The Effects of Meditation on Twin Hearts on P300 Values: A Repeated Measures Comparison of Nonmeditators and the Experienced.

The Meditation on Twin Hearts (MTH) is a core meditation in both Pranic Healing and modern Arhatic Yoga practices. This guided meditation includes components of lovingkindness, open awareness, and self-healing imagery. The changes in peak latency and peak amplitude of P300 auditory event-related potentials were studied before and after listening to the MTH. Subjects were 12 nonmeditators compared with 12 meditators with at least 1000 h of experience with MTH. Between- and within-group comparisons were examined from electrode sites FZ, CZ, and PZ. When compared with nonmeditators at baseline, experienced meditators demonstrated a significantly shorter latency at sites FZ and CZ. Immediately following the MTH, inexperienced meditators showed significant increases in amplitude at sites FZ, CZ, and PZ, whereas experienced meditators showed no significant changes. All variables for both groups showed changes in the direction of more efficient cognitive processing immediately following the MTH. The present study supports the idea that a lovingkindness/compassion meditation results in immediate cognitive improvements in meditation naïve subjects. It also suggests that long-term meditation results in more pronounced and stable improvements.

Depression in public community long-term care: implications for intervention development.

The objective of this paper is to increase understanding of geriatric depression in the public community long-term care system to guide intervention development. Protocols included screening 1,170 new clients of a public community long-term care agency and interviewing all clients with major, dysthymia, or subthreshold depression (n = 299) and a randomly selected subset of nondepressed older adults (n = 315) at baseline, 6-month, and 1 year. Six percent had major depression, one-half of a percent had dysthymia only, and another 19% had subthreshold depression. Over the year observation period, 40% were persistently depressed; 32% were assessed as depressed only at the first observation; and the remainder was intermittently depressed. There were high levels of comorbid medical, functional, and psychosocial conditions. Mental health service use was low, and clients reported attitudinal and other barriers to depression treatment. Findings suggest the need for universal screening for depression with some strategies for triaging the most severely and persistently depressed for treatment. Although there will be challenges to the development of depression interventions, the public community long-term care system has high potential to assist vulnerable older adults receive help with depression.

Quality of care for depressed elders in post-acute care: variations in needs met through services.

This paper addresses quality of post-acute care for older adults going home after hospitalization for depression. Quality was conceptualized and assessed in terms of services received for four domains of need: psychiatric, medical, functional, and psychosocial. At discharge, needs for care was assessed using medical records, standardized instruments, and patient interviews; quality of care was assessed by whether or not needs were met by services through the first 6 weeks of post-acute care. Quality of care varied across type of need: psychiatric needs were most likely, and psychosocial needs were least likely, to be met. Urban elders received better psychiatric care than did rural elders. Elders in worse physical health received better medical and psychosocial care, but poorer psychiatric care. Elders with psychoses and living with others had better care for functional dependencies. The competing demands perspective suggests that medical illness may take priority over psychiatric care.