To improve students' mental health, teach them to breathe

July 31, 2020

Science Daily/Yale University

When college students learn specific techniques for managing stress and anxiety, their wellbeing improves across a range of measures and leads to better mental health, a new Yale study finds.

The research team evaluated three classroom-based wellness training programs that incorporate breathing and emotional intelligence strategies, finding that two led to improvements in aspects of wellbeing. The most effective program led to improvements in six areas, including depression and social connectedness.

The researchers, who reported findings in the July 15 edition of Frontiers in Psychiatry, said such resiliency training programs could be a valuable tool for addressing the mental health crisis on university campuses.

"In addition to academic skills, we need to teach students how to live a balanced life," said Emma Seppälä, lead author and faculty director of the Women's Leadership Program at Yale School of Management. "Student mental health has been on the decline over the last 10 years, and with the pandemic and racial tensions, things have only gotten worse."

Researchers at the Yale Child Study Center and the Yale Center for Emotional Intelligence (YCEI) conducted the study, which tested three skill-building training programs on 135 undergraduate subjects for eight weeks (30 hours total), and measured results against those of a non-intervention control group.

They found that a training program called SKY Campus Happiness, developed by the Art of Living Foundation, which relies on a breathing technique called SKY Breath Meditation, yoga postures, social connection, and service activities, was most beneficial. Following the SKY sessions, students reported improvements in six areas of wellbeing: depression, stress, mental health, mindfulness, positive affect, and social connectedness.

A second program called Foundations of Emotional Intelligence, developed by the YCEI, resulted in one improvement: greater mindfulness -- the ability for students to be present and enjoy the moment.

A third program called Mindfulness-Based Stress Reduction, which relies heavily on mindfulness techniques, resulted in no reported improvements.

In all, 135 Yale undergraduate students participated in the study. Across college campuses, there has been a significant rise in student depression, anxiety, and demand for mental health services. From 2009 to 2014, students seeking treatment from campus counseling centers rose by 30%, though enrollment increased by just 6% on average. Fifty-seven percent of counseling center directors indicated that their resources are insuf?cient to meet students' needs.

The researchers say resiliency training tools can address the overburdening of campus counseling centers directly. In the sessions. "Students learn tools they can use for the rest of their lives to continue to improve and maintain their mental health," said co-first author Christina Bradley '16 B.S., currently a Ph.D. student at University of Michigan.

Researchers administered the training sessions in person, but the courses can also be taken remotely.

"Continually adding staff to counseling and psychiatric services to meet demand is not financially sustainable -- and universities are realizing this," Seppälä said. "Evidence-based resiliency programs can help students help themselves."

Davornne Lindo '22 B.A., a member of the Yale track team who participated in the SKY Campus Happiness program, said practicing breathing techniques helped her to manage stress from both academics and athletics. "Now that I have these techniques to help me, I would say that my mentality is a lot healthier," Lindo said. "I can devote time to studying and not melting down. Races have gone better. Times are dropping." Another participant in the SKY program, Anna Wilkinson '22 B.A., said she was not familiar with the positive benefits of breathing exercises before the training, but now uses the technique regularly. "I didn't realize how much of it was physiology, how you control the things inside you with breathing," Wilkinson said. "I come out of breathing and meditation as a happier, more balanced person, which is something I did not expect at all."

https://www.sciencedaily.com/releases/2020/07/200731135555.htm

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Mindfulness found to improve mental health of students

March 11, 2019

Science Daily/University of Bristol

Mental health among university students could be improved by introducing mindfulness training. These are the findings from the first UK study to measure the efficacy of mindfulness based cognitive therapy (MBCT) on students.

 

Recent evidence suggests that university students are more likely to develop mental health problems when compared with the general population. The University of Bristol-led study aimed to establish whether mindfulness could be effective at improving mental health and wellbeing in medical students who are considered more at risk of developing a stress-related illness.

 

Researchers recruited 57 medical students, who had been referred to a mindfulness group either by their GP or student advisor, to take part in an eight-week mindfulness programme.

 

Students were required to attend the training for two hours each week and commit to 30-minute daily home practice in between sessions. The training, which took place between Autumn 2011 and Spring 2015, taught participants how the mind works, how stress impacts one's life, an awareness of stress triggers and signs of stress symptoms, coping techniques, meditation practice, and the importance of self-care.

 

At the end of each programme students completed a survey that included a free text response. The researchers also conducted six qualitative interviews lasting between 60 and 90 minutes.

 

The students reported mindfulness training went further than learning a set of tools for coping with emotional difficulty. Students described improved empathy and communication skills when with patients through their newly learnt ability to notice their own thoughts and feelings. Students reported an improved ability to manage their workload better as well as a new ability to notice automatic judgmental thinking (such as not being good enough) without identifying with these thoughts. Students described how mindfulness had helped enhance their relationship to learning by using the mindfulness practices to refresh and regain concentration during long days of study as well as using the mindfulness practices to steady themselves during stressful situations in clinic or during exams.

 

The researchers concluded that more research is needed but these initial findings suggest that mindfulness training had helped students at Bristol reduce anxiety, excessive worry, negative thought patterns and improve resiliency to stress as well as improve emotional wellbeing and professional development.

 

Dr Alice Malpass, Research Fellow in the Bristol Medical School: Population Health Sciences (PHS) and co-author, said: "At Bristol, we are continuing to increase efforts to find solutions to improve mental health among the student population. Out aim is to find effective new ways of supporting students who may be suffering from stress and anxiety.

 

"This study has shown how mindfulness can help students who might be struggling, in particular medical students, find new ways of relating to the difficulties that arise in their clinical work, studying and wellbeing.

 

"We have developed a theoretical model of the medical student 'stress signature', mapping how mindfulness-based cognitive therapy (MBCT) can break the cycle of specific vulnerability through the development of new coping strategies."

 

In Australia, New Zealand, Canada and the USA, mindfulness training is part of the medical curriculum but has yet to be implemented in the UK. Policy recommendations from the General Medical Council (GMC), the body responsible for improving medical education in the UK, recommend the use of mindfulness training to increase wellbeing and resilience to stress.

 

The researchers suggest a UK wide survey should be carried out to find out how other medical schools in the UK are implementing GMC mindfulness training guidelines and how this compares to what medical schools are delivering in Australia, New Zealand, Canada and the USA.

https://www.sciencedaily.com/releases/2019/03/190311125213.htm

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