A new study shows few mental health apps are opened beyond 15 days after their download. This new insight raises the question, ‘how much do we know about the benefits of one to many mental health approaches?’.
A new study exploring mass self-treatment (MST) mental health technologies has indicated that although there are a large number of MST apps in widespread use, people rarely engage with them for more than a fortnight1. The available evidence raises important questions about the deployment of clinically-led meditation and mindfulness technologies. For example, what is the most beneficial context in which meditation should be practiced?
It has long been imagined that the growing use of apps would eventually lead to improved support for people experiencing problems with mental health. That the proliferation of MST technologies would lead to a ‘new age’ of health and wellbeing. But, the role of social isolation in declining mental health2 is well known and reliably documented. And although mental health apps offer access to both resilience building and treatment methods, they tend to lend themselves to isolated rather than group practice. So alongside the benefits of cost and flexibility through one-to-many mental health apps, the possible loss of the social engagement from face to face contact must be considered. I’ve seen no clear evidence that practising meditation and mindfulness through an app is more or less beneficial than traditional group practice. There is little replicated research in this regard. But we do know that a sense of social isolation can lead to limitations in brain functions, irregular sleep patterns and lower levels of physical and mental health.
“The key message of this latest research is that humans are complicated, both in terms of their mental health and its treatment. Given the potential reach of ‘one size fits all’ approaches, reliable, replicated research should be a foundational principle in the development of health apps.”
Stephen Gene Morris
The science supporting the long term use of MST mental health technologies is of a preliminary nature. More work needs to be undertaken regarding the benefits of using apps to support mental health. But perhaps comparative studies focusing on MST and face to face interventions should be seen as a high priority. However, as a general principle, engaging with any MST approach likely to increase a feeling of social isolation should be considered carefully.
1 Baumel, A., Muench, F., Edan, S., & Kane, J. M. (2019). Objective User Engagement With Mental Health Apps: Systematic Search and Panel-Based Usage Analysis. Journal of medical Internet research, 21(9), e14567.
2 Cacioppo, J. T., & Cacioppo, S. (2014). Social relationships and health: The toxic effects of perceived social isolation. Social and personality psychology compass, 8(2), 58-72.
Many scientists claim that mindfulness is both a ‘non-judgemental’ approach and holds congruence with Buddhist forms of meditation. Are these two positions mutually exclusive?
Mindfulness has attracted sustained criticism from within the scientific community over the last few years. Claims that the science supporting mindfulness lacks a reliable evidential base are growing. In addition, religious scholars1 and traditional meditation practitioners have discussed the implications of the lack of judgement or ethical frameworks, closely associated with some mindfulness practices.
In a recent article2 a leading Buddhist teacher from the Tibetan Nyingma tradition, Chokyi Nyima Rinpoche, has stressed the need for meditation to be seen in a relevant ethical context. Rinpoche talks about not ‘blindly meditating’, that our meditation should be directed by study and understanding. Although these points are being made from a Buddhist perspective, their relevance can apply to both secular and spiritual meditation practices. Psychologically speaking, meditation and mindfulness are simply forms of brain training, changes in behaviour leading eventually to functional and structural modifications in the brain. So if your meditation practice is based on reducing judgement of the reality of your day to day life, this is likely to be the result of the practice. Developing an understanding of why you are meditating and what it means in the real world, ensures your practice has direction and is relevant to you.
“We can’t just blindly meditate”
Chokyi Nyima Rinpoche
Practicing with forms of meditation that lack any coherent ethical or judgemental context may lead to a reduction of reasoning and introspection, two functions linked to essential intrinsic network activity in the brain. Whilst it can be acknowledged that non-judgemental practices are common in Buddhism, they are always set within a wider ethical framework. The points Chokyi Nyima Rinpoche made, are consistent with my own understandings of the science of mindfulness and meditation. That self-transformation (the goal of meditation technologies), requires a sound theoretical framework to be successful. A sound theoretical framework would include an explanation of our being (the ontology that supports meditation) and an understanding of the effectiveness of the methods used (epistemology).
There are no restrictions of the forms of meditation that can be created and practiced, and there is evidence that mindfulness may be able to deliver some benefits. But based on the available data, it may be that meditation practices that are not embedded in stable frameworks might deliver unpredictable results. Not simply because ethical frameworks are in some way morally advantageous, but for the reason that they create the conditions where the practice becomes embedded in both the meditation student and the real world. I would suggest that anything less, risks strengthening dualistic concepts rather than weakening them.
1King, R. (2016). ‘Paying Attention’ in a Digital Economy: Reflections on the Role of Analysis and Judgement Within Contemporary Discourses of Mindfulness and Comparisons with Classical Buddhist Accounts of Sati. In Handbook of Mindfulness (pp. 27-45). Springer, Cham.
Student mental health is in decline, financial pressure on undergraduates is a key issue. Meditation and mindfulness may be able to help.
Students are increasingly calling upon mental health and counselling support while at university according to Open Access Government1. Almost 9 out of 10 students are experiencing stress, and 3 out of 4 report feelings of anxiety. The proportion of students identifying as having a mental health condition grew five-fold in the last decade.
The exact reasons for the spiralling rates of poor mental health amongst students are unclear. However, because of the universality of the problems, widespread trends in society are likely to have a mediating role. Amongst the factors thought to be contributing to these high levels of stress, financial pressures play a prominent role. With more student taking on unprecedented levels of debt at a young age, there is inevitably a greater risk to mental health. Worry about student debt can lead to increased anxiety, linked to both academic performance and long term employment prospects.
The thought of having to pay back a large student loan can translate to increased pressure on individual assignments, ‘to pay back the loan I will have to get a well-paid job, for which I will need to get good grades’. Put simply, for some students, success in their undergraduate studies can appear to be absolutely essential for life long success. Given, the cost of buying a home, decreasing job security, worsening employment conditions, some undergraduates are experiencing a heightened fear of failure. Fear not only linked to their grades but the prospect of long term debt, low wages, and general financial insecurity.
When academic stress provokes a sense of challenge it is typically seen as a good thing, linked to self-efficacy and a sense of competence and achievement. However, if stress becomes a threat, a whole range of different mental constructs engage which can include fear and anxiety. A review of the evidence from cognitive psychology provides clear indications of how meditation and mindfulness can be used to develop resilience to stress in higher education, improving wellbeing and quality of life. For more information visit the student meditation classes page.
Students reporting mental health and wellbeing issues had risen fivefold in the last decade. Yet there is evidence that specifically designed meditation and mindfulness methods can help.
There is growing evidence that the mental health and wellbeing of young people in the UK is in decline. This pattern is particularly pronounced among students in higher education (HE). According to the Institute for Public Policy Research (IPPR)1, the proportion of university students reporting a mental health condition grew five-fold in the last decade. However, studies from cognitive psychology and contemplative science have started to signpost approaches able to offer support for students dealing with issues such as anxiety, stress, procrastination and motivation.
Not unsurprisingly problems with mental health and wellbeing can have a profound impact on a student’s ability to perform academically and their willingness to complete their chosen course of study. Serious mental health problems are rarely restricted just to academic matters and can influence all areas of life. In some universities, as many as 25% of the total student body has engaged with or are waiting to engage with wellbeing services1.
From a scientific perspective, there is a range of mixed messages coming from meditation research. There are individual studies that suggest meditation or mindfulness can have a positive impact on specific mental health and wellbeing issues, but regrettably, the results are rarely replicated or strongly supported by strategic reviews. However by approaching student mental health using instruments from cognitive psychology and neuroscience, some clear strategies for using meditation and mindfulness emerge. These centre largely on understanding the known constructs that underpin obstacles to successful engagement with HE
Although every student is different and the challenges each faces is unique, the science indicates there are common factors to many of the academic obstacles they face. It would be an oversimplification to suggest that the same meditation is beneficial for every student. But an appropriate method (one able to tackle their underlying problems) is likely to bring some benefit leading to a more positive engagement with academic work and improve all-round wellbeing.
“Training in mindfulness, like anything needs to be consistent to bring results and that’s what a structured eight week course, complete with group work and individual home practice is designed to do. It is perfect for those who are completely new and those looking to commit more to their current practice with the support of the course, the group and an instructor.
The course will provide you with the opportunity to learn a combination of Mindfulness-Based Stress Reduction and Cognitive Therapy techniques, through formal and informal practices that can be easily integrated into your daily life, including mindfulness of eating, breath, bodily sensations, thoughts, feelings, sounds and movement, as well as a number of other positive psychology techniques and thought experiments that support the process.”
Mindfulness for Runners: Module 1 – Foundation and focus
Sunday 24th March sees the half day 1st Module – Foundation and focuses “From Autopilot to Presence” at Fort Amherst, Chatham. the event takes place between 10 am and 1 pm
“This half-day module designed by RUNZEN introduces participants to the key elements that help us bring mindful awareness to the experience of the body and mind whilst running.
The module includes mindfulness meditations in stillness, gentle movement and running. We will guide you through a range of mindfulness practices before enjoying an easy-paced run around the Great Lines Heritage Park. The invitation for the whole day is simply to be curious about our experience, and each practice is followed by an opportunity to share as a group what we may have discovered.”
A strong correlation between cognitive decline and berry consumption is well established.
As regular visitors to this blog will know we are committed to delivering improved brain function through reliable meditation methods. However it’s clear that practicing meditation while maintaining habits linked to cognitive decline like smoking or eating unhealthy foods will reduced the benefits of your practice. This is one of the problems of researching meditation, regular meditators tend to adopt lifestyles generally associated with improved health and wellbeing (like eating berries), so separating the benefits of regular meditation from eating less meat or not drinking excessive amounts of alcohol becomes problematic. This is a key point to consider, adopting one measure likely to boost brain health has to be seen in a wider context. The benefits from meditation will be meditated positively or negatively by a range of factors.
Scientific findings confirm that many berries are generally a good source of a substance called flavonoids, particularly anthocyanidins which in turn are correlated to improved brain function. I recently followed some links posted by Michael Gregor MD to key research into this area. The Nurses’ Health Study1 found that a greater intake in blueberries and strawberries appeared to slow down the rate of cognitive decline across a very large population. Allowing for a number of other confounding factors the participants that consumed berries had an improved performance in a range of cognitive tests indicating a brain age 1.5 to 2.5 years younger when compared to non berry consumers.
In conclusion regular meditation has been shown to reduce cognitive ageing by 7 years at the age of 50. It seems probable that additional support to brain health can be achieved through combining meditation with changes to lifestyle such as an improved diet.