Posted in mindfulness meditation, review

Fibromyalgia

Adler-Neal, Adrienne L., and Fadel Zeidan. “Mindfulness Meditation for Fibromyalgia: Mechanistic and Clinical Considerations.” Current Rheumatology Reports, vol. 19, no. 9, 2017, pp. 59. Full text.

Summary. Fibromyalgia is a disorder characterized by widespread pain and a spectrum of psychological comorbidities, rendering treatment difficult and often a financial burden. Fibromyalgia is a complicated chronic pain condition that requires a multimodal therapeutic approach to optimize treatment efficacy. Thus, it has been postulated that mind-body techniques may prove fruitful in treating fibromyalgia.

Mindfulness meditation, a behavioral technique premised on non-reactive sensory awareness, attenuates pain and improves mental health outcomes. However, the impact of mindfulness meditation on fibromyalgia-related outcomes has not been comprehensively characterized.

The present review delineates the existing evidence supporting the effectiveness and hypothesized mechanisms of mindfulness meditation in treating fibromyalgia-related outcomes.

Posted in eating disorder, mindfulness meditation, Mindfulness-based Interventions

Emotion regulation and mental habit in mindful eating

Fisher, Naomi R., et al. “Dispositional mindfulness and reward motivated eating: The role of emotion regulation and mental habit.” Appetite, published online 21 Jul 2017.

From the Abstract.  Evidence regarding the effectiveness of mindfulness based interventions (MBIs) for eating disorders, weight management and food craving is emerging and further studies are required to understand the underlying mechanisms of MBIs in these domains.

The current study was designed to establish the role of specific mechanisms underlying the putative relationship between mindfulness and reward motivated eating. We predicted that mindfulness would be negatively related to features of reward motivated eating and that this association would be mediated by emotion regulation and habitual negative self-thinking.

A cross-sectional survey measuring uncontrolled and emotional eating, mindfulness, emotion regulation and habitual negative self-thinking was completed by female and male meditators and non-meditators (N = 632). Lower levels of dispositional mindfulness were associated with difficulties in emotion regulation, habitual negative self-thinking and both emotional and uncontrolled eating.

Difficulties in emotion regulation significantly mediated the mindfulness-uncontrolled eating relationship. Habitual negative self-thinking significantly mediated the mindfulness-emotional eating relationship. Participants with meditation experience reported greater levels of dispositional mindfulness, fewer difficulties with emotion regulation and habitual negative self-thinking and reduced uncontrolled eating tendencies, compared to non-meditators.

The findings suggest that MBIs designed to change reward motivated eating and weight control should focus on emotion regulation and mental habits as underlying mechanisms.

Posted in mindfulness meditation, pre- and post design

Decreasing stress and implicit racism

Fitzgerald, Carey J., and Adam K. Lueke. “Mindfulness increases analytical thought and decreases just world beliefs.” Current Research in Social Psychology, 2017. Published online. Full text.

Excerpts. growing body of research has found that engaging in mindfulness may alter thought processes in a range of different manners, such as increasing psychological well-being, decreasing stress, decreasing implicit racism, and many other positive psychological effects. The present study investigated whether engaging in mindfulness meditation would influence analytical thought processes.

The results from this study are consistent with previous mindfulness studies that have also found cognitive improvements when participants enter a mindfulness state. This study adds to the growing body of literature another positive effect of mindfulness that had not yet been studied – analytical perspectives and beliefs in a just world. This experiment, much like the previous mindfulness experiments, illustrates the importance of implementing mindfulness on a larger scale. This technique improves memory, self-control, implicit biases, and rational thinking.

Posted in field study, longitudinal, mindfulness meditation

Boosting out-of-class meditation practice

Galla, Brian M., et al. “Mindfulness, meet self-regulation: Boosting out-of-class meditation practice with brief action plans.” Motivation Science, vol. 2, no. 4, 2016, pp. 220, http://dx.doi.org/10.1037/mot0000045.

 

Abstract. Mindfulness training programs require the completion of daily out-of-class meditation practices, often referred to as “homework,” and individuals who adhere to these requirements have better outcomes. Nevertheless, many people fall short of the recommended amount of meditation practice. Two field studies tested whether the formation of action plans—strategic plans for when and where to meditate—would support out-of-class meditation practice.

Study 1 was a 3-month longitudinal study of adolescents who participated in a 5-day meditation retreat. Immediately before and after, and then 3 months later, adolescents answered questions about emotional well-being. Immediately after the retreat, adolescents also answered questions about their commitment to continue meditating, and action plans for when and where to meditate. Three months later, they reported on their meditation frequency. S

tudy 2 was a between-subjects experiment in which adults enrolled in an 8-week mindfulness program were randomly assigned to an action plan condition or a control condition. Personal commitment to practice meditation was assessed at baseline, out-of-class meditation frequency was assessed weekly, and emotional well-being was assessed at the beginning and end of the 8-week program.

In both studies, individuals who formed strategic plans for when and where to meditate meditated more frequently, but only if they also had a strong personal commitment to do so. Further, out-of-class meditation days mediated the association between action plans and emotional well-being among participants with strong personal commitment. Collectively, these results suggest that although mindfulness is about nonreactive awareness of the present, its practice is enhanced by planning ahead.

Posted in eating disorder, mindfulness meditation, randomized controlled study, Uncategorized

Mindfulness and binge eating disorder

Randomized controlled trial of a 12-month computerized mindfulness-based intervention for obese patients with binge eating disorder: The MindOb study protocol. Full text. 

Background

Mindfulness-based interventions for healthy behaviors such as exercise and dietary modifications have aroused growing interest. This study aims to test the effectiveness of a mindfulness-based intervention for the reduction of impulsive eating and the improvement of motivation to exercise among obese individuals.

Methods

One-hundred and twenty obese outpatients, aged 18 to 65 years, diagnosed with a binge eating disorder, will be randomly assigned to one of the three following groups: mindfulness practice, sham meditation, or treatment as usual control. The tested intervention consists of a 1-year computerized mindfulness-based program. Mindfulness sessions are audio recordings that the patients are asked to listen to, 10 min every day. Self-reported questionnaires measuring impulsive eating, motivation to exercise, physical activity level, mood, and mindfulness skills are filled in at baseline, 1, 6, and 12 months. Physical activity, calories consumption, and biomarkers are measured with more objective measurement tools at baseline, 6 months and 12 months.

Conclusion

Mindfulness, as both a de-automation element and as a moderator of motivation to exercise, can lead to the reduction of impulsive eating and also to an increase in levels of physical activity. These effects could cause weight loss in obese patients suffering from binge eating disorder.

Posted in brain research, mindfulness meditation, pain, research

Meditation-induced pain relief

Zeidan, F., et al. (2015). Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia. The Journal of Neuroscience, 35(46), 15307-15325. Full text.

Significance Statement. Recent findings have demonstrated that mindfulness meditation significantly reduces pain. Given that the “gold standard” for evaluating the efficacy of behavioral interventions is based on appropriate placebo comparisons, it is imperative that we establish whether there is an effect supporting meditation-related pain relief above and beyond the effects of placebo.

Here, we provide novel evidence demonstrating that mindfulness meditation produces greater pain relief and employs distinct neural mechanisms than … sham mindfulness meditation [placebo]. Specifically, mindfulness meditation-induced pain relief activated higher order brain regions, including the orbitofrontal and cingulate cortices. In contrast, placebo analgesia was associated with decreased pain-related brain activation.

These findings demonstrate that mindfulness meditation reduces pain through unique mechanisms and may foster greater acceptance of meditation as an adjunct pain therapy.

Posted in mindfulness meditation, modified constant comparison approach, qualitative interviews

Cultivating equanimity in men

Lomas, T., Edginton, T., Cartwright, T., & Ridge, D. (2015). Cultivating equanimity through mindfulness meditation: A mixed methods enquiry into the development of decentering capabilities in men. International Journal of Wellbeing, 5(3), 88-106. doi:10.5502/ijw.v5i3.7. Full text.

Abstract: Mindfulness meditation is thought to help practitioners become more tolerant of dysphoric emotions by enabling them to cultivate decentring skills. Such skills may be especially useful for male meditators, as men are thought to have particular difficulties regulating their emotions, partly due to masculinity norms related to emotional toughness. However, few studies of mindfulness have focussed specifically on men to explore the intersection between wellbeing and masculinity.

Uniquely, we sought to examine the development of decentring capabilities in a non-clinical sample of male meditators using a longitudinal mixed-methods design. Thirty meditators were recruited in London, UK. Participants completed an emotional Stroop task – at two points, a year apart – to assess changes in emotional reactivity linked to meditation. Participants also undertook qualitative interviews at both time points, analysed using a modified constant comparison approach.

Together, the two datasets converged to suggest that men did develop decentring skills through meditation, leading to greater equanimity in the presence of negative qualia. In addition to offering insights into the mechanisms underpinning the impact of mindfulness on wellbeing, the study provides a gendered dimension to the analysis of wellbeing strategies like meditation, a dimension which has hitherto been conspicuously absent from recent literature in fields such as positive psychology.