Mindful breathing for pain control: Like Yin and Yang

October 12, 2021

Science Daily/University of Michigan

It's long been known that meditative mindful breathing helps with various health conditions, including pain.

To that end, researchers at the University of Michigan compared two types of meditative breathing -- traditional mindful breathing and virtual reality, 3D-guided mindful breathing -- to reduce pain. They found that each lessened pain by modulating the somatosensory cortex, a region of the brain responsible for processing pain, but each used different mechanisms, said Alexandre DaSilva, associate professor at the School of Dentistry.

With the traditional breathing group, the functional connection with the brain's frontal regions increased, because this region was focused on the body's internal sensory details, called interoception, DaSilva said. This competed with the external pain signals and inhibited the ability of the somatosensory cortex to process pain. This follows the common assumption that mindful breathing exerts its painkilling effect by interoception, which means the conscious refocusing of the mind's attention to the physical sensation of an internal organ function.

In the virtual reality group, subjects wore special glasses and watched a pair of virtual reality 3D lungs, while breathing mindfully. The technology was developed in-house and the lungs synchronized with the subjects' breathing cycles in real time. This provided an immersive visual and audio external stimulus. Pain decreased when the sensory regions of the brain (visual, auditory) engaged with the immersive virtual reality sound and image stimulations. This is called exteroception, and it weakened the pain processing function of the somatosensory cortex.

"(I was surprised) that both meditative breathing methods decreased pain sensitivity, but oppositely in the brain, like yin and yang," DaSilva said. "One by engaging the brain in an immersive exterior 3D experience of our own breathing, or exteroception -- yang, and the other by focusing on our interior world, interoception -- yin."

Though both approaches decreased pain sensitivity, traditional mindful breathing can be challenging because it requires long-time attention and focus on an abstract experience, he said. Virtual reality breathing might be more accessible, especially for beginners, because it lends an immersive "visual and auditory guide" to the meditation experience.

And, the virtual reality mindful breathing gives medical professionals another possible option for pain relief, to decrease the tendency to rely solely on pain medications, including opiates, DaSilva said.

Pain is processed by many regions in the brain that provide different information for the global pain experience. DaSilva's lab learned in previous studies that some of those regions can be externally targeted by neuromodulation, a process whereby electrical impulses are used to directly modulate brain activity.

However, here was to dissect and understand the two brain mechanisms for pain modulation using breathing. To that end, DaSilva's team compared the two methods of breathing, by placing a single, unilateral thermode on the left mandibular nerve branch of the trigeminal cranial nerve for each participant -- think of a tiny, computer-controlled hotplate on your face.

To study the brain mechanisms used during the two types of breathing, researchers analyzed their associated functional connectivity -- i.e., what regions of the brain were co-activated and when -- during each type of breathing and pain stimulation. They investigated the acute (same session) and long effects (after one week) of breathing techniques, and in the week between the two neuroimaging sessions, both groups did traditional mindful breathing at home.

DaSilva's research group, which focuses heavily on migraine and pain, is working on options to deliver this virtual reality breathing experience via a mobile application and extending its clinical benefit to multiple chronic pain disorders beyond the lab space.

https://www.sciencedaily.com/releases/2021/10/211012154810.htm

Meditation training reduces long-term stress, hair analysis shows

October 7, 2021

Science Daily/Max Planck Institute for Human Cognitive and Brain Sciences

Mental training reduces the concentration of the stress hormone cortisol in hair. This is what scientists from the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig have found out. The amount of cortisol in hair provides information about how much a person is burdened by persistent stress. Earlier positive training effects had been shown in acutely stressful situations or on individual days -- or were based on study participants' self-reports. The current study thus provides the first objective evidence that mental training reduces physical signs of long periods of stress.

According to a study by the Techniker Krankenkasse, 23 percent of people in Germany frequently suffer from stress. This condition not only puts a strain on the well-being of those affected, but it is also linked to a number of physiological diseases, including diabetes, cardiovascular diseases and psychological disorders such as depression, one of the world's leading causes of disease burden (Global Burden of Disease Study, 2017).

Therefore, effective methods are being sought to reduce everyday stress in the long term. One promising option is mindfulness training, in which participants train their cognitive and social skills, including attention, gratitude and compassion, through various meditation and behavioural exercises. Various studies have already shown that even healthy people feel less stressed after a typical eight-week training programme. Until now, however, it has been unclear how much the training actually contributes to reducing the constant burden of everyday stress. The problem with many previous studies on chronic stress is that the study participants were usually asked to self-assess their stress levels after the training. However, this self-reporting by means of questionnaires could have distorted the effects and made the results appear more positive than they actually were.

The reason for such a bias: The participants knew they were training their mindfulness, and a reduction in stress levels was a desired effect of this training. This awareness alone has an impact on subsequent information. "If you are asked whether you are stressed after a training session that is declared as stress-reducing, even addressing this question can distort the statements," explains Lara Puhlmann, doctoral student at MPI CBS and first author of the underlying publication, which has now appeared in the journal Psychosomatic Medicine. Factors such as social desirability and placebo effects played a role here. Unlike pharmacological studies, for example, in which the study participants do not know whether they have actually received the active substance or not, so-called blinded studies are not possible in mental training. "The participants know that they are ingesting the 'antidote'," says Puhlmann. "In mindfulness research, we are therefore increasingly using more objective, i.e. physiological, methods to measure the stress-reducing effect more precisely."

The concentration of cortisol in hair is considered a suitable measure of exposure to prolonged stress. Cortisol is a hormone that is released when we are confronted with an overwhelming challenge, for example. In that particular situation, it helps put our body on alert and mobilise energy to overcome the challenge. The longer the stress lasts, the longer an increased concentration of cortisol circulates around our body -- and the more it accumulates in our hair. On average, hair grows one centimetre per month. To measure the study participants' stress levels during the 9-month training, the researchers, in cooperation with the working group of Clemens Kirschbaum at the University of Dresden, analysed the amount of cortisol every three months in the first three centimetres of hair, starting at the scalp.

The mental training itself was developed as part of a large-scale longitudinal study on the effects of mental training, the ReSource project, led by Prof. Dr. Tania Singer, scientific director of the Social Neuroscience Research Group. This 9-month mental training programme consisted of three 3-month sessions, each designed to train a specific skill area using Western and Far Eastern mental exercises. The focus was either on the factors of attention and mindfulness, on socio-affective skills such as compassion and gratitude, or on so-called socio-cognitive skills, in particular the ability to take perspective on one's own and others' thoughts. Three groups of about 80 participants each completed the training modules in different order. The training lasted up to nine months, 30 minutes a day, six days a week.

Less stress, less cortisol

And it really showed: After six months of training, the amount of cortisol in the subjects' hair had decreased significantly, on average by 25 percent. In the first three months, slight effects were seen at first, which increased over the following three months. In the last third, the concentration remained at a low level. The researchers therefore assume that only sufficiently long training leads to the desired stress-reducing effects. The effect did not seem to depend on the content of the training. It is therefore possible that several of the mental approaches studied are similarly effective in improving the way people deal with chronic everyday stress.

In an earlier study from the ReSource project with the same sample, the researchers had investigated the effects of training on dealing with acute stressful situations. In this study, the participants were placed in a stressful job interview and had to solve difficult maths problems under observation. The results showed that people who had undergone socio-cognitive or socio-affective training released up to 51 percent less cortisol under stress than those who had not been trained. In this case, they did not measure the amount of cortisol in the subjects' hair, but instead acute cortisol surges in their saliva. Overall, the researchers conclude that training can improve the handling of acute particularly stressful social situations as well as chronic everyday stress. "We assume that different training aspects are particularly helpful for these different forms of stress," says Veronika Engert, head of the research group "Social Stress and Family Health" at MPI CBS.

"There are many diseases worldwide, including depression, that are directly or indirectly related to long-term stress," explains Puhlmann. "We need to work on counteracting the effects of chronic stress in a preventive way. Our study uses physiological measurements to prove that meditation-based training interventions can alleviate general stress levels even in healthy individuals."

https://www.sciencedaily.com/releases/2021/10/211007122203.htm

Meditative practice and spiritual wellbeing may preserve cognitive function in aging

May 11, 2021

Science Daily/IOS Press

It is projected that up to 152 million people worldwide will be living with Alzheimer's disease (AD) by 2050. To date there are no drugs that have a substantial positive impact on either the prevention or reversal of cognitive decline. A growing body of evidence finds that targeting lifestyle and vascular risk factors have a beneficial effect on overall cognitive performance. A new review in the Journal of Alzheimer's Disease, published by IOS Press, examines research that finds spiritual fitness, a new concept in medicine that centers on psychological and spiritual wellbeing, and Kirtan Kriya, a simple 12-minute meditative practice, may reduce multiple risk factors for AD.

"The key point of this review is that making a commitment to a brain longevity lifestyle, including spiritual fitness, is a critically important way for aging Alzheimer's disease free," explain authors Dharma Singh Khalsa, MD, Alzheimer's Research and Prevention Foundation, Tucson, AZ, USA, and Andrew B. Newberg, MD, Department of Integrative Medicine and Nutritional Sciences, Department of Radiology, Marcus Institute of Integrative Health, Thomas Jefferson University, Philadelphia, PA, USA. "We hope this article will inspire scientists, clinicians, and patients to embrace this new concept of spiritual fitness and make it a part of every multidomain program for the prevention of cognitive disability."

Research reveals that religious and spiritual involvement can preserve cognitive function as we age. The authors observe that today, spirituality is often experienced outside the context of an organized religion and may be part of every religion or separate to it. Spiritual fitness is a new dimension in AD prevention, interweaving basic, psychological and spiritual wellbeing. The authors discuss the research on how these factors affect brain function and cognition. For example, psychological wellbeing may reduce inflammation, cardiovascular disease, and disability. Significantly, individuals who have a high score on a "purpose in life" (PIL) measure, a component of psychological wellbeing, were 2.4 times more likely to remain free of AD than individuals with low PIL. In another study, participants who reported higher levels of PIL exhibited better cognitive function, and further, PIL protected those with already existing pathological conditions, thus slowing their decline.

Stress and stress management are under-discussed topics in AD prevention, yet the authors point out that there is ample evidence that physical, psychological, and emotional effects of stress may elevate AD risk. Kirtan Kriya (KK) is a 12-minute singing meditation that involves four sounds, breathing, and repetitive finger movements. It has multiple documented effects on stress, such as improving sleep, decreasing depression, and increasing wellbeing. It has also been found to increase blood flow to areas of the brain involved in cognition and emotional regulation and increases grey matter volume and decreases ventricular size in long-term practitioners, which may slow brain aging. Research in healthy individuals, caregivers, and those with cognitive decline found that the practice improves cognition, slows memory loss, and improves mood.

The overall relationship between spiritual fitness and a person's complete physical and mental health is a topic of investigation in the emerging field of study called neurotheology. Early work has focused on the development of models regarding which brain areas are affected through spiritual practices such as meditation or prayer. Over the last 20 years, there has been an extensive growth in neuroimaging and other physiological studies evaluating the effect of meditation, spiritual practices, and mystical experiences. A neuroimaging study of KK found long term brain effects, during meditation and afterwards. Neurotheological studies can help understanding of how a practice such as KK can lead to more permanent effects in brain function that support spiritual fitness, according to Dr. Khalsa and Dr. Newberg.

"Mitigating the extensive negative biochemical effects of stress with meditation practices, in tandem with the creation of heightened levels of spiritual fitness, may help lower the risk of AD. Small shifts in one's daily routine can make all the difference in AD prevention," Dr. Khalsa and Dr. Newberg conclude. "We are optimistic this article will inspire future research on the topic of spiritual fitness and AD."

https://www.sciencedaily.com/releases/2021/05/210511123727.htm

Mindfulness can make you selfish

A pioneering new study examines the social effects of mindfulness

April 14, 2021

Science Daily/University at Buffalo

Mindfulness is big business. Downloads of mindfulness apps generate billions of dollars annually in the U.S., and their popularity continues to rise. In addition to what individual practitioners might have on their phones, schools and prisons along with 1 in 5 employers currently offer some form of mindfulness training.

Mindfulness and meditation are associated with reducing stress and anxiety, while increasing emotional well-being. Plenty of scholarship supports these benefits. But how does mindfulness affect the range of human behaviors -- so-called prosocial behaviors -- that can potentially help or benefit other people? What happens when the research looks outwardly at social effects of mindfulness rather than inwardly at its personal effects?

It's within the area of prosocial behaviors that a new paper by University at Buffalo researchers demonstrates the surprising downsides of mindfulness, while offering easy ways to minimize those consequences -- both of which have practical implications for mindfulness training.

"Mindfulness can make you selfish," says Michael Poulin, PhD, an associate professor of psychology in the UB College of Arts and Sciences and the paper's lead author. "It's a qualified fact, but it's also accurate.

"Mindfulness increased prosocial actions for people who tend to view themselves as more interdependent. However, for people who tend to view themselves as more independent, mindfulness actually decreased prosocial behavior."

The results sound contradictory given the pop culture toehold of mindfulness as an unequivocal positive mental state. But the message here isn't one that dismantles the effectiveness of mindfulness.

"That would be an oversimplification," says Poulin, an expert in stress, coping and prosocial engagement. "Research suggests that mindfulness works, but this study shows that it's a tool, not a prescription, which requires more than a plug-and-play approach if practitioners are to avoid its potential pitfalls."

The findings will appear in a forthcoming issue of the journal Psychological Science.

Poulin says independent versus interdependent mindsets represent an overarching theme in social psychology. Some people think of themselves in singular or independent terms: "I do this." While others think of themselves in plural or interdependent terms: "We do this."

There are also cultural differences layered on top of these perspectives. People in Western nations most often think of themselves as independent, whereas people in East Asian countries more often think of themselves as interdependent. Mindfulness practices originated in East Asian countries, and Poulin speculates that mindfulness may be more clearly prosocial in those contexts. Practicing mindfulness in Western countries removes that context.

"Despite these individual and cultural differences, there is also variability within each person, and any individual at different points in time can think of themselves either way, in singular or plural terms," says Poulin.

The researchers, which included Shira Gabriel, PhD, a UB associate professor of psychology, C. Dale Morrison and Esha Naidu, both UB graduate students, and Lauren M. Ministero, PhD, a UB graduate student at the time of the research who is now a senior behavioral scientist at the MITRE Corporation, used a two-experiment series for their study.

First, they measured 366 participants' characteristic levels of independence versus interdependence, before providing mindfulness instruction or a mind wandering exercise to the control group. Before leaving, participants were told about volunteer opportunities stuffing envelopes for a charitable organization.

In this experiment, mindfulness led to decreased prosocial behavior among those who tended to be independent.

In the next experiment, instead of having a trait simply measured, 325 participants were encouraged to lean one way or the other by engaging in a brief but effective exercise that tends to make people think of themselves in independent or interdependent terms.

The mindfulness training and control procedures were the same as the first experiment, but in this case, participants afterwards were asked if they would sign up to chat online with potential donors to help raise money for a charitable organization.

Mindfulness made those primed for independence 33% less likely to volunteer, but it led to a 40% increase in the likelihood of volunteering to the same organization among those primed for interdependence. The results suggest that pairing mindfulness with instructions explaining how to make people think of themselves in terms of their relationships and communities as they're engaging in mindfulness exercises may allow them to see both positive personal and social outcomes.

"We have to think about how to get the most out of mindfulness," Poulin says. "We have to know how to use the tool."

https://www.sciencedaily.com/releases/2021/04/210414100147.htm

How to gain a sense of well-being, free and online

April 14, 2021

Science Daily/Yale University

In 2018, when Professor Laurie Santos introduced her course "Psychology and the Good Life," a class on the science of happiness, it became the most popular in the history of Yale, attracting more than 1,200 undergraduate enrollees that first semester. An online course based on those teachings became a global phenomenon. By latest count, 3.38 million people have enrolled to take the free Coursera.orgcourse, called "The Science of Well Being."

But the popularity of the course posed an interesting question. Does taking the course and participating in homework assignments -- which include nurturing social connections, compiling a gratitude list, and meditation -- really help improve a sense of well-being?

The answer is yes, according to two new studies that measured the psychological impact on individuals who took Santos's or a similar course. The findings suggest that free online courses that teach principles of positive psychology can enrich the lives of millions of people.

In the latest study, published April 14 in the journal PLOS ONE, researchers at Johns Hopkins University and Yale found that people who took the online "Science of Well Being" course reported a greater sense of well-being than those enrolled in another Yale Coursera course, "Introduction to Psychology." Although learners in both classes said they experienced significant improvement in their well-being after taking the courses, those who took the "Science of Well-Being" course reported greater mental health benefits than those learning about the basics of psychology.

Unlike the psychology course, "The Science of Well Being" requires participants to do exercises known to improve psychological health, such as improving sleep patterns, developing exercise routines, and practicing meditation, the authors say. Before and after taking the course, participants answered questions designed to measure factors related to psychological health such as positive emotions, engagement, and strength of relationships.

"Knowledge is great but it isn't enough. You also have to do the work," said lead author David Yaden, research fellow in the Department of Psychiatry and Behavioral Sciences at Johns Hopkins.

A similar study in Health Psychology Open, conducted by researchers at Yale and the University of Bristol, surveyed people who took either a live or an online credit-bearing course based on Santos's original class and found similar psychological benefits for enrollees.

Yaden stressed, however, that the classes are not a substitute for professional treatment for those who suffer from diagnosed mental illness. "These courses are not a panacea or replacement for psychotherapy or medication," he said.

However, both Yaden and Santos, who co-authored the study, say the findings show that massive open online courses can provide at least modest value to millions of people at no cost.

"We wanted to know if we could scale these benefits and we can," Santos said. "Even bringing a small mental health benefit to millions of people can have a huge value."

https://www.sciencedaily.com/releases/2021/04/210414155014.htm

Practicing 'mindfulness' in summer camp benefits campers and counselors alike

April 13, 2021

Science Daily/Florida Atlantic University

A project shows how implementing an evidence-based mindfulness program in a summer camp setting decreases emotional distress in school age children and empowers campers and counselors alike - enhancing camper-counselor relationships. Mindfulness - a state of consciousness that fosters awareness - has the potential to help regulate emotions and behaviors. Mindful breathing, mindful bodies, and mindful listening assisted in bringing awareness to campers in the program and provided skills to address stressful experiences.

With summer around the corner, a project shows how implementing an evidence-based mindfulness program in a summer camp setting decreases emotional distress in school age children and empowers campers and counselors alike -- enhancing camper-counselor relationships. Mindfulness -- a state of consciousness that fosters awareness -- has the potential to help regulate emotions and behaviors.

Researchers from Florida Atlantic University's Christine E. Lynn College of Nursing implemented an eight-week program guided by the Mindful Schools© curricula in a large urban summer day camp program (ages 3 to seventh grade). Mindfulness-based practices are intentional exercises that cultivate mindfulness and engage youth to help develop attention to self and surroundings, social skills and emotional skills.

Results of the program evaluation, published in the Journal of Pediatric Nursing (online in December 2020 ahead of final publication in issue on March 1, 2021), showed that weekly mindfulness sessions appeared to empower campers with the ability to pay attention to self and surroundings while regulating emotions and behaviors. Mindfulness sessions for counselors empowered them to intentionally role model, utilize mindful strategies when dealing with difficult behaviors of campers and reinforced mindful practices to campers between weekly Mindful Schools© sessions.

According to the counselors' observations, 40 minutes of weekly mindful sessions were most influential in affecting campers' ability to self-regulate. Counselors also reported their own ability to increase classroom/cabin management and camper behavior management skills through the use of peace corners and portable mindfulness aids such as "calm down jars," stress balls and talking timers.

Campers attended an adapted 40-minute Mindful Schools© session once a week as part of the camp curriculum. Weekly sessions began with a didactic teaching related to select Mindful Schools© lesson topics. Then campers engaged in actual practice of mindfulness content; age-appropriate hands-on experiential activities were then implemented to reiterate and practice mindful content. To ensure learned material was retained, cabin peace corners containing material that reinforced mindfulness were designed and implemented into each cabin classroom.

All Mindful Schools© sessions were delivered by a pediatric nurse practitioner and/or a master's prepared registered nurse -- both of whom were certified Mindful Schools© educators. The children participated in mindful breathing, daily use of peace corners and even used mindfulness tools like the calm down jars filled with water, glitter, clear glue and food coloring. For example, campers were instructed to shake their calm down jars and focus on the falling glitter while they practiced mindful breathing. Workstations that represented each mindful lesson were set up at the completion of the eight-week program and offered for campers to select their lesson of choice(s). The purpose of the workstations were to evaluate which mindfulness activities resonated most with campers for future camp program design.

"We found that mindful breathing, mindful bodies, and mindful listening assisted in bringing awareness to campers in the program and provided skills to address stressful experiences," said Andra S. Opalinski, Ph.D., APRN, co-author, an associate professor and assistant dean of graduate studies in FAU's Christine E. Lynn College of Nursing. "Since calm down jars and mindful pebbles were the two most preferred activities -- both of which are in sync with the top three mindful practices implemented by the campers -- offering such adapted age appropriate experiential activities may indeed reinforce and reiterate didactic teaching and be pertinent for the intersection of playing and learning for mindful practices in children."

Because studies have found mindfulness-based practices as an effective approach to addressing self-regulation/ behavior concerns in school age children and adolescents, Opalinski and Laurie A. Martinez, Ph.D., M.S.N., M.B.A., co-author, a registered nurse and a project coordinator in FAU's Christine E. Lynn College of Nursing, note that applying an evidence-based practice mindfulness program to summer camp programs, a setting in which large numbers of children participate, provides additional context for addressing and examining mental health promotion in pediatric populations.

"This application of an evidence-based program also showed that the use of Mindful Schools© allows for sustainability of the program because a nurse can be trained in the curriculum and adapt the lessons for an alternative setting to broaden the reach of mindfulness interventions to settings such as after school and summer activity programs, Boys and Girls Clubs as well as faith community programs that provide services for children and adolescents," said Martinez. "In fact, the Mindful Schools© educators are exploring the possibilities of conducting a research study to validate the effectiveness of curricula change."

This work was funded by FloridaBlue and the Florida Conference of the United Methodist Church.

https://www.sciencedaily.com/releases/2021/04/210413110640.htm

Hypnosis changes the way our brain processes information

March 26, 2021

Science Daily/University of Turku

During a normal waking state, information is processed and shared by various parts within our brain to enable flexible responses to external stimuli. Researchers from the University of Turku, Finland, found that during hypnosis the brain shifted to a state where individual brain regions acted more independently of each other.

"In a normal waking state, different brain regions share information with each other, but during hypnosis this process is kind of fractured and the various brain regions are no longer similarly synchronised," describes researcher Henry Railo from the Department of Clinical Neurophysiology at the University of Turku.

The finding shows that the brain may function quite differently during hypnosis when compared to a normal waking state. This is interesting because the extent to which hypnosis modifies neural processing has been hotly debated in the field. The new findings also help to better understand which types of changes and mechanisms may explain the experiential and behavioural alterations attributed to hypnosis, such as liability to suggestions.

The study focused on a single person who has been extensively studied earlier and been shown to react strongly to hypnotic suggestions. During hypnosis, this person can experience phenomena that are not typically possible in a normal waking state, such as vivid and controlled hallucinations.

"Even though these findings cannot be generalised before a replication has been conducted on a larger sample of participants, we have demonstrated what kind of changes happen in the neural activity of a person who reacts to hypnosis particularly strongly," clarifies Jarno Tuominen, Senior Researcher at the Department of Psychology and Speech-Language Pathology.

Hypnosis Studied for the First Time with New Method

The study was conducted by tracking how a magnetically-induced electrical current spread throughout the brain during hypnosis and normal waking state. This method has been previously used to measure system-level changes in the brain in various states of consciousness, such as anaesthesia, coma, and sleep. This is the first time such a method has been used to assess hypnosis.

During the study, the participant sat still with eyes closed, alternatively either hypnotised or in a normal waking state. Hypnosis was induced via a single-word cue, and the different conditions were identical in every other respect.

"This allowed us to control the possible effects of the experimental setup or other factors, such as alertness," Tuominen explains.

https://www.sciencedaily.com/releases/2021/03/210326122743.htm

Hypnotic suggestions can make a complex task easy by helping vision fill in the blanks

January 27, 2021

Science Daily/Association for Psychological Science

Popular folklore and anecdotal evidence suggest that people in a hypnotic or suggestible state can experience sensory hallucinations, such as perceiving sounds and sights that are not actually there. Reliable scientific evidence of these experiences, however, has been notoriously challenging to obtain because of their subjective nature.

New research published in the journal Psychological Science provides compelling evidence that hypnotic suggestions can help highly susceptible people "see" imaginary objects, equipping them with the missing details needed to solve an otherwise challenging visual puzzle.

"Hypnosis holds intriguing effects on human behavior," said Amir Raz, a researcher at McGill University and coauthor on the paper. "The careful, systematic study of hypnotic phenomena can answer important questions about mind-body interactions and advance novel therapies in medicine, psychology, and dentistry."

For their research, Raz and his colleagues divided 32 participants into two groups: those who were found to be highly hypnotizable and those who were less suggestible. The participants viewed an array of disconnected lines moving around on a display screen. The lines, if lengthened and connected, would have formed various geometric shapes, such as diamonds or triangles.

Participants had to determine whether the rotation of the incomplete geometric figures was clockwise or counterclockwise. This task was inherently difficult because the disconnected lines lacked the visual cues necessary to easily assess the direction of rotation. The participants' success rate was approximately 50-50, or no better than chance.

The participants were then given the hypnotic suggestion to imagine that something was blocking out part of each shape being observed. Afterward, they repeated the same task of determining the direction of rotation.

The results revealed that participants who were highly susceptible to hypnotic suggestion successfully "hallucinated" visual occluders on top of moving objects. This added imaginary element enabled the participants to better visualize the full geometric shapes and more accurately determine their direction of rotation. On average, their success rate improved to approximately 70%, a statistically significant change.

The participants in the less hypnotizable group, however, were no more likely to complete the observational task following hypnotic suggestion. "Although these results are consistent with our hypothesis, the data surprised us by revealing the decisive and robust nature of the effect," said Raz.

Previous work on hypnosis has often highlighted its capacity to suppress or remove certain perceptual experiences. The new research shows compelling evidence that a hypnotic suggestion can also enhance or introduce perceptual experiences.

"Our findings support the idea that, at least in some people, suggestions can add perceptual information to sensory input," said Raz. "This observation adds meaningful weight to theoretical, clinical, and applied aspects of the brain and psychological sciences."

https://www.sciencedaily.com/releases/2021/01/210127171840.htm

Mindfulness can improve mental health and wellbeing -- but unlikely to work for everyone

January 11, 2021

Science Daily/University of Cambridge

Mindfulness courses can reduce anxiety, depression and stress and increase mental wellbeing within most but not all non-clinical settings, say a team of researchers at the University of Cambridge. They also found that mindfulness may be no better than other practices aimed at improving mental health and wellbeing.

Mindfulness is typically defined as 'the awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience moment by moment'. It has become increasingly popular in recent years as a way of increasing wellbeing and reducing stress levels.

In the UK, the National Health Service offers therapies based on mindfulness to help treat mental health issues such as depression and suicidal thoughts. However, the majority of people who practice mindfulness learn their skills in community settings such as universities, workplaces, or private courses. Mindfulness-based programmes are frequently promoted as the go-to universal tool to reduce stress and increase wellbeing, accessible to anyone, anywhere.

Many randomised controlled trials (RCTs) have been conducted around the world to assess whether in-person mindfulness training can improve mental health and wellbeing, but the results are often varied. In a report published today in PLOS Medicine, a team of researchers from the Department of Psychiatry at the University of Cambridge led a systematic review and meta-analysis to examine the published data from the RCTs. This approach allows them to bring together existing -- and often contradictory or under-powered -- studies to provide more robust conclusions.

The team identified 136 RCTs on mindfulness training for mental health promotion in community settings. These trials included 11,605 participants aged 18 to 73 years from 29 countries, more than three-quarters (77%) of whom were women.

The researchers found that in most community settings, compared with doing nothing, mindfulness reduces anxiety, depression and stress, and increases wellbeing. However, the data suggested that in more than one in 20 trials settings, mindfulness-based programmes may not improve anxiety and depression.

Dr Julieta Galante from the Department of Psychiatry at the University of Cambridge, the report's first author, said: "For the average person and setting, practising mindfulness appears to be better than doing nothing for improving our mental health, particularly when it comes to depression, anxiety and psychological distress -- but we shouldn't assume that it works for everyone, everywhere.

"Mindfulness training in the community needs to be implemented with care. Community mindfulness courses should be just one option among others, and the range of effects should be researched as courses are implemented in new settings. The courses that work best may be those aimed at people who are most stressed or in stressful situations, for example health workers, as they appear to see the biggest benefit."

The researchers caution that RCTs in this field tended to be of poor quality, so the combined results may not represent the true effects. For example, many participants stopped attending mindfulness courses and were not asked why, so they are not represented in the results. When the researchers repeated the analyses including only the higher quality studies, mindfulness only showed effects on stress, not on wellbeing, depression or anxiety.

When compared against other 'feel good' practices such as exercise, mindfulness fared neither better nor worse. Professor Peter Jones, also from Cambridge's Department of Psychiatry, and senior author, said: "While mindfulness is often better than taking no action, we found that there may be other effective ways of improving our mental health and wellbeing, such as exercise. In many cases, these may prove to be more suitable alternatives if they are more effective, culturally more acceptable or are more feasible or cost effective to implement. The good news is that there are now more options."

The researchers say that the variability in the success of different mindfulness-based programmes identified among the RCTs may be down to a number of reasons, including how, where and by whom they are implemented as well as at whom they are targeted. The techniques and frameworks taught in mindfulness have rich and diverse backgrounds, from early Buddhist psychology and meditation through to cognitive neuroscience and participatory medicine -- the interplay between all of these different factors can be expected to influence how effective a programme is.

The number of online mindfulness courses has increased rapidly, accelerated further by the COVID-19 pandemic. Although this review has not looked at online courses, studies suggest that these may be as effective as their offline counterparts, despite most lacking interactions with teacher and peers.

Dr Galante added: "If the effects of online mindfulness courses vary as widely according to the setting as their offline counterparts, then the lack of human support they offer could cause potential problems. We need more research before we can be confident about their effectiveness and safety."

 https://www.sciencedaily.com/releases/2021/01/210111143422.htm

Mindfulness meditation enhances positive effects of psilocybin

October 24, 2019

Science Daily/University of Zurich

Recent years have seen a renewed interest in the clinical application of classic psychedelics in the treatment of depression and anxiety disorders. Researchers of the University of Zurich have now shown that mindfulness meditation can enhance the positive long-term effects of a single dose of psilocybin, which is found in certain mushrooms.

Hallucinogens such as LSD or psilocybin, the active ingredient in "magic mushrooms," alter the perception of those who take them: The boundaries between the self and the world begin to dissolve and feelings of bliss and unity are triggered. Such experiences of self-transcendence and reduced self-focus are similar to those brought about by mindfulness meditation. They can reduce stress, prompt feelings of enduring happiness and increase empathy and altruism. In contrast to this, exaggerated self-focus, recurring negative thoughts and emotions about one's self, and impaired social interactions are characteristic features of psychiatric disorders such as depression.

Enhanced experience of self-transcendence

Researchers at the University Hospital of Psychiatry Zurich have now for the first time examined the potential synergistic effects of combining mindfulness meditation and psilocybin. The scientists recruited 40 meditation experts who were taking part in a five-day mindfulness retreat. In the double-blind study, the participants were administered either a single dose of psilocybin or a placebo on the fourth day of the group retreat. Using various psychometric and neurocognitive measurements, the team of researchers were able to show that mindfulness meditation increased the positive effects of psilocybin, while counteracting possible dysphoric responses to the psychedelic experience. "Psilocybin markedly increased the incidence and intensity of self-transcendence virtually without inducing any anxiety compared to participants who received the placebo," says first author Lukasz Smigielski, who conducted the study directed by UZH professor of psychiatry Franz Vollenweider.

Sustained beneficial effects

At the four-month follow-up, the meditation experts who had been given psilocybin demonstrated more beneficial changes in psychosocial functioning, better self-acceptance and more empathy than the placebo control group. According to Vollenweider, the intensity of self-transcendence experienced during the retreat played a key role for these enduring changes. In a previously published study, he and his team used magnetic resonance imaging to show that experiences of self-transcendence result in lasting changes to neural connections in the brain, and more specifically in the regions that are active when we think about ourselves.

The research group found that besides meditation depth, the participants' openness and optimism were conducive to a positive response to psilocybin. "These factors can help us predict a positive response," says Vollenweider. At the same time, skills that are trained during mindfulness meditation -- such as regulating one's attention and reappraising emotions -- seem to buffer potential negative reactions to psilocybin.

Potential for treating affective disorders

"Our findings shed light on the interplay between pharmacological and extra-pharmacological factors in psychedelic states of mind," says Vollenweider. "They indicate that mindfulness training enhances the positive effects of a single dose of psilocybin, and can increase empathy and permanently reduce ego-centricity. This opens up new therapeutic avenues, for example for the treatment of depression, which is often accompanied by increased self-focus and social deficits."

https://www.sciencedaily.com/releases/2019/10/191024075003.htm

Yoga and meditation reduce chronic pain

Participants in an eight-week mindfulness-based stress reduction course reported significant improvement in levels of pain, depression and disability

October 1, 2020

Science Daily/American Osteopathic Association

A mindfulness-based stress reduction (MBSR) course was found to benefit patients with chronic pain and depression, leading to significant improvement in participant perceptions of pain, mood and functional capacity, according to a study in the Journal of the American Osteopathic Association. Most of the study respondents (89%) reported the program helped them find ways to better cope with their pain while 11% remained neutral.

Chronic pain is a common and serious medical condition affecting an estimated 100 million people in the United States, which correlates with annual costs of approximately $635 billion. The small-scale study was conducted in a semi-rural population in Oregon where issues of affordability, addiction and access to care are common. Participants received intensive instruction in mindfulness meditation and mindful hatha yoga during an eight-week period.

"Many people have lost hope because, in most cases, chronic pain will never fully resolve," says Cynthia Marske, DO, an osteopathic physician and director of graduate medical education at the Community Health Clinics of Benton and Linn County. "However, mindful yoga and meditation can help improve the structure and function of the body, which supports the process of healing."

Healing and curing are inherently different, explains Dr. Marske.

"Curing means eliminating disease, while healing refers to becoming more whole," Dr. Marske says. "With chronic pain, healing involves learning to live with a level of pain this is manageable. For this, yoga and meditation can be very beneficial."

The study found mindful meditation and yoga led to significant improvements in patients' perceptions of pain, depression and disability. Following the course, Patient Health Questionnaire (PHQ-9) scores, a standard measure of depression, dropped by 3.7 points on a 27-point scale. According to Dr. Marske, some patients experience a similar drop from the use of an antidepressant.

"Chronic pain often goes hand-in-hand with depression," says Dr. Marske. "Mindfulness-based meditation and yoga can help restore both a patient's mental and physical health and can be effective alone or in combination with other treatments such as therapy and medication."

Study participants received instruction in MBSR, a systematic educational program based on training people to have an awareness of the self in the present moment and a nonjudgmental manner. The findings bolster other evidence that MBSR can be a useful adjunctive treatment for chronic pain while improving perceived depression.

"The bottom line is that patients are seeking new ways to cope with chronic pain and effective non-pharmaceutical treatments are available," says Dr. Marske. "Our findings show meditation and yoga can be a viable option for people seeking relief from chronic pain."

https://www.sciencedaily.com/releases/2020/10/201001133227.htm

Meditation for mind-control

September 23, 2020

Science Daily/College of Engineering, Carnegie Mellon University

 A BCI is an apparatus that allows an individual to control a machine or computer directly from their brain. Non-invasive means of control like electroencephalogram (EEG) readings taken through the skull are safe and convenient compared to more risky invasive methods using a brain implant, but they take longer to learn and users ultimately vary in proficiency.

He and collaborators conducted a large-scale human study enrolling subjects in a weekly 8-week course in simple, widely-practiced meditation techniques, to test their effect as a potential training tool for BCI control. A total of 76 people participated in this study, each being randomly assigned to the meditation group or the control group, which had no preparation during these 8 weeks. Up to 10 sessions of BCI study were conducted with each subject. He's work shows that humans with just eight lessons in mindfulness-based attention and training (MBAT) demonstrated significant advantages compared to those with no prior meditation training, both in their initial ability to control BCI's and in the time it took for them to achieve full proficiency.

After subjects in the MBAT group completed their training course they, along with a control group, were charged with learning to control a simple BCI system by navigating a cursor across a computer screen using their thought. This required them to concentrate their focus and visualize the movement of the cursor within their head. During the course of the process, He's team monitored their performance and brain activity via EEG.

As stated prior, the team found that those with training in MBAT were more successful in controlling the BCI, both initially and over time. Interestingly, the researchers found that differences in brain activity between the two sample groups corresponded directly with their success. The meditation group showed significantly enhanced capability of modulating their alpha rhythm, the activity pattern monitored by the BCI system to mentally control the movement of a computer cursor.

His findings are very important for the process of BCI training and the overall feasibility of non-invasive BCI control via EEG. While prior work from his group has shown that long-term meditators were better able to overcome the difficulty of learning non-invasive mind control, this work shows that just a short period of MBAT training can significantly improve a subject's skill with a BCI. This suggests that education in MBAT could provide a significant addition to BCI training. "Meditation has been widely practiced for well-being and improving health," said He. Our work demonstrates that it can also enhance a person's mental power for mind control, and may facilitate broad use of noninvasive brain-computer interface technology."

It could also inform neuroscientists and clinicians working in BCI design and maintenance. A thorough understanding of the brain is crucial for creating the machine learning algorithms BCI's use to interpret brain signals. This knowledge is especially important in BCI recalibration, which can be time-consuming and frequently necessary for non-invasive BCI's.

The work of He and his team presents a new application for a well-known and widely practiced form of meditation, and may even offer insights into the neurological effects of meditation and how it may be adapted for better BCI training. This study offers novel information for researchers of BCI's and presents a new tool for both understanding the brain and preparing subjects to use a BCI.

 https://www.sciencedaily.com/releases/2020/09/200923124647.htm

Mindfulness with paced breathing and lowering blood pressure

September 9, 2020

Science Daily/Florida Atlantic University

Now more than ever, Americans and people all over the world are under increased stress, which may adversely affect their health and well-being. Researchers explore the possibility that mindfulness with paced breathing reduces blood pressure. One of the most plausible mechanisms is that paced breathing stimulates the vagus nerve and parasympathetic nervous system, which reduce stress chemicals in the brain and increase vascular relaxation that may lead to lowering of blood pressure.

According to the American Stroke Association (ASA) and the American Heart Association (AHA), more than 100 million Americans have high blood pressure. Elevated blood pressure is a major avoidable cause of premature morbidity and mortality in the United States and worldwide due primarily to increased risks of stroke and heart attacks. Elevated blood pressure is the most important major and modifiable risk factor to reduce stroke. In fact, small but sustained reductions in blood pressure reduce risks of stroke and heart attacks. Therapeutic lifestyle changes of weight loss and salt reduction as well as adjunctive drug therapies are beneficial to treat and prevent high blood pressure.

Mindfulness is increasingly practiced as a technique to reduce stress through mind and body interactions. In some instances, mindfulness includes paced breathing defined as deep and diaphragmatic with slow rates typically about five to seven per minute compared with the usual rate of 12 to 14. Researchers from Florida Atlantic University's Schmidt College of Medicine and collaborators have published a paper in the journal Medical Hypotheses, exploring the possibility that mindfulness with paced breathing reduces blood pressure.

"One of the most plausible mechanisms is that paced breathing stimulates the vagus nerve and parasympathetic nervous system, which reduce stress chemicals in the brain and increase vascular relaxation that may lead to lowering of blood pressure," said Suzanne LeBlang, M.D., a neuroradiologist, second and corresponding author, and an affiliate associate professor in FAU's Schmidt College of Medicine.

The researchers believe the hypothesis they have formulated that mindfulness with paced breathing reduces blood pressure should be tested. To do so, FAU's Schmidt College of Medicine co-authors are already collaborating with their co-authors from the Marcus Neuroscience Institute, Boca Raton Regional Hospital/ Baptist Health South; and the University of Wisconsin School of Medicine and Public Health on an investigator-initiated research grant proposal to the National Institutes of Health. The initial pilot trial would include obtaining informed consent from willing and eligible subjects and assigning them at random to mindfulness either with or without paced breathing and examining whether there are sustained effects on lowering blood pressure.

"This pilot randomized trial might lead to further randomized trials of intermediate markers such as inhibition of progression of carotid intimal thickening or coronary artery atherosclerosis, and subsequently, a large scale trial to reduce stroke and heart attacks," said Charles H. Hennekens, M.D., Dr.PH, senior author, first Sir Richard Doll Professor and senior academic advisor in FAU's Schmidt College of Medicine. "Achieving sustained reductions in blood pressure of 4 to 5 millimeters of mercury decreases risk of stroke by 42 percent and heart attacks by about 17 percent; so positive findings would have important clinical and policy implications."

According to the ASA and AHA, cardiovascular disease (CVD), principally heart attacks and strokes, accounts for more than 800,000 deaths or 40 percent of total mortality in the U.S. each year and more than 17 million deaths worldwide. In the U.S., CVD is projected to remain the single leading cause of mortality and is rapidly becoming so worldwide. Stroke alone ranks fifth in all-cause mortality in the U.S., killing nearly 133,000 people annually as well as more than 11 percent of the population worldwide.

"Now more than ever, Americans and people all over the world are under increased stress, which may adversely affect their health and well-being," said Barbara Schmidt, co-author, teacher, researcher, philanthropist, bestselling author of "The Practice," as well as an adjunct instructor at FAU's Schmidt College of Medicine. "We know that mindfulness decreases stress and I am cautiously optimistic that mindfulness with paced breathing will produce sustained lowering of blood pressure."

https://www.sciencedaily.com/releases/2020/09/200909100214.htm

Yoga linked with improved symptoms in heart patients

August 24, 2020

Science Daily/European Society of Cardiology

Yoga postures and breathing could help patients with atrial fibrillation manage their symptoms, according to new research. Atrial fibrillation is the most common heart rhythm disorder. One in four middle-aged adults in Europe and the US will develop the condition, which causes 20-30% of all strokes and increases the risk of death by 1.5-fold in men and 2-fold in women.

Atrial fibrillation is the most common heart rhythm disorder. One in four middle-aged adults in Europe and the US will develop the condition, which causes 20-30% of all strokes and increases the risk of death by 1.5-fold in men and 2-fold in women. Reduced quality of life is common, and 10-40% of patients are hospitalised each year.

Symptoms of atrial fibrillation include palpitations, racing or irregular pulse, shortness of breath, tiredness, chest pain and dizziness.

"The symptoms of atrial fibrillation can be distressing. They come and go, causing many patients to feel anxious and limiting their ability to live a normal life," said study author Dr. Naresh Sen of HG SMS Hospital, Jaipur, India.

This study investigated whether yoga could ease symptoms in patients with atrial fibrillation. The study enrolled 538 patients in 2012 to 2017. Patients served as their own controls. For 12 weeks they did no yoga, then for 16 weeks patients attended 30-minute yoga sessions every other day which included postures and breathing. During the yoga period, patients were also encouraged to practice the movements and breathing at home on a daily basis.

During both study periods, symptoms and episodes of atrial fibrillation were recorded in a diary. Some patients also wore a heart monitor to verify atrial fibrillation episodes. Patients completed an anxiety and depression survey3 and a questionnaire4 assessing their ability to do daily activities and socialise, energy levels and mood. Heart rate and blood pressure were also measured. The researchers then compared outcomes between the yoga and non-yoga periods.

During the 16-week yoga period, patients experienced significant improvements in all areas compared to the 12-week non-yoga period. For example, during the non-yoga period, patients experienced an average of 15 symptomatic episodes of atrial fibrillation compared to eight episodes during the yoga period. Average blood pressure was 11/6 mmHg lower after yoga training.

Dr. Sen said: "Our study suggests that yoga has wide-ranging physical and mental health benefits for patients with atrial fibrillation and could be added on top of usual therapies."

https://www.sciencedaily.com/releases/2020/08/200824092010.htm

Meditation-relaxation therapy may offer escape from the terror of sleep paralysis

August 12, 2020

Science Daily/University of Cambridge

Sleep paralysis -- a condition thought to explain a number of mysterious experiences including alleged cases of alien abduction and demonic night-time visits -- could be treated using a technique of meditation-relaxation, suggests a pilot study published today.

Sleep paralysis is a state involving paralysis of the skeletal muscles that occurs at the onset of sleep or just before waking. While temporarily immobilised, the individual is acutely aware of their surroundings. People who experience the phenomenon often report being terrorised by dangerous bedroom intruders, often reaching for supernatural explanations such as ghosts, demons and even alien abduction. Unsurprisingly, it can be a terrifying experience.

As many as one in five people experiences sleep paralysis, which may be triggered by sleep deprivation, and is more frequent in psychiatric conditions like post-traumatic stress disorder. It is also common in narcolepsy, a sleep disorder involving excessive daytime sleepiness and sudden loss of muscle control.

Despite the condition being known about for some time, to date there are no empirically-based treatments or published clinical trials for the condition.

Today, in the journal Frontiers in Neurology, a team of researchers report a pilot study of meditation-relaxation therapy involving 10 patients with narcolepsy, all of whom experience sleep paralysis.

The therapy was originally developed by Dr Baland Jalal from the Department of Psychiatry, University of Cambridge. The current study was led by Dr Jalal and conducted in collaboration with Dr Giuseppe Plazzi's group at the Department of Biomedical and Neuromotor Sciences, University of Bologna/IRCCS Istituto delle Scienze Neurologiche di Bologna, Italy.

The therapy teaches patients to follow four steps during an episode:

1. Reappraisal of the meaning of the attack -- reminding themselves that the experience is common, benign, and temporary, and that the hallucinations are a typical by-product of dreaming

2. Psychological and emotional distancing -- reminding themselves that there is no reason to be afraid or worried and that fear and worry will only make the episode worse

3. Inward focused-attention meditation -- focusing their attention inward on an emotionally-involving, positive object (such as a memory of a loved one or event, a hymn/prayer, God)

4. Muscle relaxation -- relaxing their muscles, avoiding controlling their breathing and under no circumstances attempting to move

Participants were instructed to keep a daily journal for four weeks to assess sleep paralysis occurrence, duration and emotions. Overall, among the 10 patients, two-thirds of cases (66%) reported hallucinations, often upon awakening from sleep (51%), and less frequently upon falling asleep (14%) as rated during the first four weeks.

After the four weeks, six participants completed mood/anxiety questionnaires and were taught the therapy techniques and instructed to rehearse these during ordinary wakefulness, twice a week for 15 min. The treatment lasted eight weeks.

In the first four weeks of the study, participants in the meditation-relaxation group experienced sleep paralysis on average 14 times over 11 days. The reported disturbance caused by their sleep paralysis hallucinations was 7.3 (rated on a ten-point scale with higher scores indicating greater severity).

In the final month of the therapy, the number of days with sleep paralysis fell to 5.5 (down 50%) and the total number of episodes fell to 6.5 (down 54%). There was also a notable tendency towards reductions in the disturbance caused by hallucinations with ratings dropping from 7.3 to 4.8.

A control group of four participants followed the same procedure, except participants engaged in deep breathing instead of the therapy -- taking slow deep breaths, while repeatedly counting from one to ten.

In the control group, the number of days with sleep paralysis (4.3 per month at the start) was unchanged, as well as their total number of episodes (4.5 per month initially). The disturbance caused by hallucinations was likewise unchanged (rated 4 during the first four weeks).

"Although our study only involved a small number of patients, we can be cautiously optimistic of its success," said Dr Jalal. "Meditation-relaxation therapy led to a dramatic fall in the number of times patients experienced sleep paralysis, and when they did, they tended to find the notoriously terrorising hallucinations less disturbing. Experiencing less of something as disturbing as sleep paralysis is a step in the right direction."

If the researchers are able to replicate their findings in a larger number of people -- including those from the general population, not affected by narcolepsy -- then this could offer a relatively simple treatment that could be delivered online or via a smartphone to help patients cope with the condition.

"I know first-hand how terrifying sleep paralysis can be, having experienced it many times myself," said Dr Jalal. "But for some people, the fear that it can instil in them can be extremely unpleasant, and going to bed, which should be a relaxing experience, can become fraught with terror. This is what motivated me to devise this intervention."

https://www.sciencedaily.com/releases/2020/08/200812094900.htm

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

Meditation linked to lower cardiovascular risk

Survey data from more than 61,000 people points to heart benefits

July 15, 2020

Science Daily/Veterans Affairs Research Communications

Meditation was linked to lower cardiovascular risk in a data analysis by Veterans Affairs researchers and colleagues.

The results appeared online June 30 in the American Journal of Cardiology.

Previous studies have suggested that meditation may have beneficial effects on a number of conditions. A 2017 American Heart Association scientific statement suggests that meditation may be of benefit for cardiovascular risk reduction. Data show that it may help with blood pressure, cholesterol level, quitting smoking, and overall cardiovascular health. However, this connection is far from definitive. By using a large national database with many participants, the authors of the new study sought further evidence on how meditation impacts cardiovascular risk.

Lead researcher Dr. Chayakrit Krittanawong -- of the Michael E. DeBakey VA Medical Center, Baylor College of Medicine, and the Icahn School of Medicine at Mount Sinai -- and his colleagues studied data from the National Health Interview Survey, conducted annually by the National Center for Health Statistics. It collects information on a wide range of health topics from a nationally representative sample.

The researchers looked at data on more than 61,000 survey participants. Of those, almost 6,000 (nearly 10%) said they participated in some form of meditation.

The researchers found that people who meditated had lower rates of high cholesterol, high blood pressure, diabetes, stroke, and coronary artery disease, compared with those who did not meditate.

The greatest difference was in coronary artery disease. Those who meditated were 51% as likely as those who didn't to have the disease. The prevalence of other cardiovascular risks in the meditation group compared with the non-meditation group was 65% for high cholesterol, 70% for diabetes, 76% for stroke, and 86% for high blood pressure.

The researchers controlled for other factors connected to cardiovascular risk, such as age, sex, cigarette smoking, and body mass index. After adjusting for these factors, the effect of meditation was still significant.

Many types of meditation exist. Most focus on attention and awareness. Meditation has been shown to increase physical and mental relaxation. "I believe in meditation, as it can give us a sense of calm, peace, and stress reduction, leading to improvement of our emotional well-being," explained Krittanawong.

Practicing meditation has been linked to decreased stress, greater mindfulness, and improved psychological health. It may even lead to long-term functional and anatomical changes in the brain. Meditation is also simple, cost-effective, and low-risk.

Krittanawong and colleagues did note several limitations to the study. First, the survey did not capture what type of meditation people were using. Some types of meditation may offer more cardiovascular benefit than others, say the researchers. The survey also did not ask about the duration or intensity of that meditation. It is possible that those who practice longer and more frequently will get more benefit, but the study cannot measure these effects.

Also, the researchers cannot definitively say that meditation directly decreases cardiovascular risk. It could be that people who are in better cardiovascular health to begin with are more likely to practice meditation, rather than the other way around.

Other life activities might also obscure the link between meditation and cardiovascular health. The researchers found factoring in alcohol consumption and physical activity lowered the significance of the relationship between meditation and cardiovascular risk.

Considering all these factors, the researchers concluded that meditation is "probably" associated with lower prevalence of cardiovascular risk. Krittanawong notes that, while the results suggest that meditation can improve cardiovascular health, "we would need a powerful study such as a clinical trial to determine whether meditation could benefit cardiovascular health in veterans."

Meanwhile, the study adds to a growing body of research on the potential benefits of meditation, they say.

https://www.sciencedaily.com/releases/2020/07/200715135734.htm

Mindfulness combined with hypnotherapy aids highly stressed people

'Novel intervention' may be as effective -- or more so -- as existing treatments

June 15, 2020

Science Daily/Baylor University

A new treatment for stress which combines mindfulness with hypnotherapy has shown positive results in a Baylor University pilot study.

The intervention is called "mindful hypnotherapy."

"Mindfulness is a type of meditation that involves focusing attention on present moment awareness. It can help people cope with stress, but can require months of practice and training," said researcher Gary Elkins, Ph.D., director of the Mind-Body Medicine Research Laboratory at Baylor University. "Hypnosis also involves focusing attention, but it includes mental imagery, relaxation and suggestions for symptom reduction."

Hypnosis interventions are typically brief and have been used in pain and symptom management in clinical practice.

The study's basic premise is that using hypnosis to deliver mindfulness goals could have many advantages, Elkins said.

"Combining mindfulness and hypnotherapy in a single session is a novel intervention that may be equal to or better than existing treatments, with the advantage of being more time-effective, less daunting and easier to use," he said. "This could be a valuable option for treating anxiety and stress reduction."

As a brief intervention, mindful therapy could be widely disseminated and is an innovative new mind-body therapy, he said.

The study is published in the International Journal of Clinical and Experimental Hypnosis.

Elkins noted that while mindfulness by itself can be an effective treatment for stress and anxiety for some people, it typically is provided in eight weekly sessions that last two hours or more each week and include an all-day retreat of eight or more hours. That amount of time -- more than 24 therapy hours -- may be a burden in cost and time for some people. Also, research has not shown that mindfulness-based treatments are consistently superior to standard cognitive behavioral therapy, he said.

For the study of mindful hypnotherapy, the Baylor research team recruited 42 individuals with self-reported high stress. Half took part in an intervention of one-hour weekly individual sessions that included hypnosis inductions and suggestions for greater mindfulness. Participants also were given self-hypnosis audio recordings lasting about 20 minutes, each with suggestions for a hypnotic induction, relaxation and greater mindfulness.

The second group did not take part in the intervention.

Intervention material focused on present-moment awareness, nonjudgmental awareness of the five senses, nonjudgmental awareness of thoughts and feelings, self-hypnosis, compassion for self and others, awareness of personal values and meaning in life and transition to long-term practice of mindful hypnotherapy, Elkins said.

At study's end, the intervention group reported a large decrease in stress and a significant increase in mindfulness. Most were highly satisfied with the number of sessions, the ease of home practice and the clarity of content, Elkins said. The average participant practiced almost every day, and overall satisfaction with the intervention was 8.9 on a scale of 10.

In comparison, those who did not participate in the intervention reported no significant difference between pre- and post-study stress level.

A limitation of the study was its small sample size, Elkins said. Future studies of a larger number of people could be of value, as well as testing mindful hypnotherapy for such concerns as anxiety, depression or chronic pain, he said.

https://www.sciencedaily.com/releases/2020/06/200615184150.htm

Mindfulness improves decision-making, attention in

June 3, 2020

Science Daily/Rutgers University

School-based mindfulness programs can improve decision-making skills and teach children with autism to focus attention and react less impulsively through breathing exercises that will allow them to reduce anxiety, according to Rutgers researchers.

The study, published in the journal Research in Developmental Disabilities, is the first to examine the effectiveness of a school-based mindfulness program that emphasizes self-awareness and controlled breathing in children on the autism spectrum.

Mindfulness practice trains people to focus their attention on awareness of the present moment. In neurotypical children, it has been shown to improve decision-making skills and to be effective in reducing anxiety, a common condition in the one in 68 children nationwide diagnosed with autism.

The researchers administered an eight-week mindfulness program to 27 high-functioning students with autism ages 10 to 17 at Newmark, a private school for children with special needs in New Jersey. Students were introduced to the basic tenets of mindfulness, then taught specific practices such as mindful breathing or focusing attention on the body, thoughts and emotions.

The students were tested on their impulse control, attention and decision-making before and after the program. "We found that the children improved their executive functions like controlling emotions, maintaining self-control, focusing attention and being flexible in changing their perspectives," said lead investigator Helen Genova, a research assistant professor in the Department of Physical Medicine and Rehabilitation at Rutgers New Jersey Medical School and director of the Social Cognition and Neuroscience Laboratory at Kessler Foundation. "As in previous studies on school-based mindfulness programs and typically functioning children, we found that the practice taught the students to take a moment to stop and breathe. This reduced impulsiveness and allowed them to make better decisions."

Regina Peter, co-executive director of Newmark, said the school promotes mindfulness every morning and before tests and competitions. "Practicing mindfulness teaches our students the important skill of treating the moment as something that needs to be attended to and to let everything else go," she said. "The wonderful thing about mindfulness is that it is a tool they can take out when they need it. It is not a medication with side effects, and it's free."

https://www.sciencedaily.com/releases/2020/06/200603100501.htm

Mindfulness training shows promise for people with MS

Study shows benefits for emotions, processing speed

May 18, 2020

Science Daily/Ohio State University

New research suggests mindfulness training may help multiple sclerosis patients in two very different ways: regulating negative emotions and improving processing speed.

People with MS who underwent the four-week mindfulness training not only improved more compared to those who did nothing -- they also improved compared to those who tried another treatment, called adaptive cognitive training.

"This was a small pilot study, so we need to replicate the results, but these findings were very encouraging," said Ruchika Prakash, corresponding author of the research and associate professor of psychology at The Ohio State University.

"It is exciting to find a treatment that may be helpful in more than one way for people with multiple sclerosis."

The findings were published recently in two journal articles: primary results in Rehabilitation Psychology, and secondary analysis in Neuropsychology.

Multiple sclerosis is the most common neurological disease in young adults and is estimated to affect nearly 1 million people in the United States. It damages the central nervous system and can lead to a variety of physical, emotional and cognitive problems.

The study involved 61 people with MS who were placed in one of three groups: four-week mindfulness training, four-week adaptive cognitive training, or a waitlist control group that did nothing during the study period, but received treatment afterward.

Mindfulness-based training involves practicing paying attention to the present moment in a nonjudgmental and accepting manner, Prakash said. Among the practices in the sessions, participants learned how to focus on the breath and to do mental "body scans" to experience how their body was feeling.

In the primary analysis of the study, led by former doctoral student Brittney Schirda, the researchers wanted to find out if mindfulness training helped multiple sclerosis patients deal with a common component of the disease: problems regulating their emotions.

"Studies suggest that 30 to 50 percent of MS patients experience some form of psychiatric disorder," Prakash said. "Anything we can do to help them cope is important for their quality of life."

Study participants completed a measure of emotional regulation at the beginning and end of the study. They were asked how much they agreed with questions like "When I'm upset, I lose control over my behavior" and "I experience my emotions as overwhelming and out of control."

Results showed that people in the mindfulness training group reported they were more able to manage their emotions at the end of the study when compared to those in the other two groups.

This included the group that received adaptive cognitive training (ACT), which has shown promise for MS patients in other studies. This ACT program used computerized games to help MS patients overcome some of their cognitive deficits that make everyday functioning more difficult, such as problems with paying attention, switching focus, and planning and organizing.

"Our results provide promising evidence that mindfulness training can help MS patients deal with their emotions in a more constructive and positive way," Prakash said.

In a secondary analysis of the same study, led by doctoral student Heena Manglani, participants were assessed on their processing speed and working memory, two cognitive functions that often decline in MS patients. They also completed additional measures of cognitive functioning.

Processing speed is the time it takes a person to complete mental tasks and is related to how well they can understand and react to the information they receive.

Findings showed that after four weeks of mindfulness training, MS patients showed significantly improved processing speed based on the tests used in the study -- more so than those in the other two groups.

"This is an exciting finding because processing speed is a core cognitive domain impacted in multiple sclerosis," Prakash said.

"We were somewhat surprised that this training intervention that we thought would mostly impact emotion regulation also enhanced processing speed."

Gains in working memory were similar in all three groups and there were no mindfulness-specific changes in other measures of cognitive functioning.

One of the reasons that mindfulness training is so promising is because it is an easily accessible treatment for all patients.

"Anyone can use mindfulness -- even individuals with limited mobility, who often find other training techniques, like exercise training, to be more challenging," Prakash said.

https://www.sciencedaily.com/releases/2020/05/200518144912.htm