breathworks-mindfulness.uk [email protected]

Click to edit Master text styleswww.breathworks-mindfulness.org.uk [email protected]

MINDFULNESSFOR

HEALTH

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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


●1.5 billion people worldwide suffer chronic pain (3+ months)

•In recent ‘Health Survey of England’ = 20 million people in the UK: 31% of men, 37% of women

•1 in 5 in Europe suffer moderate to severe chronic pain (2006)

•1 in 3 in Norway suffer from chronic pain (Parent /Thirion et al, 2005)

•Cost in Sweden LBP (direct and indirect) = 20,000 euros per patient per year (2002)


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


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.

●MSDs are the most common cause of chronic illness among Norwegians followed respectively by diseases of the respiratory system and cardiovascular diseases.

●Back pain and rheumatoid arthritis (RA) only cost to Norwegian society about 21 billion Norwegian Krones or 2.4 billion euros.

●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


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.

●In Norway there are about 31,000 people with RA and 40 per cent of them receive a work disability pension.

●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

●If include all chronic health conditions = epidemic proportions. Taking up increasing proportion health care spending.


In 2008 the Norwegian workers with the highest level of sickness absence are those working in

● 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).


Impact of chronic pain●Stamina & Resilience

•Cognitive capacity, concentration & mood

•Rationality

•Fatigue

•Mobility

•Agility


The risk factors for chronic pain

●Obesity, height

●Spinal abnormalities

●Genetic predisposition

●Pregnancy

●Psychosocial stress/self perception – somatisation, anxiety, depression

●Health beliefs:- locus of control, self-efficacy, perception

of disability & expectation

●Family stress, somatisation, anxiety, depression


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


Breathworks Program

•Gives control back to the individual. Internal locus of control – seek external help appropriately

•Teaches people to help themselves.

•The future = cheap and accessible.

•Overcomes isolation when self-management training is in group settings - either face-to-face or virtual


•Study of Breathworks programme by Human Pain Research Group: University of Manchester and Salford Royal Hospital. Funded by Mind and Life Institute - Varela Award.

•Published in Clinical Journal of Pain, March 2013

•Musculoskeletal pain

•Evidence that effective at improving self-management


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Intervention group Control group

Self-management of pain

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Mindfulness

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Perceived control over pain

Box plots of self-report outcome measures (subtracted scores: session 2 minus session 1)

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Helplessness

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Laser pain unpleasantness

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Affective clinical pain


Basic problem = suffering

“I DON’T LIKE THIS EXPERIENCE”


Mindfulness:

•Counter-intuitively turn towards experience

•Investigating what is actually happening in moment

•With tenderness, care, acceptance, compassion

•Unpack experience into Primary/Secondary suffering


PRIMARY SUFFERING

Basic Unpleasant sensations

RESISTANCE

SECONDARY SUFFERINGMental, emotional & physical reactions


Primary suffering Secondary suffering


PRIMARY SUFFERINGMINDFULNESS HELPS ACCEPT

RESISTANCEMINDFULNESS SOFTENS/DISSOLVES

SECONDARY SUFFERINGMINDFULNESS HELPS REDUCE/OVERCOME


METHODS


•Meditation

–Body scan

–Mindfulness of breathing

–Kindly awareness

•Mindfulness in daily life = pacing

•Mindful movement

•All breath based and WITH gravity


•Expand awareness to include others and world around you.

•Overcomes pre-occupation with self and problems

•Shift from isolation to empathy

•Explicit cultivation of compassion


This presentation

•Introduction








•Book published 2008 – in 12 languages


•2 x 8 week programmes

•Delivered in several countries and languages–Mindfulness for Health

–Mindfulness for Stress


•Online courses with mindfulness center Sweden

•10 mins 2 x day over 8 weeks

•Both ‘solo’ and in virtual groups using ‘voice thread’

–Introduction to mindfulness

–Mindfulness for health


People in recovery, carers, asylum seekers

•So successful participants now trained as ‘mindfulness champions’

•Going to prisons, schools etc

Projects with Dept of Health UK


Work place trial

•Online course

•Face-to-face

•Mixed delivery

Projects with Dept of Health 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


•Mindfulness for ‘hard to reach’ populations

•Book ‘mindfulness for health’ co-written with journalist Danny Penman

•Released Sept 2013


•Computer games?

•Innovative use of technology?

•Embracing change to spread mindfulness and compassion

•Anything to ease the burden of suffering on individuals and society


Thank you for listening

www.breathworks-mindfulness.org.uk [email protected]

breathworks-mindfulness.uk [email protected]

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