Addressing physician burnout and patients' distrust of healthcare is a priority. To foster more reciprocally healing experiences in healthcare, we provide an evidence-based conceptual model of sacred moments. "Sacred moments" are brief periods in which people experience transcendence, boundlessness, ultimacy, deep interconnectedness, and spiritual emotions. First, we review empirical and...
Clinics across the USA advertise ketamine as an alternative solution for mental health conditions. Ketamine has expanded into a multibillion-dollar industry, with three delivery models: (1) in-person clinics offering off-label racemic ketamine; (2) clinic visits for esketamine (Spravato); and (3) telehealth services prescribing off-label racemic ketamine. About half of the market encompasses...
Background: Chronic benzodiazepine use remains common among older adults, despite limited evidence of benefit and substantial risks. Evidence-based approaches that are feasible in primary care settings are needed to support benzodiazepine deprescribing for older adults. Objectives: To determine the feasibility, acceptability, and exploratory patient-centered outcomes of a team-based approach to...
The COVID-19 pandemic significantly impacted the mental health of frontline healthcare workers (HCWs), but solid evidence on psychological interventions for HCWs remains limited. Whether an adjusted therapist-assisted Mindfulness-based Stress Reduction group intervention (adjusted MBSR) is superior to a minimal self-guided mindfulness-based intervention (self-guided MBI) in improving mental...
Harriet Tubman, a hero of the abolitionist movement and early civil rights advocate, suffered a head injury in childhood and subsequently developed sleep attacks associated with visions that were extensively documented in historical accounts. Her contemporaries perceived these visions together with unpredictable and unavoidable urges to sleep as manifestations of her deep faith, rather than as...
Women veterans experience higher levels of stress-related symptoms than their civilian counterparts. Psychological stress is associated with greater inflammation and may increase risk for cardiovascular disease (CVD). Mindfulness-based stress reduction (MBSR) has been found to improve psychological well-being in other populations but no randomized controlled trials (RCT) have been conducted...
Background: Teaching mindfulness techniques has been used in the attempt to prevent mental health problems in medical students. Although it has already shown promising results when offered to volunteers, the use as a required strategy is still controversial. Objectives: To verify the efficacy of teaching mindfulness techniques to large groups when made part of a required discipline at the...
Burnout is highly prevalent in residents. No randomized controlled trials have been conducted measuring the effects of Mindfulness-Based Stress Reduction (MBSR) on burnout in residents. To determine the effectiveness of MBSR in reducing burnout in residents. A randomized controlled trial comparing MBSR with a waitlist control group. Residents from all medical, surgical and primary care...
Background: Medical management of acute pain among hospital inpatients may be enhanced by mind-body interventions. Objective: We hypothesized that a single, scripted session of mindfulness training focused on acceptance of pain or hypnotic suggestion focused on changing pain sensations through imagery would significantly reduce acute pain intensity and unpleasantness compared to a...
Mindfulness-based stress reduction (MBSR) and massage may be useful adjunctive therapies for chronic musculoskeletal pain. To evaluate the feasibility of studying MBSR and massage for the management of chronic pain and estimate their effects on pain and mood. Randomized trial comparing MBSR or massage with standard care. Thirty patients with chronic musculoskeletal pain. Pain was assessed with...
Research demonstrating connections between the mind and body has increased interest in the potential of mind-body therapies. Our aim was to examine the use of mind-body therapies, using data available from a national survey. Analysis of a large nationally representative dataset that comprehensively evaluated the use of mind-body therapies in the last year. United States households. A total of...