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Library of Medicine)
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| Psychosom
Med. 2003 Jul-Aug; 65(4):571-81 |
Quality
of life, mood, symptoms of stress, and immune
parameters in breast and prostate cancer outpatients.
|
Significant
improvements were seen in overall quality of life,
symptoms of stress, and sleep quality. Although
there were no significant changes in the overall
number of lymphocytes or cell subsets, T cell
production of IL-4 increased and IFN-gamma decreased,
whereas NK cell production of IL-10 decreased.
These results are consistent with a shift in immune
profile from one associated with depressive symptoms
to a more normal profile |
MBSR
participation was associated with enhanced quality
of life and decreased stress symptoms in breast
and prostate cancer patients. Changes in cancer-related
cytokine production associated with program participation.
|
| Psychosom
Med. 2003 Jul-Aug; 65(4):564-70 |
Alterations
in brain and immune function. |
Significant
increases in left-sided anterior activation, a
pattern previously associated with positive affect,
in the meditators compared with the nonmeditators.
We also found significant increases in antibody
titers to influenza vaccine among subjects in
the meditation compared with those in the wait-list
control group. Finally, the magnitude of increase
in left-sided activation predicted the magnitude
of antibody titer rise to the vaccine. |
A
short program in mindfulness meditation produces
demonstrable effects on brain and immune function.
These findings suggest that meditation may change
brain and immune function in positive ways and
underscore the need for additional research. |
| Fam
Community Health. 2003 Jan-Mar; 26(1):25-33. |
Anxiety
reduction and heart disease. |
Anxiety,
emotional control, coping styles, and health locus
of control were compared in a treatment and control
group of women with heart disease. |
Post-intervention
analyses provide initial support for beneficial
effects of this program. |
| Disabil
Rehabil. 2003; 25(13):722-31 |
Improve
quality of life among individuals who sustained
traumatic brain injuries |
The
treatment group mean quality of life (SF-36) improved
by 15.40 (SD = 9.08) compared to - 1.67 (SD =
16.65; p = 0.036) for controls. Improvements on
the cognitive-affective domain of the Beck Depression
Inventory II (BDI-II) were reported (p = 0.029),
while changes in the overall BDI-II (p = 0.059)
and the Positive Symptom Distress Inventory of
the SCL-90R (p = 0.054) approached statistical
significance |
The
intervention was simple, and improved quality
of life after other treatment avenues for these
participants were exhausted. |
| J
Altern Complement Med. 2002 Dec; 8(6):719-30;
discussion 731-5 |
Does
mindfulness meditation contribute to health? |
Twenty-one
(21) participants with chronic physical, psychologic,
or psychosomatic illnesses were examined in a
longitudinal pretest and post-treatment design
with a 3-month follow-up.
Overall,
the interventions led to high levels of adherence
to the meditation practice and satisfaction with
the benefits of the course, as well as effective
and lasting reductions of symptoms (especially
in psychologic distress, well-being, and quality
of life). Changes were of moderate-to-large effect
sizes. Positive complementary effects with psychotherapy
were also found. |
These
findings warrant controlled studies to evaluate
the efficacy and cost effectiveness of mindfulness-based
stress reduction as an intervention for chronic
physical and psychosomatic disorders in Germany
|
| Chang
Gung Med J. 2002 Aug; 25(8):538-41 |
Mindfulness
meditation in the control of severe headache |
We
report on the case of a man who was prone to developing
severe headaches due to activities requiring extreme
concentration. He learned to control his pain
and discomfort through mindfulness meditation,
although this practice in fact induced headaches
initially |
It
is suggested that training in MM may be a medically
superior and cost-effective alternative to pain
medication for the control of headaches with no
underlying organic causes in highly motivated
patients |
| Psychosom
Med. 2002 Jan-Feb; 64(1):71-83 |
What
do we really know about mindfulness-based stress
reduction? |
There
has been a paucity of research and what has been
published has been rife with methodological problems.
At present, we know very little about the effectiveness
of this approach. However, there is some evidence
that suggests that it may hold some promise. |
The
available evidence does not support a strong endorsement
of this approach at present. However, serious
investigation is warranted and strongly recommended
|
| Altern
Ther Health Med. 2002 Jan-Feb; 8(1):60-2, 64-6
|
Inner-city
patients' healthcare utilization before and after
an MBSR intervention. |
A
significant decrease in the number of chronic
care visits was found among the 47 patients for
whom complete data were available. The 36 patients
who completed the Spanish courses demonstrated
a significant decrease in total medical visits
and chronic care visits |
The
results of this study suggest that MBSR may help
contain healthcare costs by decreasing the number
of visits made by inner-city patients to their
primary care providers after completing the MBSR
program |
| Br
J Med Psychol. 2001 Jun; 74 Part 2:197-212 |
A
qualitative study of mindfulness-based cognitive
therapy for depression |
The
theory suggested that the preconceptions and expectations
of therapy are important influences on later experiences
of MBCT. Important areas of therapeutic change
('coming to terms') were identified, including
the development of mindfulness skills, an attitude
of acceptance and 'living in the moment'. |
The
development of mindfulness skills was seen to
hold a key role in the development of change.
Generalization of these skills to everyday life
was seen as important, and several ways in which
this happened, including the use of breathing
spaces, were discussed. In addition, several of
the concepts and categories offered support to
cognitive accounts of mood disorder and the role
of MBCT in reducing relapse.
|
| Gen
Hosp Psychiatry. 2001 Jul-Aug; 23(4):183-92 |
Health-related
quality of life in a heterogeneous patient population.
|
Health-related
quality of life was enhanced as demonstrated by
improvement on all indices of the SF-36, including
vitality, bodily pain, role limitations caused
by physical health, and social functioning (all
P<.01). Alleviation of physical symptoms was
revealed by a 28% reduction on the MSCL (P<.0001).
Decreased psychological distress was indicated
on the SCL-90-R by a 38% reduction on the Global
Severity Index, a 44% reduction on the anxiety
subscale, and a 34% reduction on the depression
subscale (all P<.0001). One-year follow-up
revealed maintenance of initial improvements on
several outcome parameters. |
Mindfulness
meditation training program can enhance functional
status and well-being and reduce physical symptoms
and psychological distress in a heterogeneous
patient population and that the intervention may
have long-term beneficial effects. |
| Am
J Health Promot. 2001 Jul-Aug; 15(6):422-32 |
Evaluation
of a Wellness-Based Mindfulness Stress Reduction
intervention: a controlled trial. |
Intervention
subjects reported significant decreases from baseline
in effect of daily hassles (24%), psychological
distress, (44%), and medical symptoms (46%) that
were maintained at the 3-month follow-up compared
to control subjects (repeated measures analysis
of variance [ANOVA]; p < .05). |
Self-selected
community residents can improve their mental and
physical health by participating in a stress reduction
intervention offered by a university wellness
program. |
| Br
J Med Psychol. 2001 Jun; 74(Pt 2):197-212 |
A
qualitative study of mindfulness-based cognitive
therapy for depression. |
|
|
| Support
Care Cancer. 2001 Mar; 9(2):112-23 |
The
effects of a mindfulness meditation-based stress
reduction program on mood and symptoms of stress
in cancer outpatients: 6-month follow-up. |
Patients'
scores decreased significantly from before to
after the intervention on the POMS and SOSI total
scores and most subscales, indicating less mood
disturbance and fewer symptoms of stress, and
these improvements were maintained at the 6-month
follow-up. More advanced stages of cancer were
associated with less initial mood disturbance,
while more home practice and higher initial POMS
scores predicted improvements on the POMS between
the pre- and post-intervention scores. Female
gender and more education were associated with
higher initial SOSI scores, and improvements on
the SOSI were predicted by more education and
greater initial mood disturbance. |
This
program was effective in decreasing mood disturbance
and stress symptoms for up to 6 months in both
male and female patients with a wide variety of
cancer diagnoses, stages of illness, and educational
background, and with disparate ages.
|
| J
Abnorm Psychol. 2000 Feb; 109(1):150-5 |
Mindfulness-based
cognitive therapy reduces overgeneral autobiographical
memory in formerly depressed patients |
Whereas
control patients showed no change in specificity
of memories recalled in response to cue words,
the treatment group showed a significantly reduced
number of generic memories. Although such a memory
deficit may arise from long-standing tendencies
to encode and retrieve events generically, such
a style is open to modification |
|
| Psychosom
Med. 2000 Sep-Oct; 62(5):613-22 |
Mood
and symptoms of stress in cancer outpatients.
|
After
the intervention, patients in the treatment group
had significantly lower scores on Total Mood Disturbance
and subscales of Depression, Anxiety, Anger, and
Confusion and more Vigor than control subjects.
The treatment group also had fewer overall Symptoms
of Stress; fewer Cardiopulmonary and Gastrointestinal
symptoms; less Emotional Irritability, Depression,
and Cognitive Disorganization; and fewer Habitual
Patterns of stress. Overall reduction in Total
Mood Disturbance was 65%, with a 31% reduction
in Symptoms of Stress. |
This
program was effective in decreasing mood disturbance
and stress symptoms in both male and female patients
with a wide variety of cancer diagnoses, stages
of illness, and ages. cancer, stress, mood, intervention,
mindfulness. |
| J
Behav Med. 1998 Dec; 21(6):581-99 |
Effects
of mindfulness-based stress reduction on medical
and premedical students |
Findings
indicate that participation in the intervention
can effectively (1) reduce self-reported state
and trait anxiety, (2) reduce reports of overall
psychological distress including depression, (3)
increase scores on overall empathy levels, and
(4) increase scores on a measure of spiritual
experiences assessed at termination of intervention.
These results (5) replicated in the wait-list
control group, (6) held across different experiments,
and (7) were observed during the exam period.
Future research should address potential long-term
effects of mindfulness training for medical and
premedical students. |
|
| Psychosom
Med. 1998 Sep-Oct; 60(5):625-32 |
Rates
of skin clearing in patients with moderate to
severe psoriasis undergoing phototherapy (UVB)
and photochemotherapy (PUVA).
|
Cox-proportional
hazards regression analysis showed that subjects
in the tape groups reached the Halfway Point (p
= .013) and the Clearing Point (p = .033) significantly
more rapidly than those in the no-tape condition,
for both UVB and PUVA treatments. |
A
brief mindfulness meditation-based stress reduction
intervention delivered by audiotape during ultraviolet
light therapy can increase the rate of resolution
of psoriatic lesions in patients with psoriasis
|
| Psychother
Psychosom. 1997; 66(2):97-106 |
Effects
on psychological symptomatology, sense of control,
and spiritual experiences. |
compared
with controls, evidenced significantly greater
changes in terms of: (1) reductions in overall
psychological symptomatology; (2) increase in
overall domain-specific sense of control and utilization
of an accepting or yielding mode of control in
their lives, and (3) higher scores on a measure
of spiritual experiences. |
The
techniques of mindfulness meditation, with their
emphasis on developing detached observation and
awareness of the contents of consciousness, may
represent a powerful cognitive behavioral coping
strategy for transforming the ways in which we
respond to life events. They may also have potential
for relapse prevention in affective disorders.
|
| Gen
Hosp Psychiatry. 1995 May; 17(3):192-200 |
Three-year
follow-up and clinical implications of a mindfulness
meditation-based stress reduction intervention
in the treatment of anxiety disorders |
Repeated
measures analysis showed maintenance of the gains
obtained in the original study on the Hamilton
[F(2,32) = 13.22; p < 0.001] and Beck [F(2,32)
= 9.83; p < 0.001] anxiety scales as well as
on their respective depression scales, on the
Hamilton panic score, the number and severity
of panic attacks, and on the Mobility Index-Accompanied
and the Fear Survey. A 3-year follow-up comparison
of this cohort with a larger group of subjects
from the intervention who had met criteria for
screening for the original study suggests generalizability
of the results obtained with the smaller, more
intensively studied cohort. Ongoing compliance
with the meditation practice was also demonstrated
in the majority of subjects at 3 years. |
We
conclude that an intensive but time-limited group
stress reduction intervention based on mindfulness
meditation can have long-term beneficial effects
in the treatment of people diagnosed with anxiety
disorders |
| Behav
Res Ther. 1995 Jan; 33(1):25-39 |
How
does cognitive therapy prevent depressive relapse
and why should attentional control (mindfulness)
training help |
|
.
This analysis provides the basis for the development
of Attentional Control Training, a new approach
to preventing relapse that integrates features
of cognitive therapy and mindfulness training
and is applicable to recovered depressed patients.
|
| Med
Hypotheses. 1995 Jan; 44(1):39-46. |
Meditation,
melatonin and breast/prostate cancer: hypothesis
and preliminary data |
The
main outcome measure was the total excretion of
urinary 6-sulphatoxymelatonin. Multiple linear
regression (Proc GLM in SAS) was performed to
test the effect of meditation (RM vs NM) on 6-sulphatoxymelatonin.
The results of the study were that after controlling
for the non-significant effect of menstrual period
interval, we found an effect of meditation group
(RM vs NM: b = 1.983; F = 6.78; p = 0.02) and
age (for each integer year: b = 0.169; F = 8.41;
p = 0.01). |
The
conclusion is that study results are consistent
with our hypothesis and indicate that melatonin
might be a useful parameter in testing similar
psycho-social interventions. |
| Am
J Psychiatry. 1992 Jul; 149(7):936-43 |
Effectiveness
of a meditation-based stress reduction program
in the treatment of anxiety disorders. |
Repeated
measures analyses of variance documented significant
reductions in anxiety and depression scores after
treatment for 20 of the subjects--changes that
were maintained at follow-up. The number of subjects
experiencing panic symptoms was also substantially
reduced. A comparison of the study subjects with
a group of nonstudy participants in the program
who met the initial screening criteria for entry
into the study showed that both groups achieved
similar reductions in anxiety scores on the SCL-90-R
and on the Medical Symptom Checklist, suggesting
generalizability of the study findings. |
A
group mindfulness meditation training program
can effectively reduce symptoms of anxiety and
panic and can help maintain these reductions in
patients with generalized anxiety disorder, panic
disorder, or panic disorder with agoraphobia.
|
| Behav
Res Ther. 1992 Mar; 30(2):175-89 |
Two
controlled evaluations of multicomponent psychological
treatment of irritable bowel syndrome |
In
Study 1 (n = 10 per condition) there were nonsignificant
trends for the multicomponent (relaxation, thermal
biofeedback, and cognitive therapy) treatment
to be superior to the attention-placebo (pseudo-meditation
and EEG alpha suppression biofeedback) condition.
In Study 2 (n = 30 per condition), we found no
advantage for the multicomponent treatment over
the attention-placebo condition |
Possible
explanations for the results are explored |
| J
Pers Soc Psychol. 1989 Dec; 57(6):950-64. |
Transcendental
meditation, mindfulness, and longevity: an experimental
study with the elderly. |
The
MF group improved most, followed by TM, on perceived
control and word fluency. After 3 years, survival
rate was 100% for TM and 87.5% for MF in contrast
to lower rates for other groups |
|
| J
Behav Med. 1985 Jun; 8(2):163-90 |
The
clinical use of mindfulness meditation for the
self-regulation of chronic pain |
Statistically
significant reductions were observed in measures
of present-moment pain, negative body image, inhibition
of activity by pain, symptoms, mood disturbance,
and psychological symptomatology, including anxiety
and depression. Pain-related drug utilization
decreased and activity levels and feelings of
self-esteem increased. Improvement appeared to
be independent of gender, source of referral,
and type of pain. A comparison group of pain patients
did not show significant improvement on these
measures after traditional treatment protocols.
At follow-up, the improvements observed during
the meditation training were maintained up to
15 months post-meditation training for all measures
except present-moment pain. The majority of subjects
reported continued high compliance with the meditation
practice as part of their daily lives. |
|
| Percept
Mot Skills. 1984 Jun; 58(3):775-84 |
Visual
sensitivity and mindfulness meditation. |
After
the retreat, practitioners could detect shorter
single-light flashes and required a shorter interval
to differentiate between successive flashes correctly.
The control group did not change on either measure.
Phenomenological reports indicate that mindfulness
practice enables practitioners to become aware
of some of the usually preattentive processes
involved in visual detection. |
The
results support the statements found in Buddhist
texts on meditation concerning the changes in
perception encountered during the practice of
mindfulness. |
| Percept
Mot Skills. 1984 Jun; 58(3):727-33 |
Differences
in visual sensitivity among mindfulness meditators
and non-meditators |
Meditation
practitioners were able to detect light flashes
of shorter duration than the non-meditators. |
The
results support the statements found in Buddhist
texts on meditation concerning the changes in
perception encountered during the practice of
mindfulness. |
| Gen
Hosp Psychiatry. 1982 Apr; 4(1):33-47. |
An
outpatient program in behavioral medicine for
chronic pain patients based on the practice of
mindfulness meditation: theoretical considerations
and preliminary results. |
Data
are presented on 51 chronic pain patients who
had not improved with traditional medical care.
The dominant pain categories were low back, neck
and shoulder, and headache. Facial pain, angina
pectoris, noncoronary chest pain, and GI pain
were also represented. At 10 weeks, 65% of the
patients showed a reduction of greater than or
equal to 33% in the mean total Pain Rating Index
(Melzack) and 50% showed a reduction of greater
than or equal to 50%. Similar decreases were recorded
on other pain indices and in the number of medical
symptoms reported. Large and significant reductions
in mood disturbance and psychiatric symptomatology
accompanied these changes and were relatively
stable on follow-up. These improvements were independent
of the pain category |
We
conclude that this form of meditation can be used
as the basis for an effective behavioral program
in self-regulation for chronic pain patients.
Key features of the program structure, and the
limitations of the present uncontrolled study
are discussed. |