{"id":4941,"date":"2022-12-02T08:34:54","date_gmt":"2022-12-02T08:34:54","guid":{"rendered":"https:\/\/scienceofmindfulness.org\/?p=4941"},"modified":"2022-12-02T10:08:28","modified_gmt":"2022-12-02T10:08:28","slug":"what-is-mindfulness-based-resilience-training-mbrt","status":"publish","type":"post","link":"https:\/\/scienceofmindfulness.org\/what-is-mindfulness-based-resilience-training-mbrt\/","title":{"rendered":"What is Mindfulness-based Resilience Training (MBRT)?"},"content":{"rendered":"\t\t
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What is Mindfulness-Based
REsilience Training (MBRT)?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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By Dr. Michael Christoper<\/a><\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\"SoM-First-Responder-MBRT\"\t\t\t\t\t\t\t\t\t\t\t
Photo by Giulia Bertelli via Unsplash<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Mindfulness-Based Resilience Training (MBRT)<\/strong><\/p>

Mindfulness-based resilience training (Christopher et al., 2016; 2018)\u00a0 is designed to enhance resilience and reduce aggression and use of force errors among law enforcement and other first responders. Based on a MBRP framework, it is an 8-week course with experiential and didactic exercises, including body scan, sitting and walking meditations, mindful movement, and other MBRP practices (Bowen et al., 2011).\u00a0<\/p>

Course Format:<\/strong> Weekly classes last 2 hours, and the seventh week is an extended 6-hour class.\u00a0<\/span>Each class contains experiential and didactic exercises, as well as discussion and homework. Content and language of experiential exercises were altered to be more relevant to first responders, and much of the curriculum is focused on learning strategies to manage stressors inherent to this type of work. These include critical incidents, chronic stress, and public scrutiny, as well as interpersonal, affective, and behavioral challenges in first responders\u2019 personal lives. Didactic learning is much more prominent than in most other MBIs. This was found to be very helpful for first responders as they sought to enhance their intention to endure the challenges of the training.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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“While exposure to trauma and stressors is an inherent part of a police officer\u2019s job, programs that teach them to relate to these experiences more skillfully may help reduce the harmful effects of stress on their behaviors with the diverse citizens they serve.”<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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An additional adaptation, in the tradition of typical first responder meetings, is the inclusion of a debriefing at the conclusion of each class, in which participants ask questions and give frank feedback about the class. The mindful encounters exercise is a derivation of the martial arts exercises (e.g., conversational Jujitsu) used in the MBSR curriculum to practice mindful interpersonal conflict. The exercise is framed as an important skill to be used when interacting with others. In another exercise, reactivity awareness, participants settle into a sustained, reclined breath- awareness practice, and then with verbal instruction to sustain awareness, a 911 call center recording with emergency audio tone is played for 60 seconds and then turned off. Participants are cued to continue sustained attention to body sensation and breath for a few more minutes, helping them gain an experiential sense of stress physiology. In addition, participants are invited to include a component of mindfulness during their regular exercise regimen, such as running, swimming, or biking, as part of their mindful movement homework.\u00a0<\/p>

While exposure to trauma and stressors is an inherent part of a police officer\u2019s job, programs that teach them to relate to these experiences more skillfully may help reduce the harmful effects of stress on their behaviors with the diverse citizens they serve. An important training practice is LKM, through which officers develop kindness and warmth for themselves and members of the communities they serve. Given the injustices communities of color are suffering, it is important for police officers to develop connections and an understanding of the humanness of people in these communities.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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References<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Bowen, S., Witkiewitz, K., Chawla, N., & Grow, J. (2011). Integrating mindfulness meditation and cognitive behavioral traditions for the long-term treatment of addictive behaviors. JCOM,<\/span>18(10), 473-479.<\/span><\/p>

Christopher, M. S., Goerling, R. J., Rogers, B. S., Hunsinger, M., Baron, G., Bergman, A. L., & Zava, D. T. (2016). A Pilot Study Evaluating the Effectiveness of a Mindfulness-Based Intervention on <\/span>Cortisol Awakening Response and Health Outcomes among Law Enforcement Officers. Journal of\u00a0Police and Criminal Psychology, 31(1), 15-28. https:\/\/doi.org\/10.1007\/s11896-015-9161-x<\/span><\/p>

Christopher, Michael S., Hunsinger, M., Goerling, L. Richard J., Bowen, S., Rogers, Brant S., Gross,\u00a0Cynthia R., Dapolonia, E., Pruessner, Jens C. (2018). Mindfulness-based resilience training to <\/span>reduce health risk, stress reactivity, and aggression among law enforcement officers: A\u00a0<\/span>feasibility and preliminary efficacy trial. Psychiatry Research, 264, 104-115.\u00a0<\/span>https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.psychres.2018.03.059<\/span><\/p>

Hunsinger, M., Christopher, M., & Schmidt, A. M. (2019). Mindfulness Training, Implicit Bias, and Force\u00a0Response Decision-Making. Mindfulness, 10(12), 2555-2566. https:\/\/doi.org\/10.1007\/s12671-019-01213-8<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\tDr. Michael Christopher\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t<\/a>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t
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Michael Christopher, PhD is a clinical psychologist at Pacific University in Portland, Oregon. He developed the Mindfulness-based Resilience Training (MBRT).<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Enjoy? Share with your friends<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Mindfulness practices like critical analysis can reveal the mental formations behind these tools.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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Rather than proposing a single definition, mindfulness might be better understood in relation to the phenomenology of the various contemplative traditions and practices that intend to develop mindfulness. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\tWhat is the Present Moment? Some Warnings about Hanging out in it, and a New Scientific Theory of Meditation\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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Ruben Laukkonen is a cognitive neuroscientist at the VU University of Amsterdam. His research focuses on sudden insight experiences and the effects of intensive meditation on the mind and brain. Using a combination of neuroimaging, machine learning, and neuro-phenomenology, Ruben is investigating some of the most rare states of consciousness accessible to human beings. He has published articles in leading journals, given talks at prestigious conferences, and has written on topics that range from artificial intelligence to psychedelics. Ruben has an eclectic contemplative background, including different meditation traditions such as Zen, Advaita, and Theravada. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\tAn electrophysiological investigation on the emotion regulatory mechanisms of brief open monitoring meditation in novice non-meditators (Lin et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

Despite growing knowledge that mindfulness meditation can enhance emotional wellbeing, very little is known about how it all works. How exactly does the act of meditation help us deal with the emotional rollercoaster of everyday life? Is mindfulness training actually \u201ctransferrable\u201d to real world situations? What\u2019s going on in the brain? Can we even measure it?<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tThe Power of Their Own Breath\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

\u201cWe focus on concentration,\u201d Jones says. \u201cSo rather than sharpening your focus, which is what happens when you get anxious, the goal is to relax your focus.\u201d The ability to utilize your breath to calm your nervous system is the first step to teaching mindfulness.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

\n\t\t\t\t\n\t\t\t
\"Self-compassion,<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tSelf-compassion, quiet self, and the brain (Liu et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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How does self-compassion protect depressed adolescents? Quieting the self may be the key.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"WHEN<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tWhen Less is More: Mindfulness Predicts Adaptive Affective Responding to Rejection via Reduced Prefrontal Recruitment (Martelli et al., 2018)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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A study led by Alexandra Martelli investigated whether more mindful individuals (based on self-report measure scores) would respond to social rejection with less distress and if certain neurological mechanisms in the brain\u2019s prefrontal cortex can potentially explain the role of mindfulness in reduced social distress.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"BRIEF<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tBrief mindfulness session improves mood and increases salivary oxytocin in psychology students (Bellosta-Batalla et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

A research team from Valencia, Spain recently investigated the effects of a brief mindfulness-based intervention on both mood and biological markers on a sample of health professional students. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"NEUROPHYSIOLOGICAL<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tNeurophysiological and behavioural markers of compassion (Kim et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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A new study by Kim and colleagues explored how compassion-based training can affect two self-regulatory styles and its relationship to neural, physiological, and behavioral responses.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"YOGA<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tYoga and Mindfulness as a Tool for Influencing Affectivity, Anxiety, Mental Health, and Stress among Healthcare Workers: Results of a Single-Arm Clinical Trial (Torre et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

Torre and colleagues recruited 70 HCWs from two hospitals in Rome, Italy for a 4-week course in yoga and mindfulness. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

\n\t\t\t\t\n\t\t\t
\"MINDFULNESS<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tMindfulness Buffers the Impact of COVID-19 Outbreak Information on Sleep Duration (Zheng et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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A team of researchers based in the perceived epicenter of the virus, Wuhan, China, recently tested whether a brief mindfulness intervention delivered through an app could be effective for reducing anxiety and protecting nightly sleep during the unfolding pandemic.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"INTRAPSYCHIC<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tIntrapsychic Correlates of Professional Quality of Life: Mindfulness, Empathy, and Emotional Separation. (Thomas & Otis, 2010).\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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Mindfulness practices can enhance a therapist\u2019s ability to intentionally and flexibly regulate attention as well as emotional reactivity which has been demonstrated to influence burnout.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tPhysician Anxiety and Burnout: Symptom Correlates and a Prospective Pilot Study of App-Delivered Mindfulness Training (Roy et al., 2020)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

A new study investigated whether a brief mindfulness training designed to reduce physician burnout could be delivered through a smartphone app.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

\n\t\t\t\t\n\t\t\t
\"ROLE<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tRole of Yoga and Mindfulness in Severe Mental Illnesses: A Narrative Review (Sathyanarayan et al., 2019)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

The current study reviewed the wider scientific literature for the role of yoga and mindfulness interventions in the treatment of severe mental illness. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"A<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tA Randomized Controlled Trial Examining the Effect of Mindfulness Meditation on Working Memory Capacity in Adolescents (Quach et al., 2015)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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The amount of research involving mindfulness interventions has grown exponentially; however, only in the last decade has mindfulness research involving adolescents rapidly increased. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tThe Differential Moderating Roles of Self-Compassion \u2028and Mindfulness in Self-Stigma and Well-Being Among People Living with Mental Illness or HIV (Yang et al., 2016)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

Mindfulness and self-compassion are theorized to disrupt the maladaptive repetition of negative thoughts and emotions for patients with chronic or mental illnesses, who are particularly susceptible to psychosocial distress.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

\n\t\t\t\t\n\t\t\t
\"education,<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tThe Emerging Trend of Mindfulness in Education\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
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According to the Association for Mindfulness in Education, mindfulness can increase students\u2019 emotional regulation, social skills, self-esteem, and organizational capacities. <\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"cigarette,<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tNeural Stress Reactivity Relates to Smoking Outcomes and Differentiates Between Mindfulness and Cognitive Behavioral Treatment (Kober et al., 2016)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

There is promising evidence that 70% of smokers would like to quit but less than 5% of unassisted attempts at quitting are actually successful.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tMindfulness-Based Relapse Prevention for Stimulant Dependent Adults: A Pilot Randomized Clinical Trial (Glasner et al., 2016)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

In a recent pilot study by Suzette Glasner, Ph.D. and her team at the Integrated Substance Abuse Programs at the David Geffen School of Medicine at UCLA, they evaluated the effects of Mindfulness-Based Relapse Prevention (MBRP) on reducing relapse susceptibility among stimulant-dependent adults receiving a contingency management (CM) intervention.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tLong-term Mindfulness Training is Associated with Reliable Differences in Resting Respiration Rate (Wielgosz et al., 2016)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

A major implication of the study suggests the distal effects of intensive retreat practice on respiration rates, a benefit not necessarily conferred by a brief, but full-day meditation session.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tExamination of Broad Symptom Improvement Resulting From Mindfulness-Based Stress Reduction in Breast Cancer Survivors: A Randomized Controlled Trial (Lengacher et al., 2016)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

Researchers are exploring mindfulness-based interventions as a long-term treatment options to address the multitude of symptoms after cancer has been treated.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t

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\"\"<\/div>\n\t\t<\/a>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\tEpigenetic Clock Analysis in Long-term Meditators (Chaix et al., 2017)\t\t\t<\/a>\n\t\t<\/h3>\n\t\t\t\t
\n\t\t\t

While the scientific study of mindfulness has exponentially increased over the past few decades, only recently has the scientific community focused on the effects of meditation training on biological aging.<\/p>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\tRead More \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Also known as MBRT, this intervention helps first responders navigate their work more mindfully<\/p>\n","protected":false},"author":1,"featured_media":4943,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[140],"tags":[],"yoast_head":"\nWhat is Mindfulness-based Resilience Training (MBRT)? - The Science of Mindfulness<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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