1 / 29

Eating with Wisdom: Cultivating Mindful Eating

Eating with Wisdom: Cultivating Mindful Eating. Jean L. Kristeller, Ph.D. Center for the Study of Health, Religion, and Spirituality The Center for Mindful Eating www.tcme.org Dept. Of Psychology, Indiana State University j-kristeller@indstate.edu. Acknowledgments.

Albert_Lan
Download Presentation

Eating with Wisdom: Cultivating Mindful Eating

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Eating with Wisdom:Cultivating Mindful Eating Jean L. Kristeller, Ph.D. Center for the Study of Health, Religion, and Spirituality The Center for Mindful Eating www.tcme.org Dept. Of Psychology, Indiana State University j-kristeller@indstate.edu

  2. Acknowledgments Indiana State UniversityBrendan Hallett, Psy.D. and Virgil Sheets, Ph.D.Juli Buchanan, M.A., Brandy Dean, M.A., and Janis Leigh, B.A. Duke UniversityRuth Quillian-Wolever, Ph.D. Sasha Loring, M.S.W., Jennifer Davis, M.S., and Jennifer Best, Ph.D. Richard Surwit, Ph.D. and Richard Liebowitz, M.D.

  3. MINDFULNESS: a cognitive state, marked by attentional stability, that disengages habitual reactions and allows for inner wisdom to emerge.

  4. Meditation:Mechanisms and Misunderstandings • Meditation is NOT primarily a trance state. • Meditation is NOT primarily a relaxation tool. • Meditation is FUNDAMENTALLY a cognitive-attentional process that promotes self-regulation. • It has potential effects across MULTIPLE DOMAINS of psychological functioning: cognitive, physiological, emotional, behavioral, relation to self/others, and spiritual.

  5. Usual Processing: Conditioning Model & Eating Problems Usual Thoughts and Experiences Conditioning ~~ Survival ~~ Attachment/Avoidance XX Cognition/Attention Emotions Self/Others Physiology/Health Spiritual Behavior

  6. The Six Domain Model: Eating Mindlessly • Cognitive: Preoccupation with food/eating; black and white thinking. • Physiological: 1) hyper-reactivity around food. 2) Disconnect from normal hunger and satiation cues. • Emotional: Depression; craving; anxiety. • Behavioral: Binge eating; highly conditioned responses to food; general overeating. • Relationship to Self/Others: Poor self-acceptance; self-hatred; anger at others; over-valuing thinness. • Spiritual: No wise eating; spirituality does not engage honoring body; value and meaning attached to food abundance.

  7. Psychiatric Criteria for Binge Eating Disorder (DSM-IV) • Recurrent binges, characterized by: • Eating, in a discrete period of time, much more than most people would eat. • A sense of lack of control during the episode. • At least two episodes of binge eating per week for six months. • Associated with eating more rapidly, eating until uncomfortably full, eating without being physically hungry &/or feeling very guilty or depressed afterwards. • Marked distress regarding binge eating.

  8. Overeating Pattern Time KCal 7 am 2 eggs, bacon 2 slices toast OJ 450 10 am Doughnut 150 Noon Whopper Medium Fries 1130 6 pm 6 oz. Steak Baked potato 2 vegies, roll Apple pie 1320 10 pm 2 oz. Doritos 1 beer 450 TOTAL 3500 Bingeing Pattern Kcal Cereal/milk OJ 260 Salad/diet dressing Roll Diet Coke 300 3 oz steak Baked potato 2 vegies 500 2 pieces Apple pie 7 oz. Doritos 1 pint ice cream 2440 TOTAL 3500 3500 KCalories: Overeating vs. Bingeing

  9. MB-EAT:Mindfulness-Based Eating Awareness Training • Mindfulness meditation • Eating experience meditations: • Awareness of binge triggers • Awareness of hunger • Awareness of satiety (taste-specific, fullness) • Food-related meditations: raisin, chocolate, cheese/crackers, pot luck meal/buffet. • Mini-meditations with daily meals and snacks. • Forgiveness and wisdom meditations • Homework: meditation practice, mindful eating.

  10. MB-EAT: Outline of Sessions • Introduction to mindfulness meditation. Mindfully eating a raisin. • Introduction to “mini-meditation”. Mindfully eating cheese and crackers. • Binge trigger meditation. Mindfully eating sweet, high fat food. • Hunger Signals meditation (physical vs. emotional hunger). • Taste-Specific Satiation Signals meditation. Chips and cookies. • Stomach Fullness Satiety meditation. Pot luck meal. • Forgiveness meditation. • Wisdom meditation. • Have others noticed?; where do you go from here?

  11. NIH Trial • NCCAM-funded randomized clinical trial with 3 groups: Meditation-based; Psycho-educational; Waiting List. • Two-site design (ISU and Duke). • 9 week manualized intervention • 1 and 4 month followups • More extensive measures including process measures and change in biological markers of self-regulation (lipid and metabolic profiles)

  12. Sample • Sample size: N = 150 evaluated on all baseline measures; 14% men. • Approximately 14% African-American recruitment • Average age = 47.5; Avg. Wt. = 240 lbs.; Avg. BMI = 39.

  13. Changes in Number of Binges in Previous Month p<.01 (N =85)

  14. Treatment Effects on Beck Depression Scale p<.001 (N =85)

  15. Treatment Effects on the Three Factor Questionnaire: Disinhibition p<.001 MM vs. PE: p <.01 (N =85)

  16. Treatment Effects on the Three Factor Questionnaire: Hunger p<.001 MM vs. PE: p <.10 (N =85)

  17. Treatment Effects on Lowe’s Power of Food Scale p<.001; MB vs. PE: p<.10 (N =85)

  18. Treatment Effects on Weight (N =85)

  19. Treatment Effects on Post-prandial Glucose

  20. Relationship Between Practice and Improvement in Relation to Eating(n = 31-34)

  21. Results in Relation to the Multi-Domain Model • Cognitive: Disengagement from food preoccupation. • Physiological: Normalization of hunger and satiation cues; improvement in physiological/metabolic regulation. • Emotional: Decreased depression. • Behavioral: Decreased binging, interruption of highly conditioned responses. • Relationship to Self/Others: Improved self-acceptance; anecdotally, forgiveness of others. • Spiritual: Anecdotally, sense of connecting with the higher, wiser self; using meditation as prayer time.

  22. Current NIH Study: MB-EAT IIMindfulness Meditation: Regulating Eating and ObesityPI: Jean L. Kristeller, Ph.D., ISU • NCCAM-funded randomized clinical trial with 2 groups: MB-EAT vs. Wait List Control. • Focus on obesity - moderately to morbidly obese (BMI>34). • 12 week manualized intervention with increased focus on weight loss, plus 3 month support followup. • 6 month total followup.

  23. j-kristeller@indstate.eduThe Center for Mindful Eatingwww.TCME.org

More Related