Teaching and Learning in Medicine
April 1, 2003
Steven Rosenzweig, Diane K. Reibel, Jeffrey M Greeson et al.
507 citations
Medical students who chose a 10-week mindfulness-based stress reduction (MBSR) seminar reported lower total mood disturbance after the program compared to students who attended a didactic seminar on complementary medicine. The MBSR group started with higher mood disturbance (38.7 vs. 28.0) but ended with lower scores (31.8 vs. 38.6). Improvements were also seen in tension-anxiety, confusion-bewilderment, fatigue-inertia, and vigor-activity. MBSR may be an effective way to help medical students manage stress.
Complementary Therapies in Medicine
June 1, 2013
Surbhi Khanna, Jeffrey M Greeson
250 citations
Yoga and mindfulness show promise as complementary therapies for addiction, supported by a growing number of clinical trials and laboratory studies on smoking, alcohol dependence, and illicit substance use. These practices, rooted in ancient Buddhist philosophy and traditional yoga, may target psychological, neural, physiological, and behavioral processes involved in addiction and relapse. However, few studies have examined yoga specifically, and more research is needed to determine which interventions work best for different addictions and patient types. A conceptual model is proposed to guide future studies on outcomes and mechanisms.
JAMA Internal Medicine
July 1, 2024
Christopher E Cox, John A Gallis, Maren K Olsen et al.
22 citations
Among survivors of critical illness with elevated depression symptoms, a mindfulness intervention delivered via a mobile app was tested to find the best way to deliver it. In a randomized trial with 247 participants, those who meditated twice daily had lower depression scores at one month (by 1.2 points on a 27-point scale) and at three months (by 1.5 points) compared to those who meditated once daily. The method of introducing the intervention (app vs. therapist call) and how increasing symptoms were managed (app vs. therapist call) did not affect depression scores. Adherence was high, with 87.9% still using the intervention at the end. The optimal version combined an app-based introduction, twice-daily guided meditation, and app-based symptom management.
CHEST critical care
June 1, 2024
Christopher E Cox, John A Gallis, Maren K Olsen et al.
3 citations
Among survivors of COVID-19 hospitalization with elevated depression symptoms, a self-directed mobile app mindfulness intervention showed no benefit over usual care and had poor adherence. In a randomized trial at 29 US sites, 56 participants were assigned to a four-week app program or control. At three months, depression scores improved similarly in both groups (intervention -0.5 vs control +0.1), with no meaningful differences in anxiety or quality of life; six-month results were comparable. Only about half of intervention participants started the program, and adherence was low. Regulatory delays added nearly a year before the trial could launch. The findings suggest that future large-scale psychological distress interventions should prioritize patient engagement and streamlined regulatory processes.
Journal of Clinical Psychology
August 16, 2017
M. Gawrysiak, S. Grassetti, Jeffrey M Greeson et al.
People with lower levels of acceptance and decentering at the start of a Mindfulness-Based Stress Reduction (MBSR) program showed greater decreases in perceived stress afterward. However, higher baseline awareness, acceptance, and decentering predicted larger increases in positive affect, while higher awareness predicted greater reductions in negative affect, and lower decentering also predicted greater reductions in negative affect. The findings partly support the idea that lower initial mindfulness allows more room for improvement, but they also highlight that different facets of mindfulness relate to outcomes in unique and sometimes opposite ways.
Evidence-based complementary and alternative medicine : eCAM
January 1, 2012
Brett Froeliger, Eric L Garland, Rachel V Kozink et al.
Meditation practitioners show stronger functional connectivity within the Dorsal Attention Network during rest compared to non-meditators. While meditating, practitioners increase connectivity between the Dorsal Attention Network and networks involved in self-referential processing and emotion (default mode and salience networks), while decreasing connectivity between attention regions and prefrontal and insular areas. More years of meditation experience correlate with stronger connectivity between attention networks and subcortical and parietal regions, but weaker connectivity with lateral parietal and insular areas. These findings suggest meditation strengthens attention networks and their coupling with other brain networks.