Mindfulness Strategies Research Articles

Risk of Postoperative Hypermagnesemia in Cardiopulmonary Bypass Assisted Cardiovascular Surgery.

Magnesium administration is a common practice in cardiovascular surgeries utilizing cardiopulmonary bypass (CPB). However, concerns persist regarding the risk of hypermagnesemia, particularly in patients with kidney dysfunction. This study aims to determine the incidence of postoperative hypermagnesemia in CPB-assisted cardiovascular surgeries and identify the associated risk factors. This was a retrospective cohort study conducted at a tertiary medical center. Data from adult patients undergoing open-heart surgery utilizing CPB between 2018 and 2020 were analyzed. Sociodemographic, perioperative, and clinical variables were collected from electronic medical records. Logistic regression was utilized to identify independent risk factors for hypermagnesemia. Of 278 patients analyzed, 53.2% developed postoperative hypermagnesemia (Mg ≥2.5 mg/dL). Mild hypermagnesemia (Mg 2.5-3.9 mg/dL) was most common, with no significant impact on clinical outcomes observed. Patients with hypermagnesemia were older, with higher comorbidity burdens and lower baseline estimated glomerular filtration rate (eGFR). Cardioplegic solutions with higher magnesium content and lower baseline eGFR were independently associated with hypermagnesemia (OR 64.3; 95% CI 12.9-501.1 and OR 1.3; 95% CI, 1.1-1.5 respectively). Notably, ultrafiltration on CPB was associated with low risk of hypermagnesemia (OR 0.4, 95% CI 0.1-1.0, P value 0.048). This study highlights the importance of mindful magnesium supplementation strategies in those with advanced kidney disease. Future large-scale prospective multicenter studies should validate these findings and explore the extended effects of hypermagnesemia on clinical outcomes in patients with advanced CKD undergoing CPB surgeries.

Momentary mindfulness versus distraction coping messages to reduce cannabis craving among young adults: A microrandomized trial.

Rates of problematic cannabis use among young adults are high and increasing. Craving for cannabis varies throughout the day and is an important risk factor for cannabis use, yet no studies to date have tested interventions offered at the moment craving is experienced in the natural environment. This study used an efficient and innovative microrandomized trial design to test two distinct types of coping messages (mindfulness strategy vs. distraction strategy) offering brief coping strategies when moderate to severe craving was reported via ecological momentary assessment (EMA). Young adults who regularly use cannabis (N = 53) were readily engaged in this 4-week intervention, and EMA completion was high throughout, demonstrating excellent feasibility of this approach. However, results indicated that coping messages did not reduce craving at the next EMA relative to control (thank you) messages, with no significant change in efficacy over time. Furthermore, exploratory analyses found that neither mindfulness nor distraction resulted in reduced craving relative to the control message. Despite this outcome, this method of testing digital interventions targeting momentary risks for substance use such as craving holds promise for rapidly and efficiently screening a wide variety of intervention strategies for inclusion in future just-in-time adaptive interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The effectiveness of brief workplace compassion-focussed training in improving wellbeing of stressed school employees

Australian teachers and school employees report high levels of stress-related mental health problems. Previous theory and research show that workplace training in strategies to manage stress can improve organisational productivity as well as employee wellbeing. Theory suggests that self-compassion strategies may produce better outcomes, than standard cognitive behavioural training interventions, due to activation of self-soothing. This pilot randomised controlled trial evaluated whether inclusion of a brief compassion-focussed therapy (CFT) training workshop was more effective in reducing stress-related mental health problems of school employees, than the standard professional development (PD) workshop that incorporated cognitive behavioural therapy and mindfulness strategies. School employees (103) were recruited and randomly allocated to either the standard PD alone or to also participate in a brief CFT workshop. There were very large reductions in burnout and clinically significant improvements in mental health problems under both conditions. The results provide preliminary evidence that CFT-enhanced training improves secondary traumatic stress and compassion satisfaction; further research needs to be conducted with a larger sample. These results may also be relevant to other occupations with a high emotional load. JEL Classification: I310

The acute effect of mindfulness-based regulation on neural indices of cue-induced craving in smokers

Mindfulness has garnered attention for its potential in alleviating cigarette cravings; however, the neural mechanisms underlying its efficacy remain inadequately understood. This study (N=46, all men) aims to examine the impact of a mindfulness strategy on regulating cue-induced craving and associated brain activity. Twenty-three smokers, consuming over 10 cigarettes daily for at least 2 years， were compared to twenty-three non-smokers. During a regulation of craving task, participants were asked to practice mindfulness during smoking cue-exposure or passively view smoking cues while fMRI scans were completed. A 2 (condition: mindfulness-cigarette and look-cigarette) × 2 (phase: early, late of whole smoking cue-exposure period) repeated measures ANOVA showed a significant interaction of the craving scores between condition and phase, indicating that the mindfulness strategy dampened late-phase craving. Additionally, within the smoker group, the fMRI analyses revealed a significant main effect of mindfulness condition and its interaction with time in several brain networks involving reward, emotion, and interoception. Specifically, the bilateral insula, ventral striatum, and amygdala showed lower activation in the mindfulness condition, whereas the activation of right orbitofrontal cortex mirrored the strategy-time interaction effect of the craving change. This study illuminates the dynamic interplay between mindfulness, smoking cue-induced craving, and neural activity, offering insights into how mindfulness may effectively regulate cigarette cravings.

The mediating role of mindfulness and emotion regulation in the relationship between teacher self-compassion and work engagement among EFL teachers: A serial mediation model

This study investigates the role of self-compassion in fostering work engagement among English as a foreign language (EFL) teachers, employing a serial mediation model that incorporates mindfulness and emotion regulation as potential mediating variables. Utilizing a cross-sectional design, the researchers examined self-reported data from 322 EFL teachers in Iran. Participants were recruited using a convenience sampling strategy, reaching out to directors of private language institutes across various districts who then distributed the survey to their teachers. Standardized measures were used to assess self-compassion, dispositional mindfulness, and emotion regulation strategies. The findings provide robust support for the hypothesized model, revealing a significant positive association between self-compassion and work engagement, partially mediated by both mindfulness and emotion regulation. These results suggest that cultivating self-compassion among EFL teachers may be a valuable strategy to enhance their overall well-being and promote a more engaged and fulfilling work experience. The study contributes to the advancement of knowledge regarding teacher well-being and offers practical implications for the development of interventions targeting self-compassion, mindfulness, and emotion regulation within educational settings.

Mindfulness and cognitive-behavioral strategies for psychological detachment: Comparing effectiveness and mechanisms of change.

Recovering from work is essential for maintaining occupational well-being, health, motivation, and performance, but recovery is often difficult to achieve. In this study, we evaluated and compared the effectiveness of two (parallel) interventions aimed at promoting recovery: one based on mindfulness and one involving applying cognitive-behavioral strategies. Both interventions were embedded in a measurement burst design, which allowed us to examine the mechanisms underlying change or intervention success. To explore mechanisms of change, we used the stressor-detachment model as a theoretical framework. We operationalized the interventions' effects in three ways: as changes from pretest to posttest, as changes in daily states, and as changes in daily associations. To this end, we used intensive longitudinal data to examine the roles that daily negative activation plays in detachment and strain. In a randomized controlled trial (N = 393), we administered three assessments of traits: pretest, posttest (8 weeks later), and follow-up (3 months after the posttest). We also administered 2 work weeks of experience sampling questionnaires (preintervention and postintervention). Latent change models and Bayes factor equivalence tests revealed that both interventions substantially-and to a similar extent-increased detachment. Bayesian multilevel path models showed improvements in all state variables, including improvements in negative activation, and provided some evidence that mindfulness-based and cognitive-behavioral approaches might tackle different processes at the daily level. We discuss theoretical implications for the literature on recovery from work and specifically for the stressor-detachment model. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Latent profile analysis of mindful self-care and associations with mental health among nurses in China

BackgroundDespite the crucial role of mindfulness and self-care in nurses’ physical and mental health, as well as their professional well-being, most nurses exhibit low levels of self-care. Moreover, there is...

The Effect of Psychological Flexibility on Well-Being during the COVID-19 Pandemic: The Multiple Mediation Role of Mindfulness and Coping.

The COVID-19 pandemic involved a complex set of stressors affecting the health and well-being of the population. The understanding of the psychological processes that influence well-being in response to the pandemic and their interrelation is vital. A promising process in understanding the emotional impacts of these stressors is psychological flexibility. This study investigated the effect of psychological flexibility on well-being, both directly and indirectly, via mindfulness and coping strategies. A total of 334 Portuguese adults participated in this cross-sectional study. Participants were asked to complete an online questionnaire, including measures of psychological flexibility, well-being, mindfulness, and coping strategies. A multiple mediation model studied whether there are conditional indirect effects of mindfulness and coping strategies on well-being. The results showed statistically significant correlations between psychological flexibility, well-being, mindfulness, and coping strategies. Furthermore, we found that mindfulness and coping strategies partly mediate the relationship between psychological flexibility and well-being. Understanding the processes through which psychological flexibility influences well-being in a stressful context is important in comprehending the processes involved in an emotional reaction to a pandemic-like societal event. Mindfulness and coping are shown to be important processes to consider in understanding this phenomenon and designing future responses.

Patient-related factors associated with patient retention and non-completion in psychosocial treatment of borderline personality disorder: A systematic review.

The potential efficacy of psychosocial interventions in the treatment of borderline personality disorder (BPD) is impacted by significant treatment non-completion (TNC), with meta-analytic studies reporting rates of attrition of between 25% and 28%. Increasing patient retention could facilitate outcomes and improve resource utilization, given limited healthcare services. A systematic search of PsycINFO, CINAHL, EMBASE, CENTRAL, and Web of Science Core Collection identified 33 articles that met the criteria for inclusion. Although substantial heterogeneity in terms of methodology and quality of analysis limited conclusions that could be drawn in the narrative review, a few consistent patterns of findings were elucidated, such as Cluster B personality disorder comorbidities and lower therapeutic alliance were associated with TNC. Interestingly, the severity of BPD symptoms was not a predictor of TNC. These findings are discussed in terms of their potential theoretical contribution to TNC. Clinically, there may be value in applying mindfulness and motivational interviewing strategies early on in treatment for individuals who present uncertainty about engaging in treatment. Further research to develop this empirical landscape includes focusing on high-powered replications, examining burgeoning lines of research, and investigating dynamic predictors of TNC.

The effects of a resiliency intervention program on indicators of resiliency and burnout in psychiatry residents

Studies have documented the stress and burnout related to medical residency and the need to design programs to reduce burnout. This study evaluates the effectiveness of an intervention for psychiatric residents to improve resiliency and reduce burnout. A six-session program was offered that included mindfulness, self-regulation, and coping strategies. The program was approved by the Institutional Review Board. Standardized assessment tools measuring perceived stress, mindfulness, professional quality of life, burnout and resiliency were used pre and post program. Burnout was defined based on any one of the three criteria for burnout: high emotional exhaustion, high depersonalization or low personal accomplishment. Six one-hour sessions were offered to residents during protected time during the academic year. Analysis compared residents who met and did not meet criteria for burnout pre and post program. Twenty-seven residents provided informed consent, and 23 had complete data on the indicators of burnout. Seven of 23 met criteria for burnout and those significantly reduced their perceived stress, emotional exhaustion, burnout and increased their mindfulness scores post program (p < 0.05). The residents who improved their mindfulness scores post program significantly improved resiliency, reduced secondary traumatic stress and perceived stress (p < 0.05). There were no significant differences in the scores of residents who did not meet criteria for burnout. Residents experiencing burnout significantly improved indicators of burnout, while those not reporting burnout did not worsen. Mindfulness was an important component of this program since residents gaining in mindfulness skills also reduced scores on indicators of burnout post program.

중년기 위기감과 정신건강의 관계

Objectives This study aimed to test the mediating effect of mindfulness and stress coping strategies (problemsolving- centered, social support seeking, avoidance-centered) on the relationship between midlife crisis and mental health in middle-aged adults (45 to 64 years old).&#x0D; Methods For this, a survey was conducted on 444 adult men and women from July 1 to August 31, 2022, and 427 people who responded faithfully were analyzed. The measurement tools used were midlife crisis, mindfulness, stress coping strategies, and brief mental health. To analyze the results, the correlation between major variables was analyzed, and through confirmatory factor analysis, we checked whether the measurement variables appropriately explained the latent variables and verified the suitability of the research model through path analysis. The mediation effect was verified through AMOS.&#x0D; Results The results of the research show that midlife crisis has a negative impact on mental health. Mindfulness was found to mediate significantly between midlife crisis and mental health. As for stress coping strategies, only avoidance-centered coping was found to mediate between midlife crisis and mental health significantly.&#x0D; Conclusions The bigger the midlife crisis, the lower the level of mindfulness, which worsens mental health. The higher the level of midlife crisis, the higher the level of avoidance-centered stress coping, which leads to poor mental health. Therefore, through a mindfulness-based program that strengthens avoidance-centered coping strategies, it is possible to effectively help improve the mental health of middle-aged adults who are experiencing a sense of crisis.&#x0D;

Strengths Perspective: How Social Work Students Use Mindfulness as a Self-Care Strategy

(1) Background: As helping professionals, social workers are more susceptible to compassion fatigue, vicarious trauma, and burnout due to regular exposure to clients’ trauma, traumatic situations, and heavy caseloads. Social work students also face similar experiences during their field placement as they prepare to enter the profession. In addition, stress, a significant factor affecting academic performance, is prevalent among social work students. Prolonged stress can lead to chronic health conditions, emphasizing the need to develop effective stress management practice techniques. (2) Objective: To examine the impact of a four-week mindfulness strengths-perspective synchronous series and the impact on social work students’ personal strengths, self-care, stress, and coping strategies. (3) Methods: The purpose of this study was to examine social work students’ experiences with using mindfulness from a strengths perspective. Twenty-three (n = 23) social work students participated in a four-week synchronous mindfulness series that incorporated a strengths perspective, focusing on stress reduction and self-care practices. The series consisted of weekly mindfulness activities and writing prompts, concluding with a focus group in the final week. A thematic analysis was utilized to identify key themes. (4) Results: The researchers identified six themes: consistency and commitment, affirmations and self-love, a caring community, mindfulness strategies, physical restoration, and enrichment and learning. (5) Conclusion: Students were able to develop a better understanding of self-care and the benefits of taking time to incorporate practices for their health and wellness.

Identifying methods used to manage weight and shape by first year university students: A qualitative analysis

ObjectiveTo identify current strategies used by first-year university students to lose weight, maintain weight, or change their body shape. MethodsFirst-year university students (n = 661) completed an open-ended, web-based survey. Cross-sectional data were analyzed qualitatively using a reflexive thematic approach to identify strategies used to lose weight, maintain weight, or alter body shape/composition. Thematic maps were constructed for each weight- and shape-related goal. ResultsFour main types of strategies were used to achieve all three weight or shape-related goals among first-year college students: changes in diet, changes in exercise, self-monitoring, and disordered eating. One behavioral strategy observed across all weight-related goals was prioritizing protein consumption, including protein gained from supplementation. However, there were also differences in strategies by weight- or shape-related goal. For example, only participants aiming to lose or maintain weight reported mindful strategies for monitoring diet. Individuals aiming to alter body composition reported heterogeneity in goal-related intentions, targeting specific body parts through exercise, and extensive supplement use. ConclusionsFirst-year college students use a variety of strategies to manage their weight and shape. Some strategies were observed across goals, whereas others are specific to the weight- or shape-related goal. More research is needed to understand the impacts, both positive and negative, of using the strategies identified in the present study.

How Does Perceived Social Support, Mindfulness, and Coping Strategies Influencing Death Anxiety Among Patients With Tuberculosis.

Objective: This study aimed to assess the relationship between coping strategies, social support, mindfulness, and death anxiety among TB survivors. Methods: A descriptive, cross-sectional design was used. A convenience sample of 120 adult patients diagnosed with TB were enrolled from public hospital. Results: The patients had moderate death anxiety (M = 45.3, SD = 6.88). However, TB patients reported high perceived coping strategies, great social support, and dispositional mindfulness. The death anxiety was negatively associated with mindfulness (r = -0.211; p < .05) and with perceived social support (r = -0.368, p < .05). Attention awareness to living activity, perceived social support, type of TB, and duration of treatment were predicted the participants' death anxiety. Conclusions: The presence of death anxiety among TB patients is a significant and tangible issue that can significantly impact their overall well-being. Addressing this concern is pivotal for their mental resilience, treatment adherence, and overall recovery.

How do the mindfulness and sensory-behavioural-emotional aspects influence the painful experience related to temporomandibular disorder?

Chronic pain is persistent or recurrent pain lasting longer than 3 months. The experience of temporomandibular disorder (TMD)-related pain is modulated by emotional and social factors, with mindfulness encapsulating these aspects. To investigate the association between cognitive-behavioural-emotional characteristics, mindfulness and the painful experience in women with chronic pain-related TMD. A cross-sectional study was conducted, including 90 women aged between 18 and 61 years old, diagnosed with chronic pain-related TMD according to the Diagnostic Criteria for Temporomandibular Disorder, considering both temporomandibular joint and muscle pain. Specific instruments were employed to assess cognitive-behavioural-emotional aspects. The Mindful Attention Awareness Scale and the Five Facets of Mindfulness Questionnaire scales evaluated the level and construct of mindfulness. The relationship between variables was analysed using bivariate association tests (.05 > p < .20), followed by multiple regression tests (p < .05). The heightened experience of pain correlated with increasing age, a low level of education, the attribution of the locus of control by chance, and lower levels of mindfulness (p < .05). The heightened experience of pain was negatively influenced by mindfulness levels (p < .05). On the other hand, the painful experience was mainly influenced by facets describing negative formulation, distraction, non-reactivity and non-judgement (p < .05). Demographic, cognitive-behavioural-emotional data and levels of mindfulness and its facets presented different influence weights on the painful experience. These findings provide support for future studies focusing on mindfulness strategies, education and pain management in women with chronic pain-related TMD.

A systematic review of the benefits and mechanisms of family-based mind-body therapy programs targeting families of children and adolescents with attention-deficit/hyperactivity disorder

Growing evidence indicates that family-based mind-body therapy programs (FMBTs) act as an important alternative for attention-deficit/hyperactivity disorder (ADHD) treatment in the youth with minimal side-effects. Moreover, FMBTs contribute to improving the family functioning of those affected by ADHD. To summarize and analyze the benefits and mechanisms, an extensive literature search of the EBSCOhost, PubMed, Web of Science, and Scopus databases was conducted to identify eligible studies. Fifteen studies published between 2010–2023 were reviewed. The included FMBTs were implemented with 850 children/adolescents and 996 parents/caregivers, of whom 201 parent couples attended the programs together with their children. All included FMBTs adopted mindfulness/meditation as the core practice to enhance the participants’ mental focus and attention, and were designed for long-term engagement, with six including parent–child joint session(s). Positive changes were observed in both children and adolescents, including improvements in ADHD symptoms, behavioral problems, executive function, and school performance. Additionally, parents experienced positive changes in ADHD traits/symptoms, mental health, and parenting behaviors. Furthermore, FMBTs were found to enhance family functioning by delivering mindful strategies to family, restoring psychological capacity and interpersonal skills in family members, and improving parent–child relationships. The reviewed FMBTs demonstrated high levels of feasibility and participant satisfaction. The factors and issues potentially influencing the effectiveness and feasibility of FMBTs are also discussed. The findings indicate that FMBT holds promise as an ADHD treatment option in home settings. Future efforts may focus on optimizing the design of FMBTs to better address the diverse needs of families in varying circumstances.

Mindfulness Matters

Mindfulness is an effective way for educators and students to manage their emotions, as well as reduce stress and anxiety. When implemented, mindfulness practices help students focus on the present moment and regulate their emotions. This article will first define mindfulness and explain how teachers can incorporate mindfulness strategies into an elementary classroom setting. Next, it examines mindfulness programs that school districts are using throughout the United States. Then, it explains social emotional learning and activities that support these practices within the classroom. The article concludes by offering outcomes and implications for mindfulness. Through mindfulness techniques, students can foster a positive environment and improve their social and physical well-being.

The Mediating Role of Emotion Regulation in the Relationship Between Sexual Mindfulness and Relational Quality in a Sample of Iranian Women

Mindfulness during sex has shown many positive relational and sexual outcomes. However, little is known about the ways in which sexual mindfulness works to improve an individual’s experience. This study investigated the mediating role of emotion regulation strategies in the relationship between sexual mindfulness and relational quality in a sample of Iranian women. Using a multi-stage cluster sampling method, we examined data from 265 women aged 19 to 50 years (M = 31.76, SD = 8.47). Results showed a significant positive relationship between relational quality and sexual mindfulness (p < .001, β = .13), sexual mindfulness and reappraisal strategy (p < .001, β = .65), and relational quality and reappraisal strategy (p < .001, β = .78). The reduction of the path coefficient in the full mediation model compared to the direct model indicating a partial mediation role of the reappraisal strategy was confirmed in relation to sexual mindfulness and relational quality. These findings may help identify one path, emotion regulation, through which sexual mindfulness works. This study provides psychologists and counselors evidence that both sexual mindfulness and emotion regulation are positive skills that likely improve the quality of their clients’ relationships.

Communicating the experience of living with chronic pain: The role of non-verbal communication and the power of lessons learned

Background: Chronic pain is hard to communicate due to its invisible, inaudible, and imprecise nature. Outside of pain scales that try to quantify pain, individuals with chronic pain have a hard time expressing it, yet pain management relies on effective communication. This study explores how women with chronic pain enrolled in an online therapeutic writing workshop communicate the experience of living with chronic pain to fellow sufferers. Methods: A six-week online therapeutic writing workshop was conducted with individuals with chronic pain who responded to weekly creative writing prompts that focused on mindfulness and cognitive behavioral therapy strategies including attention, emotional regulation, and examining thoughts and attitudes. Participants were recruited by their primary care provider; seven participants enrolled. All posts were aggregated and analyzed using thematic analysis. Results: Data analysis from participants’ posts reveal two interpretive repertoires including physical evidence of pain where participants expressed visible impacts of pain occurring in their home environments and communicated non-verbally in gestures and behaviors. Secondly, the theme of lessons learned from living with pain emerged including enhanced empathy, the need for self-care, and sharing coping skills. Conclusion: This study extends our understanding of the experience of living with chronic pain outside of a medical context by providing new insights gained from their creative writing responses. The online therapeutic writing workshop fostered a community of support where participants were empowered to express their pain, identify their pain behaviors, and invite cognitive restructuring to learn from their pain.

Organizational Homeostasis: A Quantum Theoretical Exploration With Bohmian and Prigoginian Systemic Insights

This research investigates the intricate dynamics of systemic well-being within organizational frameworks, intertwining Bohm’s idea of ‘wholeness’ and Prigogine’s perspective on equilibrium. By rooting its exploration in wave analogies and quantum principles like superposition, non-locality, and entanglement, the study highlights the fluctuation (far-from-equilibrium) in systems around a balanced state. Contrasting conventional ideas of stability, Prigogine emphasized the constant divergence systems experience while pursuing equilibrium. This study investigates the complex dynamics of systemic well-being within organizational structures, drawing upon Bohm’s concept of ‘wholeness’ and Prigogine’s theories on equilibrium. It employs wave analogies and quantum principles such as superposition, non-locality, and entanglement to illuminate the nature of fluctuations in systems striving for a balanced state. Consequently, this research advocates for a paradigmatic shift in organizational strategies, orienting towards a balanced approach underpinned by scientific principles. This shift is proposed as a means to address and bridge existing management gaps. Within this context, organizations demand versatile strategies aligned with dissipative structures, utilizing external energies to uphold internal coherence amidst potential chaos. Moreover, elevated through mindful strategies, corporate consciousness offers insights into temporal dynamics, enhancing decision-making, resilience against market fluctuations, and fostering an enriched organizational ethos rooted in present awareness. Consequently, the emergent corporate entity, invigorated by this heightened consciousness and need for corporate alignment and coherence, excels in present conditions and is adept at anticipating and addressing future challenges. This paper introduces “Mindful Corporate Entity” (‘MCE’), underscoring the essence of mindfulness as a cardinal strategy to ensure holistic organizational well-being and enduring sustainability.