Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress, Heart Rate Variability, Affect, and Wellbeing among People with Schizophrenia

Kim, Ae Sil; Jang, Mi Heui; Sun, Min

doi:10.3390/ijerph182211871

Cited by 5 publications

(3 citation statements)

References 39 publications

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“…Findings from the current study reveal the impact of this variability: on average, spikes in PTSD symptoms degraded autonomic function, at least temporarily. If one conceptualized PTSD symptoms as a stressor in and of itself, then findings from this study merge with a body of literature showing how stress affects HRV (49) and how certain interventions (e.g., slow breathing, yoga, mindfulness-based stress reduction) may mitigate that impact (50,51).…”

Section: Discussionsupporting

confidence: 54%

Effects of Daily Posttraumatic Stress Disorder Symptoms on Heart Rate Variability

Slavish,

Ruggero,

Schuler

et al. 2023

Psychosom Med

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Objective Posttraumatic stress disorder (PTSD) is common, debilitating, and associated with increased risk for health problems, including cardiovascular disease (CVD). PTSD is related to poor autonomic function indicated by reduced heart rate variability (HRV). Yet very little work has tested the timescale or direction of these effects, given most evidence comes from cross-sectional studies. Documentation of when effects occur and in what direction can shed light on mechanisms of CVD risk and inform treatment. The present study of 169 World Trade Center (WTC) responders, oversampled for PTSD, tested how daily PTSD symptoms were associated with autonomic function as reflected through HRV. Methods Participants (N = 169) completed surveys of PTSD symptoms 3x/day at 5-hour intervals for 4 days while also wearing ambulatory monitors to record electrocardiograms to derive HRV (i.e., mean absolute value of successive differences [MAVSD] between beat-to-beat intervals). Results HRV did not predict PTSD symptoms. However, PTSD symptoms during a 5-hour interval predicted reduced HRV at the next 5-hour interval (β = -0.09, 95% CI [-0.16, -0.02], p = .008). Results held adjusting for baseline age, current heart problems, and current PTSD diagnosis. Conclusions Findings underscore growing awareness that PTSD symptoms are not static. Even their short-term fluctuations may affect cardiovascular functioning, which could have more severe impacts if disruption accumulates over time. Research is needed to determine if momentary interventions can halt increases in PTSD symptoms or mitigate their impact on cardiovascular health.

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Section: Discussionsupporting

confidence: 54%

Effects of Daily Posttraumatic Stress Disorder Symptoms on Heart Rate Variability

Slavish,

Ruggero,

Schuler

et al. 2023

Psychosom Med

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“…As a result, patients' health outcomes would be significantly improved. As an example, studies have suggested that the MBSR program greatly decreased patients' symptom burden (physical wellbeing) and improved patients' psychological wellbeing and QoL (Zimmaro et al, 2020 ; Kim et al, 2021 ). Moreover, empirical studies suggested that the MBSR program also improved patients' treatment adherence and then enhanced the anticancer treatment effects, as well as improved physical status, psychological wellbeing, and QoL (Cillessen et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Mindfulness-Based Stress Reduction (MBSR) on Psychological Outcomes and Quality of Life in Patients With Lung Cancer: A Meta-Analysis

Tian

Liang

et al. 2022

Front. Psychol.

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ObjectiveThe impact of the mindfulness-based stress reduction (MBSR) program on psychological outcomes and quality of life (QoL) in lung cancer patients remains unclear. This meta-analysis aimed to evaluate the effectiveness of the MBSR program on psychological states and QoL in lung cancer patients.MethodsEligible studies published before November 2021 were systematically searched from PubMed, EMBASE, Cochrane Library, PsycINFO, China National Knowledge Infrastructure (CNKI), and Wanfang databases. The risk of bias in eligible studies was assessed using the Cochrane tool. Psychological variables and QoL were evaluated as outcomes. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to grade the levels of evidence. Statistical analysis was conducted using RevMan 5.4 and STATA 14.0.ResultsA total of 17 studies involving 1,680 patients were included for meta-analysis eventually. MBSR program significantly relieved cancer-related fatigue (standard mean difference [SMD], −1.26; 95% confidence interval [CI], −1.69 to −0.82; moderate evidence) and negative psychological states (SMD, −1.35; 95% CI, −1.69 to −1.02; low evidence), enhanced positive psychological states (SMD, 0.91; 95% CI, 0.56–1.27; moderate evidence), and improved quality of sleep (MD, −2.79; 95% CI, −3.03 to −2.56; high evidence). Evidence on MBSR programs' overall treatment effect for QoL revealed a trend toward statistical significance (p = 0.06, low evidence).ConclusionBased on our findings, the MBSR program shows positive effects on psychological states in lung cancer patients. This approach should be recommended as a part of the rehabilitation program for lung cancer patients.Systematic Review Registrationhttps://archive.org/details/osf-registrations-mwvbq-v1, identifier: 10.17605/OSF.IO/MWVBQ.

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“…Similarly, another study observed significantly increased SDNN and HF within a group of patients with nonmetastatic breast cancer receiving 4 weeks of MBSR intervention [ 32 ]. From a medical perspective, SDNN indicates stress and mortality [ 33 ]; lower SDNN values indicate that an individual’s ability to adapt to stress is low and that their degree of stress is high [ 34 ]. Decreased values of RMSDD and HF values are also associated with higher morbidity and mortality risk [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

The Comparative Effect of Reduced Mindfulness-Based Stress on Heart Rate Variability among Patients with Breast Cancer

Wang

Chang

et al. 2022

IJERPH

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Heart rate variability (HRV) is a powerful tool for observing interactions between the sympathetic and parasympathetic nervous systems. This study evaluated HRV during a mindfulness-based stress reduction (MBSR) program among women with breast cancer after receiving treatment. A quasi-experimental, nonrandomized design was used. Patients were allocated to usual care (n = 25) and MBSR (n = 25) groups. HRV was measured using recognized methods to assess the autonomic nervous system. Two-way ANOVA and t-tests were used to examine HRV changes between and within groups, respectively. A significant interaction effect of time with group was observed on heart rate (F (1, 96) = 4.92, p = 0.029, η2 = 0.049). A significant difference was also observed within the MBSR group preintervention and postintervention with regard to heart rate (t (24) = −3.80, p = 0.001), standard deviation of the RR interval (t (24) = 5.40, p < 0.001), root-mean-square difference in the RR interval (t (24) = 2.23, p = 0.035), and high-frequency power (t (24) = 7.73, p < 0.001). Large effect sizes for heart rate and SDNN of 0.94 and 0.85, respectively, were observed between the MBSR and usual care groups. This study provides preliminary evidence that an MBSR program may be clinically useful for facilitating parasympathetic activity associated with feelings of relaxation in treated breast cancer survivors.

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Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress, Heart Rate Variability, Affect, and Wellbeing among People with Schizophrenia

Cited by 5 publications

References 39 publications

Effects of Daily Posttraumatic Stress Disorder Symptoms on Heart Rate Variability

Effects of Daily Posttraumatic Stress Disorder Symptoms on Heart Rate Variability

The Impact of Mindfulness-Based Stress Reduction (MBSR) on Psychological Outcomes and Quality of Life in Patients With Lung Cancer: A Meta-Analysis

The Comparative Effect of Reduced Mindfulness-Based Stress on Heart Rate Variability among Patients with Breast Cancer

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