1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of...

29
1 Dr Ramesh Manocha MBBS BSc(med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit, Royal Hospital for Women, Sydney, Australia International Fellow, INSEAD, France
  • date post

    19-Dec-2015
  • Category

    Documents

  • view

    213
  • download

    1

Transcript of 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of...

Page 1: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

1

Dr Ramesh Manocha MBBS BSc(med) PhDSchool of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit, Royal Hospital for Women, Sydney, AustraliaInternational Fellow, INSEAD, France

Page 2: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Participant feedback from IBM Corporate Stressbuster

% o

f p

osi

tive r

esp

on

den

ts

Participant feedback from IBM Corporate Stressbuster- April 11, 2002, N=300

0

20

40

60

80

100

felt

peac

eful

pers

onal

ly re

leva

nt

rele

vant

to d

epar

tmen

t

a he

lpfu

l stra

tegy

for p

erso

nal w

ellb

eing

Page 3: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

National Long TermMeditators Survey

-First of its kind

-All Australian practitioners of homogenous, mental silence technique (Sahaja Yoga)

-N=350, 2 to 30 years of practice

-SF36, K10 (population norms available from 1996, 2001 national health surveys)

-Basic demographics

-Meditation lifestyle factors

- Manocha R. World Psychiatry Association , “Working together for mental health: partnerships for policy and practice”, Melbourne Australia, Nov 28-Dec 2, 2007.

Page 4: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Long Term Meditators Survey

Page 5: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Health of Australian Meditators

Manocha R. World Psychiatry Association , “Working together for mental health: partnerships for policy and practice”, Melbourne Australia, Nov 28-Dec 2, 2007.

Page 6: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Health of Australian Meditators

Manocha R. World Psychiatry Association , “Working together for mental health: partnerships for policy and practice”, Melbourne Australia, Nov 28-Dec 2, 2007.

*

*

*

*

*

*

*

* *

**

*

Page 7: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Relationship Between Mental Silence & Mental

Health

Mental Health Subscale of SF36

Men

tal H

ealt

h

Sco

re

Page 8: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Relationship Between Thoughtless Awareness &

Mental Health

Mental Health Subscale of SF36

Men

tal H

ealt

h

Sco

re

Page 9: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Relationship Between Thoughtless Awareness &

Mental Health

Mental Health Subscale of SF36

**

*

Men

tal H

ealt

h

Sco

re

Page 10: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Menopausal Hot Flushes

-N=14, Single arm, uncontrolled, heuristic

-Perimenopausal women

-8 weeks, 2x week at Royal Hospital for Women

-8 week follow up

-No other pharmaceutical, herbal medications

- Manocha R, Semmar B, Black D. Journal of Clinical Psychology in Medical Settings. 2007;14(3):266–273.

Page 11: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Menopausal Hot FlushesPreliminary Study

Manocha R, Semmar B, Black D. Journal of Clinical Psychology in Medical Settings. 2007;14(3):266–273.

Page 12: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

ADHD- N=60, Non randomised

- Waiting list control

- Children <12 yrs

- Confirmed diagnosis of ADHD

- Parent-adjusted doses of stimulant med’s

- 6 weeks, 2x/week, Prince of Wales Hosp

- Connors parent/teacher rating scale

- Qualitative/quantitative feedback- Harrison L, Manocha R, Rubia K. Clinical Child Psychology and Psychiatry. 2004;9(4):479–497.

Page 13: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Reduce Medication?

- 19 taking medication at start

- 6 reduced medication

- 3 more stopped completely

Harrison L, Manocha R, Rubia K. Clinical Child Psychology and Psychiatry. 2004;9(4):479–497.

Page 14: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Asthma-N=59, RCT

-Stress management control

-Mod/severe sufferers,

- receiving but unresponsive to maximal pharm’l therapy

-12 weeks, 1x week, Royal Prince Alfred Hosp

-8 week follow up

- Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 15: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Asthma RCT

MEDITATIONMentalSilence

Randomised

8 week follow-

up

16 week Intervention period, 1x/week

Stress management

Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 16: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

AsthmaMeditation vs Stress

Management

SY Meditation

Stress Mgt

Airway Hyperresponsiveness

Mood

Manocha et al, Thorax, 2002

SY Meditation

Stress Mgt

Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 17: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Work Stress-N=178, RCT

-Relaxation, waiting list control

-Full time workers

-8 weeks, 2x /week

-Work related “Stress, anxiety and depression”

-PSQ (OSI), DD (POMS), State Anxiety (STAI)

Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 18: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Our Study

RecruitmentN=178

8 week Intervention period, 2x/week, Each session approx 1 hour duration

MEDITATION 1Mental Silence

Randomised

Waiting listNo intervention

MEDITATION 2Non-mentalsilence

Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 19: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Work Stress Mental Silence vs Contemplation

SY mental silence

Relaxation/contemplation

Waiting list

Psychological Strain

% Mean Improvement, 95% CI

Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 20: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

POMS(DD)

STAI(St)

OSI(PSQ

) POMS(DD)STAI

(St)

OSI(PSQ)

POMS(DD)

STAI(St)

OSI(PSQ)

Manocha R. International Congress of Behavioural Medicine, Tokyo, Japan, Aug 27-30, 2008.

Page 21: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Australian population

by comparison has only 36%

GPs after TreatmentGPs after Treatment

¼ of all ¼ of all participants shift participants shift

into low riskinto low risk

2 week home based

program

Health Professional Stress: GPs

Manocha R, Gordon A, Black D, Malhi G, Seidler R Australian Family Physician (in press)

Page 22: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Top Tier Law Firm

Manocha R, OHS Alert Newsletter, Issue 1, 13 Feb, 2009

Page 23: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Sahaja Yoga/ Mental Silence

Skin Temperature

Rest/generic meditation

Manocha R, Black D, Ryan J, Stough C, 3rd Australian Conference on Spirituality and Health 2009, Adelaide

Page 24: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

High Resolution EEG Studies

Aftanas, LI Golochekeine, SA Neuroscience Letters, 2001

Page 25: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

High Resolution EEG Studies

Page 26: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

High Resolution EEG Studies

Page 27: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

High Resolution EEG Studies

Page 28: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

High Resolution EEG Studies

Page 29: 1 Dr Ramesh Manocha MBBS BSc (med) PhD School of Women’s and Children’s Health, Faculty of Medicine, University of New South Wales, Natural Therapies Unit,

Acknowledgements

Sahaja Yoga Instructors

Research Participants Shri Mataji

School of Women’s & Children’s Health

Royal Hospital for Women

www.researchingmeditation.org