New England J of Medicine Study Stresses Need for Integration of Mind Body Medicine

In a perspective published in the New England Journal of Medicine, researchers from the Benson-Henry Institute (BHI) for Mind Body Medicine at Massachusetts General Hospital (MGH) and from UC Davis Health call for broader use of mind-body practices.

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In a time when meditation, yoga and mindfulness increase in popularity for general well-being, the piece emphasizes the necessity of fully integrating these stress-reduction practices into patient treatment plans and medical research.

Stress exacerbates anxiety and depression and plays a role in conditions such as cardiovascular disease, autoimmune disorders, irritable bowel syndrome, headaches and chronic pain, said lead author Michelle Dossett of UC Davis Health.

“By reducing the body’s stress response, mind-body practices can be a powerful adjunct in medicine by helping to decrease patients’ symptoms and improving their quality of life,” said Dossett, who was a physician and researcher with BHI when the perspective was written.

Dossett also noted that mind-body practices can be helpful in reducing stress related to the COVID-19 epidemic.

Call for Integrating Mind Body Medicine into Clinical Care

Despite its recent rise in popularity among the general public, mind body medicine isn’t new. Researchers at BHI have been integrating the field of mind-body medicine into MGH’s clinical care, research and training programs since 2006. Early research on the advantages of such techniques dates back 40+ years, when the institute’s founder and perspective senior author, Herbert Benson, became one of the first Western physicians to bring spirituality and healing into medicine and is most famously known for his work with the Relaxation Response.

“The Relaxation Response, is an inborn, anti-stress capacity that transcends the differences that separate mind from body, science from spirituality and one culture from another,” says Benson.

“Western medicine has produced revolutionary health benefits through advances in pharmacotherapies and procedures,” the researchers wrote in the perspective. “It now faces enormous challenges in battling stress-related noncommunicable diseases. … Chronic pain, often perpetuated by psychosocial stress, has become an epidemic that our pharmaceutical arsenal is poorly equipped to handle and medical costs continue to soar. Mind-body therapies can be a helpful adjunct in managing chronic pain and other stress-related noncommunicable diseases by fostering resilience through self-care.”

The article also addresses skeptical patients’ preconceived notions of mind-body medicine as well as the anticipated barriers of service coverage and clinician education on the appropriate use of these tools. These challenges further reinforce the need for continued research and investment into the development and implementation of personalized practices to maximize their public health potential.

Source: Dosset, M et al. New Era for Mind–Body Medicine. N Engl J Med 2020; 382:1390-1391. doi: 10.1056/NEJMp1917461