Tuesday, March 21, 2006; Page HE01 By January W. Payne Washington Post Staff Writer Mind Medicine: What Proof? A research review published in 2002 in an Australian medical journal linked transcendental meditation (TM) to decreased hypertension. The authors concluded that the technique was promising for prevention and treatment of heart disease. A similar review published last year in the Journal of Hypertension found insufficient evidence to conclude whether TM lowers blood pressure. Inconsistent results like these leave people understandably baffled about the value of so-called mind-body treatments, a branch of alternative and complementary therapy that includes meditation, hypnosis, imagery and mindfulness-based stress reduction. Each of these techniques assumes that altering one's mental state can affect bodily health. Enthusiastic testimonials and gripping media reports notwithstanding, the research record on mind-body medicine remains thin and inconclusive. Still, these techniques are used, both with and without standard medical treatments, by millions of people seeking relief from conditions ranging from stress to heart disease. Many users report benefits; risks are low. The chart below examines the uses and research findings for several mind-body approaches. Scientific investigation continues. Meditation and Imagery Meditation: A specific posture and focused attention resulting in a state of relaxation and tempered Description reaction to distractions. Imagery: Picturing pleasant or successful outcomes. Personal wellness; as a supplement to other therapies for Common anxiety, depression, pain, stress, insomnia, poor mood; to manage Uses emotional/physical symptoms of chronic illnesses. Mindfulness-Based Stress Reduction A temporary altered state of consciousness that often includes focused attention, responsiveness to suggestions and suspension of disbelief. Deep relaxation and attention skills that can be applied in everyday life. Usually taught in an eightweek program. Alone or with standard treatments to gain control over behavior, emotions or physical well-being. Personal wellness; to supplement treatment for cardiovascular disease; to reduce stress and pain, including that linked to a variety of medical conditions. Preliminary research shows benefits for fear, anxiety, stress, phobias, headaches, asthma, childbirth and negative habits like smoking, overeating and bed-wetting. Most benefits for highly Generally considered safe. But a motivated people seeing a degreed therapist with few reports suggest intense, regular meditation can exacerbate professional credentials in treatment of underlying some psychiatric problems. problem. Some benefits shown as a supplement to other treatments Research for depression, anxiety, high Findings blood pressure, heart disease. These studies are considered inconclusive. Notes Hypnosis Some studies show benefits for several chronic conditions, ranging from borderline personality disorder to psoriasis. Most research to date does not meet the gold-standard quality accepted by the medical community. [http://www.washingtonpost.com/wp-dyn/content/article/2006/03/20/AR2006032001496.html?nav=rss_health]