High prevalence of noncommunicable diseases with their associated costs are related more and more to unhealthy behaviours such as unappropriated diets, lack of physical activity and smoking. Lifestyle medicine is now more and more scientific and with evidence-based fundament. The key in lifestyle change is negotiation and cooperation. Physicians should do more than education, should empower and motivate the patient in planning a healthy lifestyle leading to sustained change.
Mindfulness is a complex mental state meaning paying attention to the present moment but non judgemental, practically awareness of present. Developed like a form of mental training, has the objective to replace automatic or reactive modes of mind.
Processes to improve a non-judgemental attitude by mindfulness meditation and cognitive training may relieve psychological distress in COPD, where stigma and self blame, associated with depression are highly prevalent. Mindfulness based trainings could be included as add on treatments in pulmonary rehabilitation programs , with a hope to improve patients self-care and adherence.