MINDFULNESS
FOR
HEALTH
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www.breathworks-mindfulness.org.uk
info@breathworks.co.uk
This presentation
Introduction
•
The burden of chronic conditions on society
•
The power of self-management methods such as
mindfulness
•
Breathworks as a self-management method
•
What do we teach?
•
Breathworks today, including applications
•
Vision for tomorrow
•
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1.5 billion people worldwide suffer chronic pain (3+
months)
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In recent ‘Health Survey of England’ = 20 million
people in the UK: 31% of men, 37% of women
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1 in 5 in Europe suffer moderate to severe chronic
pain (2006)
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1 in 3 in Norway suffer from chronic pain (Parent
/Thirion et al, 2005)
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Cost in Sweden LBP (direct and indirect) = 20,000
euros per patient per year (2002)
•
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The burden of Chronic Pain on Society
In USA some 116 million people suffer chronic pain
= $635 billion a year
Problem worsens as population ages:
57% over 75’s suffer daily pain in UK
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2009 Norway Report on Fitness for Work
The data presented in this report show that:
Of all the causes of disability and sickness absence in Norway, MSDs account for about a third of them.
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MSDs are the most common cause of chronic illness among Norwegians followed respectively by diseases
of the respiratory system and cardiovascular diseases.
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Back pain and rheumatoid arthritis (RA) only cost to Norwegian society about
21 billion Norwegian Krones or 2.4 billion euros.
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About 23 per cent of Norwegian workers report work-related back pain.
Back pain accounts for 13 per cent of all sickness leave lasting more than 8 weeks
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Fit For Work Norway Report, 2009
About 31 per cent of Norwegian workers report work-related muscular pain
in their neck, shoulders, and/or upper/lower limbs. WRULDs are more
frequently experienced by women aged between 30 and 49 years;
people over 30 years are more likely to present WRULDs compared
to younger ones.
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In Norway there are about 31,000 people with RA and 40 per cent of them
receive a work disability pension.
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The total cost of RA to Norwegian society has been estimated to be 6.2 billion
Norwegian Krones or 705 million euros, est cost of back pain in 2007
1.7 billion Euros
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If include all chronic health conditions = epidemic proportions.
Taking up increasing proportion health care spending.
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In 2008 the Norwegian workers with the highest
level of sickness absence are those working in
●
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the health care and social services,
followed by the ones working in transport and
storage (9.7 percent and 7.4 per cent
respectively in 2008).
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Impact of chronic pain
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Stamina & Resilience
Cognitive capacity, concentration & mood
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Rationality
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Fatigue
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Mobility
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Agility
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The risk factors for chronic pain
Obesity, height
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Spinal abnormalities
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Genetic predisposition
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Pregnancy
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Psychosocial stress/self perception – somatisation, anxiety, depression
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Health beliefs:- locus of control, self-efficacy, perception
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of disability & expectation
Family stress, somatisation, anxiety, depression
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This Presentation
The power of self-management methods such as mindfulness
●
Breathworks as a self-management method
●
What do we teach?
●
Breathworks today, including applications
●
Vision for tomorrow
●
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Breathworks Program
Gives control back to the individual. Internal locus of
control – seek external help appropriately
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Teaches people to help themselves.
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The future = cheap and accessible.
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Overcomes isolation when self-management training is
in group settings - either face-to-face or virtual
•
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This presentation
Introduction
•
The burden of chronic conditions on society
•
The power of self-management methods such as
mindfulness
•
Breathworks as a self-management method
•
What do we teach?
•
Breathworks today, including applications
•
Vision for tomorrow
•
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Study of Breathworks programme by Human Pain
Research Group: University of Manchester and Salford
Royal Hospital. Funded by Mind and Life Institute - Varela Award.
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Published in Clinical Journal of Pain, March 2013
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Musculoskeletal pain
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Evidence that effective at improving self-management
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Box plots of self-report outcome measures
(subtracted scores: session 2 minus session 1)
Self-management of pain
20
Mindfulness
Perceived control over pain
30
10
25
8
20
15
6
15
4
10
10
2
5
5
0
0
-2
-5
0
-5
Intervention group
-10
-4
-15
-6
Control group
Intervention group
Helplessness
Control group
Laser pain unpleasantness
Control group
Affective clinical pain
2
4
5
Intervention group
1
3
0
0
2
-5
-10
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-1
1
-2
0
-3
-1
-4
-5
-2
-6
-3
-15
-7
Intervention group
Control group
Intervention group
Control group
Intervention group
Control group
This presentation
•
Introduction
•
The burden of chronic conditions on society
The power of self-management methods
such as mindfulness
•
•
Breathworks as a self-management method
•
What do we teach?
•
Breathworks today, including applications
Click to edit Master text styles
•
Vision for tomorrow
Basic problem = suffering
“I DON’T LIKE THIS EXPERIENCE”
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Mindfulness:
Counter-intuitively turn towards experience
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Investigating what is actually happening in moment
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With tenderness, care, acceptance, compassion
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Unpack experience into Primary/Secondary suffering
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PRIMARY SUFFERING
Basic Unpleasant sensations
RESISTANCE
SECONDARY SUFFERING
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Mental, emotional & physical reactions
Primary suffering
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Secondary suffering
PRIMARY SUFFERING
MINDFULNESS HELPS ACCEPT
RESISTANCE
MINDFULNESS SOFTENS/DISSOLVES
SECONDARY SUFFERING
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MINDFULNESS HELPS REDUCE/OVERCOME
METHODS
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Meditation
–Body
scan
–Mindfulness
–Kindly
of breathing
awareness
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Mindfulness in daily life = pacing
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Mindful movement
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All breath based and WITH gravity
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Expand awareness to include others and world around
you.
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Overcomes pre-occupation with self and problems
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Shift from isolation to empathy
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Explicit cultivation of compassion
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This presentation
Introduction
•
The burden of chronic conditions on society
•
The power of self-management methods such as mindfulness
•
Breathworks as a self-management method
•
What do we teach?
•
Breathworks today, including applications
•
Vision for tomorrow
•
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•
Book published 2008 – in 12 languages
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2 x 8 week programmes
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Delivered in several countries and languages
–Mindfulness
for Health
–Mindfulness
for Stress
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Online courses with mindfulness center
Sweden
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10 mins 2 x day over 8 weeks
Both ‘solo’ and in virtual groups using
‘voice thread’
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–Introduction
to mindfulness
–Mindfulness
for health
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Projects with Dept of Health UK
People in recovery, carers, asylum seekers
So successful participants now trained as
‘mindfulness champions’
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Going to prisons, schools etc
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Projects with Dept of Health UK
Work place trial
Online course
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Face-to-face
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Mixed delivery
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This presentation
●
Introduction
●
The burden of chronic conditions on society
●
The power of self-management methods such as mindfulness
●
Breathworks as a self-management method
●
What do we teach?
●
Breathworks today, including applications
●
Vision for tomorrow
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•
Mindfulness for ‘hard to reach’ populations
Book ‘mindfulness for health’ co-written
with journalist Danny Penman
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Released Sept 2013
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Computer games?
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Innovative use of technology?
Embracing change to spread mindfulness
and compassion
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Anything to ease the burden of suffering on
individuals and society
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Thank you for listening
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www.breathworks-mindfulness.org.uk
info@breathworks.co.uk