Page 105 - Journal of Special Operations Medicine - Spring 2015
P. 105

Figure 1  Possible changes in performance as a function of mindfulness training. Left panel: Under conditions of high stress,
              performance may degrade and mindfulness may sustain performance. Right panel: Mindfulness training may actually improve
              performance rather than maintain status quo.






























              decrements such that performance units would be sus­  Table 2  Selected Mindfulness-Based Practices and Activities
              tained at X units rather than falling to Y, despite signifi­
              cant distracting stressors. Overall, MT seems to mitigate   Mindfulness­based breathing
              performance decrements due to decreases in attentional   Mindfulness­based movement: walking, yoga, tai chi, qigong
              focus or “negative” mind wandering during intensely   Mindful listening: hearing others, listening to nature sounds
              stressful situations. It is possible that MT could also re­  Mindfulness­based thinking: appreciation of family, friends,
              sult in improved performance when learning new skills   others, and nature
              and/or over the course of training. However, whether it   Mindfulness­based eating: chocolate, alcohol, junk food,
              improves performance during nonstressful situations is   and other foods
              less clear. These questions remain to be answered.
                                                                 Mindful scan of body sensations: tension in extremities,
                                                                 internal organs, back, and shoulders
              In addition, MT appears to improve emotional self­
              regulation. Several studies have indicated the benefits of   Mindfulness forgiveness of others: intentionally forgiving
                                                                 those you prefer to forget
              MT and MBSR on emotional state, in particular with
              regard to lessening symptoms of anxiety, depression,   Martial arts training
              and stress. Omidi et al.  found that when veterans with   Mindfulness­based meditation
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              posttraumatic stress disorder underwent MT, they were   Mindfulness­based stress reduction
              more effective in regulating their mood state. The direct   Mindfulness­based cognitive therapy
              effects of MT on emotional reactions to various events
              are less clear and may depend on both inherent mind­
              fulness as well as how long a person has been engag­  linked together through the inner workings of the brain
              ing in mindfulness practices. Table 2 presents a list of   and may be improved through MT. Stress and chronic
              mindfulness practices. When it comes to emotional reg­  states of stress may lead to anxiety, depression, sleep
              ulation, two general strategies are usually considered:   disturbance, and the like. Clinical researchers, such as
              reappraising or reconsidering the threat by modifying   Amishi Jha 45,46  and Jon Kabat­Zinn 47,48  and colleagues,
              the emotional response to sensory input or intention­  suggest that one can overcome the effects of stress, de­
              ally suppressing the emotional response through alter­  pression,  and  related  issues  through  mindfulness  that
              ing the behavioral output.  Both of these strategies can   improves present awareness and attention as well
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              be improved through intentional mindfulness or being   as working memory. All three allow one to harness a
              in charge of what you are thinking about.          greater capacity to manage details and be more attentive
                                                                 to important elements of decision­making, even in states
              In summary, increased mind wandering, decreased work­  of profound and sustained stress. Figure 2 presents a
              ing memory, and degradation of performance may all be   simple cartoon of the benefits of mindfulness. More



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