Mindfulness-based Stress Reduction Intervention Research Articles

Mindfulness for Outpatient Oncology Nurses: A Pilot Study.

This prospective pre-/posttest pilot studied a mindfulness-based stress reduction (MBSR) intervention first, to reduce self-reported stress and improve compassion satisfaction; and second, to reduce physiological indices of stress. Even small interventions of MBSR before a shift effectively reduces the physiological indices of stress and may help reduce compassion fatigue and burnout in nurses.

Psychological Approaches for the Integrative Care of Chronic Low Back Pain: A Systematic Review and Metanalysis.

Chronic low back pain (CLBP) is the most common cause of disability worldwide, affecting about 12% to 30% of the adult population. Psychological factors play an important role in the experience of pain, and may be predictive of pain persistence, disability, and long-term sick leave. The aim of this meta-analysis was to identify and to describe the most common psychological approaches used to treat patients who suffer from CLBP. A systematic search was performed on PubMed/MEDLINE and Cochrane Central. Overall, 16 studies with a total of 1058 patients were included in the analysis. Our results suggest that cognitive behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR) interventions are both associated with an improvement in terms of pain intensity and quality of life when singularly compared to usual care. Disability also improved in both groups when compared to usual care. Significant differences in fear-avoidance beliefs were noted in the CBT group compared to usual care. Therefore, psychological factors are related to and influence CLBP. It is crucial to develop curative approaches that take these variables into account. Our findings suggest that CBT and MBSR modify pain-related outcomes and that they could be implemented in clinical practice.

Mediators for Effect of Mindfulness in Promoting Marital Satisfaction: Modeling Structural Equations in an Experimental Study.

Objective: The present study evaluated the model of mediating variables concerning effectiveness of mindfulness in improving women's marital satisfaction. Method: This study was quasi-experimental with pre-test, post-test and control groups. The statistical population included every married woman in Tehran in the year 1396 (2017). The research sample was composed of 60 married women with moderate marital satisfaction. They were chosen using the convenient sampling technique and were randomly assigned to control and experimental groups. The experimental group attended 8 sessions of Mindfulness-Based Stress Reduction (MBSR) and the control group was on a waiting list. Both groups answered the Five Facet Mindfulness Questionnaire (FFMQ), the Depression, Anxiety, and Stress Scale (DASS), Difficulties in Emotion Regulation Scale (DERS), Interpersonal Reactivity Inventory (IRI), Needs for Intimacy Questionnaire of Bagarozi, Positive and Negative Affect Scale (PANAS) and the Couple Satisfaction Index (CSI) before and at end of intervention. The data were analyzed by Structural Equation Modeling (SEM) using PLS-22 and SPSS-23. Results: In the initial hypothetical model, which included the direct effect of mindfulness on marital satisfaction and its indirect effects through psychological distress, emotion regulation, empathy, marital intimacy and positive emotion on marital satisfaction, coefficients of all model paths were significant at 95% level except direct path of mindfulness to marital satisfaction (t = 1.14), marital intimacy to marital satisfaction (t = 0.48) and positive affection to marital satisfaction (t = 1.75). After removing the non-significant paths, the model was tested again and the model fit index (GOF = 0.47) was a very good fit for the modified overall model. Conclusion: The results identified mindfulness-based stress reduction intervention was effective in enhancing marital satisfaction through reducing psychological distress and improving emotion regulation and empathy.

Effects of Mindfulness-Based Stress Reduction (MBSR) Program on Anxiety and Depression and HRQoL among Cancer Patients in Malaysia.

Anxiety and depression are common among cancer patients and impact health-related quality of life. MBSR has long been used to treat psychological illnesses in various therapeutic settings worldwide. However, there is no solid evidence of MBSR effects among cancer patients in Malaysia. This cross-sectional study intervened in the five weeks of MBSR on cancer patients in Penang. Results found that the MBSR Intervention group had lower anxiety and depression compared to the waitlist. However, the HRQOL result was inconclusive. These findings support the use of the MBSR program for Anxiety and Depression among cancer patients. However, HRQOL needs further investigation. Keywords: MBSR, HRQOL, Cancer Patients, Cognitive and Affective Mindfulness eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v6i18.3072

Intervención basada en mindfulness a través de una app móvil para personas con cáncer colorrectal en espera de cirugía: ensayo clínico aleatorizado

IntroductionColorectal cancer is the third most common cancer worldwide that occurs both in men and women. Around one-third of patients with cancer will suffer from anxiety or depression symptoms. The aim of this study was to evaluate the effectiveness of a mindfulness-based stress reduction intervention through a mobile application («en calma en el quirófano»). MethodThis study is a multicenter, single-blind (evaluator), controlled, randomized trial that compares the effectiveness of a mindfulness training through a mobile application (intervention group) and treatment as usual (control group) in 3different moments (T0 or baseline, T1 or hospital discharge and T2 or one month after surgery). Hospital Anxiety and depression Scale (HADS), quality of life (WHOQOL), pain (VAS) and satisfaction (CSQ) were assessed. ResultsIn all, there were 270 referred patients. Among them, 39 and 43 were assigned to the intervention and control groups respectively; 82 patients were analyzed: 39 patients used the app, and 43 patients continued with the treatment as usual. There were no significant changes between groups and time. We observed a slight trend in which intervention group had less depression and anxiety symptoms since T0 and T2 (B=−0.2; 95% CI: 8.8-9.2). ConclusionsThe sample of this study had a high mean age (65 years old), and low levels of anxiety and depression and medium levels of pre-surgery quality of life in baseline. These factors could have influenced limiting the effectiveness of the app. Prospective research lines should focus on evaluating the effectiveness of mobile applications for younger patients with surgical pathologies.

Mindfulness-based stress reduction intervention for elementary school teachers: a mixed method study

BackgroundIn the Netherlands, more than half of the teachers working in primary education experience high levels of work stress. Compared to other professions, teachers are more likely to drop out from work and develop mental illnesses. Almost one in five even choose a new profession within 5 years after starting as a teacher. This indicates an urgent need for interventions to reduce stress levels in teachers. However, few evidence-based effective interventions targeting stress and work-related problems in the primary educational system are available.AimIn the current paper, we describe the protocol for a randomized controlled study (RCT) comparing an 8-week mindfulness-based stress reduction (MBSR) intervention with a wait list control condition in primary school teachers. We hypothesize that teachers who participate in the MBSR programme will report less stress (primary outcome) than those in the control group at post-test and at 3-month follow-up. We also expect a decrease in teachers’ absenteeism and improvements of mental health, teacher skills, classroom climate quality and the pupil-teacher relationship (secondary outcomes). Finally, we hypothesize that self-compassion, mindfulness skills and emotion regulation skills could mediate effects.Methods/designA mixed-method study will be conducted among N=155 Dutch primary school teachers (grade 1 to 6). The quantitative study will be an RCT, in which teachers will be randomly allocated to the MBSR or waiting list control condition. Trial participants will not be made actively aware of their condition. The data analysts will be blinded. Online questionnaires will be sent to teachers before and after the MBSR programme, and at 3-month follow-up. Information about absenteeism will be collected. In the qualitative part of the study, we will interview teachers to examine their perceived effects of MBSR on their teaching skills, the classroom climate quality and the pupil-teacher relationship.DiscussionThis protocol paper describes a mixed-method study design with an RCT and a qualitative evaluation to evaluate an MBSR programme on perceived stress among primary school teachers. If the MBSR programme proves to be effective, it could be implemented as a programme to reduce stress and improve mental health and teaching outcomes in primary school teachers.Trial registrationNederland Trial Register NL. Registered on 19 November 2019—retrospectively registered, https://www.trialregister.nl/trial/8171

Short-term Effects of Randomized Mindfulness-Based Intervention in Female Breast Cancer Survivors: A Systematic Review and Meta-analysis.

Patients with breast cancer usually experience depression, anxiety, stress, fatigue, pain, poor sleep quality, and low quality of life after their cancer treatment. Some studies used mindfulness-based stress reduction (MBSR) interventions for reducing these symptoms; however, the results are conflicting. This study evaluated the clinical efficacy of MBSR interventions in the short term. Five databases were searched from their inception to April 2020. We included only randomized controlled trials (RCTs) comparing MBSR intervention and control groups for symptom reduction in women with breast cancer. Pooled mean difference (MD), standardized MD, and 95% confidence intervals (CIs) were calculated using random-effects models. We used the Cochrane risk-of-bias assessment tool to assess the included RCTs. Nineteen RCTs with 36 to 336 participants were included, of which 11 studies with a total of 1687 participants (mean age, 53.3 years) were eligible for the meta-analysis. The pooled meta-analysis results indicated that, at the end of the MBSR interventions, participants' depression (standardized MD, -1.32; 95% CI, -2.18 to -0.46; I2 = 97%) and fatigue (MD, -0.47; 95% CI, -0.59 to -0.34; I2 = 0%) levels had significantly decreased; moreover, up to 3 months after baseline, their stress levels had significantly decreased (MD, -0.79; 95% CI, -1.34 to -0.24; I2 = 0%). Mindfulness-based stress reduction interventions are highly beneficial for reducing depression, fatigue, and stress in the short term. Mindfulness-based stress reduction interventions are cost-effective and practical. Breast cancer survivors are recommended to practice MBSR as part of their daily care routine.

Mindfulness Training's Effect of Pain Outcomes in Musculoskeletal Pain: A Systematic Review

Purpose: Athletic trainers frequently address and treat musculoskeletal pain (MSK). Complementary and alternative techniques for treating pain are becoming more widely accepted and utilized in clinical practice. Mindfulness based stress reduction (MBSR) is a meditation-based program that is designed to help patients learn to feel things in a non-judgmental way. Previous systematic reviews on mindfulness training have focused a range of conditions including IBS, fibromyalgia, and migraines. The purpose of this systematic review was to examine if the literature supports the use of MBSR as an intervention for MSK pain. Methods: We completed a systematic review utilizing PRISMA guidelines. Inclusion criteria were English language, human subjects, peer reviewed, randomized controlled trial, mindfulness training as an intervention, and MSK pain as an outcome measure. An electronic search was conducted using the single phrase “mindfulness training and musculoskeletal pain”. PubMed, Cochran Database, EBSCOhost, and Google Scholar were searched. Articles were first eliminated by title, and then by abstract contents. Remaining articles were given a full review and articles not meeting inclusion criteria were eliminated. Articles were assessed using the PEDRO scale with a cutoff score of 6 used to determine inclusion in the systematic review. Final analysis included 19 articles. Results: Study populations included patients diagnosed with cancer, nonspecific low back pain, chronic MSK pain, chronic tension headache, Gulf War illness, upper extremity injury, and one study employed healthy subjects and used experimentally induced pain. Intervention lengths ranged from single day to 10 weeks. Of the 19 studies in the analysis, nine of them indicated statistically significant results in favor of the meditation group for pain outcomes. Other studies noted improvement in the meditation group, but results did not reach statistically significant levels. Conclusion: MBSR has the potential to provide a beneficial effect in the treatment of MSK pain. The results of this systematic review indicate that the benefits of MBSR treatment may depend on the specific patient population and type of MSK pain. Further research is needed, but the systematic review suggests that MBSR may be an effective tool as part of a larger, complementary, and patient-centered care plan.

The Effectiveness of Mindfulness-Based Stress Reduction and Dialectical Behavior Therapy on Self-Determination Needs and Academic Burnout among Students Showing Depressive Symptoms

Background : The satisfaction of self-determination needs and alleviation of academic burnout help students reduce/adjust the stress and psychological pressure resulting from studies and the university entrance examinations. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) and dialectical behavior therapy (DBT) on self-determination needs and academic burnout among students showing depressive symptoms in Dehloran (Iran). Methods : In this experimental study, the statistical population comprised all female twelfth-grade high-school students studying for the university entrance exam in Dehloran, Iran in the academic year 2020-21. The sample consisted of 45 students showing depressive symptoms who were selected by convenience sampling, and then randomly divided into two experimental (MBSR and DBT) and a control group (n=15 each). Either MBSR or DBT intervention was administered to the experimental groups, but the control group received no intervention. The research instruments included the Self-Determination Needs Scale, Academic Burnout Scale, and Beck Depression Inventory-II (BDI-II). The data were analyzed via descriptive statistics and multivariate analysis of covariance (MANCOVA). Results : The results showed that MBSR and DBT both positively affected the self-determination needs (F=92.44, Pvalue=0.001) and academic burnout (F=68.54, Pvalue=0.001) of students studying for the university entrance exam and showing depressive symptoms. According to the results, MBSR was more effective in students' self-determination and academic burnout (Pvalue=0.01). Conclusions : It was found that both MBSR and DBT can help improve the self-determination needs and academic burnout of female high-school students studying for the university entrance exam and showing depressive symptoms. Keywords: Mindfulness, Dialectical behavior therapy, Self-determination, Depression, Students

Interoception Underlies Therapeutic Effects of Mindfulness Meditation for Posttraumatic Stress Disorder: A Randomized Clinical Trial

BackgroundMindfulness-based interventions have proven efficacy in treating posttraumatic stress disorder (PTSD), but the neurobiological mechanism underlying the therapeutic effects is unknown. As mindfulness meditation cultivates attention to the present moment and bodily sensations, neural functions related to interoception (i.e., central processes of bodily signals) might be such a mechanism. MethodsWe conducted a clinical trial in which veterans with PTSD were randomly assigned to receive an 8-week mindfulness-based stress reduction (MBSR) intervention (n = 47) or an active control intervention (present-centered group therapy; n = 51). We assessed pre- and postintervention PTSD symptoms and electroencephalography measures of neural outcomes, including spontaneous brain activity, cognitive task–related brain responses, and interoceptive brain responses (heartbeat-evoked brain responses). We conducted statistical causal mediation analyses using treatment type as a predictor, pre- and postintervention measures of symptom severity as treatment response, and the neural outcomes as mediators. ResultsCompared with the control group, the MBSR group had greater improvements in PTSD symptoms and increases in spontaneous alpha power (8–13 Hz), task-related frontal theta power (4–7 Hz in 140–220 ms after stimulus), and frontal theta heartbeat-evoked brain responses (3–5 Hz and 265–336 ms after R peak). The mediation analysis using latent difference score modeling revealed that only changes in frontal theta heartbeat-evoked brain responses mediated the MBSR treatment effect. ConclusionsMindfulness meditation improves brain functions of attentional control and resting brain states reflective of internally oriented relaxation. However, interoceptive neural functions enhanced by MBSR seem to be a primary cerebral mechanism that improves symptoms of PTSD.

Protocol for the Implementation and Evaluation of a Mindfulness-Based Intervention for Caregivers of Children with Mental Disorders in a Clinical Setting.

Being a parent is complicated in typical circumstances, with a great psychological impact as well as feelings and experiences of great intensity. This impact is greater in families in vulnerable situations, such as those with children with mental health problems, receiving treatment in a clinical setting. Due to these challenges, parenting in these circumstances is often accompanied by experiences of stress. An approach that has shown evidence of effectiveness in mitigating the negative impact of stress is mindfulness-based interventions, including the Mindfulness-Based Stress Reduction intervention program. The Mindfulness-Based Stress Reduction intervention program is designed as a psychoeducational, instructional, multimodal, and structured program whose main objective is to provide strategies for the management, coping, and awareness of stress in order to reduce it. In this paper, a protocol for the implementation and evaluation of the original Mindfulness-Based Stress Reduction intervention program with the added positive parenting component is presented, in order to systematize the incorporation of a parenting component in the Mindfulness-Based Stress Reduction intervention program, analyze its effectiveness for parents whose children have mental health problems (in terms of stress, mindfulness, emotional intelligence, general health, and parental role), explore the mechanisms of change operating in this intervention as perceived by the participants, and examine the application of acquired strategies to daily life.

Mindfulness-Based Stress Reduction Intervention in Chronic Stroke: a Randomized, Controlled Pilot Study

ObjectivesMindfulness-Based Stress Reduction (MBSR) involves training in mindful meditation and has been shown to improve functioning across a range of different disorders. However, little research has focused on the use of MBSR in stroke patients, and previous MBSR studies typically have not included an active control condition to account for non-specific factors that could contribute to the observed benefits.MethodsWe conducted a pilot study of MBSR in chronic stroke patients, comparing MBSR to an active control condition. Half of participants were randomly assigned to a standard 8-week MBSR class, and the other half of participants were assigned to an 8-week Brain Health class matched for schedule, instructor, and format. Participants were assessed pre- and post-intervention by blinded examiners on a neuropsychological battery that included primary outcome measures of psychological and cognitive functioning. Participants were also given an anonymous questionnaire following the post-intervention testing session to measure class satisfaction.ResultsBoth the MBSR and Brain Health classes were rated favorably by participants. Recruitment and retention rates were high, and methods for participant randomization and examiner blinding were successful. Class implementation in terms of execution was also successful, as rated by outside experts.ConclusionsThis study established the feasibility of conducting MBSR and Brain Health classes in a chronic stroke population.Trial Registrationhttps://ClinicalTrials.gov, NCT #: 02600637

Efficacy of mindfulness‐based stress reduction on fear of emotions and related cognitive behavioral processes in Chinese University students: A randomized controlled trial

AbstractFear of losing control over one's emotions has gained increased research interest. Mindfulness‐based stress reduction (MBSR) has been found to improve emotional disturbance in clinical and nonclinical samples. However, no studies have concurrently examined the direct effects of MBSR on reduced fear of emotions among university students in Chinese culture, as well as its indirect effects on reduced fear of emotions via improvements in the cognitive‐behavioral processes. A total of 106 college students were randomly assigned to MBSR or to a control group. Assignment to the MBSR intervention led to increases in mindfulness and decentering, and decreases in rumination, emotion regulation difficulties, Affective Control Scale (ACS)‐anger, ACS‐depression, ACS‐anxiety, ACS‐positive emotion and total ACS score, as compared to the control group. The reduction of fear of positive emotion was less than that in fear of anger, depression and anxiety. MBSR was effective to reduce the fear of emotions in college students. Moreover, college students in Chinese culture tended to have a more moderate experience of positive emotions. Attention (mindfulness) and thought (decentering and rumination) may be possible cognitive mechanisms for explaining how MBSR may reduce fear of emotions in college students. Our findings provide important information that can be applied to the design of future studies or mental health resources for reducing fear of emotions in university programs.

Pre-retirement Employees Experience Lasting Improvements in Resilience and Well-Being After Mindfulness-Based Stress Reduction.

The socio-economic benefits of interventions to prevent stress and related mental health problems are enormous. In the labor market, it is becoming desirable to keep employees for as long as possible. Since aging implies additional stressors such as increased risk of illness, and added pressure by professional tasks such as transferring knowledge, or learning new technologies, it is of particular relevance to offer stress-reduction to pre-retirement employees. Here, we report the effects of an eight-week Mindfulness-Based Stress Reduction (MBSR) intervention on mental well-being in 60–65-year-old work-active Danish employees, compared to a waiting-list control group. We observed improvements in resilience (Brief Resilience Scale) and mental well-being (WHO-5) not only at the end of the intervention, but also at the 12-month follow-up measurement that was preceded by monthly booster sessions. Interestingly, whereas well-being usually refers to experiences in the past weeks or months, we observed increasing Comfort in the MBSR-intervention group during a 5-minute eyes-closed rest session suggesting that this therapeutic effect of MBSR is measurable in how we feel even during short periods of time. We argue that MBSR is a cost-effective intervention suited for pre-retirement employees to cultivate resilience to prevent stress, feel more comfortable with themselves, maintain a healthy work-life in the last years before retirement, and, potentially, stay in their work-life a few more years than originally planned.

The use of mindfulness-based stress reduction (MBSR) for lung cancer patients: protocol for a systematic review and meta-analysis.

Mindfulness-based stress reduction (MBSR) intervention has been extensively applied in cancer patients for relieving symptom burden and its effectiveness has also been demonstrated. However, the effectiveness of MBSR on psychological and physical functions in lung cancer patients has not yet been determined. The aim of the present systematic review and meta-analysis seeks to determine the role of MBSR in lung cancer patients. A systematic search of PubMed, EMBASE, Cochrane Library, and China National Knowledgement Infrastructure (CNKI) will be carried out from their inception until to December 30, 2020. Studies investigating the comparative effects between MBSR and control groups on psychological and physical outcomes will be documented. Data concerning studies, patient characteristics, and outcomes will be extracted. Methodological quality of each eligible randomized controlled trial (RCT) will be assessed individually by two investigators independently using criteria recommended in the Cochrane Handbook for Systematic Reviews of Interventions 5.1.0. Meanwhile, Newcastle-Ottawa Quality Assessment Scale (NOS) will be used to assess methodological quality of non-randomized studies. All statistical analyses will be performed with RevMan and STATA softwares. The role of MBSR in lung cancer patients has not yet been demonstrated. This systematic review and meta-analysis will further determine the effectiveness of MBSR on psychological and physical outcomes and QoL among lung cancer patients, which will provide golden references for developing psychological interventions in order to improve patient care and designing future studies to bridge the gap between research findings and clinical practice. We registered the protocol of this systematic review and meta-analysis in Open Science Framework (OSF) platform with a registration DOI of 10.17605/OSF.IO/MWVBQ (available from: https://osf.io/mwvbq).

The effect of mindfulness-based stress reduction on resilience of vulnerable women at drop-in centers in the southeast of Iran

BackgroundFemale sex workers and addicted women are among the vulnerable groups who impose high costs on the health system of every society. They are prone to psychological problems such as anxiety, stress, and reduced resilience due to their lifestyles. Since mindfulness-based stress reduction (MBSR) has been applied frequently by many psychotherapists to treat stress and anxiety, the present study investigated the effectiveness of MBSR on resilience of the vulnerable women.MethodsThe statistical population of this quasi-experimental study consisted of all eligible women who referred to the drop-in centers in Kerman in the southeast of Iran. Followed by random sampling, 63 vulnerable women were randomly assigned into the intervention (n = 30) and control (n = 33) groups. The MBSR intervention was conducted for the intervention group in eight 90-min sessions. Demographic information questionnaire and Connor-Davidson resilience scale were administered to collect data prior to and one month after the MBSR intervention.ResultsThe pre-test resilience score was not significantly different between the intervention (53.40 ± 10.49) and the control (54.5 ± 9.27) groups (t = 0.43, p = 0.66). However, the posttest resilience score in the intervention group (60.66 ± 6.71) was significantly higher than the control group (53.88 ± 7.54) (t = 3.58, P = 0.001). Moreover, a comparison between the pretest and posttest scores revealed a significant decrease in resilience scores of the control group (t = 2.81, p = 0.009).ConclusionSince MBSR intervention increased resilience of the vulnerable women in the intervention group, researchers, managers, counselors, community health nurses, and psychiatric nurses are suggested to implement related interventions to promote the health of women, especially vulnerable ones.

Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial

BackgroundThe rate of traumatic brain injuries (TBIs) due to the accidents is high around the world. Patients with mild TBIs may suffer from some psychological disorders, including aggression, and mental fatigue, and thus their quality of life decreased. Among different treatments for TBI, two treatments, namely transcranial direct current stimulation (tDCS), and mindfulness-based stress reduction (MBSR) have shown to be effective. Therefore, this study aimed to compare the effects of these two treatments on mental fatigue, aggression and quality of life in mTBI patients.Materials and methodsThis randomized controlled trial study was conducted on 48 TBI patients referred to emergency and neurosurgery departments of Shahid Beheshti Hospital, Kashan, Iran. They were selected using the convenience sampling method. Data were collected using the mental fatigue scale, the World Health Organization Quality of Life-BREF (short version), and the Buss–Perry Aggression Questionnaires. Then, the data were analyzed using a Mixed Repeated Measures ANOVAs, and the Levene and Kolmogorov–Smirnov tests by SPSS-23 software.ResultsThe mean age of patients in the three groups of MBSR, tDCS and control were 69.38 + 6.11 (25% male), 25.40 + 12.11 (25% male) and 69.37 + 0.2 (18.8% male), respectively. There was no significant difference between the three groups in terms of mental fatigue, quality of life and aggression (P < 0.05). In addition, the results showed that there was a significant difference between the main effect of time and the interaction between time and group (P < 0.001).ConclusionsBoth MBSR and tDCS methods are effective in reducing the mental fatigue and aggression and increasing quality of life of mTBI patients; MBSR treatment, as indicated in the present study, can be more effective than tDCS in patients with mTBI.Trial registration : Thailand Registry of Clinical Trials, TCTR20180827003 Registered on August 24, 2018.

Effects of 8‐week active mindfulness and stress management on decentering and anxiety during the COVID‐19 pandemic

The novel coronavirus infection has substantially increased over the last year causing a global pandemic. The rate of infection is persistently rising which has forced many authorities to promote stay at home orders. Individuals may experience an increase in anxiety due to spending longer durations at home, working from home, lacking direct social interactions with friends and family, monetary losses, and potentially getting infected from the virus. Increased anxiety for prolonged periods is linked to elevated blood pressure, heart attacks, and strokes. To evaluate the influence of the pandemic on psychological health, we conducted a study on effects of mindfulness based stress reduction (MBSR) and stress management education (SME). To analyze the effects of the pandemic on mental health of our participants, we compared a group which was not affected by the pandemic (NPG) to a group that was affected by the pandemic (PG). The primary aim of this study was to compare the effects of 8‐weeks active intervention of MBSR and SME in NPG and PG on state‐trait anxiety and decentering. 36 adults participated in the study. All the participants were randomly enrolled in either 8‐weeks of MBSR or SME training. The NPG had 19 participants with 10 in MBSR and 9 in the SME group. The PG had 17 participants with 8 in MBSR and 9 in SME group. The MBSR group had weekly group sessions of ~2.5h on body scanning, meditation and light yoga while the SME group had concurrent sessions on nutrition, sleep, and stress management. Both the groups also did home practice daily for ~45 minutes. The NPG met in person for each of the 8 weeks, but the PG completed the last 4‐weeks of the course online due to a stay‐at‐home mandate at the time in Michigan. All the participants filled out a questionnaire on state anxiety, trait anxiety and decentering before and after the 8‐weeks. A ReANOVA was used to compare the differences across the 8 weeks, with condition (PG vs. NPG) as a between‐subjects factor. The results showed that there was a significant increase in decentering in PG after the 8‐weeks (treatment x condition and time x condition both p<0.03). The SME participants (Δ5.6±1.5 a.u., p=0.007) and MBSR participants (Δ3.5±0.7 a.u., p=0.002) significantly improved their ability to decenter during the pandemic. State anxiety did not change across the 8‐weeks of SME or MBSR in either the NPG or PG. Trait anxiety was reduced across the 8‐week intervention groups (time p=0.043) with MBSR participants decreasing by (Δ3.4±2.8 a.u.) and SME participants decreasing by (Δ0.9±1.7 a.u.). In this small cohort of adults, the 8‐week MBSR and SME interventions helped to reduce trait anxiety, and significantly improved the ability to decenter (disconnect from emotions) during the global pandemic. In addition, there was not an increase in state‐anxiety during the pandemic, which may be at least partially due to active participation in MBSR and SME. These are encouraging results that indicate MBSR and SME can positively influence psychological health, and to help disconnect from emotions during an unprecedented global health crisis.

Mindfulness-Based Stress Reduction Interventions for Mood in Older Adults: How Do Qualitative Experiences Inform Clinical Response?

Older adulthood presents unique challenges to mental health. We explored how a mindfulness training intervention adapted for older adults addressed these challenges, contributing to a qualitative profile of mindfulness pedagogy for older adults. Mindfulness-based stress reduction (MBSR) was adapted for a geriatric community sample with elevated depressive symptoms. Intervention effects were examined through a combination of scale-based assessment and qualitative interviews. Scales measured depressive symptoms, cognitive function, quality of life, and mindful attitudes. Interviews assessed stressors, goals, perceived obstacles, outcomes, and practice habits. A grounded-theory approach was used to identify responses in each category. Multiple regression analyses were used to identify qualitative responses that best predicted symptom reduction. The program was well-tolerated, positively endorsed, and associated with reduced depressive symptoms. Qualitatively, participants who identified family and mood as their primary stressors benefitted the most from course participation. A focus on present moment awareness was associated with decreased depressive symptoms, whereas a focus on hedonics, i.e., “feeling good,” was associated with poorer treatment outcomes. Participants maintained strong future practice intentions and preferred guided meditations to self-directed practice. The adapted MBSR program was well-tolerated and efficacious in a geriatric community sample. Efficacy may be improved by emphasizing skill development outcomes rather than achievement of positive feeling states, and by prioritizing program referrals for coping with socioemotional rather than environmental stressors. Future research could extend this mixed-methods approach to deepen our understanding of the relationship between participants’ lived experiences and clinical outcomes.

Mindfulness interventions improve momentary and trait measures of attentional control: Evidence from a randomized controlled trial.

Mindfulness interventions have been shown to improve several subcomponents of attention; however, the psychological mechanisms driving these improvements are unknown. Mindfulness interventions train individuals to monitor present moment experiences while adopting an attitude of acceptance toward these experiences. We conducted a theoretically driven randomized controlled trial to test the putative mechanisms of mindfulness training that drive improvements in attentional control. Participants were randomly assigned to 1 of 3 conditions: (a) monitor and accept (MA) training, a standard 8-week mindfulness-based stress reduction (MBSR) intervention that included cultivation of both monitoring and acceptance skills; (b) monitor only (MO) training, a well-matched modified 8-week MBSR-adapted intervention that focused on monitoring skills only; or (c) no treatment (NT) control. Momentary attentional control was measured via ecological momentary assessment for 3 days at baseline and postintervention. Trait attentional control was assessed at baseline and postintervention using traditional self-report. Participants also completed a dichotic listening task to assess sustained attention at baseline and postintervention. We found that MA and MO participants improved in momentary and trait attentional control (but not attention task performance) relative to NT participants. Analyses of indirect effects were consistent with the possibility that increased momentary attentional control partially accounts for MA/MO intervention-related increases in trait attentional control. This randomized controlled trial provides one of the first experimental tests of the mechanisms of mindfulness interventions that drive improvements in attention outcomes. These findings support the notion that present-focused monitoring skills training drives mindfulness intervention-related improvements in momentary attentional control, which in turn fosters greater trait attentional control. (PsycInfo Database Record (c) 2021 APA, all rights reserved).