scholarly journals Prevalence of harm in mindfulness-based stress reduction

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Matthew J. Hirshberg ◽  
Simon B. Goldberg ◽  
Melissa Rosenkranz ◽  
Richard J. Davidson

Abstract Background Mindfulness meditation has become a common method for reducing stress, stress-related psychopathology and some physical symptoms. As mindfulness programs become ubiquitous, concerns have been raised about their unknown potential for harm. We estimate multiple indices of harm following Mindfulness-Based Stress Reduction (MBSR) on two primary outcomes: global psychological and physical symptoms. In secondary analyses, we estimate multiple indices of harm on anxiety and depressive symptoms, discomfort in interpersonal relations, paranoid ideation and psychoticism. Methods Intent-to-treat analyses with multiple imputations for missing data were used on pre- and post-test data from a large, observational dataset (n = 2155) of community health clinic MBSR classes and from MBSR (n = 156) and waitlist control (n = 118) participants from three randomized controlled trials conducted contemporaneous to community classes in the same city by the same health clinic MBSR teachers. We estimate the change in symptoms, proportion of participants with increased symptoms, proportion of participants reporting greater than a 35% increase in symptoms, and for global psychological symptoms, clinically significant harm. Results We find no evidence that MBSR leads to higher rates of harm relative to waitlist control on any primary or secondary outcome. On many indices of harm across multiple outcomes, community MBSR was significantly preventative of harm. Conclusions Engagement in MBSR is not predictive of increased rates of harm relative to no treatment. Rather, MBSR may be protective against multiple indices of harm. Research characterizing the relatively small proportion of MBSR participants that experience harm remains important.

2020 ◽  
Author(s):  
Matthew James Hirshberg ◽  
Simon Goldberg ◽  
Melissa A. Rosenkranz ◽  
Richard J Davidson

Background: Mindfulness meditation has become a common method for reducing stress, stress-related psychopathology and some physical symptoms. As mindfulness programs become ubiquitous, concerns have been raised about their unknown potential for harm. We estimate multiple indices of harm following Mindfulness-based Stress Reduction (MBSR) on two primary outcomes: global psychological and physical symptoms. In secondary analyses we estimate multiple indices of harm on anxiety and depressive symptoms, discomfort in interpersonal relations, paranoid ideation and psychoticism. Methods: Intent-to-treat analyses with multiple imputation for missing data were used on pre- and post-test data from a large, observational dataset (n = 2155) of community health clinic MBSR classes and from MBSR (n = 156) and waitlist control (n = 118) participants from three randomized controlled trials conducted contemporaneous to community classes in the same city by the same health clinic MBSR teachers. We estimate change in symptoms, proportion of participants with increased symptoms, proportion of participants reporting greater than a 35% increase in symptoms, and for global psychological symptoms, clinically significant harm. Results: We find no evidence that MBSR leads to higher rates of harm relative to waitlist control on any primary or secondary outcome. On many indices of harm across multiple outcomes, community MBSR was significantly preventative of harm.Conclusions: Engagement in MBSR is not predictive of increased rates of harm relative to no treatment. Rather, MBSR may be protective against multiple indices of harm. Research characterizing the relatively small proportion of MBSR participants that experience harm remains important.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Logan C. Tice ◽  
David E. Eagle ◽  
Joshua A. Rash ◽  
Jessie S. Larkins ◽  
Sofia M. Labrecque ◽  
...  

Abstract Introduction Like many helping professionals in emotional labor occupations, clergy experience high rates of mental and physical comorbidities. Regular stress management practices may reduce stress-related symptoms and morbidity, but more research is needed into what practices can be reliably included in busy lifestyles and practiced at a high enough level to meaningfully reduce stress symptoms. Methods and analysis The overall design is a preference-based randomized waitlist control trial. United Methodist clergy in North Carolina will be eligible to participate. The intervention and waitlist control groups will be recruited by email. The interventions offered are specifically targeted to clergy preference and include mindfulness-based stress reduction, Daily Examen, and stress inoculation training. Surveys will be conducted at 0, 12, and 24 weeks with heart rate data collected at 0 and 12 weeks. The primary outcomes for this study are self-reported symptoms of stress and heart rate at week 12 for each intervention compared to waitlist control; the secondary outcome is symptoms of anxiety comparing each intervention vs waitlist control. Ethics and dissemination Ethical approval was obtained from the Duke University Campus IRB (2019-0238). The results will be made available to researchers, funders, and members of the clergy community. Strengths and limitations of this study While evidence-based stress reduction practices such as mindfulness-based stress reduction (MBSR) exist, a wider variety of practices should be tested to appeal to different individuals. Clergy in particular may prefer, and consequently enact, spiritual practices like the Daily Examen, and individuals such as clergy who spend most of their time thinking and feeling may prefer experiential-based practices like stress inoculation training. If efficacious, the Daily Examen and stress inoculation training practices have high feasibility in that they require few minutes per day. This study is limited by the inclusion of Christian clergy of only one denomination. Trial registration ClinicalTrials.gov NCT04625777. November 12, 2020.


Author(s):  
Simon L. Whitesman ◽  
Michelle Hoogenhout ◽  
Linda Kantor ◽  
Katherine J. Leinberger ◽  
Anik Gevers

Background: Mindfulness-based stress reduction (MBSR) has been found to have significant health benefits in studies conducted in the global North.Aim: This study examined the effects of MBSR on stress, mood states and medical symptoms among urban South Africans to inform future research and clinical directions of MBSR in local settings.Setting: Participants completed an 8-week MBSR programme based in central Cape Town.Method: A retrospective analysis of 276 clinical records was conducted. Mindfulness, stress, negative and positive mood, medical symptoms and psychological symptoms were assessed before and after the intervention using self-report questionnaires. We compared pre and postintervention scores and examined the relationship between changes in mindfulness and changes in stress, mood and medical symptoms.Results: Mindfulness scores were significantly higher after intervention, both on the Kentucky Inventory of Mindfulness Skills (KIMS) and the Mindful Attention Awareness Scale (MAAS). Changes on the KIMS were associated with reductions in stress, negative mood, psychological symptoms and total medical symptoms, and improvement in positive mood. Changes in mindfulness, as measured by the MAAS, were significantly correlated only with reduced total number of medical symptoms.Conclusion: This study provides preliminary evidence for the positive health impact of MBSR on urban South Africans, and in turn acceptability and feasibility evidence for MBSR in South Africa and supports the case for larger trials in different local settings.


Author(s):  
Sharone Abramowitz

This compact chapter addresses patient selection and general principles of mindfulness-based interventions, specifically mindfulness-based stress reduction (MBSR). It describes mindfulness-oriented recovery enhancement (MORE) as a combination of mindfulness intervention and cognitive behavioral therapy, suggesting its effectiveness in reducing the perception of pain in more than half of the participants who complete training. While focusing principally on the patient, the chapter argues for the utility of mindfulness-based interventions in preserving the serenity and enhancing the effectiveness of the therapist. It also notes that while the therapeutic outcome may be modest, there is generally little cost and very little risk to initiation of mindfulness meditation and similar interventions. A text box is given with additional resources.


Author(s):  
Erik Braun

This chapter explores Jon Kabat-Zinn’s mindfulness meditation, above all in his writings about his Mindfulness-Based Stress Reduction (MBSR) program. It argues that Kabat-Zinn’s vision conveys a profound sense of enchantment, a deep sense of life’s value. The chapter argues that this vision reworks fundamental conceptual categories, especially those of the secular, the spiritual, and the scientific. Life’s meaning is formulated as flowing naturally from mindful observation of everyday life, especially of painful experiences. This naturalizing approach, drawing on bodily experience, the authority of science, metaphysical religious roots in American culture, and Buddhist teachings, makes mindfulness occupy many registers at once: Buddhist yet ecumenically inclusive, secular yet spiritual, scientific but revealing a larger sense of purpose. This multimodal character of mindfulness, always available through simple awareness, explains its popularity, which is helping to reshape American culture.


2015 ◽  
Vol 25 (1) ◽  
pp. 61-77 ◽  
Author(s):  
Christiane Brems

Yoga can be an effective intervention for physical and psychological symptoms and decreased ability to cope with physical, emotional, vocational, or academic stress. One group of individuals challenged regarding adequate self-care in the face of stress are personnel in university training programs for helping professions (e.g., psychology, nursing, nutrition). This feasibility study explored engagement in and effectiveness of a systematic 10-week yoga program aimed at university faculty, staff, and students. The intervention consisted of 10 weekly 90-minute sessions that were structured to include conceptual grounding, breathing, postures, and meditation. Weekly class outlines were made available to students for home practice. Participants signed informed consents, liability waivers, and health screenings. Self-reports of home practice, barriers to practice, perceived stress, and stress symptoms were used to evaluate whether the intervention was successful in engaging participants and reducing stress-related symptoms. Engagement was demonstrated by study adherence in the first 10-week series (88%; 44 of 50 enrolled), as well as re-enrollment for at least one additional 10-week series (64%; 28 of 44). Intervention success was demonstrated through repeated measure s ANOVAs of 44 participants' data, which showed significant improvement after a single 10-week series in perceived stress, as well as self-reported psychological, behavioral, and physical symptoms of stress. The study demonstrates feasibility of a yoga intervention in an academic setting and provides preliminary evidence for efficacy in stress reduction. It also supplies 10 detailed session protocols for intervention replication.


2009 ◽  
Vol 20 (2) ◽  
pp. 89-109
Author(s):  
Kristina Grünenberg ◽  
Hanne Kjærgaard Walker ◽  
Jakob Skov Knudsen

Meditation er ikke et nyt fænomen i det danske samfund. Det er den fokus som meditationsformen Mindfulness Based Stress Reduction (MBSR) har været genstand for i de senere år imidlertid. Inden for en sundhedssociologisk ramme undersøges nogle af grundene til, at netop MBSR er blevet populær både i virksomheder og blandt individer med fokus på selvudvikling i en dansk kontekst. Artiklen tager afsæt i empiri hentet fra et kvalitativt forskningsprojekt vedrørende netop denne meditationsform og indledes med en fremstilling af det teoretiske, analytiske og empiriske udgangspunkt for artiklen. Herefter følger en analyse af empirien, i hvilken forfatterne bl.a. argumenterer for, at opfattelsen af virkninger tilskrevet mindfulness meditation må ses i relation til to diskurser, som fremanalyseres og benævnes henholdsvis autenticitets- og effektiviseringsdiskurserne. Disse diskurser udgør i artiklen omdrejningspunktet for mere generelle betragtninger over nogle af de udfordringer, som det senmoderne menneske står overfor. ENGELSK ABSTRACT: Kristina Grünenberg, Hanne Kjærgaard Walker and Jakob Skov Knudsen: Mindfulness Meditation – between Authenticity and Efficiency This article investigates how mindfulness meditation, more precisely cd-guided Mindfulness Based Stress Reduction (MBSR), relates to and contributes to general normative discourses on ways of being human in late modern socie­ty. The article is based on empirical data from a qualitative research project on this form of meditation and starts with a presentation of the theoretical, analytical and empirical points of departure. This is followed by an analysis of the empirical data, in which we argue that the perception of effects attributed to mindfulness meditation should be viewed in relation to two discourses, which we have named discourses of authenticity and of efficiency respectively. These discourses constitute the central point for more general reflections on some of the challenges faced by late-modern people. Key words: Mindfulness meditation, MBSR, alternative medicine, discourse, late-modern society.


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