Pub Date : 2022-12-28DOI: 10.21926/obm.icm.2204058
M. Dethoor, Francois-Benois Vialatte, M. Martinelli, P. Péri, C. Lançon, M. Trousselard
While there is abundant literature on the benefits of Mindfulness-Based Interventions (MBI), data about factors associated with their Efficiency are scarce. Our study attempts to determine the moderators of efficacy and adherence in Mindfulness-Based Cognitive Therapy (MBCT) with a machine learning analysis. Seventy-six psychiatric outpatients at “university hospital mental health service” had a prescription for MBCT from their referring psychiatrist. They suffer from various psychiatric illnesses with depressive symptoms. They completed a battery of clinical, mindfulness, and psychological functioning self-report questionnaires before and after the MBCT intervention of 8 sessions. Changes (after minus before) in scores were used for efficacy. Scores before MBCT were used to study the adherent profile (8 sessions of MBCT) versus non-adherent patients (stopping MBCT before the eight sessions). For efficacy and adherence profiles, machine learning analysis based on the support vector machine (SMV) method was applied to complement classical statistical analyses. Results: For efficacy factors, the SVM analysis finds a two-dimensional profile of patients. The patients for whom MBCT is most effective are patients with a high Beck score (>25) and high trait mindfulness (FFMQ >90). The percentage of misclassified validation examples is 24.6 (LOO = 75.4). The model's sensitivity is 79.3%, and the specificity is 71.9%. For adherence factors, a three-dimensional model is found. The patients who perform the 8 sessions of the MBCT have a profile with high or low trait mindfulness, high or low bodily dissociation, and low self-compassion. The percentage of misclassified validation examples is 37.3 (LOO = 62.7). The model's sensitivity is 48.4%, and the specificity is 71.9%. These results provide preliminary evidence that the predictive power of machine learning may allow the designing of standard patient profiles, which can contribute to 3 more personalized care for patients with symptoms of depression and anxiety. Also, including more psychoeducation in MBCT programs can maximize clinical benefits and adherence to this therapy. However, further studies are needed to explore this topic in more detail.
{"title":"Predictive Factors of Response to Mindfulness-Based Cognitive Therapy (Mbct) for Patients with Depressive Symptoms: The Machine Learning’s Point of View","authors":"M. Dethoor, Francois-Benois Vialatte, M. Martinelli, P. Péri, C. Lançon, M. Trousselard","doi":"10.21926/obm.icm.2204058","DOIUrl":"https://doi.org/10.21926/obm.icm.2204058","url":null,"abstract":"While there is abundant literature on the benefits of Mindfulness-Based Interventions (MBI), data about factors associated with their Efficiency are scarce. Our study attempts to determine the moderators of efficacy and adherence in Mindfulness-Based Cognitive Therapy (MBCT) with a machine learning analysis. Seventy-six psychiatric outpatients at “university hospital mental health service” had a prescription for MBCT from their referring psychiatrist. They suffer from various psychiatric illnesses with depressive symptoms. They completed a battery of clinical, mindfulness, and psychological functioning self-report questionnaires before and after the MBCT intervention of 8 sessions. Changes (after minus before) in scores were used for efficacy. Scores before MBCT were used to study the adherent profile (8 sessions of MBCT) versus non-adherent patients (stopping MBCT before the eight sessions). For efficacy and adherence profiles, machine learning analysis based on the support vector machine (SMV) method was applied to complement classical statistical analyses. Results: For efficacy factors, the SVM analysis finds a two-dimensional profile of patients. The patients for whom MBCT is most effective are patients with a high Beck score (>25) and high trait mindfulness (FFMQ >90). The percentage of misclassified validation examples is 24.6 (LOO = 75.4). The model's sensitivity is 79.3%, and the specificity is 71.9%. For adherence factors, a three-dimensional model is found. The patients who perform the 8 sessions of the MBCT have a profile with high or low trait mindfulness, high or low bodily dissociation, and low self-compassion. The percentage of misclassified validation examples is 37.3 (LOO = 62.7). The model's sensitivity is 48.4%, and the specificity is 71.9%. These results provide preliminary evidence that the predictive power of machine learning may allow the designing of standard patient profiles, which can contribute to 3 more personalized care for patients with symptoms of depression and anxiety. Also, including more psychoeducation in MBCT programs can maximize clinical benefits and adherence to this therapy. However, further studies are needed to explore this topic in more detail.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42848390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-27DOI: 10.21926/obm.icm.2204057
Suchandra Goswami, Shivangi Saxena, Shalini Yadav, D. Goswami, K. Brahmachari, S. Karmakar, B. Pramanik, S. Brahmachari
Curcumin, the yellow principle of the Indian Turmeric, ‘Haldi’ has recently attracted renewed interest in the field of experimental medicine with pleiotropic activity. This review has emphasized three pharmaceutical studies of interest: the pharmacokinetics, pharmacology, and pharmacodynamics of curcumin. In this review, we attempted to review the general pharmacokinetics profile, pharmacokinetic interactions, and pharmacokinetic-pharmacodynamic interactions of curcumin and its formulations. Different species of turmeric in India, as well as their cultivars, different forms of curcumin, and harvesting methods have also been discussed. Furthermore, pharmacokinetic studies of the interaction of curcumin and its different formulations with efflux transporters such as P-glycoprotein, ABC-transporter protein, multidrug-resistant protein, and cytochrome p450 metabolism enzymes have been broadly explained following data from preclinical and clinical trials reported in the literature. A few interesting chemical interactions between curcumin and its metabolites with the receptor have also been described. The pharmacological activities of curcumin and its related formulations and products have been reviewed in a few targeted disease pathologies of national concern, such as cancer, gastroduodenal disorder, immunodeficiency, liver disease, ophthalmology, diabetes and osteoarthritis among other metabolic diseases, and microbial and viral infections. The pharmacodynamics of curcumin, especially regarding the potassium/calcium ion channel pathway, apoptosis, calcium signaling pathway, endoplasmic reticulum stress, and other intracellular signaling pathways, have been documented. Lastly, the use of curcumin as a cosmetic and the value chain analysis of turmeric products, as well as curcumin, have also been placed appropriately. A total of 174 publications were reviewed and, overall, this review tried to cover various important therapeutic aspects of curcumin, which can generate new research interest in general.
{"title":"Review of Curcumin and Its Different Formulations: Pharmacokinetics, Pharmacodynamics and Pharmacokinetic-Pharmacodynamic Interactions","authors":"Suchandra Goswami, Shivangi Saxena, Shalini Yadav, D. Goswami, K. Brahmachari, S. Karmakar, B. Pramanik, S. Brahmachari","doi":"10.21926/obm.icm.2204057","DOIUrl":"https://doi.org/10.21926/obm.icm.2204057","url":null,"abstract":"Curcumin, the yellow principle of the Indian Turmeric, ‘Haldi’ has recently attracted renewed interest in the field of experimental medicine with pleiotropic activity. This review has emphasized three pharmaceutical studies of interest: the pharmacokinetics, pharmacology, and pharmacodynamics of curcumin. In this review, we attempted to review the general pharmacokinetics profile, pharmacokinetic interactions, and pharmacokinetic-pharmacodynamic interactions of curcumin and its formulations. Different species of turmeric in India, as well as their cultivars, different forms of curcumin, and harvesting methods have also been discussed. Furthermore, pharmacokinetic studies of the interaction of curcumin and its different formulations with efflux transporters such as P-glycoprotein, ABC-transporter protein, multidrug-resistant protein, and cytochrome p450 metabolism enzymes have been broadly explained following data from preclinical and clinical trials reported in the literature. A few interesting chemical interactions between curcumin and its metabolites with the receptor have also been described. The pharmacological activities of curcumin and its related formulations and products have been reviewed in a few targeted disease pathologies of national concern, such as cancer, gastroduodenal disorder, immunodeficiency, liver disease, ophthalmology, diabetes and osteoarthritis among other metabolic diseases, and microbial and viral infections. The pharmacodynamics of curcumin, especially regarding the potassium/calcium ion channel pathway, apoptosis, calcium signaling pathway, endoplasmic reticulum stress, and other intracellular signaling pathways, have been documented. Lastly, the use of curcumin as a cosmetic and the value chain analysis of turmeric products, as well as curcumin, have also been placed appropriately. A total of 174 publications were reviewed and, overall, this review tried to cover various important therapeutic aspects of curcumin, which can generate new research interest in general.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43580588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-26DOI: 10.21926/obm.icm.2204056
D. Bonilla
Anthropometric measurements are frequently used to assess changes in body composition in different populations. Despite being a cheap, in-field, and relatively valid technique, the COVID-19 pandemic has impulse research on digital anthropometry across the globe. Machine learning, as the convergence of artificial intelligence and data mining, has the potential to improve data collection and analysis in the applications of kinanthropometry. Far from replacing conventional methods, digital anthropometry is a powerful opportunity to increase accuracy, validity, practicality, and the use of self-monitoring procedures under professional supervision. However, further research and scientific literacy among practitioners are warranted.
{"title":"Artificial Intelligence Applications in Digital Anthropometry <sup><a class=\"tippyShow\" data-tippy-arrow=\"true\"data-tippy-content=\"Presented as a keynote at the 'I Congreso Iberoamericano de Antropometría Aplicada' organized by the 'Red Iberoamericana de Investigadores en Antropometría Aplicada'.\" d","authors":"D. Bonilla","doi":"10.21926/obm.icm.2204056","DOIUrl":"https://doi.org/10.21926/obm.icm.2204056","url":null,"abstract":"Anthropometric measurements are frequently used to assess changes in body composition in different populations. Despite being a cheap, in-field, and relatively valid technique, the COVID-19 pandemic has impulse research on digital anthropometry across the globe. Machine learning, as the convergence of artificial intelligence and data mining, has the potential to improve data collection and analysis in the applications of kinanthropometry. Far from replacing conventional methods, digital anthropometry is a powerful opportunity to increase accuracy, validity, practicality, and the use of self-monitoring procedures under professional supervision. However, further research and scientific literacy among practitioners are warranted.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46439085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.21926/obm.icm.2204055
Sally Rose, D. Sheffield
This article examines the practice of combining explorations of regulated and dysregulated states through the Workable Ranges Model (WRM) with the skills and qualities taught in Mindfulness-Based Stress Reduction (MBSR). MBSR was designed to help participants to self-regulate stress. Didactic teaching about stress reactivity is part of the curriculum and may contribute to positive outcomes. A practice-based embodied methodology utilised mindful inquiry in research methods. Seven graduates of MBSR courses that included the WRM became conceptual encounter research partners. Following a re-presentation of the WRM, data were gathered through a diagrammatic diary exercise, post-meditation inquiry and a group discussion. Reflexive thematic analysis identified an overarching theme that the WRM was a dynamic map for exploring stability and stress. Two non-hierarchical themes articulated interrelated self-reflective activities associated with using the WRM as a map. Mapping involved charting regulated and dysregulated embodied experience. Meeting was the embodied application to mindfulness practice. Modulating states through intentional orienting to and resourcing mindful self-regulation and self-care grew out of the mapping and meeting practices. The WRM provided a form and set of words to name mind-body states, and to develop and apply insights about them. The WRM was used to shape new meanings about the relationship between mindfulness and regulated and dysregulated experience. This is theorised through its connection with embodied metaphors. The combination of the WRM and mindfulness worked to frame and progress mindful self-regulation. The WRM may be a valuable resource for mindfulness teachers to support self-regulation and mental health.
{"title":"Mapping, Meeting and Modulating Stress and Emotion: Combining Mindfulness and the Workable Ranges Model","authors":"Sally Rose, D. Sheffield","doi":"10.21926/obm.icm.2204055","DOIUrl":"https://doi.org/10.21926/obm.icm.2204055","url":null,"abstract":"This article examines the practice of combining explorations of regulated and dysregulated states through the Workable Ranges Model (WRM) with the skills and qualities taught in Mindfulness-Based Stress Reduction (MBSR). MBSR was designed to help participants to self-regulate stress. Didactic teaching about stress reactivity is part of the curriculum and may contribute to positive outcomes. A practice-based embodied methodology utilised mindful inquiry in research methods. Seven graduates of MBSR courses that included the WRM became conceptual encounter research partners. Following a re-presentation of the WRM, data were gathered through a diagrammatic diary exercise, post-meditation inquiry and a group discussion. Reflexive thematic analysis identified an overarching theme that the WRM was a dynamic map for exploring stability and stress. Two non-hierarchical themes articulated interrelated self-reflective activities associated with using the WRM as a map. Mapping involved charting regulated and dysregulated embodied experience. Meeting was the embodied application to mindfulness practice. Modulating states through intentional orienting to and resourcing mindful self-regulation and self-care grew out of the mapping and meeting practices. The WRM provided a form and set of words to name mind-body states, and to develop and apply insights about them. The WRM was used to shape new meanings about the relationship between mindfulness and regulated and dysregulated experience. This is theorised through its connection with embodied metaphors. The combination of the WRM and mindfulness worked to frame and progress mindful self-regulation. The WRM may be a valuable resource for mindfulness teachers to support self-regulation and mental health.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47614631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-20DOI: 10.21926/obm.icm.2204054
J. D’Arrigo
The cardiovascular risk factors for dementia trigger widespread inflammation and oxidative stress. These two interacting processes lead to neurodegeneration, gradual cognitive/memory decline, and eventually (late-onset) dementia. In addition, there is supporting evidence pointing to elevated pulse pressure as a clear risk factor for cognitive decline. Accordingly, an effective therapeutic strategy to delay dementia could be based upon nanotargeting bioactive molecules, using lipid nanocarriers, toward cell-surface scavenger receptors. The resulting nanocarrier therapeutic is likely to be "multitasking", i.e., be capable of entering various target cells. Such targeting behavior of this proposed therapeutic appears likely to provide enhanced efficacy at different stages of dementia.
{"title":"Pathophysiological Linkage between Aging and Cognitive Decline: Implications for Dementia Treatment","authors":"J. D’Arrigo","doi":"10.21926/obm.icm.2204054","DOIUrl":"https://doi.org/10.21926/obm.icm.2204054","url":null,"abstract":"The cardiovascular risk factors for dementia trigger widespread inflammation and oxidative stress. These two interacting processes lead to neurodegeneration, gradual cognitive/memory decline, and eventually (late-onset) dementia. In addition, there is supporting evidence pointing to elevated pulse pressure as a clear risk factor for cognitive decline. Accordingly, an effective therapeutic strategy to delay dementia could be based upon nanotargeting bioactive molecules, using lipid nanocarriers, toward cell-surface scavenger receptors. The resulting nanocarrier therapeutic is likely to be \"multitasking\", i.e., be capable of entering various target cells. Such targeting behavior of this proposed therapeutic appears likely to provide enhanced efficacy at different stages of dementia.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45361771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.21926/obm.icm.2204053
Justin Chin, A. Over, Ana Christina Reyes, C. Chen, Elise Hsu, Christine M. Lomiguen, Tipsuda Junsanto-Bahri
Complementary and alternative medicine (CAM) is an important feature of patient medical history. This study sought to investigate the perceptions of medical students at Touro College of Osteopathic Medicine in Harlem, New York (TouroCOM-NY) regarding Asian-origin CAM practices. An anonymous survey was distributed to first and second year TouroCOM-NY medical students, asking about their familiarity with, and general attitude towards, five categories of Asian-origin CAM (acupuncture, reiki, tai chi, Ayurveda, and use of non-mineral/vitamin substances) 107 students responded from the first-and second-year class at TouroCOM-NY in 2018, with an 84% response rate. Demographics were equally distributed between genders and were predominantly of Asian or Caucasian origin (mirroring that of the institution). 59% indicated no knowledge of 2 or more of the CAM practices listed; 41% indicated no knowledge of 3 or more. Only 20% indicated practice of at least one of the listed CAM and noted strong familiarity. This survey demonstrated significant knowledge gaps and attitudes for Asian-origin CAM practices that can be addressed by curriculum change in undergraduate medical education.
{"title":"Asian-Origin Complementary and Alternative Medicine Perceptions Among Undergraduate Medical Students: A Cross Sectional Study","authors":"Justin Chin, A. Over, Ana Christina Reyes, C. Chen, Elise Hsu, Christine M. Lomiguen, Tipsuda Junsanto-Bahri","doi":"10.21926/obm.icm.2204053","DOIUrl":"https://doi.org/10.21926/obm.icm.2204053","url":null,"abstract":"Complementary and alternative medicine (CAM) is an important feature of patient medical history. This study sought to investigate the perceptions of medical students at Touro College of Osteopathic Medicine in Harlem, New York (TouroCOM-NY) regarding Asian-origin CAM practices. An anonymous survey was distributed to first and second year TouroCOM-NY medical students, asking about their familiarity with, and general attitude towards, five categories of Asian-origin CAM (acupuncture, reiki, tai chi, Ayurveda, and use of non-mineral/vitamin substances) 107 students responded from the first-and second-year class at TouroCOM-NY in 2018, with an 84% response rate. Demographics were equally distributed between genders and were predominantly of Asian or Caucasian origin (mirroring that of the institution). 59% indicated no knowledge of 2 or more of the CAM practices listed; 41% indicated no knowledge of 3 or more. Only 20% indicated practice of at least one of the listed CAM and noted strong familiarity. This survey demonstrated significant knowledge gaps and attitudes for Asian-origin CAM practices that can be addressed by curriculum change in undergraduate medical education.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42280235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-05DOI: 10.21926/obm.icm.2204052
Poppy L A Schoenberg, Katlyn M. Gonzalez
The multi-dimensional measurement of complex biological systems and sub-systems is made possible by high-dimensional omics technologies. This frontier of research is promising for elucidating disease processes, physiological parameters, and therapeutic action mechanisms. Omics have potential merit for the integrative medicine field that is relatively early in terms of mechanistic research towards understanding the underlining therapeutic processes of mind-body interventions that show to affect multiple systems simultaneously. An inflammatory theory of disease has brought to light molecular and epidemiological evidence proposing that inflammation could be considered a unitary predictor across most disease typologies which may be treated as a central clinical entity. Relatively recent theorizations of disease have built upon epigenetic data showing that complex “interactomes”, or disease networks where genetic factors that have downward chain effects on transcriptional, proteomic domains, dynamically modulate in response to environmental, microbial, and immunological domains. Thus, complex conditions underlined by interactive disease networks and dynamics essentially require complex multi-levelled interventions. This is particularly germane for complex patient cases often seen in the integrative medicine clinic. Mind-body medicine may be part of such care programs that can be made accessible for all. To shed further light on the possibility of building the evidence base in integrative health towards this direction, we reviewed the current use of omics technologies in mind-body medicine within the last 5-years. Use of omics approaches within the field is still developing. Early findings appear to show beneficial impact upon genomic, transcriptional, and proteomic biomarkers across varied chronic inflammatory conditions, including disorders of the cardiovascular, central nervous, endocrine, immune, musculoskeletal, and respiratory, systems.
{"title":"Systematic Review of High-Dimensional Omics in Mind-Body Medicine","authors":"Poppy L A Schoenberg, Katlyn M. Gonzalez","doi":"10.21926/obm.icm.2204052","DOIUrl":"https://doi.org/10.21926/obm.icm.2204052","url":null,"abstract":"The multi-dimensional measurement of complex biological systems and sub-systems is made possible by high-dimensional omics technologies. This frontier of research is promising for elucidating disease processes, physiological parameters, and therapeutic action mechanisms. Omics have potential merit for the integrative medicine field that is relatively early in terms of mechanistic research towards understanding the underlining therapeutic processes of mind-body interventions that show to affect multiple systems simultaneously. An inflammatory theory of disease has brought to light molecular and epidemiological evidence proposing that inflammation could be considered a unitary predictor across most disease typologies which may be treated as a central clinical entity. Relatively recent theorizations of disease have built upon epigenetic data showing that complex “interactomes”, or disease networks where genetic factors that have downward chain effects on transcriptional, proteomic domains, dynamically modulate in response to environmental, microbial, and immunological domains. Thus, complex conditions underlined by interactive disease networks and dynamics essentially require complex multi-levelled interventions. This is particularly germane for complex patient cases often seen in the integrative medicine clinic. Mind-body medicine may be part of such care programs that can be made accessible for all. To shed further light on the possibility of building the evidence base in integrative health towards this direction, we reviewed the current use of omics technologies in mind-body medicine within the last 5-years. Use of omics approaches within the field is still developing. Early findings appear to show beneficial impact upon genomic, transcriptional, and proteomic biomarkers across varied chronic inflammatory conditions, including disorders of the cardiovascular, central nervous, endocrine, immune, musculoskeletal, and respiratory, systems.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41330853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-18DOI: 10.21926/obm.icm.2204051
E. Maloney, C. Dowling, Tara Deehan, Gary O' Reilly
To compare client response to a 3-stage phased intervention for complex trauma, comparing (1) those who received face-to-face intervention with (2) those who received a hybrid of face-to-face moving mid-therapy to online intervention with (3) those who received online only. Comparing quantitative and qualitative outcome data from 3 consecutive groups (N=22) who participated in a 3-stage phased intervention for complex trauma (1) face-to-face intervention (n=7); (2) a mix of face-to-face and online intervention (n=6); (3) online only (n=9). Analysis of quantitative data indicated a reduction in trauma symptoms across all modes of delivery. Reliable change indices suggested that face-to-face intervention facilitated the greatest change. In response to questions, participants spoke about (1) having a positive experience of the intervention, (2) advice to future group members, (3) constructive feedback, and (4) the experience of engaging online. Responses indicated that the experience of all groups were broadly similar. Participants reported strong group connections and an increased understanding of trauma. Minor differences, specific to the practicalities of each group, were found in the constructive feedback offered. Comments regarding the online experience highlighted the accessibility of the modality and indicated a sense of diminished group cohesion. Overall, participants reported a preference for face-to-face engagement. The majority of participants benefitted from the intervention regardless of modality. However, there is tentative evidence that the online format was the delivery mode associated with poorer-performing clients. In the future, online engagement and client preference should be considered carefully.
{"title":"Comparing People’s Experience of Therapy for Complex Trauma Across Three Modalities: Face-to-Face, Mixed, and Online","authors":"E. Maloney, C. Dowling, Tara Deehan, Gary O' Reilly","doi":"10.21926/obm.icm.2204051","DOIUrl":"https://doi.org/10.21926/obm.icm.2204051","url":null,"abstract":"To compare client response to a 3-stage phased intervention for complex trauma, comparing (1) those who received face-to-face intervention with (2) those who received a hybrid of face-to-face moving mid-therapy to online intervention with (3) those who received online only. Comparing quantitative and qualitative outcome data from 3 consecutive groups (N=22) who participated in a 3-stage phased intervention for complex trauma (1) face-to-face intervention (n=7); (2) a mix of face-to-face and online intervention (n=6); (3) online only (n=9). Analysis of quantitative data indicated a reduction in trauma symptoms across all modes of delivery. Reliable change indices suggested that face-to-face intervention facilitated the greatest change. In response to questions, participants spoke about (1) having a positive experience of the intervention, (2) advice to future group members, (3) constructive feedback, and (4) the experience of engaging online. Responses indicated that the experience of all groups were broadly similar. Participants reported strong group connections and an increased understanding of trauma. Minor differences, specific to the practicalities of each group, were found in the constructive feedback offered. Comments regarding the online experience highlighted the accessibility of the modality and indicated a sense of diminished group cohesion. Overall, participants reported a preference for face-to-face engagement. The majority of participants benefitted from the intervention regardless of modality. However, there is tentative evidence that the online format was the delivery mode associated with poorer-performing clients. In the future, online engagement and client preference should be considered carefully.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-14DOI: 10.21926/obm.icm.2204049
Nils Altner, Jasmin Friedrich
In this study, we present the results of a 48-hour mindfulness-based and compassion-based training for teachers (N = 59). This study included 3,250 students in two years. We strengthened the resources of teachers and students for health, especially for preventing addiction. The didactic approach was based on the concepts of embodiment and resonance. We first trained teachers and then encouraged them to teach students in the classroom. Qualitative data were collected on the presence of teachers, relationship building, teaching performance, and teaching content, as well as, on the effects on the students. The results of the qualitative evaluation suggest that potentially addiction-preventive qualities and life skills of the teachers, such as (self)compassion, self-regulation, and connectedness, were strengthened. After training, all teachers included mindfulness-based and compassion-based methods in their teaching. Feedback from the students indicated that these characteristics of the teachers had a life-skill-enhancing effect on the children. We discuss these results in the context of personality development, the prevention of addiction, and cultural changes for developing a healthier, more participatory, and democratic society.
{"title":"“One of the Most Precious Experiences I Have Had as a Teacher!” Embodied Mindfulness and Compassion Nurture Addiction-Preventive and Pro-Democratic Life Skills and Relationships Between Teachers and Students - A Phenomenological Exploration","authors":"Nils Altner, Jasmin Friedrich","doi":"10.21926/obm.icm.2204049","DOIUrl":"https://doi.org/10.21926/obm.icm.2204049","url":null,"abstract":"In this study, we present the results of a 48-hour mindfulness-based and compassion-based training for teachers (N = 59). This study included 3,250 students in two years. We strengthened the resources of teachers and students for health, especially for preventing addiction. The didactic approach was based on the concepts of embodiment and resonance. We first trained teachers and then encouraged them to teach students in the classroom. Qualitative data were collected on the presence of teachers, relationship building, teaching performance, and teaching content, as well as, on the effects on the students. The results of the qualitative evaluation suggest that potentially addiction-preventive qualities and life skills of the teachers, such as (self)compassion, self-regulation, and connectedness, were strengthened. After training, all teachers included mindfulness-based and compassion-based methods in their teaching. Feedback from the students indicated that these characteristics of the teachers had a life-skill-enhancing effect on the children. We discuss these results in the context of personality development, the prevention of addiction, and cultural changes for developing a healthier, more participatory, and democratic society.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42642228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-14DOI: 10.21926/obm.icm.2204050
Alicia D. Brown, A. R. Bowman, Kelly Cocallis, Caitlin Woodcock
Chronic pain affects around 28 million people in the UK. Those living with chronic pain can frequently experience internalised self-stigma and negative self-evaluations as a result of the pain itself and due to difficult life experiences. Previous research has found Compassion Focused Therapy to be effective for people living with long term health conditions like chronic pain. The current study sought to evaluate a routine Virtual Compassionate Living Group for patients with chronic pain on the measures of self-compassion, self-criticism and pain self-efficacy. The evaluation took place in a routine clinical setting. 13 outpatients attended the online group across three separate groups. Groups were delivered over eight or ten sessions with the group content focusing on psychoeducation of the Compassion Focused Therapy model and Compassionate Mind Training. Reliable and clinically significant change analyses were used to assess the data. Results showed that there had been improvements on the measures of self-compassion with 6 out of 13 patients exhibiting reliable and clinically significant change. Some improvements had also been made on pain self-efficacy and self-criticism but to a lesser extent. Thematic analysis was used to analyse the evaluation feedback forms for the course. Three superordinate themes were identified; sense of belonging, flourishing and virtual benefits. The service evaluation indicated that a Virtual Compassionate Living Group for patients with chronic pain can lead to improvements in self-compassion. This is consistent with previous research evidence, but larger scale evaluations are required to verify conclusions.
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