Resilient Living for a Resilient Community

Transcription

1 Resilient Living for a Resilient Community Amit Sood, MD MSc Professor of Medicine Mayo Clinic Rochester

2 10% PTSD (General population) 20% Depression 30% PTSD (War veterans) 40% Loneliness 50% Burn out 60% Discriminated 70% Not engaged / actively disengaged American Psychology Association; Gallup.com

3 Predictors of Wellbeing/Resilience Affect Adaptability Altruism Approach Attention Autonomy Challenge Communication Confidence Control Coping (active) Creativity Courage Effort Excellence Expectation Experience Faith Flexibility Happiness Health Hope Humility Humor Integrity Learning Meaning Morality Motivation Optimism Patience Predictability Problem solving Reappraisal Self control Self esteem Self-mastery Social support Tolerance Wisdom Garmezy N. Am Behav Sci 1991; Rutter M. Br J Psychiatry 1985; Werner E.E. Am J Orthopsychiatry 1989; Benson P.L. All kids are our kids 1988; Kobasa S.C. J Pers Soc Psychol 1979; Bonanno G.A. et al. Psychol Sci 2006; Richardson G.E. J Clin Psychol 2002

4 Simplify Simplify Life is a series of experiences (L = n * E) Experience = Attention + Interpretation + Action A A I Trained Attention + Trained Interpretation

5 Part 1

6 Brain Jeopardy: Our Brain Struggles With Focus, Fatigue, and Fear.

7 Health Partner

8 Health Partner

9 Attention Capacity Used Learning to Drive Driving as Adults

10 Attention Capacity Used Learning to Drive Driving as Adults Eating Brushing teeth Talking to Spouse

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12 Time on task Baseline Fatigue Fatigue at 2 hours Faber L., et al. PLoS One 2012

13 Hopstaken J.F.., et al. Biol. Psychol. 2015

14 Threat superiority effect

15 World Mind Past Present Future Hurts, Regrets Concerns, Fears

16 Rumination Imagination (Catastrophizing) Kernel of negative memory or fear Avoidant response

17 World Mind Past Present Future Hurts, Regrets Concerns, Fears

18 Sustain Practice Insight

19 Core Practice #1 Morning Gratitude

20 Gratitude Wake up with Gratitude

21 Bonus Practice #1 Grateful Note

22 Grateful Note

23 Bonus Practice #2 Gratitude Jar

24 Gratitude Jar

25 Part 2

26 World Body/Breath Mind (Chosen) Mind (Automatic) Smartphone

27 Core Practice #2 Two-minute Rule

28 Novelty Transience Do not try to improve Be genuinely interested Say one good thing 2012 MFMER slide-28

29 Spouse Children Siblings Parents Friends Colleagues Clients Neighbors Pets

30 Bonus Practice #3 Curious Moments

31 Attention Interpretation Global Center for Resiliency and Wellbeing

32 Bonus Practice #4 Relaxing Moments

33 Pamper Yourself Watch a movie / Visit a place / Read a book / Meet a person / Get a massage /...

34 Part 3

35 Core Practice #3 Kind Attention

36 I Wish You Well Trustworthiness Competence Aggressiveness Attractiveness Likeability

37 Look at yourself with the eyes of someone who loves you for who you are. Dove.com; Global Center for Resiliency and Wellbeing

38 Bonus Practice #5 Drop One

39 Drop One

40 Part 4

41 Core Practice #4 Resilience Thinking

42 Gratitude Thankfulness Compassion Kindness Acceptance Perspective Meaning Purpose Forgiveness Letting go

43 Daily Theme Monday Gratitude Tuesday Compassion Wednesday Acceptance Thursday Meaning Friday Forgiveness

44 Bonus Practice #6 Pick One

45 World External Situation Country Society Work Environment Family 50% = Choices 50% Organ Biological Disposition Tissue Cellular Molecular Genetic 2016 MFMER

46 Causes of MORTALITY Keeney R: Personal Decisions Are the Leading Cause of Death. Operations Research 56(6), pp POOR CHOICES 1,069,160 Other Causes 1,334, MFMER

47 Pick One

48 Week 4 Resilience Thinking Week 3 Kind Attention Week 2 Two-Minute Rule Week 1 Morning Gratitude +/- Meditation

49 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 Aug;26(8): : 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 Dec;11(6): : 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 May-Jun;17(3): 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) Jul-Aug;10(4): 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) Nov-Dec;10(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 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 oneyear 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 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.

50 Next Step: Content * Books * Stressfree.org

51 Next Step: Partnership Integrative Re-Sources Kami Norland, MA, ATR Integrative Re-Sources partners with rural health leaders to identify, support, measure and monitor resiliency in health care environments thru workshops, leadership coaching and peer support.