Mindfulness meditation worked as well as a standard drug for treating anxiety in the first head-to-head comparison.
The study tested a widely used mindfulness program that includes 2 ½ hours of classes weekly and 45 minutes of daily practice at home. Participants were randomly assigned to the program or daily use of a generic drug sold under the brand name Lexapro for depression and anxiety.
After two months, anxiety as measured on a severity scale declined by about 30 per cent in both groups and continued to decrease during the following four months.
Study results, published Wednesday in the journal JAMA Psychiatry, are timely. In September, an influential U.S. health task force recommended routine anxiety screening for adults, and numerous reports suggest global anxiety rates have increased recently, related to worries over the pandemic, political and racial unrest, climate change and financial uncertainties.
Anxiety disorders include social anxiety, generalized anxiety and panic attacks. Affected people are troubled by persistent and intrusive worries that interfere with their lives and relationships. In the U.S., anxiety disorders affect 40% of U.S. women at some point in their lives and more than 1 in 4 men, according to data cited in U.S. Preventive Services Task Force screening recommendations.
Mindfulness is a form of meditation that emphasizes focusing only on what’s happening at the moment and dismissing intrusive thoughts. Sessions often start with breathing exercises. Next might be “body scans” — thinking about each body part systematically, head to toe. When worried thoughts intrude, participants learn to briefly acknowledge them but then dismiss them.
Symptoms improved noticeably
Instead of ruminating over the troubling thought, “you say, ‘I’m having this thought, let that go for now,”‘ said lead author Elizabeth Hoge, director of Georgetown University’s Anxiety Disorders Research Program. With practice, “It changes the relationship people have with their own thoughts when not meditating.”
Previous studies have shown mindfulness works better than no treatment or at least as well as education or more formal behaviour therapy in reducing anxiety, depression and other mental woes. But this is the first study to test it against a psychiatric drug, Hoge said, and the results could make insurers more likely to cover costs, which can run $300 to $500 US for an 8-week session.
The results were based on about 200 adults who completed the six-month study at medical centres in Washington, Boston and New York. Researchers used a psychiatric scale of 1 to 7, with the top number reflecting severe anxiety. The average score was about 4.5 for participants before starting treatment. It dropped to about 3 after two months, then dipped slightly in both groups at three months and six months. Hoge said the change was clinically meaningful, resulting in noticeable improvement in symptoms.
Ten patients on the drug dropped out because of troublesome side effects possibly related to treatment, which included insomnia, nausea and fatigue. There were no dropouts for that reason in the mindfulness group, although 13 patients reported increased anxiety.
The study “is reaffirming about how useful mindfulness can be when practiced effectively,” said psychologist Sheehan Fisher, an associate professor at Northwestern University’s Feinberg School of Medicine who was not involved in the study.
Dr. Scott Krakower, a psychiatrist at Zucker Hillside Hospital in New York, said mindfulness treatments often work best for mildly anxious patients. He prescribes them with medication for patients with more severe anxiety.
He noted that many people feel they don’t have time for mindfulness meditation, especially in-person sessions like those studied. Whether similar results would be found with online training or phone apps is unknown, said Krakower, who also had no role in the study.
Olga Cannistraro, a freelance writer in Keene, New Hampshire, participated in an earlier mindfulness study led by Hoge and says it taught her “to intervene in my own state of mind.”
During a session, just acknowledging that she was feeling tension anywhere in her body helped calm her, she said.
Cannistraro, 52, has generalized anxiety disorder and has never taken medication for it. She was a single mom working in sales during that earlier study — circumstances that made life particularly stressful, she said. She has since married, switched jobs, and feels less anxious though still uses mindfulness techniques.
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.
Get your top stories in one quick scan – CBC.ca
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The COVID emergency might end after 3 long years — but the virus is still a threat
It’s now been more than three years since SARS-CoV-2 began its march around the world, first as a virus totally foreign to humans, and later as an evolving pathogen capable of sneaking past our sharpened immune systems, infecting even those who’ve built up immunity from prior infections or vaccinations.
On Friday, a World Health Organization (WHO) committee is set to meet to consider whether the COVID-19 pandemic still represents a global public health emergency.
Multiple experts who spoke to CBC News said that regardless of what WHO decides in the days ahead, COVID-19 will remain a threat to our collective health for years to come — for a slate of different reasons — even as governments and the public move on.
“I know this is what happens at the end of pandemics,” Toronto-based microbiologist Dr. Allison McGeer said, “but watching it in real time is a bit depressing.”
There are reasons to be hopeful about the trajectory of the COVID-19 pandemic, even though this virus has claimed millions of lives.
By now, a majority of Canadians are vaccinated, which largely protects against serious illness. Drugs like Paxlovid are available for higher-risk groups, and critical care physicians have learned how to better treat those who do fall seriously ill.
As of mid-2022, vaccinated and boosted Canadians were three times less likely to be hospitalized — and five times less likely to die — than people who hadn’t gotten a single shot, federal figures show.
Data from a B.C. research team also suggests SARS-CoV-2 has infected most of the population at least once, offering many people a blend of protective immunity through both viral exposure and vaccines. But most doesn’t mean everyone, McGeer stressed.
COVID-19 still killed hundreds of Canadians each week throughout much of the last year, and even now, the virus keeps finding new victims with grim regularity, she said, including isolated seniors and other high-risk individuals who managed to avoid the virus while taking precautions.
“We have too many older people who are as yet uninfected for it to plateau,” said McGeer. Read more on this story here.
(Stephane de Sakutin/AFP/Getty Images)
A model presents a creation for Viktor & Rolf during the haute couture spring-summer 2023 Fashion Week in Paris on Wednesday.
Canada is considering contributing four Leopard 2 tanks to Ukraine, senior sources told CBC News — but no decision has been made. The government could announce the donation of tanks as early as Thursday, the sources said. CBC News is not identifying the confidential sources because they were not authorized to speak publicly. One source said Canada is likely to send Ukraine the A4 variant of the tank — the oldest in the Canadian military’s inventory. Canada bought the A4s from the Netherlands during the Afghan war. The Globe and Mail first reported the number of tanks that Canada may send to Ukraine’s war effort. Read more here.
Alberta Premier Danielle Smith should call an independent investigation into contact between her office, the justice minister’s office and Crown prosecutors to put questions to rest, one political scientist says. Sources have told CBC News that Smith, over several months, asked for updates on cases or inquired whether it would be possible to abandon them. University of Calgary political science Prof. Lisa Young says questions about the actions of Smith and her staff may follow them until an impartial third party can look at the evidence. “There’s a lot of smoke around this, which suggests there is a fire,” Young said Wednesday. “And it’s very clear that there’s now a perception that something has gone on here. Which means, we need clarity.” Read the full story here.
As the union representing tens of thousands of federal public servants prepares to hold strike votes across the country, one expert in labour negotiations says we should be prepared for more contract disputes thanks to high inflation. Earlier this week, the Public Service Alliance of Canada (PSAC) announced it will hold strike votes for another 120,000 federal public servants, just two weeks after taking the same step for 35,000 taxation employees. The main issue during talks, which started in June 2021, appears to be wage increases, with PSAC asking for an annual increase of 4.5 per cent for 2021, 2022 and 2023. The government has countered by offering a 2.06 per cent raise on average over four years, an amount PSAC labelled as “insulting.” The negotiations have stalled, which doesn’t surprise Robert Hickey, an associate professor of industrial relations at Queen’s University. “The bargaining environment has been fundamentally changed by inflation,” said Hickey. “What PSAC is asking seems high, but in the context of relatively high inflation it’s not outside the ballpark for a starting offer.” Read more on this story here.
Nearly a year after discovering something was wrong with their property, Stephanie and Derrick are sharing their story to sound the alarm on how they say current identification requirements in real-estate transactions are failing to protect homeowners from fraud. CBC Toronto is not using the couple’s real names because they are the victims of identity theft. “All the things you need to provide to buy a house, no one ever checks if those match up when you sell a house,” alleges Derrick. “You trust these institutions to protect you and it feels like they’re doing whatever they can to do things as fast and as cheap as possible.” The couple says the fraudsters who impersonated them to sell their house consistently spelled one of their last names wrong through the transaction, which was inconsistent with the fake ID they were using. Read the full story here.
If you are one of those Canadians who remain confident that central bank governor Tiff Macklem has a good handle on the economy, the future looks pretty bright. “It’s working,” Macklem boasted at Wednesday’s monetary policy news conference. Yes, another quarter-point rate hike means Canadians paying off their mortgages will now be forking out 4.25 percentage points more than they expected just two years ago. And yes, interest costs on those lines of credit so many Canadians still carry will rise above seven per cent instead of the two per cent when the bank lent them the money. But according to Wednesday’s monetary policy report, not only does the Bank of Canada seem to think it may have inflation pretty well licked, Macklem said he expects the Canadian economy will pay a relatively mild price over the next six to nine months compared to some of the most worrying predictions. Not everyone shares his optimism, and even Macklem admits it won’t be painless. Read more here.
Day 69:03AI-generated essays are a growing concern, so this Canadian student created a free app to detect them
Edward Tian, 22, of Toronto created GPTZero in response to the wildly successful artificial intelligence content-generating app ChatGPT, to give people a way to ascertain whether writing samples were produced by humans or bots. ChatGPT came out in November, and was released by San Francisco-based OpenAl. Users can ask it questions and assign it to produce things such as essays, poetry or computer code. It then scrapes text from across the internet to formulate a response. When it surfaced, educational institutions were concerned about it being used for cheating. Tian’s program, GPTZero, which was released in early January, is free and was designed to red flag AI-generated writing. “I think writing can be so beautiful,” said the computer science and journalism student. “There are parts and qualities of human writing that the machines can never do.” Read Tian’s conversation with Day 6 host Brent Bambury.
Now for some good news to start your Thursday: It took 50 years, and it was worth every minute for Vic Mercredi to see his face on an NHL rookie card. Mercredi is one of eight Indigenous NHLers to be featured in the First Peoples Rookie Card series, from trading card company Upper Deck. He still plays hockey casually with his kids and grandkids, but it’s been five full decades since he was drafted by the Atlanta Flames. The picture on his card features a young Mercredi — a photo taken back during his first day of training camp for the purpose of cards and programs. “Fifty years later? Better late than never,” Mercredi said with a chuckle. “It is quite an honour to have something like that at this point in my life.” Read more on this story here.
Nothing is Foreign: ‘No future here,’ says man who fled Russia after getting draft notice
As Russia’s invasion of Ukraine drags on, experts say Vladimir Putin is preparing to do what was once unthinkable: launch another wave of mobilization.
Russian military analysts say Putin is preparing the country for a long war and needs the extra recruits. In addition, Ukrainian intelligence officials have also claimed that a second round of mobilization is imminent.
But what do ordinary Russians think? This week, Nothing is Foreign speaks to a Russian man who fled when he first received his draft notice. He says that if the war effort persists, he does not see a future for himself and his family in Russia.
Nothing is Foreign28:54‘No future here,’ says man who fled Russia after getting draft notice
Today in history: January 26
1891: Famed Montreal brain surgeon Dr. Wilder Penfield is born in Spokane, Wash. He accurately mapped the cortical areas related to speech for the first time. He also discovered that stimulation of the temporal lobes provoked startlingly vivid recollections — proof of the physical basis of memory.
1905: The world’s largest uncut diamond is found in South Africa. The 3,100-carat Cullinan diamond weighed more than 600 grams.
1950: India becomes a sovereign democratic republic — the first within the Commonwealth.
2006: Hudson’s Bay, Canada’s oldest company, accepts a friendly $1.5-billion takeover offer from U.S.-based Maple Leaf Heritage Investments, headed by Jerry Zucker.
Northumberland Hills Hospital declares COVID-19 outbreak – 93.3 myFM
Northumberland Hills Hospital has declared an outbreak in COVID-19 cases.
The hospital is experiencing its first surge in COVID-19 cases since October 2022.
They’ve temporarily paused visiting to NHH’s Inpatient Rehabilitation Unit due to four active COVID-19 cases among admitted inpatients.
Visiting continues as usual outside the unit unless patients are in isolation for COVID-19 infection or exposure.
Written by Lee McConnell
Top doctor says Ontario 'must remain vigilant' past flu peak, COVID variant advances – TimminsToday
TORONTO — Ontario’s top doctor says even though COVID-19 and flu activity is declining, the province “must remain vigilant” as a more transmissible variant gains ground.
In a statement, Dr. Kieran Moore says parts of Ontario are reporting a rise in the number of cases of the more easily spreadable XBB 1.5 variant of COVID-19.
He says while the new strain has not been associated with more severe illness, infections could climb as it becomes the “main variant in Ontario.”
Moore says Ontario is seeing a decline in COVID, respiratory syncytial virus and flu activity throughout the province, offering some relief to hard-hit hospitals.
In recent weeks, Ontario pediatric hospitals have ramped up surgeries after a three-month surge of flu and RSV cases pushed them to redeploy staff to intensive care units and emergency departments.
Moore says flu cases peaked at the end of November and continue to decline.
This report by The Canadian Press was first published Jan. 26, 2023.
The Canadian Press
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