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Mindfulness for meditation haters

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					Mindfulness for meditation haters:
appliance of heartrate coherence
         training in ACT
               Marco Kleen MSc
        BrainDynamics Groningen / PsyAdvies.nl
                University of Groningen


                 marcokleen@hotmail.com          1
       Mindfulness: definitions
• Skill: being present, observing one’s
  experiences in a non-judgemental way no
  matter how aversive those experiences may
  be
• Attitude: compound factor of four ACT
  processes in the hexaflex (acceptance, being
  present, defusion and self-as-context)



                  marcokleen@hotmail.com         2
             Disadvantages of
         formal mindfulness training
•   Resistance against meditation-like techniques
•   Religious objections
•   Time investment
•   Dogmatic appliance




                    marcokleen@hotmail.com          3
                     Goals
• Pragmatic mindfulness
• Function of the excersize is more important
  than the form
• Increase accesibility of mindfulness for
  ‘meditation haters’
• Research biological marker of mindfulness



                  marcokleen@hotmail.com        4
          Heartrate variability
• Variance of interval between heartbeats
• Sympathetic and parasympathetic ANS
• Reflects emotional functioning (among other
  variables)




                  marcokleen@hotmail.com        5
Chaos




Coherence
          Coherence vs chaos
• Coherence  focussing on breath,
  acceptance, being open minded, focussing on
  present, mindfulness. Technically: dominance
  of 0.1 Hz frequency.
• Chaos  problem solving, non-acceptance,
  experiential avoidance
• Being coherent can be trained  Heartrate
  Coherence Training (HCT)

                  marcokleen@hotmail.com         7
                Applications
• Heartmath Emwave® protocol
  (= HCT; counterconditioning).
   Primairy goal: symptom (stress) reduction
• HCT adapted to the hexaflex (HCT-ACT)
  ‘mindfulness through heartrate coherence
  training’.
   Primairy goal = practical mindfulness


                  marcokleen@hotmail.com       8
                HCT-ACT
• Heartmath ® Freeze Framer/Emwave: easy to
  use biofeedbackprogram
• Low intensity: 3 x 7 minutes per session
• Homework: 10 minutes a day




                 marcokleen@hotmail.com       9
                 Two Phases
• Phase 1. Skilltraining
• Phase 2. Exposure




                    marcokleen@hotmail.com   10
             Phase 1: skilltraining
•   Teaching basic mindfulness
•   Focus on breath
•   Focus on bodily experiences
•   Focus on thoughts (self as process)




                     marcokleen@hotmail.com   11
           Phase 2: exposure
• Graduated exposure
• Teaching clients to be accepting and curious
  towards aversive emotions, thoughts,
  memories
• Autobiographic material, symbolic letters,
  photographs, imaginary exposure, exposure in
  vivo, hyperventilation provocation


                  marcokleen@hotmail.com     12
                 Pilotstudy
• Pre-posttest design: Mindfull Attention
  Awareness Scale (MAAS)
• Avarage weighted cohrence scores (GGC’s):
  - low = 0
  - medium = 1
  - high = 2
• T0: Baseline
• T1: After skilltraining
• T2: First exposure
• T3: Last exposure
                  marcokleen@hotmail.com      13
                Population
• N =7 clients refered to outpatient mental
  health facility for psychotherapy
• Experiential avoidance




                   marcokleen@hotmail.com     14
              Primairy results
• Qualitative: positive reactions of clients,
  automatic generalization of techniques in
  daily life, no dropouts
• Quantitative: paterns of coherence and self
  reported mindfulness in accordance with
  predefined hypotheses



                  marcokleen@hotmail.com        15
             Hearrate coherence
Mean weighted coherence scores



                                                 Wilcoxon Signed
                                                 Ranks test, p <
                                                 o.o5




                        marcokleen@hotmail.com                16
                    Mindfulness
Mean self-reported mindfulness (MAAS)



                                                  Wilcoxon Signed
                                                  Ranks test, p <
                                                  o.o5




                         marcokleen@hotmail.com                17
               Conclusions
• Mindfulness throught HCT-ACT seems
  feasable
• HCT increases mean weighted coherence
  scores and mean selfreported mindfulness
• Heartrate variability may be a biological
  marker for mindfulness



                  marcokleen@hotmail.com      18
              Restrictions
• Small non-randomized group
• Control of breath?
• Enthousiasm researcher




                 marcokleen@hotmail.com   19
                Publication
• Kleen, M. & Reitsma, B. (in press).
  Mindfulness door middel van
  hartslagcoherentietraining. De toepassing van
  biofeedback in Acceptance and Commitment
  Therapy (ACT). Psychopraxis, summer 2009.

  Mindfulness through hearratecoherence
  training: appliance of biofeedback in
  Acceptance and Commitment Therapy (ACT).
                  marcokleen@hotmail.com      20
LIVE DEMONSTRATION




      marcokleen@hotmail.com   21

				
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posted:9/7/2012
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