Posted in meta-analysis, Mindfulness-based Interventions, review, Uncategorized

Youth with anxiety (review & meta-analysis)

Borquist-Conlon, Debra S., et al. Mindfulness-Based Interventions for Youth With Anxiety: A Systematic Review and Meta-Analysis. Research on Social Work Practice, 2017, pp. 1-11, DOI 10.1177/1049731516684961. Full text.

Purpose: To examine the effects on anxiety of mindfulness-based interventions (MBIs) among youth with anxiety disorders.

Method: Systematic review and meta-analytic procedures were employed to synthesize experimental and quasi-experimental studies authored between 1980 and 2015.

Results: The search yielded five studies from five countries reporting results for a total of 188 youth between the ages of 5 and 18 (mean age 13.26) who met criteria for an anxiety disorder.

Discussion: The findings of this review suggest that MBIs for the treatment of anxiety in youth with anxiety disorders are effective.

Posted in mindful eating, Uncategorized

Association between mindfulness and disinhibited eating

Sala, Margarita, and Cheri A. Levinson. “A Longitudinal Study on the Association Between Facets of Mindfulness and Disinhibited Eating.” Mindfulness, 2016, pp. 1-10, DOI: 10.1007/s12671-016-0663-0. 

From the abstract. Disinhibited eating (i.e., emotional and external eating), as well as associated features such as binge eating, bulimic symptoms, and eating concern are inversely associated with the mindfulness facets of acting with awareness, observing, and non-reactivity. However, it is unclear whether higher mindfulness is a precursor to lower disinhibited eating behaviors and symptoms or whether lower disinhibited eating behaviors and symptoms are a precursor to higher mindfulness (or both).

The current study examined if acting with awareness, non-reactivity, and observing (describing and non-judging were not assessed) prospectively predicted several disinhibited eating features (emotional eating, external eating, bulimic symptoms, binge eating, and eating concern) and vice-versa across 6 months. Young adult women (N = 300) completed measures of these constructs at baseline and 6 months later. Non-reactivity inversely predicted binge eating and bulimic symptoms across 6 months.

Posted in mindfulness training, pilot study, pre and post survey, qualitative, self-compassion

For people with multiple sclerosis

Spitzer, Elizabeth, and Kenneth I. Pakenham. “Evaluation of a brief community‐based mindfulness intervention for people with multiple sclerosis: A pilot study.” Clinical Psychologist (2016). Abstract.

Objective. Mindfulness-based interventions can improve quality of life (QoL) in people with multiple sclerosis (PwMS); however, the potential benefits of brief mindfulness group programs delivered in community settings have not been investigated with this population. This pilot study evaluated a brief (five-session) community-based group mindfulness program for PwMS.

Method. Participants were 23 PwMS recruited through Multiple Sclerosis Queensland, Australia. The study had a single intervention condition with pre-intervention, post-intervention and eight-week follow-up assessments. Primary outcomes were QoL, psychological distress and fatigue, and secondary outcomes were mindfulness, self-compassion, and acceptance.

Results. Analyses revealed improvements in psychological distress, perceived stress, the mental health QoL dimension, mindfulness, self-compassion, and acceptance. All participants agreed they would recommend the program to others with multiple sclerosis and most reported that the program was helpful and enjoyable. Qualitative data showed that participants gained in present moment awareness, coping skills, self-compassion, acceptance, support, and changed perspectives.

Conclusions. Results suggest that brief mindfulness interventions may improve psychological wellbeing in PwMS; however, a longer intervention period or programs that incorporate mindful movement activities may be needed to bring about improvements in physical health QoL dimensions and fatigue.

Posted in eating disorder, review

Weight-loss and health-related behaviors (review & analysis)

Ruffault, A., et al. (2016). The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice. Summary.

  • Mindfulness training has been related to the adoption of healthier behaviours.
  • We conducted a meta-analysis of RCTs testing mindfulness training for weight loss.
  • Mindfulness decreases binge and impulsive eating and increases physical activity.
  • No effects of mindfulness training on weight loss in adults with excess weight.
  • Study design is a major source of heterogeneity in study effects.
Posted in Loving-kindness meditation, pre and post survey, randomized controlled study

Loving-Kindness meditation for self-criticism

Shahar, Ben, et al. “A Wait‐List Randomized Controlled Trial of Loving‐Kindness Meditation Programme for Self‐Criticism.” Clinical Psychology & Psychotherapy, vol. 22, no. 4, 2015, pp. 346-356. Full text.

From the Abstract. Self-criticism is a vulnerability risk factor for a number of psychological disorders, and it predicts poor response to psychological and pharmacological treatments.

In the current study, we evaluated the efficacy of a loving-kindness meditation (LKM) programme designed to increase self-compassion in a sample of self-critical individuals. Thirty-eight individuals with high scores on the self-critical perfectionism subscale of the Dysfunctional Attitude Scale were randomized to an LKM condition (n=19) or a waitlist condition (n=19).

Measures of self-criticism, self-compassion and psychological distress were administered before and immediately following the intervention. participants received the intervention immediately after the waiting period. Both groups were assessed 3 months post-intervention. … A follow-up … in both groups together (n=20) showed that these gains were maintained 3 months after the intervention.

These preliminary results suggest that LKM may be efficacious in alleviating self-criticism, increasing self-compassion and improving depressive symptoms among self-critical individuals

Posted in mindfulness, self-compassion

Health practitioners and self-compassion

Egan, H., Mantzios, M., & Jackson, C. (2016). Health Practitioners and the Directive Towards Compassionate Healthcare in the UK: Exploring the Need to Educate Health Practitioners on How to be Self-Compassionate and Mindful Alongside Mandating Compassion Towards Patients. Health Professions Education. Online Oct 4, 2016

Concerns have been periodically raised about care that lacks compassion in health care settings. The resulting demands for an increase in consistent compassionate care for patients have frequently failed to acknowledge the potentially detrimental implications for health care professionals including compassion fatigue and a failure to care for oneself.

This communication suggests how mindfulness and self-compassion may advance means of supporting those who care for a living and extends the call for greater compassion to include people working within a contemporary health care setting in the United Kingdom. The potential benefits for both health professionals and patients is implied, and may well help to create a healthier, more authentically compassionate environment for all.

Full text

Posted in mindfulness, mindfulness training, randomized controlled study, research

Significant reductions in rumination and loneliness

Thamboo, P. A. (2016). The Effects of a Mindfulness-Based Intervention on Feelings of Loneliness and Ruminative Thinking. MA thesis, The College at Brockport: State University of New York. Full text

From the Abstract: Loneliness is a very distressing experience provoked by perceived deficiencies in interpersonal social contact. In recent years, considerable attention has been oriented towards the transformative changes associated with the practice of mindfulness. Thus, many mindfulness based interventions have emerged and demonstrated efficacy for ameliorating various forms of psychological distress. However, few studies have examined whether the therapeutic benefits are applicable for alleviating loneliness.

Prior research has suggested that the mechanisms of change underlying mindfulness may occur via reductions in rumination, which has been implicated in prolonged feelings of loneliness. The present study concerns the effects of a randomized controlled trial … a mindfulness-based group intervention on self-reported changes in mindfulness, rumination, and loneliness.

Participants (N=82) were randomly assigned to either a treatment or wait-list control group, all of which were assessed at two time periods, pre-intervention and post-intervention. The results revealed that participants in the treatment groups reported significant increases in mindfulness in addition to reductions in rumination and loneliness from pre- to post-intervention in comparison to those in the wait-list control groups. The effect of the intervention on loneliness remained significant even after statistically controlling for self-reported depressive symptoms.