Acceptance-based interventions such as mindfulness-based stress reduction program and acceptance and commitment therapy are alternative therapies for cognitive behavioral therapy for treating chronic pain patients. To assess the effects of acceptance-based interventions on patients with chronic pain, we conducted a systematic review and meta-analysis of controlled and noncontrolled studies reporting effects on mental and physical health of pain patients. All studies were rated for quality. Primary outcome measures were pain intensity and depression. Secondary outcomes were anxiety, physical wellbeing, and quality of life. Twenty-two studies (9 randomized controlled studies, 5 clinical controlled studies [without randomization] and 8 noncontrolled studies) were included, totaling 1235 patients with chronic pain. An effect size on pain of 0.37 was found for the controlled studies. The effect on depression was 0.32. The quality of the studies was not found to moderate the effects of acceptance-based interventions. The results suggest that at present mindfulness-based stress reduction program and acceptance and commitment therapy are not superior to cognitive behavioral therapy but can be good alternatives. More high-quality studies are needed. It is recommended to focus on therapies that integrate mindfulness and behavioral therapy. Acceptance-based therapies have small to medium effects on physical and mental health in chronic pain patients. These effects are comparable to those of cognitive behavioral therapy.
Traditional Tibetan medicine starts to be a very popular complementary medicine in USA and Europe. These pills contain many elements essential for the human body. However, they might also contain heavy metals such as mercury, iron, arsenic, etc. This paper focuses on elemental composition of two Tibetan pills and investigation of forms of iron in them. X-ray fluorescence spectroscopy and neutron activation analysis identified the presence of several heavy metals such as mercury, iron and copper. Mőssbauer spectroscopy revealed the possible presence of α − F e O (hematite) and α − F e O O H(goethite) in both of the investigated samples.
CONTEXT:Mindfulness-based cognitive therapy (MBCT) is a group-based psychosocial intervention designed to enhance self-management of prodromal symptoms associated with depressive relapse.
OBJECTIVE:
To compare rates of relapse in depressed patients in remission receiving MBCT against maintenance antidepressant pharmacotherapy, the current standard of care.
DESIGN:
Patients who met remission criteria after 8 months of algorithm-informed antidepressant treatment were randomized to receive maintenance antidepressant medication, MBCT, or placebo and were followed up for 18 months.
SETTING:
Outpatient clinics at the Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and St Joseph's Healthcare, Hamilton, Ontario.
PARTICIPANTS:
One hundred sixty patients aged 18 to 65 years meeting DSM-IV criteria for major depressive disorder with a minimum of 2 past episodes. Of these, 84 achieved remission (52.5%) and were assigned to 1 of the 3 study conditions.
INTERVENTIONS:
Patients in remission discontinued their antidepressants and attended 8 weekly group sessions of MBCT, continued taking their therapeutic dose of antidepressant medication, or discontinued active medication and were switched to placebo.
MAIN OUTCOME MEASURE:
Relapse was defined as a return, for at least 2 weeks, of symptoms sufficient to meet the criteria for major depression on module A of the Structured Clinical Interview for DSM-IV.
RESULTS:
Intention-to-treat analyses showed a significant interaction between the quality of acute-phase remission and subsequent prevention of relapse in randomized patients (P = .03). Among unstable remitters (1 or more Hamilton Rating Scale for Depression score >7 during remission), patients in both MBCT and maintenance treatment showed a 73% decrease in hazard compared with placebo (P = .03), whereas for stable remitters (all Hamilton Rating Scale for Depression scores ≤7 during remission) there were no group differences in survival.
CONCLUSIONS:
For depressed patients achieving stable or unstable clinical remission, MBCT offers protection against relapse/recurrence on a par with that of maintenance antidepressant pharmacotherapy. Our data also highlight the importance of maintaining at least 1 long-term active treatment in unstable remitters.
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Despite decades of research on the etiology and treatment of depression, a significant proportion of the population is affected by the disorder, fails to respond to treatment and is plagued by relapse. Six prominent scientists, Aaron Beck, Richard Davidson, Fritz Henn, Steven Maier, Helen Mayberg, and Martin Seligman, gathered to discuss the current state of scientific knowledge on depression, and in particular on the basic neurobiological and psychopathological processes at play in the disorder. These general themes were addressed: 1) the relevance of learned helplessness as a basic process involved in the development of depression; 2) the limitations of our current taxonomy of psychological disorders; 3) the need to work towards a psychobiological process-based taxonomy; and 4) the clinical implications of implementing such a process-based taxonomy.
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Policy decisions at the organizational, corporate, and governmental levels should be more heavily influenced by issues related to well-being—people's evaluations and feelings about their lives. Domestic policy currently focuses heavily on economic outcomes, although economic indicators omit, and even mislead about, much of what society values. We show that economic indicators have many shortcomings, and that measures of well-being point to important conclusions that are not apparent from economic indicators alone. For example, although economic output has risen steeply over the past decades, there has been no rise in life satisfaction during this period, and there has been a substantial increase in depression and distrust. We argue that economic indicators were extremely important in the early stages of economic development, when the fulfillment of basic needs was the main issue. As societies grow wealthy, however, differences in well-being are less frequently due to income, and are more frequently due to factors such as social relationships and enjoyment at work., Important noneconomic predictors of the average levels of well-being of societies include social capital, democratic governance, and human rights. In the workplace, noneconomic factors influence work satisfaction and profitability. It is therefore important that organizations, as well as nations, monitor the well-being of workers, and take steps to improve it., Assessing the well-being of individuals with mental disorders casts light on policy problems that do not emerge from economic indicators. Mental disorders cause widespread suffering, and their impact is growing, especially in relation to the influence of medical disorders, which is declining. Although many studies now show that the suffering due to mental disorders can be alleviated by treatment, a large proportion of persons with mental disorders go untreated. Thus, a policy imperative is to offer treatment to more people with mental disorders, and more assistance to their caregivers., Supportive, positive social relationships are necessary for well-being. There are data suggesting that well-being leads to good social relationships and does not merely follow from them. In addition, experimental evidence indicates that people suffer when they are ostracized from groups or have poor relationships in groups. The fact that strong social relationships are critical to well-being has many policy implications. For instance, corporations should carefully consider relocating employees because doing so can sever friendships and therefore be detrimental to well-being., Desirable outcomes, even economic ones, are often caused by well-being rather than the other way around. People high in well-being later earn higher incomes and perform better at work than people who report low well-being. Happy workers are better organizational citizens, meaning that they help other people at work in various ways. Furthermore, people high in well-being seem to have better social relationships than people low in well-being. For example, they are more likely to get married, stay married, and have rewarding marriages. Finally, well-being is related to health and longevity, although the pathways linking these variables are far from fully understood. Thus, well-being not only is valuable because it feels good, but also is valuable because it has beneficial consequences. This fact makes national and corporate monitoring of well-being imperative., In order to facilitate the use of well-being outcomes in shaping policy, we propose creating a national well-being index that systematically assesses key well-being variables for representative samples of the population. Variables measured should include positive and negative emotions, engagement, purpose and meaning, optimism and trust, and the broad construct of life satisfaction. A major problem with using current findings on well-being to guide policy is that they derive from diverse and incommensurable measures of different concepts, in a haphazard mix of respondents. Thus, current findings provide an interesting sample of policy-related findings, but are not strong enough to serve as the basis of policy. Periodic, systematic assessment of well-being will offer policymakers a much stronger set of findings to use in making policy decisions.
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The book describes how to use breathing as a medium for self-regulation and self-reflection and how balanced breathing thus helps to promote mental and physical health and alleviate symptoms resulting from imbalanced breathing. The authors describe applications of psychophysical breathing therapy in many areas of life, developed by both themselves and other professionals trained by them. The approach of the book is based on the interactional aspects between mind and body. A person's breathing style influences their relation both to themselves and to others - and vice versa, and thus mental and also physical health. A comprehensive theoretical description of the psychophysical regulation of breathing and the consequences of imbalanced breathing is complemented by material derived from the authors' extensive clinical experience. Psychological orientations used by the writers include object relations theories, and psychodynamic, cognitive, brief and group therapy theories. As a new aspect the writers introduce how breathing patterns are learnt in early interaction. The writers also acknowledge how physical factors affect and interact with psychological factors in producing imbalanced breathing.
Mindfulness meditation yields beneficial effects on the processing of emotions. However, it is still unclear whether the focus of attention during meditation influences these effects. In the present study we aimed at comparing the effects of breathing meditation and emotion-focused meditation on the immediate and delayed processing of negative and positive emotions. The study included 65 adult novice meditators who were exposed to positively and negatively valenced film clips. Participants were randomly assigned to three conditions. While watching the films at t1, they were asked to mindfully focus on their breath (condition 1), on emotions (condition 2), or on nothing in particular (condition 3). Ten minutes later at t2, comparable film clips were shown but all participants watched them without taking up a mindful attitude. Dependent measures were emotional states at t1 and t2. Participants of both meditation conditions particularly showed a more preferable delayed emotional reaction to negative stimuli than participants of the control condition. Breathing meditation and emotion-focused meditation may constitute effective emotion regulation strategies to deal with negatively valenced emotional states.
This article examines the ideology and the politics of buen vivir as the government of Rafael Correa in Ecuador has implemented them from 2007 to 2013. The analysis focuses on the implications of this model, which is based on a traditional Andean world view. The article first explores the main components of buen vivir including its focus on strengthening democratic participation and environmental justice. Second, the implementation of this ideology is analysed through a review of the new constitution and government policies. Third, key outcomes are assessed through various social and economic indicators. Fourth, a critical approach to the government's interpretation of buen vivir is taken and the many contradictions and inconsistencies in its implementation are unfolded. Nevertheless, the policies of buen vivir have the potential to create innovative and inspiring solutions, especially in the face of the environmental and social challenges brought by the anthropocene.
If you feel bombarded by emails, phone calls, text messages and the daily stress that comes with them, there could be a solution for you. Some people have found relief in perfect silence. Host Michel Martin learns more about the popularity of silent retreats.
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A post-apocalyptic Earth, emptied of humans, seems like the stuff of science fiction TV and movies. But in this short, surprising talk, Lord Martin Rees asks us to think about our real existential risks — natural and human-made threats that could wipe out humanity. As a concerned member of the human race, he asks: What's the worst thing that could possibly happen?
Two studies examined the role short-term changes in adult attachment and mindfulness play in depression and general anxiety. Study 1, using a sample of college students (n = 121) who were not engaged in any clinical intervention, showed that changes in attachment anxiety and security, but not in avoidance, predicted changes in depressed and anxious mood. Study 2, using a college age clinical sample (n = 28), showed that changes in adult state attachment (avoidant, anxious, and secure) predicted reductions in depression, but that only changes in avoidant attachment, not anxious or secure attachment, predicted reductions in general anxiety. These findings suggest that reducing avoidant attachment is particularly important in successful therapy, but plays less of a role in natural fluctuations in depressed and anxious mood in non-clinical settings. Mindfulness predicted changes in depression and general anxiety in both the clinical and class studies. Mediation analyses showed that mindfulness partially mediated the association between adult attachment and depression and general anxiety. Implications for research and clinical practice are discussed.
Two studies examined the role short-term changes in adult attachment and mindfulness play in depression and general anxiety. Study 1, using a sample of college students (n = 121) who were not engaged in any clinical intervention, showed that changes in attachment anxiety and security, but not in avoidance, predicted changes in depressed and anxious mood. Study 2, using a college age clinical sample (n = 28), showed that changes in adult state attachment (avoidant, anxious, and secure) predicted reductions in depression, but that only changes in avoidant attachment, not anxious or secure attachment, predicted reductions in general anxiety. These findings suggest that reducing avoidant attachment is particularly important in successful therapy, but plays less of a role in natural fluctuations in depressed and anxious mood in non-clinical settings. Mindfulness predicted changes in depression and general anxiety in both the clinical and class studies. Mediation analyses showed that mindfulness partially mediated the association between adult attachment and depression and general anxiety. Implications for research and clinical practice are discussed.
Two studies examined the role short-term changes in adult attachment and mindfulness play in depression and general anxiety. Study 1, using a sample of college students (n = 121) who were not engaged in any clinical intervention, showed that changes in attachment anxiety and security, but not in avoidance, predicted changes in depressed and anxious mood. Study 2, using a college age clinical sample (n = 28), showed that changes in adult state attachment (avoidant, anxious, and secure) predicted reductions in depression, but that only changes in avoidant attachment, not anxious or secure attachment, predicted reductions in general anxiety. These findings suggest that reducing avoidant attachment is particularly important in successful therapy, but plays less of a role in natural fluctuations in depressed and anxious mood in non-clinical settings. Mindfulness predicted changes in depression and general anxiety in both the clinical and class studies. Mediation analyses showed that mindfulness partially mediated the association between adult attachment and depression and general anxiety. Implications for research and clinical practice are discussed.
Individuals with chronic schizophrenia exhibit performance deficits on tasks of social cognition, particularly in the domains of emotion processing, theory of mind, social perception, and attributional style, and these impairments are uniquely associated with poor functional outcome. Researchers have begun to investigate the pattern and magnitude of social cognitive impairment among individuals early in the course of schizophrenia and in people considered to be at elevated risk for psychosis, such as clinical high-risk samples and unaffected relatives of probands. This chapter evaluates the emerging research literature on social cognition in the early phase of schizophrenia. For each of the four social cognitive domains noted above, we provide an overview of common assessment methods and review relevant research comparing first episode/recent-onset schizophrenia patients, clinical high-risk samples (i.e., putatively prodromal), and genetic high-risk (i.e., unaffected relatives) to matched healthy control subjects. Deficits in emotion processing, theory of mind, and social perception are clearly detectable in first-episode/recent-onset patients and are comparable in magnitude to those seen in chronically ill patients. Among clinical high-risk and unaffected relatives, the magnitude of impairment is more variable and, in general, appears to be smaller than impairments seen among those with established illness. Attributional style is the least studied social cognitive domain and consistent patterns have not yet been identified. The implications and limitations of existing studies, and important areas for further research, are discussed.
A majority of laboratory-driven side-impact injury assessments are conducted using postmortem human subjects (PMHS) under the pure lateral mode. Because real-world injuries occur under pure and oblique modes, this study was designed to determine chest deflections and injuries using PMHS under the latter mode. Anthropometrical data were obtained and x-rays were taken. Specimens were seated on a sled and lateral impact acceleration corresponding to a change in velocity of 24 km/h was applied such that the vector was at an angle of 20 or 30 degrees. Chestbands were fixed at the level of the axilla (upper), xyphoid process (middle), and tenth rib (lower) location. Deflection contours as a function of time at the levels of the axilla and mid-sternum, representing the thorax, and at the tenth rib level, representing the abdomen, were evaluated for peak magnitudes. All data were normalized using mass-scaling procedures. Injuries were identified following the test at autopsy. Trauma graded according to the Abbreviated Injury Score, 1990 version, indicated primarily unilateral rib fractures and soft tissue abnormalities such as lung contusion and diaphragm laceration occurred. Mean peak deflections at the upper, middle, and lower levels of the chest for the 30-degree tests were 96.2, 78.5, and 76.8 mm. For the 20-degree tests, these magnitudes were 77.5, 89.9, and 73.6 mm. Statistical analysis indicated no significant (p > 0.05) differences in peak chest deflections at all levels between the two obliquities although the metric was significantly greater in oblique than pure lateral impacts at the mid and lower thoracic levels. These response data are valuable in oblique lateral impact assessments.
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- Practices Specific to Tibetan Buddhism,
- Literature Specific to Tibetan Buddhism,
- Contemplation by Tradition,
- Tara (Drolma),
- Means of Accomplishment (sadana, druptap),
- Literature of Buddhist Contemplation,
- Practices of Buddhist Contemplation,
- Generation phase (utpattikrama, kyerim),
- Deity yoga (devata-yoga, lhé nenjor),
- Buddhist Contemplation
Mindfulness meditation is a set of attention-based, regulatory, and self-inquiry training regimes. Although the impact of mindfulness training (MT) on self-regulation is well established, the neural mechanisms supporting such plasticity are poorly understood. MT is thought to act through interoceptive salience and attentional control mechanisms, but until now conflicting evidence from behavioral and neural measures renders difficult distinguishing their respective roles. To resolve this question we conducted a fully randomized 6 week longitudinal trial of MT, explicitly controlling for cognitive and treatment effects with an active-control group. We measured behavioral metacognition and whole-brain blood oxygenation level-dependent (BOLD) signals using functional MRI during an affective Stroop task before and after intervention in healthy human subjects. Although both groups improved significantly on a response-inhibition task, only the MT group showed reduced affective Stroop conflict. Moreover, the MT group displayed greater dorsolateral prefrontal cortex responses during executive processing, consistent with increased recruitment of top-down mechanisms to resolve conflict. In contrast, we did not observe overall group-by-time interactions on negative affect-related reaction times or BOLD responses. However, only participants with the greatest amount of MT practice showed improvements in response inhibition and increased recruitment of dorsal anterior cingulate cortex, medial prefrontal cortex, and right anterior insula during negative valence processing. Our findings highlight the importance of active control in MT research, indicate unique neural mechanisms for progressive stages of mindfulness training, and suggest that optimal application of MT may differ depending on context, contrary to a one-size-fits-all approach.
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