Mindfulness. Zen. Acem. Meditation drumming. Chakra. Buddhist and transcendental meditation. There are countless ways of meditating, but the purpose behind them all remains basically the same: more peace, less stress, better concentration, greater self-awareness and better processing of thoughts and feelings.

This is your brain on meditation
But which of these techniques should a poor stressed-out wretch choose? What does the research say? Very little – at least until now.
A team of researchers at the Norwegian University of Science and Technology (NTNU), the University of Oslo and the University of Sydney is now working to determine how the brain works during different kinds of meditation.
Different meditation techniques can actually be divided into two main groups. One type is concentrative meditation, where the meditating person focuses attention on his or her breathing or on specific thoughts, and in doing so, suppresses other thoughts. The other type may be called nondirective meditation, where the person who is meditating effortlessly focuses on his or her breathing or on a meditation sound, but beyond that the mind is allowed to wander as it pleases. Some modern meditation methods are of this nondirective kind.
“No one knows how the brain works when you meditate. That is why I’d like to study it,” says Jian Xu, who is a physician at St. Olavs Hospital in Trondheim, Norway and a researcher at the Department of Circulation and Medical Imaging at NTNU.
Two different ways to meditate
Fourteen people who had extensive experience with the Norwegian technique Acem meditation were tested in an MRI machine. In addition to simple resting, they undertook two different mental meditation activities, nondirective meditation and a more concentrative meditation task. The research team wanted to test people who were used to meditation because it meant fewer misunderstandings about what the subjects should actually be doing while they lay in the MRI machine.
The results were recently published in the journal Frontiers in Human Neuroscience.
Nondirective meditation led to higher activity than during rest in the part of the brain dedicated to processing self-related thoughts and feelings. When test subjects performed concentrative meditation, the activity in this part of the brain was almost the same as when they were just resting.
A place for the mind to rest
“I was surprised that the activity of the brain was greatest when the person’s thoughts wandered freely on their own, rather than when the brain worked to be more strongly focused,” said Xu. “When the subjects stopped doing a specific task and were not really doing anything special, there was an increase in activity in the area of the brain where we process thoughts and feelings. It is described as a kind of resting network. And it was this area that was most active during nondirective meditation.”
Provides greater freedom for the brain
“The study indicates that nondirective meditation allows for more room to process memories and emotions than during concentrated meditation,” says Svend Davanger, a neuroscientist at the University of Oslo, and co-author of the study.
“This area of the brain has its highest activity when we rest. It represents a kind of basic operating system, a resting network that takes over when external tasks do not require our attention. It is remarkable that a mental task like nondirective meditation results in even higher activity in this network than regular rest,” says Davanger.
Meditating researchers
Most of the research team behind the study does not practice meditation, although three do: Professors Are Holen and Øyvind Ellingsen from NTNU and Professor Svend Davanger from the University of Oslo.
Acem meditation is a technique that falls under the category of nondirective meditation. Davanger believes that good research depends on having a team that can combine personal experience with meditation with a critical attitude towards results.
“Meditation is an activity that is practiced by millions of people. It is important that we find out how this really works. In recent years there has been a sharp increase in international research on meditation. Several prestigious universities in the US spend a great deal of money to research in the field. So I think it is important that we are also active,” says Davanger.

Job Stress a Major Factor in High Rates of Physician Suicide.


Job stress, coupled with inadequate treatment for mental illness, may account for the higher than average rate of suicide among US physicians, new research suggests.

Investigators at the University of Michigan in Ann Arbor found that among individuals who died by suicide, having a mental health disorder or a job problem was significantly associated with being a physician.

They also found that physicians who died by suicide were much more likely than their nonphysician counterparts to have antipsychotics, benzodiazepines, and barbiturates, but not antidepressants, present on toxicology testing.

“This [study] paints a more detailed picture of external events and risk factors in a physician’s life before a suicide, rather than just looking at a death certificate,” lead author Katherine J. Gold, MD, MSW, said in a statement.

The study was published online November 5 in General Hospital Psychiatry.

Lack of Action

The researchers point out that the suicide rate among physicians is significantly higher than that of the general population, and although there has been some previous research looking at mental health issues in medical students, relatively few studies have examined mental illness and suicide risk among practicing physicians.

“We’ve seen a number of studies now that show a high rate of anxiety, depression, and burnout among both medical students and physicians, but we haven’t done very much to develop programs to reduce or treat these factors and to increase mental health–seeking among physicians,” said Dr. Gold.

To investigate risk factors and comorbidities associated with physician suicide and to compare potential differences between physician and nonphysician suicide victims, the researchers used data from the National Violent Death Reporting System (NVDRS).

The NVDRS, they note, offers “rarely-available data on psychosocial, psychiatric, mental health care, medical comorbidity and substance abuse variables associated with suicide.”

The study included data on 31,636 suicide victims aged 18 years and older from 17 states. Of these, 203 were physicians.

The researchers found that there were no significant differences in current mental health disorders between physicians and persons in other occupations (46% vs 41%) or in persons with current depression (42% vs 39%).

In addition, there was no difference between physician and nonphysician groups with respect to comorbid current depression, substance or alcohol abuse disorder, or known mental illness.

At 48% for physicians and 54% for nonphysicians, firearms were the most common method of suicide for both groups. For physicians, this was followed by poisoning (23.5%), blunt trauma (14.5%), and asphyxia, which included hanging (14%).

After firearms, the most common cause of death in nonphysicians was asphyxia (22%), followed by poisoning (18%) and blunt trauma (6%).

Need for Change

Among suicide victims, having a known mental illness was mildly associated with higher odds of being a physician (odds ratio [OR], 1.34; confidence interval [CI], 1.01 – 1.82; P = .045). However, among physicians, the greater likelihood of having a known mental illness was not matched by a greater likelihood of antidepressant therapy, the investigators note.

However, having a job problem that contributed to the suicide significantly predicted the likelihood of being a physician (OR, 3.12; CI, 2.10 – 4.63; P < .0005).

Toxicology testing revealed that physicians were significantly more likely than nonphysicians to have antipsychotics (OR, 28.7; CI, 7.94 – 103.9; P < .0005), benzodiazepines (OR, 2:10; CI, 11.4 – 38.6; P < .0005), or barbiturates (OR, 3.95; CI, 15.8 – 99.0; P< .0005) present.

“There needs to be greater effort to address the stigma, underdiagnosis, and treatment of depression among physicians and understand how we can reduce the stress related to work. We need to make mental health treatment more available, safe, and confidential,” said Dr. Gold.

In an accompanying editorial, Olaf Gjerløw Aasland, MD, PhD, from the Institute of Health and Society, University of Oslo in Norway, describes the study as “an impressive piece of work.”

Dr. Aasland notes that the findings highlight the need for “good management of mental imbalance and psychiatric disorders, reduce[d] workplace and work—home balance stressors, and restriction of access to means for physicians who are in situations in which the two other factors are acute.”

Source: Medscape.com