Stressbewältigung durch Achtsamkeit - MBSR
(mindfulness based stress reduction)
und andere achtsamkeitsbasierte Verfahren

Marlies Sonnentag,  M.Sc. M.Th.

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MBSR
(Stressbewältigung 
durch Achtsamkeit)

MBCT
(Achtsamkeitsbasierte 
kognitive Therapie)

Achtsam essen       

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(Der erfolgreiche Umgang 
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wiss. Studien
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Studie
- Dipl. Psych. Marcus Majumdar, Priv.-Doz. Dr. Dr. Phil. Harald Walach: Achtsamkeitsmeditation als therapeutischer und präventiver Beitrag zur Gesundheit. 2000  zur Zusammenfassung

Studie: Dr. Ulrike Tiefenthaler-Gilmer. Dissertation Wien 2002
Achtsamkeitsmeditation als klinische Intervention. Eine kontrollierte Studie zur Wirksamkeit 
eines Achtsamkeitsmeditationsprogramms an Patientinnen mit Fibromyalgiesyndrom. 
zur Zusammenfassung

Studie:  University Of Wisconsin Study Reports Sustained Changes In Brain And Immune Function After Meditation. 2003 zur Zusammenfassung (deutsch) (englisch )

Studie: Center For The Advancement Of Health   MEDITATION MAY CUT STRESS, IMPROVING MENTAL AND PHYSICAL HEALTH.  2001-07-10  Zur Zusammenfassung (englisch) 

weitere Studien auf der Internetseite von UMass (Center for Mindfulness in Medicine, Health Care and Society (CFM))): http://www.umassmed.edu/cfm/bibliography/index2.cfm

_____________________________________________________________________________

Dipl. Psych. Marcus Majumdar, Priv.-Doz. Dr. Dr. Phil. Harald Walach:

- Achtsamkeitsmeditation und Gesundheit- Eine explorative Panelstudie (erschienen im KVC Verlag Essen 2000, ISBN, 3-933351-14-6)
- Achtsamkeitsmeditation als therapeutischer und präventiver Beitrag zur Gesundheit. (Continentale Förderpreis für Naturheilkunde 2000) (Zitate aus Continentale Förderpreis für Naturheilkunde Bd.5) 

Einige wesentliche Aussagen : „Wir wollten untersuchen, ob Achtsamkeitsmeditationskurse, so wie sie von Kabat-Zinn in den Vereinigten Staaten durchgeführt werden, bei Patienten mit psychosomatischen und psychischen Problemen in Deutschland
a)      durchführbar sind
b)      b) eine Veränderung in Befindlichkeit und Symptomenbild bewirken
c)      mit diesem hier vorgeschlagenen Evaluationskonzept untersuchbar sind.“
„21 Patienten (22-62 Jahre)“
„Als Design haben wir eine Vorher/Nachher - Beobachtungsstudie gewählt mit eine dreimonatigen Nachbefragung (Katamnese)“. 

Ergebnisse: „Das Allgemeinbefinden gemessen mit der FBL (Freiburger Beschwerdeliste) stieg zum Katamnesezeitpunkt signifikant an.“ „ Die psychische Belastung gemessen mit der SCL-90 verbesserte sich von der Vortestung bis zum Katamnesezeitpunkt klinische bedeutsam und statistisch hochsignifikant. Ebenso verbesserte sich die Lebenszufriedenheit, insbesondere im gesundheitsbezogenen Modul, deutlich und signifikant.“ Insgesamt wurden die Kurserfahrungen von den Teilnehmern sehr positiv aufgenommen. Dabei wurde vor allem die Bewusstheit und das Innehalten, sowie die dadurch ereichte Gelassenheit zu einer Positiven Grunderfahrung. „  „Der bewährte Aufbau der Kurse nach Anzahl, Inhalt und Länge der Kurselemente hat sich auch bei dieser deutschen Stichprobe als bewährt erwiesen.

nach oben

 Dr. Ulrike Tiefenthaler-Gilmer. Dissertation Wien 2002
Achtsamkeitsmeditation als klinische Intervention. Eine kontrollierte Studie zur
Wirksamkeit eines Achtsamkeitsmeditationsprogramms an Patientinnen mit 
Fibromyalgiesyndrom.


Die Untersuchung wurde mit zwei Versuchsgruppen (25 Teilnehmer/innen ) und einer 
Kontrollgruppe von 13 Teilnehmer/innen durchgeführt.
Die Teilnehmerinnen der Versuchgruppe nahmen am klassischen 8-Wochen Kurs teil mit 
den Elementen: Achtsamkeitstraining für Körperempfindungen, Gedanken und Gefühle und 
den an die Schmerzsituation angepassten Yogaübungen sowie CDs zum Üben und 
schriftliches Material
Die Kontrollgruppe hatte jeweils ein Pendant zu den Methoden des Achtsamkeitskurses im 
Programm: Muskelentspannung nach Jakobsen, Stretchingübungen, Vorträge zu Stress, 
Schmerz und Bewegung, Entspannungsmusik CDs und schriftliches Arbeitsmaterial.

Die Effektunterschiede waren im Vergleich zur Kontrollgruppe signifikant besser, besonders 
in den Bereichen: Lebensqualität , affektiver Schmerz, sensorischer Schmerz, Depression, 
Angst, Schmerzregulation
.

Untersucht wurde die Situation zum Kursbeginn, am Ende des Kurses und 3 Monate später. 
Fragebögen: Fragebogen zur Schmerzregulation (FSR), Schmerzempfindungsskala (SES, 
Visual Analog Scale (VAS), Fragebogen zu Kompetenz und Kontrollüberzeugungen (FKK), 
Hospital Anxiety and Depression Scale (HADS-D), Profil der Lebensqualität chronisch 
Kranker (PLC), Grad der Zielerreichung ZP2,ZP3

Zusammenfassung der Studie der Universität von Wisconsin  (Febr. 2003):
Die Teilnehmer der Gruppe, die am 8-Wochen-Kurs zur Stressbewältigung durch Achtsamkeit (MBSR) teilgenommen hatten, wurden mit EEG-Befund, Blutuntersuchungen + allgemeinen Untersuchungen mit einer Kontrollgruppe (ohne Kurs) verglichen.

1. Die Kursteilnehmer hatten nach dem Kurs eine stärkere Aktivität im linken Stirnhirnbereich als die Kontrollgruppe.. Dieser Bereich wird mit positiven Gefühlen und einer geringeren Angstintensität  in Zusammenhang gebracht.

2. Alle Teilnehmer erhielten am Ende des 8-Wochen-Kurses eine Grippeimpfung. Bei den Kursteilnehmern war die Menge der gebildeten Antikörper nach 4 bzw. 8 Wochen höher als bei der Kontrollgruppe nach oben        home

Source:

University Of Wisconsin-Madison

Date:

2003-02-04

University Of Wisconsin Study Reports Sustained Changes In Brain And Immune Function After Meditation

MADISON – In a small but highly provocative study, a University of Wisconsin-Madison research team has found, for the first time, that a short program in "mindfulness meditation" produced lasting positive changes in both the brain and the function of the immune system.

The findings suggest that meditation, long promoted as a technique to reduce anxiety and stress, might produce important biological effects that improve a person's resiliency.

Richard Davidson, Ph.D., Vilas Professor of psychology and psychiatry at UW-Madison, led the research team. The study, conducted at the biotechnology company Promega near Madison, will appear in an upcoming issue of the journal Psychosomatic Medicine.

"Mindfulness meditation," often recommended as an antidote to the stress and pain of chronic disease, is a practice designed to focus one's attention intensely on the moment, noting thoughts and feelings as they occur but refraining from judging or acting on those thoughts and feelings. The intent is to deepen awareness of the present, develop skills of focused attention, and cultivate positive emotions such as compassion.

In the UW study, participants were randomly assigned to one of two groups. The experimental group, with 25 subjects, received training in mindfulness meditation from one of its most noted adherents, Jon Kabat-Zinn, Ph.D. (Kabat-Zinn, a popular author of books on stress reduction, developed the mindfulness-based stress reduction program at the University of Massachusetts Medical Center.) This group attended a weekly class and one seven-hour retreat during the study; they also were assigned home practice for an hour a day, six days a week. The 16 members of the control group did not receive meditation training until after the study was completed.

For each group, in addition to asking the participants to assess how they felt, the research team measured electrical activity in the frontal part of the brain, an area specialized for certain kinds of emotion. Earlier research has shown that, in people who are generally positive and optimistic and during times of positive emotion, the left side of this frontal area becomes more active than the right side does.

The findings confirmed the researchers' hypothesis: the meditation group showed an increase of activation in the left-side part of the frontal region. This suggests that the meditation itself produced more activity in this region of the brain. This activity is associated with lower anxiety and a more positive emotional state.

The research team also tested whether the meditation group had better immune function than the control group did. All the study participants got a flu vaccine at the end of the eight-week meditation group. Then, at four and eight weeks after vaccine administration, both groups had blood tests to measure the level of antibodies they had produced against the flu vaccine. While both groups (as expected) had developed increased antibodies, the meditation group had a significantly larger increase than the controls, at both four and eight weeks after receiving the vaccine.

"Although our study is preliminary and more research clearly is warranted," said Davidson, "we are very encouraged by these results. The Promega employees who took part have given us a wonderful opportunity to demonstrate a real biological impact of this ancient practice."

Davidson, who is integrally involved with the HealthEmotions Research Institute at UW, plans further research on the impact of meditation. He is currently studying a group of people who have been using meditation for more than 30 years. His research team is also planning to study the impact of mindfulness meditation on patients with particular illnesses.

Mindfulness meditation classes are offered through the UW Health Integrative Medicine program at the Research Park clinic on Madison's west side (608) 265-8325 or visit http://www.uwhospital.org/integrativemed for information.


Note: This story has been adapted from a news release issued for journalists and other members of the public. If you wish to quote any part of this story, please credit University Of Wisconsin-Madison as the original source. You may also wish to include the following link in any citation:

http://www.sciencedaily.com/releases/2003/02/030204074125.htm

 

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Source: Center For The Advancement Of Health    Date Posted: 2001-07-10 
Web Address: http://www.sciencedaily.com/releases/2001/07/010710074320.htm 

MEDITATION MAY CUT STRESS, IMPROVING MENTAL AND PHYSICAL HEALTH 

An intensive program that teaches meditation skills may help people reduce the psychological and physical effects of high stress, according to a new study. Kimberly A. Williams, Ph.D., at West Virginia University in Morgantown, and her colleagues assessed the benefits of the program that taught participants to “discern a relaxed from tense body and come to understand experientially how mental and emotional states influence the body and vice versa.” 

They recruited 62 “stressed-out” subjects from the community. Past studies of similar training programs have shown the benefits in patients with confirmed psychiatric diagnoses and/or chronic illness. This is the first study to examine the benefits of such a program within a community setting, in people who reported abnormally high stress but not at a level that constitutes a psychiatric disorder. They found that the 35 participants who underwent what was termed “mindfulness training” experienced an average 54 percent reduction in psychological distress from the beginning of the program to three months later. The 27 control subjects still available at the three-month follow-up had no significant reduction in this measure, Williams reports. The study appears in the current issue of the American Journal of Health Promotion. 

The trainees also reported a 46 percent drop in medical symptoms over the three-month follow-up, compared with a slight increase seen in the control group. “The lack of significant change from baseline in the control group receiving educational materials and referral to community resources is a potentially important finding, since many physicians and wellness programs rely on these methods for addressing the stress management needs of their patients and clients,” she says. 

In contrast, the reductions in distress and medical symptoms seen in the intervention group brought those participants, who entered the study with an abnormally high amount of stress, within the range of normal in terms of health and well-being. The study intervention was an intensive program involving a total of 28 hours of group learning over an eight-week period, including 2.5-hour classes once a week and one eight-hour retreat. Participants learned four methods of meditation, general yoga postures and other techniques for coping with stress, as well as how to apply these techniques to their lives.

 “The purpose of mindfulness training is for participants to gain greater insight into their perceptions, reactions and behaviors in life situations. Through the practice of mindfulness, subjects are taught to consciously respond to stressful situations in their daily life,” Williams says. The researchers warn that despite the observation of significant effects, the study was limited by its small size and the fact that they did not control for participants’ beliefs about the usefulness of the program. They note that a growing public interest in alternative medicine may have increased the receptivity of this group to the intervention. Funding for the study came from the budgets of the Wellness Program and the Prevention Research Center at West Virginia University.   nach oben

 
verantwortlich für die Webseiten:  Marlies Sonnentag M.Sc.M.Th., Luitpoldstrasse 17, 45879 Gelsenkirchen, Tel. 0209 -2 86 83
Impressum email: info@marlies-sonnentag.de
weitere Infos: http://www.gesund-leben-lernen.eu