Mental disorders are a core health challenge in the 21st century. Integrative mental health care takes an individual, lifestyle-modifying, salutogenic approach, combining somatic, psychosocial, and spiritual perspectives from evidence-based conventional and complementary medicine. In particular, meditation and mindfulness have received growing research interest in the last decade. In this article, we present Meditation-Based Lifestyle Modification (MBLM), a new, complex mind-body intervention for mental health care. It is the first program to intensify meditation practice using classical yoga. The program (a) covers all areas of classical yoga, (b) considers ethical and spiritual aspects of daily life, (c) orients participants toward sustained lifestyle modification, and (d) is applicable in a clinical context. The scientific rationale of the program is outlined in this article, based on the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare. Further research is planned to show the clinical feasibility of MBLM and evaluate its efficacy, processes of change, and cost-effectiveness.
Le financement, la gestion et l’entretien du vaste réseau d’autoroutes allemandes rencontrent des difficultés importantes dans le système fédéral allemand. La réforme induite en 2017 et la création d’une nouvelle société détenue à 100 % par le Bund au 1er janvier 2021 devaient y remédier. La gratuité des autoroutes est relativisée notamment par les péages dont doivent s’acquitter les poids-lourds. Le projet d’un péage généralisé concernant également des véhicules de tourisme a été abandonné à la suite d’un arrêt de la CJUE le jugeant incompatible avec le droit de l’UE.
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