Littérature scientifique
« Articles et publications scientifiques, la plupart en Anglais. »
Mindfulness‑Based Stress Reduction Health Insurance Coverage: If, How, and When? An Integrated Knowledge Translation (iKT) Delphi Key Informant Analysis
Par Hannah E. Frank · Ariana Albanese · Shufang Sun · Frances Saadeh · Blair T. Johnson· A. Rani Elwy · Eric B. Loucks- may 2024 – anglais
Abstract
Objectives Hundreds of trials have evaluated Mindfulness-Based Stress Reduction (MBSR), but in the United States, it is generally not covered by health insurance. Consequently, the aims were to identify the following: (1) key questions to make decisions about if, how, and when MBSR should be covered by health insurance; (2a) barriers and (2b) facilitators to understand and resolve for MBSR to be covered by health insurance; and (3) highest priority evidence needed to inform health insurance coverage decisions.
Methods Key informants (n = 26) included health insurers, healthcare administrators, policymakers, clinicians, MBSR
instructors, and MBSR students. An initial pool of items related to the study aims was generated through qualitative inter- views. Through the Delphi process, participants rated, discussed, and re-rated each item’s relevance. Items were required to reach a consensus of ≥ 80% agreement to be retained for final inclusion.
Results Of the original 149 items, 42 (28.2%) met the ≥ 80% agreement criterion and were retained for final inclusion. The
most highly rated items informing whether MBSR should be covered by health insurance included research demonstrating that MBSR works and that it is not harmful. The most highly rated barriers to coverage were that MBSR is not a medical treatment and patient barriers to attendance. Highly rated facilitators included the potential of MBSR to address common mental health and psychosomatic problems. Finally, understanding what conditions are effectively treated with MBSR and the impact of MBSR on stress were rated as the highest priority evidence needed to inform health insurance coverage decisions.
Conclusions Findings highlight priorities for future research and policy efforts to advance health insurance coverage of MBSR in the United States. Lire l’article
Cartographie pour le Ministère de l’Enseignement Supérieur et de la Recherche
Par l’Université Paris Cité et l’IMF (Initiative Mindfulness France) – novembre 2023
État de l’art des travaux académiques sur les méditations en France : publications, thèses et mémoires, essais cliniques…. Lire l’article
Cartographie de la méditation dans l’enseignement supérieur en France
Rapport de l’IMF (Initiative Mindfulness France) – octobre 2023
Introduction
A la demande du Ministère de l’Enseignement Supérieur et de la Recherche, nous avons recensé les établissements de l’enseignement supréieur dans lesquels des interventions ou des formations de méditation sont proposées. Cinquante d’entre elles ont été identifiées, dont la plupart concernent la méditation de pleine conscience. Les établissements proposent principalement un apprentissage de la méditation ou de l’étude des liens entre la méditation et certaines thématiques notamment dans les domaines de la santé, du travail et des apprentissages…. Lire l’article
Mindfulness in Westminster – Reflections from UK Politicians
Par Ruth Lister, Baroness Lister of Burtersett- September 2023 – anglais
Introduction
« We talk about mindfulness being helpful « out thère », but what about how mindfulness could help « in here », in Parliament. What about mindful politics?
In the UK, public trust in politicians is at a record low, while a majority of citizens report a dislike of « how politics works » acting as a barrier to personnal engagement. Add to this media portrayals of toxicity in Westminster, and the resulting picture is at odds with one in which politicians from across divides sit respectfully together, exploring the workings of the mind and heart to cultivat increased presence, awarness and care. But that is what a significant number of politicians have done over the past ten years, by participing in mindfulness training…. Lire l’article
La Pleine conscience (Mindfulness) dans la société française: réalités et perspectives
Rapport d’ IMF (Initiative Mindfulness France) – Septembre 2020
Édito
Il s’est passé beaucoup de choses dans le champ de la Pleine conscience depuis l’édition du premier rapport (et ce nouvel opus en témoignera) mais il est certain que ce contexte a tout particulièrement vu l’essor de la pratique de la méditation (de Pleine conscience ou autre). Les applications dédiées sur téléphone n’ont jamais été autant téléchargées, les entreprises et les mutuelles (par exemple) ont commencé à recommander la pratique à leurs employés et à leurs clients, la presse, notamment scientifique, s’en est fait l’écho…. Lire l’article
Mental and Physical Health Impacts of Mindfulness Training for College Undergraduates: A Systematic Review and Meta‑Analysis of Randomized Controlled Trials
Par Blair T. Johnson- August 2023 – anglais
Abstract
Background Universities increasingly offer mindfulness-based programs (MBPs) to improve student health and reduce their impact on overburdened psychological services. It is critical for evidence-based policy to determine for what health outcomes mindfulness programs are effective and under what conditions. Objectives were to (a) perform a comprehensive analysis of the effects of mindfulness interventions on physical, mental, and behavioral health outcomes in college undergraduate students, and (b) examine moderators of intervention effects to identify factors that may help improve existing university mindfulness programs and guide the design of new programs.
Method Systematic searches of five databases identified MBP randomized controlled trials for undergraduate students,
measuring any health outcome. Analyses using robust variance estimation focused on standardized mean differences for outcomes between groups and modeled through coded study features.
Results The 58 studies in the review primarily focused on mental health with fewer assessments of physical health or health
behaviors. Overall, mindfulness interventions significantly outperformed both active and inactive controls (p-values<.05), with the most marked effects on anxiety symptoms, depressive symptoms, and mindfulness; greater success appeared for clinical populations. Online programs performed equivalent to in-person, and non-MBPs were equivalent to MBPs after controlling for other factors. Publication bias and other quality issues also emerged.
Conclusions Mindfulness programs improve well-being in college students, with the strongest evidence for reducing anxiety
and depressive symptoms. More studies utilizing stronger methods are needed to evaluate mindfulness programs’ effects on additional health outcomes and online interventions in clinical populations. Lire l’article
Mindfulness-Based Stress Reduction for our Time: A Curriculum that is up to the Task
Par Rebecca S. Crane- February 2023 – anglais
Abstract
There is current heightened public consciousness of the intersecting challenges of social and racial injustice, other forms of inequity, and the climate and biodiversity crisis. We examine how these current realities influence how we engage as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Program (MBP) teachers and researchers. Although Kabat-Zinn developed MBSR as a vehicle to enable engagement with both the individual and the collective drivers of distress and flourishing, predominant research and practice trends within the MBP field have prioritised individual wellbeing, and have not been accessible to the full societal demographic. Furthermore, there is increasing recognition that the systemic social inequities that influence access to public services have not been addressed in the MBP field. In response, there is now an increasing trend exploring how MBP participation can influence ‘bigger than self’ concerns, with research, practice and theory suggesting that the inner personal transformation that mindfulness practice enables, supports individuals to compassionately reconnect to self, other and the natural world in ways that foster prosocial behaviour change, and enables awareness building of personal bias and conditioning. In this paper we present perspectives on ways of both retaining fidelity to the existing MBSR program, and simultaneously embracing anti-oppression teaching methods and content, and an inclusive recognition of the micro, meso and macro causes and conditions that drive distress and flourishing. We are a group of racially diverse MBP teachers and trainers from both sides of the Atlantic, who are engaged in training initiatives with people from Black, Latinex, Indigenous, Asian, and People of Color communities. Lire l’article
Tapestry of MBSR: The Art of Interweaving Transformational Elements
Par Florence Meleo-Meyer- 2021 – anglais
In this article, I explore the warp and weft of mindfulness-based stress reduction (MBSR) to elucidate the subtle depth and multidimensionality of this program as it was originally conceived. The analogy of warp and weft is used to illustrate the core elements which synergistically interact creating a tapestry, unique to each MBSR program around the world, while also deeply aligning and unifying the program as a whole. I describe the ethos and ethics embodied in the course, the structures and principles that form the vision, curriculum and attitudinal foundations. Additionally, I outline details of the various exercises and practices in the program while acknowledging that the living experience of each MBSR program taught in different cultures and languages is influenced by the particular group of participants. I share learnings and accounts from participants who have benefitted from the course. Finally, I conclude by describing my own vision for the role of mindfulness and MBSR in the future. I hope that this tapestry provides a better and more nuanced under- standing of what the MBSR program truly involves, and also the aspirations and visions of its creator, and the many MBSR teachers and community throughout the world. Lire l’article
Psychological Medicine : Prevalence of harm in mindfulness-based stress reduction
Par l’équipe de Richard J. Davidson – July 2020 – anglais
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, discom- fort 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 – lire l’article
The benefits of meditation and mindfulness practices during times of crisis such as COVID-A9
Publiches by Cambridge University Press on behalf of The College of Psychiatrists of Ireland – anglais – mai 2020
« Meditation and mindfulness are practices that can support healthcare professionals, patients, carers and the general public during times of crisis suche as the curent global pandemic causes by COVID-19. While there are many forms of meditation and mindfulness, of particular interest to healthcare professionals are those with an evidence base suche as mindfulness-bases stress reduction (MBSR). Systematic reviews of such practices have shown improvements in measures of anxiety, depression and pain scores….. » – Lire l’article
Current Opinion in Psychology : Forword : Seeds of a necessary global renaissance in the making : the refining of psychology’s understanding of the nature of mind, self, and embodiment through the lens of mindfulness and its origins at a key inflection point for the species
Jon Kabat-Zinn for ScienceDirect – février 2019 – anglais
« The faculty of voluntarily bringing back a wander- ing attention, over and over again, is the very root of judgment, character, and will. No one is compos sui if he have it not. An education which should improve this faculty would be the education par excellence. But it is easier to define this ideal than to give practical instructions for bringing it about. » William James, The Principles of Psychology (1890)
When William James penned these words in the late nineteenth century at Harvard University, in Cambridge Massachusetts, he had no inkling that on the other side of the planet, there were people at that very moment who were not only cognizant of but highly developed in operationalizing through rigorous practices the very potential he was intuiting and articulating so skill- fully—that is, recognizing and taming in the service of greater clarity and embodied wisdom, the tendency of our attention to wander. I am speaking, of course, about the systematic cultivation of mindfulness, or moment-to-moment, non-judgmental, non-reactive attending, and the awarness, insight, and potential liberation that can arise from that intentional cultivation. – lire l’article
Current Opinion in Psychology 2019 : Residential meditation retreats: their role in contemplative practice and significance for psychological research
By Brandon G King, Quinn A Conklin, Anthony P Zanesco and Clifford D Saron for ScienceDirect – Jan 2019 – anglais
Contemporary investigations of mindfulness and meditation have predominately emphasized the short-term effects of brief inductions or standardized, multi-week interventions in people with little to no prior meditation experience. Considerably less is known about the effects of continued or intensive meditation practice as proficiency and expertise are acquired over time. In this article, we describe the form and function of residential retreats, an understudied class of meditation intervention that holds promise for bridging this gap in the empirical literature. We outline a number of design features that distinguish retreats from other meditation-based interventions, and highlight their utility for informing functional and developmental perspectives on meditation, cognition, health, and well-being. Lire l’article
Current Opinion in Psychology 2019 : Adding historical depth to definitions of mindfulness
By Bhikkhu Analayo for ScienceDirect – oct 2018 – anglais
Research on Mindfulness-Based Interventions (MBI) is hampered by semantic ambiguity surrounding the term ‘mindfulness’. Understanding the core quality involved in such research could be improved by adding historical depth to definitions of mindfulness, based on more detailed information on mindfulness from text-historical and doctrinal sources in the Buddhist traditions. Particular applications of mindfulness in current clinical usage could be compared to related approaches or doctrinal teachings in Buddhist traditions as part of an ongoing cross-disciplinary dialogue between academics in Buddhist studies and in psychology under the shared aim of deepening our understanding of what mindfulness involves and how it operates.- lire l’article
Current Opinion in Psychology 2019 : On the porosity of subject and object in ‘mindfulness’ scientific study: challenges to ‘scientific’ construction, operationalization and measurement of mindfulness
By Paul Grossman for ScienceDirect – nov 2018 – anglais
The definition, operationalization and measurement of mindfulness in modern science are highly enmeshed in a web of complex historical, social, economic, political and technological factors. Fundamental and accepted scien- tific criteria are often cast aside in the process. This is exemplified by the massive proliferation of self- report mindfulness questionnaires in mindfulness research, despite the fact that they have been shown to have obvious and significant problems with validity and/or reliability in many studies (see later dis- cussion). How otherwise to explain that basic and obvious empirical evidence be so thoroughly discounted or ignored in the scientific invention of mindfulness? Because the evidence, by itself, seems unable to influ- ence a major research focus on mindfulness, it seems insufficient to dwell on and recapitulate already estab- lished empirical facts merely about, say, measurement issues of mindfulness. Another more contextual analysis is plainly necessary. Lire l’article
Current Opinion in Psychology 2019 : Epigenetics and meditation
By Perla Kaliman for ScienceDirect – nov 2018 – anglais
In the last decade, epigenetics has taken center stage to explain the relationships between stress exposure, health and behavior. Acquired or inherited epigenetic changes modulate gene expression states without modifying the DNA sequence itself, they can be long-lasting, yet, they are potentially reversible. Several studies have explored whether meditation- based interventions can influence gene expression profiles towards healthier directions, identifying candidate genes and biological pathways that seem to be sensitive to contemplative practices. However, to date, the clinical implications of these molecular outcomes and their potential long-lasting epigenetic bases remain mostly unknown. The present article addresses these topics from a broad perspective and analyzes future research questions and perspectives at the crossroads of contemplative sciences and epigenetics. Lire l’article
Current Opinion in Psychology 2019 : Intervention integrity in mindfulness-based research: strengthening a key aspect of methodological rigor
By Rebecca S. Crane for ScienceDirect – oct 2018 – anglais
To ensure methodological rigour, research on Mindfulness- Based Programs (MBPs) should include systems for assessing and reporting the integrity of the intervention. The critical variable of the quality of the teaching and the degree of adherence to the curriculum are likely to influence research outcomes and their interpretation. Currently, three tools for assessing intervention integrity in the MBP field have been developed, but they need further research and development. Research going forward needs to include systematic methods for demonstrating and verifying the integrity of the MBP, both to ensure the rigor of individual studies and to enable different studies of the same MBP to be fairly and validly compared with each other. Lire l’article
Campbell Collaboration – Social Welfair Coordinating Group : Mindfulness-based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta-analysis
By Michael de Vibe, Arild Bjørndal, Sabina Fattah, Gunvor M Dyrdal, Even Halland, Emily E Tanner-Smith – 2017 – anglais
Objectives : To evaluate the effect of Mindfulness-Based Stress Reduction (MBSR) on health, quality of life and social functioning in adults.
Search methods : The following sources were searched, most recently in November 2015: PsycINFO (Ovid), MEDLINE (Ovid), EMBASE (Ovid), AMED (Allied and Complementary Medicine) (Ovid), CINAHL (Ebsco), Ovid Nursing Full Text Plus (Ovid), Cochrane Central Register of Controlled Trials (CENTRAL), British Nursing Index, (ProQuest), Eric (ProQuest), ProQuest Medical Library, ProQuest Nursing & Allied Health Source, ProQuest Psychology Journals, Web of Science, SveMed+, Social Services Abstracts, Sociological Abstracts and International Bibliography of Social Sciences.
Selection criteria : The review included randomised controlled trials (RCTs) where the intervention followed the MBSR protocol developed by Kabat-Zinn, allowing for variations in the length of the MBSR courses. All target groups were accepted, as were all types of control groups, and no language restrictions were imposed.- lire l’article
MINDFULNESS : Qu’est-ce que c’est ? D’où cela est-il venu ?
Par Ronald D. Siegel, Christopher K. Germer, and Andrew Olendzki – mars 2014
A travers l’Histoire, les êtres humains ont cherché à découvrir les causes de la souffrance et les moyens de l’atténuer. Tôt ou tard, nous posons tous la même question : « Pourquoi est-ce que je ne me sens pas mieux ? », « Que puis-je faire pour ça? ».
Habiter un corps physique nous expose à la douleur associée à la maladie, l’âge avancé et la mort. Nous luttons également émotionnellement quand nous sommes confrontés à des circonstances adverses, ou avec des circonstances bénignes que nous voyons comme adverses.
Même quand nos vies sont relativement faciles, nous souffrons quand nous n’obtenons pas ce que nous voulons, quand nous perdons ce que nous avons eu, et quand nous devons faire avec ce que nous ne voulons pas. De la naissance à la mort, nous essayons incessamment de nous sen- tir mieux. Lire l’article
Meditation Increases Compassionate Responses to Suffering
2013 : By Paul Condon, Gaëlle Desbordes, Willa Miller & David DeSteno – Northeastern University – Massachusetts General Hospital – Harvard University
Contemplative science has documented a plethora of intra-personal benefits stemming from meditation, including increases in gray matter density (Hölzel, Carmody, et al., 2011), positive affect (Moyer et al., 2011) and improvement in various mental health outcomes (Hölzel, Lazar, et al., 2011). Strikingly, however, much less is known about the inter-personal impact of meditation. Although Buddhist teachings suggest that increases in compassionate responding should be a primary outcome of meditation (Davidson & Harrington, 2002), little scientific evidence exists to support this conjecture. Even as scientists have begun to examine the effects of meditation on prosocial action, the conclusions that can be drawn with respect to compassion have been limited by designs that lack real-time person-to-person interactions centered on suffering.- lire l’article
MEDITATION DE PLEINE CONSCIENCE – Ce qu’elle est, ce qu’elle n’est pas et son rôle dans la médecine et le soin
Jon Kabat-Zinn – 1996 – français
« La Réduction du Stress Basée sur la Pleine Conscience (MBSR – Mindulness Based Stress Reduction) est une approche générique et probante au prendre soin de soi, à la médecine participative, à l’éducation du patient et à la gestion efficace du stress, de la douleur et de la maladie. Elle fournit un cadre de référence presque universel pour favoriser les apprentissages internes et externes à propos du corps et de l’esprit, de la relation au monde et de sa place dans le monde ; ce qui favorise une croissance continue, une vie plus saine et une guérison tout au long de la vie. Comme telle, elle a le potentiel d’être un moyen d’enseigner à un nombre important de personnes comment rester en bonne santé et optimiser sa santé physique et émotionnelle, comment se tenir le plus possible à l’écart des hôpitaux, comment vivre mieux et faire face plus efficacement aux problèmes de santé chroniques pour lesquelles il n’existe pas de remèdes pour l’instant et comment utiliser le système de santé efficacement, avec un souci d’économie. Cette approche a aussi comme vertu de continuer à s’approfondir au fil du temps avec la pratique. » – Lire l’article
Some Reflections on the Origins of MBSR, Skillful Means, and the Trouble with Maps
Jon Kabat-Zinn – 2011 – anglais uniquement
« The author recounts some of the early history of what is now known as MBSR, and its relationship to mainstream medicine and the science of the mind/body connection and health. He stresses the importance that MBSR and other mindfulness-based interventions be grounded in a universal dharma understanding that is congruent with Buddhadarma but not constrained by its historical, cultural and religious manifestations associated with its counties of origin and their unique traditions. He locates these developments within an historic confluence of two very different epistemologies encountering each other for the first time, that of science and that of the meditative traditions. The author addresses the ethical ground of MBSR, as well as questions of lineage and of skillful “languaging” and other means for maximizing the possibility that the value of cultivating mindfulness in the largest sense can be heard and embraced and cultivated in commonsensical and universal ways in secular settings. He directly addresses mindfulness-based instructors on the subject of embodying and drawing forth the essence of the dharma without depending on the vocabulary, texts, and teaching forms of traditional Buddhist environments, even though they are important to know to one degree or another as part of one’s own development. » – Lire l’article
Les approches utilisant des exercices de méditation de type « mindfulness » ont-elles un rôle à jouer ?
Guido Bondolfi – 2019 – français
« La mindfulness (en français pleine conscience) représente le dénominateur commun qui est à la base des différents courants de pratique de méditation bouddhiste. Par pleine conscience, on entend le fait de porter son attention d’une manière particulière, délibérément, au moment présent et sans jugement de valeur. Au cours de ces dernières années, plusieurs approches thérapeutiques intégrant la pratique de la méditation (Mindfulness Based Stress Reduction ; Dialectical Behavior Therapy ; Mindfulness Based Cognitive Therapy) ont été développées et évaluées. Dans cet article nous examinons les mécanismes pouvant expliquer pourquoi cette pratique peut conduire à une réduction symptomatique et/ou à un changement comportemental dans le cadre de divers troubles émotionnels et plus particulièrement dans le traitement des troubles anxieux. » – Lire l’article
Brow University : Health Effects of Mindfulness-Based Stress Reduction (MBSR): A Review of Systematic Reviews and Meta-Analyses
Eric B. Loucks, PhD – 2019 – anglais uniquement
« Addiction – A systematic review by Goldberg et al.1 that evaluated studies published up to January 2017, showed only one small quasi-experimental MBSR study on addiction (n=30), that demonstrated significant improvements in drug cravings in those addicted to drugs.2 There were many more studies that used customized MBI’s such as Mindfulness-Based Relapse Prevention (MBRP) and Mindfulness-Oriented Recovery Enhancement (MORE), with promising evidence.
Adiposity, Anxiety….. » – Lire l’article
Current Opinion in Psychology : Building an ark : creating a vessel for the education of MBSR teachers
Saki Santorelli – 2019 – anglais uniquement
« This paper is a response to an invitation by the editors of this special issue to write a first person account about mindfulnessbased stress reduction (MBSR) teacher education as it developed within the Stress Reduction Clinic (SRC) and Center for Mindfulness in Medicine, Health Care, and Society (CFM) at the University of Massachusetts Medical School. As the founder of Oasis Institute, I have attempted to describe, in very personal terms, the ground out of which Oasis emerged and the ways this ground shaped the intention, educational trajectory, pedagogy, and infrastructure of Oasis Institute. » – Lire l’article
Current Opinion in Psychology : The beauty we love: MBSR teacher education going forward
Saki Santorelli – 2019 – anglais uniquement
« The paper begins with a brief overview of the current field of mindfulness and MBSR. Following this, the paper identifies and details nine domains of MBSR teacher education to consider going forward. » – Lire l’article
Mindfulness-based stress reduction for family carers of people with dementia (Review)
Liu Z, Sun YY, Zhong BL – 2018 – anglais uniquement
« Caring for people with dementia is highly challenging, and family carers are recognised as being at increased risk of physical and mental ill-health.Most current interventions have limited success in reducing stress among carers of people with dementia. Mindfulness-based stress reduction (MBSR) draws on a range of practices and may be a promising approach to helping carers of people with dementia. Objectives : To assess the effectiveness of MBSR in reducing the stress of family carers of people with dementia. » – Lire l’article
Too Early to Tell: The Potential Impact and Challenges—Ethical and Otherwise—Inherent in the Mainstreaming of Dharma in an Increasingly Dystopian World
Jon Kabat-Zinn – 2017 – anglais uniquement
« It is said that Zhou Enlai, the Chinese Premier, who as a young man was a major force in the Chinese Revolution, when asked late in life by a journalist for his thoughts about the legacy of the French Revolution, replied « Too early to tell ». It became a meme of sorts, even if it was based on a misunderstanding. I love the whole notion that it may be too early to tell—about a lot of emergences in our world. But sometimes, we need to act forcefully and with resolve, based on the best projections for what may take place given various lines of broadly accepted scientific evidence (such as the global receding of the glaciers and the melting of the polar ice caps) and its modeling algorithms, even if we cannot be sure of just how bad bad could be, such as in the case of global warming. By the time it plays out in real time, any action is already too late. My late Korean Zen teacher, Seung Sahn Seon Sa, was fond of saying, meaning just that, « The arrow is already downtown. » Whether the overwhelming evidence for global warming is denied by politicians in any given moment out of cynicism, ignorance, or greed is quite another story. » – Lire l’article
What defines mindfulness-based programs? The warp and the weft
R. S. Crane, J. Brewer, C. Feldman, J. Kabat-Zinn, S. Santorelli, J. M. G. Williams and W. Kuyken – 2016 – anglais uniquement
« There has been an explosion of interest in mindfulness-based programs (MBPs) such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy. This is demonstrated in increased research, implementation of MBPs in healthcare, educational, criminal justice and workplace settings, and in mainstream interest. For the sustainable development of the field there is a need to articulate a definition of what an MBP is and what it is not. This paper provides a framework to define the essential characteristics of the family of MBPs originating from the parent program MBSR, and the processes which inform adaptations of MBPs for different populations or contexts. The framework addresses the essential characteristics of the program and of teacher. » – Lire l’article
Brain and behavior : BOLD signal and functional connectivity associated with loving kindness meditation
Kathleen A. Garrison, Dustin Scheinost, R. Todd Constable & Judson A. Brewer – 2014 – anglais uniquement
« Loving kindness is a form of meditation involving directed well-wishing, typically supported by the silent repetition of phrases such as “may all beings be happy,” to foster a feeling of selfless love. Here we used functional magnetic resonance imaging to assess the neural substrate of loving kindness meditation in experienced meditators and novices. We first assessed group differences in blood oxygen level-dependent (BOLD) signal during loving kindness meditation. We next used a relatively novel approach, the intrinsic connectivity distribution of functional connectivity, to identify regions that differ in intrinsic connectivity between groups, and then used a data-driven approach to seedbased connectivity analysis to identify which connections differ between groups. Our findings suggest group differences in brain regions involved in self-related processing and mind wandering, emotional processing, inner speech, and memory. Meditators showed overall reduced BOLD signal and intrinsic connectivity during loving kindness as compared to novices, more specifically in the posterior cingulate cortex/precuneus (PCC/PCu), a finding that is consistent with our prior work and other recent neuroimaging studies of meditation. » – Lire l’article
Frontier in HUMAN NEUROSCIENCE : What about the “self” is processed in the posterior cingulate cortex?
Judson A. Brewer , Kathleen A. Garrison and Susan Whitfield-Gabrieli – 2013 – anglais uniquement
« In the past decade, neuroimaging research has begun to identify key brain regions involved in self-referential processing, most consistently midline structures such as the posterior cingulate cortex (PCC). The majority of studies have employed cognitive tasks such as judgment about trait adjectives or mind wandering, that have been associated with increased PCC activity. Conversely, tasks that share an element of present-centered attention (being “on task”), ranging from working memory to meditation, have been associated with decreased PCC activity. Given the complexity of cognitive processes that likely contribute to these tasks, the specific contribution of the PCC to self-related processes still remains unknown. Building on this prior literature, recent studies have employed sampling methods that more precisely link subjective experience to brain activity, such as real-time fMRI neurofeedback. This recent work suggests that PCC activity may represent a sub-component cognitive process of self-reference – “getting caught up in” one’s experience. » – Lire l’article
Mindfulness Training and Stress Reactivity in Substance Abuse : Results from a Randomized, Controlled Stage I Pilot Study
Judson A. Brewer, MD, PhD – Rajita Sinha, PhD – Justin A. Chen, MD – Ravenna N. Michalsen, MA – Theresa A. Babuscio, MA – Charla Nich, MS – Aleesha Grier, PhD – Keri L. Bergquist, PhD – Deidre L. Reis, PhD – Marc N. Potenza, MD, PhD – Kathleen M. Carroll, PhD – Bruce J. Rounsaville, MD – 2009 – anglais uniquement
« Considerable evidence has accumulated suggesting that stress exposure can produce an increased arousal state similar to that induced by drug cues (1). Acute stress may increase selfadministration of drugs (2,3) and alcohol (4). This is consistent with incentive conditioning models stating that exposure to drug-related cues produces conditioned responses, which in turn can cue subsequent drug-seeking behavior and use (5). Stressful events and psychological distress are frequently cited reasons for relapse to drug use among individuals with substance use disorders (SUDs) (6–8). These data support the hypothesis that mechanisms related to stress are critical in the establishment of addictions and their propagation as chronic disorders (9,10). Mindfulness-based therapies have shown preliminary evidence for efficacy in the treatment of tobacco, alcohol, and drug use disorders (11–17). For example, Zgierska and colleagues found reductions in anxiety, depression, and stress symptom severity in individuals with alcohol dependence who were enrolled in an 8-week mindfulness meditation intervention after completing an intensive outpatient program (12). » – Lire l’article
Associations and dissociations between default and self-reference networks in the human brain
Susan Whitfield-Gabrieli⁎,1, Joseph M. Moran, Alfonso Nieto-Castañón, Christina Triantafyllou, Rebecca Saxe, John D.E. Gabrieli – 2011 – anglais uniquement
« Neuroimaging has revealed consistent activations in medial prefrontal cortex (MPFC) and posterior cingulate cortex (PCC) extending to precuneus both during explicit self-reference tasks and during rest, a period during which some form of self-reference is assumed to occur in the default mode of brain function. The similarity between these two patterns of midline cortical activation may reflect a common neural system for explicit and default-mode self-reference, but there is little direct evidence about the similarities and differences between
the neural systems that mediate explicit self-reference versus default-mode self-reference during rest. In two experiments, we compared directly the brain regions activated by explicit self-reference during judgments about trait adjectives and by rest conditions relative to a semantic task without self-reference. Explicit selfreference preferentially engaged dorsal MPFC, rest preferentially engaged precuneus, and both self-reference and rest commonly engaged ventral MPFC and PCC. These findings indicate that there are both associations
(shared components) and dissociations between the neural systems underlying explicit self-reference and the default mode of brain function. » – Lire l’article
Drug and Alcohol Dependence – Mindfulness training for smoking cessation: Results from a randomized controlled trial
Judson A. Brewer, Sarah Mallik, Theresa A. Babuscio, Charla Nich, Hayley E. Johnson, Cameron M. Deleone, Candace A. Minnix-Cotton, Shannon A. Byrne, Hedy Kober, Andrea J. Weinstein, Kathleen M. Carroll, Bruce J. Rounsaville – 2011 – anglais uniquement
« ….Mainstay behavioral treatments for smoking have focused on teaching individuals to avoid cues, foster positive affective states, develop lifestyle changes that reduce stress (e.g., practice relaxation), divert attention from cravings, substitute other activities for smoking, learn cognitive strategies that reduce negative mood, and develop social support mechanisms (Fiore et al., 2000, 2008; Lando et al., 1990). These have shown modest success, with abstinence rates hovering between 20 and 30% over the past three decades (Law and Tang, 1995; Shiffman, 1993). This may be because triggers are often ubiquitous, and diversion of attention requires cognitive reserves, which are often depleted after strong negative affective states (Muraven and Baumeister, 2000). » – Lire l’article
Meditation and Compassionate Behavior
Paul Condon, Gaëlle Desbordes, Willa Miller, & David DeSteno – 2013 – anglais uniquement
« Meditation Increases Compassionate Responses to Suffering Contemplative science has documented a plethora of intra-personal benefits stemming from meditation, including increases in gray matter density (Hölzel, Carmody, et al., 2011), positive affect (Moyer et al., 2011) and improvement in various mental health outcomes (Hölzel, Lazar, et al., 2011). Strikingly, however, much less is known about the inter-personal impact of meditation. Although Buddhist teachings suggest that increases in compassionate responding should be a primary outcome of meditation (Davidson & Harrington, 2002), little scientific evidence exists to support this conjecture. Even as scientists have begun to examine the effects of meditation on prosocial action, the conclusions that can be drawn with respect to compassion have been limited by designs that lack real-time person-to-person interactions centered on suffering. » – Lire l’article
Depression relapse prophylaxis with Mindfulness-Based Cognitive Therapy : Replication and extension in the Swiss health care system
Guido Bondolfi, Françoise Jermann, Martial Van der Linden, Marianne Gex-Fabry, Lucio Bizzini, Béatrice Weber Rouget, Lusmila Myers-Arrazola, Christiane Gonzalez, Zindel Segal, Jean-Michel Aubry, Gilles Bertschy – 2010 – anglais uniquement
« Mindfulness-Based Cognitive Therapy (MBCT) is a group intervention that integrates elements of Cognitive Behavioural Therapy (CBT) with components of mindfulness training to prevent depressive relapse. The efficacy of MBCT compared to Treatment As Usual (TAU), shown in two randomized controlled trials indicates a significant decrease in 1-year relapse rates for patients with at least three past depressive episodes. The present study is the first independent replication trial comparing MBCT+TAU to TAU alone across both language and culture (Swiss health care system) »- Lire l’article
Mindfulness-Based Interventions: An Emerging Phenomenon
Margaret Cullen – 2011 – anglais uniquement
« I offer an overview of the rapidly growing field of mindfulness-based interventions (MBIs). A working definition of mindfulness in this context includes the brahma viharas, sampajanna and appamada, and suggests a very particular mental state which is both wholesome and capable of clear and penetrating insight into the nature of reality. The practices in mindfulness-based stress reduction (MBSR) that apply mindfulness to the four foundations are outlined, along with a brief history of the program and the original intentions of the founder, Jon Kabat-Zinn. The growth and scope of these interventions are detailed with demographics provided by the Center for Mindfulness, an overview of salient research studies and a listing of the varied MBIs that have grown out of MBSR. The question of ethics is explored, and other challenges are raised including teacher qualification and clarifying the “outer limits,” or minimum requirements, of what constitutes an MBI. Current trends are explored, including the increasing number of cohort-specific interventions as well as the publication of books, articles, and workbooks by a new generation of MBI teachers. Together, they form an emerging picture of MBIs as their own new “lineage,” which look to MBSR as their inspiration and original source » – Lire l’article
Mindfulness based cognitive therapy (MBCT) dans la prévention des rechutes thymiques chez le patient bipolaire I : une étude pilote
C. Mirabel-Sarron, E. Siobud Dorocant, L. Sala, M. Bachelart, J.-D. Guelfi, F. Rouillon – 2009 – français
« Plusieurs études ont montré l’efficacité de l’utilisation de la mindfulness based cognitive therapy (MBCT) dans la prévention des rechutes dépressives chez le patient non bipolaire (Segal et al. [2001] [14]), puis d’autres travaux ont exploré les effets de cette approche sur les ruminations Q1 du sujet dépressif (Teasdale [2000] [15] ; Watkins, Teasdale, 2001). Cette étude pilote est la première qui inclut exclusivement des patients bipolaires I répartis en trois groupes qui ont bénéficié du programme MBCT en huit séances. Tous ces patients avaient suivi au préalable le programme de thérapie comportementale et cognitive (TCC) de groupe pour bipolaires (modèle de Lam). Cette étude clinique et psychologique montre la faisabilité du programme, sa bonne acceptation par les sujets avec une tendance à l’augmentation de la capacité de pleine conscience relative à l’assiduité de la démarche » – Lire l’article
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice
Antoine Lutz, Lawrence L. Greischar, Nancy B. Rawlings, Matthieu Ricard, and Richard J. Davidson – 2004 – anglais uniquement
« Practitioners understand ‘‘meditation,’’ or mental training, to be a process of familiarization with one’s own mental life leading to long-lasting changes in cognition and emotion. Little is known about this process and its impact on the brain. Here we find that long-term Buddhist practitioners self-induce sustained electroencephalographic high-amplitude gamma-band oscillations and phase-synchrony during meditation. These electroencephalogram patterns differ from those of controls, in particular over lateral frontoparietal electrodes. In addition, the ratio of gamma-band activity (25–42 Hz) to slow oscillatory activity (4–13 Hz) is initially higher in the resting baseline before meditation for the practitioners than the controls over medial frontoparietal electrodes. This difference increases sharply during meditation over most of the scalp electrodes and remains higher than the initial baseline in the postmeditation baseline. These data suggest that mental training involves temporal integrative mechanisms and may induce shortterm and long-term neural changes » – Lire l’article
The “UNIVERSAL DHARMA FOUNDATION” of mindfulness-based stress reduction : nonduality and mahāyāna buddhist influences in the work of Jon Kabat-Zinn
Study of Religions, University of Helsinki, Helsinki, Finland – 2019 – anglais uniquement
« The discussion on the Buddhist roots of contemporary mindfulness practices is dominated by a narrative which considers the Theravāda tradition and Theravādabased ‘neo-vipassanā movement’ as the principal source of Buddhist influences in mindfulness-based stress reduction (MBSR) and related mindfulness-based programmes (MBPs). This Theravāda bias fails to acknowledge the significant Mahāyāna Buddhist influences that have informed the pioneering work of Jon Kabat-Zinn in the formation of the MBSR programme. In Kabat-Zinn’s texts, the ‘universal dharma foundation’ of mindfulness practice is grounded in pan-Buddhist teachings on the origins and cessation of suffering. While MBSR methods derive from both Theravāda-based vipassanā and non-dual Mahāyāna approaches, the philosophical foundation of MBSR differs significantly from Theravāda views. Instead, the characteristic principles and insights of MBSR practice indicate significant similarities and historical continuities with contemporary Zen/Sŏn/Thiền and Tibetan Dzogchen teachings based on doctrinal developments within Indian and East Asian Mahāyāna Buddhism » – Lire l’article
Competence in Teaching Mindfulness-Based Courses: Concepts, Development and Assessment
Rebecca S. Crane & Willem Kuyken & J. Mark G. Williams & Richard P. Hastings & Lucinda Cooper & Melanie J. V. Fennell – 2011 – anglais uniquement
« There has been a groundswell of interest in the UK in Mindfulness-Based Stress Reduction (MBSR) and its derivatives, particularly Mindfulness-Based Cognitive Therapy (MBCT). Many health, education and social work practitioners have sought ways to develop their competencies as mindfulness-based teachers, and increasing numbers of organisations are developing mindfulness-based training programmes. However, the rapid expansion of interest in mindfulness-based approaches has meant that those people offering training for MBSR and MBCT teachers have had to consider some quite fundamental questions about training processes, standards and competence. They also need to consider how to develop a robust professional context for the next generation of mindfulness-based teachers. The ways in which competencies are addressed in the secular mainstream contexts in which MBSR and MBCT are taught are examined to enable a consideration of the particularities of mindfulness-based teaching competence » – Lire l’article
Some Reflections on Being Good, on not Being Good and on Just Being
Rebecca S. Crane – 2014 – anglais uniquement
« Over the last 12 years, through my work at the Centre for Mindfulness Research and Practice (CMRP) at Bangor University, I have been engaged with colleagues (both within CMRP and from other training centres in the UK) in an exploration of how to support the development of a robust professional practice context for our own teaching team and for the growing community of mindfulness-based teachers in the UK. There have been a number of academic outputs from these collaborative engagements (Crane, Kuyken, Hastings, Rothwell, andWilliams 2010; Crane and Kuyken 2012; Crane et al. 2012a; Crane et al. 2013; Crane et al. 2014) » – Lire l’article
Intensive meditation training, immune cell telomerase activity, and psychological mediators
Tonya L. Jacobs, Elissa S. Epel, Jue Lin, Elizabeth H. Blackburn, Owen M. Wolkowitz, David A. Bridwell, Anthony P. Zanesco, Stephen R. Aichele, Baljinder K. Sahdra, Katherine A. MacLean, Brandon G. King, Phillip R. Shaver, Erika L. Rosenberg, Emilio Ferrer, B. Alan Wallace and Clifford D. Saron – 2011 – anglais uniquement
« Telomerase activity is a predictor of long-term cellular viability, which decreases with chronic psychological distress ( Epel et al., 2004 ). Buddhist traditions claim that meditation decreases psychological distress and promotes well-being (e.g., Dalai Lama and Cutler, 2009 ). Therefore, we investigated the effects of a 3-month meditation retreat on telomerase activity and two major contributors to the experience of stress: Perceived Control (associated with decreased stress) and Neuroticism (associated with increased subjective distress). We used mediation models to test whether changes in Perceived Control and Neuroticism explained meditation retreat effects on telomerase activity. In addition, we investigated whether two qualities developed by meditative practice, increased Mindfulness and Purpose in Life, accounted for retreat-related changes in the two stress-related variables and in telomerase activity » – Lire l’article