stress management and resiliency training: the smart program safety/patient... · 2: loprinzi ce,...

Resilient LivingAMIT SOOD, M.D.

PROFESSOR OF MEDICINE

MAYO CLINIC

Our brains struggle with …

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F

BRAIN QUIZ

O

ATE

C

IA

FEAR

FOCUS

FAT I G U E

Our brains struggle with …

BRAIN QUIZ

HOME

CHILDRENWORK PARTNER

FINANCES PARENTSECONOMY

HEALTH

PARENTS FINANCES

PARTNER

HOME

ECONOMY

WORK

CHILDRENHEALTH

Courtesy - David T. Jones, M.D.

Courtesy of David T. Jones, M.D., Mayo Clinic

Learning to Drive Driving as an Adult

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ity U

sed

Adapted from Faber LG, et al. Mental fatigue affects visual selective attention. PLOS ONE. 2012;7.

0 20 40 60 80 100 1200 20 40 60 80 100 120

1.7

7.3

Reaction times

Accuracy

Time in minutes Time in minutes

Fatigue

15 30 45 60 75 90 15 30 45 60 75 90

Engagement

Fatigue

Performance

Time on task Time on task

Adapted from Hopstaken JF, et al. The window of my eyes: Task disengagement and mental fatigue covary with pupil dynamics. Biological Psychology. 2015;110:100.

WORLD

Hurts and regrets Concerns and fears

PAST FUTUREPRESENT

MIND

Imagination (Catastrophizing)

ATTENTION BLACK HOLES

Kernel of negative memory or fear

Rumination

Avoidant response

WORLD

MIND

PAST FUTUREPRESENT

Mindset

Attention

Insight

CORE PRACTICE:

MORNING GRATITUDE

P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T

PART 2:

MINDFUL PRESENCE

P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T

Courtesy of David T. Jones, M.D., Mayo Clinic

World

Mind

Smartphone

World

Mind

CORE PRACTICE:

TWO-MINUTE RULE

P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T

VIEW AS NOVELVIEW AS NOVEL • DO NOT TRY TO IMPROVE

HELP OTHERS FEEL WORTHY

PART 3:

KINDNESS

P R E S E N C E K I N D N E S S G R AT I T U D E M I N D S E T

STRESS RESPONSE

AMYGDALA(emotions)

HIPPOCAMPUS(memory)

PREFRONTAL CORTEX(rationality)

Trustworthiness

Competence

Aggressiveness

I WISH YOU WELL

Mindset

Attention

Insight

PART 4:

RESILIENT MINDSET

P R E S E N C E K I N D N E S S M I N D S E TG R AT I T U D E

Forgiveness

Gratitude

Compassion

Acceptance

Meaning

ANCHOR YOUR MIND

MONDAY

ACCEPTANCE

WEDNESDAY

GRATITUDE COMPASSION

TUESDAY

MEANING

THURSDAY

FORGIVENESS

FRIDAY

TUESDAY

COMPASSION

MONDAY

GRATITUDE

FRIDAY

FORGIVENESS

THURSDAY

MEANING

WEDNESDAY

ACCEPTANCE

20

24

28

32

Baseline Follow up

ActiveControl

64

68

72

76

80

Baseline Follow up

ActiveControl

42

46

50

54

Baseline Follow up

ActiveControl

7

8

9

Baseline Follow up

ActiveControl

Sood A, et al. JGIM 2011

Stress

Anxiety Quality of life

Resilience

1: Sood A, Prasad K, Schroeder D, Varkey P. Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med. 2011 Aug;26(8):858-61.

2: Loprinzi CE, Prasad K, Schroeder DR, Sood A. Stress Management and Resilience Training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: a pilot randomized clinical trial. Clin Breast Cancer. 2011 Dec;11(6):364-8.

3: Prasad K, Wahner-Roedler DL, Cha SS, Sood A. Effect of a single-session meditation training to reduce stress and improve quality of life among health care professionals: a "dose-ranging" feasibility study. Altern Ther Health Med. 2011 May-Jun;17(3):46-9.

4. Sharma V, Sood A, Prasad K, Loehrer L, Schroeder D, Brent B. Bibliotherapy to decrease stress and anxiety and increase resilience and mindfulness: a pilot trial. Explore (NY). 2014 Jul-Aug;10(4):248-52.

5. Sood A, Sharma V, Schroeder DR, Gorman B. Stress Management and Resiliency Training (SMART) program among Department of Radiology faculty: a pilot randomized clinical trial. Explore (NY). 2014 Nov-Dec;10(6):358-63.

6. Chesak S, Bhagra A, Schroeder D, Foy D, Cutshall S, Sood A. Enhancing Resilience Among New Nurses: Feasibility and Efficacy of a Pilot Intervention. The Ochsner Journal. 2015.

7. Sood A, Fuehrer D, Schroeder D. Attention and Interpretation Therapy: Outcomes of Train the Trainer program.

8. Werneburg B, Clark M, Berkland B, Friend, K, Jenkins S, Sood A. Stress management and resilience training (SMART) for Mayo Clinic Employees.

9. Khan Z, Jensen J, Sood A. Stress management and resilience training (SMART) for couples undergoing IVF.

10. Chesak S, Cutshall S, Schroeder D, Sood A. Stress management and resilience training (SMART) for nurses: A one-year follow up.

11. Steinkraus L, Sood A. Integration of Stress management and resilience training (SMART) program among medical students: A pilot study.

12. Magtiby D, Sood A. Online Stress management and resilience training (SMART) program for transplant care nurses.

13. Stonnington C. Darby B, Santucci A, Mulligan P, Pathuis P, Cuc A, Hentz J, Zhang N, Mulligan D, Sood A. A Resilience Intervention Involving Mindfulness Training for Transplant Patients and their Caregivers

14. Gullickson A. M., Graham M. A., Amundson K.A., Smyth K. T., Sood A. A Mindfulness and Neuroscience Based Intervention: Stress Management and Resilience in the Workplace. Poster session at the meeting of the International Symposia of Contemplative Studies, Denver, Colorado, April 2012.

15. West R., Lauver D., Sood A. Mindfulness skills training for stress management among low socioeconomic workers. Midwest Nursing Research Society 36th Annual Research Conference, Dearborn, Michigan, April, 2012.

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