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Yedukondalu J, Sunkara K, Radhika V, Kondaveeti S, Anumothu M, Murali Krishna Y. Cognitive load detection through EEG lead wise feature optimization and ensemble classification. Sci Rep 2025; 15:842. [PMID: 39755908 DOI: 10.1038/s41598-024-84429-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2024] [Accepted: 12/23/2024] [Indexed: 01/06/2025] Open
Abstract
Cognitive load stimulates neural activity, essential for understanding the brain's response to stress-inducing stimuli or mental strain. This study examines the feasibility of evaluating cognitive load by extracting, selection, and classifying features from electroencephalogram (EEG) signals. We employed robust local mean decomposition (R-LMD) to decompose EEG data from each channel, recorded over a four-second period, into five modes. The binary arithmetic optimization (BAO) algorithm employed to reduce the feature space and extract multi-domain features from modes, thereby optimizing classification performance. Using six optimized machine learning (ML) classifiers, we conducted an exhaustive study that encompassed both lead-wise and overall feature classification. We improved our method by combining R-LMD-based multi-domain features with BAO and optimized ensemble learning (OEL) classifiers. It was 97.4% accuracy (AC) at finding cognitive load in the MAT (mental arithmetic task) dataset and 96.1% AC at finding it in the STEW (simultaneous workload) dataset. In the same vein, this work introduces lead-wise cognitive load detection, which offers both temporal and spatial information regarding brain activity during cognitive tasks. We analyzed the 19 and 14 leads for the MAT and STEW, respectively. The F3 lead was notably noteworthy in its ability to analyze a variety of cognitive tasks, obtaining the maximum classification AC of 94.5% and 94%, respectively. Our approach (R-LMD+BAO+OEL) outperformed existing state-of-the-art techniques in cognitive load detection.
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Affiliation(s)
- Jammisetty Yedukondalu
- Department of ECE, QIS College of Engineering and Technology, Ongole, 523272, Andhra Pradesh, India
| | - Kalyani Sunkara
- School of Computer Science and Engineering, VIT-AP University, Amaravati, 522237, Andhra Pradesh, India.
| | - Vankayalapati Radhika
- Department of CSE-Data Science, VNR Vignana Jyothi Institute of Engineering and Technology, Hyderabad, India
| | | | - Murali Anumothu
- Department of ECE, QIS College of Engineering and Technology, Ongole, 523272, Andhra Pradesh, India
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Chiarpenello C, Brodmann K. What can the psychoneuroimmunology of yoga teach us about depression's psychopathology? Brain Behav Immun Health 2024; 42:100877. [PMID: 39430877 PMCID: PMC11489066 DOI: 10.1016/j.bbih.2024.100877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 09/11/2024] [Accepted: 09/28/2024] [Indexed: 10/22/2024] Open
Abstract
Depression, the most prevailing mental health condition, remains untreated in over 30% of patients. This cluster presents with sub-clinical inflammation. Investigations trialling anti-inflammatory medications had mixed results. The lack of results may result from inflammation's complexity and targeting only a few of depression's abnormal pathways. Mind-body therapies' biological and neuro-imaging studies offer valuable insights into depression psychopathology. Interestingly, mind-body therapies, like yoga, reverse the aberrant pathways in depression. These aberrant pathways include decreased cognitive function, interoception, neuroplasticity, salience and default mode networks connectivity, parasympathetic tone, increased hypothalamic-pituitary-adrenal (HPA) axis activity, and metabolic hyper/hypofunction. Abundant evidence found yogic techniques improving self-reported depressive symptoms across various populations. Yoga may be more effective in treating depression in conjunction with pharmacological and cognitive therapies. Yoga's psychoneuroimmunology teaches us that reducing allostatic load is crucial in improving depressive symptoms. Mind-body therapies promote parasympathetic tone, downregulate the HPA axis, reduce inflammation and boost immunity. The reduced inflammation promotes neuroplasticity and, subsequently, neurogenesis. Improving interoception resolves the metabolic needs prediction error and restores homeostasis. Additionally, by improving functional connectivity within the salience network, they restore the dynamic switching between the default mode and central executive networks, reducing rumination and mind-wandering. Future investigations should engineer therapies targeting the mechanisms mentioned above. The creation of multi-disciplinary health teams offering a combination of pharmacological, gene, neurofeedback, behavioural, mind-body and psychological therapies may treat treatment-resistant depression.
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Affiliation(s)
- Carola Chiarpenello
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, London, United Kingdom
| | - Katja Brodmann
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, London, United Kingdom
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Ramanathan D, Nan J, Grennan G, Jaiswal S, Purpura S, Manchanda J, Maric V, Balasubramani PP, Mishra J. Modulation of Posterior Default Mode Network Activity During Interoceptive Attention and Relation to Mindfulness. BIOLOGICAL PSYCHIATRY GLOBAL OPEN SCIENCE 2024; 4:100384. [PMID: 39416659 PMCID: PMC11480231 DOI: 10.1016/j.bpsgos.2024.100384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 07/09/2024] [Accepted: 08/13/2024] [Indexed: 10/19/2024] Open
Abstract
Background Interoceptive attention to internal sensory signals, such as the breath, is fundamental to mindfulness. However, interoceptive attention can be difficult to study, with many studies relying on subjective and retrospective measures. Response consistency is an established method for evaluating variability of attention on exteroceptive attention tasks, but it has rarely been applied to interoceptive attention tasks. Methods In this study, we measured consistency of response times on a breath-monitoring task with simultaneous electroencephalography in individuals across the life span (15-91 years of age, N = 324). Results We found that consistency on the breath-monitoring task was positively correlated with attentive performance on an exteroceptive inhibitory control task. Electroencephalography source reconstruction showed that on-task alpha band (8-12 Hz) activity was greater than that measured at rest. Low-consistency/longer breath responses were associated with elevated brain activity compared with high-consistency responses, particularly in posterior default mode network (pDMN) brain regions. pDMN activity was inversely linked with functional connectivity to the frontoparietal network and the cingulo-opercular network on task but not at rest, suggesting a role for these frontal networks in on-task regulation of pDMN activity. pDMN activity within the precuneus region was greater in participants who reported low subjective mindfulness and was adaptively modulated by task difficulty in an independent experiment. Conclusions Elevated pDMN alpha activity serves as an objective neural marker for low-consistency responding during interoceptive breath attention, scales with task difficulty, and is associated with low subjective mindfulness.
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Affiliation(s)
- Dhakshin Ramanathan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
- Department of Mental Health, Veterans Affairs San Diego Healthcare System, San Diego, California
- Center of Excellence for Stress and Mental Health, Veterans Affairs San Diego Healthcare System, San Diego, California
| | - Jason Nan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
| | - Gillian Grennan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
| | - Satish Jaiswal
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
| | - Suzanna Purpura
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
| | - James Manchanda
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
| | - Vojislav Maric
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
| | | | - Jyoti Mishra
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, California
- Center of Excellence for Stress and Mental Health, Veterans Affairs San Diego Healthcare System, San Diego, California
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Dietrich Student KM, Bidart MG. Effects of a mindfulness course on vital signs and five facet mindfulness questionnaire scores of college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:905-913. [PMID: 35549653 DOI: 10.1080/07448481.2022.2060709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 12/31/2021] [Accepted: 03/27/2022] [Indexed: 06/15/2023]
Abstract
Objective: This study examined the effects of a college mindfulness course on vital-signs and Five Facet Mindfulness Questionnaire (FFMQ) scores. Participants: Two independent groups of 20 students were enrolled in the mindfulness course during the Fall 2018 (Trial 1) and Spring 2019 (Trial 2) semesters. Methods: Blood pressure, heart rate, and respiration rate were recorded before and after in-class mindfulness meditations several times throughout each semester. FFMQ scores were recorded at the beginning and conclusion of each semester. Results: Statistical analyses indicated that 20 minutes of mindfulness meditation significantly decreased respiration rate (both trials) and heart rate (Trial 2) for female students. There were significant changes in the FFMQ mean scores for "non-react," "observe," "act aware," and "non-judge." Conclusions: These results suggest that mindfulness meditation may be beneficial for students to enhance their well-being. Recommendations are provided to further examine the implications of consistent mindfulness practices for college students.
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Affiliation(s)
| | - Maria Gabriela Bidart
- Department of Biological Sciences, Bowling Green State University, Bowling Green, OH, USA
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Tidwell TL. Life in Suspension with Death: Biocultural Ontologies, Perceptual Cues, and Biomarkers for the Tibetan Tukdam Postmortem Meditative State. Cult Med Psychiatry 2024:10.1007/s11013-023-09844-2. [PMID: 38393648 DOI: 10.1007/s11013-023-09844-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/05/2023] [Indexed: 02/25/2024]
Abstract
This article presents two cases from a collaborative study among Tibetan monastic populations in India on the postdeath meditative state called tukdam (thugs dam). Entered by advanced Tibetan Buddhist practitioners through a variety of different practices, this state provides an ontological frame that is investigated by two distinct intellectual traditions-the Tibetan Buddhist and medical tradition on one hand and the Euroamerican biomedical and scientific tradition on the other-using their respective means of inquiry. Through the investigation, the traditions enact two paradigms of the body at the time of death alongside attendant conceptualizations of what constitutes life itself. This work examines when epistemologies of these two traditions might converge, under what ontological contexts, and through which correlated indicators of evidence. In doing so, this work explores how these two intellectual traditions might answer how the time course and characteristics of physiological changes during the postmortem period might exhibit variation across individuals. Centrally, this piece presents an epistemological inquiry delineating the types of valid evidence that constitute exceptional processes post-clinical death and their potential ontological implications.
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Affiliation(s)
- Tawni L Tidwell
- Center for Healthy Minds, University of Wisconsin-Madison, 625 W. Washington Ave., Madison, WI, 53703, USA.
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Karunarathne LJU, Amarasiri WADL, Fernando ADA. Respiratory function in healthy long-term meditators: a systematic review. Syst Rev 2024; 13:1. [PMID: 38167382 PMCID: PMC10759765 DOI: 10.1186/s13643-023-02412-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 12/04/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND There is a paucity of data on effects of long-term meditation on respiration. This systematic review summarized selected respiratory function parameters in healthy long-term meditators (LTMs) at rest, during meditation and their associations with meditation practice variables. METHODS A systematic search of PubMed, EMBASE (Ovid), Scopus, Proquest Dissertation and Thesis Global databases, CENTRAL, and Google Scholar was performed from year 1950 to August 15th, 2023. Keywords "meditation," "long-term meditation," and respiratory/pulmonary/lung function and spirometry were used. Controlled-trials and observational studies exploring respiratory parameters in healthy LTMs published in English were included. Two independent reviewers selected studies, extracted data, and assessed the quality of the evidence. The Joanna-Briggs Institute Critical Appraisal Tools and the Single-Case Reporting Guideline In BEhavioural Interventions Statement were used to assess the methodological quality of the included studies. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Effect estimates of some outcomes were synthesized using alternative methods and data for other outcomes synthesized narratively as a meta-analysis was not possible. RESULTS Nine studies comprising 3 case-control, 3 cross-sectional, and 3 single-subject study designs, involving 433 participants that met the eligibility criteria, were included. Two studies reported slower resting RR among LTMs compared to controls [SMD = - 2.98, 95% CI (- 4.48 to - 1.47), overall-effect (z-score) = 3.88 (p < 0.001), I2 = 69%] with similar trend reported in the third study (MD = - 1.6, p = 0.053). Three studies reported slower RR in LTMs during meditation compared to baseline. Slower resting RR and mean RR change during meditation compared to baseline significantly negatively associated with meditation experience. PEFR was significantly higher in LTMs than controls [MD = 1.67, 95% CI (0.19-3.15), z-score = 2.21 (p = 0.03)]. No significant difference was observed in tidal volume [SDM = 0.93, 95% CI (- 1.13 to 2.99), z-score = 0.89 (p = 0.37), I2 = 96%] and vital capacity [SDM = 1.25, 95% CI (- 0.45 to 2.95), z-score = 1.44 (p = 0.15), I2 = 94%] of LTMs compared to controls. CONCLUSIONS Long-term meditation appears to be associated with slower baseline RR, and immediate reduction in RR during meditation, where greater practice amplifies the effects. Evidence on spirometry parameters in LTMs with ≥ 3 years of practice was limited.
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Affiliation(s)
- L J U Karunarathne
- Department of Physical Medicine, National Hospital of Colombo, Colombo, 00700, Sri Lanka.
| | - W A D L Amarasiri
- Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, 00800, Sri Lanka
| | - A D A Fernando
- Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, 00800, Sri Lanka
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Hwang MH, Bunt L, Warner C. An Eight-Week Zen Meditation and Music Programme for Mindfulness and Happiness: Qualitative Content Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7140. [PMID: 38063569 PMCID: PMC10706294 DOI: 10.3390/ijerph20237140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 11/10/2023] [Accepted: 11/22/2023] [Indexed: 12/18/2023]
Abstract
Mental wellness can be related to healthier living, the learning process and working environments for people in the university community. A wide range of mental wellness programmes have been explored to provide students with pleasant and satisfying experiences. The purpose of this study is to explore the effects of integrating Zen meditation and music listening on the mindfulness and happiness levels of university music therapy students. A qualitative methodology was used, and data were collected through surveys and semi-structured interviews. To investigate various aspects of data regarding the role of the meditation and music (MM) programme for mindfulness and happiness, this study used thematic analysis within a qualitative research design. The findings of this study suggest that the 8-week Mindfulness Meditation (MM) programme is a potential approach for enhancing mindfulness, happiness and stress management. These results carry broader implications, particularly in terms of supporting mental health resources in higher education. Furthermore, the study contributes to the ongoing discussion regarding the positive impact of combining meditation and music to promote mental well-being. This integrated approach has the potential to strengthen coping strategies and further promote the integration of music and meditation practices in various contexts, including higher education.
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Affiliation(s)
- Mi Hyang Hwang
- School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol BS16 1DD, UK
- Department of Buddhist Studies, Dongguk University, Seoul 04620, Republic of Korea
| | - Leslie Bunt
- School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol BS16 1DD, UK
| | - Catherine Warner
- School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol BS16 1DD, UK
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Diez GG, Martin-Subero I, Zangri RM, Kulis M, Andreu C, Blanco I, Roca P, Cuesta P, García C, Garzón J, Herradón C, Riutort M, Baliyan S, Venero C, Vázquez C. Epigenetic, psychological, and EEG changes after a 1-week retreat based on mindfulness and compassion for stress reduction in healthy adults: Study protocol of a cross-over randomized controlled trial. PLoS One 2023; 18:e0283169. [PMID: 37976257 PMCID: PMC10656013 DOI: 10.1371/journal.pone.0283169] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 10/19/2023] [Indexed: 11/19/2023] Open
Abstract
INTRODUCTION The main objective of the study will be to evaluate the effects of two widely used standardized mindfulness-based programs [Mindfulness-Based Stress Reduction (MBSR) and Compassion Cultivation Training (CCT)], on epigenetic, neurobiological, psychological, and physiological variables. METHODS The programs will be offered in an intensive retreat format in a general population sample of healthy volunteer adults. During a 7-day retreat, participants will receive MBSR and CCT in a crossover design where participants complete both programs in random order. After finishing their first 3-day training with one of the two programs, participants will be assigned to the second 3-day training with the second program. The effects of the MBSR and CCT programs, and their combination, will be measured by epigenetic changes (i.e., DNA methylation biomarkers), neurobiological and psychophysiological measures (i.e., EEG resting state, EKG, respiration patterns, and diurnal cortisol slopes), self-report questionnaires belonging to different psychological domains (i.e., mindfulness, compassion, well-being, distress, and general functioning), and stress tasks (i.e., an Arithmetic Stress Test and the retrieval of negative autobiographical memories). These measures will be collected from both groups on the mornings of day 1 (pre-program), day 4 (after finishing the first program and before beginning the second program), and day 7 (post-second program). We will conduct a 3-month and a 12-month follow-up using only the set of self-report measures. DISCUSSION This study aims to shed light on the neurobiological and psychological mechanisms linked to meditation and compassion in the general population. The protocol was registered at clinicaltrials.gov (Identifier: NCT05516355; August 23, 2022).
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Affiliation(s)
- Gustavo G. Diez
- Nirakara/Lab, Madrid, Spain
- Ph.D. Program in Neuroscience, Department of Anatomy, Histology and Neuroscience, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain
| | | | - Rosaria M. Zangri
- School of Psychology, Complutense University of Madrid, Madrid, Spain
| | | | - Catherine Andreu
- Polibienestar Institute, University of Valencia, Valencia, Spain
| | - Ivan Blanco
- School of Psychology, Complutense University of Madrid, Madrid, Spain
| | - Pablo Roca
- Nirakara/Lab, Madrid, Spain
- School of Psychology, Villanueva University, Madrid, Spain
| | - Pablo Cuesta
- School of Medicine, Complutense University of Madrid, Madrid, Spain
| | - Carola García
- Nirakara/Lab, Madrid, Spain
- Mindfulness Vivendi, Madrid, Spain
| | | | | | | | - Shishir Baliyan
- School of Psychology, Faculty of Psychology, UNED, Madrid, Spain
| | - César Venero
- School of Psychology, Faculty of Psychology, UNED, Madrid, Spain
| | - Carmelo Vázquez
- Nirakara/Lab, Madrid, Spain
- School of Psychology, Complutense University of Madrid, Madrid, Spain
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Knudsen RK, Ammentorp J, Storkholm MH, Skovbjerg S, Tousig CG, Timmermann C. The influence of mindfulness-based stress reduction on the work life of healthcare professionals - A qualitative study. Complement Ther Clin Pract 2023; 53:101805. [PMID: 37837781 DOI: 10.1016/j.ctcp.2023.101805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 09/14/2023] [Accepted: 10/06/2023] [Indexed: 10/16/2023]
Abstract
BACKGROUND and purpose: Quantitative studies show that mindfulness-based interventions can reduce stress and burnout in healthcare professionals. Few qualitative studies have explored healthcare professionals' experiences with mindfulness training. The aim of the study was to explore healthcare professionals' experiences of how attending a course in Mindfulness-Based Stress Reduction influenced their work life, including their relationship with patients and colleagues. METHODS Fifty-six healthcare professionals attended a Mindfulness-Based Stress Reduction course between January and June 2022. Participant observation followed by six semi-structured focus group interviews and 15 individual interviews were conducted. Data were collected in a cardiology department and in an obstetrics and gynaecology department. Thematic data analysis was performed. Reporting followed COREQ guidelines. RESULTS Six themes were identified: 1) Allowing a pause and focusing on one thing at a time, 2) Awareness of the freedom to choose, 3) The need for self-compassion, as a prerequisite for taking care of others, 4) The value of presence and calmness in patient encounters, 5) Awareness of how stressful behavior affects oneself and others, 6) The value of practicing mindfulness with colleagues. CONCLUSION This study suggests that offering Mindfulness-Based Stress Reduction to healthcare professionals can start a positive process of change from a tendency to neglect personal needs to becoming more compassionate towards oneself and others. Mindfulness training may thus prevent burnout and lead to a more compassionate workplace culture that also manifests in better patient care. However, a collective understanding and knowledge of mindfulness in the work setting may be necessary to sustain these changes.
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Affiliation(s)
- Randi Karkov Knudsen
- Department of Gynecology and Obstetrics, Horsens Regional Hospital, Sundvej 30C, 8700, Horsens, Denmark; Department of Cardiology, Lillebaelt Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark; Centre for Research in Patient Communication, Odense University Hospital, Kløvervænget 12B, 5000, Odense C, Denmark; Department of Clinical Research, University of Southern Denmark, J.B. Winsløwsvej 19, 5000, Odense C, Denmark.
| | - Jette Ammentorp
- Centre for Research in Patient Communication, Odense University Hospital, Kløvervænget 12B, 5000, Odense C, Denmark; Department of Clinical Research, University of Southern Denmark, J.B. Winsløwsvej 19, 5000, Odense C, Denmark.
| | - Marie Højriis Storkholm
- Department of Gynecology and Obstetrics, Horsens Regional Hospital, Sundvej 30C, 8700, Horsens, Denmark; Department of Clinical Medicine, Aarhus University Hosipital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.
| | - Sine Skovbjerg
- Danish Center for Mindfulness, Aarhus University, Hack Kampmanns Plads 1-3, 8000, Aarhus C, Denmark; Department of Clinical Medicine, Aarhus University Hosipital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.
| | - Charlotte Gad Tousig
- Department of Cardiology, Lillebaelt Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark.
| | - Connie Timmermann
- Centre for Research in Patient Communication, Odense University Hospital, Kløvervænget 12B, 5000, Odense C, Denmark; Department of Clinical Research, University of Southern Denmark, J.B. Winsløwsvej 19, 5000, Odense C, Denmark.
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Kral TRA, Weng HY, Mitra V, Imhoff-Smith TP, Azemi E, Goldman RI, Rosenkranz MA, Wu S, Chen A, Davidson RJ. Slower respiration rate is associated with higher self-reported well-being after wellness training. Sci Rep 2023; 13:15953. [PMID: 37743388 PMCID: PMC10518325 DOI: 10.1038/s41598-023-43176-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 09/20/2023] [Indexed: 09/26/2023] Open
Abstract
Mind-body interventions such as mindfulness-based stress reduction (MBSR) may improve well-being by increasing awareness and regulation of physiological and cognitive states. However, it is unclear how practice may alter long-term, baseline physiological processes, and whether these changes reflect improved well-being. Using respiration rate (RR), which can be sensitive to effects of meditation, and 3 aspects of self-reported well-being (psychological well-being [PWB], distress, and medical symptoms), we tested pre-registered hypotheses that: (1) Lower baseline RR (in a resting, non-meditative state) would be a physiological marker associated with well-being, (2) MBSR would decrease RR, and (3) Training-related decreases in RR would be associated with improved well-being. We recruited 245 adults (age range = 18-65, M = 42.4): experienced meditators (n = 42), and meditation-naïve participants randomized to MBSR (n = 72), active control (n = 41), or waitlist control (n = 66). Data were collected at pre-randomization, post-intervention (or waiting), and long-term follow-up. Lower baseline RR was associated with lower psychological distress among long-term meditators (p* = 0.03, b = 0.02, 95% CI [0.01, 0.03]), though not in non-meditators prior to training. MBSR decreased RR compared to waitlist (p = 0.02, Cohen's d = - 0.41, 95% CI [- 0.78, - 0.06]), but not the active control. Decreased RR related to decreased medical symptoms, across all participants (p* = 0.02, b = 0.57, 95% CI [0.15, 0.98]). Post-training, lower RR was associated with higher PWB across training groups compared to waitlist (p* = 0.01, b = 0.06, 95% CI [0.02, 0.10]), though there were no significant differences in change in PWB between groups. This physiological marker may indicate higher physical and/or psychological well-being in those who engage in wellness practices.
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Affiliation(s)
- Tammi R A Kral
- Healthy Minds Innovations, Inc., Madison, WI, USA
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA
| | | | | | - Theodore P Imhoff-Smith
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA
- Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Robin I Goldman
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA
| | | | | | | | - Richard J Davidson
- Healthy Minds Innovations, Inc., Madison, WI, USA.
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA.
- Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA.
- Department of Psychiatry, University of Wisconsin-Madison, Madison, WI, USA.
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Karunarathne LU, Amarasiri W, Fernando A. Respiratory function in healthy long-term meditators: A cross-sectional comparative study. Heliyon 2023; 9:e18585. [PMID: 37554788 PMCID: PMC10404977 DOI: 10.1016/j.heliyon.2023.e18585] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 07/13/2023] [Accepted: 07/21/2023] [Indexed: 08/10/2023] Open
Abstract
PURPOSE Respiratory function is thought to improve with long-term meditation. This study aimed to assess respiratory function in a cohort of healthy long-term meditators and non-meditators in Sri Lanka. METHODS Respiratory function of healthy, skilled long-term meditators (n = 20) practicing Buddhist meditation consistently >3 years, and age-sex matched non-meditators (n = 20) were assessed by assessing resting respiratory rate, spirometry, breath-holding time and six-minute-walk distance. Data were analyzed with SPSS-23 statistical software. RESULTS The long-term meditators; 45% male, mean (SD) total lifetime meditation experience 12.8 (6.5) years, aged 45.8 (8.74) years, BMI 23.68 (2.23) kgm-2, and non-meditators; 45% male, mean (SD) age 45.3 (8.05) years, BMI 23.68 (3.28) kgm-2, were comparable. Long-term meditators had slower resting respiratory rates [mean (SD); 13.35 (1.9) vs. 18.37 (2.31) breaths/minute; p < 0.001], higher peak expiratory flow rates [mean (SD); 9.89 (2.5) vs. 8.22 (2.3) L/s; p = 0.03], and higher inspiratory breath-holding times [mean (SD); 74 (29.84) vs. 53.61 (26.83) seconds, p = 0.038] compared to non-meditators. There was no significant difference in the six-minute-walk distance and estimated maximal oxygen consumption between the two groups.Resting respiratory rate of long-term meditators, showed a significant negative correlation with total lifetime meditation practice in years (r = -0.444, p = 0.049), and the average length of a meditation session per day (r = -0.65, p = 0.002). The long-term meditators with longer duration of retreat participation demonstrated lower resting respiratory rate (r = -0.522, p = 0.018) and higher tidal volumes (r = 0.474, p = 0.04). CONCLUSIONS Long-term meditators had significantly slower resting respiratory rates and longer breath-holding times, with better spirometry parameters than non-meditators. Greater practice duration and retreat experience appear to be associated with improved resting respiratory function in long-term meditators.
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Affiliation(s)
- L.J. Udani Karunarathne
- Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, 00800, Sri Lanka
- Department of Physical Medicine, National Hospital of Colombo, Colombo, 00700, Sri Lanka
| | - W.A.D.L. Amarasiri
- Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, 00800, Sri Lanka
| | - A.D.A. Fernando
- Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, 00800, Sri Lanka
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12
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Balban MY, Neri E, Kogon MM, Weed L, Nouriani B, Jo B, Holl G, Zeitzer JM, Spiegel D, Huberman AD. Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Rep Med 2023; 4:100895. [PMID: 36630953 PMCID: PMC9873947 DOI: 10.1016/j.xcrm.2022.100895] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 09/06/2022] [Accepted: 12/15/2022] [Indexed: 01/12/2023]
Abstract
Controlled breathwork practices have emerged as potential tools for stress management and well-being. Here, we report a remote, randomized, controlled study (NCT05304000) of three different daily 5-min breathwork exercises compared with an equivalent period of mindfulness meditation over 1 month. The breathing conditions are (1) cyclic sighing, which emphasizes prolonged exhalations; (2) box breathing, which is equal duration of inhalations, breath retentions, and exhalations; and (3) cyclic hyperventilation with retention, with longer inhalations and shorter exhalations. The primary endpoints are improvement in mood and anxiety as well as reduced physiological arousal (respiratory rate, heart rate, and heart rate variability). Using a mixed-effects model, we show that breathwork, especially the exhale-focused cyclic sighing, produces greater improvement in mood (p < 0.05) and reduction in respiratory rate (p < 0.05) compared with mindfulness meditation. Daily 5-min cyclic sighing has promise as an effective stress management exercise.
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Affiliation(s)
- Melis Yilmaz Balban
- Department of Neurobiology, School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Eric Neri
- Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Manuela M. Kogon
- Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA,Stanford Center for Integrative Medicine, Stanford Health Care, Palo Alto, CA 94304, USA
| | - Lara Weed
- Department of Bioengineering, School of Engineering and School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Bita Nouriani
- Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Booil Jo
- Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Gary Holl
- Department of Neurobiology, School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Jamie M. Zeitzer
- Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA,Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care Service, Palo Alto, CA 94304, USA
| | - David Spiegel
- Department of Psychiatry & Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA; Center for Stress and Health, School of Medicine, Stanford University, Stanford, CA 94305, USA.
| | - Andrew D. Huberman
- Department of Neurobiology, School of Medicine, Stanford University, Stanford, CA 94305, USA,Department of Ophthalmology, School of Medicine, Stanford University, Stanford, CA 94305, USA,BioX, School of Medicine, Stanford University, Stanford, CA 94305, USA,Corresponding author
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13
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Fincham GW, Strauss C, Montero-Marin J, Cavanagh K. Effect of breathwork on stress and mental health: A meta-analysis of randomised-controlled trials. Sci Rep 2023; 13:432. [PMID: 36624160 PMCID: PMC9828383 DOI: 10.1038/s41598-022-27247-y] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 12/28/2022] [Indexed: 01/11/2023] Open
Abstract
Deliberate control of the breath (breathwork) has recently received an unprecedented surge in public interest and breathing techniques have therapeutic potential to improve mental health. Our meta-analysis primarily aimed to evaluate the efficacy of breathwork through examining whether, and to what extent, breathwork interventions were associated with lower levels of self-reported/subjective stress compared to non-breathwork controls. We searched PsycInfo, PubMed, ProQuest, Scopus, Web of Science, ClinicalTrials.gov and ISRCTN up to February 2022, initially identifying 1325 results. The primary outcome self-reported/subjective stress included 12 randomised-controlled trials (k = 12) with a total of 785 adult participants. Most studies were deemed as being at moderate risk of bias. The random-effects analysis yielded a significant small-to-medium mean effect size, g = - 0.35 [95% CI - 0.55, - 0.14], z = 3.32, p = 0.0009, showing breathwork was associated with lower levels of stress than control conditions. Heterogeneity was intermediate and approaching significance, χ211 = 19, p = 0.06, I2 = 42%. Meta-analyses for secondary outcomes of self-reported/subjective anxiety (k = 20) and depressive symptoms (k = 18) showed similar significant effect sizes: g = - 0.32, p < 0.0001, and g = - 0.40, p < 0.0001, respectively. Heterogeneity was moderate and significant for both. Overall, results showed that breathwork may be effective for improving stress and mental health. However, we urge caution and advocate for nuanced research approaches with low risk-of-bias study designs to avoid a miscalibration between hype and evidence.
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Affiliation(s)
| | - Clara Strauss
- Department of Psychology, University of Sussex, Brighton, UK
- Research and Development Department, Sussex Partnership NHS Foundation Trust, Brighton, UK
| | - Jesus Montero-Marin
- Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.
- Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiology and Public Health-CIBERESP), Madrid, Spain.
| | - Kate Cavanagh
- Department of Psychology, University of Sussex, Brighton, UK
- Research and Development Department, Sussex Partnership NHS Foundation Trust, Brighton, UK
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14
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Merrigan JJ, Quatman-Yates C, Caputo J, Daniel K, Briones N, Sen I, Bretz S, Duchemin AM, Steinberg B, Hagen JA, Klatt M. Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience. GLOBAL ADVANCES IN INTEGRATIVE MEDICINE AND HEALTH 2023; 12:27536130231187636. [PMID: 37434793 PMCID: PMC10331219 DOI: 10.1177/27536130231187636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 07/13/2023]
Abstract
Background Mindfulness in Motion (MIM) is a workplace resilience-building intervention that has shown reductions in perceived stress and burnout, as well as increased resilience and work engagement in health care workers. Objective To evaluate effects of MIM delivered in a synchronous virtual format on self-reported respiratory rates (RR), as well as perceived stress and resiliency of health care workers. Methods Breath counts were self-reported by 275 participants before and after 8 weekly MIM sessions. MIM was delivered virtually in a group format as a structured, evidence-based workplace intervention including a variety of mindfulness, relaxation, and resilience-building techniques. Participants counted their breaths for 30 seconds, which was then multiplied by 2 to report RR. Additionally, participants completed Perceived Stress Scale and Connor-Davidson Resiliency Scale. Results According to mixed effect analyses there were main effects of MIM Session (P < .001) and Weeks (P < .001), but no Session by Week interaction (P = .489) on RR. On average, RR prior to MIM sessions were reduced from 13.24 bpm (95% CI = 12.94, 13.55 bpm) to 9.69 bpm (95% CI = 9.39, 9.99 bpm). When comparing average Pre-MIM and Post-MIM RR throughout the MIM intervention, Week-2 (mean = 12.34; 95% CI = 11.89, 12.79 bpm) was not significantly different than Week-1 (mean = 12.78; 95% CI = 12.34, 13.23 bpm), but Week-3 through Week-8 demonstrated significantly lower average Pre-MIM and Post-MIM RR compared to Week-1 (average weekly difference range: 1.36 to 2.48 bpm, P < .05). Perceived stress was reduced from Week-1 (17.52 ± 6.25) to after Week-8 (13.52 ± 6.04; P < .001), while perceived resiliency was increased from Week-1 (11.30 ± 5.14) to after Week-8 (19.29 ± 2.58); P < .001). Conclusion Thus far, completion of MIM sessions has shown acute and long-term effects on self-reported RR, but more research is required to determine the extent of improved parasympathetic (relaxed) states. Collectively, this work has shown value for mind-body stress mitigation and resiliency-building in high stress acute health care environments.
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Affiliation(s)
- Justin J. Merrigan
- Human Performance Collaborative, Office of Research, The Ohio State University, Columbus, OH, USA
| | - Catherine Quatman-Yates
- School of Health and Rehabilitation Sciences, Division of Physical Therapy, The Ohio State University, Columbus, OH, USA
| | - Jacqueline Caputo
- School of Health and Rehabilitation Sciences, Division of Physical Therapy, The Ohio State University, Columbus, OH, USA
| | - Kayla Daniel
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Nadia Briones
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Ilayda Sen
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Slate Bretz
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Anne-Marie Duchemin
- Stress, Trauma and Resilience Program, Department of Psychiatry, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Beth Steinberg
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
- Gabbe Health and Wellbeing, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| | - Joshua A. Hagen
- Human Performance Collaborative, Office of Research, The Ohio State University, Columbus, OH, USA
- Department of Integrated Systems Engineering, The Ohio State University, Columbus, OH, USA
| | - Maryanna Klatt
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
- Gabbe Health and Wellbeing, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA
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15
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Wielgosz J, Kral TRA, Perlman DM, Mumford JA, Wager TD, Lutz A, Davidson RJ. Neural Signatures of Pain Modulation in Short-Term and Long-Term Mindfulness Training: A Randomized Active-Control Trial. Am J Psychiatry 2022; 179:758-767. [PMID: 35899379 PMCID: PMC9529779 DOI: 10.1176/appi.ajp.21020145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Mindfulness-based interventions are widely used to target pain, yet their neural mechanisms of action are insufficiently understood. The authors studied neural and subjective pain response in a randomized active-control trial of mindfulness-based stress reduction (MBSR) alongside long-term meditation practitioners. METHODS Healthy participants (N=115) underwent functional neuroimaging during a thermal acute pain task before and after random assignment to MBSR (N=28), an active control condition (health enhancement program [HEP]) (N=32), or a waiting list control condition (N=31). Long-term meditators (N=30) completed the same neuroimaging paradigm. Pain response was measured via self-reported intensity and unpleasantness, and neurally via two multivoxel machine-learning-derived signatures: the neurologic pain signature (NPS), emphasizing nociceptive pain processing, and the stimulus intensity independent pain signature-1 (SIIPS1), emphasizing stimulus-independent neuromodulatory processes. RESULTS The MBSR group showed a significant decrease in NPS response relative to the HEP group (Cohen's d=-0.43) and from pre- to postintervention assessment (d=-0.47). The MBSR group showed small, marginal decreases in NPS relative to the waiting list group (d=-0.36), and in SIIPS1 relative to both groups (HEP group, d=-0.37; waiting list group, d=-0.37). In subjective unpleasantness, the MBSR and HEP groups also showed modest significant reductions compared with the waiting list group (d=-0.45 and d=-0.55). Long-term meditators reported significantly lower pain than nonmeditators but did not differ in neural response. Within the long-term meditator group, cumulative practice during intensive retreat was significantly associated with reduced SIIPS1 (r=-0.65), whereas daily practice was not. CONCLUSIONS Mindfulness training showed associations with pain reduction that implicate differing neural pathways depending on extent and context of practice. Use of neural pain signatures in randomized trials offers promise for guiding the application of mindfulness interventions to pain treatment.
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Affiliation(s)
- Joseph Wielgosz
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
| | - Tammi R A Kral
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
| | - David M Perlman
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
| | - Jeanette A Mumford
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
| | - Tor D Wager
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
| | - Antoine Lutz
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
| | - Richard J Davidson
- Center for Healthy Minds (Wielgosz, Kral, Perlman, Mumford, Davidson), Department of Psychology (Kral, Davidson), Department of Psychiatry (Kral, Davidson), and Waisman Laboratory for Brain Imaging and Behavior (Kral, Davidson), University of Wisconsin-Madison; Sierra Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif. (Wielgosz); Department of Psychiatry and Behavioral Sciences (Wielgosz) and Department of Psychology (Mumford), Stanford University, Stanford, Calif.; Department of Psychological and Brain Sciences, Dartmouth College, Hanover, N.H. (Wager); EDUWELL team, Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France (Lutz)
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16
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Voss A, Bogdanski M, Walther M, Langohr B, Albrecht R, Seifert G, Sandbothe M. Mindfulness-Based Student Training Improves Vascular Variability Associated With Sustained Reductions in Physiological Stress Response. Front Public Health 2022; 10:863671. [PMID: 35923955 PMCID: PMC9340219 DOI: 10.3389/fpubh.2022.863671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 06/17/2022] [Indexed: 11/13/2022] Open
Abstract
In today's fast-paced society, chronic stress has become an increasing problem, as it can lead to psycho-physiological health problems. University students are also faced with stress due to the demands of many courses and exams. The positive effects of mindfulness-based stress reduction (MBSR) on stress management and self-regulation have already been studied. We have developed a new mindfulness intervention tailored for students—the Mindfulness-Based Student Training (MBST). In this study, we present longitudinal results of the MBST evaluation. Biosignal analysis methods, including pulse wave variability (PWV), heart rate variability, and respiratory activity, were used to assess participants' state of autonomic regulation during the 12-week intervention and at follow-up. The progress of the intervention group (IGR, N = 31) up to 3 months after the end of MBST was compared with that of a control group (CON, N = 34). In addition, the long-term effect for IGR up to 1 year after intervention was examined. The analysis showed significant positive changes in PWV exclusively for IGR. This positive effect, particularly on vascular function, persists 1 year after the end of MBST. These results suggest a physiologically reduced stress level in MBST participants and a beneficial preventive health care program for University students.
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Affiliation(s)
- Andreas Voss
- Institute of Innovative Health Technologies (IGHT), Ernst-Abbe-Hochschule Jena, Jena, Germany
- Institute of Biomedical Engineering and Informatics (BMTI), Technische Universität Ilmenau, Ilmenau, Germany
- Department of Pediatric Oncology and Hematology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- *Correspondence: Andreas Voss
| | - Martin Bogdanski
- Institute of Innovative Health Technologies (IGHT), Ernst-Abbe-Hochschule Jena, Jena, Germany
- Department of Pediatric Oncology and Hematology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Mario Walther
- Department of Basic Sciences, Ernst-Abbe-Hochschule Jena, Jena, Germany
| | | | - Reyk Albrecht
- Department of Social and Behavioral Sciences and Department of Medicine, Friedrich-Schiller-University Jena, Jena, Germany
| | - Georg Seifert
- Department of Pediatric Oncology and Hematology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Departamento de Pediatria, Faculdade de Medicina, Instituto de Tratamento Do Câncer Infatil (ITACI) Universidade de São Paulo, São Paulo, Brazil
| | - Mike Sandbothe
- Institute of Innovative Health Technologies (IGHT), Ernst-Abbe-Hochschule Jena, Jena, Germany
- Department of Social Work, Ernst-Abbe-Hochschule Jena, Jena, Germany
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17
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Gamaiunova L, Kreibig SD, Dan-Glauser E, Pellerin N, Brandt PY, Kliegel M. Effects of Two Mindfulness Based Interventions on the Distinct Phases of the Stress Response Across Different Physiological Systems. Biol Psychol 2022; 172:108384. [PMID: 35753560 DOI: 10.1016/j.biopsycho.2022.108384] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 06/17/2022] [Accepted: 06/20/2022] [Indexed: 11/28/2022]
Abstract
When evaluating the effects of mindfulness-based interventions (MBIs) on the stress response, several aspects should be considered, such as 1) effects on various response systems, 2) temporal dynamics of the stress response, and 3) differences between programs. This study assesses the stress-attenuating effects of a standard mindfulness-based stress reduction (MBSR) and a second-generation MBI: MBSR with elements of other Buddhist practices (MBSR-B). Ninety-nine healthy volunteers were randomly assigned to the MBSR, MBSR-B, or waitlist control groups and their stress response was evaluated with the Trier Social Stress Test. Changes in the activity of the hypothalamic-pituitary-adrenal (HPA) axis, sympathoadrenomedullary system, the autonomic nervous system (ANS), and affect were measured during distinct phases of the task. Compared to waitlist control, the stress-attenuated effects of MBIs were detected across almost all systems and both negative and positive affect. In the parasympathetic branch of the ANS, the effect of MBIs was present in all stress phases (however, in the recovery phase, only MBSR-B has shown a statistically significant effect in comparison with the waitlist control). The stress-attenuating effects of MBIs were observed already in the anticipatory phase for cortisol, ANS, and negative affect (for negative affect, only the modified MBSR-B program has shown statistically significant effect in comparison with the waitlist control).
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Affiliation(s)
- Liudmila Gamaiunova
- Institute for Social Sciences of Religions (ISSR), University of Lausanne, CH-1015, Lausanne, Switzerland; Swiss National Center of Competences in Research LIVES-Overcoming vulnerability: life course perspectives, Switzerland.
| | - Sylvia D Kreibig
- Department of Psychology, Stanford University, Stanford, CA, USA
| | - Elise Dan-Glauser
- Institute of Psychology, University of Lausanne, CH-1015, Lausanne, Switzerland
| | - Nicolas Pellerin
- Laboratoire CLLE, University of Toulouse 2 Jean Jaurès, Toulouse, France
| | - Pierre-Yves Brandt
- Institute for Social Sciences of Religions (ISSR), University of Lausanne, CH-1015, Lausanne, Switzerland
| | - Matthias Kliegel
- Swiss National Center of Competences in Research LIVES-Overcoming vulnerability: life course perspectives, Switzerland; Department of Psychology, University of Geneva, CH-1205, Geneva, Switzerland
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18
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Kral TRA, Lapate RC, Imhoff-Smith T, Patsenko E, Grupe DW, Goldman R, Rosenkranz MA, Davidson RJ. Long-term Meditation Training Is Associated with Enhanced Subjective Attention and Stronger Posterior Cingulate-Rostrolateral Prefrontal Cortex Resting Connectivity. J Cogn Neurosci 2022; 34:1576-1589. [PMID: 35704552 DOI: 10.1162/jocn_a_01881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Mindfulness meditation has been shown to increase resting-state functional connectivity (rsFC) between the posterior cingulate cortex (PCC) and dorsolateral prefrontal cortex (DLPFC), which is thought to reflect improvements in shifting attention to the present moment. However, prior research in long-term meditation practitioners lacked quantitative measures of attention that would provide a more direct behavioral correlate and interpretational anchor for PCC-DLPFC connectivity and was inherently limited by small sample sizes. Moreover, whether mindfulness meditation primarily impacts brain function locally, or impacts the dynamics of large-scale brain networks, remained unclear. Here, we sought to replicate and extend prior findings of increased PCC-DLPFC rsFC in a sample of 40 long-term meditators (average practice = 3759 hr) who also completed a behavioral assay of attention. In addition, we tested a network-based framework of changes in interregional connectivity by examining network-level connectivity. We found that meditators had stronger PCC-rostrolateral pFC rsFC, lower connector hub strength across the default mode network, and better subjective attention, compared with 124 meditation-naive controls. Orienting attention positively correlated with PCC-rostrolateral pFC connectivity and negatively correlated with default mode network connector hub strength. These findings provide novel evidence that PCC-rostrolateral pFC rsFC may support attention orienting, consistent with a role for rostrolateral pFC in the attention shifting component of metacognitive awareness that is a core component of mindfulness meditation training. Our results further demonstrate that long-term mindfulness meditation may improve attention and strengthen the underlying brain networks.
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Affiliation(s)
| | - Regina C Lapate
- University of Wisconsin-Madison.,University of California, Los Angeles
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19
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Mittal TK, Evans E, Pottle A, Lambropoulos C, Morris C, Surawy C, Chuter A, Cox F, de Silva R, Mason M, Banya W, Thakrar D, Tyrer P. Mindfulness-based intervention in patients with persistent pain in chest (MIPIC) of non-cardiac cause: a feasibility randomised control study. Open Heart 2022; 9:openhrt-2022-001970. [PMID: 35545356 PMCID: PMC9096570 DOI: 10.1136/openhrt-2022-001970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 04/21/2022] [Indexed: 12/02/2022] Open
Abstract
Objective The study evaluated the feasibility of mindfulness-based cognitive therapy (MBCT) in patients with non-cardiac chest pain by assessing their willingness to participate and adhere to the programme, and for these data to help further refine the content of MBCT for chest pain. Patients and methods This prospective 2:1 randomised controlled trial compared the intervention of adapted MBCT as an addition to usual care with just usual care in controls. Among 573 patients who attended the rapid access chest pain clinic over the previous 12 months and were not diagnosed with a cardiac cause but had persistent chest pain were invited. The intervention was a 2-hour, weekly, online guided 8-week MBCT course. Compliance with attendance and the home practice was recorded. Enrolled patients completed the Seattle angina questionnaire (SAQ), Hospital Anxiety and Depression Scale, Cardiac Anxiety Questionnaire, Five-Facet Mindfulness Questionnaire, and Euro Quality of Life–5 Dimensions–5 Level at baseline assessment and after 8-week period. Results Persistent chest pain was reported by 114 patients. Of these, 33 (29%) patients with a mean age of 54.2 (±12.2) years and 68% women, consented to the study. Baseline questionnaires revealed mild physical limitation (mean SAQ, 76.8±25), high levels of anxiety (76%) and depression (53%), modest cardiac anxiety (CAQ,1.78±0.61) and mindfulness score (FFMQ, 45.5±7.3). Six patients subsequently withdrew due to bereavement, caring responsibilities and ill health. Of the remaining 27 participants, 18 in the intervention arm attended an average of 5 sessions with 61% attending ≥6 sessions. Although not statistically powered, the study revealed a significant reduction in general anxiety, improved mindfulness and a trend towards improvement in SAQ scores in the intervention arm. Conclusion One-third of patients with persistent non-cardiac chest pain were willing to participate in mindfulness-based therapy. An improvement in anxiety and mindfulness was detected in this feasibility study. A larger trial is required to demonstrate improvement in chest pain symptoms.
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Affiliation(s)
- Tarun Kumar Mittal
- Heart Division, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK .,Faculty of Medicine, National Heart & Lung Institute, Imperial College London, London, UK
| | - Emma Evans
- Oxford Psychological Medicine Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Alison Pottle
- Heart Division, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | | | | | - Christina Surawy
- Oxford Mindfulness Centre, Department of Psychiatry, University of Oxford, Oxford, UK
| | - Antony Chuter
- Heart Division, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Felicia Cox
- Heart Division, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Ranil de Silva
- Heart Division, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK.,Faculty of Medicine, National Heart & Lung Institute, Imperial College London, London, UK
| | - Mark Mason
- Heart Division, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK.,Faculty of Medicine, National Heart & Lung Institute, Imperial College London, London, UK
| | - Winston Banya
- Department of Medical Statistics, Research & Development, Royal Brompton and Harefield Hospitals, London, UK
| | | | - Peter Tyrer
- Centre of Psychiatry, Imperial College London, London, UK
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20
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Impact of Music in Males and Females for Relief from Neurodegenerative Disorder Stress. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:3080437. [PMID: 35494208 PMCID: PMC9019444 DOI: 10.1155/2022/3080437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Accepted: 03/05/2022] [Indexed: 11/21/2022]
Abstract
Neurological imbalance sometimes resulted in stress, which is experienced by the number of people at some moment in their life. A considerable measurement scheme can quantify the stress level in an individual, in which music has always been considered as the best therapy for stress relief in healthy human being as well in severe medical conditions. In this work, the impact of four types of music interventions with the lyrics of Hindi music and varying spectral centroid has been studied for an analysis of stress relief in males and females. The self-reported data for stress using state-trait anxiety (STA) and electroencephalography (EEG) signals for 14 channels in response to music interventions have been considered. Features such as Hjorth (activity, mobility, and complexity), variance, standard deviation, skew, kurtosis, and mean have been extracted from five bands (delta, theta, alpha, beta, and gamma) of each channel of the recorded EEG signals from 9 males and 9 females of the age category between 18 and 25 years. The support vector machine classifier has been used to classify three subsets: (i) male and female, (ii) baseline and female, and (iii) baseline and male. The noteworthy accuracy of 100% was found at the delta band for the first subset, beta and gamma bands for the second subset, and beta, gamma, and delta bands for the third subset. STA score has shown more deviation in the male category than in female, which gives a clear insight into the impact of music intervention with varying spectral centroid that has a higher impact to relieve stress in the male category than the female category.
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21
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A short Mindfulness retreat can improve biological markers of stress and inflammation. Psychoneuroendocrinology 2022; 135:105579. [PMID: 34775250 DOI: 10.1016/j.psyneuen.2021.105579] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 10/29/2021] [Accepted: 10/29/2021] [Indexed: 11/20/2022]
Abstract
OBJECTIVE Mindfulness practice, a form of meditation, has shown benefit for psychological and physical health. In this study, we investigated the effect of an intensive period of Mindfulness practice on some biological mediators of stress and inflammation during a 3-day residential retreat. METHODS A total of 95 healthy individuals (aged 18-67) were recruited and randomized to a Mindfulness retreat arm or an active control arm. Before (t0) and after (t1) the intervention, all the participants were assessed for salivary cortisol levels and for a panel of pro- and anti-inflammatory cytokines measured in saliva. Psychometric measures on stress, anxiety and awareness were carried out using PSS, STAI-Y and MAAS questionnaires, respectively. RESULTS As to the within-group differences, we observed a statistically significant decrease in perceived stress (β = -8.85, p < 0.0001), and anxiety scores (β = -12.39, p < 0.0001), while awareness increased (β = 15.26, p < 0.0001) between t0 to t1 in retreat participants. In the mindfulness intervention group, we also observed a statistically significant reduction in the levels of pro-inflammatory cytokines IL-6 (β = -0.94 p = 0.001) and IL-8 (β = -176.40, p < 0.0001), and an increase in anti-inflammatory IL-10 (β = 0.89 p < 0.0001) levels at the end of the retreat. At t1 we observed a highly significant correlation between cortisol levels and both anxiety (r = 0.56, p < 0.0001) and perceived stress (r = 0.92, p < 0.0001) scores. CONCLUSIONS Mindfulness retreat participants showed a significant reduction in perceived stress and anxiety levels, as well as an improved balance of some key mediators of inflammatory states. Our data provide evidence that a mindfulness retreat may be effective in improving physical and mental health. Future studies with larger numbers of subjects and follow-up periods may examine mindfulness practice as a non-pharmacological alternative to promote stress reduction and overall health and wellbeing.
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22
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Katyal S, Goldin P. Alpha and theta oscillations are inversely related to progressive levels of meditation depth. Neurosci Conscious 2021; 2021:niab042. [PMID: 34858638 PMCID: PMC8633885 DOI: 10.1093/nc/niab042] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 09/06/2021] [Accepted: 11/17/2021] [Indexed: 11/21/2022] Open
Abstract
Meditation training is proposed to enhance mental well-being by modulating neural activity, particularly alpha and theta brain oscillations, and autonomic activity. Although such enhancement also depends on the quality of meditation, little is known about how these neural and physiological changes relate to meditation quality. One model characterizes meditation quality as five increasing levels of ‘depth’: hindrances, relaxation, concentration, transpersonal qualities and nonduality. We investigated the neural oscillatory (theta, alpha, beta and gamma) and physiological (respiration rate, heart rate and heart rate variability) correlates of the self-reported meditation depth in long-term meditators (LTMs) and meditation-naïve controls (CTLs). To determine the neural and physiological correlates of meditation depth, we modelled the change in the slope of the relationship between self-reported experiential degree at each of the five depth levels and the multiple neural and physiological measures. CTLs reported experiencing more ‘hindrances’ than LTMs, while LTMs reported more ‘transpersonal qualities’ and ‘nonduality’ compared to CTLs, confirming the experiential manipulation of meditation depth. We found that in both groups, theta (4–6 Hz) and alpha (7–13 Hz) oscillations were related to meditation depth in a precisely opposite manner. The theta amplitude positively correlated with ‘hindrances’ and increasingly negatively correlated with increasing meditation depth levels. Alpha amplitude negatively correlated with ‘hindrances’ and increasingly positively with increasing depth levels. The increase in the inverse association between theta and meditation depth occurred over different scalp locations in the two groups—frontal midline in LTMs and frontal lateral in CTLs—possibly reflecting the downregulation of two different aspects of executive processing—monitoring and attention regulation, respectively—during deep meditation. These results suggest a functional dissociation of the two classical neural signatures of meditation training, namely, alpha and theta oscillations. Moreover, while essential for overcoming ‘hindrances’, executive neural processing appears to be downregulated during deeper meditation experiences.
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Affiliation(s)
- Sucharit Katyal
- Betty Irene Moore School of Nursing, University of California Davis Medical Center, Sacramento, CA 95817, California
| | - Philippe Goldin
- Betty Irene Moore School of Nursing, University of California Davis Medical Center, Sacramento, CA 95817, California
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23
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Zhang Y, Zhang L, Hua H, Jin J, Zhu L, Shu L, Xu X, Kuang F, Liu Y. Relaxation Degree Analysis Using Frontal Electroencephalogram Under Virtual Reality Relaxation Scenes. Front Neurosci 2021; 15:719869. [PMID: 34630012 PMCID: PMC8500181 DOI: 10.3389/fnins.2021.719869] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 08/13/2021] [Indexed: 12/04/2022] Open
Abstract
Increasing social pressure enhances the psychological burden on individuals, and the severity of depression can no longer be ignored. The characteristics of high immersion and interactivity enhance virtual reality (VR) application in psychological therapy. Many studies have verified the effectiveness of VR relaxation therapy, although a few have performed a quantitative study on relaxation state (R-state). To confirm the effectiveness of VR relaxation and quantitatively assess relaxation, this study confirmed the effectiveness of the VR sightseeing relaxation scenes using subjective emotion scale and objective electroencephalogram (EEG) data from college students. Moreover, some EEG features with significant consistent differences after they watched the VR scenes were detected including the energy ratio of the alpha wave, gamma wave, and differential asymmetry. An R-state regression model was then built using the model stacking method for optimization, of which random forest regression, AdaBoost, gradient boosting (GB), and light GB were adopted as the first level, while linear regression and support vector machine were applied at the second level. The leave-one-subject-out method for cross-validation was used to evaluate the results, where the mean accuracy of the framework achieved 81.46%. The significantly changed features and the R-state model with over 80% accuracy have laid a foundation for further research on relaxation interaction systems. Moreover, the VR relaxation therapy was applied to the clinical treatment of patients with depression and achieved preliminary good results, which might provide a possible method for non-drug treatment of patients with depression.
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Affiliation(s)
- Yue Zhang
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
| | - Lulu Zhang
- Department of Psychiatry, Guangzhou First People’s Hospital, The Second Affiliated Hospital, South China University of Technology, Guangzhou, China
| | - Haoqiang Hua
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
| | - Jianxiu Jin
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
| | - Lingqing Zhu
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
| | - Lin Shu
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
| | - Xiangmin Xu
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
- Zhongshan Institute of Modern Industrial Technology of South China University of Technology, Zhongshan, China
| | - Feng Kuang
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
| | - Yunhe Liu
- School of Electronic and Information Engineering, South China University of Technology, Guangzhou, China
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24
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Ooishi Y, Fujino M, Inoue V, Nomura M, Kitagawa N. Differential Effects of Focused Attention and Open Monitoring Meditation on Autonomic Cardiac Modulation and Cortisol Secretion. Front Physiol 2021; 12:675899. [PMID: 34335292 PMCID: PMC8320390 DOI: 10.3389/fphys.2021.675899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 06/22/2021] [Indexed: 12/18/2022] Open
Abstract
Mindfulness-based interventions (MBIs) have been used widely as a useful tool for the alleviation of various stress-related symptoms. However, the effects of MBIs on stress-related physiological activity have not yet been ascertained. MBIs primarily consist of focused-attention (FA) and open-monitoring (OM) meditation. Since differing effects of FA and OM meditation on brain activities and cognitive tasks have been mentioned, we hypothesized that FA and OM meditation have also differing effects on stress-related physiological activity. In this study, we examined the effects of FA and OM meditation on autonomic cardiac modulation and cortisol secretion. Forty-one healthy adults (aged 20-46 years) who were meditation novices experienced 30-min FA and OM meditation tasks by listening to instructions. During resting- and meditation-states, electrocardiogram transducers were attached to participants to measure the R-R interval, which were used to evaluate heart rate (HR) and perform heart rate variability (HRV) analyses. Saliva samples were obtained from participants pre- and post-meditation to measure salivary cortisol levels. Results showed that FA meditation induced a decrease in HR and an increase in the root mean square of successive differences (rMSDD). In contrast, OM meditation induced an increase in the standard deviation of the normal-to-normal interval (SDNN) to rMSSD ratio (SDNN/rMSSD) and a decrease in salivary cortisol levels. These results suggest that FA meditation elevates physiological relaxation, whereas OM meditation elevates physiological arousal and reduces stress.
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Affiliation(s)
- Yuuki Ooishi
- NTT Communication Science Laboratories, NTT Corporation, Atsugi, Japan
| | - Masahiro Fujino
- Open Innovation Institute, Kyoto University, Kyoto, Japan.,Division of Cognitive Psychology in Education, Graduate School of Education, Kyoto University, Kyoto, Japan
| | - Vimala Inoue
- Faculty of Health Science, Health Science University, Fujikawaguchiko, Japan
| | - Michio Nomura
- Division of Cognitive Psychology in Education, Graduate School of Education, Kyoto University, Kyoto, Japan
| | - Norimichi Kitagawa
- NTT Communication Science Laboratories, NTT Corporation, Atsugi, Japan.,BKC Research Organization of Social Sciences, Ritsumeikan University, Kusatsu, Japan.,Yoshika Institute of Psychology, Kanoashi, Japan
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25
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Brief mindfulness meditation: Can it make a real difference? CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01897-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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26
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Susceptibility of Women to Cardiovascular Disease and the Prevention Potential of Mind-Body Intervention by Changes in Neural Circuits and Cardiovascular Physiology. Biomolecules 2021; 11:biom11050708. [PMID: 34068722 PMCID: PMC8151888 DOI: 10.3390/biom11050708] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 04/25/2021] [Accepted: 05/05/2021] [Indexed: 12/28/2022] Open
Abstract
Women have been reported to be more vulnerable to the development, prognosis and mortality of cardiovascular diseases, yet the understanding of the underlying mechanisms and strategies to overcome them are still relatively undeveloped. Studies show that women's brains are more sensitive to factors affecting mental health such as depression and stress than men's brains. In women, poor mental health increases the risk of cardiovascular disease, and conversely, cardiovascular disease increases the incidence of mental illness such as depression. In connection with mental health and cardiovascular health, the presence of gender differences in brain activation, cortisol secretion, autonomic nervous system, vascular health and inflammatory response has been observed. This connection suggests that strategies to manage women's mental health can contribute to preventing cardiovascular disease. Mind-body interventions, such as meditation, yoga and qigong are forms of exercise that strive to actively manage both mind and body. They can provide beneficial effects on stress reduction and mental health. They are also seen as structurally and functionally changing the brain, as well as affecting cortisol secretion, blood pressure, heart rate variability, immune reactions and reducing menopausal symptoms, thus positively affecting women's cardiovascular health. In this review, we investigate the link between mental health, brain activation, HPA axis, autonomic nervous system, blood pressure and immune system associated with cardiovascular health in women and discuss the effects of mind-body intervention in modulating these factors.
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27
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Weng HY, Feldman JL, Leggio L, Napadow V, Park J, Price CJ. Interventions and Manipulations of Interoception. Trends Neurosci 2021; 44:52-62. [PMID: 33378657 PMCID: PMC7805576 DOI: 10.1016/j.tins.2020.09.010] [Citation(s) in RCA: 81] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Revised: 08/22/2020] [Accepted: 09/27/2020] [Indexed: 12/15/2022]
Abstract
Interoceptive pathways may be manipulated at various levels to develop interventions to improve symptoms in a range of disorders. Primarily through the lens of the respiratory system, we outline various pathways that can be manipulated at neural, behavioral, and psychological levels to change the representation of and attention to interoceptive signals, which can alter interconnected physiological systems and improve functioning and adaptive behavior. Interventions can alter interoception via neuromodulation of the vagus nerve, slow breathing to change respiratory rate and depth, or awareness processes such as mindfulness-based interventions. Aspects of this framework may be applied to other physiological systems and future research may integrate interventions across multiple levels of manipulation or bodily systems.
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Affiliation(s)
- Helen Y Weng
- Osher Center for Integrative Medicine, University of California, San Francisco, San Francisco, CA, USA; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, USA.
| | - Jack L Feldman
- Department of Neurobiology, David Geffen School of Medicine, Center for Health Sciences, University of California at Los Angeles, Los Angeles, CA, USA
| | - Lorenzo Leggio
- Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore and Bethesda, MD, USA; Medication Development Program, National Institute on Drug Abuse Intramural Research Program, National Institutes of Health, Baltimore, MD, USA; Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA
| | - Vitaly Napadow
- Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA; Department of Anesthesiology, Brigham and Women's Hospital, Boston, MA, USA
| | - Jeanie Park
- Renal Division, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA; Research Service Line, Department of Veterans Affairs Medical Center, Decatur, GA, USA
| | - Cynthia J Price
- School of Nursing, University of Washington, Seattle, WA, USA; Osher Center for Integrative Medicine, University of Washington, Seattle, WA, USA
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28
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Kirk U, Axelsen JL. Heart rate variability is enhanced during mindfulness practice: A randomized controlled trial involving a 10-day online-based mindfulness intervention. PLoS One 2020; 15:e0243488. [PMID: 33332403 PMCID: PMC7746169 DOI: 10.1371/journal.pone.0243488] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 11/23/2020] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVES The goal of the present study was to probe the effects of mindfulness practice in a naturalistic setting as opposed to a lab-based environment in the presence of continuous heart rate variability (HRV) measurements. The specific experimental goals were to examine the effects of a brief 10-day online-based mindfulness intervention on both chronic and acute HRV responses. METHOD We conducted a fully randomized 10-day longitudinal trial of mindfulness practice, explicitly controlling for practice effects with an active-control group (music listening) and a non-intervention control group. To assess chronic cardiovascular effects, we asked participants in the 3 groups to complete 2-day HRV pre- and post-intervention measurement sessions. Using this experimental setup enabled us to address training effects arising from mindfulness practice to assess physiological impact on daytime as well as nighttime (i.e. assessing sleep quality) on the underlying HRV response. To assess acute cardiovascular effects, we measured HRV in the 2 active intervention groups during each of the 10 daily mindfulness or music sessions. This allowed us to track the development of purported training effects arising from mindfulness practice relative to the active-control intervention in terms of changes in the HRV slope over the 10-day time-course. RESULTS Firstly, for the acute phase we found increased HRV during the daily practice sessions in both the mindfulness and active-control group indicating that both interventions were effective in decreasing acute physiological stress. Secondly, for the chronic phase we found increased HRV in both the day- and nighttime indicating increased sleep quality, specifically in the mindfulness group. CONCLUSION These results suggest causal effects in both chronic and acute phases of mindfulness practice in formerly naïve subjects and provides support for the argument that brief online-based mindfulness interventions exert positive impact on HRV.
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Affiliation(s)
- Ulrich Kirk
- Department of Psychology, University of Southern Denmark, Odense, Denmark
- * E-mail:
| | - Johanne L. Axelsen
- Department of Psychology, University of Southern Denmark, Odense, Denmark
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29
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Kitson A, Chirico A, Gaggioli A, Riecke BE. A Review on Research and Evaluation Methods for Investigating Self-Transcendence. Front Psychol 2020; 11:547687. [PMID: 33312147 PMCID: PMC7701337 DOI: 10.3389/fpsyg.2020.547687] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 09/30/2020] [Indexed: 12/15/2022] Open
Abstract
Self-transcendence has been characterized as a decrease in self-saliency (ego disillusionment) and increased connection, and has been growing in research interest in the past decade. Several measures have been developed and published with some degree of psychometric validity and reliability. However, to date, there has been no review systematically describing, contrasting, and evaluating the different methodological approaches toward measuring self-transcendence including questionnaires, neurological and physiological measures, and qualitative methods. To address this gap, we conducted a review to describe existing methods of measuring self-transcendence, evaluate the strengths and weaknesses of these methods, and discuss research avenues to advance assessment of self-transcendence, including recommendations for suitability of methods given research contexts.
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Affiliation(s)
- Alexandra Kitson
- School of Interactive Arts and Technology, Simon Fraser University, Burnaby, BC, Canada
| | - Alice Chirico
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy
| | - Andrea Gaggioli
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy.,ATN-P Lab, Istituto Auxologico Italiano, Milan, Italy
| | - Bernhard E Riecke
- School of Interactive Arts and Technology, Simon Fraser University, Burnaby, BC, Canada
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30
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Liang R, Luo A, Zhang Z, Li Z, Han C, Wu W. Research Progress of Graphene-Based Flexible Humidity Sensor. SENSORS (BASEL, SWITZERLAND) 2020; 20:E5601. [PMID: 33007834 PMCID: PMC7582584 DOI: 10.3390/s20195601] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 09/25/2020] [Accepted: 09/26/2020] [Indexed: 02/07/2023]
Abstract
Graphene is a new type of carbon material with a flexible, two-dimensional structure. Due to the excellent stability of its lattice structure and its mechanical flexibility, graphene-based materials can be applied in flexible humidity sensors. At present, the application of graphene-based flexible humidity sensors in the fields of medical care and environmental monitoring is attracting widespread attention. In this review, the basic properties of graphene oxide (GO) and reduced graphene oxide (rGO) as moisture-sensitive materials and methods for their preparation were introduced. Moreover, three methods for improving the performance of moisture-sensitive materials were discussed. The working principle of different types of graphene-based humidity sensors were introduced. The progress in the research on graphene-based flexible humidity sensors in four respects: Human respiration, skin moisture, human sweat, and environmental humidity were discussed. Finally, the future research, following the development trends and challenges, to develop the potential of integrated, graphene-based flexible humidity sensors were discussed.
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Affiliation(s)
- Rongxuan Liang
- College of Engineering, South China Agricultural University, Guangzhou 510642, China; (R.L.); (A.L.); (Z.Z.); (Z.L.); (C.H.)
- Division of Citrus Machinery, China Agriculture Research System, Guangzhou 510642, China
| | - Ansheng Luo
- College of Engineering, South China Agricultural University, Guangzhou 510642, China; (R.L.); (A.L.); (Z.Z.); (Z.L.); (C.H.)
- Division of Citrus Machinery, China Agriculture Research System, Guangzhou 510642, China
| | - Zhenbang Zhang
- College of Engineering, South China Agricultural University, Guangzhou 510642, China; (R.L.); (A.L.); (Z.Z.); (Z.L.); (C.H.)
- Division of Citrus Machinery, China Agriculture Research System, Guangzhou 510642, China
| | - Zhantong Li
- College of Engineering, South China Agricultural University, Guangzhou 510642, China; (R.L.); (A.L.); (Z.Z.); (Z.L.); (C.H.)
- Division of Citrus Machinery, China Agriculture Research System, Guangzhou 510642, China
| | - Chongyang Han
- College of Engineering, South China Agricultural University, Guangzhou 510642, China; (R.L.); (A.L.); (Z.Z.); (Z.L.); (C.H.)
- Division of Citrus Machinery, China Agriculture Research System, Guangzhou 510642, China
| | - Weibin Wu
- College of Engineering, South China Agricultural University, Guangzhou 510642, China; (R.L.); (A.L.); (Z.Z.); (Z.L.); (C.H.)
- Division of Citrus Machinery, China Agriculture Research System, Guangzhou 510642, China
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31
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Garland EL, Hudak J, Hanley AW, Nakamura Y. Mindfulness-oriented recovery enhancement reduces opioid dose in primary care by strengthening autonomic regulation during meditation. AMERICAN PSYCHOLOGIST 2020; 75:840-852. [PMID: 32915027 PMCID: PMC7490853 DOI: 10.1037/amp0000638] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The current opioid crisis was fueled by escalation of opioid dosing among patients with chronic pain. Yet, there are few evidence-based psychological interventions for opioid dose reduction among chronic pain patients treated with long-term opioid analgesics. Mindfulness-Oriented Recovery Enhancement (MORE), which was designed to target mechanisms underpinning chronic pain and opioid misuse, has shown promising results in 2 randomized clinical trials (RCTs) and could facilitate opioid sparing and tapering by bolstering self-regulation. Here we tested this hypothesis with secondary analyses of data from a Stage 2 RCT. Chronic pain patients (N = 95) on long-term opioid therapy were randomized to 8 weeks of MORE or a support group (SG) control delivered in primary care. Opioid dose was assessed with the Timeline Followback through 3-month follow-up. Heart rate variability (HRV) during mindfulness meditation was quantified as an indicator of self-regulatory capacity. Participants in MORE evidenced a greater decrease in opioid dosing (a 32% decrease) by follow-up than did the SG, F(2, 129.77) = 5.35, p = .006, d = 1.07. MORE was associated with a significantly greater increase in HRV during meditation than was the SG. Meditation-induced change in HRV partially mediated the effect of MORE on opioid dose reduction (p = .034). MORE may boost self-regulatory strength via mindfulness and thereby facilitate self-control over opioid use, leading to opioid dose reduction in people with chronic pain. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
- Eric L. Garland
- Center on Mindfulness and Integrative Health Intervention Development, University of Utah
- College of Social Work, University of Utah
| | - Justin Hudak
- Center on Mindfulness and Integrative Health Intervention Development, University of Utah
- College of Social Work, University of Utah
| | - Adam W. Hanley
- Center on Mindfulness and Integrative Health Intervention Development, University of Utah
- College of Social Work, University of Utah
| | - Yoshio Nakamura
- Center on Mindfulness and Integrative Health Intervention Development, University of Utah
- Pain Research Center, Division of Pain Medicine, Dept. of Anesthesiology, University of Utah School of Medicine
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32
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Voss A, Bogdanski M, Langohr B, Albrecht R, Sandbothe M. Mindfulness-Based Student Training Leads to a Reduction in Physiological Evaluated Stress. Front Psychol 2020; 11:645. [PMID: 32477199 PMCID: PMC7240125 DOI: 10.3389/fpsyg.2020.00645] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 03/18/2020] [Indexed: 12/13/2022] Open
Abstract
Background and Objective In today’s fast-paced modern lifestyle, chronic stress has become a serious issue with potential consequences for our physical and mental health. The concept of mindfulness and its derived Mindfulness-Based Stress Reduction (MBSR) program is considered to be an effective stress management technique for patients as well as for healthy persons. The effects of MBSR interventions on their participants have been subject of previous research, especially with regard to psychological or social science approaches using self-reports and questionnaires. In contrast, medical investigations in this field have been less frequent and often somehow limited, for example, addressing only absolute (discrete) mean values for heart rate or blood pressure. Methods In this study, we have evaluated a Mindfulness Based Student Training program (MBST) by applying methods of biosignal analysis to examine its impact on the training participants’ autonomic regulation. This intervention program included classical MBSR elements but was adapted to suit the normal daily needs of university students. We obtained the electrocardiogram, finger-pulse plethysmography, and respiration activity from students participating in either the intervention group (IGR, 38 subjects) or a passive control group (CON, 35 subjects) prior to and after 8 weeks of MBST intervention. Results When comparing various indices from heart rate variability, pulse wave variability, and respiration in linear and nonlinear domains, significant changes in the autonomic regulation were observed for the IGR group after 8 weeks of MBST. Conclusion The results indicate a reduced stress level exclusively for the intervention participants, and therefore, we assume a health benefit from the MBST program.
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Affiliation(s)
- Andreas Voss
- Institute of Innovative Health Technologies (IGHT), Ernst-Abbe-Hochschule Jena, Jena, Germany
| | - Martin Bogdanski
- Institute of Innovative Health Technologies (IGHT), Ernst-Abbe-Hochschule Jena, Jena, Germany
| | | | - Reyk Albrecht
- Faculty of Social and Behavioral Sciences, Friedrich-Schiller-University Jena, Jena, Germany
| | - Mike Sandbothe
- Institute of Innovative Health Technologies (IGHT), Ernst-Abbe-Hochschule Jena, Jena, Germany.,Department of Social Work, Ernst-Abbe-Hochschule Jena, Jena, Germany
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Brenner J, LeBlang S, Lizotte-Waniewski M, Schmidt B, Espinosa PS, DeMets DL, Newberg A, Hennekens CH. Mindfulness with paced breathing reduces blood pressure. Med Hypotheses 2020; 142:109780. [PMID: 32353795 DOI: 10.1016/j.mehy.2020.109780] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Revised: 03/24/2020] [Accepted: 04/21/2020] [Indexed: 10/24/2022]
Abstract
Elevated blood pressure (BP) is a major avoidable cause of premature morbidity and mortality in the United States (US) and worldwide, due primarily to increased risks of stroke as well as myocardial infarction. While there are therapeutic lifestyle changes and adjunctive pharmacologic medications of proven benefit, recent interest has increasingly focused on Complementary and Alternative Medicine, in particular, Mind-Body Interventions. With respect to BP, it is tempting to speculate that mindfulness with paced breathing will have beneficial effects in the short run that may translate into lowered risks of stroke in the long run. Paced breathing is deep diaphragmatic breathing with typical rates equal to or less than 5-7 breaths per minute compared with the usual rate of 12-14. One plausible mechanism of benefit is that paced breathing stimulates the parasympathetic nervous system which alters neuronal function in specific areas of the brain and reduces stress chemicals. The hypothesis that mindfulness with paced slow breathing reduces BP could be directly tested in randomized trials designed a priori to do so. Subsequently, a finding that mindfulness with paced breathing reduces BP would also lead to direct tests in randomized trials of reductions of carotid atherosclerosis and, if so, a larger scale trial to test whether there is a direct impact of mindfulness with paced breathing on reducing the risks of stroke and MI. If rigorous testing of this medical hypothesis led to positive results this would have large and important clinical and policy implications in the US and worldwide.
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Affiliation(s)
- Jacqueline Brenner
- Accelerated Premedical-Medical Program BS/MD at Penn State and Sidney Kimmel Medical College at Thomas Jefferson University, United States
| | - Suzanne LeBlang
- Charles E. Schmidt College of Medicine, Florida Atlantic University, United States.
| | | | - Barbara Schmidt
- Charles E. Schmidt College of Medicine, Florida Atlantic University, United States
| | - Patricio S Espinosa
- Charles E. Schmidt College of Medicine, Florida Atlantic University, United States; Marcus Neurosciences Institute, Boca Raton Regional Hospital and Baptist Health South Florida, United States
| | - David L DeMets
- Department of Biostatistics and Informatics, University of Wisconsin, School of Medicine & Public Health, United States
| | - Andrew Newberg
- Marcus Institute for Integrative Health, Thomas Jefferson University, United States
| | - Charles H Hennekens
- Charles E. Schmidt College of Medicine, Florida Atlantic University, United States
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Zhou C, Zhang X, Tang N, Fang Y, Zhang H, Duan X. Rapid response flexible humidity sensor for respiration monitoring using nano-confined strategy. NANOTECHNOLOGY 2020; 31:125302. [PMID: 31778983 DOI: 10.1088/1361-6528/ab5cda] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Development of wearable devices for continuous respiration monitoring is of great importance for evaluating human health. Here, we propose a new strategy to achieve rapid respiration response by confining conductive polymers into 1D nanowires which facilitates the water molecules absorption/desorption and maximizes the sensor response to moisture. The nanowires arrays were fabricated through a low-cost nanoscale printing approach on flexible substrate. The nanoscale humidity sensor shows a high sensitivity (5.46%) and ultrafast response (0.63 s) when changing humidity between 0% and 13% and can tolerate 1000 repetitions of bending to a curvature radius of 10 mm without influencing its performance. Benefited by its fast response and low power assumption, the humidity sensor was demonstrated to monitor human respiration in real time. Different respiration patterns including normal, fast and deep respiration can be distinguished accurately.
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Maric V, Ramanathan D, Mishra J. Respiratory regulation & interactions with neuro-cognitive circuitry. Neurosci Biobehav Rev 2020; 112:95-106. [PMID: 32027875 PMCID: PMC10092293 DOI: 10.1016/j.neubiorev.2020.02.001] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Revised: 01/17/2020] [Accepted: 02/02/2020] [Indexed: 01/01/2023]
Abstract
It is increasingly being recognized that active control of breathing - a key aspect of ancient Vedic meditative practices, can relieve stress and anxiety and improve cognition. However, the underlying mechanisms of respiratory modulation of neurophysiology are just beginning to be elucidated. Research shows that brainstem circuits involved in the motor control of respiration receive input from and can directly modulate activity in subcortical circuits, affecting emotion and arousal. Meanwhile, brain regions involved in the sensory aspects of respiration, such as the olfactory bulb, are like-wise linked with wide-spread brain oscillations; and perturbing olfactory bulb activity can significantly affect both mood and cognition. Thus, via both motor and sensory pathways, there are clear mechanisms by which brain activity is entrained to the respiratory cycle. Here, we review evidence gathered across multiple species demonstrating the links between respiration, entrainment of brain activity and functional relevance for affecting mood and cognition. We also discuss further linkages with cardiac rhythms, and the potential translational implications for biorhythm monitoring and regulation in neuropsychiatric disorders.
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Affiliation(s)
- Vojislav Maric
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Dhakshin Ramanathan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA; Department of Mental Health, VA San Diego Medical Center, San Diego, CA, USA
| | - Jyoti Mishra
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
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Khalsa SS, Rudrauf D, Hassanpour MS, Davidson RJ, Tranel D. The practice of meditation is not associated with improved interoceptive awareness of the heartbeat. Psychophysiology 2019; 57:e13479. [PMID: 31573689 DOI: 10.1111/psyp.13479] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2019] [Revised: 08/16/2019] [Accepted: 08/19/2019] [Indexed: 12/19/2022]
Abstract
Meditation is commonly assumed to be associated with enhanced interoceptive accuracy. We previously found that experienced meditators did not exhibit a greater ability than nonmeditators to detect heartbeat sensations at rest, despite the meditators' reported subjective ratings of higher accuracy and lower difficulty. Here, attempting to overcome previous methodological limitations, we assessed interoceptive awareness of heartbeat and breathing sensations across physiological arousal levels using infusions of isoproterenol, a beta-adrenergic agonist similar to adrenaline. We hypothesized that meditators would display greater interoceptive awareness than nonmeditators, as evidenced by higher interoceptive detection rates, increased interoceptive accuracy, and differences in localization of heartbeat sensations. We studied 15 meditators and 15 nonmeditators, individually matched on age, gender, and body mass index, using randomized, double-blinded, and placebo-controlled bolus infusions of isoproterenol. Participants reported their experience of heartbeat and breathing sensations using a dial during infusions and the location of heartbeat sensations on a two-dimensional manikin afterward. There was no evidence of higher detection rates or increased accuracy across any dose, although meditators showed a tendency to report cardiorespiratory sensation changes sooner at higher doses. Relative to nonmeditators, meditators exhibited prominent geographical differences in heartbeat localization, disproportionally reporting sensations throughout central regions of the chest, abdomen, neck, back, and head. To further assess indications of potential differences in cardiac interoceptive accuracy between meditators and nonmeditators, we conducted a meta-analysis including 724 participants and found little evidence for such differences. We conclude that the practice of meditation is not associated with improved cardiac interoceptive awareness.
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Affiliation(s)
- Sahib S Khalsa
- Laureate Institute for Brain Research, Tulsa, Oklahoma.,Oxley College of Health Sciences, University of Tulsa, Tulsa, Oklahoma
| | - David Rudrauf
- CISA/CUI/FAPSE/Campus Biotech, University of Geneva, Geneva, Switzerland
| | - Mahlega S Hassanpour
- Laureate Institute for Brain Research, Tulsa, Oklahoma.,Department of Ophthalmology, The University of Utah School of Medicine, Salt Lake City, Utah
| | - Richard J Davidson
- Department of Psychology and Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin.,Center for Healthy Minds, University of Wisconsin-Madison, Madison, Wisconsin
| | - Daniel Tranel
- Department of Neurology, University of Iowa, Iowa City, Iowa.,Department of Psychological and Brain Sciences, University of Iowa, Iowa City, Iowa
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Abstract
The purpose of this basic experiment was to examine the effects of soft touching on an experiment participant’s back on tidal volume (TV), as an increase in TV was considered an indication of enhanced relaxation. Healthy experiment participants were divided into an intervention group, where soft touching was administered for two minutes on their back, and a control group, where they were asked to rest. Then the change in TV was measured using a spiro-meter two factor analysis of variance (ANOVA; mixture design) was conducted. As a result of two factor ANOVA, the intervention group’s TV changed with statistical significance, while no statistically significant change was observed in the control group. There was a possibility that soft touching on the back had a positive effect on the increase of TV and relaxation. As a result of soft touching on the back, TV was increased. Subjective indicators suggested that the relaxation was enhanced by soft touching on the back.
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38
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Léonard A, Clément S, Kuo CD, Manto M. Changes in Heart Rate Variability During Heartfulness Meditation: A Power Spectral Analysis Including the Residual Spectrum. Front Cardiovasc Med 2019; 6:62. [PMID: 31139634 PMCID: PMC6527777 DOI: 10.3389/fcvm.2019.00062] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2019] [Accepted: 04/29/2019] [Indexed: 12/19/2022] Open
Abstract
Background: Meditation refers to a group of practices commonly proposed to treat stress-related conditions and improve overall wellness. In particular, meditation might exert beneficial actions on heart rate variability (HRV) by acting on autonomic tone with an increase in the vagal activity. The effects of heartfulness meditation (HM) on HRV remain poorly defined. Methods: We investigated the effects of HM on HRV in a group of 26 healthy subjects. Subjects were regularly practicing this form of meditation on a daily basis. We assessed the HRV and residual HRV (rHRV) at rest and during meditation. We also used as control a period of respiratory rhythm imposed by an auditory signal, with the imposed breathing rhythm being identical to the spontaneous rhythm recorded during meditation. Results: During deep meditation period, the standard deviation of RR intervals (SDRR), coefficient of variation of RR intervals (CVRR), and total power (TP) were decreased while the low-frequency power (LFP), normalized LFP (nLFP), and normalized residual LFP (nrLFP) were increased as compared with those at rest, suggesting that the global vagal modulation was suppressed while the baroreflex was increased during deep medication. At the end of meditation, the LFP, residual LFP (rLFP), nLFP, nrLFP, low-/high-frequency power ratio (LHR), and residual LHR (rLHR) were increased while the residual very low-frequency power (rVLFP), normalized high-frequency power (nHFP), and normalized residual HFP (nrHFP) were decreased, as compared with those during paced breathing, suggesting that the vagal modulation was decreased while the sympathetic modulation was increased by deep meditation. During paced breathing period, the SDRR, CVRR, TP, LFP, rLFP, nLFP, nrLFP, LHR, and rLHR were decreased while nHFP and nrHFP were increased as compared with at rest, suggesting that paced breathing could suppress the sympathetic modulation and enhance the vagal modulation. Conclusion: HM can induce a suppression of global vagal modulation and increased the sympathetic modulation and baroreflex. In addition, paced breathing can suppress the sympathetic modulation and enhance the vagal modulation. Unlike studies using other types of meditation, we did not identify evidence of increased vagal tone during HM.
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Affiliation(s)
| | | | - Cheng-Deng Kuo
- Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua City, Taiwan.,Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Mario Manto
- HELB Ilya Prigogine, Brussels, Belgium.,Service de Neurologie, ULB CHU-Charleroi, Charleroi, Belgium.,Service des Neurosciences, University of Mons, Mons, Belgium
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Asif A, Majid M, Anwar SM. Human stress classification using EEG signals in response to music tracks. Comput Biol Med 2019; 107:182-196. [PMID: 30836290 DOI: 10.1016/j.compbiomed.2019.02.015] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 02/19/2019] [Accepted: 02/19/2019] [Indexed: 12/22/2022]
Abstract
Stress is inevitably experienced by almost every person at some stage of their life. A reliable and accurate measurement of stress can give an estimate of an individual's stress burden. It is necessary to take essential steps to relieve the burden and regain control for better health. Listening to music is a way that can help in breaking the hold of stress. This study examines the effect of music tracks in English and Urdu language on human stress level using brain signals. Twenty-seven subjects including 14 males and 13 females having Urdu as their first language, with ages ranging from 20 to 35 years, voluntarily participated in the study. The electroencephalograph (EEG) signals of the participants are recorded, while listening to different music tracks by using a four-channel MUSE headband. Participants are asked to subjectively report their stress level using the state and trait anxiety questionnaire. The English music tracks used in this study are categorized into four genres i.e., rock, metal, electronic, and rap. The Urdu music tracks consist of five genres i.e., famous, patriotic, melodious, qawali, and ghazal. Five groups of features including absolute power, relative power, coherence, phase lag, and amplitude asymmetry are extracted from the preprocessed EEG signals of four channels and five bands, which are used by the classifier for stress classification. Four classifier algorithms namely sequential minimal optimization, stochastic decent gradient, logistic regression (LR), and multilayer perceptron are used to classify the subject's stress level into two and three classes. It is observed that LR performs well in identifying stress with the highest reported accuracy of 98.76% and 95.06% for two- and three-level classification respectively. For understanding gender, language, and genre related discriminations in stress, a t-test and one-way analysis of variance is used. It is evident from results that English music tracks have more influence on stress level reduction as compared to Urdu music tracks. Among the genres of both languages, a noticeable difference is not found. Moreover, significant difference is found in the scores reported by females as compared to males. This indicates that the stress behavior of females is more sensitive to music as compared to males.
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40
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Droit-Volet S, Dambrun M. Awareness of the passage of time and self-consciousness: What do meditators report? Psych J 2019; 8:51-65. [PMID: 30740922 DOI: 10.1002/pchj.270] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Revised: 11/15/2018] [Accepted: 11/22/2018] [Indexed: 12/30/2022]
Abstract
What do humans mean when they say that time passes quickly or slowly? In this article, we try to respond to this question on the basis of our studies on the judgment of the passage of time and its links with the judgment of physical durations. The awareness of the passage of time when consciousness is altered by meditation is also discussed. A dissociation is then made among the "self-time perspective," the "self-duration" (internal duration), and the "world-duration" (external duration). A link is also established between the self-time perspective and the "narrative self," on one hand, and the self-duration and the "minimal self," on the other hand, that is confirmed in our qualitative analysis of testimonials of four meditators. The awareness of self-duration is thus related to the awareness of the embodied self. When the sense of self is altered and the consciousness of the body is lower, then the subjective experience of internal time changes. However, the mechanisms allowing the disappearance of the self with the feeling of being outside time during meditation remains to be elucidated.
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Affiliation(s)
- Sylvie Droit-Volet
- Université Clermont Auvergne, National Scientific Research Center (CNRS), Clermont-Ferrand, France
| | - Michaël Dambrun
- Université Clermont Auvergne, National Scientific Research Center (CNRS), Clermont-Ferrand, France
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41
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Abdoun O, Zorn J, Poletti S, Fucci E, Lutz A. Training novice practitioners to reliably report their meditation experience using shared phenomenological dimensions. Conscious Cogn 2019; 68:57-72. [PMID: 30658238 PMCID: PMC6374282 DOI: 10.1016/j.concog.2019.01.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 01/06/2019] [Accepted: 01/07/2019] [Indexed: 10/29/2022]
Abstract
Empirical descriptions of the phenomenology of meditation states rely on practitioners' ability to provide accurate information on their experience. We present a meditation training protocol that was designed to equip naive participants with a theoretical background and experiential knowledge that would enable them to share their experience. Subsequently, novices carried on with daily practice during several weeks before participating in experiments. Using a neurophenomenological experiment designed to explore two different meditation states (focused attention and open monitoring), we found that self-reported phenomenological ratings (i) were sensitive to meditation states, (ii) reflected meditation dose and fatigue effects, and (iii) correlated with behavioral measures (variability of response time). Each of these effects was better predicted by features of participants' daily practice than by desirable responding. Our results provide evidence that novice practitioners can reliably report their experience along phenomenological dimensions and warrant the future investigation of this training protocol with a longitudinal design.
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Affiliation(s)
- Oussama Abdoun
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Jelle Zorn
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Stefano Poletti
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Enrico Fucci
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Antoine Lutz
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France.
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King BG, Conklin QA, Zanesco AP, Saron CD. Residential meditation retreats: their role in contemplative practice and significance for psychological research. Curr Opin Psychol 2019; 28:238-244. [PMID: 30878004 DOI: 10.1016/j.copsyc.2018.12.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Revised: 12/13/2018] [Accepted: 12/30/2018] [Indexed: 02/07/2023]
Abstract
Contemporary investigations of mindfulness and meditation have predominately emphasized the short-term effects of brief inductions or standardized, multi-week interventions in people with little to no prior meditation experience. Considerably less is known about the effects of continued or intensive meditation practice as proficiency and expertise are acquired over time. In this article, we describe the form and function of residential retreats, an understudied class of meditation intervention that holds promise for bridging this gap in the empirical literature. We outline a number of design features that distinguish retreats from other meditation-based interventions, and highlight their utility for informing functional and developmental perspectives on meditation, cognition, health, and well-being.
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Affiliation(s)
- Brandon G King
- Department of Psychology, University of California, Davis, United States; Center for Mind and Brain, University of California, Davis, United States.
| | - Quinn A Conklin
- Department of Psychology, University of California, Davis, United States; Center for Mind and Brain, University of California, Davis, United States
| | | | - Clifford D Saron
- Center for Mind and Brain, University of California, Davis, United States; The MIND Institute, University of California, Davis, United States
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43
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Goldstein E, Topitzes J, Brown RL, Barrett B. Mediational pathways of meditation and exercise on mental health and perceived stress: A randomized controlled trial. J Health Psychol 2018; 25:1816-1830. [PMID: 29733230 DOI: 10.1177/1359105318772608] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
This study investigated the effects of mindfulness and exercise training on indicators of mental health and stress by examining shared mediators of program effects. Community-recruited adults (N = 413) were randomized into one of three conditions: (a) mindfulness-based stress reduction, (b) moderate intensity exercise, or (c) wait-list control. Composite indicator structural equation models estimated direct, indirect, and total effects. Results showed that mindfulness-based self-efficacy fulfilled a prominent role in mediating meditation and exercise program effects. Findings suggest that mindfulness and exercise training share similar mechanisms that can improve global mental health, including adaptive responses to stress.
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44
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Goldberg SB, Tucker RP, Greene PA, Davidson RJ, Wampold BE, Kearney DJ, Simpson TL. Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clin Psychol Rev 2017; 59:52-60. [PMID: 29126747 DOI: 10.1016/j.cpr.2017.10.011] [Citation(s) in RCA: 482] [Impact Index Per Article: 60.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Revised: 10/21/2017] [Accepted: 10/31/2017] [Indexed: 12/29/2022]
Abstract
Despite widespread scientific and popular interest in mindfulness-based interventions, questions regarding the empirical status of these treatments remain. We sought to examine the efficacy of mindfulness-based interventions for clinical populations on disorder-specific symptoms. To address the question of relative efficacy, we coded the strength of the comparison group into five categories: no treatment, minimal treatment, non-specific active control, specific active control, and evidence-based treatment. A total of 142 non-overlapping samples and 12,005 participants were included. At post-treatment, mindfulness-based interventions were superior to no treatment (d=0.55), minimal treatment (d=0.37), non-specific active controls (d=0.35), and specific active controls (d=0.23). Mindfulness conditions did not differ from evidence-based treatments (d=-0.004). At follow-up, mindfulness-based interventions were superior to no treatment conditions (d=0.50), non-specific active controls (d=0.52), and specific active controls (d=0.29). Mindfulness conditions did not differ from minimal treatment conditions (d=0.38) and evidence-based treatments (d=0.09). Effects on specific disorder subgroups showed the most consistent evidence in support of mindfulness for depression, pain conditions, smoking, and addictive disorders. Results support the notion that mindfulness-based interventions hold promise as evidence-based treatments.
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Affiliation(s)
- Simon B Goldberg
- VA Puget Sound Health Care System, Seattle, WA, USA; Center for Healthy Minds, University of Wisconsin - Madison, Madison, WI, USA; Department of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.
| | - Raymond P Tucker
- Department of Psychology, Louisiana State University, Baton Rouge, LA, USA
| | | | - Richard J Davidson
- Center for Healthy Minds, University of Wisconsin - Madison, Madison, WI, USA; Department of Psychology, University of Wisconsin - Madison, Madison, WI, USA
| | - Bruce E Wampold
- Department of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA; Modum Bad Psychiatric Center, Vikersund, Norway
| | | | - Tracy L Simpson
- VA Puget Sound Health Care System, Seattle, WA, USA; Center for Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System, Seattle, WA, USA
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45
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Anclair M, Lappalainen R, Muotka J, Hiltunen AJ. Cognitive behavioural therapy and mindfulness for stress and burnout: a waiting list controlled pilot study comparing treatments for parents of children with chronic conditions. Scand J Caring Sci 2017; 32:389-396. [DOI: 10.1111/scs.12473] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Accepted: 04/04/2017] [Indexed: 12/24/2022]
Affiliation(s)
- Malin Anclair
- Department of Social and Psychological Studies; Section of Psychology; Karlstad University; Karlstad Sweden
| | - Raimo Lappalainen
- Department of Psychology; University of Jyväskylä; Jyväskylä Finland
| | - Joona Muotka
- Department of Psychology; University of Jyväskylä; Jyväskylä Finland
| | - Arto J. Hiltunen
- Department of Social and Psychological Studies; Section of Psychology; Karlstad University; Karlstad Sweden
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Perlman A. Helping People to Self-Actualize: Revising the Role and Goal of Our Healthcare System. Explore (NY) 2016; 13:6-8. [PMID: 27890519 DOI: 10.1016/j.explore.2016.10.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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