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As most of mental disorders are accompanied with sleep disturbances, sleep may be robustly associated with mental disorders including panic disorder (PD). Clinical experiences suggest that in the study of the association, habits of sleep, not only its disturbance may be essential to investigate. We, therefore, examined the relationship between sleep habits and mental health status (GHQ-12 score) in PD patients, using a self-reported questionnaire. We also examined a small number of social anxiety disorder (SAD) patients. PD patients had trends of late bedtime and short sleep length. Sleep length of 6 hours was significantly associated with poor mental health. In PD patients without major depression, TV/PC use after lights-out was also associated with poor mental health. The TV/PC use was observed in close to 40 of PD patients, while it was observed in approximately 20 in SAD patients.The undesired sleep habits may have adverse effects on mental health in PD patients.

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Background:The use of mindfulness in the treatment of anxiety and depression is becoming more and more widespread, but there are few reports that it has fundamentally changed patients' sense of life. Case Presentation:This report showed 9 year’s progress of treatment for Social Anxiety Disorder and Persistent Depressive Disorder in a 41year-old female patient experiencing a long-term painful married life with a carefree husband and controlling mother-in-law. During the past 25 months, she received 180 sessions of mindfulness training, resulting in complete remission of the anxiety and depression symptoms. After the 30th session she experienced an episode of the catharsis during the mindfulness training and experienced what can be called Mindfulness-To-Meaning, which is characterized by durable eudaimonic well-being in the face of adversity. Discussion and Conclutions:The psychological mechanisms that supported arriving at Mindfulness-To-Meaning were delineated as: Heightened (1) awareness which promoted (2) verbalization of the primary theme of suppression, in which the stress was (3) appraised metacognitively. Then (4) decentering permitted integrating this painful theme into a new adaptive self and world view, which resulted in (5) emotional catharsis, or release. Furthermore (6)　positive appraisal of this experience enhanced awareness and led to the experience of (7) Mindfulness-To-Meaning .

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