Improve Parenting with Mindfulness

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By John M. de Castro, Ph.D.

 

“It’s as simple as practicing paying full attention to our kids, with openness and compassion, and maybe that’s enough at any moment.” – Mark Bertin

 

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. So, it would seem reasonable to postulate that mindfulness training would improve parenting skills.

 

In today’s Research News article “Integrating Mindfulness with Parent Training: Effects of the Mindfulness-Enhanced Strengthening Families”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1181707418519849/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485922/

Coatsworth and colleagues add mindfulness training to an empirically validated program for enhancing parenting skills called the Strengthening Families Program (SFP). The mindfulness enhancements were listening with full attention, nonjudgmental acceptance of self and child, emotional awareness of self and child, self-regulation in parenting, and compassion for self and child. They compared families of 6th and 7th grade students randomly assigned to receive either the Strengthening Families Program (SFP), the Mindfulness-Enhanced the Strengthening Families Program (MSFP), or a home study control. Training was delivered in 7 weekly, 2-hour, sessions, where the parents and youth meet in separate sessions.

 

They found that the mothers in both the SFP and MSFP groups self-reported significantly improved levels of self-regulation in parenting, better emotional awareness of youth, greater positive affective/interaction quality with their youths, and higher levels of family involvement than the control group. They also reported better monitoring and alcohol rule communication with their youth. The youths reported that their mothers demonstrated significantly improved listening with full attention, better self-regulation in parenting, and greater compassion/acceptance toward their youths. In terms of the fathers, they found greater emotional awareness of youth, more compassion/acceptance for their youths, more compassion/acceptance for themselves as parents, more positive affective/interaction quality, and higher levels of family involvement. Interestingly, adding the mindfulness component increased the impact of the training for the fathers but not the mothers.

 

The findings clearly demonstrate that the Strengthening Families Program improves parenting and that the addition of a mindfulness component improved its effectiveness for fathers. These results suggest that mindfulness training is important in improving parenting particularly for fathers. These results were found for a particularly important and challenging time for parents, the beginning of the transition to adolescence.

 

So, improve parenting with mindfulness.

 

“Mindful Parenting is a contemplative practice through which our connection to our child, and awareness of our child’s presence, helps us become better grounded in the present moment.” – The Mindful Parent

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Shape the Brain to Improve Attention with Meditation

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By John M. de Castro, Ph.D.

 

“Regular meditators activated fewer brain regions than non-meditators in order to achieve the same performance during an attentional task. This is evidence that meditation training can increase brain efficiency in attention and impulse control.” – Elisa Kozasa

 

One of the primary effects of meditation training is an improvement in the ability to pay attention to the task at hand and ignore interfering stimuli. This is an important consequence of meditation training and produces improvements in thinking, reasoning, and creativity. These improvements are known to occur due to the effects of meditation training on the brain. It appears That meditation increases the size, connectivity, and activity of areas of the brain that are involved in paying attention.

 

A common method to study the activity of the nervous system is to measure the electrical signal at the scalp above brain regions. Changes in this activity are measurable with mindfulness training. One method to 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 evoked 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 P3 response in the evoked potential (ERP) occurs around a quarter of a second following the stimulus presentation. It is a positive change that is maximally measured over the central frontal lobe. The P3 response has been associated with the engagement of attention. So, the P3 response is often used as a measure of brain attentional processing with the larger the positive change the greater the attentional focus. The N2 response in the evoked potential (ERP) generally precedes the P3 response. It is a negative change that is maximally measured over the frontal lobe. The N2 response has been associated with the engagement of attention to a new or novel stimulus. So, the N2 response is often used as a measure of brain attentional processing with the large the negative changes an indication of greater discrimination of new stimuli.

 

In today’s Research News article “Event-related potential correlates of mindfulness meditation competence”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1181052878585303/?type=3&theater

Atchley and colleagues measure the P3 and N2 responses in naive, novice (less than 1000 hours of experience), or experienced (more than 5000 hours of experience) meditators in an attempt to measure the effects of amount of meditation practice on brain function. The participants listened to a series of tones. ERPs were measured under two conditions. In the first condition they were asked to push a button whenever and infrequent high-pitched tome occurred. In the second condition they meditated by counting breaths and were asked to ignore the tones.

 

They found that all groups had lower P3 responses in the breath counting condition, but both groups of meditators had greater reductions in the response than the naïve participants. This suggested that meditation training improves the ability to screen out distracting or irrelevant stimuli. Meditators also had a greater reduction in N2 amplitude than the naïve group in the breath counting condition. This suggests that meditation training improves the ability to react less to new stimuli and thereby have an improved ability to ignore new stimuli and not react to novelty.

 

It is interesting that no differences were found between novice and experienced meditators. But, their definition of a novice meditator as having less than 1000 hours of experience may actually have produced a group of fairly experienced meditators as the novice group averaged 2.4 years of meditation experience. Perhaps with a less experienced group, differences with experienced meditators may have been seen.

 

Regardless, the results demonstrate that meditation reshapes the brain to improve the ability to pay attention to the task at hand and ignore irrelevant and/or distracting information. So, shape the brain to improve attention with meditation.

 

“To cultivate attention, it is sufficient to rely on one basic principle: return again and again to what is already there. Our body knows how to sit straight. Our breath knows how to flow naturally. Our mind and our hearts already know how to rest. In this practice, we simply allow them to do that. Whenever there is a disturbance, we return to what is already there.” – Ken McLeod

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Promote Physical and Mental Well-Being with Tai Chi

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By John M. de Castro, Ph.D.

 

“Tai Chi exercise had positive effects on the self-assessed physical and mental health of college students. Scores on the mental health dimension appeared to be particularly sensitive to change. Colleges/universities might consider offering Tai Chi as a component of their ongoing physical activity programs available to students.” – Y. T. Wang

 

Many people have fond memories of their college years. It is likely, however, that they forgot about the stress and angst of those years. The truth is that college is generally very stressful for most students, from the uncertainty of freshman year, to the social stresses of emerging adulthood, to the anxiety of launching into a career after senior year. Evidence for the difficulties of these years can be found in college counseling centers which are swamped with troubled students. In fact, it’s been estimated that half of all college students report significant levels of anxiety and depression.

 

Being able to perform at an optimum level is important in college. It would be very helpful if a

safe and effective way could be found to reduce stress, depression and anxiety in college students. Mindfulness training has been shown to reduce anxiety, stress, and depression . So, mindfulness training would appear to be well suited to deal with the problems of college students. The ancient eastern practice of mindful movement Tai Chi has been shown to reduce stress, depression, and anxiety. Hence, it would make sense to investigate whether Tai Chi practice might be effective for improving college student angst.

 

In today’s Research News article “A systematic review of the health benefits of Tai Chi for students in higher education”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1180406471983277/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733099/

Webster and colleagues review the published literature on the effectiveness of Tai Chi practice in improving college student physical and psychological states. They found that that the preponderance of evidence in the literature reported that Tai Chi practice significantly improved muscular flexibility. But the most interesting effects were in the psychological domain with Tai Chi practice significantly reducing depression, anxiety, symptoms of compulsion, somatization symptoms, hostility, and symptoms of phobia, and improved interpersonal sensitivity.

 

Hence, the published scientific literature suggests that Tai Chi practice can be of significant benefit for college students, improving them physically and improving their psychological well-being. Tai Chi practice is a gentle mindful movement practice. It is safe, having few if any adverse consequences, and effective with college students. This suggests that the engagement in Tai Chi practice should be encouraged in college promoting the physical and mental well-being of the students.

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“Of all the exercises, I should say that T’ai Chi is the best. It can ward off disease, banish worry and tension, bring improved physical health and prolong life. It is a good hobby for your whole life, the older you are, the better. It is suitable for everyone – the weak, the sick, the aged, children, the disabled and blind. It is also an economical exercise. As long as one has three square feet of space, one can take a trip to paradise and stay there to enjoy life for thirty minutes without spending a single cent.” ~T.T. Liang

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Emotions in MS with Mindfulness

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By Dr. John M. de Castro

 

“Mindfulness practice appears to be a safe, drug-free approach to coping with stress and anxiety, which may in turn help reduce your MS symptoms.” – Amit Sood

 

“Multiple sclerosis (MS) is the most widespread disabling neurological condition of young adults around the world. more than 400,000 people in the United States and about 2.5 million people around the world have MS. About 200 new cases are diagnosed each week in the United States. The most common early symptoms of MS are: fatigue vision problems tingling and numbness vertigo and dizziness muscle weakness and spasms problems with balance and coordination.” – Healthline

 

MS is a progressive demyelinating disease which attacks the coating on the neural axons which send messages throughout the body and nervous system. 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. There is a thus a critical need for safe and effective methods to help relieve the symptoms of MS and improve quality of life.

 

Quality of life with MS is affected by fatigue, cognitive decrements, physical impairment, depression, and poor sleep quality. But, the emotional symptoms are the most problematic with clinically significant depression present in 50% of MS sufferers and anxiety in about a third of MS sufferers. Since mindfulness has been previously shown to improve depression, sleep quality, cognitive impairments, and emotion regulation, it would seem likely that mindfulness would affect the quality of life in MS patients.

 

In today’s Research News article “Effect of Mindfulness-Based Stress Reduction on Anxiety, Depression and Stress in Women with Multiple Sclerosis”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1179736912050233/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733502/

Kolahkaj and Zargar compared MS patients who were randomly assigned to receive either Mindfulness Based Stress Reduction (MBSR) or treatment as usual. They were compared prior to the intervention, after and two months later. They found that MBSR produced clinically significant reductions in depression, anxiety, and stress that were maintained two months after the end of active treatment.

 

The size and endurance of the effectiveness of MBSR is striking. But, it should be remembered that the control condition did not receive any active intervention, only receiving treatment as usual. Hence, the effectiveness of MBSR could be due to a number of contaminants including expectancy effects, experimenter bias effects, attention effects, etc. or social effects as MBSR is conducted in groups. It remains for future research to compare MBSR to other active interventions. In addition, Mindfulness Based Stress Reduction (MBSR) involves meditation, body scan, and Hatha yoga. It is a potent combination. But, it leaves the question open as to which of the components is effective against the various symptoms of MS. Once again, future research is needed to begin to separate out effective from ineffective components.

 

MBSR is known to reduce the psychological and physiological responses to stress. Since MS produces considerable stress in the sufferers, reducing the responses to stress may be a very important component of MBSR’s effectiveness for depression and anxiety. Also the yoga component of MBSR may be helpful in helping the MS sufferers to better deal with the effects of MS on motor movements and this may reduce stress, anxiety, and depression. Both meditation and yoga are known to improve emotion regulation, allowing the patient to better experience their emotions, yet respond to them adaptively and positively. This could markedly reduce anxiety, depression, and in turn, stress.

 

Regardless of the mechanism, it is clear that Mindfulness Based Stress Reduction (MBSR) produces marked improvement in the levels of anxiety, depression, and stress of MS patients. So, improve emotions in MS with mindfulness.

 

“I dissolved into a spiral of negative thinking. But since I started to practise mindfulness, I can control my negative thoughts and fears about the future. My stress levels are the lowest they’ve ever been and I’m back at work full-time.

I think mindfulness is even having a physical effect on the progression of the disease – my disability progression continues to be slow, even though I’ve been diagnosed for five years now.” – Gareth Walker

 

CMCS – Center for Mindfulness and Contemplative Studies

 

It’s a Wonderful World

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By John M. de Castro, Ph.D.

 

(What a) Wonderful World – Bob Thiele and George David Weiss

 I see trees of green, red roses, too,
I see them bloom, for me and you
And I think to myself
What a wonderful world.

I see skies of blue, and clouds of white,
The bright blessed day, the dark sacred night
And I think to myself
What a wonderful world.

The colors of the rainbow, so pretty in the sky,
Are also on the faces of people going by.
I see friends shaking hands, sayin’, “How do you do?”
They’re really sayin’, “I love you.”

I hear babies cryin’. I watch them grow.
They’ll learn much more than I’ll ever know
And I think to myself
What a wonderful world

Yes, I think to myself
What a wonderful world

This is such a beautiful song that was sung by Louis Armstrong and has become a standard. It is what I consider a ballad of mindfulness. Its optimism and positive view of the world is exactly what is experienced when we are truly mindful, when we are centered in the present moment, when you take the time and open up to it without judging it.

 

If you look mindfully, carefully, with an open mind at everyday thing like “trees of green” and “red roses, too” you can witness the incredible beauty in a single leaf or the bloom of a flower. They’re a testament to the miracle of nature in which we are immersed. As eloquently stated by Georgia O’Keeffe “Nobody sees a flower – really – it is so small it takes time – we haven’t time – and to see takes time, like to have a friend takes time.” To truly appreciate it you have to mindfully spend some time with it. But, if you do, you will be immensely rewarded. The flower that we so take for granted will suddenly become a thing of incredible beauty and complexity. You will see in this simple thing more than you could ever imagine. It will make you happy just to be alive and think what a wonderful world.

 

If you look up mindfully, carefully, with an open mind at the “skies of blue, and clouds of white” the “colors of the rainbow, so pretty in the sky” you will witness the power and glory of nature right in front of your eyes. If you take the time you will experience its’ ever changing nature with every moment a unique vista that has never happened before and will never happen again. You will see all movement of the air and moisture that our so essential to not only our lives but to every living thing on earth. As Joni Mitchell sung in “Both Sides Now”, Bows and flows of angel hair, And ice cream castles in the air, And feather canyons everywhere, I’ve looked at clouds that way.” The simplest everyday things are a treasure if you invest the time to experience them deeply. It too will make you happy just to be alive and think what a wonderful world.

 

If you look mindfully, carefully, with an open mind at the “the bright blessed day, the dark sacred night,” you can witness the daily cycle that is so fundamental to the planet and so influential to our entire being. Impermanence is on display. Everything about us changes from moment to moment over the day and night. These are called diurnal rhythms that encompass our activity cycles, our hormone levels, our mood, and even our cognitive abilities. Watch them carefully and you’ll see that you are never the same. Each moment, you and your world are different than they’ve ever been before or will ever be again. Treasure each and every moment throughout the day and night as they never will be repeated. The wonder of them too will make you happy just to be alive and think what a wonderful world.

 

If you look mindfully, carefully, with an open mind at “the faces of people going by” you can witness the extraordinary uniqueness of each and every one. Look deep into their being and see the struggles and burdens they bear and send loving kindness wishes their way. Recognize that

beneath the masks, below their insecurities, they are just like you. Recognize that their smile is “really sayin’, “I love you.” Looking deeply in yourself you will also find a sincere love for each and every one of them. Breaking through our judgments, our stereotypes, our assumptions and just seeing them as they are will open up an appreciation and wonder at every human life. The experience of this love that surrounds you and is in you will make you happy just to be alive and think what a wonderful world.

 

If you look mindfully, carefully, with an open mind at “babies cryin” and you “watch them grow” you’ll witness the wonder of a human life developing and thriving. Everyone loves a baby and your heart will glow with love and wonder if you just take the time to witness the good feelings in yourself. Don’t rush as the baby will never ever be the same again. It’s growing and changing moment to moment and you’ll be amazed to watch it acquiring more and more ability as it explores and test its’ world. Let yourself savor the love that the infant sends back to you. Simply allow yourself the time and focus to truly experience it. This too will make you happy just to be alive and think what a wonderful world.

 

The message of the song and this essay is to look carefully and mindfully at everything in your day to day experience. There is so much wonder, beauty, and love that you’ll experience a genuine happiness that comes from within. The simplest most common things are a source of joy if you take the time and open up to let them. It truly is a wonderful world.

 

“The moment one gives close attention to anything, even a blade of grass, it becomes a mysterious, awesome, indescribably magnificent world in itself.” ~ Henry Miller

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Gastrointestinal Disorders with Mindfulness

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By John M. de Castro, Ph.D.

 

 “The functional gastrointestinal disorders (FGIDs) are a group of more than 20 chronic and hard to treat medical conditions of the gastrointestinal tract that constitute a large proportion of the presenting problems seen in clinical gastroenterology.” – Jennifer Wolkin

 

Functional Gastrointestinal Disorders are the most common disorders of the gastrointestinal tract in the general population. The most common disorder in this group is Irritable Bowel Syndrome (IBS). Functional Gastrointestinal Disorders can involve the esophagus, stomach and/or intestines and are disorders of function (how these structures work), not structural or biochemical abnormalities. Estimates vary, but about 25% of people in the United States have one of these disorders. The conditions account for about 40% of GI problems seen by doctors and therapists.

 

The cause(s) of Functional Gastrointestinal Disorders are not known. But, emotion dysregulation is suspected to be involved. It is clear that psychological stress exacerbates the illnesses and anxiety amplifies the symptoms. This suggests that mindfulness or the lack thereof may be involved as mindfulness is known to be helpful in reducing the psychological and physical responses to stress and mindfulness is known to improve emotion regulation. In addition, contemplative practice has been shown to improve the symptoms of Irritable Bowel Syndrome. So, it would make sense to further investigate the relationship of mindfulness to emotion regulation, stress, and Functional Gastrointestinal Disorders.

 

In today’s Research News article “Difficulties in Emotion Regulation and Mindfulness in Psychological and Somatic Symptoms of Functional Gastrointestinal Disorders”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1178359818854609/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733315/

Mazaheri investigated the relationships between gastrointestinal symptoms, emotions, emotion regulation, and mindfulness in patients diagnosed with Functional Gastrointestinal Disorders. They found that the higher the levels of either depression, anxiety, or stress the greater the GI symptoms and that the lower the levels of emotion regulation the greater the symptoms. Significantly, they found that high levels of mindfulness were associated with lower levels of GI symptoms, depression, anxiety, and stress and with higher levels of emotion regulation.

 

The results support the contention that an inability to regulate emotions and stress are an important factor in Functional Gastrointestinal Disorders. In addition, they suggest that mindfulness is not only associated with lower levels of emotion and psychological stress but also with a greater ability to regulate these emotions. It should be noted that the results of this study are strictly observational and correlational and as such no conclusion about causation can be reached. But, the results give strong support to the need to perform a randomized controlled trial where mindfulness is trained and its effects on emotion regulation and Functional Gastrointestinal Disorders are measured.

 

With the caveat that causation hasn’t been established, it can be speculated that mindfulness training may be a safe and effective method for both the prevention and treatment of Functional Gastrointestinal Disorders. Mindfulness’ ability to improve emotion regulation may help the individual to be able to better experience emotions but respond to them in an effective and adaptive manner, lessening their impact. It remains for future research to investigate this exciting possibility.

 

So, improve gastrointestinal disorders with mindfulness.

 

“patients with heightened GI-specific anxiety may benefit from participation in a mindfulness programme as an adjunct to their usual clinical care.” – D. J. Kearney

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Physical and Cognitive Function with Tai Chi

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By John M. de Castro, Ph.D.

 

“Because Tai Chi may impact cognitive function via a diverse and potentially synergistic set of mechanistic pathways, it is plausible that it may offer benefits superior to interventions that target only single pathways (e.g., aerobic training or stress reduction alone)” – Peter Wayne

 

The process of aging affects every aspect of the physical and cognitive domains. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. Impaired balance is a particular problem as it can lead to falls. In the U.S. one third of people over 65 fall each year and 2.5 million are treated in emergency rooms for injuries produced by falls. About 1% of falls result in deaths making it the leading cause of death due to injury among the elderly. It is obviously important to investigate methods to improve balance and decrease the number of fall in the elderly.

 

Perhaps more troubling than the physical decline is the mental deterioration that occurs with aging. This is called age related cognitive decline and includes decreases in memory, attention, and problem solving ability. This occurs to everyone as they age, but to varying degrees. Some deteriorate into a dementia, while others maintain high levels of cognitive capacity into very advanced ages. It is estimated that around 30% of the elderly show significant age related cognitive decline. But, remember that this also means that 70% of the elderly retain reasonable levels of cognitive ability.

 

It is, therefore, important to investigate methods to slow the mental decline during aging. Some promising methods are contemplative practices which have been shown to restrain age related declines. One particularly promising method is the ancient eastern practice of Tai Chi. It is particularly promising due to the fact that it is both a physical and a mental practice. Indeed, tai chi practice has been shown to slow cognitive decline in aging.

 

In today’s Research News article “Effects of Tai Chi and Western Exercise on Physical and Cognitive Functioning in Healthy Community-Dwelling Older Adults”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1177689028921688/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699673/

Taylor-Piliae and colleagues randomly assigned sedentary adults over 60 years of age to either a tai chi practice, a physical exercise program, or attention (healthy aging) training. Training occurred twice a week in 90-minute classes and three times per week in home practices. They measured the physical and mental capabilities of the participants at 6 and 12 months of training. They found that both the tai chi and exercise groups improved in both flexibility and balance in comparison to the control condition. At 6 months the tai chi group was superior with balance while the exercise group was superior in flexibility, but at 12 months the two groups were equivalently superior to the control group in both flexibility and balance. In contrast, only the tai chi group demonstrated improved levels of cognitive function including memory and semantic fluency at both 6 and 12 months.

 

These results suggest that both tai chi and exercise are effective in slowing the physical decline with aging but tai chi has the added benefit of also slowing the cognitive decline. Since tai chi is safe, with no known adverse effects, and a gentle practice it is very appropriate for an aging population. Also, since it can be taught and practiced in groups and easily maintained at home, it is a very inexpensive intervention. This makes it almost ideal for aging individuals on fixed incomes.

 

The results suggest that tai chi practice may be helpful in preventing falls as a result of improvement in balance and flexibility and slow the mental decline with aging. This indicates that tai chi practice should be recommended for elderly individuals to help maintain their physical and mental abilities. So, improve physical and cognitive function with tai chi.

 

“There is growing evidence that Tai Chi can significantly reduce the risk of cognitive impairment and improve cognitive function.” – Exercise Medicine Australia

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Stop Self-Medicating with Opioids with Mindfulness

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By John M. de Castro, Ph.D.

 

 

 “The abuse of and addiction to opioids such as heroin, morphine, and prescription pain relievers is a serious global problem that affects the health, social, and economic welfare of all societies.  It is estimated that between 26.4 million and 36 million people abuse opioids worldwide, with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin.  The consequences of this abuse have been devastating and are on the rise.” – Nora D. Volkow

 

The over prescription of opioid painkillers in the United States has become a major problem. The number of prescriptions for opioids (like hydrocodone and oxycodone products) have increased from around 76 million in 1991 to nearly 207 million in 2013. This creates a major problem because of the strong addictive qualities of opioids. As a result, opioid addiction has become epidemic in the United States. It is estimated that over 2 million Americans abuse or are addicted on opioid painkillers. These addictions have stark economic costs. It is estimated that the abuse of prescription opioids costs around $60 billion a year, with 46% attributable to workplace costs (e.g., lost productivity), 45% to healthcare costs (e.g., abuse treatment), and 9% to criminal justice costs.

 

Opioid abuse, however produces even worse consequences than those created by addiction. It is deadly. It has become so bad that drug overdose is now the leading cause of injury death, causing more deaths than motor vehicle accidents. This is a problem both of illegal drug use but even more so of abuse of legally obtained prescription drugs. Of the over 44,000 drug overdose deaths in the United States 52% were from prescription drugs. It would help if doctors were more judicious in prescribing opioids. But, there will still be a need to assist those who abuse or become addicted.

 

It appears that to some extent opioid abuse occurs from a desire to escape from negative emotions. The abuser then self-medicates with opioids to help them feel better. Hence, it may be helpful to better understand this self-medication to better design treatments for abuse and addiction. Mindfulness training has been shown to be helpful in recovering from addictions. So, it would seem reasonable to investigate the relationship of mindfulness to self-medication. In today’s Research News article “Low Dispositional Mindfulness Predicts Self-Medication of Negative Emotion with Prescription Opioids”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1176972385660019/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310788/

Garland and colleagues examined the characteristics, including mindfulness and self-medication, of opioid abusers who were seeking treatment. Remarkably they found that 95% of the abusers reported using opioids to self-medicate from the negative emotions of anxiety, fear, depression, sadness, anger, or frustration. Importantly, the higher the abuser was in mindfulness the lower the use of opioids for self-medication from negative emotions.

 

These findings suggest that mindfulness may be an antidote for self-medication use of opioids for the relief of negative emotional states. But, we cannot jump to this conclusion as the study was observational and did not manipulate mindfulness. So, mindfulness may lower self-medication, or self-medication may lower mindfulness, or some third factor such as intensity of addiction may be related to both. It will require further research to determine causation.

 

One of the key effects of mindfulness is that it appears to heighten emotion regulation. The individual then experiences the emotions fully, doesn’t suppress them, but is able to respond to them appropriately and adaptively. So, when experiencing negative emotions, a highly mindful person would be able to respond appropriately and not try to escape them with opioids.

 

Regardless of the explanation it is clear that when mindfulness is high, self-medication with opioids is low. So, stop self-medicating with opioids with mindfulness.

 

“We can teach people to use mindfulness to appreciate and enjoy life more, and by doing that, they may feel less of a need for addictive drugs.” – Eric Garland

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Calm Anxiety with Yoga

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“Yoga helps our entire system slow down. Our bodies are programmed to heal naturally, and what stops that healing are all the stressors of daily life. Yoga dissolves those stressors for the time during practice and usually the effects last for hours after.” – Elena Brower

 

Yoga practice is multifaceted. It is a physical exercise that strengthens the body. It is also a spiritual practice which can bring insights and understanding. But, it also a mind practice which can bring profound psychological changes. (see http://contemplative-studies.org/wp/index.php/category/contemplative-practice/yoga-contemplative-practice/). These psychological changes can be positive enhancing the current state. But they can also be beneficial for the treatment of negative states, mental illness.

 

Everyone experiences occasional anxiety and that is normal. But, frequent or very high levels of anxiety can be quite debilitating. These are termed anxiety disorders and they 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 One out of every three absences from work are caused by high levels of anxiety and it is the most common reason for chronic school absenteeism. In addition, people with an anxiety disorder are three-to-five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders than non-sufferers, making it a major burden on the healthcare system.

 

Anxiety disorders 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. They have generally been treated with drugs. It has been estimated that 11% of women in the U.S. are taking anti-anxiety medications. But, there are considerable side effects and these drugs are often abused. Although, psychological therapy can be effective it is costly and not available to large numbers of sufferers. So, there is a need to investigate alternative treatments.

 

Contemplative practices appear to be a viable alternative (see http://contemplative-studies.org/wp/index.php/category/research-news/anxiety/). Indeed, yoga practice has been shown to be a safe and effective method to reduce anxiety (see http://contemplative-studies.org/wp/?s=yoga+anxiety). There are many variations of yoga practice. In order to understand which types of practice and which components are most affective against anxiety, there is a need to compare the effectiveness of different types of yoga practice for the treatment of anxiety disorders.

 

In today’s Research News article “Effect of Integrated Yoga Module on Selected Psychological Variables among Women with Anxiety Problem”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1176415959048995/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655636/

Parthasarathy and colleagues compared 8-weeks, 45 minutes per day, of Yoga practice, Integrated Yoga practice, and no treatment for the treatment of patients with anxiety disorders. The Yoga practice consisted of training in breath control, yoga postures, and relaxation. The Integrated Yoga practice consisted of training in loosening exercises, breath control, yoga postures, and guided meditation (Yoga Nidra). They found that both types of yoga practice reduced anxiety, but the Integrated Yoga practice produced the greatest reduction in anxiety levels. Interesting the reverse was found when measuring reactions to frustration with both yoga practices reducing reactions to frustration but with the Yoga practice superior to the Integrated Yoga practice.

 

These findings support the prior findings that yoga practice is a safe and effective method to treat anxiety disorders. In addition, they extend previous findings by showing that yoga practice can also improve the individual’s reaction to frustration. Since frustration often leads to emotionality, this yoga produced reduction in reactivity to frustration may be one of the mechanisms by which yoga is effective for emotional issues including anxiety.

 

It appears from the results that the addition of guided meditation (Yoga Nidra) practice to the yoga practice may add additional anxiety reduction to that produced by the yoga practice alone. It has been shown previously that yoga practice reduces anxiety. It has also been shown that meditation reduces anxiety levels (see http://contemplative-studies.org/wp/?s=meditation+anxiety). The current results suggest that the effects of yoga and meditation may be additive. By combining the two a significantly better treatment for anxiety is produced.

 

So, calm anxiety with yoga.

 

“Continual focus and obsession with thoughts of fear and worry will only create additional levels of anxiety. Yoga and meditation allow us to have control over our thoughts through mental detachment and the ability to focus the mind on the present experience.” – Timothy Burgin

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

Think More Critically with Mindfulness

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“Mindfulness slows things down so we can be more deliberate in our critical thinking process.” – Lalith Gunaratne

 

“Critical thinking is the objective analysis and evaluation of an issue in order to form a judgment.”

 

Currently, there is a major deficit in critical thinking skills being taught in schools.  Only around 5% of U.S. high school seniors demonstrated the ability to not only comprehend text, but also to analyze and evaluate it. This underscores the need to find ways to improve critical thinking.

Mindfulness, the ability to pay attention in the present moment without judgment, affects our thought processes in mostly positive ways. It has been shown to improve the ability to control our thinking, termed executive function and the extremely important ability to think critically (see http://contemplative-studies.org/wp/index.php/category/research-news/cognition/). Because of this, mindfulness training is being applied in schools to help facilitate learning (see http://contemplative-studies.org/wp/index.php/category/research-news/school/).

 

Because it is such a critical consequence of mindfulness, it is important to further investigate the effects of mindfulness on critical thinking. In today’s Research News article “Does Mindfulness Enhance Critical Thinking? Evidence for the Mediating Effects of Executive Functioning in the Relationship between Mindfulness and Critical Thinking”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1175808369109754/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717844/

Noone and colleagues study the relationship between mindfulness and executive function to explore whether mindfulness may produce its effects on critical thinking as a result of its effects on executive function. They measured mindfulness, critical thinking, and executive function in college students.

 

They found that the levels of mindfulness of the students were not directly related to critical thinking performance. On the other hand, they found strong relationships between executive function components and critical thinking. In particular, the updating component of executive function was strongly related to critical thinking and the Inhibition component was moderately related. Updating involves the active revision and monitoring of thinking and the continuous updating of working memory. In other words, critical thinking requires the ability to constantly revise thought processes as ideas are analyzed. Inhibition involves the suppression of intrusive thoughts or responses in order to keep attention on the problem at hand. In other words, critical thinking requires the ability to control the interference from irrelevant thinking and thereby concentrating on the problem. Interestingly, mindfulness appeared to have a small relationship with critical thinking. The observing component of mindfulness was positively related to the inhibition component of executive function which is directly facilitative of critical thinking.

 

At least in the current analysis, mindfulness appears to be indirectly and only mildly related to critical thinking through its observing facet. It appears to do so by improving attention which screens out thoughts that are not pertinent to working on the problem. It allows for better focus and therefore better critical thinking.

 

So, think more critically with mindfulness.

 

“Mindfulness practice is the kale to my high-stimulus lifestyle, but man cannot live by kale alone. I’m balancing my diet with the whole three course meal. Mindfulness, Mind Yoga and Introspective Intelligence are all practices to have on our plates.” – Jeremy Sherman

 

CMCS – Center for Mindfulness and Contemplative Studies