Improve Mental Health with Mindfulness

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Improve Mental Health with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness is recommended as a treatment for people with mental ill-health as well as those who want to improve their mental health and wellbeing.” – Mental Health Foundation

 

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 mental and physical 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. Mindfulness appears to work well in clinical settings. But does it work well when mindfulness is trained in groups in community settings. It makes sense to step back and summarize what has been learned.

 

In today’s Research News article “Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799763/ ) Galante and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled trials of the effectiveness of mindfulness-based programs to improve mental health. They identified 136 trials including a total of 11,605 participants of the effectiveness of community-based group mindfulness programs.

 

They report that in comparison to no treatment controls, mindfulness-based programs produced significant improvements in anxiety, depression, psychological distress, and mental well-being. In comparison to non-therapeutic active controls mindfulness-based programs produced significant improvements in depression, and mental well-being. Finally, mindfulness-based programs did not appear to improve mental health to a greater extent that other therapeutic treatments. They further found that mindfulness-based programs appeared to work best for high-risk participants or those with subclinical levels of mental disorders.

 

There appears to be extensive research findings that suggest that group mindfulness-based programs in non-clinical, community, are as effective in improving mental health as other therapies. In particular they appear to decrease symptoms of anxiety, depression, and psychological distress and increase mental well-being. But, these programs do not appear to further improve mental health in people who already have excellent mental health. This suggests that mindfulness-based community programs should be implemented to improve the mental health of at-risk individuals or those who have metal health issues.

 

So, improve mental health with mindfulness.

 

“simple changes in lifestyle can lead to improved mental health and wellbeing.  Mindfulness is one such practice—with strong research supporting its usefulness for those suffering from anxiety, depression, or even just daily stress.” – U Minnesota

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Galante, J., Friedrich, C., Dawson, A. F., Modrego-Alarcón, M., Gebbing, P., Delgado-Suárez, I., Gupta, R., Dean, L., Dalgleish, T., White, I. R., & Jones, P. B. (2021). Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials. PLoS medicine, 18(1), e1003481. https://doi.org/10.1371/journal.pmed.1003481

 

Abstract

Background

There is an urgent need for mental health promotion in nonclinical settings. Mindfulness–based programmes (MBPs) are being widely implemented to reduce stress, but a comprehensive evidence synthesis is lacking. We reviewed trials to assess whether MBPs promote mental health relative to no intervention or comparator interventions.

Methods and findings

Following a detailed preregistered protocol (PROSPERO CRD42018105213) developed with public and professional stakeholders, 13 databases were searched to August 2020 for randomised controlled trials (RCTs) examining in–person, expert–defined MBPs in nonclinical settings. Two researchers independently selected, extracted, and appraised trials using the Cochrane Risk–of–Bias Tool 2.0. Primary outcomes were psychometrically validated anxiety, depression, psychological distress, and mental well–being questionnaires at 1 to 6 months after programme completion. Multiple testing was performed using p < 0.0125 (Bonferroni) for statistical significance. Secondary outcomes, meta–regression and sensitivity analyses were prespecified. Pairwise random–effects multivariate meta–analyses and prediction intervals (PIs) were calculated.

A total of 11,605 participants in 136 trials were included (29 countries, 77% women, age range 18 to 73 years). Compared with no intervention, in most but not all scenarios MBPs improved average anxiety (8 trials; standardised mean difference (SMD) = −0.56; 95% confidence interval (CI) −0.80 to −0.33; p–value < 0.001; 95% PI −1.19 to 0.06), depression (14 trials; SMD = −0.53; 95% CI −0.72 to −0.34; p–value < 0.001; 95% PI −1.14 to 0.07), distress (27 trials; SMD = −0.45; 95% CI −0.58 to −0.31; p–value < 0.001; 95% PI −1.04 to 0.14), and well–being (9 trials; SMD = 0.33; 95% CI 0.11 to 0.54; p–value = 0.003; 95% PI −0.29 to 0.94). Compared with nonspecific active control conditions, in most but not all scenarios MBPs improved average depression (6 trials; SMD = −0.46; 95% CI −0.81 to −0.10; p–value = 0.012, 95% PI −1.57 to 0.66), with no statistically significant evidence for improving anxiety or distress and no reliable data on well–being. Compared with specific active control conditions, there is no statistically significant evidence of MBPs’ superiority. Only effects on distress remained when higher–risk trials were excluded. USA–based trials reported smaller effects. MBPs targeted at higher–risk populations had larger effects than universal MBPs. The main limitation of this review is that confidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach is moderate to very low, mainly due to inconsistency and high risk of bias in many trials.

Conclusions

Compared with taking no action, MBPs of the included studies promote mental health in nonclinical settings, but given the heterogeneity between studies, the findings do not support generalisation of MBP effects across every setting. MBPs may have specific effects on some common mental health symptoms. Other preventative interventions may be equally effective. Implementation of MBPs in nonclinical settings should be partnered with thorough research to confirm findings and learn which settings are most likely to benefit.

Author summary

Why was this study done?

Mindfulness courses to increase well–being and reduce stress have become very popular; most are in community settings.

Many randomised controlled trials (RCTs) tested whether mindfulness courses show benefit, but results are varied and, to our knowledge, there are no reviews combining the data from these studies to show an overall effect.

What did the researchers do and find?

Worldwide, we identified 136 RCTs on mindfulness training for mental health promotion in community settings. We reviewed them all, assessed their quality, and calculated their combined effects.

We showed that, compared with doing nothing, mindfulness reduces anxiety, depression, and stress, and increases well–being, but we cannot be sure that this will happen in every community setting.

In these RCTs, mindfulness is neither better nor worse than other feel–good practices such as physical exercise, and RCTs in this field tend to be of poor quality, so we cannot be sure that our combined results represent the true effects.

What do these findings mean?

Mindfulness courses in the community need to be implemented with care, because we cannot assume that they work for everyone, everywhere.

We need good quality collaborative research to find out which types of communities benefit from the different types of mindfulness courses available.

The courses that work best may be those aimed at people who are most stressed or in stressful situations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799763/

 

Maintain Weight Loss with Mindfulness

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Maintain Weight Loss with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Just as meditation can help us with stress, sleeping, focus, and much more, it can also have an impact on our relationship with eating and managing our weight.” – Headspace

 

Eating is produced by two categories of signals. Homeostatic signals emerge from the body’s need for nutrients, is associated with feelings of hunger, and usually work to balance intake with expenditure. Non-homeostatic eating, on the other hand, is not tied to nutrient needs or hunger but rather to the environment, to emotional states, and or to the pleasurable and rewarding qualities of food. These cues can be powerful signals to eat even when there is no physical need for food. External eating is non-homeostatic eating in response to the environmental stimuli that surround us, including the sight and smell of food or the sight of food related cause such as the time of day or a fast-food restaurant ad or sign.

 

Mindful eating involves paying attention to eating while it is occurring, including attention to the sight, smell, flavors, and textures of food, to the process of chewing and may help reduce intake. Indeed, high levels of mindfulness are associated with lower levels of obesity and mindfulness training has been shown to reduce binge eating, emotional eating, and external eating. The Mindfulness-Based Stress Reduction (MBSR) program is a mindfulness program including meditation, body scan, yoga, discussion and home practice. So, it makes sense to examine MBSR as a part of a weight loss program.

 

In today’s Research News article “Keeping weight off: Mindfulness-Based Stress Reduction alters amygdala functional connectivity during weight loss maintenance in a randomized control trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799782/ ) Chumachenko and colleagues recruited overweight adults (BMI>25) who had lost at least 5% of their body weight and wished to maintain it off. They were randomly assigned to receive 8, once a week for 1.5 hours, sessions of either a healthy living course or the Mindfulness-Based Stress Reduction (MBSR) program. They were measured before and after training and 6 months later for body size, perceived stress, depression, and eating disinhibition. Before and after training they also had their brains scanned with functional Magnetic Resonance Imaging (fMRI).

 

They found that after Mindfulness-Based Stress Reduction (MBSR) training there was a significant increase in the connectivity between the Amygdala and the ventromedial prefrontal cortex while this was decreased after completing the healthy living course. Over the 6-month follow-up period the MBSR participants did not gain weight while the healthy living course participants gained on average 5.9 pounds.

 

These results are interesting and important. There are many dietary programs that produce weight loss. But almost inevitably the weight is regained subsequently. Mindfulness-Based Stress Reduction (MBSR) training was found here to prevent that weight gain. Hence, MBSR may be an important ingredient in weight loss to help maintain the loss. The results also suggest that MBSR may alter the brain, increasing the functional connectivity in brain circuits that are thought to underlie emotion regulation. This fits with the prior findings that mindfulness training improves emotion regulation. This suggests that MBSR may prevent non-homeostatic, emotional, eating by strengthening emotion regulation and thereby prevent weight regain.

 

So, maintain weight loss with mindfulness.

 

“By itself, mindful eating is not a weight-loss cure, but as part of an approach or tool it can catapult healthy eating and weight loss,” – Josh Klapow

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Chumachenko, S. Y., Cali, R. J., Rosal, M. C., Allison, J. J., Person, S. J., Ziedonis, D., Nephew, B. C., Moore, C. M., Zhang, N., King, J. A., & Fulwiler, C. (2021). Keeping weight off: Mindfulness-Based Stress Reduction alters amygdala functional connectivity during weight loss maintenance in a randomized control trial. PloS one, 16(1), e0244847. https://doi.org/10.1371/journal.pone.0244847

 

Abstract

Obesity is associated with significant comorbidities and financial costs. While behavioral interventions produce clinically meaningful weight loss, weight loss maintenance is challenging. The objective was to improve understanding of the neural and psychological mechanisms modified by mindfulness that may predict clinical outcomes. Individuals who intentionally recently lost weight were randomized to Mindfulness-Based Stress Reduction (MBSR) or a control healthy living course. Anthropometric and psychological factors were measured at baseline, 8 weeks and 6 months. Functional connectivity (FC) analysis was performed at baseline and 8 weeks to examine FC changes between regions of interest selected a priori, and independent components identified by independent component analysis. The association of pre-post FC changes with 6-month weight and psychometric outcomes was then analyzed. Significant group x time interaction was found for FC between the amygdala and ventromedial prefrontal cortex, such that FC increased in the MBSR group and decreased in controls. Non-significant changes in weight were observed at 6 months, where the mindfulness group maintained their weight while the controls showed a weight increase of 3.4% in BMI. Change in FC at 8-weeks between ventromedial prefrontal cortex and several ROIs was associated with change in depression symptoms but not weight at 6 months. This pilot study provides preliminary evidence of neural mechanisms that may be involved in MBSR’s impact on weight loss maintenance that may be useful for designing future clinical trials and mechanistic studies.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799782/

 

Focused Meditation has Superior Effectiveness for Emotional Disorders

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Focused Meditation has Superior Effectiveness for Emotional Disorders

 

By John M. de Castro, Ph.D.

               

“meditation can help you relax and reduce stress. It can also help you disengage from stressful or anxious thoughts, and better control your mood.” – Healthline

 

Meditation training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, meditation training has been called the third wave of therapies. One problem with understanding meditation effects is that there are, a wide variety of meditation techniques and it is not known which work best for affecting different psychological areas.

 

There are a number of different types of meditation. Classically they’ve been characterized on a continuum with the degree and type of attentional focus. In focused attention meditation, the individual practices paying attention to a single meditation object, often the breath. In open monitoring meditation, the individual opens up awareness to everything that’s being experienced including thoughts regardless of its origin.  Mindfulness-Based Cognitive Therapy (MBCT) employs both focused and open monitoring meditation and also Cognitive Behavioral Therapy (CBT). During therapy the patient is trained to investigate and alter aberrant thought patterns. It is important to understand which form of meditation training works best for which conditions.

 

In today’s Research News article “The contributions of focused attention and open monitoring in mindfulness-based cognitive therapy for affective disturbances: A 3-armed randomized dismantling trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7802967/ ) Cullen and colleagues recruited adults with mild-moderate depression and anxiety and randomly assigned them to an 8-week program of one of three meditation types; focused meditation, open monitoring meditation, or their combination as occurs in Mindfulness-Based Cognitive Therapy (MBCT). They were measured before training and weekly over the 8-week program and 12 weeks later for depression, stress, and anxiety.

 

They found that all three meditation programs produced significant improvements in depression, stress, and anxiety at the end of training and 12 weeks later. But Mindfulness-Based Cognitive Therapy (MBCT) and focused meditation produced significantly greater reductions in anxiety at the 12-week follow-up than open monitoring meditation. During training statistically significant improvements in depression, stress, and anxiety occurred first for focused meditation, followed by MBCT, and last by open monitoring meditation.

 

These are interesting results that again demonstrate the efficacy of meditation training in improving depression, stress, and anxiety. They also found that the training in both focused and open monitoring meditation as occurs in Mindfulness-Based Cognitive Therapy (MBCT) did not produce superior results to the individual meditation types. Finally, they show the focused meditation may be superior to open monitoring meditation in relieving depression, stress, and anxiety. The participants who practiced focused meditation improved faster and at follow up had lower levels of anxiety than those who practiced open monitoring meditation.

 

The reason for the differences in the effectiveness of the different meditation types is unknown. But focused meditation may be simpler and easier to learn and practice than open monitoring meditation. Also, open monitoring meditation by having the practitioner open up awareness to everything that’s being experienced may allow for anxiety, stress, and depression to more easily arise during the session. Future research should investigate these possibilities.

 

So, focused meditation has superior effectiveness for emotional disorders.

 

“Within just a week or two of regular meditation, you should see a noticeable change in your mood and stress level. “People will start to feel some inner peace and inner poise, even in the midst of their busy lives,” – Burke Lennihan.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Cullen, B., Eichel, K., Lindahl, J. R., Rahrig, H., Kini, N., Flahive, J., & Britton, W. B. (2021). The contributions of focused attention and open monitoring in mindfulness-based cognitive therapy for affective disturbances: A 3-armed randomized dismantling trial. PloS one, 16(1), e0244838. https://doi.org/10.1371/journal.pone.0244838

 

Abstract

Objective

Mindfulness-based cognitive therapy (MBCT) includes a combination of focused attention (FA) and open monitoring (OM) meditation practices. The aim of this study was to assess both short- and long-term between- and within-group differences in affective disturbance among FA, OM and their combination (MBCT) in the context of a randomized controlled trial.

Method

One hundred and four participants with mild to severe depression and anxiety were randomized into one of three 8-week interventions: MBCT (n = 32), FA (n = 36) and OM (n = 36). Outcome measures included the Inventory of Depressive Symptomatology (IDS), and the Depression Anxiety Stress Scales (DASS). Mixed effects regression models were used to assess differential treatment effects during treatment, post-treatment (8 weeks) and long-term (20 weeks). The Reliable Change Index (RCI) was used to translate statistical findings into clinically meaningful improvements or deteriorations.

Results

All treatments demonstrated medium to large improvements (ds = 0.42–1.65) for almost all outcomes. While all treatments were largely comparable in their effects at post-treatment (week 8), the treatments showed meaningful differences in rapidity of response and pattern of deteriorations. FA showed the fastest rate of improvement and the fewest deteriorations on stress, anxiety and depression during treatment, but a loss of treatment-related gains and lasting deteriorations in depression at week 20. OM showed the slowest rate of improvement and lost treatment-related gains for anxiety, resulting in higher anxiety in OM at week 20 than MBCT (d = 0.40) and FA (d = 0.36), though these differences did not reach statistical significance after correcting for multiple comparisons (p’s = .06). MBCT and OM showed deteriorations in stress, anxiety and depression at multiple timepoints during treatment, with lasting deteriorations in stress and depression. MBCT showed the most favorable pattern for long-term treatment of depression.

Conclusions

FA, OM and MBCT show different patterns of response for different dimensions of affective disturbance.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7802967/

 

Meditation Improves the Ability to Interface the Brain to Computers

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Meditation Improves the Ability to Interface the Brain to Computers

 

By John M. de Castro, Ph.D.

 

“Brain–computer interfaces (BCIs) are promising tools for assisting patients with paralysis, but suffer from long training times and variable user proficiency. Mind–body awareness training (MBAT) can improve BCI learning.” – ScienceDaily

 

It has long been a dream to develop methods to allow the brain to directly alter external devices. The efforts have been focused on developing a brain-computer interface such that recorded electrical activity of the brain is interfaced with a computer allowing control of the computer by the activity. It is hypothesized that a brain computer interface might be able to provide an alternative method to control muscles in patients with severe neuromuscular diseases.

 

Brain-computer interface methods have been developed but suffer from long training times before the participant is capable of affecting the computer activity. Meditation has been shown to alter the activity of the brain. Meditation training may make the individual better at controlling their brain activity. Hence, an interesting research question is to investigate whether meditation practitioners are better able to learn to control a computer with the brain’s electrical activity.

 

In today’s Research News article “Effects of Long-Term Meditation Practices on Sensorimotor Rhythm-Based Brain-Computer Interface Learning.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7858648/ ) Jiang and colleagues recruited 2 groups of healthy adults without brain-computer interface experience; one with at least two years of meditation practice and one without meditation experience. They were all measured for mindfulness. They all participated in 6 weekly, 1-hour, brain-computer interface training. Their brain electrical activity was recorded with an electroencephalogram (EEG) the electrical activity in the motor cortex was connected to a computer which moved a cursor over the screen. The participants were asked to try to move the cursor left or right by imagining opening and closing the left or right hand, to move the cursor up by imagining opening and closing both hands and down by resting.

 

They found that the meditators had significantly better performance throughout training. Improvement occurred at approximately the same rate but the meditators started off at a higher baseline. The recording of alpha rhythm power over the motor cortex increased in both groups over training. In addition, they found that the higher the level of mindfulness before training, the better the performance with the meditators having significantly higher levels of mindfulness.

 

This is an interesting study but it should be kept in mind that the meditators may be different from non-meditators in ways other than the meditation practice. Being better able to control their brain activity may be characteristic of people who choose to meditate, Nevertheless, the results demonstrate that adults can alter the electrical activity in their motor cortex by imagining opening and closing their hands and that they can learn to increase this with feedback from a moving cursor. Meditators appear to have a leg up in learning this task with being better able to control their brain activity right from the beginning. This suggests that meditation practice improves the individual’s ability to alter their brain activity making them capable of learning a brain-computer interface task faster.

 

So, meditation improves the ability to interface the brain to computers.

 

“Brain–computer interfaces (BCIs) are promising tools for assisting patients with paralysis, but suffer from long training times and variable user proficiency. Mind–body awareness training (MBAT) can improve BCI learning.” – James Stieger

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Jiang, X., Lopez, E., Stieger, J. R., Greco, C. M., & He, B. (2021). Effects of Long-Term Meditation Practices on Sensorimotor Rhythm-Based Brain-Computer Interface Learning. Frontiers in neuroscience, 14, 584971. https://doi.org/10.3389/fnins.2020.584971

 

Abstract

Sensorimotor rhythm (SMR)-based brain–computer interfaces (BCIs) provide an alternative pathway for users to perform motor control using motor imagery. Despite the non-invasiveness, ease of use, and low cost, this kind of BCI has limitations due to long training times and BCI inefficiency—that is, the SMR BCI control paradigm may not work well on a subpopulation of users. Meditation is a mental training method to improve mindfulness and awareness and is reported to have positive effects on one’s mental state. Here, we investigated the behavioral and electrophysiological differences between experienced meditators and meditation naïve subjects in one-dimensional (1D) and two-dimensional (2D) cursor control tasks. We found numerical evidence that meditators outperformed control subjects in both tasks (1D and 2D), and there were fewer BCI inefficient subjects in the meditator group. Finally, we also explored the neurophysiological difference between the two groups and showed that the meditators had a higher resting SMR predictor, more stable resting mu rhythm, and a larger control signal contrast than controls during the task.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7858648/

 

Improve Psychological, Physiological, and Epigenetic Markers of Type 2 Diabetes with Mind-Body Practices

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Improve Psychological, Physiological, and Epigenetic Markers of Type 2 Diabetes with Mind-Body Practices

 

By John M. de Castro, Ph.D.

 

“Diabetes, like many other chronic diseases, can also affect the mind. Similarly the mind has great power to influence the body.” – Diabetes UK

 

Diabetes is a major health issue. It is estimated that 30 million people in the United States and nearly 600 million people worldwide have diabetes and the numbers are growing. Type II Diabetes results from a resistance of tissues, especially fat tissues, to the ability of insulin to promote the uptake of glucose from the blood. As a result, blood sugar levels rise producing hyperglycemia. Diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

 

Type 2 diabetes is largely preventable. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world. A leading cause of this is a sedentary life style. Current treatments for Type 2 Diabetes focus on diet, exercise, and weight control. Recently, mindfulness practices have been shown to be helpful in managing diabetes. Mindful movement practices such as Tai Chi and Qigong  and yoga are mindfulness practices that are also gentle exercises. There is accumulating research on the effectiveness of these mind-body practices for the treatment of Type 2 Diabetes. So, it makes sense to examine what has been learned.

 

In today’s Research News article “Changes Induced by Mind-Body Intervention Including Epigenetic Marks and Its Effects on Diabetes.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7865217/ ) Yang and colleagues review and summarize the published research studies of the effects of mind-body practices on the symptoms of Type 2 Diabetes including epigenetic markers.

 

They report that moving meditation practices such as Tai Chi and Qigong  and yoga have been shown to significantly improve blood glucose, HbA1c, postprandial blood glucose, total cholesterol, and both low-density and high-density lipoprotein cholesterol. Mindfulness meditation has been shown to significantly improve HbA1c, diabetes-related distress, depression, and stress. In addition, mind-body interventions produce epigenetic changes reflected in DNA methylation modification. More study is needed but these epigenetic changes may underlie the improvements in Type 2 Diabetes produced by mind-body interventions.

 

Mind-body interventions have been repeatedly demonstrated to significantly reduce depression, anxiety and stress. These psychological states tend to aggravate Type 2 Diabetes. Since mind-mind-body practices reduce depression, anxiety and stress, they produce improvements in the symptoms of diabetes. In addition, mind-body practices produce physiological changes that can improve the symptoms of Type 2 Diabetes. These include activation of the parasympathetic (relaxation) nervous system, lower stress hormone (cortisol) secretion, reduced inflammation, and even reduced age based physiological changes.

 

These are remarkable findings that suggest that mind-body practices are effective in producing psychological and physiological changes that are very beneficial for the relief of the symptoms of Type 2 Diabetes. These benefits are reflected in changes on the epigenetic level that might ultimately be responsible for the benefits. Clearly, mind-body practices should be incorporated into Type 2 Diabetes treatment programs.

 

So, improve psychological, physiological, and epigenetic markers of type 2 diabetes with mind-body practices.

 

“meditation strategies can be useful adjunctive techniques to lifestyle modification and pharmacological management of diabetes and help improve patient wellbeing.” Gagan Priya

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

Yang, H. J., Koh, E., Sung, M. K., & Kang, H. (2021). Changes Induced by Mind-Body Intervention Including Epigenetic Marks and Its Effects on Diabetes. International journal of molecular sciences, 22(3), 1317. https://doi.org/10.3390/ijms22031317

 

Abstract

Studies have evidenced that epigenetic marks associated with type 2 diabetes (T2D) can be inherited from parents or acquired through fetal and early-life events, as well as through lifelong environments or lifestyles, which can increase the risk of diabetes in adulthood. However, epigenetic modifications are reversible, and can be altered through proper intervention, thus mitigating the risk factors of T2D. Mind–body intervention (MBI) refers to interventions like meditation, yoga, and qigong, which deal with both physical and mental well-being. MBI not only induces psychological changes, such as alleviation of depression, anxiety, and stress, but also physiological changes like parasympathetic activation, lower cortisol secretion, reduced inflammation, and aging rate delay, which are all risk factors for T2D. Notably, MBI has been reported to reduce blood glucose in patients with T2D. Herein, based on recent findings, we review the effects of MBI on diabetes and the mechanisms involved, including epigenetic modifications.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7865217/

Improve Caregivers Psychological and Physiological Health with Meditation

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Improve Caregivers Psychological and Physiological Health with Meditation

 

By John M. de Castro, Ph.D.

 

“Feel overwhelmed with the responsibilities of caring for a loved one? One of the most effective ways to avoid burnout is engaging in a mindfulness practice like meditation.” – Audrey Meinertzhagen

 

There is a tremendous demand for caregiving in the US. It is estimated that over 65 million (29% of the adult population) provides care to someone who is ill, disabled or aged, averaging 20 hours per week spent caring for their loved ones. This caregiving comes at a cost exacting a tremendous toll on caregivers’ health and well-being. Caregiving has been associated with increased levels of depression and anxiety as well as higher use of psychoactive medications, poorer self-reported physical health, compromised immune function, and increased mortality. Mindfulness practice for caregivers has been shown to help them cope with the physical and psychological demands of caregiving.

 

In today’s Research News article “Effects of Meditation on Mental Health and Cardiovascular Balance in Caregivers.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828286/ ) Díaz-Rodríguez and colleagues recruited caregivers for dependent family members for at least 2 years. They were assigned to either no treatment or to receive twice weekly, 2-hour, sessions of focused meditation training on the basis of availability for the training sessions. They were measured before and after training for happiness, anxiety, depression, heart rate, heart rate variability, and blood pressure.

 

They found that in comparison to baseline and the control group, the group that received meditation training were significant higher in happiness and heart rate variability and significantly lower in anxiety, heart rate, and blood pressure. Hence meditation training improved the mental health and cardiovascular balance of caregivers.

 

These are excellent results. A higher level of heart rate variability is an indicator of increased parasympathetic and reduced sympathetic nervous system activity. Hence, the relaxation promoting portion of the autonomic nervous system increases while the portion promoting activation and arousal decreases. This is further evidenced by the significant decrease in heart rate and blood pressure. This suggest that a 4-week training in meditation improves caregivers’ psychological and physiological state. The effectiveness of the caregiving was not measured but based upon the improvements observed it would be expected that the quality of caregiving would also be improved. This suggests that meditation training should be recommended for caregivers.

 

So, improve caregivers psychological and physiological health with meditation.

 

“Caregiving is a tough job and the stress can seriously affect your physical and mental health. An effective and simple way to combat that is to meditate.” – Daily Caring

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Díaz-Rodríguez, L., Vargas-Román, K., Sanchez-Garcia, J. C., Rodríguez-Blanque, R., Cañadas-De la Fuente, G. A., & De La Fuente-Solana, E. I. (2021). Effects of Meditation on Mental Health and Cardiovascular Balance in Caregivers. International journal of environmental research and public health, 18(2), 617. https://doi.org/10.3390/ijerph18020617

 

Abstract

Background: Caring for a loved one can be rewarding but is also associated with substantial caregiver burden, developing mental outcomes and affecting happiness. The aim of this study was to determine the effects of a four-week, 16-h presential meditation program on physiological and psychological parameters and vagal nerve activity in high-burden caregivers, as compared to a control group. Methods: A non-randomized repeated-measures controlled clinical trial was conducted. Results: According to the ANCOVA results, the global happiness score (F = 297.42, p < 0.001) and the scores for all subscales were significantly higher in the experimental group than in the control group at 5 weeks. Anxiety levels were also significantly reduced in the experimental group (F = 24.92, p < 0.001), systolic (F = 16.23, p < 0.001) and diastolic blood (F = 34.39, p < 0.001) pressures, and the resting heart rate (F = 17.90, p < 0.05). HRV results revealed significant between-group differences in the HRV Index (F = 8.40, p < 0.05), SDNN (F = 13.59, p < 0.05), and RMSSD (F = 10.72, p < 0.05) in the time domain, and HF (F = 4.82 p < 0.05)) in the frequency domain, which were all improved in the experimental group after the meditation program. Conclusions: Meditation can be a useful therapy to enhance the mental health and autonomic nervous system balance of informal caregivers, improving symptoms of physical and mental overload.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828286/

 

Mindfulness and Exercise Reduce Depression in College Students

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Mindfulness and Exercise Reduce Depression in College Students

 

By John M. de Castro, Ph.D.

 

“Mindfulness is as popular at colleges nationwide. It’s someone giving themselves uninterrupted mental space. . . It’s a time to stop and refocus your purpose. Studies show the practice may be an antidote to the high levels of stress and depression seen on college campuses.” – Susan Donaldson James

 

In the modern world education is a key for success. There a lot of pressure on university students to excel so that they can get the best jobs after graduation. The pressure can actually lead to stress, anxiety, and depression which can impede the student’s mental health, well-being, and school performance.

 

It is, for the most part, beyond the ability of the individual to change the environment to reduce stress, so it is important that methods be found to reduce the college students’ responses to stress; to make them more resilient when high levels of stress occur. Contemplative practices including meditation, mindfulness training, exercise, Tai Chi and Qigong, and yoga practice have been shown to reduce the psychological and physiological responses to stress, relieve anxiety, and reduce depression So, it would seem important to examine various techniques to relieve the stress and its consequent symptoms in college students.

 

In today’s Research News article “Effects of aerobic exercise, traditional Chinese exercises, and meditation on depressive symptoms of college student: A meta-analysis of randomized controlled trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793414/ ) Song and colleagues reviewed, summarized, and performed a meta-analysis of the published randomized controlled trials of the effects of aerobic exercise, meditation, or traditional Chinese exercises on depression, anxiety, and stress in college students. traditional Chinese exercises included tai chi, Baduanjin, qigong, and other mind-body therapies. They identified 44 published trials.

 

They report that the published trials found that aerobic exercise, meditation, and traditional Chinese exercises all improved depression in the college students. On the other hand, only aerobic exercise produced a significant reduction in anxiety levels and only aerobic exercise and traditional Chinese exercises produced significant reductions in stress.

 

The findings regarding depression make sense as all three types of interventions have been found to be effective in relieving depression. But previous studies with diverse groups have found that meditation is effective for anxiety and stress and traditional Chinese exercises are also effective for anxiety. So, it may well be that the review included only college students may be responsible for these failures to find significant effects. In addition, there were no studies included that involved the use of meditation for stress and only 2 for the effects of traditional Chinese exercises on anxiety. Regardless, the results clearly show that all three practices are effective in relieving depression.

 

So, mindfulness and exercise reduce depression in college students.

 

“Although the research on long-term benefits is still scarce, much of it has shown that long-term mindfulness practitioners tend to have improved health outcomes, enhanced psychological well-being and better attentional function.” – Affordable College Onine

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Song, J., Liu, Z. Z., Huang, J., Wu, J. S., & Tao, J. (2021). Effects of aerobic exercise, traditional Chinese exercises, and meditation on depressive symptoms of college student: A meta-analysis of randomized controlled trials. Medicine, 100(1), e23819. https://doi.org/10.1097/MD.0000000000023819

 

Abstract

Background:

Non-pharmacological intervention methods such as rehabilitation training or psychological treatment are mostly used in the treatment of depression owing to the limitation of adverse reactions such as drug treatment. However, the best non-pharmacological treatment strategy for depression in college students is unclear. Therefore, it is significant to discover non-drug intervention methods that can improve the depression symptoms of college students.

Method:

Electronic databases as of Sep 15, 2019, were searched, and reference lists and pharmaceutical dossiers were reviewed to detect published and unpublished studies from the date of their inception to Sep 15, 2019. With document quality evaluations and data extraction, Meta-Analysis was performed using a random effect model to evaluate the intervention effect of the aerobic exercise, traditional Chinese exercises, and meditation.

Results:

A total of 44 original studies were included. The random effect model was used to combine the effect values with Standard Mean Difference (SMD), and the results were: aerobic exercise [SMD = –0.53, 95% CI (–0.77, –0.30), I2 = 80%, P < .001], traditional Chinese exercises [SMD = –0.42, 95% CI (–0.74, –0.10), I2 = 90%, P = .01], meditation [SMD = –0.51, 95% CI (–0.90, –0.12), I2 = 79%, P = .01]. There was greater heterogeneity among the included studies: aerobic exercise (I2 = 80%, P < .001), traditional Chinese medicine methods (I2 = 90%, P < .001), and meditation (I2 = 79%, P < .001).

Conclusions:

This study revealed that the depression symptoms of college students can be effectively improved by aerobic exercise, traditional Chinese exercises, and meditation. Aerobic exercise would have a better effect on anxiety and stress while traditional Chinese exercise would have a better effect on stress. Further research (such as high-quality randomized controlled trials and long-term follow-up) is required to evaluate the effects of aerobic exercise, traditional Chinese exercise, and meditation on the depressive symptoms of college students to further apply complementary and alternative therapies.

Ethics and dissemination:

The results of the effects of aerobic exercise, traditional Chinese exercises, and meditation on depressive symptoms for a college student will be reported in a peer-reviewed publication. Hopefully, our findings from this meta-analysis can provide the most up-to-date evidence for the contribution to preventing the occurrence of depressive symptoms in college students.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793414/

 

Reduce Risky Driving with Mindfulness

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Reduce Risky Driving with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Distraction mitigation techniques like mindfulness are looming as essential to save lives on our roads especially among young drivers who have high rates of addiction to technology, and who overestimate their ability to multitask and underestimate the dangers of driver distraction.” – Kristie Young

 

Driving is one of the riskiest behaviors that we engage in even though we believe it to be safe. Nearly 17,000 people in the U.S. die in automobile accidents each year. Beyond the inherent danger of driving, risk is markedly increased by risky decisions while driving. These include speeding, drunk driving, distracted driving, impulsive or aggressive driving, and emotional driving. Mindfulness may be helpful as mindfulness increases attention and emotion regulation and decreases impulsivity and aggression. But there has been little research on the effectiveness of mindfulness training in reducing risky driving.

 

In today’s Research News article “Repeat Traffic Offenders Improve Their Performance in Risky Driving Situations and Have Fewer Accidents Following a Mindfulness-Based Intervention.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.567278/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1547234_69_Psycho_20210204_arts_A ) Baltruschat and colleagues recruited online adult drivers and obtained self-report records of traffic violations. They identified repeat offenders as drivers who reported multiple instances of risky driving and randomly separated them into a mindfulness and control groups. The mindfulness group met for 3 hours once a week for 5 weeks and received mindfulness training modelled after the Mindfulness-Based Stress Reduction (MBSR) program. All participants were measured before and after training for emotion regulation, cognitive emotion regulation, and risky driving behavior in a driving simulator when confronted with high-risk scenarios.

 

They found that after training the mindfulness trained repeat offenders had significantly better driving performance in the simulator and fewer simulated accidents resulting from high-risk simulation scenarios than either the non-trained repeat offenders or non-repeat offenders. There were no significant differences found in emotion regulation.

 

These are interesting results. But it must be recognized that the driving simulator is an artificial environment and the risk scenarios did not involve real risk. So, it is not clear that the present results predict driving behavior in the real world. There are a number of possible explanations for the improvement in driving behavior produced by mindfulness training. The lack of significant effects on emotion regulation in the present study was surprising but may indicate that improvement in the individual’s ability to work with their emotions is not how mindfulness improves driving. It remains for future research to investigate other possible mechanisms such as impulsivity, aggression, or attentional effects.

 

Regardless, mindfulness training appears to reduce risk taking behavior and may produce better drivers. Such training, incorporated into traditional driver training courses, may reduce accident rates and deaths on the roads. Future research should investigate this possibility.

 

So, reduce risky driving with mindfulness.

 

“individuals who engage in mindfulness are less likely to text and drive; a crucial statistic seeing as the National Safety Council reports that cell phone use while driving kills more than 3,000 people each year.” – SBG-TV

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Baltruschat S, Mas-Cuesta L, Cándido A, Maldonado A, Verdejo-Lucas C, Catena-Verdejo E and Catena A (2021) Repeat Traffic Offenders Improve Their Performance in Risky Driving Situations and Have Fewer Accidents Following a Mindfulness-Based Intervention. Front. Psychol. 11:567278. doi: 10.3389/fpsyg.2020.567278

 

ABSTRACT

Risky decision-making is highly influenced by emotions and can lead to fatal consequences. Attempts to reduce risk-taking include the use of mindfulness-based interventions (MBI), which have shown promising results for both emotion regulation (ER) and risk-taking. However, it is still unclear whether improved emotion regulation is the mechanism responsible for reduced risk-taking. In the present study, we explore the effect of a 5-week MBI on risky driving in a group of repeat traffic offenders by comparing them with non-repeat offenders and repeat offenders without training. We evaluated the driving behavior of the participants through a driving simulation, and self-reported emotion regulation, both before and after the intervention. At baseline, poor emotion regulation was related to a more unstable driving behavior, and speeding. The group that received mindfulness training showed improved performance during risky driving situations and had fewer accidents, although their overall driving behavior remained largely unchanged. The observed trend toward improved emotion regulation was not significant. We discuss whether other effects of MBI – such as self-regulation of attention – could underlie the observed reduction in risky driving in the initial stages. Nonetheless, our findings still confirm the close relationship between emotion regulation skills and risky driving.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.567278/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1547234_69_Psycho_20210204_arts_A

 

Reduce Migraine Symptoms with Yoga or Physical Therapy

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Reduce Migraine Symptoms with Yoga or Physical Therapy

 

By John M. de Castro, Ph.D.

 

“Overall, yoga improved the cardiac autonomic balance. Disturbances in the autonomic nervous system and in the regulation of the circulatory system are associated with migraines. If balance is restored, the likelihood of a migraine is reduced.” – Debra Sullivan

 

Migraine headaches are a torment far beyond the suffering of a common headache. It is an intense throbbing pain usually unilateral, focused on only one side of the head and lasts from 4 hours to 3 days. They are actually a collection of neurological symptoms. Migraines often include: visual disturbances, nausea, vomiting, dizziness, extreme sensitivity to sound, light, touch and smell, and tingling or numbness in the extremities or face. Migraines are the 8th most disabling illness in the world. While most sufferers experience attacks once or twice a month, about 4% have chronic daily headaches. Migraines are very disruptive to the sufferer’s personal and work lives as most people are unable to work or function normally when experiencing a migraine.

 

There is no known cure for migraine headaches. Treatments are targeted at managing the symptoms. Prescription and over-the-counter pain relievers are frequently used. There are a number of drug and drug combinations that appear to reduce the frequency of migraine attacks. These vary in effectiveness but unfortunately can have troubling side effects and some are addictive. Behaviorally, relaxation, exercise, and sleep appear to help lower the frequency of migraines. Mindfulness practices have been shown to reduce stress and improve relaxation. So, they may be useful in preventing migraines. Indeed, it has been shown that mindfulness practice can reduce headache pain. Yoga is both a mindfulness practice and an exercise. It has also been shown to help reduce pain. Hence, it may be effective in treating migraines.

 

In today’s Research News article “Study of Additive Effect of Yoga and Physical Therapies to Standard Pharmacologic Treatment in Migraine.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846311/ ) Mehta and colleagues recruited adult patients diagnosed with migraine headaches and randomly assigned them to either standard care or to receive standard care plus either yoga training or physical therapy. They were trained and then practiced at home daily for 3 months. Before training, at 1 and 2-months during training, and after training they were measured for headache pain and headache frequency and headache impact.

 

They found that all three groups had significant reductions in migraine frequency, severity (pain), and impact on life. Both yoga and physical therapy reduced frequency and impact on life to a significantly greater extent than standard care.

 

These findings suggest that either yoga or physical therapy when added to standard care for migraine headache produces significant additional improvements in the symptoms of migraine headaches. The fact that yoga and physical therapy did not differ in effectiveness suggests that the physical exercise provided by yoga is the reason for yoga’s effectiveness. These findings suggest that yoga practice or physical therapy should be added to the standard care for patients with Migraine headaches.

 

So, reduce migraine symptoms with yoga or physical therapy.

 

“Yoga’s postures, deep breathing and meditation . . . could be very helpful in both treating migraine and fighting the disability associated with migraine.” – American Migraine Foundation

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Mehta, J. N., Parikh, S., Desai, S. D., Solanki, R. C., & G. Pathak, A. (2021). Study of Additive Effect of Yoga and Physical Therapies to Standard Pharmacologic Treatment in Migraine. Journal of Neurosciences in Rural Practice, 12(1), 60–66. https://doi.org/10.1055/s-0040-1718842

 

Abstract

Objective  We aimed to evaluate and compare the effectiveness of physical and yoga therapies as an adjuvant therapy along with standard pharmacologic treatment in patients with migraine.

Materials and Methods  A total of 61 consenting patients diagnosed to have migraine were randomized into three groups to receive either standard treatment alone, physical therapy along with standard treatment, or yoga therapy along with standard treatment. The respective adjuvant intervention was taught to the respective group of patients and they were advised to perform it daily for 3 months with weekly telephonic reminders and review of their activity logs. Outcome measures assessed were headache frequency, Short-Form McGill Pain Questionnaire (SF-MPQ), and Headache Impact Test-6 (HIT-6) at recruitment and once every month for 3 months.

Statistical Analysis  Statistical analysis of the study was done by using Stata 14.1 software. All the descriptive statistics, paired t -test was used to compare the difference between pre and postintervention values of headache frequency, SF-MPQ, and HIT-6 score within all the three groups. Analysis of variance test and post hoc test were used to compare the differences between all groups for outcome measures ( p < 0.05).

Results  Headache frequency and the visual analog scale before intervention compared during each month intervals for 3 months in all the three groups were significantly decreased in all the three groups ( p < 0.005). Yoga or physical therapy as an adjuvant to standard treatment leads to a higher reduction in headache frequency and severity. Sensory and affective pain ratings of SF-MPQ and HIT-6 also showed a significant improvement at 1 to 3 months of treatment compared with baseline in all the three groups.

Conclusion  Either physical or yoga therapy as an adjuvant to standard pharmacologic treatment may further improve the quality of life and reduce headache frequency in patients with migraine.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846311/

 

Further Improve Health Care Professionals’ Mental Health with Supplemental Mindfulness Training

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Further Improve Health Care Professionals’ Mental Health with Supplemental Mindfulness Training

 

By John M. de Castro, Ph.D.

 

“The therapeutic applications of mindfulness are considerable and its impact on clinical practice itself appears to be profound. Indeed, several commentators characterize mindfulness as inciting nothing short of a revolution in the way we conduct our mental lives both within the clinic and without.” – Matias P. Raski

 

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

 

Preventing the negative psychological consequences of stress in healthcare professionals has to be a priority. Contemplative practices have been shown to reduce the psychological and physiological responses to stress and improve well-being. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. Once mindfulness has been established it is not known if additional mindfulness training will produce greater benefits.

 

In today’s Research News article “The Interpersonal Mindfulness Program for Health Care Professionals: a Feasibility Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447696/ ) Bartels-Velthui and colleagues recruited health care professionals who had already received mindfulness training with either Mindfulness-Based Stress Reduction (MBSR) or Mindfulness-Based Cognitive Therapy (MBCT).  The participants in the training group were further treated with an Interpersonal Mindfulness Course. This course was designed for participants who had already received mindfulness training to deepen mindful presence, empathy and compassion with other people. The course met for 9-weekly, 2.5-hour sessions combined with 45 to 60 minutes of daily home practice. All participants were measured before and after training for the feasibility and acceptability of the program, mindfulness, self-compassion, empathy, stress, and quality of life.

 

They found that the program was feasible as all participants completed the program and acceptable as 88% report the program to be highly relevant and would recommend it to others. They found that compared to baseline and the control group the participants who received the additional mindfulness training had significant improvements in self-compassion, empathy and compassion fatigue.

 

These are very interesting findings in that health care professionals who had already received mindfulness training had further increases in self-compassion, empathy and compassion fatigue when provided a program designed to improve mindfulness with other people. It is well known that mindfulness training improves self-compassion, empathy and compassion fatigue. These findings, though, suggests that these improvements can be strengthened with further training. In addition, the improvements were in characteristics that would tend to reduce health care professional burnout. The fact that the program emphasized being mindful of other people suggests that the health care workers would be have more empathy and understanding in treating their patients.

 

So, further improve health care professionals’ mental health with supplemental mindfulness training.

 

“mindfulness can result in decreased burnout and improved well-being. Mindfulness is a useful way of cultivating self-kindness and compassion, including by bringing increased awareness to and acceptance of those things that are beyond our control.” – Kate Fitzpatrick

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Bartels-Velthuis, A. A., van den Brink, E., Koster, F., & Hoenders, H. (2020). The Interpersonal Mindfulness Program for Health Care Professionals: a Feasibility Study. Mindfulness, 1–10. Advance online publication. https://doi.org/10.1007/s12671-020-01477-5

 

Abstract

Objectives

There are a number of mindfulness-based programs (MBPs) that have demonstrated effectiveness for patients and health care professionals. The Interpersonal Mindfulness Program (IMP) is a relatively new MBP, developed to teach those with prior mindfulness training to deepen their mindful presence, empathy and compassion in the interpersonal domain. The aim of the present study was to examine the feasibility of using the IMP with mental health care workers and assessing its effects on levels of mindfulness, self-compassion, empathy, stress and professional quality of life when compared with the control group participants.

Methods

The IMP training consisted of nine weekly 2.5-h sessions and daily home practice (45–60 min). Twenty-five participants (mean age, 51.4 years) with mindfulness experience participated in the training. Twenty-two individuals in the control group (mean age, 47.5 years) were recruited from those who had followed a mindfulness training before. Feasibility of the IMP was assessed in the training participants in six domains. All study participants completed self-report questionnaires before and after the training.

Results

The IMP training was considered highly acceptable and very useful. The training had a significant positive effect on self-compassion, empathy and compassion fatigue, but no effect on mindfulness, stress and compassion satisfaction. Five participants reported some mild adverse reactions.

Conclusions

The IMP training appears feasible for health care professionals and seems to induce some positive effects. A few mild adverse effects were reported. Further research on the effectiveness and possible mechanisms of change of the IMP training in larger samples is needed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447696/