Paraprofessional workforces are becoming more common and can serve the otherwise unmet needs of diverse children and families. Compared to other workforces, limited research to date has explored factors such as stress and burnout that influence the sustainability of this workforce. Mindfulness-based interventions have been studied as stress-reduction programs for other workforces, but it is currently unknown whether mindfulness is acceptable to paraprofessionals, particularly those of a diverse ethnicity living in low-income, urban environments. The current investigation is a pilot study examining whether six weeks of mindfulness-based skills training can reduce stress, burnout, and improve sleep quality among a diverse paraprofessional workforce. Twenty six paraprofessionals (ages 24–58, M = 37.04, SD = 9.65) completed measures pre-training, post-training, and at a four week follow-up. Results indicated that this paraprofessional workforce found mindfulness practices acceptable and experienced significant reductions in perceived stress and emotional exhaustion, as well as improved sleep quality (p < .05) Mindfulness-based interventions may be useful in supporting the wellbeing of paraprofessionals from diverse backgrounds working in low-income, urban environments.
We evaluated the feasibility and efficacy of the Community Approach to Learning Mindfully (CALM) program for educators. CALM is a brief daily school-based intervention to promote educator social-emotional competencies, stress management, and wellbeing. Two middle schools were randomly assigned to waitlist control condition or the CALM program. Participants included 64 educators. Intervention sessions included gentle yoga and mindfulness practices and were offered 4 days per week for 16 weeks. Pre- and posttest measurements included self-report surveys of social-emotional functioning and wellbeing, blood pressure readings, and diurnal assays of cortisol. Compared to the control condition, CALM had significant benefits for educators’ mindfulness, positive affect, classroom management, distress tolerance, physical symptoms, blood pressure, and cortisol awakening response. There were trend-level effects for two measures related to stress and burnout. No impacts were observed for relational trust, perceived stress, or sleep. Effect sizes for significant impacts ranged from 0.52 to 0.80. Educators found the intervention feasible and beneficial as a method for managing stress and promoting wellbeing. Initial evidence suggests that CALM has potential as a strategy to improve educators’ social-emotional competence and wellbeing, prevent stress-related problems, and support classroom functioning.
We evaluated the feasibility and efficacy of the Community Approach to Learning Mindfully (CALM) program for educators. CALM is a brief daily school-based intervention to promote educator social-emotional competencies, stress management, and wellbeing. Two middle schools were randomly assigned to waitlist control condition or the CALM program. Participants included 64 educators. Intervention sessions included gentle yoga and mindfulness practices and were offered 4 days per week for 16 weeks. Pre- and posttest measurements included self-report surveys of social-emotional functioning and wellbeing, blood pressure readings, and diurnal assays of cortisol. Compared to the control condition, CALM had significant benefits for educators’ mindfulness, positive affect, classroom management, distress tolerance, physical symptoms, blood pressure, and cortisol awakening response. There were trend-level effects for two measures related to stress and burnout. No impacts were observed for relational trust, perceived stress, or sleep. Effect sizes for significant impacts ranged from 0.52 to 0.80. Educators found the intervention feasible and beneficial as a method for managing stress and promoting wellbeing. Initial evidence suggests that CALM has potential as a strategy to improve educators’ social-emotional competence and wellbeing, prevent stress-related problems, and support classroom functioning.
BACKGROUND: Research suggests that stress-reduction programs tailored to the cancer setting help patients cope with the effects of treatment and improve their quality of life. Yoga, an ancient Eastern science, incorporates stress-reduction techniques that include regulated breathing, visual imagery, and meditation as well as various postures. The authors examined the effects of the Tibetan yoga (TY) practices of Tsa lung and Trul khor, which incorporate controlled breathing and visualization, mindfulness techniques, and low-impact postures in patients with lymphoma.METHODS: Thirty-nine patients with lymphoma who were undergoing treatment or who had concluded treatment within the past 12 months were assigned to a TY group or to a wait-list control group. Patients in the TY group participated in 7 weekly yoga sessions, and patients in the wait-list control group were free to participate in the TY program after the 3-month follow-up assessment.
RESULTS: Eighty nine percent of TY participants completed at least 2-3 three yoga sessions, and 58% completed at least 5 sessions. Patients in the TY group reported significantly lower sleep disturbance scores during follow-up compared with patients in the wait-list control group (5.8 vs. 8.1; P < 0.004). This included better subjective sleep quality (P < 0.02), faster sleep latency (P < 0.01), longer sleep duration (P < 0.03), and less use of sleep medications (P < 0.02). There were no significant differences between groups in terms of intrusion or avoidance, state anxiety, depression, or fatigue.
CONCLUSIONS: The participation rates suggested that a TY program is feasible for patients with cancer and that such a program significantly improves sleep-related outcomes. However, there were no significant differences between groups for the other outcomes.
<p>Results of a research study concludes that Tibetan yoga stress-reduction programs tailored to the cancer setting help patients cope with the effects of treatment and improve their quality of life. Techniques include regulated breathing, visual imagery, and meditation as well as various postures. The authors examined the effects of the Tibetan yoga practices of Tsalung (rtsa rlung) and Trülkhor ('khrul 'khor), which incorporate controlled breathing and visualization, mindfulness techniques, and low-impact postures in patients with lymphoma. They conclude that Tibetan yoga significantly improves sleep in lymphoma patients. However, there were no other significant effects for the outcomes the study measured. (Steven Weinberger 2004-04-23)</p>
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PURPOSE: To obtain estimates of time to recruit the study sample, retention, facility-based class attendance and home practice for a study of yoga in breast cancer survivors, and its efficacy on fatigue, quality of life (QOL), and weight change.METHODS: Sixty-three post-treatment stages 0-III borderline overweight and obese (body mass index ≥ 24 kg/m(2)) breast cancer survivors were randomly assigned to a 6-month, facility- and home-based viniyoga intervention (n = 32) or a waitlist control group (n = 31). The yoga goal was five practices per week. Primary outcome measures were changes in QOL, fatigue, and weight from baseline to 6 months. Secondary outcomes included changes in waist and hip circumference.
RESULTS: It took 12 months to complete recruitment. Participants attended a mean of 19.6 classes and practiced at home a mean of 55.8 times during the 6-month period. At follow-up, 90% of participants completed questionnaires and 87% completed anthropometric measurements. QOL and fatigue improved to a greater extent among women in the yoga group relative to women in the control group, although no differences were statistically significant. Waist circumference decreased 3.1 cm (95% CI, -5.7 and -0.4) more among women in the yoga compared with the control group, with no difference in weight change.
CONCLUSIONS: This study provides important information regarding recruitment, retention, and practice levels achieved during a 6-month, intensive yoga intervention in overweight and obese breast cancer survivors. Yoga may help decrease waist circumference and improve quality of life; future studies are needed to confirm these results.
In this paper, inspired by the plenary panel at the 2013 meeting of the International Society for Traumatic Stress Studies, Dr. Steven Southwick (chair) and multidisciplinary panelists Drs. George Bonanno, Ann Masten, Catherine Panter-Brick, and Rachel Yehuda tackle some of the most pressing current questions in the field of resilience research including: (1) how do we define resilience, (2) what are the most important determinants of resilience, (3) how are new technologies informing the science of resilience, and (4) what are the most effective ways to enhance resilience? These multidisciplinary experts provide insight into these difficult questions, and although each of the panelists had a slightly different definition of resilience, most of the proposed definitions included a concept of healthy, adaptive, or integrated positive functioning over the passage of time in the aftermath of adversity. The panelists agreed that resilience is a complex construct and it may be defined differently in the context of individuals, families, organizations, societies, and cultures. With regard to the determinants of resilience, there was a consensus that the empirical study of this construct needs to be approached from a multiple level of analysis perspective that includes genetic, epigenetic, developmental, demographic, cultural, economic, and social variables. The empirical study of determinates of resilience will inform efforts made at fostering resilience, with the recognition that resilience may be enhanced on numerous levels (e.g., individual, family, community, culture).
Researchers are increasingly exploring how neighborhood greenness, or vegetation, may affect health behaviors and outcomes. Greenness may influence health by promoting physical activity and social contact; decreasing stress; and mitigating air pollution, noise, and heat exposure. Greenness is generally measured using satellite-based vegetation indices or land-use databases linked to participants’ addresses. In this review, we found fairly strong evidence for a positive association between greenness and physical activity and a less consistent negative association between greenness and body weight. Research suggests greenness is protective against adverse mental health outcomes, cardiovascular disease, and mortality, though most studies were limited by cross-sectional or ecological design. There is consistent evidence that greenness exposure during pregnancy is positively associated with birth weight, though findings for other birth outcomes are less conclusive. Future research should follow subjects prospectively, differentiate between greenness quantity and quality, and identify mediators and effect modifiers of greenness-health associations.
Researchers are increasingly exploring how neighborhood greenness, or vegetation, may affect health behaviors and outcomes. Greenness may influence health by promoting physical activity and social contact; decreasing stress; and mitigating air pollution, noise, and heat exposure. Greenness is generally measured using satellite-based vegetation indices or land-use databases linked to participants’ addresses. In this review, we found fairly strong evidence for a positive association between greenness and physical activity and a less consistent negative association between greenness and body weight. Research suggests greenness is protective against adverse mental health outcomes, cardiovascular disease, and mortality, though most studies were limited by cross-sectional or ecological design. There is consistent evidence that greenness exposure during pregnancy is positively associated with birth weight, though findings for other birth outcomes are less conclusive. Future research should follow subjects prospectively, differentiate between greenness quantity and quality, and identify mediators and effect modifiers of greenness-health associations.
The well-being of the workforce is clearly a matter of concern to the employer. Such concern translates to considerable costs in the form of fringe benefit packages, health promotion programs, ergonomics, and other ways to reduce absence and enhance health and satisfaction. Despite such efforts, however, one way to address well-being that entails relatively low costs has been largely ignored in the work context. Proximity and availability of the natural environment can foster many desired outcomes, even if the employee does not spend a great amount of time in the natural setting. A theoretical framework is presented that helps explain why even the view from the window can have a positive impact with respect to well-being. Results from two studies offer some substantiation. Further research on the role of nature in the workplace is essential; however, decisions to provide health promoting programs and to enhance fringe benefit packages have not been offered as a direct consequence of empirical verification. While providing windows at work may not be a simple matter, other ways to increase contact with vegetation may provide a low-cost, high-gain approach to employee well-being and effectiveness.
Students with attention deficit/hyperactivity disorder (ADHD) have difficulty with academic work in school because they are inattentive and disruptive as a result of the core systems of their disorder. In addition to behavioral challenges frequently associated with ADHD, these students may also have deficits in working memory, planning and organization compound their problem and often lead to poor academic outcomes. Meditation has been shown to increase attention and executive functioning in a number of populations, including students with ADHD. Using an interrupted time series experimental design, 20 5th grade students with ADHD were taught Samatha meditation, and data were collected on active academic engagement in math instruction and percentage of math problems solved correctly pre- and post-training. When compared to the pre-intervention control condition, the Samatha meditation training resulted in statistically and academically significant increases in active student engagement in math instruction and percentage of math problems solved correctly. This study provides further proof of concept of the utility of Samatha meditation in enhancing academic performance in math in this population. These results suggest that Samatha meditation may enable students with ADHD to better focus their attention on academic instruction, to increase their awareness of their mind wandering during academic instruction, and to remember what they should be doing in the present moment.
Silent Spring began with a “fable for tomorrow” – a true story using a composite of examples drawn from many real communities where the use of DDT had caused damage to wildlife, birds, bees, agricultural animals, domestic pets, and even humans. Carson used it as an introduction to a very scientifically complicated and already controversial subject. This “fable” made an indelible impression on readers and was used by critics to charge that Carson was a fiction writer and not a scientist.Serialized in three parts in The New Yorker, where President John F. Kennedy read it in the summer of 1962, Silent Spring was published in August and became an instant best-seller and the most talked about book in decades. Utilizing her many sources in federal science and in private research, Carson spent over six years documenting her analysis that humans were misusing powerful, persistent, chemical pesticides before knowing the full extent of their potential harm to the whole biota.
Carson’s passionate concern in Silent Spring is with the future of the planet and all life on Earth. She calls for humans to act responsibly, carefully, and as stewards of the living earth.
Additionally Silent Spring suggested a needed change in how democracies and liberal societies operated so that individuals and groups could question what their governments allowed others to put into the environment. Far from calling for sweeping changes in government policy, Carson believed the federal government was part of the problem. She admonished her readers and audiences to ask “Who Speaks, And Why?” and therein to set the seeds of social revolution. She identified human hubris and financial self-interest as the crux of the problem and asked if we could master ourselves and our appetites to live as though we humans are an equal part of the earth’s systems and not the master of them.
Carson expected criticism, but she did not expect to be personally vilified by the chemical industry and its allies in and out of government. She spent her last years courageously defending the truth of her conclusions until her untimely death in 1964.
Silent Spring inspired the modern environmental movement, which began in earnest a decade later. It is recognized as the environmental text that “changed the world.” She aimed at igniting a democratic activist movement that would not only question the direction of science and technology but would also demand answers and accountability. Rachel Carson was a prophetic voice and her “witness for nature” is even more relevant and needed if our planet is to survive into a 22nd century.
Rachel Carson’s groundbreaking investigation into the harmful effects of DDT and other pesticides on the environment.
How can we practice being present in the here and now when the moment we are in is particularly challenging? In today’s episode Rachel talks about her latest travels to Europe and how parents should receive awards at the end of long travels with babies. She shares everything that went wrong and how, even with the best intentions, she lost her cool and spent almost two whole days overwhelmed with stress and anxiety. She talks about the power of making peace with the moment and how accepting the here and now can completely transform your life.
BackgroundDepression is a common and distressing mental health problem that is responsible for significant individual disability and cost to society. Medication and psychological therapies are effective for treating depression and maintenance anti-depressants (m-ADM) can prevent relapse. However, individuals with depression often express a wish for psychological help that can help them recover from depression in the long-term. We need to develop psychological therapies that prevent depressive relapse/recurrence. A recently developed treatment, Mindfulness-based Cognitive Therapy (MBCT, see http://www.mbct.co.uk) shows potential as a brief group programme for people with recurring depression. In two studies it has been shown to halve the rates of depression recurring compared to usual care.
This trial asks the policy research question, is MBCT superior to m-ADM in terms of: a primary outcome of preventing depressive relapse/recurrence over 24 months; and, secondary outcomes of (a) depression free days, (b) residual depressive symptoms, (c) antidepressant (ADM) usage, (d) psychiatric and medical co-morbidity, (e) quality of life, and (f) cost effectiveness? An explanatory research question asks is an increase in mindfulness skills the key mechanism of change?
Methods/Design
The design is a single blind, parallel RCT examining MBCT vs. m-ADM with an embedded process study. To answer the main policy research question the proposed trial compares MBCT plus ADM-tapering with m-ADM for patients with recurrent depression. Four hundred and twenty patients with recurrent major depressive disorder in full or partial remission will be recruited through primary care. Depressive relapse/recurrence over two years is the primary outcome variable. The explanatory question will be addressed in two mutually informative ways: quantitative measurement of potential mediating variables pre/post-treatment and a qualitative study of service users' views and experiences.
Discussion
If the results of our exploratory trial are extended to this definitive trial, MBCT will be established as an alternative approach to maintenance anti-depressants for people with a history of recurrent depression. The process studies will provide evidence about the effective components which can be used to improve MBCT and inform theory as well as other therapeutic approaches.
The study found a link, but it couldn’t say whether digital media use causes ADHD symptoms
The scientific discovery of novel training paradigms has yielded better understanding of basic mechanisms underlying cortical plasticity, learning and development. This study is a first step in evaluating Tai Chi (TC), the Chinese slow-motion meditative exercise, as a training paradigm that, while not engaging in direct tactile stimulus training, elicits enhanced tactile acuity in long-term practitioners. The rationale for this study comes from the fact that, unlike previously studied direct-touch tactile training paradigms, TC practitioners focus specific mental attention on the body’s extremities including the fingertips and hands as they perform their slow routine. To determine whether TC is associated with enhanced tactile acuity, experienced adult TC practitioners were recruited and compared to age–gender matched controls. A blinded assessor used a validated method (Van Boven et al. in Neurology 54(12): 2230–2236, 2000) to compare TC practitioners’ and controls’ ability to discriminate between two different orientations (parallel and horizontal) across different grating widths at the fingertip. Study results showed that TC practitioners’ tactile spatial acuity was superior to that of the matched controls (P < 0.04). There was a trend showing TC may have an enhanced effect on older practitioners (P < 0.066), suggesting that TC may slow age related decline in this measure. To the best of our knowledge, this is the first study to evaluate a long-term attentional practice’s effects on a perceptual measure. Longitudinal studies are needed to examine whether TC initiates or is merely correlated with perceptual changes and whether it elicits long-term plasticity in primary sensory cortical maps. Further studies should also assess whether related somatosensory attentional practices (such as Yoga, mindfulness meditation and Qigong) achieve similar effects.
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Research Findings: Early care and education has pronounced implications for young children's social-emotional learning. Although program structural and classroom process quality indicators have been widely explored, teachers' personal social-emotional capacity has only recently been recognized as an indicator of quality. This study reviewed and identified indicators of teachers' social-emotional capacity and established a two factor structure of psychological load and coping abilities. We also explored correlational associations between teachers' social-emotional capacity and their professional commitment and responsiveness to children's negative emotions. The sample consisted of 1,129 teachers in center-based child-care programs and public preschools in the US. We found that teachers' psychological load (depression, stress and emotional exhaustion) was associated with teachers' negative reactions to children and teachers' professional commitment after controlling for a wide range of teacher/classroom characteristics. Conversely, teachers' coping abilities (reappraisal emotion regulation and problem-focused coping strategies) were related to their positive reactions to children's negative emotions. Practice or Policy: The findings suggest further studies to identify training and professional development program components that might address early childhood teachers' psychological difficulties and coping strategies. Child-care programs may also need efforts that support teachers' social-emotional capacity as a way to improve teachers' responsiveness and professional commitment.
The study focused on the effectiveness of group mindfulness for people with intellectual disabilities in an assessment and treatment unit. Six participants with mild or moderate intellectual disabilities were interviewed using semi‐structured interviews. The interviews focused on identifying the benefits and difficulties of using mindfulness. The interviews were analysed using thematic analysis. Five themes were identified which were categorised into interpersonal (‘helping people’) and intrapersonal (‘focusing on one particular thing’; ‘improving skills’; get rid of all nasty bad stuff you want to get rid of’) benefits. The theme ‘bit too late to teach old dog new tricks’ captured the difficulties encountered. The themes highlighted that people with intellectual disabilities were able to form an understanding of mindfulness and were able to benefit from the intervention.
BACKGROUND:Depression is a common and distressing mental health problem that is responsible for significant individual disability and cost to society. Medication and psychological therapies are effective for treating depression and maintenance anti-depressants (m-ADM) can prevent relapse. However, individuals with depression often express a wish for psychological help that can help them recover from depression in the long-term. A recently developed treatment, mindfulness-based cognitive therapy (MBCT), shows potential as a brief group program for people with recurring depression.This trial asks the policy research question; is MBCT with support to taper/discontinue antidepressant medication (MBCT-TS) superior to m-ADM in terms of: a primary outcome of preventing depressive relapse/recurrence over 24 months; and secondary outcomes of (a) depression free days, (b) residual depressive symptoms, (c) antidepressant medication (ADM) usage, (d) psychiatric and medical co-morbidity, (e) quality of life, and (f) cost effectiveness? An explanatory research question also asks whether an increase in mindfulness skills is the key mechanism of change.The design is a single-blind, parallel randomized controlled trial examining MBCT-TS versus m-ADM with an embedded process study. To answer the main policy research question the proposed trial compares MBCT-TS with m-ADM for patients with recurrent depression. Four hundred and twenty patients with recurrent major depressive disorder in full or partial remission will be recruited through primary care.
RESULTS:
Depressive relapse/recurrence over two years is the primary outcome variable. Analyses will be conducted following CONSORT standards and overseen by the trial's Data Monitoring and Safety Committee. Initial analyses will be conducted on an intention-to-treat basis, with subsequent analyses being per protocol. The explanatory question will be addressed in two mutually informative ways: quantitative measurement of potential mediating variables pre- and post-treatment and a qualitative study of service users' views and experiences.
CONCLUSIONS:
If the results of our exploratory trial are extended to this definitive trial, MBCT-TS will be established as an alternative approach to maintenance antidepressants for people with a history of recurrent depression. The process studies will provide evidence about the effective components which can be used to improve MBCT and inform theory as well as other therapeutic approaches.
Americans spend nearly 90% of their time indoors! Spending time in nature isn’t just a “nice to have,” it’s actually really important for optimal health.
Part of the six-volume Wellbeing: A Complete Reference Guide, this volume examines the ways in which the built environment can affect and enhance the wellbeing of society. Explores the effects of environment on wellbeing and provides insight and guidance for designing, creating, or providing environments that improve wellbeing Looks at the social and health issues surrounding sustainable energy and sustainable communities, and how those connect to concepts of wellbeing Brings the evidence base for environmental wellbeing into one volume from across disciplines including urban planning, psychology, sociology, healthcare, architecture, and more Part of the six-volume set Wellbeing: A Complete Reference Guide, which brings together leading research on wellbeing from across the social sciences
This Special Section features a number of perspectives on the vital role played by natural environments. The three empirical papers, using different approaches and measures, representing diverse populations in different countries, and different kinds of natural settings, all provide evidence for the importance of nature to human well-being. This paper presents the Reasonable Person Model (RPM) as a framework for understanding how the environment can help bring out the best in people. Demographic and regional variations notwithstanding, people are empowered by opportunities to make a difference and be respected, they are concerned with being effective, and their efforts are guided by their mental models. Having nature nearby, even if modest in scale, can be particularly beneficial in offsetting some of the consequences of depleted attentional resources which readily undermine reasonable behavior. We focus on some important distinctions between psychological restoration (and its relationship to the effectiveness domain of RPM) and environmental preference (and its connection to RPM's model building domain). Today's all too pervasive unreasonableness is costly in terms of personal and social well-being. Understanding the vital capacity of the natural environment can make a substantial difference in bringing out the best in people.
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