Mindfulness Research Articles

Mechanism of Action of Mindfulness-Based Interventions for Pain Relief-A Systematic Review.

Background: Currently, no systematic evidence synthesis of the mechanism of action of mindfulness-based approaches exists for pain conditions. Aim: To identify and synthesize experimental and clinical studies examining aspects of the mechanism of action of mindfulness for pain relief. Methods: The following databases and search interfaces were searched: Embase (via Embase.com) and Medline (via PubMed). Additional references were identified via bibliographies of included studies. The following were the inclusion criteria applied: (1) original studies published in peer-reviewed journals, (2) in adult populations that (3) examined the mechanism of action of mindfulness meditation on pain outcomes or (4) provided conclusions regarding the potential mechanism of action of mindfulness meditation. The studies were selected by two independent reviewers. Discrepancies were resolved by discussion. Results: A total of 21 studies published in English met the inclusion criteria, of which 5 studies were clinical studies, which included patients with chronic pain, and 16 studies used experimental pain induction. The investigation into brain mechanisms through functional magnetic resonance imaging and diffusion tensor imaging revealed mindfulness meditation's ability to modulate brain activity, particularly in the anterior cingulate cortex, anterior insula, and orbitofrontal cortex, and to enhance structural and functional connectivity in regions associated with pain perception. Regarding the role of opioids, findings across five studies indicated that the analgesic effects of mindfulness are maintained even when opioid receptors are blocked, suggesting a nonopioidergic pathway for pain modulation. Pain perception studies highlighted that mindfulness practices foster pain acceptance and modify pain control beliefs, serving as key mediators in improving pain outcomes. For experienced versus novice mindfulness practitioners, results demonstrated that long-term practice enhances pain threshold and reduces pain unpleasantness through increased activity in salience and attentional control regions. Conclusion: This systematic review highlights mindfulness meditation as a multifaceted approach to pain management, utilizing mechanisms such as cognitive and emotional reappraisal, nonopioidergic pathways, and enhanced attention in control regions. It emphasizes the role of mindfulness in fostering pain acceptance and altering pain control perceptions, showcasing its broad impact on the neurological and experiential dimensions of pain. However, the predominance of studies on healthy subjects and methodological variations across experiments necessitates careful interpretation of the findings. The review calls for further research to explore the mechanisms of mindfulness in chronic pain populations more deeply, distinguishing the specific effects of mindfulness from nonspecific effects and expanding its applicability in clinical settings for chronic pain management.

A Qualitative Analysis of a Mindfulness-Based Stress Management Program to Reduce Stress and Burnout for Health Care Staff.

Occupational stress in the work setting can lead to burnout. Health care workers are at a higher risk of experiencing stress and burnout. Mindfulness has gained momentum as a coping mechanism for stress and feelings of burnout, although it is unknown which mindfulness practices are the most effective for reducing feelings of occupational stress. The purpose of the qualitative portion of this mixed-methods study was to explore health care staff's perceptions of the characteristics of mindfulness interventions that were effective in reducing their stress and feelings of burnout. Health care staff consisting of nurses, State Tested Nursing Aides, housekeeping staff, culinary staff, activities staff, social workers, and chaplain staff (N =48) in a senior care and rehabilitation setting in a Midwestern city were invited to attend a semi-structured focus group, post-intervention. Thematic analysis was used to identify 3 main themes: ease of use promotes effective implementation, positive impact of mindfulness on self and others, and home- and work-related factors affect implementation. Overall, participants perceived benefit from various mindfulness practices for reducing their feelings of stress and burnout in the workplace. Guidance, ease of use of the mindfulness practice, and addressing barriers such as time and location can help with implementation.

Effects of app-based relaxation techniques on perceived momentary relaxation: Observational data analysis in people with cancer

ObjectiveTo examine the effects of six relaxation techniques on perceived momentary relaxation and a possible association of relaxation effects with time and practice experience in people with cancer. MethodsWe used data from participants with cancer in a larger study practicing app-based relaxation techniques over 10 weeks, assessed momentary relaxation before and after every third relaxation practice, and analyzed momentary relaxation changes with a linear mixed-effects model. ResultsThe sample included 611 before-after observations from 91 participants (70 females (76.9%)) with a mean age of 55.43 years (SD 10.88). We found moderate evidence for variations in momentary relaxation changes across different techniques (P = .026), with short meditation, mindfulness meditation, guided imagery, and progressive muscle relaxation more frequently observed and leading to more relaxation than body scan and walking meditation. Furthermore, we found moderate evidence for increasing momentary relaxation changes over time (P = .046), but no evidence for an association between momentary relaxation and the number of previous observations (proxy for practice experience; P = .47). ConclusionWe compared six app-based relaxation techniques in a real-life setting of people with cancer. The observed variations in perceived momentary relaxation appear to correspond with the popularity of the techniques used: The most popular relaxation techniques were the most effective and the least popular were the least effective. The effects increased over time, likely caused by dropout of individuals who gained no immediate benefit. Our findings open an interesting avenue for future research to better understand which relaxation techniques work best for whom in which situations. Trial RegistrationDRKS00027546; https://drks.de/search/en/trial/DRKS00027546

Optimal Dosage and Session Structure of Mindfulness-Based Programming for Youth Across Developmental Periods: Delphi Approach Outcomes

Purpose Research of mindfulness-based programming/interventions (MBP) for youth has proliferated in recent years; however, heterogeneity of MBP for youth impede determination of optimal programmatic structure across developmental periods. Design/Approach/Methods Expert MBP scientists and instructors were iteratively surveyed using the Delphi method to assess optimal MBP session structure across developmental periods. Findings Survey Round 1 defined the participants’ perspective of ideal structure across early childhood, middle childhood, and adolescence. In Survey Rounds 2 and 3, participants considered the preceding Round's results (means and SDs) and indicated what they believed was the ideal structure of a single MBP class. Final results following the Round 3 survey indicated that MBP session period should be progressively longer relative to the developmental time period (early childhood mean = 20.0 min; middle childhood mean = 34.5 min; adolescence mean = 50.0 min); that roughly half of a youth MBP session should be dedicated to mindfulness practice; and that progressively more time should be allocated to didactic instruction and discussion, relative to mindfulness practice, as youth become older. Originality/Value These findings are the first to report expert feedback on the ideal structure of a youth MBP session, and results have significant implications for future youth MBP evaluation, implementation, and curriculum development.

Could Mindful Meditation be a Routine Therapeutic Intervention in Practice?

Although mindfulness meditation has become more and more well-liked as a therapeutic technique in recent years, it might not be appropriate for every person or situation. Although mindfulness meditation has been shown to be beneficial for reducing stress, anxiety, and depression, its effects may not be felt by all people. Furthermore, some people could find it challenging to practice mindful meditation because of a variety of obstacles, like attentional or cognitive impairments. It is pivotal to consider the unique demands of every client in a professional context and design interventions accordingly. It’s also critical to understand that, where appropriate, mindful meditation should be utilized in addition to other evidence-based therapies rather than being viewed as a one-size-fits-all remedy. Because of this, mindful meditation should not be used as the only therapeutic intervention in practice, even if it can be a useful tool in increasing mental well-being.

Mindful Meditation: A Potential Effective Therapeutic in Clinical Practice

Mindful meditation, a practice that entails directing one’s attention to the current moment without forming judgments, has been acknowledged as a potentially efficacious therapeutic intervention in clinical settings. Evidence indicates that mindfulness-based interventions can effectively assist individuals in coping with a range of mental health conditions, including anxiety, depression, and stress. Through the cultivation of enhanced self-awareness and emotional control via mindfulness practices, individuals have the potential to experience a decrease in symptoms, an increase in well-being, and an overall improvement in their quality of life. Furthermore, practicing mindfulness meditation can result in alterations in the structure and functioning of the brain, which are linked to improved cognitive capacities and emotional regulation. Integrating mindful meditation into clinical practice can offer patients valuable strategies for dealing with difficult situations and enhancing their long-term mental well-being and resilient ability.

Evaluating the effects of brief mindfulness practice on attentional control and episodic memory

ABSTRACT Mindfulness refers to a mental state of present awareness that involves non-judgmental acceptance of current cognitions and emotions. Building on reported clinical benefits (e.g. reduced anxiety/depression), minfulness engagement may similarly facilitate attention and memory processes as practitioners repetitively inhibit distracting thoughts and direct attention to the present moment. Experiment 1 gauged the relationships between trait mindfulness and practice frequency and performance on attention and episodic memory tasks. Experiment 2 evaluated attention and memory performance following a brief mindfulness intervention consisting of two 5-minute mindfulness sessions. No consistent relationships were found between trait mindfulness and practice frequency and attention and memory performance in Experiment 1. Further, brief engagements in mindfulness failed to benefit attention and memory versus a control group in Experiment 2. Engagement in brief mindfulness sessions do not appear to produce short-term improvements in attention and memory, suggesting that cognitive benefits following mindfulness may only emerge following long-term practice.

Algorithm-Based Modular Psychotherapy Alleviates Brain Inflammation in Generalized Anxiety Disorder.

Generalized anxiety disorder (GAD) is marked by prolonged and excessive worry, physical signs of anxiety, and associated neuroinflammation. Traditional treatments, like pharmacotherapy and cognitive-behavioral therapy (CBT), often leave residual symptoms and have high relapse rates. This study aimed to explore the efficacy of algorithm-based modular psychotherapy (MoBa), a combination of CBT and mindfulness meditation as validated by the research domain criteria (RDoC), in reducing anxiety and neuroinflammation in GAD. A longitudinal design was used, with 50 patients with GAD undergoing a 12-week MoBa treatment. The patients were investigated pre- and post-treatment using MRI to measure neuroinflammatory markers (DBSI-RF, diffusion-basis spectral imaging-based restricted fraction) in the hippocampus, amygdala, and neocortex. Clinical symptoms were assessed using the Hamilton Anxiety Rating Scale (HAM-A) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Results indicated significant reductions in both anxiety symptoms and MRI RF values in the amygdala, suggesting decreased neuroinflammation. A reduction in anxiety was associated with the amelioration of neuroinflammation in the amygdala. These results suggest that MoBa is effective in alleviating both the psychological and neuroinflammatory aspects of GAD, offering a promising personalized treatment approach. Future research should focus on long-term effects and the mechanisms through which MoBa impacts neuroinflammation and anxiety.

Connecting Mindfulness Practice to Generative Semiotic Activity—Self-Other Referent in Umwelt and Semiosphere

In this comment paper on von Fircks (2023a), I would like to focus on four issues and offer some reflections on them: first, what is happening in the process of a new I arising through mindfulness meditation practice? I would like to supplement the dialogue between Buber and Rogers in 1957 on the dynamism of I and Me, which is the basis of Mead's theory of self formation, in which I and Me separate, discover and meet a new self. The second, is that meditation, which at first glance appears to be an internal meditation practice and a personal activity, leads to a semiotic mediated social process. The Tao and early Buddhist ideas that form the background to the experiential process of mindfulness meditation will be reviewed, and the significance of people experiencing the interdependence of non-human nature and the environment through the practice will be discussed. Third, connecting this to the idea of Umwelt (Uexküll) and the semiosphere (Lotman), an attempt is made to extend the otherness as a collating body of self formation to Umwelt. Fourth, mindfulness meditation focuses attention on the breath. In relation to Mead's focus on the environment under the skin, i.e. corporeality, I will supplement the psychological meaning of cultivating the body's sense of interoception through the sensing of repetitive movements of tension and relaxation. Through the above, what kind of semiotic mediating function does mindfulness meditation have in relation to the construction of the new I, and how does it lead to the creation of social meaning? We would like to discuss these points.Clinical Trial RegistrationThe article does not contain any studies with clinical trial. This, clinical Trial registration is not applicable.

Altered states of consciousness caused by a mindfulness-based programme up to a year later: Results from a randomised controlled trial.

Mindfulness-based programmes (MBPs) have shown beneficial effects on mental health. There is emerging evidence that MBPs may also be associated with marked deviations in the subjective experience of waking consciousness. We aimed to explore whether MBPs can have a causal role in different types of such states. We conducted a pragmatic randomised controlled trial (ACTRN12615001160527). University of Cambridge students without severe mental illness were randomised to an 8-week MBP plus mental health support as usual (SAU), or to SAU alone. We adapted the Altered States of Consciousness Rating Scale (OAV, 0-100-point range) to assess spontaneous experiences in daily life, and included it as a post-hoc secondary outcome at the end of the one-year follow-up questionnaire. Two-part model analyses compared trial arms, and estimated dose-response effects of formal (meditation) and informal (daily activities) mindfulness practice during the year. Sensitivity analyses correcting for multiple comparisons were conducted. We randomised 670 participants; 205 (33%) completed the OAV. In comparison with SAU, MBP participants experienced unity more frequently and intensively (two-part marginal effect (ME) = 6.26 OAV scale points, 95% confidence interval (CI) = 2.24, 10.27, p = 0.006, Cohen's d = 0.33) and disembodiment more frequently (ME = 4.84, 95% CI = 0.86, 8.83, p = 0.019, Cohen's d = 0.26). Formal practice predicted spiritual, blissful and unity experiences, insightfulness, disembodiment, and changed meanings. Informal practice predicted unity and blissful experiences. Trial arm comparisons and informal practice effects lost significance after corrections for multiple comparisons, but formal practice dose-response effects remained significant. Results provide a novel suggestion of causal links between mindfulness practice and specific altered states of consciousness. To optimise their impact, practitioners and teachers need to anticipate and handle them appropriately. Future studies need to confirm findings and assess mechanisms and clinical implications.

Examining the Role of Mindfulness in Alleviating Death Anxiety

Death anxiety, defined as strong worry and concern about death and dying, can have a substantial impact on a person's mental health and quality of life. This study investigates the effectiveness of mindfulness activities in reducing death anxiety by encouraging a present-focused and welcoming mindset. Mindfulness, which includes essential features such as observing, describing, responding with awareness, being nonjudgmental, and remaining nonreactive, is thought to lower the intensity of death dread through improved emotional control and cognitive processing. The study investigates how mindfulness promotes a more balanced and less reactive approach to existential problems. Mindfulness activities teach people to examine their thoughts and feelings without judgment, narrate their experiences in a non-evaluative manner, act with heightened awareness, and create an attitude of acceptance and non-reactivity. This strategy can reduce the avoidance and denial that are commonly linked with death dread, allowing for a more healthy processing of mortality-related ideas. The study's findings indicate that people who practice mindfulness on a daily basis have lower levels of fear about death. These strategies serve to shift the focus away from future- oriented anxieties and towards present-moment sensations, lessening the cognitive and emotional load of death-related thoughts. The study emphasizes the therapeutic potential of mindfulness-based therapies in clinical settings and advocates for their incorporation into mental health treatment regimens to address death anxiety and other existential issues. Individuals who cultivate a conscious approach to death may increase their psychological resilience, enjoy more emotional stability, and acquire a deeper sense of inner peace. The findings of this study highlight the value of mindfulness as a potent strategy for reducing death anxiety and promoting general mental well-being.

Mindful self-care among oncology nurses in China: a latent profile analysis

BackgroundOncology nurses are considered the group with the highest risk for moral distress, compassion fatigue and burnout. Mindful self-care may help oncology nurses improve their well-being and solve psychological problems. However, the investigation and in-depth analysis of mindful self-care among oncology nurses in China is lacking.ObjectivesTo identify heterogeneity groups of oncology nurses on mindful self-care ability and examine the sociodemographic correlation to these profiles.DesignCross-sectional descriptive study.ParticipantsThe study was carried out among oncology nurses in two affiliated comprehensive hospitals and one affiliated oncology hospital. A total of 839 oncology nurses were enrolled in this survey.MethodsFrom January to May 2023, a cross-sectional study was carried out among oncology nurses using convenient sampling. The subjects were given the brief Mindful Self-Care Scale (B-MSCS) and the General Demographic Information Questionnaire. Latent profile analysis using the Mplus 7.4 program was used to separate oncology nurses’ mindful self-care into a variety of subgroups. The SPSS 25.0 statistical program was used to analyze the data. One-way ANOVA and the chi-square test were performed to compare the score of B-MSCS in each class and the difference in sociodemographic characteristics among the subgroups. Multinomial logistic regression was used to examine the influence of the sociodemographic variables on each class.ResultsThe total score of the B-MSCS was 76.40 ± 13.19. The support structure dimension had the highest score, with an average mean value of 3.60, and physical care had the lowest score at 2.57. The findings of the latent profile analysis showed that respondents were divided into three classes, moderate mindful self-care(51.2%), low-low mindful relaxation(14.8%), and high-high mindfulness self-awareness(34.0%). Across scale scores and dimensions, three groups demonstrated statistically significant differences (p < 0.05). Univariate analysis revealed significant differences between the three profiles in terms of professional title, position, concern about self-care, interest in mindfulness, and experience with meditation (p < 0.05). Profile membership was predicted by 3 factors, namely, self-care status, interest in mindfulness, and experience with meditation.ConclusionThe mindful self-care among oncology nurses can be categorized into three latent profiles: moderate mindful self-care, low-low mindful relaxation, and high-high mindfulness self-awareness. Multinomial logistic regression results indicated that whether oncology nurses concern about self-care, interest in mindfulness and have experience with meditation influenced different latent profiles. Nursing manager should develop targeted intervention based on the typological characteristics of the oncology nurses to improve their mindful self-care ability and mental health.

Mindfulness Meditation and the Meaning of Life

Throughout the history of philosophy, ethics has often been a source of guidance on how to live a meaningful life. Accordingly, when the ethical foundations of mindfulness are considered, an important question arises concerning the role of meditation in providing meaning. The present article proposes a new theoretical route for understanding the links between mindfulness meditation and meaningfulness by employing the terminology of Susan Wolf’s contemporary philosophical account of a meaningful life. It opens by examining the question of what kinds of life-meanings are made available by Buddhist doctrine, considering the two alternatives of a cosmic, human-independent meaning of life versus the subjective meanings that humans give to their individual lives. After surveying current psychological theories that aim to explain the correlation between mindfulness as a trait and meaning in life, all of which see mindfulness as a mediating factor in the production of meaning, I argue that Wolf’s framework offers a promising theoretical basis for clarifying the relationship between mindfulness and meaning in that it explains why mindfulness has a direct bearing on meaning in life. I then show that mindfulness meditation, as understood in Buddhism, can respond to some of the philosophical worries that arise from Wolf’s theory, specifically her concern with the standards for securing the objective value of meaningful activities and projects. My claim is that mindfulness meditation is representative of a broader class of activities that are non-subjectively valuable insofar as they are required for any exploration of objective meaning or standards of values, as well as for engagement in objectively valuable projects and activities.

Use of biobehavioral interventions in children undergoing surgery and associated patient-reported outcomes

Background: Biobehavioral interventions including relaxation, distraction, and mindfulness meditation exercises have been shown to decrease perioperative stress, anxiety, and pain. Our aims were to 1) quantify pediatric surgical patient-reported pre-operative exposure to and post-operative use of biobehavioral interventions; 2) understand barriers and facilitators to incorporation of biobehavioral interventions into clinical practice; and 3) evaluate associated patient-reported outcomes. Methods: We conducted an embedded mixed-methods study with a quantitative focus. Data were collected as part of the 18-hospital ENhanced Recovery In CHildren Undergoing Surgery (ENRICH-US) clinical trial for children, ages 10–18 years, undergoing elective gastrointestinal surgery. Patients/caregivers were surveyed about preoperative exposure to and postoperative use of biobehavioral interventions. Four semi-structured group interviews with 20 pediatric surgery providers were conducted. Outcomes included pain-related functional disability, health-related quality of life (HRQoL), and perioperative nervousness. Results: 41 % (n = 67) of 164 enrolled patients/caregivers reported preoperative exposure to and 71 % (n = 117) reported postoperative use of a biobehavioral intervention(s). Barriers to incorporation of biobehavioral interventions included lack of standardized workflows, clinician knowledge, and resources. Potential facilitators included media and peer-counseling. After adjusting for individual and hospital characteristics, those who reported using a biobehavioral intervention(s) were 70 % less likely to report worsened postoperative nervousness (95 % CI 0.10–0.91; p = 0.03). Reported use of a biobehavioral intervention(s) was not found to be associated with pain-related functional disability or HRQoL. Conclusions: Use of a biobehavioral intervention(s) may stabilize postoperative nervousness of children undergoing surgery. There is a need for redesign of clinical workflows and clinician training to facilitate integration of biobehavioral interventions.

Analysis of the Efficacy of Mindfulness Meditation in a Mutual Aid Group for Bipolar Disorder

Analysis of the Efficacy of Mindfulness Meditation in a Mutual Aid Group for Bipolar Disorder

A mixed method feasibility and acceptability study of a flexible intervention based on acceptance and commitment therapy for patients with cancer.

This study aimed to propose an innovative, open, and circular program that combines acceptance and commitment therapy (ACT) and mindfulness practices. We assessed its feasibility, acceptability, and first signs of its effect on psychological wellbeing in cancer support treatment. A single-center, single-arm, uncontrolled study was performed. Forty adult patients with non-metastatic prostate or breast cancer, newly diagnosed or undergoing treatment (chemotherapy, radiotherapy, hormone therapy), were recruited. Three cycles of three MAEva program sessions (MAEva: Mindfulness meditation, Acceptance, and Commitment to values program) over nine consecutive weeks were proposed. During the total of 12 weeks of follow-up, after attending the first session, patients were free to attend subsequent sessions. Adherence to the study was high, with participation in an average of 6.8 out of nine sessions. A total of eight patients attended all sessions over the three cycles, and 90% participated in at least one cycle. Furthermore, attendance was associated with a statistically significant improvement in Quality of Life (QoL). Each additional session was associated with a mean increase in overall QoL score of more than one point (β = 1.09 [0.13; 2.04], p = 0.02). The fatigue dimensions decreased with session attendance: physical (β = -2.24 [-3.63; -0.85]), emotional (β = -2.60 [-4.11; -1.09]), and interference with daily life (β = -2.33 [-3.95; -0.72]). The qualitative section demonstrated that patients learned skills and shared their ability to "let go". Patients rated the degree of importance of the program at 8.36/10 (SD ± 1.64). This study highlights the feasibility and acceptability of an original program that combines ACT and mindfulness practices in cancer patients. Future studies are required to demonstrate the efficacy of the MAEVA program. The MAEva pilot study is registered with ClinicalTrials.gov under the identifier NCT04751201. https://classic.clinicaltrials.gov/ct2/show/NCT04751201, identifier [NCT04751201].

Connecting Mindfulness and the Affective Learning Domain

In a difficult post-pandemic world, far too many students report feelings of loneliness, anxiety, and depression. In response to this mental health crisis, educators increasingly emphasize affective or social and emotional learning. Mindfulness practices, implemented in and outside of the classroom, are potentially valuable affective learning tools.

P-460 Study on the current status and influencing factors of emotional suppression in women undergoing in vitro fertilization-embryo transfer

Abstract Study question Exploring the Current Levels of Emotional Suppression in Women Undergoing In Vitro Fertilization-Embryo Transfer and Analyzing its Influencing Factors. Summary answer Factors influencing emotional suppression in infertile women: residence, treatment costs, infertility causes, miscarriage history, personality type, marital adjustment, self-pity, and medical coping. What is known already Emotional suppression refers to the conscious suppression of negative emotional expression and the behavior of hiding negative emotions. Emotional suppression often hides beneath a cheerful exterior and isn’t easily detected by medical professionals. If left unchecked, it can easily lead to the breakdown of a patient’s psychological defenses. Long-term emotional suppression can result in severe anxiety and depression. Clinical studies have found that couples seeking in vitro fertilization (IVF) treatment exhibit significant levels of stress, depression, and anxiety, which often indicate poor pregnancy outcomes. it’s necessary to understand the levels of emotional suppression and influencing factors in women undergoing IVF-ET. Study design, size, duration Cross-sectional survey was conducted in Hunan Province from May 1, 2023, to September 30, using a random sampling method to select a reproductive specialized hospital According to Sun’s book “Medical Statistics” (2014), the sample size for a multifactorial study should be 10-20 times the number of variables. With 36 variables in this study and accounting for a 10% rate of invalid questionnaires, the required sample size was 396-792. 810 questionnaires were distributed, and 791 were collected. Participants/materials, setting, methods Inclusion criteria: Infertility diagnosed per WHO standards; Eligible for assisted pregnancy via IVF-ET and enrolled in a cycle. Exclusion criteria:History of mental illness or psychiatric disorders;Hearing, visual, language impairments The surveys utilized in this study included the Emotional Suppression Scale, Locke-Wollance Marital Adjustment Questionnaire, Self-Pity Scale, and Medical Coping Style Questionnaire. Statistical analyses, such as descriptive analysis, t-tests, analysis of variance, Mann-Whitney U test, Pearson correlation analysis, and multiple linear regression analysis, were conducted using SPSS 26. Main results and the role of chance The average emotional suppression score of 791 women undergoing IVF-ET was 27.97±6.39. Correlation analysis indicated a negative relationship between emotional suppression and marital adaptation, self-pity, and medical coping styles, while a positive association was observed with the production dimension of medical coping styles. Multiple linear regression analysis revealed that factors such as place of residence, infertility cost, infertility factors, history of miscarriage, personality type, marital adaptation, self-pity, and confrontation and yielding dimensions of medical coping styles significantly influenced emotional suppression in women. The independent variables in the regression equation explained 50.1% of the variance in emotional suppression and the equation was statistically significant. Women exhibited a moderate level of emotional suppression, with the emotional camouflage dimension scoring the highest. Healthcare professionals need to assess emotional suppression in patients and provide personalized psychological counseling interventions. Encouraging positive coping strategies, involving patients in treatment decisions, providing education, and facilitating communication with successful pregnancy cases can help patients face their condition more effectively. Mindfulness interventions and meditation can also be recommended to enhance self-compassion and acceptance. Additionally, comprehensive health education for both patients and their partners, promoting open emotional communication, and fostering mutual support can contribute to reducing emotional suppression in infertility patients. Limitations, reasons for caution This study is a cross-sectional survey. Future research could adopt a longitudinal design to further explore the levels of emotional suppression in women at different stages. This study only investigated women in Hunan Province, which may introduce bias. The emotional suppression levels of infertile couples across China could be investigated. Wider implications of the findings Medical professionals should prioritize addressing the emotional distress of introverted women residing in rural areas, who have spent over 10,000 yuan, undergone three or more abortions, and are experiencing female-factor infertility. Patients can be encouraged to adopt positive coping mechanisms by enhancing their self-compassion levels and adjusting their marital relationships. Trial registration number 2023372

On the journey from cognizance toward thriving: Iranian EFL teachers’ engagement in reflective practice and professional development: the mediating effect of teacher mindfulness

ABSTRACT This study investigated the crucial role of teaching in society and the inquiry into effective teaching qualities. It underscored the prominence of mindfulness in teaching, as well as the ongoing process of reflective practice within the realm of EFL educators. The research aimed to create a model illuminating the relationships between EFL teachers’ reflective practice, teacher mindfulness, and professional development. It also delved into the mediating role of teacher mindfulness in this context. To attain this research objective, a convenience sampling method was utilized, leading to the selection of 150 EFL teachers from private language institutions across different provinces in Iran. Employing a quantitative methodology three distinct questionnaires were utilized to gather data. Subsequently, the information was examined through the application of Partial Least Squares Structural Equation Modeling (PLS-SEM). The structural model evaluation indicated significant path coefficients reinforcing all research hypotheses, with mindfulness functioning as a significant mediator between reflective practice and professional development. It is implied that there is a conspicuous emphasis on integrating mindfulness and reflective practices into educational policies and curricula to cultivate continuous growth and development among teachers.

The effect of mindfulness meditation therapy on performance, pre-competition stress, and salivary cortisol in female pistol shooters

Aim: This study aimed to investigate the effect of a 6-week mindfulness meditation therapy (MMT) program on shooting performance, and pre-competition stress and salivary cortisol levels of female shooters. Material and methods: Nineteen shooters (mean standard deviation for age: 15.51.5 years, and body mass index: 22.92.7 kg/m2) completed the study protocol among two groups: MMT (n=10) and control (n=9). The MMT group performed five 20-minute sessions per week of training, while the control group did not receive any intervention. 10 m pistol shooting performance, and pre-competition stress (using a standard scale) and salivary cortisol concentration (using an ELISA kit) were measured twenty-four hours before and after the intervention. The independent samples t-test and the paired samples t-test were used to compare the intergroup and intragroup differences, respectively, with a significance level set at p&lt;0.05. Results: No significant differences were found between the groups in the pre-test measurements (p&lt;0.05). Compared with the waitlist control shooters, shooting performance scores were higher (a 2.1% increase vs. a 0.2% reduction, p=0.030), while pre-competition stress (a 10.5% vs. a 1.7% reduction, p=0.002) and cortisol levels (a 23.8% vs. a 0.6% reduction, p=0.002) were lower in MMT group following the intervention.Conclusions: It seems that the six-week MMT program has a positive effect on the pistol shooting performance of female shooters by decreasing pre-competition stress and salivary cortisol level. Hence, the implementation of this psychological training protocol for female shooters is recommended.