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Stress, Anxiety, and PTSD

  Research and Applicable of the
 Transcendental Meditation Program


    Stress-Free Schools Program
 Transcendental Meditation technique
            703 823-6933



                                       1
Chronic Stress and Children

   Early experiences of stress set
   responsiveness of HPA axis

   Children exposed to chronic stress
   become conditioned to higher levels of
   adrenaline

   As adults they can become “hot
   reactors”


                                            2
The TM
  technique
takes the mind
      from
   its active
  conscious      Thought starts
  awareness         from pure
  to its deep    consciousness
source in pure    and develops
consciousness    into conscious
                   awareness



                                  3
Physiological Indicators
                                   of Deep Rest During TM

                              9

                                   TM                                   TM         Eyes
                              5           Eyes                                     Closed
Practice to During Practice




                                          Closed                                   Rest
   (standard deviations)
    Change from Before




                                          Rest

                              0

                                                            Eyes
                                                            Closed
                                                     TM     Rest
                              -5

                                   Basal Skin        Respiration             Plasma
                                   Resistance           Rate                 Lactate



                                   American Psychologist 42: 879-881, 1987
                                                                                            4
Decreased Stress Hormone
                             Plasma Cortisol

                  6.0

                  5.5
Plasma Cortisol




                  5.0
   (mcg/dl)




                  4.5

                  4.0

                  3.5                 TM
                  3.0
                          Before       During            After

Hormones and Behavior 10: 54–60, 1978. Psychoneuroendocrinology.
1997;22(4):277-295                                                 5
Biochemical Mechanisms of
   Transcendental Meditation
                  TM

                Reduced
                 Stress

More Optimum                  Reduced
 Homeostasis
                              Cortisol


                Increased
                Serotonin
               Availability
                                         6
7
Effectiveness in Reducing Trait Anxiety
                                       Meta-Analysis

               TM
           Placebo
    Other Relaxation
Relaxation Response
    Other Meditation
              PMR
   EMG-Biofeedback
   Mantra Meditation
       Concentration
                            0                       .05                   1
                       Journal of Clinical Psychology. 1989; 45:957-974
                                                                              8
Effectiveness in Reducing BP
                                  Meta-Analysis


   TM

Relaxation
Response
    Other                                                     Systolic BP
Meditation
                                                              Diastolic BP
     Bio-
feedback


 All others

   -5            0                5                 10                 15
                                      Mm Hg
                                                                             9
               American Journal of Health Promotion. 1998:(5)297-298
Effects of TM on Blood Pressure
                          and Acute Stress in Adolescents
                                           Controls
                          4




                                                                  Systolic Blood Pressure
Systolic Blood Pressure




                                                                                             0




                                                                          (mm Hg)
        (mm Hg)




                          0

                                                                                                            Controls


                          -4
                                                                                            -8
                                     TM                                                              TM
                               Car driving simulation                                            Social stressor interview

                                      Journal of Psychosomatic Research. 2001;51:597-605                                     10
Improved Psychological Outcomes
                          Meta-Analysis




  TM

  Zen

Relaxation
Response

             0                     .05                          1

        American Journal of Health Promotion. 1998:(5)297-298
                                                                    11
Meta-Analysis of
                  Reduced Alcohol Abuse
            0.6    (N=14)                   (N=number of treatment groups)

            0.5
 EFFECT     0.4                                (N=13)
   SIZE
(standard   0.3
deviation                      (N=11)
  units)
            0.2
                                                                             (N=39)
                                                              (N=20)
            0.1
            0.0     TM         Relaxation     Preventive        Other         Driving
                               Programs        Programs       Preventive     Under the
                                             Counteracting    Education      Influence
                                             Peer Influence   Programs       Programs




                     Alcoholism Treatment Quarterly 11: 13–87, 1994.

                                                                                      12
Meta-Analysis of
           Reduced Cigarette Use
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0.0
            Preventive     Pharma-     Smoking       Printed      Uncon-
      TM    Education     cological   Cessation     Self-help    ventional
            Programs      Treatment   Counseling    Materials   Treatments


            Alcoholism Treatment Quarterly 11: 13–87, 1994.            13
ADHD Results After 3 Months
                              Student Report
Anxious/Depressed*               53%
Somatic Complaints*              34%
Internalize Prob.*              36%
Attention Prob.*                 26%
Affective Prob.                 29%
Anxiety*                        50%

Total Problems                  24%


 *Statistically significant                    14
ADHD Results After 3 Months
          Cognitive Assessment


Expressive Attention*
     19%

Executive Planning and
  Problem Solving*
     13%

                                  15
Behavior Inventory
Improvements In:
  Behavior Regulation
  Emotional Control
  Global Executive
     Functioning
  Inhibiting
  Initiating
  Memory
  Organization



                               16
Decreased Hospital Admissions
                               Rate in All Categories of Disease
                          20                                                                                     Other Groups
                                                                              p < .00001
Admissions/1000 Members




                          15                                                                                     TM
                          10

                           5

                           0
                               Childbirth   Intestinal     Nose,      Heart      Genital &   Injuries   Tumors    Bones & Ill-Defined
                                                          Throat,                 Urinary                         Muscle Condition
                           6                               Lung



                           0
                               All Mental   Nervous      Metabolism Infectious    Other       Medical   Skin     Congenital     Blood
                               Disorders    System                  Diseases                 Carveout




                                                    Psychosomatic Medicine. 1987; 49:493-507
                                                                                                                                17
Core Symptom Clusters of PTSD

Core Symptoms                 Other Symptoms
• Re-experiencing             • Insomnia
  • Recurrent and intrusive   • Depression
    recollections
  • Recurrent dreams          • Anxiety
  • Reliving the event        • Substance abuse
  • Intense distress and      • Interpersonal
    reactivity at exposure
    to cues
                                problems
• Avoidance
• Numbing
                                                  18
Decreased Symptoms of
Post-Traumatic Stress Syndrome
                         Reduced         Reduced
                                          Reduced          Reduced
                        Reduced                            Reduced
                         Alcohol         Insomnia
                                          Insomnia        Depression
                        Alcohol                           Depression
              1          Problem
                        Problem
Effect Size




              0
                              TM               TM                TM
              -1

              -2
                                         p < .001            p < .025
              -3
              -4
                                                     Psychotherapy
                         p < .005
                                                     Transcendental Meditation



               Journal of Counseling and Development. 1985:(64);212-215
                                                                                 19
Practice of
Transcendental Meditation
 • Effortless
      Easy for people of all ages
 • Universal
      No belief or philosophy involved
 • Standard instruction
      Taught by specially trained, registered teachers
 • Lifetime followup
      No additional cost
 • Scientific validation
      Over 600 research studies
 • Unique style of rest
      Not seen in other relaxation techniques
                                                         20

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Tm For Ptsd

  • 1. Stress, Anxiety, and PTSD Research and Applicable of the Transcendental Meditation Program Stress-Free Schools Program Transcendental Meditation technique 703 823-6933 1
  • 2. Chronic Stress and Children Early experiences of stress set responsiveness of HPA axis Children exposed to chronic stress become conditioned to higher levels of adrenaline As adults they can become “hot reactors” 2
  • 3. The TM technique takes the mind from its active conscious Thought starts awareness from pure to its deep consciousness source in pure and develops consciousness into conscious awareness 3
  • 4. Physiological Indicators of Deep Rest During TM 9 TM TM Eyes 5 Eyes Closed Practice to During Practice Closed Rest (standard deviations) Change from Before Rest 0 Eyes Closed TM Rest -5 Basal Skin Respiration Plasma Resistance Rate Lactate American Psychologist 42: 879-881, 1987 4
  • 5. Decreased Stress Hormone Plasma Cortisol 6.0 5.5 Plasma Cortisol 5.0 (mcg/dl) 4.5 4.0 3.5 TM 3.0 Before During After Hormones and Behavior 10: 54–60, 1978. Psychoneuroendocrinology. 1997;22(4):277-295 5
  • 6. Biochemical Mechanisms of Transcendental Meditation TM Reduced Stress More Optimum Reduced Homeostasis Cortisol Increased Serotonin Availability 6
  • 7. 7
  • 8. Effectiveness in Reducing Trait Anxiety Meta-Analysis TM Placebo Other Relaxation Relaxation Response Other Meditation PMR EMG-Biofeedback Mantra Meditation Concentration 0 .05 1 Journal of Clinical Psychology. 1989; 45:957-974 8
  • 9. Effectiveness in Reducing BP Meta-Analysis TM Relaxation Response Other Systolic BP Meditation Diastolic BP Bio- feedback All others -5 0 5 10 15 Mm Hg 9 American Journal of Health Promotion. 1998:(5)297-298
  • 10. Effects of TM on Blood Pressure and Acute Stress in Adolescents Controls 4 Systolic Blood Pressure Systolic Blood Pressure 0 (mm Hg) (mm Hg) 0 Controls -4 -8 TM TM Car driving simulation Social stressor interview Journal of Psychosomatic Research. 2001;51:597-605 10
  • 11. Improved Psychological Outcomes Meta-Analysis TM Zen Relaxation Response 0 .05 1 American Journal of Health Promotion. 1998:(5)297-298 11
  • 12. Meta-Analysis of Reduced Alcohol Abuse 0.6 (N=14) (N=number of treatment groups) 0.5 EFFECT 0.4 (N=13) SIZE (standard 0.3 deviation (N=11) units) 0.2 (N=39) (N=20) 0.1 0.0 TM Relaxation Preventive Other Driving Programs Programs Preventive Under the Counteracting Education Influence Peer Influence Programs Programs Alcoholism Treatment Quarterly 11: 13–87, 1994. 12
  • 13. Meta-Analysis of Reduced Cigarette Use 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0.0 Preventive Pharma- Smoking Printed Uncon- TM Education cological Cessation Self-help ventional Programs Treatment Counseling Materials Treatments Alcoholism Treatment Quarterly 11: 13–87, 1994. 13
  • 14. ADHD Results After 3 Months Student Report Anxious/Depressed* 53% Somatic Complaints* 34% Internalize Prob.* 36% Attention Prob.* 26% Affective Prob. 29% Anxiety* 50% Total Problems 24% *Statistically significant 14
  • 15. ADHD Results After 3 Months Cognitive Assessment Expressive Attention* 19% Executive Planning and Problem Solving* 13% 15
  • 16. Behavior Inventory Improvements In: Behavior Regulation Emotional Control Global Executive Functioning Inhibiting Initiating Memory Organization 16
  • 17. Decreased Hospital Admissions Rate in All Categories of Disease 20 Other Groups p < .00001 Admissions/1000 Members 15 TM 10 5 0 Childbirth Intestinal Nose, Heart Genital & Injuries Tumors Bones & Ill-Defined Throat, Urinary Muscle Condition 6 Lung 0 All Mental Nervous Metabolism Infectious Other Medical Skin Congenital Blood Disorders System Diseases Carveout Psychosomatic Medicine. 1987; 49:493-507 17
  • 18. Core Symptom Clusters of PTSD Core Symptoms Other Symptoms • Re-experiencing • Insomnia • Recurrent and intrusive • Depression recollections • Recurrent dreams • Anxiety • Reliving the event • Substance abuse • Intense distress and • Interpersonal reactivity at exposure to cues problems • Avoidance • Numbing 18
  • 19. Decreased Symptoms of Post-Traumatic Stress Syndrome Reduced Reduced Reduced Reduced Reduced Reduced Alcohol Insomnia Insomnia Depression Alcohol Depression 1 Problem Problem Effect Size 0 TM TM TM -1 -2 p < .001 p < .025 -3 -4 Psychotherapy p < .005 Transcendental Meditation Journal of Counseling and Development. 1985:(64);212-215 19
  • 20. Practice of Transcendental Meditation • Effortless Easy for people of all ages • Universal No belief or philosophy involved • Standard instruction Taught by specially trained, registered teachers • Lifetime followup No additional cost • Scientific validation Over 600 research studies • Unique style of rest Not seen in other relaxation techniques 20