Mindfulness-based approaches with children and adolescents: meditation vs walking

Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: A preliminary review of current research in an emergent field. Journal of child and family studies19(2), 133-44, 10.5455/jbh.20180727033842. Full text.

Extract from Abstract. We conducted a side-to-side comparison of mindfulness meditation versus mindfulness-based walking on psychological functioning.

Participants (23 young adults) completed three laboratory visits (1-week apart). Session 1 included a familiarization trial. Sessions 2 and 3 (counterbalanced) included either a 10-minute guided mindfulness session or a 10-minute mindfulness-based treadmill walk (employing mindfulness meditation techniques while walking). . . .

The psychological outcomes, assessed before and after each visit, included various cognitive (e.g., executive function), affect (e.g., perceived valence, distinct emotions, and arousal), and psychological (e.g., anxiety and fatigue) outcomes.

Both mindfulness meditation and mindfulness-based walking had similar effects on improving various cognitive, affect, and psychological parameters. Such findings demonstrate the health-enhancing effects of these brief interventions and provide individuals and health professionals with various options (based on preference) to choose from to facilitate improved psychological well-being.

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Is spirituality a critical ingredient of meditation?

Wachholtz, A. B., & Pargament, K. I. (2005). Is spirituality a critical ingredient of meditation? Comparing the effects of spiritual meditation, secular meditation, and relaxation on spiritual, psychological, cardiac, and pain outcomes. Journal of behavioral medicine28(4), 369-384. Full text.

Abstract. This study compared secular and spiritual forms of meditation to assess the benefits of a spiritual intervention.

Participants were taught a meditation or relaxation technique to practice for 20 min a day for two weeks. After two weeks, participants returned to the lab, practiced their technique for 20 min, and placed their hand in a cold-water bath of 2◦C for as long as they could endure it. The length of time that individuals kept their hand in the water bath was measured. Pain, anxiety, mood, and the spiritual health were assessed following the two-week intervention.

Significant interactions occurred (time × group); the Spiritual Meditation group had greater decreases in anxiety and more positive mood, spiritual health, and spiritual experiences than the other two groups. They also tolerated pain almost twice as long as the other two groups.

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.

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.

Reduction of depressive symptoms

Fissler, M., et al. (2016). An Investigation of the Effects of Brief Mindfulness Training on Self-Reported Interoceptive* Awareness, the Ability to Decenter, and Their Role in the Reduction of Depressive Symptoms. Mindfulness, 1-12.

Abstract. Mindfulness-based interventions for the prevention and treatment of depression are predicated on the idea that interoceptive awareness represents a crucial foundation for the cultivation of adaptive ways of responding to negative thoughts and mood states such as the ability to decenter.

The current study used a multi-dimensional self-report assessment of interoceptive awareness, including regulatory and belief-related aspects of the construct, in order to characterize deficits in interoceptive awareness in depression, investigate whether brief mindfulness training could reduce these deficits, and to test whether the training unfolds its beneficial effects through the above-described pathway.

Currently depressed patients (n = 67) were compared to healthy controls (n = 25) and then randomly allocated to receive either a brief training in mindfulness (per-protocol sample of n = 32) or an active control training (per-protocol sample of n = 28). Patients showed significant deficits across a range of regulatory and belief-related aspects of interoceptive awareness, mindfulness training significantly increased regulatory and belief-related aspects of interoceptive awareness, and reductions in depressive symptoms were mediated through a serial pathway in which training-related increases in aspects of interoceptive awareness were positively associated with the ability to decenter, which in turn was associated with reduced symptoms of depression. These results support the role of interoceptive awareness in facilitating adaptive responses to negative mood.

* interoceptive: relating to stimuli produced within an organism, especially in the gut and other internal organs. 

Neurobehavioral effects in patients with Parkinson’s Disease

Pickut, B., et al. (2015). Mindfulness Training among Individuals with Parkinson’s Disease: Neurobehavioral Effects. Parkinson’s Disease, in press. To find full text, go to hindawi.com and search for Article ID 816404.

From the Abstract. Objective. To investigate possible neurobehavioral changes secondary to a mindfulness based intervention (MBI) training for individuals living with Parkinson’s disease (PD).

Background. In the context of complementary medicine, MBIs are increasingly being used for stress reduction and in patient populations coping with chronic illness. The use of alternative and complementary medicine may be higher in patients with chronic conditions such as PD. However, behavioral effects of mindfulness training in PD have not yet been reported in the literature and this points to an unmet need and warrants further examination.

Methods. A total of 27 out of 30 PD patients completed a randomized controlled longitudinal trial. Results. Significant changes after the MBI were found …. To the best of our knowledge, this is the first quantitative analysis of neurobehavioral effects of MBI in PD.

Less self-critical and more self-compassionate with loving-kindness meditation

Shahar, B., et al. (2014). A Wait‐List Randomized Controlled Trial of Loving‐Kindness Meditation Programme for Self‐Criticism. Clinical psychology & psychotherapy. Published online before inclusion in an issue. Full text.

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 programme designed to increase self-compassion in a sample of self-critical individuals.

Summary. Self-criticism plays a major role in many psychological disorders and predicts poor response to brief psychological and pharmacological treatments for depression. The current study shows that loving-kindness meditation, designed to foster self-compassion, is efficacious in helping self-critical individuals become less self-critical and more self-compassionate. The study also suggests that practising loving-kindness may reduce depressive symptoms and increase positive emotions.