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Mindfulness-based compassionate living : a new training programme to deepen mindfulness with heartfulness
\"Mindfulness involves learning to be more aware of life as it unfolds moment by moment, even if these moments bring us difficulty, pain or suffering. This is a challenge we will all face at some time in our lives, and which health professionals face every day in their work. The Mindfulness-Based Compassionate Living programme presents a new way of learning how to face the pressures of modern living by providing an antidote which teaches us how to cultivate kindness and compassion - starting with being kind to ourselves. Compassion involves both sensitivity to our own and others' suffering and the courage to deal with it. Integrating the work of experts in the field such as Paul Gilbert, Kristin Neff, Christopher Germer and Tara Brach, Erik van den Brink and Frits Koster have established an eight stage step-by-step compassion training programme, supported by practical exercises and free audio downloads, which builds on basic mindfulness skills. Grounded in ancient wisdom and modern science, they demonstrate how being compassionate shapes our minds and brains, and benefits our health and relationships. The programme will be helpful to many, including people with various types of chronic or recurring mental health problems, and can be an effective means of coping better with low self-esteem, self-reproach or shame, enabling participants to experience more warmth, safeness, acceptance and connection with themselves and others. Mindfulness-Based Compassionate Living will be an invaluable manual, for mindfulness teachers, therapists and counsellors wishing to bring the 'care' back into healthcare, both for their clients and themselves. It can also be used as a self-help guide for personal practice\"-- Provided by publisher.
Book
The Interpersonal Mindfulness Program for Health Care Professionals: a Feasibility Study
Objectives
There are a number of mindfulness-based programs (MBPs) that have demonstrated effectiveness for patients and health care professionals. The Interpersonal Mindfulness Program (IMP) is a relatively new MBP, developed to teach those with prior mindfulness training to deepen their mindful presence, empathy and compassion in the interpersonal domain. The aim of the present study was to examine the feasibility of using the IMP with mental health care workers and assessing its effects on levels of mindfulness, self-compassion, empathy, stress and professional quality of life when compared with the control group participants.
Methods
The IMP training consisted of nine weekly 2.5-h sessions and daily home practice (45–60 min). Twenty-five participants (mean age, 51.4 years) with mindfulness experience participated in the training. Twenty-two individuals in the control group (mean age, 47.5 years) were recruited from those who had followed a mindfulness training before. Feasibility of the IMP was assessed in the training participants in six domains. All study participants completed self-report questionnaires before and after the training.
Results
The IMP training was considered highly acceptable and very useful. The training had a significant positive effect on self-compassion, empathy and compassion fatigue, but no effect on mindfulness, stress and compassion satisfaction. Five participants reported some mild adverse reactions.
Conclusions
The IMP training appears feasible for health care professionals and seems to induce some positive effects. A few mild adverse effects were reported. Further research on the effectiveness and possible mechanisms of change of the IMP training in larger samples is needed.
Journal Article
A Mindfulness-Based Compassionate Living Training in a Heterogeneous Sample of Psychiatric Outpatients: a Feasibility Study
We developed a novel compassion-focused training (mindfulness-based compassionate living; MBCL) and examined its effects in a heterogeneous psychiatric outpatient population with regard to feasibility and changes in levels of depression, anxiety, mindfulness and compassion. The training consisted of nine weekly 2.5-h sessions. Thirty-three patients, who had followed a mindfulness-based stress reduction (MBSR) program or a mindfulness-based cognitive therapy (MBCT) program beforehand, participated in the study (mean age 48.1 years; 82 % female). Participants completed self-report questionnaires before and directly after the MBCL training. Levels of depression, but not of anxiety, reduced, and levels of mindfulness and self-compassion increased. Serious limitations of this study are the small sample size, the lack of a control group and the fact that about half of the participants did not complete the posttraining questionnaires. However, we determined that it is feasible to conduct further research on this novel MBCL training program as a basis for more robust empirical investigation in the future, more specifically examining the effects of MBCL and preferably also the underlying working mechanisms.
Journal Article
The Co-creation and Feasibility of a Compassion Training as a Follow-up to Mindfulness-Based Cognitive Therapy in Patients with Recurrent Depression
The aim of this study was to assess the feasibility, acceptability and preliminary effectiveness of Mindfulness
-
Based Compassionate Living (MBCL) as a follow-up intervention to Mindfulness Based Cognitive Therapy in adults with recurrent depression. We conducted an uncontrolled study in 17 patients with recurrent depression, in two successive groups. The first group contained novices to compassion training (
N
= 14); in the second group, ten of these participated again, in addition to three new participants (
N
= 13). The overall group contained 15 females and 2 males, aged between 37 and 71. The MBCL program was qualitatively evaluated using post-intervention focus group interviews in both groups. In addition, self-report questionnaires assessing depressive symptoms, worry and both self-compassion and mindfulness skills were administered before and after MBCL. No patients dropped out of the intervention. Average attendance was 7.52 (SD 0.73) out of eight sessions. Helpful elements were theory on the emotion regulation systems, practicing self-compassion explicitly and embodiment of a compassionate attitude by the teachers. Unhelpful elements were the lack of a clear structure, lack of time to practice compassion for self and the occurrence of the so-called back draft effect. We adapted the program in accordance with the feedback of the participants. Preliminary results showed a reduction in depressive symptoms in the second group, but not in the first group, and an increase in self-compassion in both groups. Worry and overall mindfulness did not change. MBCL appears to be feasible and acceptable for patients suffering from recurrent depressive symptoms who previously participated in MBCT. Selection bias may have been a factor as only experienced and motivated participants were used; this, however, suited our intention to co-create MBCL in close collaboration with knowledgeable users. Examination of the effectiveness of MBCL in a sufficiently powered randomised controlled trial is needed.
Journal Article
Mindfulness-Based Compassionate Living (MBCL)
Mindfulness-Based Compassionate Living (MBCL) is a programme offering participants further training in deepening their mindfulness skills with practice in compassion toward themselves and others. Although compassion is concerned with suffering, it is associated with positive emotions, health and happiness, rather than fatigue and burn-out, as pointed out by M. Ricard. Empirical evidence is so far lacking as to whether compassion training should be offered with or without previous mindfulness training. The overall aim of the MBCL programme is to alleviate suffering and enhance physical, psychological and social well-being by offering a science-based training in compassion, building on already established mindfulness skills. Social comparison and self-evaluation are common strategies for judging and securing our position in rank and status, which can fuel our threat and drive systems. The multi-layered brain and emotion regulation systems can deepen our understanding of why humans are so prone to stress.
Book Chapter
The association of overweight, obesity, and long-term obesity with SARS-CoV-2 infection: a meta-analysis of 9 population-based cohorts from the Netherlands Cohorts Consortium
Obesity may affect an individual's immune response and subsequent risk of infection, such as a SARS-CoV-2 infection. It is less clear whether overweight and long-term obesity also constitute risk factors. We investigated the association between the degree and duration of overweight and obesity and SARS-CoV-2 infection.
We analyzed data from nine prospective population-based cohorts of the Netherlands Cohorts Consortium, with a total of 99,570 participants, following a standardized procedure. Body mass index (BMI) and waist circumference (WC) were assessed two times before the pandemic, with approximately 5 years between measurements. SARS-CoV-2 infection was defined by self-report as a positive PCR or rapid-antigen test or as COVID-19 ascertained by a physician between March 2020 and January 2023. For three cohorts, information on SARS-CoV-2 infection by serology was available. Results were pooled using random-effects meta-analyses and adjusted for age, sex, educational level, and number of SARS-CoV-2 infection measurements.
Individuals with overweight (25 ≤ BMI < 30 kg/m
) (odds ratio (OR) = 1.08, 95%-confidence interval (CI) 1.04-1.13) or obesity (BMI ≥ 30 kg/m
) (OR = 1.43, 95%-CI 1.18-1.75) were more likely to report SARS-CoV-2 infection than individuals with a healthy body weight. We observed comparable ORs for abdominal overweight (men: 94 cm≤WC < 102 cm, women: 80 cm≤WC < 88 cm) (OR = 1.09, 95%-CI 1.04-1.14, I
= 0%) and abdominal obesity (men: WC ≥ 102 cm, women: WC ≥ 88 cm) (OR = 1.24, 95%-CI 0.999-1.55, I
= 57%). Individuals with obesity long before the pandemic, but with a healthy body weight or overweight just before the pandemic, were not at increased risk.
Overweight and obesity were associated with increased risk of SARS-CoV-2 infection with stronger associations for obesity. Individuals with a healthier weight prior to the pandemic but previous obesity did not have an increased risk of SARS-CoV-2, suggesting that weight loss in those with obesity reduces infection risk. These results underline the importance of obesity prevention and weight management for public health.
Journal Article
Does the Lever Sign Test Have Added Value for Diagnosing Anterior Cruciate Ligament Ruptures?
Background:
Diagnosing an anterior cruciate ligament (ACL) rupture based on a physical examination remains a challenge for both surgeons and physical therapists. The lever sign test was developed to overcome the practical limitations of other tests and to optimize diagnosis. An evaluation of the measurement properties of the lever sign test is needed to make adequate interpretations in practice.
Purpose:
To evaluate the reliability and diagnostic value of the lever sign test.
Study Design:
Cohort study (diagnosis); Level of evidence, 2.
Methods:
A total of 94 patients were recruited between November 2014 and July 2016. Patients were included if they were at least 16 years old, suffered from knee trauma, and had indications for knee arthroscopic surgery. Lever sign, anterior drawer, Lachman, and pivot-shift test outcomes were examined by an orthopaedic/trauma surgeon and a physical therapist. A test-retest design was used to investigate interrater reliability. Moreover, the lever sign test outcomes, alone and in combination with the other diagnostic tests, were compared with arthroscopic results, which served as the gold standard for the test’s diagnostic value.
Results:
The lever sign test and pivot-shift test had kappa values exceeding 0.80 for interrater reliability. The kappa values for the anterior drawer test and Lachman test were 0.80 and 0.77, respectively. The lever sign test showed the highest specificity (100%) and the lowest sensitivity (39%) when compared with the other 3 tests. Moreover, its positive and negative predictive values were 100% and 65%, respectively, while an accuracy of 71% was calculated. Clustering the lever sign test parallel with the other 3 tests resulted in the highest accuracy of 91%.
Conclusion:
The lever sign test appears to have high interrater reliability and is the most specific test, showing a maximal positive predictive value. A positive lever sign test result indicates an ACL rupture. These results support the added value of the lever sign test for diagnosing ACL ruptures.
Journal Article
The association of overweight, obesity, and long-term obesity with SARS-CoV-2 infection: a meta-analysis of 9 population-based cohorts from the Netherlands Cohorts Consortium
Background
Obesity may affect an individual’s immune response and subsequent risk of infection, such as a SARS-CoV-2 infection. It is less clear whether overweight and long-term obesity also constitute risk factors. We investigated the association between the degree and duration of overweight and obesity and SARS-CoV-2 infection.
Methods
We analyzed data from nine prospective population-based cohorts of the Netherlands Cohorts Consortium, with a total of 99,570 participants, following a standardized procedure. Body mass index (BMI) and waist circumference (WC) were assessed two times before the pandemic, with approximately 5 years between measurements. SARS-CoV-2 infection was defined by self-report as a positive PCR or rapid-antigen test or as COVID-19 ascertained by a physician between March 2020 and January 2023. For three cohorts, information on SARS-CoV-2 infection by serology was available. Results were pooled using random-effects meta-analyses and adjusted for age, sex, educational level, and number of SARS-CoV-2 infection measurements.
Results
Individuals with overweight (25 ≤ BMI < 30 kg/m
2
) (odds ratio (OR) = 1.08, 95%-confidence interval (CI) 1.04-1.13) or obesity (BMI ≥ 30 kg/m
2
) (OR = 1.43, 95%-CI 1.18–1.75) were more likely to report SARS-CoV-2 infection than individuals with a healthy body weight. We observed comparable ORs for abdominal overweight (men: 94 cm≤WC < 102 cm, women: 80 cm≤WC < 88 cm) (OR = 1.09, 95%-CI 1.04–1.14,
I
2
= 0%) and abdominal obesity (men: WC ≥ 102 cm, women: WC ≥ 88 cm) (OR = 1.24, 95%-CI 0.999–1.55,
I
2
= 57%). Individuals with obesity long before the pandemic, but with a healthy body weight or overweight just before the pandemic, were not at increased risk.
Conclusion
Overweight and obesity were associated with increased risk of SARS-CoV-2 infection with stronger associations for obesity. Individuals with a healthier weight prior to the pandemic but previous obesity did not have an increased risk of SARS-CoV-2, suggesting that weight loss in those with obesity reduces infection risk. These results underline the importance of obesity prevention and weight management for public health.
Journal Article
Fragile Dignity
Human dignity insists that every human deserves respect and a safe place to live. For many, this is not a reality. The essays collected here analyze the background of this problem in contemporary family life and society at large, with special emphasis on the role of women and on the Bible as a source of inspiration and transformation. The collection is the product of a six-year conversation on family, violence, and human dignity between the Protestant Theological University in Kampen, The Netherlands, and the Faculty of Theology at Stellenbosch University, South Africa, a North-South dialogue that included annual conferences, a series of responsive letters, and additional external responses. The contributors are Cheryl B. Anderson, Hendrik Bosman, Gerrit Brand, Athalya Brenner, L. Juliana Claassens, Dorothea Erbele-Küster, Leo J. Koffeman, Frits de Lange, Monica Jyotsna Melanchthon, Magda Misset-van de Weg, Beverly Eileen Mitchell, Anne-Claire Mulder, Ian Nell, Mary-Anne Plaatjies-van Huffel, Jeremy Punt, Petruschka Schaafsma, D. Xolile Simon, Lee-Ann J. Simon, Gé Speelman, Klaas Spronk, Ciska Stark, Elsa Tamez, Charlene van der Walt, Robert Vosloo, and Yusef Waghid.
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