes in grammar school children. In today’s Research News article “The impact of mindfulness education on elementary school students: Evaluation of the Master Mind Program.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1234924789864778/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821437/

Parker and colleagues examined this question. They implemented a 4-week, 15-minute per day, mindfulness training program called “Master Mind” that included meditation, yoga, and body scan components in two American grammar school classrooms with 4th and 5th grade children. They measured the children’s executive functions, self-regulation, and attitudes toward drugs before and after training. The results were compared between the “Master Mind” group and wait-list control classroom groups.

 

They found that after training the “Master Mind” group had higher levels of executive functions This was true both in comparison to before training and to the control group. Teacher ratings of the children’s behavior also indicated that the “Master Mind” group had fewer social problems and less aggressive behavior than the control group. Girls in the “Master Mind” group were found to have significantly lower anxiety levels while boys were found to have greater self-control. There were no significant differences found between the groups in future intentions to use drugs, alcohol, and cigarettes.

 

These results are quite impressive. They demonstrate that mindfulness training has important positive effects on grammar school children including greater executive function, emotion regulation, and self-regulation. These are important skills for children’s success in school and socially and may suggest greater academic achievement, adjustment, and later success. These results, along with previous findings, suggest that mindfulness programs have important positive effects on school-aged children and that widespread implementation of these programs in schools should be seriously considered.

 

The lack of effectiveness of mindfulness training on attitudes towards the future use of drugs, alcohol, and cigarettes were disappointing. The students, however, had very low intentions to use these substances to start, with very low scores in pretesting. So there was very little room to show improvement. Hence, the lack of significant improvement may well have been due to a floor effect. It would be interesting to follow these children into later adolescence to see if the training had any long term effects on subsequent drug use.

 

Regardless, it is clear that schools can be made more effective with mindfulness.

 

“Once the kids feel that they can actually calm themselves even just through breathing it’s like the ‘wow’ moment. The ultimate goal is self-awareness and self-regulation.” – Rick Kinder

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

Study Summary

Parker, A. E., Kupersmidt, J. B., Mathis, E. T., Scull, T. M., & Sims, C. (2014). The impact of mindfulness education on elementary school students: Evaluation of the Master Mind Program. Advances in School Mental Health Promotion, 7(3), 184–204. http://doi.org/10.1080/1754730X.2014.916497

 

Abstract

Children need to be equipped with the skills to respond effectively to stress and prevent poor decision-making surrounding alcohol and tobacco use. Training and practice in mindfulness is one possible avenue for building children’s skills. Recent research has revealed that mindfulness education in the classroom may play a role in enhancing children’s self-regulatory abilities. Thus, the goal of the current study was to extend existing research in mindfulness education in classrooms and conduct an assessment of the feasibility and effectiveness of a new mindfulness education, substance abuse prevention program for 4th and 5th grade children (Master Mind). Two elementary schools were randomly assigned to be an intervention group (N = 71) or waitlist control group (N = 40). Students in the intervention group were taught the four-week Master Mind program by their regular classroom teachers. At pre- and post-intervention time points, students completed self-reports of their intentions to use substances and an executive functioning performance task. Teachers rated students on their behavior in the classroom. Findings revealed that students who participated in the Master Mind program, as compared to those in the wait-list control condition, showed significant improvements in executive functioning skills (girls and boys), as well as a marginally significant increase in self-control abilities (boys only). In addition, significant reductions were found in aggression and social problems (girls and boys), as well as anxiety (girls only). No significant differences across groups were found for intentions to use alcohol or tobacco. Teachers implemented the program with fidelity; both teachers and students positively rated the structure and content of the Master Mind program, providing evidence of program satisfaction and feasibility. Although generalization may be limited by the small sample size, the findings suggest that mindfulness education may be beneficial in increasing self-regulatory abilities, which is important for substance abuse prevention.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821437/

 

The Noble Eightfold Path: Right Effort

psyjdc 3 Comments

By John M. de Castro, Ph.D.

 

“The Fourfold Right Diligence is nourished by joy and interest. If your practice does not bring you joy, you are not practicing correctly.” – Thich Nhat Hahn

 

In order to progress on the Buddha’s Noble Eightfold Path, effort must be exerted. One cannot simply sit back and wait for something to happen, one has to practice, one has to work at it. To some people that means working very, very, hard, perhaps meditating for hours on end, day after day. This comes from the Western work ethic that teaches that the harder you work, the more likely it is that you’ll achieve your goals. This is also the case in some Zen schools. A meditation teacher once described a Zen retreat as “Buddha boot camp,” requiring extreme endurance and perseverance. For many people this simply does not work and may lead to them abandoning practice and the path completely.

 

“Right Effort” sometimes called right diligence is the sixth component of the Buddha’s Noble Eightfold Path, Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort, Right Mindfulness and Right Concentration.” The idea of “Right Effort” is that the effort exerted in practice and in life needs to be “Right.” It needs to be finely tuned, neither too lax, nor too effortful. The Buddha taught that practice should be like a well-tuned string instrument. If the strings are too loose, they won’t play a sound. If they are too tight, they will break. Practice should be nourishing, not draining. So, “Right Effort” actually points precisely to the Buddha’s “Middle Way.”

 

The notion of “Right Effort” is not just for meditation practice but for how we conduct our lives. It calls for us to develop and encourage good qualities, ones that will lead forward on the path, and reduce or discourage bad qualities, ones that interfere or block progress. There are many good qualities to be cultivated but the ones that the Buddha particularly targeted were mindfulness, investigation of phenomena, energy, joy, tranquility, concentration, and equanimity.

 

This suggests that we should work to develop mindfulness, paying attention, on purpose, without judgment, to what is occurring in the present moment. After all, how are we going to progress on a spiritual path if our minds are lost in thought, memories of the past or projections of the future? Only by being attentive to what is happening right now, do we have any hope of seeing things as the truly are. Mindfulness can be developed by engaging in contemplative practices such as meditation, yoga, contemplative prayer, mindful movement practices, etc. So, “Right Effort” mandates that we practice to cultivate our mindfulness, but do so with energy and striving, but not too much or too little. We need to practice on the “Middle Way.”

Investigation of phenomena needs to also be cultivated. Whereas mindfulness is observing what is, investigation is probing into the nature of what is. Investigation involves exerting concentration and energy to search out the characteristics, conditions, and consequences of the phenomena we observe with mindfulness. So, we look carefully as to what exactly composes a feeling, what leads up to the feeling arising, and what is produced by the feeling. So as anger arises, we look with mindfulness as to how exactly it feels in the body and mind, we look at what produced the anger, and we look at what consequence it might have for our actions and thoughts. If we can truly see these aspects of anger, we can better recognize it when it begins to arise, control it, and manage its consequences to lead away from harm and toward greater wisdom and happiness.

 

Fundamental to the entire process is energy. It must be cultivated and distributed carefully as there is only a limited amount available. We must first develop the energy to initiate mindfulness and investigation. It is impossible in real life to be constantly in the present moment and probing its nature. But, we must have the energy to return to these healthy processes whenever we have the opportunity to come back. Once mindfully engaged it is important to cultivate the energy to persevere and remain mindful as long as possible. Finally, we have to learn how to hold some energy in reserve so that when we reach a significant juncture in our practice we can focus our energy to break through and make a leap forward.

 

All of this energy can be built and cultivated by making our efforts joyful. Joy will replenish and charge our batteries for use when we need it. So, practice with joy, allow yourself to experience the beauty and awe available in every moment, and refrain from pushing too hard and losing the joy and happiness of practice. If we are careful and follow this joy, it will build and build and reach crescendos of bliss. This fuels our progress on the path. But, it is impossible to remain in a state of continuous bliss. Eventually the practice leads to tranquility, a peacefulness that comes from knowing the joyfulness of existence and practice. This tranquility now can allow the practice to proceed with knowing serenity. This peacefulness is the foundation for ceasing seeking and quieting the mind. Maintaining this stillness requires concentration. Once stabilized equanimity develops, an inward poise, free from the extremes of inertia and excitement. A state is reached like when driving a car with the cruise control on, neither having to press the gas peddle harder nor letting up on the peddle, just rolling along enjoying the scenery, without effort or striving, just observing things as they are. Just moving along the “Middle Way.”

 

It is wonderful to be cultivating positive qualities but at the same time it is necessary to prevent bad qualities from hindering progression on the path. There are also many bad qualities to be discouraged or removed but the ones that the Buddha particularly targeted were sensual desire, ill will, dullness and drowsiness, restlessness and worry, and doubt. As part of pursuing “Right Effort” on the path effort should be exerted to prevent these bad qualities from arising and if they do to refrain from pursuing or reinforcing them so that they can diminish or extinguish on their own.

 

Sensual desires is actually a broad category that includes cravings for all those objects or states that are pleasing, sights, sounds, emotions, feelings, tastes etc. The actual experiences are fine and need not be avoided. It’s the pursuit of them and the attempt to hold onto them that produces hindrance. “Right Effort” involves not seeking them out, but if they arise letting them come and go without striving to hold onto them. Just letting them pass by like a sunrise or a sunset, looking, seeing, appreciating, and letting go. Trying to hold on only produces unsatisfactoriness and frustration.

 

At times negative feeling arise toward objects or people. These can be a hindrance also if they are focused on, held onto, or pursued. Feelings such as hatred, anger, resentment, repulsion, jealousy, etc. arise at times in the normal course of life and in our practice. This is normal and need not be actively pushed aside. This will only tend to strengthen them. They should simply be let go, allowed to dissipate on their own, noticing, taking note, sensing the feelings and releasing them. Situations and people who tend to evoke these feeling should be avoided as much as possible. It is easier to handle them if they never arise. So, if someone should cause you harm and anger and resentment begin to arise, let them. Just observe them with mindfulness. Feel the feelings and the mental anguish. Don’t avoid it, but don’t pursue or react to it. This can be difficult, but the more it is practiced the easier and easier it becomes. This is how to exert “Right Effort” toward these ill feelings.

 

Dullness and drowsiness are often indicators of too little rest and sleep or too much exertion.  “Right Effort” involves staying on the “Middle Way” and getting sufficient rest and sleep and not overdoing anything. These states of dullness and drowsiness are actually very good indicators and guides to return to the “Middle Way.” So, when tired, rest, when sleepy, sleep, and when dull, relax and recharge. Similarly, restlessness and worry are indicators of straying from attention to the present moment and wanting things to be different than they are, ruminating about the past, or fantasizing about the future. These states can also be useful as signposts and guides leading back to the present moment. “Right Effort” is to use these states to assist in maintaining energy, staying with mindfulness, and concentrating. The more they are used in this way the easier it gets to sense straying from the path and the sooner the return can happen.

 

The path can be difficult and progress is haphazard, improving one day, falling back another. It can sometimes be difficult to tell that progress is actually being made. This can lead to doubt that the “Eightfold Path” is the right way toward spiritual development. When doubt arises don’t fret. This is normal. It signals that questions should be asked of others, particularly those who have navigated the path. This can help to elucidate that the up and down course of practice is normal and if energy is invested in persistence, progress will be made. Doubt also signals that studying the teachings, reading, and contemplation may be needed to strengthen resolve and provide direction. This is truly “Right Effort.”

 

Obviously, there’s a lot to “Right Effort.” But the keys are joyful practice and the “Middle Way.” Look carefully at discursions from the path of unhealthy desires, bad feelings toward others, sleepiness or restlessness, worry, or doubt. There’s no need to feel bad about them. They are part of being human and everyone from time to time experiences them. Rather than regretting them, let them be pointers to returning to the path. Slowly, improvement will occur and falling off the path will happen less and less often, the good qualities will be present more and more often for longer and longer periods, and forward movement will occur on the path toward awakening and enlightenment.

 

“Enlightenment is not your birthright.
Those who succeed do so only through proper effort.” – Ramana Maharshi

 

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

Reduce Maladaptive Ideas in Substance Abuse with Mindfulness

psyjdc 1 Comment

Reduce Maladaptive Ideas in Substance Abuse with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness is likely an effective tool in helping people with addiction because it’s a single, simple skill that a person can practice multiple times throughout their day, every day, regardless of the life challenges that arise. With so much opportunity for practice—rather than, say, only practicing when someone offers them a cigarette—people can learn that skill deeply.” – James Davis

 

Substance abuse is a major health and social problem. There are estimated 22.2 million people in the U.S. with substance dependence. It is estimated that worldwide there are nearly ¼ million deaths yearly as a result of illicit drug use which includes unintentional overdoses, suicides, HIV and AIDS, and trauma. In the U.S. about 17 million people abuse alcohol. Drunk driving fatalities accounted for over 10,000 deaths annually and including all causes alcohol abuse accounts for around 90,000 deaths each year, making it the third leading preventable cause of death in the United States.

 

Obviously there is a need to find effective methods to prevent and treat substance abuse. There are a number of programs that are successful at stopping the drug abuse, including the classic 12-step program emblematic of Alcoholics Anonymous. Unfortunately, the majority of drug and/or alcohol abusers relapse and return to substance abuse. Hence, it is important to find an effective method to prevent these relapses. Mindfulness training has been shown to be a safe and effective treatment for reducing addiction relapse.

 

The fact that mindfulness training works in reducing relapse implies that there are alterations in mental contents and thought processes that may be making relapse more likely. It has been found that addicts frequently have maladaptive conceptualizations of themselves and the environment called maladaptive schemas. These have been defined as a “broad, pervasive theme or pattern comprised of memories, emotions, cognitions, and bodily sensations regarding oneself and one’s relationships with others … [that] are dysfunctional to a certain degree.” Eighteen different schemas have been identified; emotional deprivation, abandonment, mistrust/abuse, social isolation, defectiveness, failure, dependence, vulnerability, enmeshment, subjugation, self-sacrifice, emotional inhibition, unrelenting standards, entitlement, insufficient self-control, approval-seeking, negativity/pessimism, and punitiveness.

 

In today’s Research News article “The Relation between Trait Mindfulness and Early Maladaptive Schemas in Men Seeking Substance Use Treatment.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1233666469990610/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465817/

Shorey and colleagues investigate the degree to which mindfulness is related to these maladaptive schemas in men seeking substance abuse treatment. They found that the higher the level of mindfulness the lower the levels of maladaptive schemas. This was true in general but only 15 of the 18 schemas reached statistical significance. They also found that addicts who endorsed more than one maladaptive schema were significantly lower in mindfulness than those who endorsed one or less.

 

These results are interesting, but, it should be kept in mind that the study was correlational and mindfulness was not manipulated. So, a causal connection cannot be demonstrated. It is equally likely that mindfulness causes lower schemas, that lower schemas cause mindfulness, or that some third variable, e.g. the intensity of addiction, causes both. It remains for future research to determine if mindfulness training can produce changes in these maladaptive schemas.

 

Keeping this in mind, the results suggest that maladaptive ways of thinking are associated with addiction and that mindfulness training may be a solution, reducing the schemas and thereby assisting in relapse prevention.

 

So, reduce maladaptive ideas in substance abuse with mindfulness.

 

“Teaching clients “awareness in the moment” can help them develop healthy responses to stress and cravings. This attitude of curiosity and openness to inner life can also enrich their entire sobriety.” – Jenifer Talley

 

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

Shorey, R. C., Brasfield, H., Anderson, S., & Stuart, G. L. (2015). The Relation between Trait Mindfulness and Early Maladaptive Schemas in Men Seeking Substance Use Treatment. Mindfulness, 6(2), 348–355. http://doi.org/10.1007/s12671-013-0268-9

 

Abstract

Recent research has examined the relation between mindfulness and substance use, demonstrating that lower trait mindfulness is associated with increased substance use, and that mindfulness-based interventions help to reduce substance use. Research has also demonstrated that early maladaptive schemas are prevalent among individuals seeking substance use treatment and that targeting early maladaptive schemas in treatment may improve outcomes. However, no known research has examined the relation between mindfulness and early maladaptive schemas despite theoretical and empirical reasons to suspect their association. Therefore, the current study examined the relation between trait mindfulness and early maladaptive schemas among adult men seeking residential substance abuse treatment (N = 82). Findings demonstrated strong negative associations between trait mindfulness and 15 of the 18 early maladaptive schemas. Moreover, men endorsing multiple early maladaptive schemas reported lower trait mindfulness than men with fewer early maladaptive schemas. The implications of these findings for future research and treatment are discussed.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465817/

Relieve Uncertainty and Panic Disorder with Mindfulness

psyjdc Leave a comment

By John M. de Castro, Ph.D.

 

“Panic gains momentum from the energy we put into fighting it, and the fact is, we don’t always need to fight it. Life happens to you and me as it happens to all people, whether we are ready for it or not, and all we really need to do is be open to experiencing it one moment at a time.” – Krista Lester

 

Anxiety and fear happen in everyone and under normal conditions are coped with adaptively and effectively and do not continue beyond the eliciting conditions. But, in a large number of people the anxiety is non-specific and overwhelming. Anxiety Disorders are the most common psychological problem. In the U.S., they affect over 40 million adults, 18% of the population, with women accounting for 60% of sufferers They typically include feelings of panic, fear, and uneasiness, problems sleeping, cold or sweaty hands and/or feet, shortness of breath, heart palpitations, an inability to be still and calm, dry mouth, and numbness or tingling in the hands or feet.

 

A subset of people with anxiety disorders are diagnosed with Panic Disorder. These are sudden attacks of fear and nervousness, as well as physical symptoms such as difficulty breathing, pounding heart or chest pain, intense feeling of dread, shortness of breath, sensation of choking or smothering, dizziness or feeling faint, trembling or shaking, sweating, nausea or stomachache, tingling or numbness in the fingers and toes, chills or hot flashes, and a fear that they are losing control or are about to die. A common additional symptom of panic disorder is the persistent fear of having future panic attacks. The fear of these attacks can cause the person to avoid places and situations where an attack has occurred or where they believe an attack may occur. Needless to say patients are miserable, their quality of life is low, and their ability to carry on a normal life disrupted.

 

There are a number of treatments for Panic Disorder including psychotherapy, relaxation training, and medication. Recently it’s been demonstrated that panic disorder can be treated with mindfulness practice. In particular, Mindfulness Based Cognitive Therapy (MBCT) has been shown to be particularly effective. It is not known, however, the exact mechanism of action of MBCT effects on Panic Disorder. In today’s Research News article “Impact of Mindfulness-Based Cognitive Therapy on Intolerance of Uncertainty in Patients with Panic Disorder.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1232976826726241/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823195/

Kim and colleagues investigate whether an intolerance of uncertainty may be a key factor in Panic Disorder and the response to MBCT. Intolerance of uncertainty is defined as a “dispositional characteristic that results from a set of negative beliefs about uncertainty and its implications, and involves the tendency to react negatively on an emotional, cognitive, and behavioral level to uncertain situations and events.”

 

Kim and colleagues recruited patients suffering with Panic Disorder and treated them with an 8-week program of Mindfulness Based Cognitive Therapy (MBCT). They measured Panic Disorder intensity, depression, and intolerance of uncertainty both before and after treatment. They found that MBCT produced significant decreases in all measures, with patients having significantly lower levels of Panic Disorder intensity, depression, and intolerance of uncertainty after treatment. They also found that before treatment, the higher the level of intolerance of uncertainty, the greater the intensity of Panic Disorder and the higher the level of depression. In addition, the greater the reduction in intolerance of uncertainty produced by MBCT, the greater the reduction in Panic Disorder intensity. The significant association between intolerance of uncertainty and Panic Disorder intensity was present even after the pre-treatment level of Panic Disorder intensity and Depression were accounted for.

 

These results suggest that Mindfulness Based Cognitive Therapy (MBCT) is an effective treatment for Panic Disorder. They further suggest that the effectiveness of MBCT is at least in part due to it reducing the intolerance of uncertainty that is characteristic of Panic Disorder patients. Mindfulness training in general and MBCT in particular increase attention to what is transpiring in the present moment and decrease thinking about the future. Since intolerance of uncertainty is a worry about future events, it would seem reasonable that MBCT would reduce it. Since intolerance of uncertainty is clearly related to Panic Disorder, its reduction should reduce Panic Disorder.

 

It should be noted that the study did not contain a control (comparison) condition. So, it cannot be concluded that MBCT was responsible for the improvements. It is possible that a placebo effect or spontaneous remissions were responsible. Regardless, the results are suggestive that MBCT is a safe and effective intervention for the relief of Panic Disorder, depression, and intolerance of uncertainty. So, relieve uncertainty and panic disorder with mindfulness.

 

“mindfulness takes ‘thinker’ out of thought, and teaches us to step back and observe our minds and our thoughts. Mindfulness is learning to see exactly what is happening. It ‘disengages’ our ‘automatic pilot’ and gives us the necessary space to see cause and effect as it happens in ‘real’ time. Cause: thought. Effect: panic and/or anxiety.” – Bronwyn Fox

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Study Summary

Kim, M. K., Lee, K. S., Kim, B., Choi, T. K., & Lee, S.-H. (2016). Impact of Mindfulness-Based Cognitive Therapy on Intolerance of Uncertainty in Patients with Panic Disorder. Psychiatry Investigation, 13(2), 196–202. http://doi.org/10.4306/pi.2016.13.2.196

 

Abstract

Objective: Intolerance of uncertainty (IU) is a transdiagnostic construct in various anxiety and depressive disorders. However, the relationship between IU and panic symptom severity is not yet fully understood. We examined the relationship between IU, panic, and depressive symptoms during mindfulness-based cognitive therapy (MBCT) in patients with panic disorder.

Methods: We screened 83 patients with panic disorder and subsequently enrolled 69 of them in the present study. Patients participating in MBCT for panic disorder were evaluated at baseline and at 8 weeks using the Intolerance of Uncertainty Scale (IUS), Panic Disorder Severity Scale-Self Report (PDSS-SR), and Beck Depression Inventory (BDI).

Results: There was a significant decrease in scores on the IUS (p<0.001), PDSS (p<0.001), and BDI (p<0.001) following MBCT for panic disorder. Pre-treatment IUS scores significantly correlated with pre-treatment PDSS (p=0.003) and BDI (p=0.003) scores. We also found a significant association between the reduction in IU and PDSS after controlling for the reduction in the BDI score (p<0.001).

Conclusion: IU may play a critical role in the diagnosis and treatment of panic disorder. MBCT is effective in lowering IU in patients with panic disorder.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823195/

 

Relieve Depression with Mindful Meditation

psyjdc Leave a comment

By John M. de Castro, Ph.D.

 

“People at risk for depression are dealing with a lot of negative thoughts, feelings and beliefs about themselves and this can easily slide into a depressive relapse. MBCT helps them to recognize that’s happening, engage with it in a different way and respond to it with equanimity and compassion.” – Willem Kuyken

 

Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. It is generally episodic, coming and going. Some people only have a single episode but most have multiple reoccurrences of depression. Major depression can be quite debilitating. It is distinguishable from everyday sadness or grief by the depth, intensity, and range of symptoms. These can include feelings of sadness, tearfulness, emptiness or hopelessness, angry outbursts, irritability or frustration, even over small matters, loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports, sleep disturbances, including insomnia or sleeping too much, tiredness and lack of energy, so even small tasks take extra effort, changes in appetite — often reduced appetite and weight loss, but increased cravings for food and weight gain in some people, anxiety, agitation or restlessness, slowed thinking, speaking or body movements, feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren’t your responsibility, trouble thinking, concentrating, making decisions and remembering things, frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide, unexplained physical problems, such as back pain or headaches. Needless to say individuals with depression are miserable.

 

Depression appears to be the result of a change in the nervous system that can generally only be reached with drugs that alter the affected neurochemical systems. But, depression can be difficult to treat. Of patients treated initially with drugs only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. In, addition, drugs often have troubling side effects and can lose effectiveness over time. In addition, many patients who achieve remission have relapses and recurrences of the depression. So, it is important to investigate alternative treatments for depression.

 

Mindful meditation training is a viable alternative treatment for depression. It has been shown to be an effective treatment for active depression and for the prevention of its recurrence. It can even be effective in cases where drugs fail. In today’s Research News article “Critical Analysis of the Efficacy of Meditation Therapies for Acute and Subacute Phase Treatment of Depressive Disorders: A Systematic Review.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1232267610130496/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/

Jain and colleagues investigated the state of knowledge regarding mindful meditation effectiveness for depression. They reviewed the published research literature on the application of mindful meditation training to the relief of depression and/or the prevention of relapse. Meditation occurred in a variety of different techniques, meditation, yoga, mindful movement (i.e. Tai Chi), and mantra meditation. The most frequent technique (57% of studies) was Mindfulness Based Cognitive Therapy (MBCT). This was not a surprise as MBCT was developed specifically to treat depression.

 

They reported that the research results made a clear case that meditation therapies are effective for depression. They were effective in relieving depression when the patient was experiencing an active episode and also when the patient had recovered from major depression but was experiencing residual depressive symptoms. Thus, the published research is clear that mindful meditation is an effective treatment for depression. They caution, however, that more research is needed to unequivocally demonstrate its effectiveness under more highly controlled conditions.

 

It is not known exactly how meditation relieves depression. It can be speculated that mindful meditation by shifting attention away from the past or future to the present moment interrupts the kinds of thinking that are characteristic of and support depression. These include rumination about past events, worry about future events, and catastrophizing about potential future events. Mindfulness meditation has been shown to interrupt rumination, worry, and catastrophizing and focus the individual on what is transpiring in the present. By interrupting these forms of thinking that support depression, shifting attention to the present moment where situations are actually manageable, mindful meditation may disrupt depression.

 

Regardless of the speculations, it is clear that mindfulness meditation is a safe and effective treatment for depression.

 

“It’s been more than two years since I started that experiment. I have not missed a single day. And I’m going to tell you right now, still in half-disbelief myself: meditation worked. I don’t mean I feel a little better. I mean the Depression is gone. Completely. I still have very hard days, yes. But when issues come up, real or imagined (or a combination of both), meditation provides an awareness that helps me sort through it all, stay steady on, and understand deeply what is going on. “ – Spike Gillespie

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Study Summary

Jain, F. A., Walsh, R. N., Eisendrath, S. J., Christensen, S., & Cahn, B. R. (2015). Critical Analysis of the Efficacy of Meditation Therapies for Acute and Subacute Phase Treatment of Depressive Disorders: A Systematic Review. Psychosomatics, 56(2), 140–152. http://doi.org/10.1016/j.psym.2014.10.007

 

Abstract

Background: Recently, the application of meditative practices to the treatment of depressive disorders has met with increasing clinical and scientific interest, due to a lower side-effect burden, potential reduction of polypharmacy, as well as theoretical considerations that such interventions may target some of the cognitive roots of depression. We aimed to determine the state of the evidence supporting this application.

Methods Randomized, controlled trials of techniques meeting the Agency for Healthcare Research and Quality (AHRQ) definition of meditation, for participants suffering from clinically diagnosed depressive disorders, not currently in remission, were selected. Meditation therapies were separated into praxis (i.e. how they were applied) components, and trial outcomes were reviewed.

Results: Eighteen studies meeting inclusionary criteria were identified, encompassing seven distinct techniques and 1173 patients, with Mindfulness-Based Cognitive Therapy comprising the largest proportion. Studies including patients suffering from acute major depressive episodes (N = 10 studies), and those with residual subacute clinical symptoms despite initial treatment (N = 8), demonstrated moderate to large reductions in depression symptoms within group, and relative to control groups. There was significant heterogeneity of techniques and trial designs.

Conclusions: A substantial body of evidence indicates that meditation therapies may have salutary effects on patients suffering from clinical depressive disorders during the acute and subacute phases of treatment. Due to methodological deficiences and trial heterogeneity, large-scale, randomized controlled trials with well-described comparator interventions and measures of expectation are needed to clarify the role of meditation in the depression treatment armamentarium.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383597/