Mindfulness-based Stress Reduction Course Research Articles

The HEADS: UP development study: Working with key stakeholders to adapt a Mindfulness Based Stress Reduction course for people with anxiety and depression after stroke

The HEADS: UP development study: Working with key stakeholders to adapt a Mindfulness Based Stress Reduction course for people with anxiety and depression after stroke

Mindfulness as a tool for reducing stress in healthcare professionals: An umbrella review.

Health care providers (HCPs) and health care students experience a huge amount of stress due to high workloads and pressure to perform and are likely to develop anxiety, depression and burnout. The objective was to carry out an umbrella review of systematic and narrative reviews on the effectiveness of mindfulness-based interventions in reducing stress and improving well-being in HCPs and health care students. Systematic and narrative reviews that examined the impact of mindfulness-based interventions on HCPs and healthcare students' perceived stress were identified through a systematic search of three electronic databases: PubMed, Scopus and Web of Science. Fifteen articles were included in the analysis: eleven systematic and four narrative reviews. Studies' quality varied from critically low to high. The different interventions showed positive results in reducing stress in both HCPs and students, with mindfulness-based stress reduction (MBSR) course having the major impact. MBSR techniques and other mindfulness based interventions resulted to be potentially effective in reducing stress. However, despite the vast amount of data collected by the studies and the promising results, several limitations affected the validity of the studies. Therefore, more research that considers the critical aspects of this field is required, in order to provide more reliable results.

Virtual Mindfulness Therapy for the Management of Endometriosis Chronic Pelvic Pain: A Novel Delivery Platform to Increase Access to Care.

<h3>Study Objective</h3> The objective of this study was to assess the effectiveness of virtual mindfulness-based stress reduction (MBSR) program to improve quality of life and pain in people with endometriosis. <h3>Design</h3> Mixed-methods before and after study design. <h3>Setting</h3> Urban Canadian tertiary-care centre. <h3>Patients or Participants</h3> Fifteen adult patients with a clinical or surgical diagnosis of endometriosis were recruited to participate through an outpatient academic gynecology clinic. Sample size was limited to fifteen to facilitate participation in the MBSR program. <h3>Interventions</h3> Patients participated in a virtual eight-week MBSR program run by an experienced social worker. Participants completed the Endometriosis Health Profile (EHP), a validated survey tool, and a pain medication use questionnaire before and after the program. A focus group was held upon completion of the program to assess participants experiences using mindfulness for the management of endometriosis-related chronic pelvic pain. <h3>Measurements and Main Results</h3> 67% of people enrolled completed the MBSR course (10/15). Following the MBSR program participants had a statistically significant decrease in four components of the EHP: control and powerlessness (p = 0.12), emotional well-being (p = 0.048), social support (p = 0.030), and self-image (p = 0.014). There was no change in pain scores or pain medication use. Based on the thematic analysis the participants felt the program's benefits came from a sense of community, education about their condition, and application of mindfulness tools when approaching pain. Participants felt more comfortable with the virtual format over in-person sessions. <h3>Conclusion</h3> A virtual MBSR course can improve quality of life domains in people with endometriosis but does not impact pain. Participants felt more comfortable in a virtual format, which has the potential to decrease some geographic barriers to care. Further research should focus on assessing this MBSR program in a randomized control trial.

Occupational stress and mindfulness: an empirical study

Purpose- There is a need for organizations to be innovative and keep on adapting to changes and new circumstances in today’s highly competitive world. Accordingly, some challenges emerged for both organizations and employees in adapting to the new situations as well as work-related daily routine tasks. Adaptation and coping capabilities of the employees have become an essential part of the work environment. These challenges have created stress among employees, affecting their personal lives and business lives. A concept of “Mindfulness” that enables people to be flexible and adaptable in adverse environments, and this, in turn, reduces people’s stress levels is used in business life as well. The purpose of this paper is to explore the factors affecting employees’ occupational stress and clarify their coping capabilities using mindfulness during turbulent times. Methodology- There are qualitative and quantitative studies about occupational stress and mindfulness in business and psychology disciplines. This research consists of an extensive literature review regarding the factors found in the literature, including stress and employee cooping capabilities in terms of mindfulness, and an empirical field study applied through an experimental group. They had an eight-week MBSR course and a survey applied before and after the training, in 2021. The data from the research was analyzed through the SPSS 25 program. Findings- According to literature, employees’ stress levels increased because of many factors like workload, time pressures and deadlines, extended working hours, work/family conflict, and an environment of uncertainty in general. On the other hand, in the literature, the factors affecting employees’ coping capabilities with stress are two crucial: employee well-being and resilience at work. The analyzed data from the experimental study supported the literature that mindfulness training reduces the stress level of employees while increasing their resilience and well-being levels. Conclusion- The study encourages Mindfulness-based Stress Reduction (MBSR) programs to be applied to employees during challenging times when there are high levels of uncertainty and stress. Experiential studies of mindfulness interventions demonstrate that mindfulness serves to reduce stress and improve well-being and resilience. Keywords: Stress, mindfulness, resilience, well-being, coping capability. JEL Codes: M10, M12, M19

Mindfulness-Based Stress Reduction Live Online During the COVID-19 Pandemic: A Mixed Methods Feasibility Study.

Objectives: To assess the feasibility, acceptability, and effects of Mindfulness Based Stress Reduction (MBSR) live online during the COVID-19 shutdown. Design: Mixed-methods study using a sequential explanatory design. Settings/location: Cohorts 1-4 took place in-person and Cohorts 5-6 took place over Zoom following the onset of the COVID-19 pandemic. Subjects: Participants were paying members of the general public enrolled in one of six live MBSR courses. Interventions: All MBSR courses followed the standard 8-week MBSR curriculum, led by experienced instructors. Outcome measures: Feasibility measured via class attendance, acceptability measured via the adapted Treatment Satisfaction Survey, and MBSR course effects measured by a focus group with Cohort 5, and the following assessments completed by all cohorts: Perceived Stress Scale-10, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 and the 36-item Short Form Survey. Results: 73 adults participated in six live MBSR courses (48 in the four in-person courses; 25 in the two online courses). Most of the participants identified as white, non-Hispanic, middle-aged females, with annual household income >$100,000. Course completion, defined as at least 6/8 classes attended, did not differ between in-person and online cohorts (84.1% versus 67.6%, respectively, p = 0.327). Participants in Cohort 5 who completed the course (n = 10) rated it as very important and useful for stress coping, and reported high likelihood of continuing their mindfulness practice (all ratings: between 8 and 10 on a 1-10 Likert scale), with open-ended responses corroborating their numerical ratings. Focus group (n = 6) responses indicated that online MBSR was positively received, reduced perceived loss of control, and improved quality of life and morale during the pandemic. Conclusions: Delivering MBSR live online can be feasible and acceptable for the general public, and is potentially beneficial, including during the social upheaval of the COVID-19 pandemic. Online delivery could help expand access to MBSR and address health inequities.

643-P: Perceived Usefulness of Mindfulness-Based Stress Reduction in Persons with Type 2 Diabetes

Diabetes management can be burdensome and stressful. Mindfulness-based Stress Reduction (MBSR) is a method that has shown to help mitigate stress. This qualitative study, as part of a larger study, examined the effects of MBSR on stress in persons with DM2 participating in an 8-week MBSR course and explored how participants: Gained insight regarding their stress Identified aspects of MBSR perceived as useful for stress management Continued to incorporate mindfulness practice in their daily lives as a method of stress management (6 months and 1 year post-intervention) Study Population: 13 adults &amp;gt; 18 years with DM2 having a recent A1C &amp;gt;7% who committed to participate in an 8-week MBSR course. Study Design: Qualitative study exploring the effects of MBSR on stress in persons with DM2. Participants enrolled in an 8-week MBSR course completed open-ended questionnaires at orientation, mid-way, and upon completion of the course to assess learning and attitude towards stress. Video recordings of the classes were transcribed and analyzed. Participants completed the Mindfulness Attention Awareness Scale (MAAS) at the start and end of the course. Participants received follow-up at 6 and 12 months post intervention, including completing the MAAS and were surveyed about the incorporation of mindfulness into their daily lives. Results: Participants shared their realization of the effect of stress on their body and mind, and reported noticing patterns of reactivity, and learning to let go and respond rather than react to stressors. Participants’ reflections and observed behaviors illustrated increased self-awareness, curiosity, patience, less self-judgment, and compassion and kindness toward their experience. Participants reported incorporating mindfulness in their daily routine at 6 month and 12 month post intervention, including meditation, yoga, mindful eating, different response to stressful situations, and better focus. MAAS: Results indicated an increase in MAAS scores over time. Disclosure L.Ferrara: None. S.R.Kaufman: None. Funding Josiah Macy Foundation (P19014)

Effect of Mindfulness-Based Stress Reduction on the Well-Being, Burnout and Stress of Italian Healthcare Professionals during the COVID-19 Pandemic.

COVID-19 has overwhelmed healthcare systems and increased workload and distress in healthcare professionals (HCPs). The objective of this study was to evaluate baseline distress before and after the pandemic, and the effect of Mindfulness-Based Stress Reduction (MBSR) training on well-being (PGWBI), stress (PSS) and burnout (MBI) in Italian HCPs. Moreover, the “fear of COVID-19” (FCV-19S) questionnaire was administered to HCPs participating in the post-emergency MBSR program. Baseline distress results were moderate in all groups. No differences between baseline distress were observed between the groups of HCPs beginning the MBSR courses in the pre or post pandemic period. Total PGWBI lowered with aging. Additionally, FCV-19S positively correlated with age. MBSR was able to lower distress levels, except for depersonalization, which increased, while emotional exhaustion decreased in the group enrolled in the last post-pandemic MBSR course. Levels of fear of COVID-19 in HCPs significantly decreased after MBSR training. The lack of change in baseline distress over time indicates that it is more influenced by work-related distress than by the pandemic in our HCPs. In view of its beneficial effects on psycho-emotional status, MBSR training may represent an effective strategy to reduce distress in emergency periods as well as an essential part of HCPs’ general training.

Absence of structural brain changes from mindfulness-based stress reduction: Two combined randomized controlled trials.

Studies purporting to show changes in brain structure following the popular, 8-week mindfulness-based stress reduction (MBSR) course are widely referenced despite major methodological limitations. Here, we present findings from a large, combined dataset of two, three-arm randomized controlled trials with active and waitlist (WL) control groups. Meditation-naïve participants (n = 218) completed structural magnetic resonance imaging scans during two visits: baseline and postintervention period. After baseline, participants were randomly assigned to WL (n = 70), an 8-week MBSR program (n = 75), or a validated, matched active control (n = 73). We assessed changes in gray matter volume, gray matter density, and cortical thickness. In the largest and most rigorously controlled study to date, we failed to replicate prior findings and found no evidence that MBSR produced neuroplastic changes compared to either control group, either at the whole-brain level or in regions of interest drawn from prior MBSR studies.

Mindfulness-Based Stress Reduction in Pre-symptomatic Genetic Frontotemporal Dementia: A Pilot Study.

Pre-symptomatic frontotemporal dementia (FTD) mutation carriers and first-degree family members that are 50% at-risk for FTD may experience symptoms of anxiety and depression as a result of the ambiguity of when or if symptoms of the disease will manifest. We conducted a pilot study to investigate the use of an online mindfulness-based stress reduction (MBSR) course to reduce symptoms of anxiety and depression in presymptomatic frontotemporal dementia (FTD) mutation carriers and individuals 50% at-risk. Seven known mutation carriers and six individuals 50% at-risk completed a standardized 8-week MBSR course, and filled out pre- and post and two-month follow-up questionnaires. The primary outcome measure was the Hospital Anxiety and Depression Scale (HADS). Measures of psychological distress (SCL-90-R), coping style (UCL), quality of life (SF-36) and mindfulness skills (FFMQ) were administered as secondary outcome. Group effects were analyzed with repeated measures ANOVA or Friedman's test, and the individual reliability change index (RCI) was calculated per participant for each outcome measure. Semi-quantitative data included an evaluation and process measure post-intervention. Significant decline was found on the HADS-A post-intervention and after 2 months (p = 0.01), with 54% and 62% of participants demonstrating a clinically significant RCI, respectively. On the HADS-D, significant decline was found 2 months post-intervention (p = 0.04), which was driven by 23% of participants whom had a clinically significant RCI. Additional changes were found between baseline and post-intervention on the seeking distraction and reassuring thoughts subscales of the UCL, the depression and interpersonal sensitivity subscales of the SCL, the observe subscale of the FFMQ, and on physical role limitations of the SF-36 (all p < 0.05). The process evaluation form indicated that the course was found beneficial by participants, and that they applied it in a wide range of everyday situations. This exploratory pilot study indicates the feasibility of MBSR in reducing anxiety and depression in presymptomatic FTD mutation carriers and 50% at-risk individuals. A randomized controlled trial is necessary to replicate these results.

Interest in Mindfulness Training for Chronic Low-Back Pain: Results from a Vignette-driven, Web-based Survey of Patients.

Objectives: Mindfulness-based stress reduction (MBSR) has been found effective for improving chronic low-back pain (cLBP). However, little data exist regarding how attractive this technique is to Americans as a therapy for cLBP. Design: Survey of randomly selected persons with cLBP. Settings/Location: Respondents were recruited from Kaiser Permanente Washington and one-time surveys were completed online. Patients: Adults 18-80 years of age with cLBP. Surveys: The study was conducted between December 2019 and August 2020. Outcome measures: The survey described an evidence-based classic MBSR course and then asked respondents about their sociodemographic characteristics, their current back pain, previous back pain treatments, behavioral risk factors for back pain, and four outcomes indicative of intention to engage in MBSR. Results: Four-hundred fifty-seven respondents completed the survey. Respondents were primarily women, white, educated, and with back pain for more than 5 years. About half had previously used a mind-body therapy for their pain. Overall, they reported moderate to high intention to try mindfulness classes and practice at home (median of 5 with 50% of the observations between 4 and 6, and 5.7, 50% of the observations between 4.3 and 6.3, respectively, on a 7-point scale). They reported a willingness to spend a median of 3 h/week learning mindfulness and 3.5 h/week practicing mindfulness techniques (for both outcomes, 50% of the respondents reported between 2 and 5 h). Few patient characteristics predicted intention to engage in MBSR, with no variable predicting all outcomes. The magnitude of the effect associated with significant predictors was small. Conclusion: Classic MBSR appealed to many survey respondents, in that they reported high interest in learning MBSR and intention to practice at home. The amount of time they reported being willing to spend learning MBSR and practicing at home is consistent with the time commitment in the original course.

Mindfulness-Based Stress Reduction for Coronary Artery Disease Patients: Potential Improvements in Mastery and Depressive Symptoms

Depressive symptoms after coronary events are associated with a worse prognosis. When changing the focus from psychopathology towards a resilience framework, treatments such as mindfulness meditation could offer novel ways to address psychological distress among coronary artery disease (CAD) patients. We studied the feasibility of mindfulness-based stress reduction (MBSR) for CAD patients with depressive symptoms. Seventy-nine CAD patients with elevated depressive symptoms were invited to an 8-week MBSR course. Twenty-four patients (30%) accepted and 16 (20%) completed MBSR. Depressive symptoms decreased immediately after the course (p = .006). After 12 months, this improvement remained, and Mastery scores increased (p = .005). A reference group of 108 CAD patients did not show any significant changes in depressive symptoms or Mastery between 1 and 12 months after a coronary event. MBSR thus appears to be a feasible alternative for CAD patients with elevated depressive symptoms. Future studies are warranted to study if MBSR can improve psychological functioning in CAD patients.Clinicaltrials.gov (Registration Number: NCT03340948).

Mindfulness Versus Cognitive Reappraisal: the Impact of Mindfulness-Based Stress Reduction (MBSR) on the Early and Late Brain Potential Markers of Emotion Regulation

ObjectivesA positive association between trait mindfulness and cognitive reappraisal has previously been found. Using event-related potentials (ERPs), we investigated the impact of an 8-week MBSR course on early and late stages of emotion regulation using mindfulness and reappraisal.MethodsParticipants were allocated into an 8-week MBSR training group (n = 14 for task reports and self-reports; n = 10 for ERPs) or a wait-list control group (n = 15 for task reports and self-reports; n = 11 for ERPs). Pre and post the 8-week training, participants completed an affective picture viewing task and were instructed to regulate their responses to negative and neutral images using mindfulness, cognitive reappraisal and expressive suppression.ResultsAt post-test, only the training group showed significant improvements in self-reported trait mindfulness and trait cognitive reappraisal, together with improvements in the self-reported ability to employ mindfulness and cognitive reappraisal during the task. The training group showed decreased 200–280 ms positivity across all three strategies at post-test. The LPP did not change over time but overall showed more positive mean amplitudes to cognitive appraisal.ConclusionsThese findings suggest that MBSR may adaptively modulate early attention deployment to emotional stimuli, but modulations of later stages of emotion processing may require more extensive mindfulness training. In addition, conscious employment of mindfulness may require less cognitive effort than cognitive reappraisal.

The effect of mindfulness-based stress reduction on the urinary microbiome in interstitial cystitis.

The objective was to investigate the impact of mindfulness-based stress reduction therapy on the urinary microbiome of patients with interstitial cystitis/bladder pain syndrome. In this Institutional Review Board-approved prospective cohort study, patients with interstitial cystitis/bladder pain syndrome were recruited to attend an 8-week mindfulness-based stress reduction course involving yoga and meditation. Eligible participants were English-speaking women aged 18 or older with interstitial cystitis/bladder pain syndrome. All participants had a negative urinalysis within 2months of enrollment and were currently undergoing first- or second-line treatment at the time of recruitment. The mindfulness-based stress reduction course met weekly for 1h. A straight-catheter urine sample was obtained prior to and following the mindfulness-based stress reduction series. DNA from urine samples underwent bacterial 16S ribosomal gene sequencing at Johns Hopkins University Laboratories followed by taxonomic abundance and diversity analysis by Resphera Biosciences Laboratory. Participants completed validated symptom questionnaires pre- and post-intervention. A total of 12 participants completed the 8-week course and were included in the analysis. The average age was 59 and the majority identified as white. Patient symptoms, measured by the Urogenital Distress Inventory Short Form and Interstitial Cystitis Symptom and Pain Indices, improved significantly (all p < 0.05). Overall composition of the urinary microbiome changed significantly (p < 0.01) and demonstrated an increase in diversity following the intervention. Mindfulness-based stress reduction therapy improves patient symptoms and was associated with significant changes in the urinary microbiome in patients with interstitial cystitis/bladder pain syndrome.

Mindfulness based stress reduction in people with Parkinson's disease and their care partners

BackgroundParkinson's Disease (PD) leads to poor quality of life and caregiver burden. Mindfulness-based stress reduction (MBSR) may improve these symptoms. We assessed the impact of a 9-week MBSR course on people with PD (PwP) and their care partners (CPs). MethodsParticipants completed questionnaires at screening, at the end of the course, and at 3-month follow-up: Parkinson's Disease Quality-39 (PDQ-39, PD only), Zarit Burden Inventory (ZBI, CP only) and Mindful Attention Awareness Scale (MAAS, both). The primary outcome measure was change in PDQ-39 (for PwP) or ZBI (for CP). Patient-reported scales were analyzed quantitatively; qualitative data on perceived effectiveness was collected. Results53.8% PwP and 100% CPs completed the course. Among PwP, there was a significant reduction in MAAS(p < 0.001) and in PDQ-39 (p = 0.008). CPs experienced an increase in MAAS (p = 0.02) but no change in ZBI (p = 0.239). Qualitatively, both PwP and CPs expressed satisfaction with the course. DiscussionMBSR improves mindful awareness in CPs and improves health-related quality of life in PwP.

Electrophysiological effects of mindfulness meditation in a concentration test

In this paper, we evaluate the effects of mindfulness meditation training in electrophysiological signals, recorded during a concentration task. Longitudinal experiments have been limited to the analysis of psychological scores through depression, anxiety, and stress state (DASS) surveys. Here, we present a longitudinal study, confronting DASS survey data with electrocardiography (ECG), electroencephalography (EEG), and electrodermal activity (EDA) signals. Twenty-five university student volunteers (mean age = 26, SD = 7, 9 male) attended a 25-h mindfulness-based stress reduction (MBSR) course, over a period of 8 weeks. There were four evaluation periods: pre/peri/post-course and a fourth follow-up, after 2 months. All three recorded biosignals presented congruent results, in line with the expected benefits of regular meditation practice. In average, EDA activity decreased throughout the course, -64.5%, whereas the mean heart rate displayed a small reduction, -5.8%, possibly as a result of an increase in parasympathetic nervous system activity. Prefrontal (AF3) cortical alpha activity, often associated with calm conditions, saw a very significant increase, 148.1%. Also, the number of stressed and anxious subjects showed a significant decrease, -92.9% and -85.7%, respectively. Easy to practice and within everyone's reach, this mindfulness meditation can be used proactively to prevent or enhance better quality of life. 25 volunteers attended a Mindfulness-Based Stress Reduction (MBSR) course in 4 evaluation periods: Pre/Peri/Post-course and a fourth follow-up after two months. A Depression, Anxiety and Stress State (DASS) survey is completed in each period. Electrodermal Activity (EDA), Electrocardiography (ECG) and Electroencephalography (EEG) are also recorded and processed. By integrating self-reported surveys and electrophysiological recordings there is strong evidence of evolution in wellbeing. Mindfulness meditation can be used proactively to prevent or enhance better quality of life.

Modeling the mindfulness‐to‐meaning theory's mindful reappraisal hypothesis: Replication with longitudinal data from a randomized controlled study

The Mindfulness to Meaning Theory provides a detailed process model of the mechanisms by which mindfulness may promote well-being. Central to the Mindfulness to Meaning Theory is the mindful reappraisal hypothesis (MRH), which suggests mindfulness training promotes well-being by facilitating positive reappraisal. Emerging evidence from interconnected domains of research supports the MRH. However, it remains unclear whether mindful reappraisal continues to develop after a mindfulness training course and whether this continued development encourages well-being over time. As such, this randomized controlled study compared participants receiving a mindfulness-based stress reduction (MBSR) course with participants receiving no mindfulness training on positive reappraisal use and well-being over the course of 6 years. Latent growth curve modeling revealed that mindfulness training increased well-being by significantly increasing the trajectory of positive reappraisal over time. The MRH was then unpacked by examining whether MBSR also stimulated decentering and broadened awareness, core components of the MRH. Multivariate path analysis revealed that mindfulness training increased decentering, which in turn broadened awareness, which was then associated with positive reappraisal, ultimately promoting well-being. Taken together, these findings suggest that MBSR cultivates a downstream cascade of adaptive psychological processes that continue to promote quality of life 6-years after mindfulness training.

Mindfulness‐based stress reduction training modulates striatal and cerebellar connectivity

Mindfulness is a meditation practice frequently associated with changes in subjective evaluation of cognitive and sensorial experience, as well as with modifications of brain activity and morphometry. Aside from the anatomical localization of functional changes induced by mindfulness practice, little is known about changes in functional and effective functional magnetic resonance imaging (fMRI) connectivity. Here we performed a connectivity fMRI analysis in a group of healthy individuals participating in an 8-week mindfulness-based stress reduction (MBSR) training program. Data from both a "mind-wandering" and a "meditation" state were acquired before and after the MBSR course. Results highlighted decreased local connectivity after training in the right anterior putamen and insula during spontaneous mind-wandering and the right cerebellum during the meditative state. A further effective connectivity analysis revealed (a) decreased modulation by the anterior cingulate cortex over the anterior portion of the putamen, and (b) a change in left and right posterior putamen excitatory input and inhibitory output with the cerebellum, respectively. Results suggest a rearrangement of dorsal striatum functional and effective connectivity in response to mindfulness practice, with changes in cortico-subcortical-cerebellar modulatory dynamics. Findings might be relevant for the understanding of widely documented mindfulness behavioral effects, especially those related to pain perception.

Consider the Source: Examining Attrition Rates, Response Rates, and Preliminary Effects of eHealth Mindfulness Messages and Delivery Framing in a Randomized Trial with Young Adult Cancer Survivors.

Purpose: Young adults with cancer often experience stress, depression, and anxiety. Mindfulness meditation is an effective intervention for these outcomes, and maintenance support may be needed for long-term improvements. eHealth technologies provide a promising delivery strategy for maintenance interventions. Methods: Following an 8-week mindfulness-based stress reduction (MBSR) course, 62 young adult cancer survivors were randomized to 8 weeks of instructor-framed messages, peer-framed messages, or no messages. On average, participants were 33.6 years old. The majority of participants were college-educated Caucasian females. We examined attrition rates between participants who received messages and those who did not, and compared response rates from different perceived sources. In addition, we evaluated the preliminary effects of eHealth support on mindfulness and associated outcomes. Results: No significant differences in attrition or message response rates across groups were observed. Repeated measures models revealed significant group by time interactions on perceived stress, anxiety, and depression. There were no differences between the groups that received eHealth messages and the group that did not. There was a significant difference in anxiety symptoms from post-MBSR to post-messaging between messaging groups. Individuals who received instructor-framed messages reported increased symptoms of anxiety over time. Conclusion: Attrition and response rates did not differ across groups, suggesting that eHealth may be a feasible strategy for providing maintenance support. However, further evaluation of feasibility, acceptability, and optimal content and dose of such an intervention is needed. Additionally, young adult cancer survivors may be more likely to benefit from eHealth interventions that are not delivered by authority figures.

Do Trainee Mindfulness Teachers Practice What They Teach? Motivation, Challenges, and Learning Gaps

ObjectivesResearch concerned with mindfulness-based program (MBP) teacher training has focused on the importance of developing teacher competency and integrity, with little emphasis on the experience of trainees themselves. The aim of this study was to investigate the experiences of trainee MBPs teachers as they delivered their first MBPs, with a focus on how they utilized their personal mindfulness practice to support themselves during this time.MethodsWe explored the experiences of university-based trainee teachers of Mindfulness-Based Stress Reduction (MBSR) when starting to teach, the ways they negotiated any challenges, and the extent to which they felt supported by their mindfulness practice. Semi-structured interviews were conducted with new MBSR teachers currently on a training course (N = 8). The interview data were analyzed using inductive thematic analysis.ResultsThe key findings of the study were that trainee teachers were deeply motivated to teach MBPs with great integrity; did not anticipate the amount of time and effort needed to deliver their first MBSR courses; had concerns about the viability of the 8-week format of MBSR; needed more development in the area of self-reflection; and do indeed practice what they teach, and used their personal mindfulness practice to work with challenges.ConclusionsThese findings show that trainee mindfulness teachers are actively engaged with developing their teaching skills, and offer directions for how the pedagogy of MBP teacher training may be further developed. Trainees might benefit from additional pedagogical input on the practicalities of delivering MBSR in community settings, and on the development of reflective skills.

The effects of an internet-based mindfulness meditation intervention on electrophysiological markers of attention

Evidence suggests that mindfulness meditation training has the potential to train aspects of attention. However, the neurophysiological mechanisms underpinning the attentional benefits from mindfulness remain unclear. This randomized controlled trial examined changes in electrophysiological markers of attention before and after completion of a 6-week internet-based mindfulness intervention. EEG and ERP data were collected from 64 generally healthy, mildly stressed older adults. Participants were randomized to an internet-based mindfulness-based stress reduction course (IMMI), an internet-based health and wellness education course, or a waitlist control condition. Attentional N2 and P3 evoked potentials were derived from active and passive auditory oddball paradigms.Participants in the IMMI group showed significantly greater differences in P3 peak-trough amplitude between the active and passive oddball paradigms at endpoint relative to controls. There were no significant relationships between the intervention and N2 potentials. Our data demonstrate a measurable increase in attentional control when discriminating or directing attention away from auditory stimuli for older adult participants who received mindfulness training. These findings lend support to the use of the P3 as a neurophysiological measure of meditation engagement and intervention efficacy.