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  • 20
    Jan
    2013
    2:00pm, EST

    Meditating Marines: Military tries mindfulness to lower stress

    AP

    Dr. Elizabeth Stanley leads a class of U.S. Marines at Camp Pendleton, Calif., as part of a 2011 experiment in using mindfulness to turn down the ongoing internal chatter about the past and future.

    By Julie Watson, The Associated Press

    CAMP PENDLETON, Calif. -- The U.S. Marine Corps, known for turning out some of the military's toughest warriors, is studying how to make its troops even tougher through meditative practices, yoga-type stretching and exercises based on mindfulness.

    Marine Corps officials say they will build a curriculum that would integrate mindfulness-based techniques into their training if they see positive results from a pilot project. Mindfulness is a Buddhist-inspired concept that emphasizes active attention on the moment to keep the mind in the present.

    Facing a record suicide rate and thousands of veterans seeking treatment for post-traumatic stress, the military has been searching for ways to reduce strains on service members burdened with more than a decade of fighting in Iraq and Afghanistan.

    Marine Corps officials are testing a series of brain calming exercises called "Mindfulness-Based Mind Fitness Training" that they believe could enhance the performance of troops, who are under mounting pressures from long deployments and looming budget cuts expected to slim down forces.

    "Some people might say these are Eastern-based religious practices but this goes way beyond that," said Jeffery Bearor, the executive deputy of the Marine Corps training and education command at its headquarters in Quantico, Va.. "This is not tied to any religious practice. This is about mental preparation to better handle stress."

    The School Infantry-West at Camp Pendleton will offer the eight-week course starting Tuesday to about 80 Marines.

    The experiment builds on a 2011 study involving 160 Marines who were taught to focus their attention by concentrating on their body's sensations, including breathing, in a period of silence. The Marines practiced the calming methods after being immersed in a mock Afghan village with screaming actors and controlled blasts to expose them to combat stress. Naval Health Research Center scientist Douglas C. Johnson, who is leading the research, monitored their reactions by looking at blood and saliva samples, images of their brains and problem-solving tests they took.

    Another 160 other Marines went through the mock village with no mindfulness-based training, acting as the control group. Results from the 2011 study are expected to be published this spring.

    The latest study by Johnson will compare three groups of Marines, whose biological reactions will be also monitored. One group of about 80 will receive mindfulness-based training. Another of equal size will be given mental resilience training based on sports psychology techniques. The third one will act as a control group.

    Results from that study are expected in the fall, Marine Corps officials said.

    Marine Corps officials decided to extend the experiment to shore up evidence that the exercises help the brain better react to high-stress situations and recover more quickly from those episodes.

    "If indeed that proves to be the case, then it's our intention to turn this into a training program where Marines train Marines in these techniques," Bearor said. "We would interject this into the entry level training pipeline — we don't know where yet — so every Marine would be trained in these techniques."

    The idea is to give Marines a tool so they can regulate their own stress levels before they lead to problem behavior: "We have doctors, counselors, behavioral health scientists, all sorts of people to get help for Marines who have exhibited stress type symptoms but what can we do before that happens? How do we armor Marines up so they are capable of handling stress?" Bearor said.

    Lance Cpl. Carlos Lozano participated in the 2011 study, taking the course during his pre-deployment training that also included catapulting from a helicopter in a simulated raid and enduring booming explosions in a mock Afghan village.

    Lozano said he and fellow Marines were skeptical at first. Some wondered why their rigorous combat training was being interrupted by a class asking the warfighters to sit in silence and stare at their combat boots, becoming aware of how their feet touched the classroom floor.

    "I didn't want to do it," the 21-year-old from Denver said.

    But the exercises — also done while standing, stretching and lying down — had an effect, he said. He felt more relaxed and upbeat.

    "Mindfulness-based Mind Fitness Training" or "M-Fit" was designed by former U.S. Army Capt. Elizabeth Stanley, a professor at Georgetown University who found relief doing yoga and meditation for her PTSD.

    Stanley, who is also involved in studies for the Army, said the techniques can help warfighters think more clearly under fire when they are often forced to make quick decisions that could mean life or death, and help them reset their nervous systems after being in combat.

    Maj. Gen. Melvin Spiese said he was convinced after looking at the scientific research and then taking the course.

    While teaching troops to shoot makes them a better warfighter, teaching mindfulness makes them a better person by helping them to decompress, which could have lasting effects, he said.

    "As we see the data supports it, it makes perfect sense that this is what we should be doing," said the 58-year-old outgoing general, sitting in his office adorned with pictures of war and a 1903 rifle. "It's like doing pushups for the brain."

    Related stories:

    Military suicide rate hit record high in 2012

    The enemy within: Soldier suicides outpaced combat deaths in 2012

    A family healing together: Amid military suicide crisis, TAPS answers the call

     

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  • 27
    Aug
    2012
    3:31pm, EDT

    Military hopes antidepressant nasal spray will prevent suicides

    By Rebecca Ruiz, NBC News

    The military is seeing unprecedented mental illness and suicide in its ranks, and is funding research to treat depression and prevent the most tragic of outcomes.


    Follow @NBCNewsUS

    In July, a report released by the military found that mental health disorders in active-duty troops increased 65 percent since 2000. Of the more than 900,000 diagnoses, about 85 percent included cases of adjustment disorders, depression, alcohol abuse and anxiety. This month, the Army reported 38 suspected suicides among active-duty and reserve soldiers in July, the highest monthly number of suicides since record-keeping began a few years ago. 

    Col. Carl Castro, director of the Military Operational Medicine Research Program, told NBC News that the military is "leaving no stone unturned" in its hunt to find evidence-based treatments for depression and suicide. Included in its multimillion dollar research portfolio is a grant to evaluate whether a nasal spray using a fast-acting hormone could alleviate symptoms of both depression and suicidal behavior.


    Related: Mental health disorders among troops increased 65 percent since 2000

    The $2.9 million grant will support a three-year development and testing period that will ideally culminate in seeking Food and Drug Administration approval for the medication and delivery device. The grant was awarded in April to Dr. Michael Kubek, a professor of neurobiology at Indiana University. 

    Kubek will research the use of Thyrotropin-Releasing hormone (TRH), which is known to act rapidly in relieving depression and suicidal behavior. However, its effects are short-term and the hormone has difficulty crossing the blood-brain barrier. Kubek is aiming to load up nanoparticles with TRH and then deliver them via the nasal spray, which could lengthen the drug's effectiveness and overcome the challenges of getting past the blood-brain barrier.

    The military is hopeful that the spray will provide a treatment for the period between when a patient is first diagnosed for depression or suicidal thoughts and when typical anti-depressants become fully effective, which can take three to six weeks.

    The clinical trial will compare a few hundred patients split into two groups: one receiving the nasal spray and another getting a similar drug used to treat suicidal behavior and depression. The idea, Castro said, is to determine not only if the spray works, but if it is more effective than current drug therapies. The study will look at whether or not the drug decreases depression and suicidal thoughts.

    Should the drug prove effective, Castro said a realistic timeline for putting it in a soldier's hands would be five to eight years to account for possible setbacks and additional studies.

    The research is part of a $100 million  effort to study psychological and mental illness in the Army. Half of that funding is for Army STARRS (Study To Assess Risk and Resilience in Servicemembers), an initiative done in partnership with the National Institute of Mental Health to gather details about the lives and mental health of 55,000 soldiers. The Army hopes that the epidemiological study may eventually identify groups of soldiers whose mental health is most fragile based on an algorithm or formula of factors.

    Related: Army program aims to predict soldiers' resiliency

    The Army has allocated $18 million for 12 studies looking at treatment for depression and suicidal thoughts. The nasal spray study is the only one in the Army's portfolio to test a drug. 

    Despite the fact that suicide ranks in the top 10 leading causes of death in the U.S. — 36,909 people died by suicide in 2009 according to the latest available figures — clinicians still don't have a set of evidence-based standards for how to effectively treat suicidal patients. Instead, they rely often on a combination of medication and therapy that has shown promise, but has varying degrees of success.

    The urgency to find a treatment has become critically important to the military as it searches for answers to its own suicide epidemic.

    "We have no real explanation for why they're happening," Castro said of military suicides. The goal, he said, is to base treatment on science as opposed to "medical hunches."

    The time it takes to design and execute a study can be frustrating to those waiting for an effective treatment, but Castro said, "at least at the end of the day, we'll know if something does work."

    Rebecca Ruiz is a reporter at NBC News and a 2011-2012 Rosalynn Carter Mental Health Journalism Fellow. Follow her on Twitter here.

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