savoring the moment...peterson, primer in positive psychology, chapter 3. 2006, oxford press. toward...
TRANSCRIPT
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Creating a Space for Wellness
Savoring the Moment:The Key to More Mindful Eating
Afton L. Hassett, Psy.D.Associate Research Scientist
Chronic Pain & Fatigue Research CenterDepartment of Anesthesiology
University of MichiganAnn Arbor, Michigan, USA
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Disclosures
• Consultant for Happify, Inc. and Precision Health Economic
• Past research supported by Bristol-Myers Squibb and Pfizer, Inc.
• Salary support from the American College of Rheumatology as the
President of the Association of Rheumatology Health Professionals.
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Why do we eat?
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Eating is about nourishment.
• Nourish the body.
• Nourish our social relationships.
• Nourish our spirits.
• Nourish our aching hearts.
Eating helps us feel better in many ways.
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When do we eat?
We eat because we are hungry….
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When do we eat?
We eat because we are hungry….
…but hungry for what?
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Why do we eat?
Eating to cope with emotional distress is at the core of
most problem eating behaviors.
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Eating on automatic pilot.
• We cannot examine the
reasons why we eat the
way we do if we are not
aware of the fact that we
are eating in the first
place.
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Eating on automatic pilot.
• Watching TV
• Chatting
• Reading
• Listening to music
• Driving
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Eating on automatic pilot.
• Enter the “Masters of
Distraction” – our
electronic devices.
https://www.youtube.com/watch?v=dN04OO67_do
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What was your family dinner routine growing up?
What is your current dinner routine?
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Eating on automatic pilot.
Meta-analysis of 24 studies to explore the influence of
cognitive processes on food intake:
On average, eating while distracted increased the amount eaten by
about 10%.
But, perhaps more importantly, distracted eating also increased the
amount a person ate at a later meal by more than 25%!
Robinson et al. Eating attentively: a systematic review and meta-analysis of the effect of food intake memory
and awareness on eating. Am J Clin Nutr 2013;97:728-42
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Attentive eating.
Episodic food memories.
• Recalling and valuing the
experience of eating
helps decrease the
amount eaten at future
meals.
Robinson et al. Eating attentively: a systematic review and meta-analysis of the effect of food intake memory
and awareness on eating. Am J Clin Nutr 2013;97:728-42
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Attentive eating, where do we begin?
• Admit that there is a problem.
• Decrease distractions.
• Increase attention.
– Mindfulness
– Savoring
– Just you and the food.
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Attentive eating is also known as
mindful or intuitive eating.
Principles of mindful eating:
• Grounded in Buddhist teachings.
• Reconnect us with the experience of eating and
enjoying food.
• No right or wrong way to eat, but only varying degrees
of consciousness about what we are eating and why.
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Attentive eating is also known as
mindful or intuitive eating.
Goal of mindful eating:
• Base meals on physical cues (hunger signals), and not
emotional cues (need for comfort).
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Toward more mindful eating.
What is mindfulness?
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Toward more mindful eating..
• Ellen Langer: Mindfulness is “the process of actively
noticing new things.”
• Langer also noted: “…when you are mindful - rules,
routines, and goals guide you; they don’t govern you.”
• Notice how you feel without judging or criticising how
you feel.
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Toward more mindful eating..
• Mindfulness is associated with better health outcomes
and has been especially applied to depression, anxiety,
addiction, smoking, enhancing exercise persistence,
chronic pain and weight control and binge eating
(mindful eating).
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Strong data for mindfulness interventions in eating.
• Meta analysis of 15 studies of mindfulness-based interventions
in 560 individuals showed weight loss of ~4.2 kg (> 9 lbs). Large
effects for improving eating behaviors and medium effects for
improving depression, anxiety and eating attitudes.1
• Meta analysis of 19 studies showed that most demonstrated
large or medium-large effects for mindfulness-based
interventions on improving binge eating.2
1) Rogers et al. Obes Rev 2017 Jan;18(1):51-67
2) Godfrey et al. J Behav Med. 2015 Apr;38(2):348-62.
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Toward more mindful eating..
• When mindfulness is applied to eating it includes
elements of savoring such as noticing colors, smells,
flavors and textures of your food.
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Toward more mindful eating.
Noticing and appreciating the colors, textures, smell, and
beauty of your food often involves savoring.
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A Yummy Experiment.
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Toward more mindful eating..
Savoring refers to our awareness of pleasure and our
deliberate attempt to make it last.
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Toward more mindful eating..
• People who savor are happier, more satisfied with life
in general, more optimistic and less depressed.*
• Savoring is a mindful act.• 1. the quality or state of being conscious or aware of something.
• 2. a mental state achieved by focusing one's awareness on the present moment,
while calmly acknowledging and accepting one's feelings, thoughts, and bodily
sensations, used as a therapeutic technique.
Peterson, Primer in Positive Psychology, Chapter 3. 2006, Oxford Press.
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Toward more mindful eating..
• Savoring interventions are helpful for people with
depressive symptoms and depression.
• Savoring has also been evaluated in and found to be
helpful for people with diabetes, a desire to stop
smoking, stress, weight control and chronic pain.
Seligman ME, Rashid T, Parks AC. Positive psychotherapy. American psychol. Nov 2006;61(8):774-788.
Seligman et al. American psychol 2005;60(5):410-42. Sin & Lyuobomirsky. J Clin Psychol 2009;65:467-87.
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Toward a more mindful life.
Exercise: Savoring a Beautiful Day:
1. Set aside a block of time for your own pleasures. Set aside a minimum of
one hour or a maximum of a full eight-hour day. A half-day is just about
perfect for the first time you do this exercise.
2. Block that time out on your calendar now, and do not let anything interfere,
if possible. Next plan one activity or, even better, a sequence of activities
that brings you real pleasure, and carry them out as you planned them.
3. Here is the further twist. Savor each of the activities using all of your
senses and with feelings of gratitude and optimism.
Seligman ME, Rashid T, Parks AC. Positive psychotherapy. The American psychologist. Nov 2006;61(8):774-
788. Seligman et al. American psychologist 2005;60(5):410-42.
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Mindful eating tips.
Remember: When engaging in mindful eating we are not
comparing ourselves to anyone else.
– No judgement
– No self-criticism
• Observe the sensations and thoughts that come up as
we eat. We put ourselves in a loving and curious
space.
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Mindful eating tips.
No more eating on Autopilot.
• Banish the distractors:
– Turn off the TV
– No books, magazines, newspapers or even cereal boxes
– Ban electronic devices from the dinner table!!
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Mindful eating tips.
Begin meals in silent appreciation.
• Try to spend at least the first five minutes of the meal in silent
appreciation of the food.
• When dining with others, agree to this rule then chat about
observations about the food after the first five minutes of quiet.
• Then, after chatting about the food, you may move onto other
topics.
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Mindful eating tips.
No more racing through meals.
• Set a timer for 20 minutes and slowly eat your food.
– Take small bites
– Chew leisurely
– Savor the flavors and textures
– Breathe
– Think about the origins of the food
– Be grateful that you have this food to eat.
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Mindful eating tips.
No more racing through meals.
• Try tricks to slow down.
– Eat with chopsticks
– Eat with your non-dominant hand
– Count to five between each bite of food.
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Mindful eating tips.
Meals alone can be full attention or spent by alternating
eating with activity.
• Read a paragraph of your book
• Take a bite of your meal
• Paragraph, bite, paragraph, bite – no overlap!
• It takes a lot of discipline to fall back into old habits.
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Mindful eating tips.
Become more aware of your food.
• Rekindle your loving relationship with food.
– Select your vegetables and fruit from a Farmer’s market
– Grow your own herbs and vegetables
– Get your bread from a bakery (savor the smell!)
– Prepare meals that are beautiful and pleasing
– Think about how to decrease your carbon footprint
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Mindful eating tips.
Pay attention to the body.
Where do we feel hunger?
Where in our bodies do we feel
satisfaction?
What does half-full feel like, or
three quarters full?
Jan Chozen Bays, MD Mindful Eating: How to really enjoy your meal.
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Mindful eating tips.
Pay attention to the mind.
Avoid judgement or criticism,
but be aware of when the
mind wanders and you
become distracted.
Be aware of the impulses to
grab a book, turn on the TV,
text somebody or do a web
search.
Jan Chozen Bays, MD Mindful Eating: How to really enjoy your meal.
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Mindful eating tips.
Notice how eating affects
your mood. Become more
aware of how emotions like
anxiety influence our eating.
Seek a sense of comfort and
ease with eating like perhaps
you had when you were a
child.
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Mindful eating tips.
Old habits, like distracted
eating, are very tough
to break!
Do not try to make major
changes too fast.
Lasting change takes time,
and is built on many
small changes.
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Acknowledgments
Daniel J. Clauw, MD
Chad M. Brummett, MD
Jenna Goesling, Ph.D.
Richard E. Harris, Ph.D.
Steven E. Harte, Ph.D.
Ronald Wasserman, MD
David A. Williams, Ph.D.
Alex Tsodikov, Ph.D.
Stephanie Moser, Ph.D.
Jennifer Wolfe, MA
Natalie Gulau, BA
Andrew Clauw, BA
Emily Hogan
Regina Onishchenko
Funding:National Institute of Mental Health
Bristol-Myers Squibb, Inc.
American Society of Regional Anesthesia & Pain Medicine
Metzger Family Foundation
University of Michigan, Department of Anesthesiology
Follow me:
@AftonHassett