Meditation and Compassion Therapy in Psychiatric Disorders: A Pilot Study

Introduction Our study aimed to compare meditation and compassion-based group therapy with the standard of care in patients with eating disorders, drug addiction, alcohol addiction, and depression, concerning acceptance, mindfulness awareness, self-compassion, and psychological distress. Methods A controlled designed study was performed, comparing meditation and compassion-focused group therapy added to the standard of care with the standard of care alone, on patients with eating disorders, drug addiction, alcohol addiction, and mood disorders. Four validated questionnaires were administered: the Acceptance and Action Questionnaire-II (AAQ-II), which assesses the ability to be fully in touch with the present moment; the Mindful Attention Awareness Scale (MAAS), which assesses the ability to experience consciously what is happening in the present moment; the Self-Compassion Scale (SCS), which assesses self-compassion characteristics, including loving-kindness; and the Symptom Checklist-90 (SCL-90), which measures psychological distress (anxiety, depression, psychotic behavior, etc.). Results There was a total of 75 subjects, out of which 48 represented the experimental group, and 27 represented the control group. The overall mean age of the subjects was 44.8 ± 13.2 years. There were statistically significant increases in the experimental group (baseline vs. end of study) for the AAQ-II, MAAS, and SCS scores, and a statistically significant decrease in the SCL-90 score. In the control group, there was a statistically significant decrease in the SCL-90 score, but no significant differences for other measurements. The comparisons between the two groups at the end of the study were as follows: AAQ-II: 0.7 (-5.74 to 7.15), p = 0.827; MAAS: 4.78 (-3.19 to 12.75), p = 0.233; SCS: 5.89 (-3.18 to 14.96), p = 0.199; SCL-90: -0.26 (-0.62 to 0.1), p = 0.157. Conclusion Within the experimental group, all scales improved statistically significantly. There were no statistically significant differences at the end of the study concerning the four scales between the groups. The comparison between groups was limited by data availability.

Do group-based mindfulness meditation programs enhance executive functioning? A systematic review and meta-analysis of the evidence

Research examining the effects of group-based mindfulness interventions on executive functioning have yielded inconsistent findings, with some reports of enhanced performance and other reports of null findings. Inconsistencies in the literature may be due to methodological differences across studies, including the type of control group employed and sample characteristics (e.g., clinical vs. non-clinical samples). The current systematic review and meta-analysis examined the effect of group-based mindfulness programs on executive functioning in persons 18+ years of age. Following the standards for systematic review, a total of 29 studies were included in the meta-analysis, of which 21 comparisons contributed to the analysis of inhibition; nine to working memory; nine to attention shifting; and four to the analysis of verbal fluency. After removing outliers, random effects models suggested a small but significant synthesized effect of group-mindfulness training on overall executive functioning (95% CI = 0.256, 0.725). Examination of executive subdomains after removing outliers suggested a small, statistically significant effect for inhibition (95% CI = 0.055, 0.387), working memory (95% CI = 0.010, 0.437), and verbal fluency (95% CI = 0.071, 1.931). No significant pooled effects were found for attention shifting. A priori subgroup analysis by randomization, type of control group, and sample cohort revealed inconsistent results. Overall, the current review suggests that the effect of group-based mindfulness training on executive functioning is not robust.

The effect of a six-week focused meditation training on depression and anxiety symptoms in Brazilian university students with 6 and 12 months of follow-up

BACKGROUND

Evidence shows high prevalence of depression and anxiety symptoms among university students. This study investigated whether a meditation-based program would help reducing these symptoms in this population.

METHODS

Non-randomized controlled trial investigating the effects of a six-week focused meditation training on depression (Beck Depression Inventory) and anxiety (Beck Anxiety Inventory) outcomes among university students. Participants were allocated into a meditation or waiting list control group. Assessment occurred pre and post intervention and only for the meditation group at 6 and 12 months follow-up. General linear model for repeated measures evaluated the intervention effect considering group and time factors, controlling for minor psychiatric disorders, gender and absence at meetings.

RESULTS

The meditation group presented a reduction in depression and anxiety symptoms after intervention compared to controls. Among the meditation group, depression (at 6 months follow-up) and anxiety (at 6 and 12 months follow-up) scores were lower for those who continued practicing.

LIMITATIONS

Non-randomization and absence of daily practice record (precluding dose-response gradient evaluation).

CONCLUSION

The meditation training was effective in reducing depression and anxiety symptoms, but the maintanance of these reductions only occurred for those who continued meditating. Permanent meditation programs may be an alternative for promoting mental health for university students.

The effects of Inquiry-Based Stress Reduction (IBSR) on mental health and well-being among a non-clinical sample

BACKGROUND

Mental problems are highly common among the general population. Mind-body interventions were found to be highly effective in treating them. The current study assessed the effect of Inquiry-Based Stress Reduction (IBSR) meditation on psychological parameters in a general population sample.

METHODS

Ninety-seven Participants enrolled in a 28-day workshop and completed a set of self-administered measures before and after the workshop. Outcome measures included Beck Depression Inventory-II (BDI-II), Quick Inventory of Depressive Symptomology-Self Report (QIDS-SR₁₆), Outcome Questionnaire OQ-45.2, The Quality of Life Inventory (QOLI), State-Trait Anxiety Inventory Form (STAI), State-Trait Anger Expression Inventory (STAXI) (State), Subjective Happiness Scale (SHS), Eating Attitudes Test (EAT).

RESULTS

BDI scale decreased significantly before and after the intervention. QIDS scale improved significantly from T1 to T2 (p < 0.001). Outcome questionnaire decreased significantly at T2. Quality of life scores improved significantly between T1 and T2 (p < 0.001). Anxiety state and trait scores decreased significantly after the intervention (p < 0.001) All the subscales of anger decreased significantly after the intervention (p < 0.001).Subjective happiness improved significantly (p < 0.001).

CONCLUSIONS

IBSR meditation improved various psychological scales among a general population sample. Further controlled studies should evaluate the clinical implementation of IBSR among the general population.

The effects of "The Work" meditation (Byron Katie) on psychological symptoms and quality of life--a pilot clinical study

OBJECTIVES

"The Work" is a meditative technique that enables the identification and investigation of thoughts that cause an individual stress and suffering. Its core is comprised of four questions and turnarounds that enable the participant to experience a different interpretation of reality. We assessed the effect of "The Work" meditation on quality of life and psychological symptoms in a non-clinical sample.

DESIGN

This study was designed as a single-group pilot clinical trial (open label). Participants (n = 197) enrolled in a nine-day training course ("The School for The Work") and completed a set of self-administered measures on three occasions: before the course (n = 197), after the course (n = 164), and six months after course completion (n = 102).

OUTCOME MEASURES

Beck Depression Inventory-II (BDI-II), Subjective Happiness Scale (SHS), Quality of Life Inventory (QOLI), Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR16), Outcome Questionnaire 45.2 (OQ-45.2), State-Trait Anger Expression Inventory-2 (STAXI-2), and State-Trait Anxiety Inventory (STAI).

RESULTS

A mixed models analysis revealed significant positive changes between baseline compared to the end of the intervention and six-month follow-up in all measures: BDI-II (t = 10.24, P < .0001), SHS (t = -9.07, P <.0001), QOLI (t = -5.69, P < .0001), QIDS-SR16 (t = 9.35, P < .0001), OQ-45.2 (t = 11.74, P < .0001), STAXI-2 (State) (t = 3.69, P = .0003), STAXI-2 (Trait) (t = 7.8, P < .0001), STAI (State) (t = 11.46, P < .0001), and STAI (Trait) (t = 10.75, P < .0001).

CONCLUSIONS

The promising results of this pilot study warrant randomized clinical trials to validate "The Work" meditation technique as an effective intervention for improvement in psychological state and quality of life in the general population.

A pilot study examining the effects of Kouk Sun Do on university students with anxiety symptoms

The effects of Kouk Sun Do (KSD), a mind-body exercise on mental health in university students, were investigated in this pilot study. University students (N = 30) with self-reported anxiety symptoms were randomly assigned to either the treatment group or the waiting list control group. Eighteen participants (N = 18; seven in the treatment group and 11 in the waiting list control group) completed a pre-test and a post-test, and 12 participants dropped out before or during the intervention. Ten 70-min KSD exercise sessions were conducted three times per week over a 4-week period. Trait anxiety, depressive symptoms and general self-efficacy in coping with stress were measured with the pre-test and the post-test. Qualitative data were collected using open-ended questions regarding benefits of KSD at the last session. A two (group) by two (time) repeated-measure analysis of variance was used to analyse the data. Trait anxiety and depressive symptoms decreased whereas general self-efficacy increased over a 4-week period. The treatment group had significantly reduced trait anxiety and depressive symptoms compared with the control group across time. Qualitative data provided support that the self-induced relaxation effects of KSD may lead to reduced anxiety.

Meditação na universidade: a motivação de alunos da UFRGS para aprender meditação

O treinamento em meditação sentada e silenciosa tem sido cada vez mais usado em contextos educacionais. Este estudo objetivou conhecer o interesse e a motivação de universitários para participar de um treino de meditação sentada e silenciosa. Foi realizado um levantamento online que utilizou um questionário sociodemográfico com uma pergunta aberta sobre a motivação para participar do treino e o Self-Report Questionnaire para identificar transtornos psiquiátricos menores. Participaram 524 universitários de 42 cursos (M = 25 anos, DP = 5,16, 64,3% mulheres). A maioria era solteiro (88%), com renda entre 1 e 5 salários mínimos (51,8%), de diferentes religiões (n = 20) e sem sintomas psiquiátricos (73%). Os principais motivos para treinar meditação foram os benefícios emocionais (25,59%), gosto e interesse pelo assunto (24,67%), benefícios cognitivos (16,02%) e curiosidade e interesse na pesquisa (15,11%). O interesse pela meditação não está restrito a universitários com características sociodemográficas específicas, com determinada crença ou problemas psiquiátricos.

Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress

Mindfulness has been described as a practice of learning to focus attention on moment-bymoment experience with an attitude of curiosity, openness, and acceptance. Mindfulness practices have become increasingly popular as complementary therapeutic strategies for a variety of medical and psychiatric conditions. This paper provides an overview of three mindfulness interventions that have demonstrated effectiveness for psychiatric symptoms and/or pain. The goal of this review is to provide a synopsis that practicing clinicians can use as a clinical reference concerning Zen meditation, mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT). All three approaches originated from Buddhist spiritual practices, but only Zen is an actual Buddhist tradition. MBSR and MBCT are secular, clinically based methods that employ manuals and standardized techniques. Studies indicate that MBSR and MBCT have broad-spectrum antidepressant and antianxiety effects and decrease general psychological distress. MBCT is strongly recommended as an adjunctive treatment for unipolar depression. The evidence suggests that both MBSR and MBCT have efficacy as adjunctive interventions for anxiety symptoms. MBSR is beneficial for general psychological health and stress management in those with medical and psychiatric illness as well as in healthy individuals. Finally, MBSR and Zen meditation have a role in pain management.

The effect of meditation on psychological distress among Buddhist Monks and Nuns

OBJECTIVE

This study aimed to ascertain whether there is an association between meditation and psychological distress.

METHOD

Within a cohort of meditating Monks and Nuns who have accomplished varying levels of skill in the art of meditation, we studied whether there are varying degrees of psychological distress, and if so, whether this correlates to how advanced the meditators are. In this cross-sectional study, Monks and Nuns were recruited from monasteries, nunneries, and volunteer centres throughout Dharamshala, Northern India. A total of 331 Monks and Nuns participated. Psychological distress was measured using the GHQ-12, and the expertise on meditation was assessed through the number of years practising meditation and the maximum length of time held in concentration in one sitting.

RESULTS

A dose response association was found with more years meditating associated with increasingly lower GHQ scores. There was 0.21 points drop in GHQ scores for every year meditating (p = 0.001).

CONCLUSION

This study shows that Monks and Nuns who are more advanced in practicing meditation show fewer signs of psychological distress than Monks and Nuns who are less advanced in the art of meditation. The practice of meditation may have therapeutic value in the management of psychological distress, and could be offered as a non-pharmacological treatment alternative in patients with anxiety and depression. This is a preliminary study with limitations. More robust evidence is needed before we can confidently establish a causal link between meditation and psychological wellbeing. Our findings should, however, encourage further research in this area to generate better evidence for the health benefits of what is a long established practice in Buddhist communities.

Meditation and attention: a comment on a recent article

Meditation and attention are considered associated in different ways. For example, contemporary concepts state that to meditate, a practitioner has either to (i) focus attention on the object of meditation (FA) or (ii) maintain vigilance and disengage their attention consciously from all distracters (OM). The Indian sage Patanjali (circa 900 B.C.), mentioned that there are two stages of meditation, which differ subtly from the descriptions of FA and OM. One stage is called dharana, or focusing attention on the object of meditation. Another stage is called dhyana, during which all thoughts remain effortlessly directed to the object of meditation, excluding all other thoughts. Vigilance and attention are not required during dhyana, which is the actual phase of meditation. In a previous study, participants who practiced dharana performed better in a task for selective attention than those who practiced dhyana. Brainstem auditory evoked potential changes during the two states differed. Descriptions of yoga practices from ancient texts can give added insights about meditation and attention, supported by objective assessments.