Improve Adolescent Psychological Health with Mindfulness

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Improve Adolescent Psychological Health with Mindfulness

 

By John M. de Castro, Ph.D.

 

“It may be that mindfulness leads to an increase in self-compassion and a decrease in experiential avoidance. It may be selective attention — if you focus on your breath, you have less bandwidth to ruminate. There are a lot of factors that are operative and we’re just beginning to tease out and deconstruct them. It’s like tasting a soup with 10 spices. Is there one main ingredient or is the flavor a combination of things?” – Stuart Eisendrath

 

Adolescence is a time of mental, physical, social, and emotional growth. It is during this time that higher levels of thinking, sometimes called executive function, develops. But adolescence can be a difficult time, fraught with challenges. During this time the child transitions to young adulthood; including the development of intellectual, psychological, physical, and social abilities and characteristics. There are so many changes occurring during this time that the child can feel overwhelmed and unable to cope with all that is required.

 

Indeed, up to a quarter of adolescents suffer from depression or anxiety disorders, and an even larger proportion struggle with subclinical symptoms. Mindfulness training in adults has been shown to reduce anxiety and depression levels and improve emotional regulation. In addition, in adolescents it has been shown to improve emotion regulation and to benefit the psychological and emotional health.

 

In today’s Research News article “Effects Of Modified Mindfulness-Based Stress Reduction (MBSR) On The Psychological Health Of Adolescents With Subthreshold Depression: A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758632/), Zhang and colleagues recruited university students (aged 18-22 years) who scored high in depression but were not at clinically diagnosable levels. They were randomly assigned to receive either an 8-week Mindfulness-Based Stress Reduction (MBSR) program or to a no-treatment control condition. They were measured before and after training for depression, mindfulness, and rumination.

 

The MBSR program consists of 8 weekly 1-hour group sessions involving meditation, yoga, body scan, and discussion. The participants are also encouraged to perform daily practice. The program was modified to be better targeted at adolescents. It instructed the adolescents on the application of mindfulness practices to everyday life, including experiencing the pleasant/sad moments in life, walking, sleeping, eating, breathing and exercising to keep the attitude of “mindfulness”.

 

They found that in comparison to baseline and the no-treatment control condition the Mindfulness-Based Stress Reduction (MBSR) program produced large and significant decreases in depression and rumination and increases in mindfulness. Hence, the study demonstrated that a Mindfulness-Based Stress Reduction (MBSR) modified for adolescents is a safe and effective treatment to improve the psychological health of adolescents who had subclinical levels of depression.

 

It should be mentioned that the control condition did not include any activities and thus leaves open the possibilities of confounding by experimenter or participant bias or placebo effects. Also, the lack of a standard MBSR program for comparison to the modified program does not allow for a conclusion that the modifications produced an improved program. Nevertheless the results are encouraging that the modified MBSR program may be useful in relieving the suffering of the large numbers of adolescents with sub-clinical depression.

 

So, improve adolescent psychological health with mindfulness.

 

“It is well-documented that mindfulness helps to relieve depression and anxiety in adults.1-4 A small but growing body of research shows that it may also improve adolescent resilience to stress through improved cognitive performance and emotional regulation.” – Malka Main

 

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

 

Zhang, J. Y., Ji, X. Z., Meng, L. N., & Cai, Y. J. (2019). Effects Of Modified Mindfulness-Based Stress Reduction (MBSR) On The Psychological Health Of Adolescents With Subthreshold Depression: A Randomized Controlled Trial. Neuropsychiatric disease and treatment, 15, 2695–2704. doi:10.2147/NDT.S216401

 

Abstract

Background

Sub-threshold depression (SD) has been associated with impairments in adolescent health which increase the rate of major depression. Researchers have shown the effectiveness of mindfulness on mental health, however whether the traditional mindful skills were suitable for youngsters, it was not clear. This study investigated the effects of a tailed Mindfulness-based stress reduction (MBSR) on their psychological state.

Methods

A double-blind, randomized controlled trial was carried out. 56 participants who met the inclusion criteria agreed to be arranged randomly to either the MBSR group (n=28) or the control group (n=28). Participants in MBSR group received a tailored 8-week, one time per week, one hour each time group intervention. The effectiveness of intervention was measured using validated scales, which including BDI-II, MAAS, RRS at three times (T1-before intervention; T2-after intervention; T3-three months after intervention). A repeated-measures analysis of variance model was used to analyze the data.

Results

The results showed significant improvements in MBSR group comparing with control group that depression level decreased after the 8-week intervention and the follow up (F =17.721, p < 0.00). At the same time, RRS score was significantly decreased at T2 and T3(F= 28.277, p < 0.00). The results also showed that MBSR promoted the level of mindfulness and the effect persisted for three months after intervention (F=13.489, p < 0.00).

Conclusion

A tailored MBSR intervention has positive effects on psychology health among SD youngsters, including decrease depression and rumination level, cultivate mindfulness.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758632/

 

Mindfulness and Sense of Control are Independently Associated with Emotions

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Mindfulness and Sense of Control are Independently Associated with Emotions

 

By John M. de Castro, Ph.D.

 

“the truth is that meditation does not eradicate mental and emotional turmoil. Rather, it cultivates the space and gentleness that allow us intimacy with our experiences so that we can relate quite differently to our cascade of emotions and thoughts. That different relationship is where freedom lies.” – Sharon Salzburg

 

Mindfulness practice has been shown to improve emotions and their regulation. Practitioners demonstrate more positive and less negative emotions and the ability to fully sense and experience emotions, while responding to them in appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. The ability of mindfulness training to improve emotion regulation is thought to be the basis for a wide variety of benefits that mindfulness provides to mental health and the treatment of mental illness especially depression and anxiety disorders.

 

This may indicate that mindfulness training improves the sense of control over our inner life.

In today’s Research News article “The Associations Between Dispositional Mindfulness, Sense of Control, and Affect in a National Sample of Adults.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6093486/), Imel and colleagues examine the relationship of sense of control with mindfulness’ ability to improve emotions. They recruited a large sample of adults (from 28 to 84 years of age) and had them complete measures of mindfulness, sense of control, positive and negative emotions, religiousness and spirituality, neuroticism, openness to experience, and extraversion.

 

Employing a moderation analysis, they demonstrated that the sense of control was strongly positively associated with positive emotions and negatively associated with negative emotions. In addition, mindfulness was also associated with positive and negative emotions. But mindfulness was not associated with sense of control. These results are interesting and suggest that mindfulness did not affect emotions by altering the individuals’ sense that they were in control of themselves. Rather, it would appear that mindfulness and sense of control are independently associated with emotions.

 

Thus, mindfulness and sense of control are independently associated with emotions.

 

“The key to overcoming these difficult emotions is mindfulness! Practicing mindfulness enables you to calm down and soothe yourself. In this state, you have space to reflect and thoughtfully respond, rather than react.” – Toni Parker

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available at the Contemplative Studies Blog http://contemplative-studies.org/wp/

They are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Imel, J. L., & Dautovich, N. D. (2018). The Associations Between Dispositional Mindfulness, Sense of Control, and Affect in a National Sample of Adults. The journals of gerontology. Series B, Psychological sciences and social sciences, 73(6), 996–1005. doi:10.1093/geronb/gbw092

 

Abstract

Objectives

The present study examined factors associated with better affective experiences across the life span, extending existing research to older adults. Specifically, we investigated dispositional mindfulness and sense of control as predictors of affect and sense of control as a potential mediator of the mindfulness—affect associations.

Method

We hypothesized that dispositional mindfulness mediated by sense of control would predict affective outcomes. An archival analysis of a sample of 4,962 adults, aged 28 to 84 years, was conducted using the Midlife in the U.S. national survey (MIDUS-II). Exploratory analyses were conducted with age as a moderator in all associations.

Results

Greater dispositional mindfulness predicted more positive and negative affect irrespective of age. Dispositional mindfulness did not predict sense of control. Greater sense of control predicted more positive and less negative affect, and these associations were significantly moderated by age. Sense of control did not mediate the dispositional mindfulness—affect associations.

Discussion

The present study extends existing research on the dispositional mindfulness—positive affect association to older ages. The sense of control and positive and negative affect associations are enhanced and buffered, respectively, at older ages, indicating that the association between control and affect differs by age.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6093486/

 

Mindfulness Training is Effective with Widely Diverse Populations

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Mindfulness Training is Effective with Widely Diverse Populations

 

By John M. de Castro, Ph.D.

 

“In the last two decades, references to mindfulness-based treatments have proliferated. Its benefits are touted for many medical conditions and seem to be universally accepted as a technique to improve mental health across diverse populations.” – Sara Davin

 

Disadvantaged populations have a disproportionate share of mental health issues. Indeed, the lower the socioeconomic status of an individual the greater the likelihood of a mental disorder. It is estimated that major mental illnesses are almost 3 times more likely in the disadvantaged, including almost double the incidence of depression, triple the incidence of anxiety disorders, alcohol abuse, and eating disorders. These higher incidences of mental health issues occur, in part, due to mental health problems leading to unemployment and poverty, but also to the stresses of life in poverty.

 

Most psychotherapies were developed to treat disorders in affluent western populations and are not affordable or sensitive to the unique situations and education levels of the diverse populations. Hence, there is a great need for alternative treatments for diverse populations. One increasingly popular alternative is mindfulness practices. These include meditation, tai chi, qigong, yoga, guided imagery, prayer, etc. The research on the effectiveness of mindfulness practices with diverse populations is accumulating, so it makes sense to stop and summarize what has been learned.

 

In today’s Research News article “Addressing Diversity In Mindfulness Research On Health: A Narrative Review Using The Addressing Framework.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746558/),Chin and colleagues review and summarize the published research studies on the effectiveness of mindfulness practice for various populations.

 

They report that the published studies found that mindfulness practice was beneficial regardless of age, being effective in children, adolescents, adults, and the elderly, regardless of ethnicity, including black, Hispanic, native American, and Asian populations, and regardless of sexual orientation, including lesbian, gay, bisexual, and transgender participants. Mindfulness training was also found to improve the well-being of patients with acquired disabilities including Alzheimer’s disease, diabetic peripheral neuropathy, traumatic brain injury, and multiple sclerosis. Mindfulness appears to be effective regardless of socioeconomic status, being beneficial in both affluent and poor participants and regardless of nationality, being beneficial for European Americans, Taiwanese, South Africans, British and Swedes. Finally, there’s only a small number of studies that compare the effectiveness of mindfulness practice for males versus females. In general, mindfulness practice appears to be beneficial for both genders, but possibly more beneficial for women than men.

 

These findings are quite striking and suggest that mindfulness training is beneficial for a wide variety of people with a wide variety of conditions. It is no wonder that mindfulness practice appears to be spreading rapidly, with meditation practice increasing from 4% to 14% of the US population over the last 5 years.

 

Hus, mindfulness training is effective with widely diverse populations.

 

“The application of mindfulness to diversity and inclusion is about opening and appreciating rather than rejecting difference.” – Joshua Ehrlich

 

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

 

Chin, G., Anyanso, V., & Greeson, J. (2019). Addressing Diversity In Mindfulness Research On Health: A Narrative Review Using The Addressing Framework. Cooper Rowan medical journal, 1(1), 2.

 

INTRODUCTION

Over the past 5 years, the number of Americans practicing meditation has more than tripled, rising from 4% of adults in 2010 to 14% in 2017.1 This rise is likely related to the increasing focus on preventive and integrative approaches to healthcare in the United States, such as meditation, which is often used to reduce stress, anxiety, depression, and pain in conjunction with improving health and well-being.2 While many different meditative practices exist, mindfulness meditation emphasizes nonjudgmental awareness of the present moment. Although substantial research supports mindfulness-related improvements in patient-reported mental and physical health,3 the replication crisis in social science and medicine, alongside numerous methodological concerns about extant mindfulness studies,4 invites questions regarding the generalizability of research on the reported health-promoting effects of mindfulness meditation and mindfulness as an innate, dispositional quality (trait mindfulness). Moreover, as much of mindfulness research over-samples middle-to-upper class, Caucasian, women,5 the extent to which results generalize to a broader, more diverse population is unclear. One possible reason for this overrepresentation could be that this population has the time and/or finances to participate in mindfulness-based interventions (MBIs) from which researchers draw samples.

In 2001, Dr. Pamela Hays published Addressing Cultural Complexities in Practice,6 introducing the ADDRESSING framework as a guide to help clinicians better identify and understand the relevant cultural identities of their clients. According to Dr. Hays, the facets of identity include: Age, Developmental and acquired Disabilities, Religion, Ethnicity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, and Gender. This framework allows room for intersectionality between identity facets and does not inherently exclude non-minority individuals. As such, the ADDRESSING framework, with its attention to multiple aspects of identity, provides an effective structure for organizing research published on different populations and identifying 1) which populations are represented and underrepresented in various categories and 2) what is known about underrepresented groups in research. The main purpose of this review, therefore, was to use the ADDRESSING framework to highlight mindfulness research conducted on historically underrepresented groups as both a method to summarize what has been done and to point out gaps for future research.

Overall, mindfulness can reduce stress and improve mental health in diverse populations. Given the unique stressors and mental health disparities individuals in diverse groups experience, mindfulness-related changes in mental health likely support improvements in health-related behavior, QoL and well-being.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746558/

 

Improve Mindfulness Training with Natural Settings

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Improve Mindfulness Training with Natural Settings

 

By John M. de Castro, Ph.D.

 

“Our deepest origins lie in the natural world and time in the great outdoors can be calming, invigorating, beautiful… and lots of fun! Mindfulness is paying attention without judgement to the present moment and it’s the perfect way to enhance our connection with nature.”- Claire Thompson

 

Modern living is stressful, perhaps, in part because it has divorced us from the natural world that our species was immersed in throughout its evolutionary history. Modern environments may be damaging to our health and well-being simply because the species did not evolve to cope with them. This suggests that returning to nature, at least occasionally, may be beneficial. Indeed, researchers are beginning to study nature walks or what the Japanese call “Forest Bathing” and their effects on our mental and physical health.

 

Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress and improve mood. People have long reported that walking in nature elevates their mood. It appears intuitively obvious that if mindfulness training occurred in a beautiful natural place, it would greatly improve the effectiveness of mindfulness practice. Pictures in the media of meditation almost always show a practitioner meditating in a beautiful natural setting. But there is little systematic research regarding the effects of mindfulness training in nature. It’s possible that the combination might magnify the individual benefits of each.

 

In today’s Research News article “A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747393/), Diernis and colleagues review and summarize the published research studies of the effects of combining mindfulness training with natural environments. They found 26 published studies.

 

They report that the published research studies found that mindfulness practice in nature produced greater improvements in psychological, social, and physical well-being with moderate to small effect sizes. These effects were present regardless of whether the study employed a no-treatment or active control condition. In addition, natural environments that were wild and/or forested tended to produce greater effects than natural environments that were garden or park environments.

 

The meta-analysis suggests that mindfulness training in the natural environment, especially in wild environments, produces greater benefits than similar training in non-natural settings. It is not clear why this would be true. Perhaps, removing the individual from the environments that their accustomed to, potentiates mindfulness training. Or perhaps, returning the individual to the type of environments that reflect their evolutionary history, reduces stress and produces greater relaxation and improved attention. Regardless, it’s clear that practicing mindfulness in nature is very beneficial.

 

So, improve mindfulness training with natural settings.

 

“During my first mindfulness-in-nature retreat, when my hand touched the sun-warmed ground, I felt a connection to the Earth I didn’t know was possible. It was as if the energy of the Earth connected with my own. There was no separation. It was grounding, warm, and it felt like home.” – Sara Overton

 

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

 

Djernis, D., Lerstrup, I., Poulsen, D., Stigsdotter, U., Dahlgaard, J., & O’Toole, M. (2019). A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting. International journal of environmental research and public health, 16(17), 3202. doi:10.3390/ijerph16173202

 

Abstract

Research has proven that both mindfulness training and exposure to nature have positive health effects. The purpose of this study was to systematically review quantitative studies of mindfulness interventions conducted in nature (nature-based mindfulness), and to analyze the effects through meta-analyses. Electronic searches revealed a total of 25 studies to be included, examining 2990 participants. Three analyses were conducted: Nature-based mindfulness interventions evaluated as open trials (k = 13), nature-based mindfulness compared with groups in non-active control conditions (k = 5), and nature-based mindfulness compared with similar interventions but without contact with nature (k = 7). The overall combined psychological, physiological, and interpersonal effects from pre- to post-intervention were statistically significant and of medium size (g = 0.54, p < 0.001). Moderation analyses showed that natural environments characterized as forests/wild nature obtained larger numerical effects than environments characterized as gardens/parks, as did informal mindfulness compared with formal mindfulness. The small number of studies included, as well as the heterogeneity and generally low quality of the studies, must be taken into consideration when the results are interpreted

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747393/

 

Improve the Physical Fitness of Children and Adolescents with Intellectual Disorders with Tai Chi

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Improve the Physical Fitness of Children and Adolescents with Intellectual Disorders with Tai Chi

 

By John M. de Castro, Ph.D.

 

“giving a child beginner skills can be life changing. Qi Gong has the power to bring one physical ease, mental clarity, emotional stability and spiritual awareness. That is worthwhile at any age.” – Donna Henderson

 

Intellectual disabilities involve below average intelligence and relatively slow learning. They are quite common, affecting an estimated 10% of individuals worldwide. These disabilities present problems for the children in learning mathematics, reading and writing. These difficulties, in turn, affect performance in other academic disciplines. The presence of intellectual disabilities can have serious consequences for the psychological well-being of the children, including their self-esteem and social skills. In addition, anxiety, depression, and conduct disorders often accompany learning disabilities. Not as well known is that children with intellectual disabilities also have motor problems.

 

Mindfulness training has been shown to improve attention, memory, and learning and increase success in school. Exercise has been shown to improve psychomotor performance in children with intellectual disabilities.  Tai Chi practice is both an exercise and a mindfulness practice. It has been found to be effective for an array of physical and psychological issues. So, it makes sense to examine Tai Chi practice for children and adolescents with intellectual disabilities.

 

In today’s Research News article “Tai Chi as an Alternative Exercise to Improve Physical Fitness for Children and Adolescents with Intellectual Disability.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479776/), Kong and colleagues recruited children and adolescents (aged 10-18 years) who had an intellectual disability (IQ < 70). They were randomly assigned to either no treatment, or to 12 weeks of twice a week 1 hour of either aerobic dance exercise, or Tai Chi training. They were measured before and after training for body size, body fat, flexibility, balance, coordination in upper and lower extremities, muscular strength (grip strength), leg power, muscular endurance, and cardiorespiratory fitness.

 

They found that the aerobic dance was more strenuous (heart rate mean of 105 beats per minute) than Tai Chi practice (heart rate mean of 97 beats per minute). Compared to baseline the aerobic dance group had significant increases in body mass index, sit-ups, and 6-min walk test. The Tai Chi group had significant increases in vertical jump, lower-limb coordination, and upper-limb coordination, and balance.

 

These results demonstrate that exercise is beneficial for children and adolescents with intellectual disabilities helping them overcome some of their motor problems. Aerobic dance and Tai Chi practice are both beneficial, but have different physical benefits. Aerobic dance appears to increase body size and fitness while Tai Chi practice appears to improve leg strength and limb coordination as well as balance. It would probably make sense in the future to combine the two exercises into a single program to produce maximum benefits. These programs may be very helpful for the children and adolescents in correcting motor problems. It was not tested but this could improve their self-esteem.

 

So, improve the physical fitness of children and adolescents with intellectual disabilities with Tai Chi.

 

“Kids with special needs benefit from Tai Chi.  Because Tai Chi works on the inside of the body it helps to relieve the sense of inner turmoil and confusion that gets us off balance.  It can alleviate stomachaches, nervousness, fear, anger and frustration.  It helps improve focus, concentration and self-control.” – Cari Shurman

 

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

 

Kong, Z., Sze, T. M., Yu, J. J., Loprinzi, P. D., Xiao, T., Yeung, A. S., … Zou, L. (2019). Tai Chi as an Alternative Exercise to Improve Physical Fitness for Children and Adolescents with Intellectual Disability. International journal of environmental research and public health, 16(7), 1152. doi:10.3390/ijerph16071152

 

Abstract

Objective: The purpose of this study was to investigate the effects of Tai Chi (TC) on anthropometric parameters and physical fitness among children and adolescents with intellectual disabilities (ID). Methods: Sixty-six Chinese individuals engaged in sport-related extracurricular activities (TC and aerobic exercise (AE)) as exercise interventions or arts/crafts activities as a control condition (CON). The experimental protocol consisted of a baseline assessment, a 12-week intervention period, and a post-intervention assessment. Results: Significant interaction effect was only observed in the performance of a 6-min walk test. After 12 weeks of intervention, the AE group had significant changes in body mass index (p = 0.006, d = 0.11), sit-ups (p = 0.030 and d = 0.57), and 6-min walk test (p = 0.005, d = 0.89). Significant increases in vertical jump (p = 0.048, d = 0.41), lower-limb coordination (p = 0.008, d = 0.53), and upper-limb coordination (p = 0.048, d = 0.36) were observed in the TC group. Furthermore, the TC group demonstrated significantly greater improvements on balance compared to the control group (p = 0.011). Conclusions: TC may improve leg power and coordination of both lower and upper limbs, while AE may be beneficial for body mass index, sit-ups and cardiorespiratory fitness.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479776/

 

Improve Chronic Low Back Pain in Low Income Patients with Yoga

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Improve Chronic Low Back Pain in Low Income Patients with Yoga

 

By John M. de Castro, Ph.D.

 

“Yoga’s focus on balance and steadiness encourages your body to develop defenses against the causes of back pain, which include weak abdominal and pelvic muscles, as well lack of flexibility in the hips. When you strengthen these muscles, you improve your posture, which reduces the load on your back, and thus reduces the aches you feel. In addition, stretching can increase flexibility by increasing blood flow to tight muscles.” – Annie Hauser

 

Low Back Pain is the leading cause of disability worldwide and affects between 6% to 15% of the population. It is estimated, however, that 80% of the population will experience back pain sometime during their lives. There are varied treatments for low back pain including chiropractic care, acupuncture, biofeedback, physical therapy, cognitive behavioral therapy, massage, surgery, opiate pain killing drugs, steroid injections, and muscle relaxant drugs. These therapies are sometimes effective particularly for acute back pain. But, for chronic conditions the treatments are less effective and often require continuing treatment for years and opiate pain killers are dangerous and can lead to abuse, addiction, and fatal overdoses.

 

Obviously, there is a need for safe and effective treatments for low back pain that are low cost and don’t have troublesome side effects. Mindfulness practices are effective in treating pain and have been shown to be safe and effective in the management of low back pain. Yoga practice has been shown to have a myriad of health benefits. These include relief of chronic pain. Yoga practice has also been shown to be effective for the relief of chronic low-back pain.  Many forms of yoga focus on the proper alignment of the spine, which could directly address the source of back and neck pain for many individuals. The majority of the research, though, has focused on relatively affluent populations. There is a need to study the effectiveness of yoga practice for low back pain in low-income populations.

 

In today’s Research News article “Physical and Physiological Effects of Yoga for an Underserved Population with Chronic Low Back Pain.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746048/), Colgrove and colleagues recruited adult low-income minority group members who had chronic low back pain and assigned them to a wait-list control condition or to receive yoga training twice a week for 60 minutes for 12 weeks. They were measured before and after training for pain, disability, muscle strength, and flexibility. Blood was drawn and the inflammatory marker TNF-α was measured. Finally, they underwent Magnetic Resonance Imaging (MRI) of their brains.

 

They found that in comparison to baseline and the wait-list control group, the yoga group had significantly lower levels of pain, improved abdominal strength, and improved spinal and hip flexibility. Although trends were present there were too few participants to detect significant changes in TNF-α levels or in the brain scans.

 

This was a pilot study assessing feasibility and as such enrolled only a small number of patients. Nevertheless, the results showed that yoga practice improves the pain levels, core strength, and flexibility of low-income minority patients with chronic low back pain. These results are similar to those seen with affluent non-minority populations. These encouraging results support conducting a large randomized controlled clinical study.

 

So, improve chronic low back pain in low income patients with yoga.

 

“Yoga is one of the more effective tools for helping soothe low back pain. The practice helps to stretch and strengthen muscles that support the back and spine, such as the paraspinal muscles that help you bend your spine, the multifidus muscles that stabilize your vertebrae, and the transverse abdominis in the abdomen, which also helps stabilize your spine.” – Matthew Sloan

 

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

 

Colgrove, Y. M., Gravino-Dunn, N. S., Dinyer, S. C., Sis, E. A., Heier, A. C., & Sharma, N. K. (2019). Physical and Physiological Effects of Yoga for an Underserved Population with Chronic Low Back Pain. International Journal of Yoga, 12(3), 252–264. doi:10.4103/ijoy.IJOY_78_18

 

Abstract

Background:

Yoga has been shown useful in reducing chronic low back pain (CLBP) through largely unknown mechanisms. The aim of this pilot study is to investigate the feasibility of providing yoga intervention to a predominantly underserved population and explore the potential mechanisms underlying yoga intervention in improving CLBP pain.

Methods:

The quasi-experimental within-subject wait-listed crossover design targeted the recruitment of low-income participants who received twice-weekly group yoga for 12 weeks, following 6–12 weeks of no intervention. Outcome measures were taken at baseline, preintervention (6–12 weeks following baseline), and then postintervention. Outcome measures included pain, disability, core strength, flexibility, and plasma tumor necrosis factor (TNF)-α protein levels. Outcomes measures were analyzed by one-way ANOVA and paired one-tailed t-tests.

Results:

Eight patients completed the intervention. Significant improvements in pain scores measured over time were supported by the significant improvement in pre- and post-yoga session pain scores. Significant improvements were also seen in the Oswestry Disability Questionnaire scores, spinal and hip flexor flexibility, and strength of core muscles following yoga. Six participants saw a 28.6%–100% reduction of TNF-α plasma protein levels after yoga, while one showed an 82.4% increase. Two participants had no detectable levels to begin with. Brain imaging analysis shows interesting increases in N-acetylaspartate in the dorsolateral prefrontal cortex and thalamus.

Conclusion:

Yoga appears effective in reducing pain and disability in a low-income CLBP population and in part works by increasing flexibility and core strength. Changes in TNF-α protein levels should be further investigated for its influence on pain pathways.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746048/

 

Improve Attention Deficit Hyperactivity Disorder (ADHD) with Mindfulness

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Improve Attention Deficit Hyperactivity Disorder (ADHD) with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness meditation for people with ADHD? It may seem like a stretch, since difficulty with mindfulness is the very challenge for those with attention deficit hyperactivity disorder. And yet recent research shows that mindfulness training can be adapted for this condition and that it can improve concentration.” – Lynda McCollough

 

Attention Deficit Hyperactivity Disorder (ADHD) is most commonly found in children, but for about half it persists into adulthood. It’s estimated that about 5% of the adult population has ADHD. Hence, this is a very large problem that can produce inattention, impulsivity, hyperactivity, and emotional issues, and reduce quality of life. The most common treatment is drugs, like methylphenidate, Ritalin, which helps reducing symptoms in about 30% of the people with ADHD. Unfortunately, the effectiveness of the drugs appears to be markedly reduced after the first year. In addition, the drugs often have troublesome side effects, can be addictive, and can readily be abused. So, drugs, at present, do not appear to be a good solution, only affecting some, only for a short time, and with unwanted side effects.

 

There are indications that mindfulness training may be an effective treatment for ADHD. It makes sense that it should be, as the skills and abilities strengthened by mindfulness training are identical to those that are defective in ADHD,  attention, impulse control, executive function, emotion control, and mood improvement. In addition, unlike drugs, it is a relatively safe intervention that has minimal troublesome side effects. Since mindfulness is so promising as a treatment, it is important to step back and summarize what has been learned in the scientific research of the effectiveness of mindfulness training for ADHD.

 

In today’s Research News article “A meta-analytic investigation of the impact of mindfulness-based interventions on ADHD symptoms.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571280/), Xue and colleagues review, summarize, and perform a meta-analysis of the published research studies of the effectiveness of mindfulness training for the symptoms of Attention Deficit Hyperactivity Disorder (ADHD). They included 11 controlled published research studies.

 

They report that the published research found that mindfulness training produced significant improvements in mindfulness and in the Attention Deficit Hyperactivity Disorder (ADHD) symptoms of  inattention and hyperactivity/impulsivity with large effect sizes. The effect sizes were smaller, albeit still significant, when mindfulness training was compared to wait-list control groups as opposed to active control conditions.

 

These results are exciting and important as they suggest that mindfulness training is safe and effective for treating Attention Deficit Hyperactivity Disorder (ADHD) symptoms in both children and adults. It has been well established that mindfulness training improves attention and relaxation and reduces impulsivity in a variety of non-ADHD populations. This meta-analysis suggests that these same improvements occur in patients with ADHD. Training in paying attention non-judgmentally to the present moment appears to calm and improve the ability of ADHD patients to focus just as it does with people without ADHD.

 

So, improve Attention Deficit Hyperactivity Disorder (ADHD) with mindfulness

 

“They discovered 78% of the study participants who practiced ADHD mindfulness reported reductions in ADHD symptoms, and 30% of the participants reported “clinically” reduced symptoms, which means they had a 30% or more reduction. They also found participants who did the mindfulness training did significantly better for “measures of attentional conflict” (when two or more things compete for your attention). And, as a bonus, participants also made improvements on measures of depression and anxiety.” – Casey Dixon

 

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

 

Xue, J., Zhang, Y., & Huang, Y. (2019). A meta-analytic investigation of the impact of mindfulness-based interventions on ADHD symptoms. Medicine, 98(23), e15957. doi:10.1097/MD.0000000000015957

 

Abstract

Background:

Mindfulness-based interventions (MBIs) have been reported to be efficacious in treating attention deficit hyperactivity disorder (ADHD). However, the value of the control effect of MBIs on ADHD core symptoms remains controversial. To clarify the literature on the control effect of MBIs on the symptoms of ADHD and guide future researches, an effect-size analysis was conducted.

Methods:

A systematic search in PubMed, Embase, Web of Science, Medline, Cochrane Library, China National Knowledge Infrastructure, and Wangfang Data databases was performed up to January 11, 2019. The overall effect size of MBIs on ADHD core symptoms (ie, inattention and hyperactivity/impulsivity) was recorded by the metric of Hedges’ g with 95% confidence interval, Z-value, and P-value.

Results:

Eleven eligible studies featuring 682 participants were included in the meta-analysis. The overall results indicated that MBIs had large effects on inattention (Hedges’ g = −0.825) and hyperactivity/impulsivity (Hedges’ g = −0.676) relative to the control group. Results from subgroup analyses between self- and observer rating on ADHD symptoms revealed that the effect of MBIs both remained in a large range and self-rated ADHD core symptom had a greater impact on heterogeneity across the studies. Meta-regression found that the overall effect might be moderated by participant age group and control condition.

Conclusion:

The present meta-analysis suggested that MBIs had large effects in reducing ADHD core symptoms in comparison with the control group. Future researches are needed to assess follow-up effects of MBIs on ADHD core symptoms and explore the correlation between the individual level of mindfulness and reduction of ADHD symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571280/

 

Improve Emotion Regulation in Teacher Trainees with Mindfulness

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Improve Emotion Regulation in Teacher Trainees with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindful emotion regulation represents the capacity to remain mindfully aware at all times, irrespective of the apparent valence or magnitude of any emotion that is experienced. It does not entail suppression of the emotional experience, nor any specific attempts to reappraise or alter it in any way. Instead, MM involves a systematic retraining of awareness and nonreactivity, leading to defusion from whatever is experienced, and allowing the individual to more consciously choose those thoughts, emotions and sensations they will identify with, rather than habitually reacting to them.” – Richard Chambers

 

Mindfulness practice has been shown to improve emotions and their regulation. Practitioners demonstrate more positive and less negative emotions and the ability to fully sense and experience emotions, while responding to them in appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. The ability of mindfulness training to improve emotion regulation is thought to be the basis for a wide variety of benefits that mindfulness provides to mental health and the treatment of mental illness especially depression and anxiety disorders.

 

Teachers experience burnout at high rates. Roughly a half a million teachers out of a workforce of three million, leave the profession each year and the rate is almost double in poor schools compared to affluent schools. Indeed, nearly half of new teachers leave in their first five years. Burnout frequently results from emotional exhaustion. Hence, methods of improving teacher emotion regulation need to be studied. Intervening during teacher training may be a useful strategy as improving emotion regulation very early before the teaching career begins may prepare the teachers to better deal with the difficulties of their profession.

 

In today’s Research News article “Improving emotion regulation and mood in teacher trainees: Effectiveness of two mindfulness trainings.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6749600/), Wimmer and colleagues recruited college students who intended to become school teachers and assigned them to one of four conditions, mindfulness training with yoga, mindfulness training without yoga, awareness training, or no-treatment. The mindfulness training was based upon Mindfulness-Based Stress Reduction (MBSR). The modified MBSR program consisted of 7 weekly 1.5-hour group sessions involving meditation, yoga, body scan, and discussion. The teachers are also encouraged to perform 20 minutes of daily practice. Awareness training occurred on a similar schedule and emphasized reflections on consciousness and awareness. They were measured before and after training for emotion regulation, response style, and positive and negative emotions.

 

They found that in comparison to the no-treatment control and baseline both mindfulness groups had significant increases in reappraisal and decreases in symptom‐focused rumination, distraction, and depressive mood. These effects of mindfulness training were found to be, in part, mediated by the distraction strategy of emotion regulation. There were no significant differences in the effects of mindfulness training with and without yoga on emotion regulation or mood.

 

These results suggest that mindfulness training regardless of whether yoga is included is effective in increasing emotion regulation in college students aspiring to become teachers. It is interesting that distraction was to some extent a mediator of the effects of mindfulness training. This strategy involves dealing with strong emotions by shifting attention to more pleasant aspects of the situation. Mindfulness training, by improving attentional control, may facilitate the ability to shift attention to other distracting areas.

 

It is not known whether these effects of mindfulness training are lasting and may influence the students’ abilities to deal with the stresses of teaching in the future. It would be hoped that mindfulness training may help to prepare prospective teachers to effectively work with the emotions that arise from their profession. This would then improve their resistance to professional burnout. It remains for future research to investigate the longevity of the emotion regulation improvements.

 

So, improve emotion regulation in teacher trainees with mindfulness.

 

“our emotions don’t have to take over your life or interfere with your important relationships when you learn how to understand, manage, and respond to your emotions more effectively. Become mindful of your own personal tendencies and emotional triggers. Notice what situations tend to prompt emotional responses in you. When you increase self-knowledge in this way, you are better prepared to competently and confidently employ emotion regulation coping skills no matter what the situation.” – Laura Chang

 

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

 

Wimmer, L., von Stockhausen, L., & Bellingrath, S. (2019). Improving emotion regulation and mood in teacher trainees: Effectiveness of two mindfulness trainings. Brain and behavior, 9(9), e01390. doi:10.1002/brb3.1390

 

Abstract

Background/Objective

The present research investigated potential effects of mindfulness training on emotion regulation and mood of future schoolteachers in a nonrandomized pre–post design, and whether these are influenced by the yoga component of mindfulness‐based stress reduction (MBSR) and/or by homework practice.

Method

N = 169 university students received either mindfulness training (experimental groups), awareness activities (active control group), or no training (passive control group), in the context of university seminars. Allocation to groups was bound by the seminar chosen by participants, and in that sense was self‐selected. Mindfulness was trained in two adapted MBSR courses, one of which including yoga, and the other excluding yoga.

Results

Specific benefits of both mindfulness training groups were observed for emotion regulation in terms of an increase in cognitive reappraisal and a reduction in symptom‐focused rumination as well as depressive mood. No benefits of mindfulness training were observed for reductions in expressive suppression, self‐focused rumination, anxious, and negative mood or an increase in distraction and positive mood respectively. Mindfulness training with and without yoga was mostly equally effective. Outcomes were largely not moderated by practice quantity or quality, but reductions in depressive mood were mediated by gains in reappraisal and distraction.

Conclusions

Mindfulness training can be implemented in the context of university seminars to foster advantageous emotion regulation strategies and lower depressive mood in future schoolteachers. Discontinuing yoga within mindfulness interventions does not seem to reduce training benefits.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6749600/

 

Improve Episodic Memory and Alter Brain Activity during Memory Retrieval with Mindfulness

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Improve Episodic Memory and Alter Brain Activity during Memory Retrieval with Mindfulness

 

By John M. de Castro, Ph.D.

 

“A critical part of attention (and working memory capacity) is being able to ignore distraction. There has been growing evidence that meditation training (in particular mindfulness meditation) helps develop attentional control, and that this can start to happen very quickly.” – About Memory

 

There has accumulated a large amount of research demonstrating that mindfulness has significant benefits for psychological, physical, and spiritual wellbeing. One way that mindfulness practices may produce these benefits is by altering the brain. The nervous system is a dynamic entity, constantly changing and adapting to the environment. It will change size, activity, and connectivity in response to experience. These changes in the brain are called neuroplasticity. Over the last decade neuroscience has been studying the effects of contemplative practices on the brain and has identified neuroplastic changes in widespread areas. In other words, mindfulness practice appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

 

One way to observe the effects of meditation techniques is to measure the effects of each technique on the brain’s activity. This can be done by recording the electroencephalogram (EEG). The brain produces rhythmic electrical activity that can be recorded from the scalp. It is usually separated into frequency bands. Delta activity consists of oscillations in the 0.5-3 cycles per second band. Theta activity in the EEG consists of oscillations in the 4-8 cycles per second band. Alpha activity consists of oscillations in the 8-12 cycles per second band. Beta activity consists of oscillations in the 13-30 cycles per second band while Gamma activity occurs in the 30-100 cycles per second band.

 

In today’s Research News article “Increases in Theta Oscillatory Activity During Episodic Memory Retrieval Following Mindfulness Meditation Training.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738165/), Nyhus and colleagues recruited adult participants and randomly assigned them to a wait-list control condition or to receive 4-weeks of once a week for 1 hour of mindfulness meditation training along with 20 minutes of daily home practice. They were measured for episodic memory and mindfulness before and after training. They learned words either by imagining a place associated with them or rating their pleasantness. The electroencephalogram (EEG) was measured from the scalp as the participants were engaged in an episodic memory task.

 

They found that meditation training produced a significant increase in mindfulness, especially the observe, describe, and act with awareness facets. The meditation group were also significantly better at identifying the source (place or pleasantness) of the word in the episodic memory task. With the EEG they found that the meditation group after training had significant increases in power in the Theta frequency band (4-7.5 hz.) in the frontal and parietal cortical areas of the brain. The increase in theta power were correlated with the level of the describe facet of mindfulness.

 

Theta power has been previously found to increase during tasks that test episodic memory. That was true here also. But in the present study the increases in theta power were greater after mindfulness meditation training. This suggests that the training altered the nervous system making it more responsive to episodic memories. The fact that mindfulness has been found to improve memory and that source memory was improved in the present study would appear to support this assertion. Hence, it would appear that mindfulness meditation improves episodic memory by enhancing brain processing of memories.

 

So, improve episodic memory and alter brain activity during memory retrieval with mindfulness.

 

“The meditation-and-the-brain research has been rolling in steadily for a number of years now, . . . . The practice appears to have an amazing variety of neurological benefits – from changes in grey matter volume to reduced activity in the “me” centers of the brain to enhanced connectivity between brain regions.” – Alice Walton

 

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

 

Nyhus, E., Engel, W. A., Pitfield, T. D., & Vakkur, I. (2019). Increases in Theta Oscillatory Activity During Episodic Memory Retrieval Following Mindfulness Meditation Training. Frontiers in human neuroscience, 13, 311. doi:10.3389/fnhum.2019.00311

 

Abstract

Mindfulness meditation has been shown to improve episodic memory and increase theta oscillations which are known to play a role in episodic memory retrieval. The present study examined the effect of mindfulness meditation on episodic memory retrieval and theta oscillations. Using a longitudinal design, subjects in the mindfulness meditation experimental group who underwent 4 weeks of mindfulness meditation training and practice were compared to a waitlist control group. During the pre-training and post-training experimental sessions, subjects completed the Five Facet Mindfulness Questionnaire (FFMQ) and studied adjectives and either imagined a scene (Place Task) or judged its pleasantness (Pleasant Task). During the recognition test, subjects decided which task was performed with each word (“Old Place Task” or “Old Pleasant Task”) or “New.” FFMQ scores and source discrimination were greater post-training than pre-training in the mindfulness meditation experimental group. Electroencephalography (EEG) results revealed that for the mindfulness meditation experimental group theta power was greater post-training than pre-training in right frontal and left parietal channels and changes in FFMQ scores correlated with changes in theta oscillations in right frontal channels (n = 20). The present results suggest that mindfulness meditation increases source memory retrieval and theta oscillations in a fronto-parietal network.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738165/

 

Improve Psychiatric Problems among Veterans with Mindfulness

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Improve Psychiatric Problems among Veterans with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness-based interventions show promise in helping soldiers reduce symptoms of PTS and depression as well as experience improvements in various psychosocial domains.” – Adam Clark

 

There are vast numbers of people worldwide who suffer with mental or physical illnesses. Mindfulness practices have been found to be helpful with coping with these illnesses and in many cases reducing the symptoms of the diseases. Mindfulness-Based Cognitive Therapy (MBCT) involves mindfulness training, containing sitting, walking and body scan meditations, and cognitive therapy that attempts to teach patients to distinguish between thoughts, emotions, physical sensations, and behaviors, and to recognize irrational thinking styles and how they affect behavior. MBCT has been found to be effective in treating a wide range of psychological issues. Military veterans are highly susceptible to psychiatric illnesses. So, it would make sense to investigate the effectiveness of MBCT for treating the psychiatric problems of military veterans

 

In today’s Research News article “Treatment Engagement and Outcomes of Mindfulness-Based Cognitive Therapy for Veterans with Psychiatric Disorders.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748402/), Marchand and colleagues examined the medical records of veterans who had undergone Mindfulness-Based Cognitive Therapy (MBCT) therapy for psychiatric illnesses. MBCT was provided in 8 weeks of once a week 2-hour sessions. Their conditions included psychiatric disorders such as anxiety and depression, substance abuse, and ADHD, and medical disorders such as diabetes, hypertension, and chronic pain.

 

They found that only 67% of the veterans completed the Mindfulness-Based Cognitive Therapy (MBCT)  program. The greater the number of emergency room visits and psychiatric admission prior to the study significantly predicted the likelihood of completion of the MBCT program. This suggests that veterans who have a history of seeking treatment are more likely to complete therapy. Importantly, they found that following the MBCT program there was a significant decrease in psychiatric admission with large effect size.

 

These are interesting findings that suggest that the Mindfulness-Based Cognitive Therapy (MBCT)  program is effective in treating a variety of psychiatric conditions in military veterans. There appears to be a problem, however, with veterans who don’t have a history of seeking treatment completing the therapeutic program. This may signal the need for further study of what can be done to improve participation in this group. It is also possible that prior care with these particular veterans has not been effective and their dropping out of therapy may reflect the lack of success for them with the MBCT program. It is clear nonetheless that when the veterans complete the program it is highly effective in treating their conditions.

 

So, improve psychiatric problems among veterans with mindfulness.

 

“We now have a lot of evidence that mindfulness meditation is helpful for a range of different conditions, including depression, anxiety, substance problems and chronic pain.” – Joseph Wielgosz

 

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

 

Marchand, W. R., Yabko, B., Herrmann, T., Curtis, H., & Lackner, R. (2019). Treatment Engagement and Outcomes of Mindfulness-Based Cognitive Therapy for Veterans with Psychiatric Disorders. Journal of alternative and complementary medicine (New York, N.Y.), 25(9), 902–909. doi:10.1089/acm.2018.0511

 

Abstract

Objectives: The aim of this study was to evaluate utilization and outcomes of mindfulness-based cognitive therapy (MBCT) provided to veterans with psychiatric disorders.

Design: Retrospective chart review.

Settings: Veterans Administration Medical Center (VAMC).

Subjects: Ninety-eight veterans with psychiatric illness who were enrolled in an MBCT class between May of 2012 and January of 2016. Subjects were predominately white (95%), male (81%), and >50 years old (74%). The most common psychiatric conditions were any mood disorder (82%) and post-traumatic stress disorder (54%).

Intervention: Eight-week MBCT class.

Outcome measures: Session attendance and pre- to postintervention changes in numbers of emergency department (ED) visits and psychiatric hospitalizations.

Results: The average number of sessions attended was 4.87 of 8 and only 16% were present for all sessions. Veteran demographic variables did not predict the number of MBCT sessions attended. However, both greater numbers of pre-MBCT ED visits (p = 0.004) and psychiatric admissions (p = 0.031) were associated with attending fewer sessions. Among patients who experienced at least one pre- or post-treatment psychiatric admission in the 2 years pre- or postintervention (N = 26, 27%), there was a significant reduction in psychiatric admissions from pre to post (p = 0.002). There was no significant change in ED visits (p = 0.535).

Conclusions: MBCT may be challenging to implement for veterans with psychiatric illness in, at least some, outpatient VAMC settings due to a high attrition rate. Possible mediation approaches include development of methods to screen for high dropout risk and/or development of shorter mindfulness-based interventions (MBIs) and/or coupling MBIs with pleasurable activities. The finding of a significant decrease in psychiatric hospitalizations from pre- to post-MBCT suggests that prospective studies are warranted utilizing MBCT for veterans at high risk for psychiatric hospitalization.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748402/