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The role and importance of cognitive factors in the development and maintenance of insomnia have been well recognised for some time. Indeed, insomnia is characterised by several types of challenging thoughts, and these, coupled with hyperarousal, lead to difficulties sleeping. This chapter describes the role of cognitive factors in insomnia and describes in depth a range of cognitive techniques, their background, and the evidence for them. A number of cognitive techniques are described, including cognitive control, paradoxical intention, articulatory suppression, imagery-training, mindfulness, cognitive restructuring, and problem-solving. For each therapeutic, the reader is provided with specific instructions and narratives to follow to aid in their implementation when working with a patient.
Drug addiction is rife in Nepal, with a high relapse rate following treatment. Apart from basic psychosocial support, there are no evidence-based aftercare services for individuals in recovery. Recently, mindfulness-based interventions have shown promising results in preventing relapse. We discuss the context, challenges and opportunities of organising a 2-day intensive face-to-face mindfulness-based training for Nepalese mental health professionals to facilitate 8-week mindfulness-based relapse prevention (MBRP). Altogether, 24 participants completed the feedback questionnaire. Most were rehabilitation staff, along with a few psychologists and psychiatrists. Feedback suggested a high degree of satisfaction and provided comments to improve the programme. It has prompted us to design online MBRP training and set up a feasibility study for an MBRP programme in Nepal. If successful, this may help a huge number of individuals in recovery.
One of the ways in which artificial intelligence can be a useful tool in the scientific study of religion is in developing a computational model of how the human mind is deployed in spiritual practices. It is a helpful first step to develop a precise cognitive model using a well-specified cognitive architecture. So far, the most promising architecture for this purpose is the Interacting Cognitive Subsystems of Philip Barnard, which distinguishes between two modes of central cognition: intuitive and conceptual. Cognitive modelling of practices such as mindfulness and the Jesus Prayer involves a shift in central cognition from the latter to the former, though that is achieved in slightly different ways in different spiritual practices. The strategy here is to develop modelling at a purely cognitive level before attempting full computational implementation. There are also neuropsychological models of spiritual practices which could be developed into computational models.
This chapter discusses psychic contemplation as our participation in the contemplation of the World Soul, who creates the sensible world and time. As a result, we see the world as becoming alive and we transcend time by finding in ourselves the peace and rest of Nature, the lower power of the World Soul. The main faculty in ourselves which participates in Nature is imagination (and memory), although Nature herself doesn’t entertain perception, imagination, or memory. When we ascend to this level, we begin to live in the present, mindfully awake to our sensible experience, but also having a sense that we are something different from it. Sensible experience no longer deceives us because we see the sensible world in and through its archetypes, which are the logoi in Nature. Like a geometer who sees the intelligible structure of the square in squared sensible shapes, we intuitively see the essence of things (“what it is”) revealed to us through their qualities (“what it is like”).
Theory and research indicated that executive functioning (EF) correlated with, preceded, and stemmed from worry in generalized anxiety disorder (GAD). The present secondary analysis (Zainal & Newman, 2023b) thus determined whether EF domains mediated the effect of a 14-day (5 prompts/day) mindfulness ecological momentary intervention (MEMI) against a self-monitoring control (SM) for GAD.
Method
Participants (N = 110) diagnosed with GAD completed self-reported (Attentional Control Scale, GAD Questionnaire, Perseverative Cognitions Questionnaire) and performance-based tests (Letter-Number Sequencing, Stroop, Trail Making Test-B, Verbal Fluency) at baseline, post-treatment, and one-month follow-up (1MFU). Causal mediation analyses determined if pre-post changes in EF domains preceded and mediated the effect of MEMI against SM on pre-1MFU changes in GAD severity and trait repetitive negative thinking (RNT).
Results
MEMI was more efficacious than SM in improving pre–post inhibition (β = −2.075, 95% [−3.388, −0.762], p = .002), working memory (β = 0.512, 95% [0.012, 1.011], p = .045), and set-shifting (β = −2.916, 95% [−5.142, −0.691], p = .010) but not verbal fluency and attentional control. Within groups, MEMI but not SM produced improvements in all examined pre–post EF outcomes except attentional control. Only pre–post improvements in inhibition mediated the effect of MEMI against SM on pre-1MFU reductions in GAD severity (β = −0.605, 95% [−1.357, −0.044], p = .030; proportion mediated = 7.1%) and trait RNT (β = −0.024, 95% [−0.054, −0.001], p = .040; proportion mediated = 7.4%). These patterns remained after conducting sensitivity analyses with non-linear mediator-outcome relations.
Conclusions
Optimizing MEMI for GAD might entail specifically boosting inhibition plausibly by augmenting it with dialectical behavioral therapy, encouraging high-intensity physical exercises, and targeting negative emotional contrast avoidance.
Community health workers (CHWs) stand as critical frontline agents within the Brazilian healthcare system. In this qualitative study, we examined the impact of a community-based behavioral change intervention spearheaded by CHWs.
Methods:
The intervention focused on promoting healthy behaviors – physical activity, nutrition, and emotional well-being – among individuals aged 50 and older living in a rural community in Brazil. The intervention was designed, implemented, and evaluated in close collaboration with CHWs and local administrators. The implementation of the intervention unfolded in two waves, each lasting 12 months. Interviews with CHWs, health administrators, and intervention participants conducted at post-intervention and 6-year follow-up centered on CHWs as delivery agents and examined the implementation of the intervention in primary care contexts around adoption, implementation, and long-term maintenance.
Results:
Inductive analysis revealed four themes that highlight CHWs’ motivation to take active roles in health promotion and overcoming challenges such as unfamiliarity with new roles or limited training. In addition, enhanced community bonds, job satisfaction, and trust in CHWs gained through the intervention, empowered CHWs to realize their potential and importance. Another important area relates to the CHWs’ ability to leverage their deep community ties and cultural insights to enhance the intervention’s significance. CHWs’ participation in the program also led to personal benefits and self-care practices, setting an example for the community they serve.
Conclusions:
This study underscores the positive impact of a community-based intervention led by CHWs. Such programs have the potential for nationwide dissemination, leveraging the CHWs’ widespread presence and deep community integration.
Parents of children with skin conditions can experience stress from the additional responsibilities of care. However, there is a lack of psychological interventions for families affected by a dermatological diagnosis.
Aims:
To investigate (1) whether delivering the ‘Living in the Present’ mindfulness curriculum to parents of children with skin conditions reduced stress and increased both parental/child quality of life (QoL), and (2) determine intervention acceptability.
Method:
Ten parents of children with eczema, ectodermal dysplasia, ichthyosis, and alopecia took part in a mindfulness-based intervention. Using mixed methods, a single-group experimental case design (SCED) was conducted and supplemented by thematic analysis of exit interviews. Parents completed idiographic measures of parenting stress, standardised measures of QoL, stress, mindfulness, and took part in exit interviews. Children also completed QoL measures.
Results:
Tau-U analysis of idiographic measures revealed three parents showed some significant improvements in positive targets, and five parents showed some significant improvements in negative targets. Assessment of reliable change demonstrated that: one parent showed improvement in mindful parenting, three parents showed improvement in parenting stress, seven parents showed improvement in anxiety, three parents showed improvements in depression, six parents showed improvement in QoL, and four children showed improvement in QoL. However, two parents showed increased anxiety. Thematic analysis revealed positive changes to mood following mindfulness, although challenges were highlighted, including sustaining home practice.
Conclusion:
Findings suggest this specific form of mindfulness intervention could be effective for parents of children with skin conditions; however, further robust studies are needed.
Practicing self-compassion – kindness towards ourselves, an understanding of our common humanity, and mindfulness – can be an important contributor to the development of a positive body image.
There are many ways to practice self-care that extend beyond grooming practices and may include nurturing our social relationships.
Examining what it is that adds meaning to our lives and working to enhance our eudaimonic well-being can also enhance our body image.
This is how Georgia State University College of Law Professor Charity Scott introduced the concept of mindfulness to numerous law students and lawyers. Aware that her skeptical, mind-driven audience needed a clear definition for a practice that seemed curious, at best, and esoteric, at worst, she immediately gave us the very lawyerly task of “pars[ing] each of these phrases to understand their importance and relevance to the legal profession”2 and applying them to our own experience of studying or practicing law. Using scientific evidence, she described the benefits of mindfulness and then invited us to try it and decide for ourselves. Charity was a superb teacher, who knew how to impart knowledge skillfully, and a brilliant lawyer, who could present and defend her case exceptionally well. In fact, “Charity Scott owned the subject matter so deeply that she was able to engage lawyers who otherwise would never have given the concept of mindfulness any credence in a million years. In a way that’s hard to describe, she didn’t brook any resistance on the topic and, as a result, was able to move the needle on well-being for lawyers at a time when, as far as I can tell, she was the only one doing the lifting,” reflects Lynn Garson, health care attorney and mental health advocate. But I believe Charity Scott’s true mastery and impact came from her embodiment of mindfulness itself. In her presence, mindfulness ceased to be a mere concept, but instead became her way of being that illuminated her words and actions, nourished her relationships, and changed lives.
High-risk situations can be understood as events and situations that, if not effectively managed, pose a potential risk for relapse. What is important to note is that it is chiefly the individual’s subjective perception of “risk” that plays a significant role in whether a situation is high risk or not. A high-risk situation poses a threat to one’s perceived ability (what psychology calls “self-efficacy”) to handle the challenging situation at hand. Therefore, by developing more effective coping skills, thereby increasing perceived self-efficacy, one can learn to manage a high-risk situation without defaulting to substance use. This chapter provides practices that enables the reader to effectively deal with high-risk situations. The focus of this workbook is not to provide an exhaustive set of relapse prevention skills and tools but to help the reader to unlock their innate resilience through developing a Recovery Resilience Practice, so that they can effectively apply them.
Research has shown that the state of your mental health has an impact on your physical health; thus, ameliorating mental health problems might improve physical health, extend lifespan, and reduce healthcare costs. Not every tool or practice works for every person. It takes some experimentation to learn which techniques effectively calm your fight-or-flight response and engage your rest-and-digest recovery system. Those who are willing to try might just gain a competitive edge. Mentally strong people are willing to learn new modes of self-development, adapt to our constantly changing world, take responsibility for their improvements and periodic failures, and assume control of their lives. They do not let negative environments or distractions deter them from their goals. The research-based practices here are divided into exercises that address specific obstacles to mental strength (perfectionism, imposter syndrome, pessimism, emotion regulation, and self-awareness of introversion, extroversion, and neurosignature strengths) and proactive strategies to empower your rest-and-digest system (growth mindset, mindfulness, meditation, nature therapy, creative play, and interacting with dogs).
Global consumption of sugar-sweetened foods (SSF) is high, despite being linked with obesity(1). Motivations to eat SSF may contribute to high sugar intakes(2). The herb Gymnema sylvestre (GS) may reduce SSF consumption(3), but its effects on motivations to eat SSF are unknown. This study aimed to investigate effects of GS on adult’s motivations to eat SSF. The study used a placebo-controlled randomised cross-over method, of which seven participants (mean age of 34 ± 13.8 years; two males, five females) who self-identified as having a sweet tooth agreed to interview. A placebo mint was tested three times daily in-between meals (i.e., PLAC-SYS) for 14 days, before random allocation to one of two GS treatments for a second 14-day period, crossing over GS treatments in a final 14-day period. The GS treatments were identical GS-containing mints, administered systematically three times daily in-between meals (i.e., GS-SYS); or ad-libitum up to six times daily (i.e., GS-ADLIB). Each participant completed four 30-minute interviews – at baseline and after each 14-day testing period – to capture perspectives on changes in motivations, and the effects of treatments on SSF intake. Interviews occurred on Zoom software or in person, according to participant preference. Interview transcripts were uploaded to NVivo, and themes regarding motivations to eat SSF were identified and explored to ascertain effects on participant’s behaviour during each treatment, and what influenced their motivations. Baseline motivations to eat or to avoid SSF were categorised in psychological, external, habitual, hedonistic and physiological themes (except none habitually avoided SSF). Baseline motivations to eat and avoid SSF were influenced by deliberate decisions to change lifestyles and external factors (e.g., occupations). During testing of PLAC-SYS, GS-SYS and GS-ADLIB, participants’ motivations were affected by each treatment and external factors. At all stages participants were still motivated hedonistically to eat SSF. Compared to PLAC-SYS, both GS treatments were more effective because they reduced pleasure derived from SSF more and enhanced mindful eating. Four participants preferred GS-SYS to GS-ADLIB because of taste preference, and because it was more effective at changing behaviours around eating SSF. Participants also reported self-control of SSF intake changed because of GS-ADLIB (but not GS-SYS or PLAC-SYS) and external factors. Overall, reported self-control levels varied during the study, mostly because of external factors rather than the effects of GS-ADLIB. Compared to PLAC-SYS, both GS treatments may increase motivations to avoid SSF. The herb may be useful in interventions already utilising mindful eating by increasing the time between initial motivations to eat, and actually eating SSF. External factors also affect how in control individuals feel over SSF intake; GS-ADLIB may enhance self-control. Interventions supporting navigation of changing external factors, combined with GS, could be particularly effective in reducing SSF intake.
Theories propose that judgment of and reactivity to inner experiences are mediators of the effect of mindfulness-based interventions on generalized anxiety disorder (GAD). However, no study has tested such theories using brief, mindfulness ecological momentary intervention (MEMI). We thus tested these theories using a 14-day MEMI versus self-monitoring app (SM) control for GAD.
Methods
Participants (N = 110) completed self-reports of trait mindfulness (Five Facet Mindfulness Questionnaire), GAD severity (GAD-Questionnaire-IV), and trait perseverative cognitions (Perseverative Cognitions Questionnaire) at prerandomization, posttreatment, and 1-month follow-up (1MFU). Counterfactual mediation analyses with temporal precedence were conducted.
Results
Improvement in pre–post mindfulness domains (acceptance of emotions, describing feelings accurately, acting with awareness, judgment of inner experience, and reactivity to inner experience) predicted pre-1MFU reduction in GAD severity and pre-1MFU reduction in trait perseverative cognitions from MEMI but not SM. MEMI reduced pre–post reactivity to inner experiences (but not other mindfulness domains) significantly more than SM. Only reduced pre–post reactivity significantly mediated stronger efficacy of MEMI over SM on pre-1MFU reductions in GAD severity (indirect effect: β = −2.970 [−5.034, −0.904], p = .008; b path: β = −3.313 [−6.350, −0.276], p = .033; percentage mediated: 30.5%) and trait perseverative cognitions (indirect effect: β = −0.153 [−0.254, −0.044], p = .008; b path: β = −0.145 [−0.260, −0.030], p = .014; percentage mediated: 42.7%). Other trait mindfulness domains were non-significant mediators.
Conclusions
Reactivity to inner experience might be a mindfulness-based intervention change mechanism and should be targeted to optimize brief MEMIs for GAD.
What makes us durable in alone time is a combination of background, personality, mindset, approach, and mental tools. It may come as no surprise that adaptable, confident, and optimistic people are better at alone time, because those traits are important for resilience in any context. But we are also learning that those who are able to stop and introspect, who are generally curious and self-reliant, flourish when they’re alone. Perhaps more importantly, how we perceive solitude can make or break that time. Being able to see value or meaning in it, even when we must be alone, is critical. Feeling that we have interesting and challenging activities in that space also makes it more enjoyable.
This study aimed to evaluate the evidence of validity and accuracy for the Mindful Self-Care Scale-Brief (B-MSCS) in Brazil among family caregivers of people with cancer.
Methods
This was a cross-sectional study with a sample of 203 family caregivers of people with cancer. The instruments used in this study were the following: B-MSCS, Brief Resilience Scale, and Brief Scale for Spiritual/Religious Coping. Exploratory factor analysis was carried out using the principal axis factoring method and direct oblimin oblique rotation, and confirmatory factor analysis using the robust weighted least squares means and variance adjusted estimation method and GEOMIM oblique rotation. The internal consistency of the latent factors was measured using Cronbach’s alpha coefficients.
Results
The 6-factor model showed good fit to the data, with satisfactory reliability indices and adequate representation of the scale’s internal structure. The results that can support arguments in favor of validity evidence based on internal structure for the B-MSCS-Brazilian version (BR) relate to a 19-item version which, grouped into 6 latent factors, explained 46.47% of the variance. The factor solution reproduced 79.2% of the theoretically expected structure and 5 items were excluded. The Cronbach’s alpha coefficient of the factors in the B-MSCS-BR ranged from 0.58 to 0.84. Positive religious/spiritual coping had a direct association with the B-MSCS-BR factors, with the exception of the Physical Care factor (r = 0.033, p = 0.635). Negative spiritual/religious coping was inversely associated with the Mindful Relaxation (r = −0.160, p = 0.023), Supportive Relationships (r = −0.142, p = 0.043), and Mindful Awareness factors (r = −0.140, p = 0.045). There were no associations between the B-MSCS-BR factors and resilience.
Significance of results
The findings reveal that the B-MSCS (19-item) is a valid, reliable, and culturally-appropriate instrument to examine the practice of mindful self-care by family caregivers of people with cancer in Brazil.
This chapter addresses the neuroscience of creativity in the context of the trends related to creativity and motivation, namely mindfulness and mind/brain/education (MBE) science. Included are neuroscience methodology, neuroscience studies, mindfulness and creativity, mindfulness and Motivation, mindfulness techniques, benefits of mindfulness in education, mindfulness versus metacognition, and MBE science.
La maladie d’Alzheimer se manifeste par des troubles de la mémoire et un déclin cognitif plus général, le plus souvent associés à des troubles de l’humeur et du comportement. Les traitements médicamenteux ayant une efficacité assez modeste, il apparaît nécessaire de leur associer une prise en charge non pharmacologique. La méditation de pleine conscience, qui a des effets bénéfiques sur le fonctionnement cognitif et sur l’état émotionnel, semble être une piste intéressante. Cette revue de littérature narrative se propose de recenser les études ayant testé l’efficacité d’une intervention basée sur la pleine conscience auprès de personnes souffrant de la maladie d’Alzheimer ou à risque de développer cette maladie. Il apparaît que ces interventions présentent un intérêt pour réduire les symptômes cognitifs (troubles attentionnels et mnésiques notamment) et émotionnels (affects dépressifs et anxiété en particulier). Cependant, elles nécessitent un certain nombre de modifications pour être adaptées à ce public.
In this final session, we celebrate! We have a formal graduation ceremony complete with a certificate honoring the graduate of the FBI-Academy, Tummy Pain Division. In the context of the clinical trial, this was celebrated with the award of a memory card game that had a match for every new character that was learned throughout the treatment. This game served as a fun reminder of all that was learned in a way to ensure that the children and parents remember the characters and help maintain their progress towards emotion awareness, self-regulation, and reduced distress about pain. This last chapter also serves as the beginning of the journey for clinicians. We provide suggestions for how the FBI intervention can be integrated into mental health and pediatric primary care practices. We introduce the reader to all the online resources, including our online support community, and invites them to participate in online supervision groups for providers and support groups for families. We are excited to continue this lifelong investigation as we all learn to trust in ourselves and wonder at the wisdom of our bodies.
The Epilogue argues that, during the first decades of the twenty-first century, the Buddha has become part of Western popular culture, on occasion little more than a commodity on the shelf in the modern supermarket of individual spiritualities. Thus, whether the story of the Buddha is history or legend, fact or fiction, he remains an exemplary human figure, whose life provides a ‘romantic’ ideal to be followed. As the Oriental ‘other’, now acceptably disenchanted, the Buddha is a symbolic antidote to the ills of modernity in the West. The disenchanted Buddha is thus able to serve as the foundation of a new Western naturalised Buddhism. Naturalised Buddhism provides technologies of self-formation for everyday life in this world. Here, the Buddha is a this-worldly sage and the philosopher of a new form of human consciousness focused upon the practices of meditation and mindfulness.
In our last session of new material, we focus on body sensations that are soothing and pleasant. Practicing ways to lower our heart rate has been a part of every session and thus, by the time Session 9 occurs, children are very good at noticing and embracing calm, soothing sensations, This session is about rejoicing in moments of slow-moving wonderment – drifting off into a daydream, feeling the warmth of a smile, feeling alert as your senses take in everything around you. Children practice noticing everything surrounding them when they just stop and take in the moment. They see where their mind travels to when they find a restful spot to day dream. They feel time slipping away as they become engrossed in something that really focuses their attention. Catching and holding onto soothing moments is a wonderful way to live.