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PSYC 2220 – HUMAN FACTORS IN DESIGN Mindfulness and Gene Therapy auditory, tactile and vestibular system 1 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Mindfulness Definition The practice of maintaining a nonjudgmental state of heightened or complete awareness of one's thoughts, emotions, or experiences on a moment-to-moment basis. -Merriam Webster Dictionary Mindfulness means paying attention in a particular way; on purpose, in the moment, and non-judgmentally. -Jon Kabat Zinn auditory, tactile and vestibular system 2 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN https://www.uhs.umich.edu/files/uhs/field/image/Mindfulness.jpg auditory, tactile and vestibular system 3 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Motivation for Gene Therapy • Gene delivery using viral vectors (viruses modified to carry specifically desired genes) has been attempted since 1980 and has advanced significantly since the completion of the human genome project. • In 1999 Jesse Gelsinger died during one of the first clinical trials of a viral vector due to a severe immune response to the adenovirus used to deliver a gene that may have cured his genetic condition. • Jesse’s death has set viral gene therapy back an estimated 20 years as it sparked controversy over whether viruses could ever be used safely in a therapeutic setting. • There is still no FDA approved method of gene delivery, so safer and less invasive methods are of great appeal. auditory, tactile and vestibular system 4 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Preliminary Studies - 1998 Psoriasis One of the first medical studies utilizing mindfulness meditation encouraged patients to practice mindfulness during UV psoriasis treatment http://images.medicinenet.com/images/psoriasis-neck.jpg auditory, tactile and vestibular system 5 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Preliminary Studies - 1998 – Skin cells respond negatively to stress because it triggers the body’s production of stress hormones such as cortisol. – This is especially true in psoriasis patients who tend to experience flare-ups more often under stress. – Psoriasis clearing rate can be used as an indirect measure of stress hormones in the body which allowed researchers to make some preliminary judgments that mindfulness meditation can help turn off the production of some of these harmful stress hormones. auditory, tactile and vestibular system 6 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Preliminary Studies - 2012 Loneliness • Found to increase pro-inflammatory gene expression • This gene expression is linked to higher mortality rates, especially in the elderly. • Science behind “broken heart syndrome” in which older individuals often pass away soon after their spouse. auditory, tactile and vestibular system 7 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Preliminary Studies – 2012 Loneliness • • • • Study trained 40 older adults in mindfulness based stress reduction (MSBR) Sample chosen were those who experienced high levels of loneliness and exhibited up-regulation of pro-inflammatory NF-KB white blood cells Post treatment many patients reported feeling less lonely, and a marked decrease in NF-KB cells was recorded The study also identified 256 genes whose regulation may be modified by loneliness auditory, tactile and vestibular system 8 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Review Article - 2007 • Neurobiologist Mario Beauregard suggests in his review that mindfulness meditation is one of several methods of emotional self-regulation that allows patients to distance themselves from their own conditions and make objective decisions. • This technique is especially helpful for those suffering from mental health disorders. • For example, a patient with obsessive compulsive disorder can use mindfulness meditation to gain more capacity to choose a healthy response to her intrusive thoughts and compulsions. auditory, tactile and vestibular system 9 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Review Article - 2010 • Long term mindfulness practice allows more flexible emotional regulation by using the frontal cortex to dampen the automatic activation of the amygdala (emotional center of the brain). • There is large overlap between brain activity when practicing mindfulness and that during psychotherapy or when taking placebo “drugs” that patients believe will improve their mental status. • This review suggests that there is no significant advantage or disadvantage of using mindfulness meditation over psychotherapy for emotional regulation. auditory, tactile and vestibular system 10 of 62 PSYC 2220 – HUMAN FACTORS IN DESIGN Mindfulness vs. Psychotherapy Psychotherapy • Often the most helpful course of treatment for those with mental disorders • Cost prohibitive for many patients as the demand for qualified psychiatrists is much higher than the supply Mindfulness Meditation • Can be performed by patients in their own home • Can be lead by an expert or performed by the patient alone using tapes auditory, tactile and vestibular system 11 of 62