Posts Tagged ‘emotional exhaustion’

Transcendental Meditation reduced healthcare workers’ burnout symptoms during Covid crisis

March 5, 2023

NEWS RELEASE 3-MAR-2023

Transcendental Meditation highly effective in rapidly reducing healthcare worker burnout symptoms during the height of the Covid crisis

Healthcare providers (HCP) at three Miami hospitals during the height of the Covid crisis, who practiced the Transcendental Meditation technique (TM), showed a rapid and highly significant reduction in stress-related burnout symptoms such as somatization, depression, anxiety, sleep disturbances, and emotional exhaustion, as well as significant improvement in mental well-being, compared to a parallel matched lifestyle-as-usual group (LAU), according to a new study published today in PLOS ONE.

A total of 65 healthcare providers at the three Miami hospitals (Baptist, Mercy, and Encompass Hospitals), were enrolled in the TM group, as well as 65 parallel match controls. Validated surveys were used to assess burnout and stress-related symptoms including the Brief Symptom Inventory-18 scale (BSI), the Insomnia Severity Index (ISI), the Maslach Burnout Inventory-Human Services Survey (MBI), and the Warwick Edinburgh Mental Well Being Scale (WEMWBS).

After two weeks symptoms of somatization, depression, and anxiety in the TM group showed a near 45% reduction and insomnia, emotional exhaustion and well-being had improved by 33%, 16% and 11% respectively. At three months, the TM group showed mean reductions in anxiety of 62%, somatization 58%, depression 50%, insomnia 44%, emotional exhaustion 40%, and improvement in mental well-being of 18% (Examples Figures 1 – 3). TM appeared easy to learn and was maintained by the subjects within an average weekly TM session completion rate of 83%. (Click on Figures 1-3 to enhance details.)

“The results of this study—one of the largest on the effects of TM in a healthcare setting conducted during the height of the Covid crisis—are dramatic, not just because of the size and significance of the improvements in a variety of burnout indices, but notably in how rapidly the results were seen,” said Mark S. Nestor, M.D. Ph.D., the principal investigator, and lead author of the study. Dr. Nestor is Director of the Center for Clinical and Cosmetic Research in Aventura Florida, and Voluntary Professor at the University of Miami Miller School of Medicine. “This rapid and dramatic improvement in stress-related symptoms is not often seen with the use of medications much less with other easy to learn mental techniques.”

The authors point out that “the study confirms and expands on the previously reported benefits of the practice of TM and its positive psychological impact on healthcare providers in high stress settings and should be considered as a rapid intervention for healthcare worker burnout but certainly may have application to other at-risk populations.”

The study was supported, in part, by the David Lynch Foundation as well as Miami-area donors. The article is titled “Improving the mental health and well-being of healthcare providers using the Transcendental Meditation technique during the COVID-19 pandemic: a parallel population study.”

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Source: EurekAlert!

Peer-Reviewed Publication | Randomized controlled/clinical trial

See the full PowerPoint Presentation PDF with all 6 Figures.

DOI: 10.1371/journal.pone.0265046

News Coverage: The first to report on this study was Australia’s Mirage: Healthcare Workers’ Burnout Reduced with TM During Covid Peak. News Medical, one of the world’s leading open-access medical and life science hubs, also reported: Transcendental Meditation reduces stress-related burnout symptoms among healthcare providers.

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Transcendental Meditation effective in reducing burnout and depression symptoms in physicians

February 21, 2023
This figure shows the within-group effect sizes (mean change divided by pooled standard deviation) for the Transcendental Meditation group and the treatment-as-usual control group on burnout, as measured by the Maslach Burnout Inventory, and depression symptoms, as measured by the Beck Depression Inventory-2. Between-group statistics comparing TM to the control group yielded significant differences between groups on both burnout and depression symptoms (p values <.02). CREDIT: Maharishi International University Research Institute. (Image posted on EurekAlert!)

According to a randomized controlled study, published in Journal of Continuing Education in the Health Professions, physicians who practiced the Transcendental Meditation (TM) technique showed significant reductions in both burnout and depression symptoms. Research conducted at Stritch School of Medicine, Loyola University Chicago found that practice of Transcendental Meditation produced large effect sizes in decreasing burnout and depression symptoms in academic physicians; controls exhibited smaller effect sizes. The research was done pre-covid.

Marie Loiselle, PhD, lead author and senior researcher at the Center for Social-Emotional Health at Maharishi International University, stated: “Prior to treatment, the physicians were discouraged by the impact that burnout was having on their work and personal lives. To see both burnout and depression reduced significantly across 1- and 4-month posttests for the Transcendental Meditation group indicates a real possibility for alleviating these symptoms throughout the health profession.”

Sanford Nidich, EdD, co-author and director of the Center for Social-Emotional Health, explained that “these findings are consistent with research on Transcendental Meditation recently published in JAMA Network Open and the Journal of the American College of Emergency Physicians showing large within-group effect sizes due to TM on burnout and depression symptoms in healthcare provider groups. The findings are also consistent with research on other populations.”

Forty academic physicians were enrolled in the four-month study, comparing the TM technique to treatment-as-usual controls. TM is described as a simple, effortless technique, practiced for 20 minutes twice a day, sitting with eyes closed. TM allows ordinary thinking processes to become more quiescent, resulting in a unique state of restful alertness. Controls continued with their usual care throughout the duration of the study. The primary outcome was total burnout, using the Maslach Burnout Inventory (MBI). The Beck Depression Inventory (BDI-2) was also used to determine effectiveness of TM on depression symptoms over the same time-period.  

Repeated measures analysis of covariance was used to assess adjusted mean change scores. Significant improvements were found for the TM group compared to controls in total burnout (P=.020) including the MBI dimensions of emotional exhaustion (P=.042) and personal accomplishment (P=.018), and depression (P=.016).  

The following is a sample of responses from semi-structured interviews with TM participants about their experiences:

“I’m more relaxed about things overall, more accepting, calmer, not as revved up by things. I think that is the biggest change.”

“If I am feeling really bothered by the day, I’m able to get over it easier and shift over to focusing on home.”

According to Gregory Gruener, MD, study co-author and Vice Dean for Education, Stritch School of Medicine, Loyola University Chicago: “Longevity in a career that will last 40 to 50 years requires a physician to embrace the ‘long-view’.  While knowledge, skills and attitude are fundamental, Transcendental Meditation provides the clarity of mind and calmness that makes this journey as enjoyable and fulfilling as the destination.”

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Funding support: This study was supported by grants from Loyola University and other private foundations and individual donors.

Article title: Effects of Transcendental Meditation on Academic Physician Burnout and Depression: A Mixed Methods Randomized Controlled Trial.

Authors: Loiselle, Marie PhD; Brown, Carla EdD; Travis, Frederick PhD; Gruener, Gregory MD, MBA, MHPE; Rainforth, Maxwell PhD; Nidich, Sanford EdD.

JOURNAL: Journal of Continuing Education in the Health Professions

DOI: 10.1097/CEH.0000000000000472

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News Coverage: This study was published Jan 26, 2023 and publicized with an embargoed press release via EurekAlert! It was reported in the medical press. Helio requested a copy of the study and published their review Feb 3, 2023. But you have to register to read it.

HealthDay, the world’s largest syndicator of health news, also requested a copy of the study and posted their report Feb 16, 2023, which can be read here: Transcendental Meditation Helps to Alleviate Burnout in Academic Physicians. Benefits seen for total burnout, emotional exhaustion, and depression at four months. It was picked up by many health and medical news sites, like Physician’s Weekly, which created another wave of publicity.

When lead author Marie Loiselle read this news she shared her wish that this will motivate more health professionals to start TM and more programs like the one Carla and Duncan Brown teach at Stritch School of Medicine to be implemented. 

The evidence continues to mount, which makes it a wise, health-conscious decision, and, since the pandemic, an almost necessary one. Some physicians have also been prescribing TM for their patients. It is a viable alternative and should be covered by health insurance.

It seems to be a matter of time, which reminds me of this famous quote attributed to German philosopher Arthur Schopenhauer: “All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident.”

See more Quotes from famous thinkers on the nature of truth, its rejection, and acceptance over time.

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New study out on Transcendental Meditation shows reduced teacher stress and burnout

February 3, 2014

Transcendental Meditation Reduces Teacher Stress and Burnout, New Research Shows

Effect of Transcendental Meditation on Employee Stress, Depression, and Burnout: A Randomized Controlled Study

This graph shows the average level of change in total burnout, as measured by the Maslach Burnout Inventory, in the Transcendental Meditation group compared to controls. The graph displays a marked reduction in burnout symptoms in the TM group, with the control group showing a small increase in burnout over the duration of the study.

This graph shows the average level of change in total burnout, as measured by the Maslach Burnout Inventory, in the Transcendental Meditation group compared to controls. The graph displays a marked reduction in burnout symptoms in the TM group, with the control group showing a small increase in burnout over the duration of the study.

A new study published in The Permanente Journal (Vol. 18, No.1) on health showed the introduction of the Transcendental Meditation® technique substantially decreased teacher stress and burnout.

Research indicates that stress and burnout are pervasive problems among employees, with teachers being especially vulnerable to feeling frequent stress from their jobs. Burnout, a syndrome of emotional exhaustion, depersonalization, and job dissatisfaction, has been found to contribute to lower teacher classroom performance and higher absenteeism and job turnover rates.

This current study sought to determine whether practice of the Transcendental Meditation (TM) program results in lower psychological distress and decreased burnout in teachers and support staff at the Bennington School in Vermont, a special in-residence school for students with behavioral problems.

This graph shows the average level of change in perceived stress, as measured by the Perceived Stress Scale, in the Transcendental Meditation group compared to controls. The graph displays a marked reduction in perceived stress in the TM group, with the control group showing a small increase in stress over the duration of the study.

This graph shows the average level of change in perceived stress, as measured by the Perceived Stress Scale, in the Transcendental Meditation group compared to controls. The graph displays a marked reduction in perceived stress in the TM group, with the control group showing a small increase in stress over the duration of the study.

According to Dr. Charles Elder, MD, MPH, lead author of the study and a Senior Physician in the Department of Internal Medicine at Kaiser Permanente Northwest, “The results of this randomized controlled trial are very striking and demonstrate the utility of introducing a stress reduction program for teachers and other public and private employees. The four-month study found significant and clinically important decreases in perceived stress, emotional exhaustion associated with teacher burnout, and depressive symptoms in those practicing the TM program compared to a wait-list control group.”

“Burnout and other psychological distress factors have been linked to negative health behaviors, obesity, and hypertension, all of which are major contributors to cardiovascular disease,” emphasized Dr. Sanford Nidich, EdD, study principal investigator and Professor of Education at Maharishi University of Management. “Prior medical research has found that practice of the TM program is effective in reducing both risk factors for heart disease and cardiovascular events. Taken as a whole, this present study and prior research provide evidence for the value of the TM program for enhancing mental and physical health and well-being, explained Dr. Nidich.”

This graph shows the average level of change in decreased depression symptoms, as measured by the Mental Health Inventory-5, in the Transcendental Meditation group compared to controls. The graph displays a marked reduction in depression symptoms in the TM group, with the control group showing a small decrease in depression over the duration of the study.

This graph shows the average level of change in decreased depression symptoms, as measured by the Mental Health Inventory-5, in the Transcendental Meditation group compared to controls. The graph displays a marked reduction in depression symptoms in the TM group, with the control group showing a small decrease in depression over the duration of the study.

The study included 40 teachers and support staff measured at baseline and then randomly assigned to either immediate start of the TM program or delayed start (wait-list control group). Compliance with practice of the TM technique throughout the four-month intervention period was high; 100% of the participants assigned to the TM group meditated at least once a day. Of those, 56% meditated regularly at home twice a day.

This is the first study to investigate the effects of Transcendental Meditation on teacher burnout. Recent published studies have shown a positive impact of this program on student graduation rates, academic achievement, and psychological distress. Transcendental Meditation has seen widespread implementation in secondary schools across the country within the context of school-wide Quiet Time programs.

The study was funded by the Nine East Network and David Lynch Foundation.

About the Transcendental Meditation technique

The TM technique is a simple, natural, effortless procedure practiced 20 minutes twice each day while sitting comfortably with the eyes closed. Extensive peer-reviewed research studies have found that TM reduces psychological distress, including anxiety and depression, and promotes overall mental and physical health.

The TM technique is available in the USA through Maharishi Foundation USA, a federally recognized non-profit educational organization. Through partnerships with other non-profit organizations and foundations, full TM scholarships have been given to more than 250,000 at-risk children, school teachers, veterans suffering from PTSD, homeless people, and others. Visit http://www.tm.org for more information.

About Maharishi University of Management

Maharishi University of Management is an accredited university offering bachelor’s, master’s, and doctoral degrees in the arts, sciences, humanities, and business, where Transcendental Meditation is also practiced by both professors and students. Visit http://www.mum.edu for more information.

Source: EurekAlert!

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