For many years my work split fairly evenly between helping people with psychological difficulties and helping people with pain problems.  Quite a few people were troubled with both.  In the last several years I have done much less work with pain, although I still see some people for overall pain management.  This has been partly because I was trying to keep up-to-date with too many fields, so stepping back from pain work made sense.  It has also been partly because the flourishing of research into happiness & wellbeing has fascinated me and taken up time.  Here are a collection of pain-associated assessment and information sheets that I accumulated over the years.  They are obviously relevant for work with pain, and some (e.g. one year symptom diary) can be adapted for work with stress & psychological difficulties. 

IBS severity score & background - this is a scale that was used by Professor Whorwell and his research team in Manchester.

In blog postings earlier this month, I've talked about supporting my Mum after her recent couple of strokes.  She's been shipped through three different hospitals and now is more peaceful in a nursing home.  It's sad - very sad at times - and it's great that she seems more comfortable, better looked after, and more content.  I definitely feel easier too.  Less weight on my shoulders, less emotional aching.

Here are two papers on mindfulness and four on sleep.  The Kuyken et al paper is important.  It compares mindfulness-based cognitive therapy (MBCT) with continuation antidepressants in the prevention of relapse in recurrent depression.  The results are great - "Relapse/recurrence rates over 15-month follow-ups in MBCT were 47%, compared with 60% in the m-ADM (maintenance antidepressant) group (hazard ratio = 0.63; 95% confidence interval: 0.39 to 1.04).  MBCT was more effective than m-ADM in reducing residual depressive symptoms and psychiatric comorbidity and in improving quality of life in the physical and psychological domains."  I have been cautious in my enthusiasm for MBCT (see previous post) but this is exactly the kind of research that we need to help clarify MBCT's potential further.  The second paper on mindfulness is lower key.  It is a mention of its potential in enhancing sexuality.  It makes sense - see last month's posts on the effects of meditation training on experiencing positive emotions - but the relevant research is still in its early stages. 

What are some implications for using forms of mind training for ourselves and for teaching others?  Reading this research study leads me to think about optimum amount of time spent practising these methods, the importance of encouraging application during daily life.  I discuss these issues in this blog posting.  It would also be fascinating and helpful to look at the challenge of maintaining the practices over time, and to consider how different forms of mind training can be directed at different targets - for example, easing symptoms, encouraging particular positive emotions (e.g. compassion, gratitude & contentment), targeting specific key wellbeing needs (e.g. self-determination theory's autonomy, competence & relatedness), and helping people live their personal values.