The authors offer a preliminary exploration of the theory underlying the ways in which mindfulness might be incorporated into social justice approaches to social work (such as structural, critical, and anti-oppressive social work) as a method to link the personal and political in direct practice. Mindfulness may provide a window for observing and investigating events in our everyday lives that can inform, while also being structured by, larger social relations and structures. Mindfulness and social justice approaches to social work theory, in particular critical social science theory, converge around the ideas of social relations, dialectics, consciousness, and self-reflection or reflexivity. There are tensions, however, and further development is needed of a social work practice that incorporates knowledge from both mindfulness and social justice approaches. Les auteurs font une première exploration de la théorie sous-tendant les moyens possibles d'intégrer la pleine conscience du moment présent aux approches de justice sociale en travail social (comme le travail social structurel, critique et anti-oppressif) comme méthode de conjugaison du personnel et du politique dans l'exercice direct de la profession. La pleine conscience du moment présent peut servir de fenêtre d'observation et d'investigation d'événements du quotidien susceptibles de nous éclairer tout en étant construite par de plus vastes relations et structures sociales. La pleine conscience du moment présent et les approches de justice sociale à la théorie du service social, en particulier la théorie critique des sciences sociales, gravitent autour des notions de relations sociales, de dialectique, de prise de conscience et d'autoréflexion ou réflexivité. Il y a toutefois des tensions et il faut continuer à travailler au développement d'un service social intégrant la connaissance issue tant de la pleine conscience du moment présent que des approches de justice sociale.
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[The authors offer a preliminary exploration of the theory underlying the ways in which mindfulness might be incorporated into social justice approaches to social work (such as structural, critical, and anti-oppressive social work) as a method to link the personal and political in direct practice. Mindfulness may provide a window for observing and investigating events in our everyday lives that can inform, while also being structured by, larger social relations and structures. Mindfulness and social justice approaches to social work theory, in particular critical social science theory, converge around the ideas of social relations, dialectics, consciousness, and self-reflection or reflexivity. There are tensions, however, and further development is needed of a social work practice that incorporates knowledge from both mindfulness and social justice approaches. Les auteurs font une première exploration de la théorie sous-tendant les moyens possibles d'intégrer la pleine conscience du moment présent aux approches de justice sociale en travail social (comme le travail social structurel, critique et anti-oppressif) comme méthode de conjugaison du personnel et du politique dans l'exercice direct de la profession. La pleine conscience du moment présent peut servir de fenêtre d'observation et d'investigation d'événements du quotidien susceptibles de nous éclairer tout en étant construite par de plus vastes relations et structures sociales. La pleine conscience du moment présent et les approches de justice sociale à la théorie du service social, en particulier la théorie critique des sciences sociales, gravitent autour des notions de relations sociales, de dialectique, de prise de conscience et d'autoréflexion ou réflexivité. Il y a toutefois des tensions et il faut continuer à travailler au développement d'un service social intégrant la connaissance issue tant de la pleine conscience du moment présent que des approches de justice sociale.]
The authors offer a preliminary exploration of the theory underlying the ways in which mindfulness might be incorporated into social justice approaches to social work (such as structural, critical, and anti-oppressive social work) as a method to link the personal and political in direct practice. Mindfulness may provide a window for observing and investigating events in our everyday lives that can inform, while also being structured by, larger social relations and structures. Mindfulness and social justice approaches to social work theory, in particular critical social science theory, converge around the ideas of social relations, dialectics, consciousness, and self-reflection or reflexivity. There are tensions, however, and further development is needed of a social work practice that incorporates knowledge from both mindfulness and social justice approaches.
<p>A number of books have explored the ways psychotherapy clients can benefit from learning and practicing mindfulness. This is the first volume to focus specifically on how mindfulness can deepen the therapeutic relationship. Grounded in research, chapters demonstrate how therapists' own mindfulness practice can help them to listen more attentively and be more fully present. Leading proponents of different treatment approaches—including behavioral, psychodynamic, and family systems perspectives—illustrate a variety of ways that mindfulness principles can complement standard techniques and improve outcomes by strengthening the connection between therapist and client. Also presented are practical strategies for integrating mindfulness into clinical training.</p>
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- Four Immeasurables (catvary apramanani, tsemé zhi),
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- Health Care Organizations and Contemplation,
- Psychiatry and Contemplation,
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<p>Focuses on how mindfulness can deepen the therapeutic relationship. This book features proponents of different treatment approaches - including behavioural and family systems perspectives - illustrate ways that mindfulness principles can complement techniques and improve outcomes by strengthening the connection between therapist and client.</p>
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- Social Context,
- Classical Buddhist Contemplation Practices,
- Contemplation by Applied Subject,
- Contemplation by Tradition,
- Four Immeasurables (catvary apramanani, tsemé zhi),
- Heath Care Workers & Organizations and Contemplation,
- Health Care Organizations and Contemplation,
- Psychiatry and Contemplation,
- Psychotherapy and Contemplation,
- Health Care and Contemplation,
- Practices of Buddhist Contemplation,
- Buddhist Contemplation
Clinical interventions based on training in mindfulness skills are an increasingly common part of psychological practice. Mindfulness training can lead to reductions in a variety of problematic conditions including pain, stress, anxiety, depressive relapse, psychosis, and disordered eating but to date there have been few attempts to investigate the effectiveness of this approach with problematic anger. In this paper, the literature in relation to the theory and treatment of problematic anger is reviewed, with the aim of determining whether a rationale exists for the use of mindfulness with angry individuals. It is concluded that anger as an emotion seems particularly appropriate for the application of mindfulness-based interventions, and the potential mechanisms for its proposed effects in alleviating the cognitive, affective and behavioral manifestations of anger are discussed.
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Clinical interventions based on training in mindfulness skills are an increasingly common part of psychological practice. Mindfulness training can lead to reductions in a variety of problematic conditions including pain, stress, anxiety, depressive relapse, psychosis, and disordered eating but to date there have been few attempts to investigate the effectiveness of this approach with problematic anger. In this paper, the literature in relation to the theory and treatment of problematic anger is reviewed, with the aim of determining whether a rationale exists for the use of mindfulness with angry individuals. It is concluded that anger as an emotion seems particularly appropriate for the application of mindfulness-based interventions, and the potential mechanisms for its proposed effects in alleviating the cognitive, affective and behavioral manifestations of anger are discussed.
Mindfulness-based cognitive therapy (MBCT) was developed by Segal, Williams, and Teasdale (2002 Segal, Z.V., Williams, J.M.G. and Teasdale, J.D. 2002. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse, New York: The Guilford Press. [Google Scholar]
) as a therapy for relapse prevention of major depression. The 8-week group-based program combines Kabat-Zinn's (1990) Kabat-Zinn, J. 1990. Full catastrophe living: The program of the Stress Reduction Clinic at the University of Massachusetts Medical Center, New York: Delta.
[Google Scholar]
mindfulness-based stress reduction (MBSR) with components of Beck's (Beck, Rush, Shaw, & Emery, 1979 Beck, A.T., Rush, A.J., Shaw, B.F. and Emery, G. 1979. Cognitive therapy for depression, New York: Guilford Press.
[Google Scholar]
) cognitive behavioral therapy (CBT). It is increasingly being offered by social workers worldwide. MBCT is based on an interacting cognitive subsystems model (ICS) replacing Beck's schema model. This new model represents the largest shift in the approach to major depression for social work in the past two decades. However, social work has been slow to incorporate it into its research agenda. In practice, MBCT teaches patients who are in remission from depression to become aware of, and relate differently to, their thoughts, feelings, and bodily sensations. This is a shift from CBT's schema theory that focused primarily on the content of thoughts and beliefs. A few reviews of MBCT research exist (Coelho, Canter & Ernst, 2007 Coelho, H.F., Canter, P.H. and Ernst, E. 2007. Mindfulness-based cognitive therapy: Evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75(6): 1000–1005.
[Google Scholar]
), but there has been no review of the mechanics of MBCT and how it addresses the cognitive patterns or metacognition and processes of major depression. There is no review of its use within the social work literature. This article discusses the mechanisms of MBCT in relation to the components of depression relapse/reoccurrence and reviews the literature regarding the effectiveness of MBCT. We found that MBCT has the potential to positively contribute to interventions directed at relapse prevention for patients with a history of depression.
Mindfulness-based cognitive therapy (MBCT) was developed by Segal, Williams, and Teasdale (2002 Segal, Z.V., Williams, J.M.G. and Teasdale, J.D. 2002. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse, New York: The Guilford Press. [Google Scholar]
) as a therapy for relapse prevention of major depression. The 8-week group-based program combines Kabat-Zinn's (1990) Kabat-Zinn, J. 1990. Full catastrophe living: The program of the Stress Reduction Clinic at the University of Massachusetts Medical Center, New York: Delta.
[Google Scholar]
mindfulness-based stress reduction (MBSR) with components of Beck's (Beck, Rush, Shaw, & Emery, 1979 Beck, A.T., Rush, A.J., Shaw, B.F. and Emery, G. 1979. Cognitive therapy for depression, New York: Guilford Press.
[Google Scholar]
) cognitive behavioral therapy (CBT). It is increasingly being offered by social workers worldwide. MBCT is based on an interacting cognitive subsystems model (ICS) replacing Beck's schema model. This new model represents the largest shift in the approach to major depression for social work in the past two decades. However, social work has been slow to incorporate it into its research agenda. In practice, MBCT teaches patients who are in remission from depression to become aware of, and relate differently to, their thoughts, feelings, and bodily sensations. This is a shift from CBT's schema theory that focused primarily on the content of thoughts and beliefs. A few reviews of MBCT research exist (Coelho, Canter & Ernst, 2007 Coelho, H.F., Canter, P.H. and Ernst, E. 2007. Mindfulness-based cognitive therapy: Evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75(6): 1000–1005.
[Google Scholar]
), but there has been no review of the mechanics of MBCT and how it addresses the cognitive patterns or metacognition and processes of major depression. There is no review of its use within the social work literature. This article discusses the mechanisms of MBCT in relation to the components of depression relapse/reoccurrence and reviews the literature regarding the effectiveness of MBCT. We found that MBCT has the potential to positively contribute to interventions directed at relapse prevention for patients with a history of depression.
OBJECTIVE:This pilot study reports the findings of a randomized controlled trial (RCT) investigating the feasibility, tolerability, acceptability, and initial estimates of efficacy of mindfulness-based cognitive therapy (MBCT) compared to a delayed treatment (DT) control for headache pain. It was hypothesized that MBCT would be a viable treatment approach and that compared to DT, would elicit significant improvement in primary headache pain-related outcomes and secondary cognitive-related outcomes.
MATERIALS AND METHODS:
RCT methodology was employed and multivariate analysis of variance models were conducted on daily headache diary data and preassessment and postassessment data for the intent-to-treat sample (N=36), and on the completer sample (N=24).
RESULTS:
Patient flow data and standardized measures found MBCT for headache pain to be feasible, tolerable, and acceptable to participants. Intent-to-treat analyses showed that compared to DT, MBCT patients reported significantly greater improvement in self-efficacy (P=0.02, d=0.82) and pain acceptance (P=0.02, d=0.82). Results of the completer analyses produced a similar pattern of findings; additionally, compared to DT, MBCT completers reported significantly improved pain interference (P<0.01, d=-1.29) and pain catastrophizing (P=0.03, d=-0.94). Change in daily headache diary outcomes was not significantly different between groups (P's>0.05, d's≤-0.24).
DISCUSSION:
This study empirically examined MBCT for the treatment of headache pain. Results indicated that MBCT is a feasible, tolerable, acceptable, and potentially efficacious intervention for patients with headache pain. This study provides a research base for future RCTs comparing MBCT to attention control, and future comparative effectiveness studies of MBCT and cognitive-behavioral therapy.
Geriatric depression and anxiety are very common but difficult to treat pharmacologically; patients are more sensitive to adverse effects and respond relatively less well to medication.(1) Mindfulness-based cognitive therapy (MBCT) is a psychological therapy that has been highly effective in the treatment of psychiatric disorders, particularly in preventing relapse of depression.(2) However, there has only been one previous exploratory study examining its effectiveness in treating older adults.(3) We hypothesized that MBCT group psychotherapy will improve acute anxiety and depression in late life.We examined a retrospective case series of six geriatric outpatients (aged ≥ 60) with major depression and/or anxiety disorders who underwent an eight-week group MBCT course (2 hours per week) delivered by a psychiatrist (SR) in Fall 2014. Patients with normal cognition or mild cognitive impairment were included, while patients with dementia, acute psychosis, or acute suicidal ideation were excluded. Psychotropic medications were not adjusted during the treatment period. Ethics approval was obtained at Sunnybrook Health Sciences Centre in Toronto, Canada. We compared patients’ self-report scores on the Beck Anxiety Inventory (BAI), Beck Depression Inventory 2 (BDI-2), and Montreal Cognitive Assessment (MoCA) pre- and post-MBCT.
Our patients were aged 66 to 82 (mean 74.5 ± 6.2), 66.7% were females, with an average of 4.8 (± 3.4) medical comorbidities and 6.3 (± 2.9) medications, including 1.0 (± 0.9) psychiatric medications. At baseline, patients (n = 6) had a mean BAI score of 24.5 (± 15.6), a BDI of 17.8 (± 12.8), and a MoCA of 27.0 (± 1.4). All patients completed the MBCT course and all self-reported enjoying the groups, with three patients attending all sessions and three patients missing only one session.
Following MBCT, in patients with baseline anxiety (BAI > 7) (n = 5), the BAI score was significantly decreased by a mean of 37.7% (± 13.7) (range 26.1% to 57.1%) reduced from 28.0 (± 14.5) to 18.6 (± 11.8) (t = 6.7, p = .003). Considering patients with baseline depression (BDI > 7) (n = 4), the BDI score decreased by 33.3% (± 38.2) (range from 8.7% to 77.8%), reduced from 26 (± 2.1) to 17 (± 9.1), although likely due to our limited sample size, this result was non-significant (t = 1.78, p = .17). Patients’ cognition (n = 6) did not change meaningfully (mean +0.2 points increase in MoCA ± 1.8). At the end of the MBCT course, patients reported practicing formal mindfulness on their own an average of 3.6 times per week for 13.3 minutes/day.
We observed strong effect sizes in both anxiety and depression for MBCT (Cohen’s d of 0.71 and 1.4, respectively), comparable to first-line antidepressants and individual cognitive behavioral therapy after generally longer treatment periods (e.g., a Cohen’s d of 0.4–1.3 after 15 weeks, with important placebo effects).(4,5)
Our findings suggest that group MBCT could be an effective, well-tolerated, and health resource-efficient alternative and adjunct to current treatments in older adults. This appeared to be the case in our small sample of patients with an average symptom severity in the moderate-to-severe range. Future randomized controlled trials should further assess the effectiveness of MBCT in late-life anxiety and depression.
This study examined the effects of mindfulness-based stress reduction (MBSR) on health-related quality of life and physical and psychological symptomatology in a heterogeneous patient population. Patients (n=136) participated in an 8-week MBSR program and were required to practice 20 min of meditation daily. Pre- and post-intervention data were collected by using the Short-Form Health Survey (SF-36), Medical Symptom Checklist (MSCL) and Symptom Checklist-90 Revised (SCL-90-R). Health-related quality of life was enhanced as demonstrated by improvement on all indices of the SF-36, including vitality, bodily pain, role limitations caused by physical health, and social functioning (all P<.01). Alleviation of physical symptoms was revealed by a 28% reduction on the MSCL (P<.0001). Decreased psychological distress was indicated on the SCL-90-R by a 38% reduction on the Global Severity Index, a 44% reduction on the anxiety subscale, and a 34% reduction on the depression subscale (all P<.0001). One-year follow-up revealed maintenance of initial improvements on several outcome parameters. We conclude that a group mindfulness meditation training program can enhance functional status and well-being and reduce physical symptoms and psychological distress in a heterogeneous patient population and that the intervention may have long-term beneficial effects.
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<p>Objective This study compared changes in bodily pain, health-related quality of life (HRQoL), and psychological symptoms during an 8-week mindfulness-based stress reduction (MBSR) program among groups of participants with different chronic pain conditions. Methods From 1997-2003, a longitudinal investigation of chronic pain patients ( n=133) was nested within a larger prospective cohort study of heterogeneous patients participating in MBSR at a university-based Integrative Medicine center. Measures included the Short-Form 36 Health Survey and Symptom Checklist-90-Revised. Paired t tests were used to compare pre–post changes on outcome measures. Differences in treatment effect sizes were compared as a function of chronic pain condition. Correlations were examined between outcome parameters and home meditation practice. Results Outcomes differed in significance and magnitude across common chronic pain conditions. Diagnostic subgroups of patients with arthritis, back/neck pain, or two or more comorbid pain conditions demonstrated a significant change in pain intensity and functional limitations due to pain following MBSR. Participants with arthritis showed the largest treatment effects for HRQoL and psychological distress. Patients with chronic headache/migraine experienced the smallest improvement in pain and HRQoL. Patients with fibromyalgia had the smallest improvement in psychological distress. Greater home meditation practice was associated with improvement on several outcome measures, including overall psychological distress, somatization symptoms, and self-rated health, but not pain and other quality of life scales. Conclusion MBSR treatment effects on pain, HRQoL and psychological well-being vary as a function of chronic pain condition and compliance with home meditation practice.</p>
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Growing research literature has documented the effectiveness of mindfulness-based interventions for anxiety and depressive disorders. Mindfulness-based stress reduction (MBSR) teaches a series of mindfulness meditation and yoga practices, delivered in a group format during eight weekly sessions plus one full-day session. This case report demonstrates how MBSR was associated with dramatic clinical improvement of an individual with symptoms of panic, generalized anxiety, and depression. Scores on clinical assessment measures suggested clinically severe levels of anxious arousal, generalized anxiety, worry, fear of negative evaluation, and depression at the beginning of the intervention. The scores on all these measures fell well within normal limits 7 weeks later at the end of the intervention, and no remaining symptoms were reported afterward. Increased life satisfaction and quality of life were documented as well. This case illustrates the potential benefit of MBSR as an alternative or adjunctive treatment for comorbid anxiety and depressive disorder symptoms.
Growing research literature has documented the effectiveness of mindfulness-based interventions for anxiety and depressive disorders. Mindfulness-based stress reduction (MBSR) teaches a series of mindfulness meditation and yoga practices, delivered in a group format during eight weekly sessions plus one full-day session. This case report demonstrates how MBSR was associated with dramatic clinical improvement of an individual with symptoms of panic, generalized anxiety, and depression. Scores on clinical assessment measures suggested clinically severe levels of anxious arousal, generalized anxiety, worry, fear of negative evaluation, and depression at the beginning of the intervention. The scores on all these measures fell well within normal limits 7 weeks later at the end of the intervention, and no remaining symptoms were reported afterward. Increased life satisfaction and quality of life were documented as well. This case illustrates the potential benefit of MBSR as an alternative or adjunctive treatment for comorbid anxiety and depressive disorder symptoms.
<p>Background: Medical students confront significant academic, psychosocial, and existential stressors throughout their training. Mindfulness-based stress reduction (MBSR) is an educational intervention designed to improve coping skills and reduce emotional distress. Purpose: The purpose of this study was to examine the effectiveness of the MBSR intervention in a prospective, nonrandomized, cohort-controlled study. Methods: Second-year students (n = 140) elected to participate in a 10-week MBSR seminar. Controls (n = 162) participated in a didactic seminar on complementary medicine. Profile of Mood States (POMS) was administered preintervention and postintervention. Results: Baseline total mood disturbance (TMD) was greater in the MBSR group compared with controls (38.7 ±33.3 vs. 28.0 ±31.2; p <. 01). Despite this initial difference, the MBSR group scored significantly lower in TMD at the completion of the intervention period (31.8 ±33.8 vs. 38.6 ±32.8; p < . 05). Significant effects were also observed on Tension-Anxiety, Confusion-Bewilderment, Fatigue-Inertia, and Vigor-Activity subscales. Conclusion: MBSR may be an effective stress management intervention for medical students.</p>
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- Contemplation by Applied Subject,
- Medical Learning and Contemplation,
- Heath Care Workers & Organizations and Contemplation,
- Psychiatry and Contemplation,
- Mindfulness-Based Stress Reduction / Cognitive Therapy,
- Psychotherapy and Contemplation,
- Higher Education and Contemplation,
- Health Care and Contemplation,
- Education and Contemplation
Background: Medical students confront significant academic, psychosocial, and existential stressors throughout their training. Mindfulness-based stress reduction (MBSR) is an educational intervention designed to improve coping skills and reduce emotional distress.Purpose: The purpose of this study was to examine the effectiveness of the MBSR intervention in a prospective, nonrandomized, cohort-controlled study.
Methods: Second-year students (n = 140) elected to participate in a 10-week MBSR seminar. Controls (n = 162) participated in a didactic seminar on complementary medicine. Profile of Mood States (POMS) was administered preintervention and postintervention.
Results: Baseline total mood disturbance (TMD) was greater in the MBSR group compared with controls (38.7 ±33.3 vs. 28.0 ±31.2; p <. 01). Despite this initial difference, the MBSR group scored significantly lower in TMD at the completion of the intervention period (31.8 ±33.8 vs. 38.6 ±32.8; p < . 05). Significant effects were also observed on Tension-Anxiety, Confusion-Bewilderment, Fatigue-Inertia, and Vigor-Activity subscales.
Conclusion: MBSR may be an effective stress management intervention for medical students.
BACKGROUND: Medical students confront significant academic, psychosocial, and existential stressors throughout their training. Mindfulness-based stress reduction (MBSR) is an educational intervention designed to improve coping skills and reduce emotional distress.PURPOSE: The purpose of this study was to examine the effectiveness of the MBSR intervention in a prospective, nonrandomized, cohort-controlled study.
METHODS: Second-year students (n = 140) elected to participate in a 10-week MBSR seminar. Controls (n = 162) participated in a didactic seminar on complementary medicine. Profile of Mood States (POMS) was administered preintervention and postintervention.
RESULTS: Baseline total mood disturbance (TMD) was greater in the MBSR group compared with controls (38.7 +/- 33.3 vs. 28.0 +/- 31.2; p < .01). Despite this initial difference, the MBSR group scored significantly lower in TMD at the completion of the intervention period (31.8 +/- 33.8 vs. 38.6 +/- 32.8; p < .05). Significant effects were also observed on Tension-Anxiety, Confusion-Bewilderment, Fatigue-Inertia, and Vigor-Activity subscales.
CONCLUSION: MBSR may be an effective stress management intervention for medical students.
Stress among parents and other primary caregivers of children with developmental disabilities is pervasive and linked to lower quality of life, unhealthy family functioning, and negative psychological consequences. However, few programs address the needs of parents or caregivers of children with developmental disabilities. A mindfulness-based stress reduction (MBSR) program is a well-suited approach for these parents and caregivers, who may be overwhelmed by their children’s situation, anticipating future challenges and reliving past traumas. We aimed to develop, implement, and evaluate the feasibility of an MBSR program designed for this population in a community-based participatory setting. Parents and caregivers were equal partners with researchers in curriculum development, recruitment, implementation and evaluation. Two concurrent classes, morning and evening, were conducted weekly in English with simultaneous Spanish translation over 8-weeks. Classes consisted of meditation practice, supported discussion of stressors affecting parents/caregivers, and gentle stretching. Of 76 participants recruited, 66 (87 %) completed the program. All participants experienced a significant reduction (33 %) in perceived stress (p < 0.001) and parents (n = 59) experienced a 22 % reduction (p < 0.001) in parental stress. Parents/caregivers also reported significantly increased mindfulness, self-compassion, and well-being (p < 0.05). Participants continued to report significant reduction in stress 2 months after the program. Our study suggests that a community-based MBSR program can be an effective intervention to reduce stress and improve psychological well-being for parents and caregivers of children with developmental disabilities. Additional research should assess the effect of cultural or socioeconomic factors on the outcomes of the intervention and further expand MBSR programs to include community-based participatory settings.
Mindfulness is linked with improved regulatory processes of attention and emotion. The potential benefits of mindfulness are vast, including more positive emotional states and diminished arousal in response to emotional stimuli. This study aims to expand of the current knowledge of the mechanisms of mindfulness by relating the latter to cardiovascular processes. The paper describes two studies which investigated the relationship of trait mindfulness to self-report measures of emotions elicited during a violent video clip and cardiovascular responses to the clip. Both studies recruited male and female participants, mainly university undergraduate students. The clip was 5-min-long and evoked mainly feelings of tension and disgust. In study 1, we found that higher scores for trait mindfulness were associated with increased scores for valence (r = .370, p = .009), indicating a more positive interpretation of the clip. In study 2, the average heart rate during the clip was lower than during the preceding (p < .05) and following (p < .01) non-exposure conditions. Higher trait mindfulness was related to diminished heart rate reactivity (r = −.364, p = .044) and recovery (r = −.415, p = .020). This latter effect was obtained only when trait anxiety was used as a statistical covariate. Additionally, increased trait mindfulness was accompanied by higher resting heart rate (r = .390, p = .027). These outcomes suggest that mindfulness is linked with reductions in negative feelings evoked by violent motion stimuli.
Mindfulness meditation training has stress reduction benefits in various patient populations, but its effects on biological markers of HIV-1 progression are unknown. The present study tested the efficacy of an 8-week Mindfulness-based stress reduction (MBSR) meditation program compared to a 1-day control seminar on CD4+ T lymphocyte counts in stressed HIV infected adults. A single-blind randomized controlled trial was conducted with enrollment and follow-up occurring between November 2005 and December 2007. A diverse community sample of 48 HIV-1 infected adults was randomized and entered treatment in either an 8-week MBSR or a 1-day control stress reduction education seminar. The primary outcome was circulating counts of CD4+ T lymphocytes. Participants in the 1-day control seminar showed declines in CD4+ T lymphocyte counts whereas counts among participants in the 8-week MBSR program were unchanged from baseline to post-intervention (time × treatment condition interaction, p = .02). This effect was independent of antiretroviral (ARV) medication use. Additional analyses indicated that treatment adherence to the mindfulness meditation program, as measured by class attendance, mediated the effects of mindfulness meditation training on buffering CD4+ T lymphocyte declines. These findings provide an initial indication that mindfulness meditation training can buffer CD4+ T lymphocyte declines in HIV-1 infected adults.
Shyness often helps protect us from the judgments and resentments of others, but once you get in the habit of avoiding social situations, you can become stuck in a cycle of avoidance that can be difficult to escape. Ready to let go of shyness and make stronger connections with others? The Mindful Path Through Shyness shows you how.This guide uses techniques from mindfulness-based stress reduction and cognitive behavioral therapy to help you cultivate awareness of your own thoughts so that you can act with more wisdom and compassion toward yourself. Over time, you will be able to free yourself of the old mental habits of self-consciousness and self-blame, and replace them with new habits that foster confidence and joy.
A heartfelt and practical guide to. transforming one's relationship to social fears and inhibitions.
-Zindel V. Segal, Ph.D., author of The Mindful Way Through Depression
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