A Systematic Review of Mindfulness Interventions on Psychophysiological Responses to Acute Stress

Morton, Melissa; Helminen, Emily C.; Felver, Joshua C.

doi:10.1007/s12671-020-01386-7

Cited by 68 publications

(47 citation statements)

References 37 publications

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“…We previously found reduced cortisol secretion in response to an acute psychosocial laboratory stressor following the 3-month long training of socio-affective or socio-cognitive practices, but not after the training of present-moment attention and interoception (Engert et al, 2017). Several other studies of psychosocial stress induction found no effects of mindfulness- or compassion-based training on acute cortisol release (Arch et al, 2014; Rosenkranz et al, 2013; for a review see also Morton et al, 2020). Similarly heterogeneous results emerge at the level of basal HPA axis activity.…”

Section: Introductionmentioning

confidence: 99%

Contemplative mental training reduces hair glucocorticoid levels in a randomized clinical trial

Puhlmann

Vrtička

Linz

et al. 2020

Preprint

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ObjectiveThis study had the objective to investigate the effect of regular contemplative mental training on endocrine indices of long-term stress.MethodsAn open-label efficacy trial comprising three distinct 3-month modules targeting attention and interoception, socio-affective or socio-cognitive abilities through dyadic exercises and secularised meditation practices was designed and carried out in 332 healthy meditation-naive adults. Participants underwent the training for up to 9 months or were assigned to a retest control cohort. Chronic stress indices were assayed at four timepoints, i.e., pre-training and following each module. The main outcome measures were cortisol and cortisone concentration in hair and self-reported chronic stressResultsN=362 initial individuals were randomized, of whom n=30 dropped out before study initiation, n=4 before first sampling and n=2 were excluded. N=99 participants did not provide hair samples. Data from three separate training cohorts revealed consistent decreases in hair cortisol and cortisone levels over the training period. This effect increased with practice frequency, was independent of training content and not associated with change in self-reported chronic stress.ConclusionsOur results point to the reduction of long-term cortisol exposure as a mechanism via which contemplative mental training may exert positive effects on practitioners’ health.Trial registrationClinicalTrials.gov identifier: NCT01833104

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Section: Introductionmentioning

confidence: 99%

Contemplative mental training reduces hair glucocorticoid levels in a randomized clinical trial

Puhlmann

Vrtička

Linz

et al. 2020

Preprint

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“…A variedade no tipo de entrega do MBSR aponta para uma possível ausência de consenso teórico, neste campo, sobre quais são os mecanismos desta intervenção (autocompaixão, regulação emocional, práticas formais e informais), que atuam para redução de desfechos negativos em saúde psicológica (Alsubaie et al, 2017). No tocante à variação na dosagem de sessões por parte das duas modalidades, não foi encontrada uma relação entre a quantidade de módulos e os resultados esperados, fato já relatado em estudos com estresse em outras populações (Burgdorf, Szabo, & Abbott, 2019;Morton, Helminen, & Felver, 2020). Nas intervenções MBSR, verificou-se que dois estudos realizaram mensurações de autocompaixão e compaixão (Flook et al, 2013;Roeser et al, 2013), de modo que o primeiro estudo não contemplou práticas de autocompaixão em sua proposta interventiva, e o segundo aplicou exercícios de autocompaixão e compaixão, nos últimos módulos da intervenção, a saber: meditação da bondade amorosa e discussão em grupo e atividades sobre o cultivo da compaixão e autocompaixão na vida.…”

Section: Discussionunclassified

Intervenções em Mindfulness para Síndrome de Burnout em Professores: uma revisão integrativa

Santos

Silva

2021

ctc

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Esta revisão objetivou descrever e examinar os resultados das intervenções em mindfulness para síndrome de burnout em professores. As bases de dados acessadas para a coleta das evidências foram: Scopus, Web of Science, ERIC (ProQuest), BVS (BIREME) e PubMed Central: PMC. Parâmetros de inclusão e exclusão foram utilizados para a escolha dos estudos, cujos processos de avaliação foram apoiados pela plataforma Rayyan e, após as fases de seleção, dez artigos constituíram a amostra final deste levantamento. Os resultados apontaram que os programas MBSR (Mindfulness Based Stress Reduction) e CARE (Cultivating Awareness and Resilience in Education) foram os protocolos adotados nas intervenções. O primeiro foi o mais utilizado, com variações na quantidade das sessões e nos tipos de práticas de atenção plena realizadas. Os módulos relacionados à autocompaixão e compaixão e o treinamento da regulação emocional apresentaram incremento nos níveis de saúde mental, física e laboral dos professores. Recomenda-se que as futuras modalidades interventivas em mindfulness atentem para a identificação dos mecanismos e seus respectivos componentes de ação, nos programas propostos, e implementem critérios de avaliação e monitoramento da qualidade de suas intervenções.

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“…The question of which specific interventional measures are essential for efficiently reducing stress was not investigated in the scope of this study. In previous studies, stress-reducing effects were demonstrated for most of the therapeutic measures applied in our stress-prevention program [ 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial

Stier-Jarmer

Oberhauser

Frisch

et al. 2020

IJERPH

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This study compared the effectiveness of a 12-day stress-prevention program (SGS) supplemented by individualized, structured, four-session telephone-coaching to that of an SGS without telephone-coaching in entrepreneurs from the green professions presenting with increased stress levels. All participants went through the SGS before being randomized either to the telephone-coaching group (TC) or to the control group without telephone-coaching (noTC). SGS included four key therapeutic elements: stress-management intervention, relaxation, physical exercise, and balneotherapy. The primary outcome was the current degree of subjectively experienced stress assessed with the Perceived Stress Questionnaire (PSQ) at a 9-month follow-up. Secondary outcomes included burnout symptoms, well-being, health status, sleep disorders, expectation of self-efficacy, depression, anxiety, ability to work, pain, and days of sick leave. Assessments were conducted at baseline, 12 days (end of program), and 1 (start telephone-coaching), 3, 6 (end of telephone-coaching), and 9 months. Data from 103 adults (TC = 51; noTC = 52), mostly fulltime farmers, were available for analysis (mean age: 55.3; 49.1% female). Participants experienced significant immediate improvement in all outcome measurements, which declined somewhat during the first three months after the end of SGS and then remained stable for at least another six months. While within-group changes from baseline to 9 months showed significant improvements at medium to large effect sizes for all target variables (PSQ-total, TC: −13.38 (±14.98); 95%-CI: (−17.68; −9.07); noTC: −11.09 (±14.15); 95%-CI: (−15.11; −7.07)), no statistically significant differences were found between the groups at any time and for any target variable (between-group ANCOVA for PSQ-total at 9 months, parameter estimator for the group: −1.58; 95%-CI: (−7.29; 4.13)). The stress-prevention program SGS is a feasible, effective, and practical way to reduce perceived stress and improve participants’ resources. Four subsequent telephone-coaching sessions do not seem to contribute to a further improvement in the results.

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A Systematic Review of Mindfulness Interventions on Psychophysiological Responses to Acute Stress

Cited by 68 publications

References 37 publications

Contemplative mental training reduces hair glucocorticoid levels in a randomized clinical trial

Contemplative mental training reduces hair glucocorticoid levels in a randomized clinical trial

Intervenções em Mindfulness para Síndrome de Burnout em Professores: uma revisão integrativa

A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial

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