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The effect of mindfulness meditation training on biological acute stress responses in generalized anxiety disorder.

Psychiatry research
April 1, 2018
Elizabeth A Hoge et al. (8 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether Mindfulness-Based Stress Reduction (MBSR) could reduce stress-related biomarkers (ACTH and pro-inflammatory cytokines) in adults with Generalized Anxiety Disorder (GAD).

Results Summary

MBSR participants showed significantly greater reductions in ACTH and inflammatory cytokines compared to the control group, suggesting MBSR may enhance stress resilience. The study provides combined hormonal and immunological evidence supporting MBSR's efficacy in reducing stress markers.

Population

Seventy adults diagnosed with Generalized Anxiety Disorder (GAD).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-Based Stress Reduction (MBSR)
decrease
Area-Under-the-Curve (AUC) concentrations for adrenocorticotropic hormone (ACTH)
Seventy adults with Generalized Anxiety Disorder (GAD)
-
significantly greater reduction
#1
Mindfulness-Based Stress Reduction (MBSR)
decrease
Area-Under-the-Curve (AUC) concentrations for pro-inflammatory cytokines
Seventy adults with Generalized Anxiety Disorder (GAD)
-
greater reduction
#2
Mindfulness-Based Stress Reduction (MBSR)
decrease
stress markers
patients with Generalized Anxiety Disorder (GAD)
-
larger reductions
#3
Abstract

Mindfulness-Based interventions have increased in popularity in psychiatry, but the impact of these treatments on disorder-relevant biomarkers would greatly enhance efficacy and mechanistic evidence. If Generalized Anxiety Disorder (GAD) is successfully treated, relevant biomarkers should change, supporting the impact of treatment and suggesting improved resilience to stress. Seventy adults with GAD were randomized to receive either Mindfulness-Based Stress Reduction (MBSR) or an attention control class; before and after, they underwent the Trier Social Stress Test (TSST). Area-Under-the-Curve (AUC) concentrations were calculated for adrenocorticotropic hormone (ACTH) and pro-inflammatory cytokines. MBSR participants had a significantly greater reduction in ACTH AUC compared to control participants. Similarly, the MBSR group had a greater reduction in inflammatory cytokines' AUC concentrations. We found larger reductions in stress markers for patients with GAD in the MBSR class compared to control; this provides the first combined hormonal and immunological evidence that MBSR may enhance resilience to stress.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAdrenocorticotropic HormoneAdultAnxiety DisordersArousalFemaleHumansInterleukin-6MaleMeditationMiddle AgedMindfulnessStress, PsychologicalTumor Necrosis Factor-alpha
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations100
Citations/Year14.3
Relative Citation Ratio6.33
NIH Percentile95.3%
Research Impact Scores
APT Score0.95
Weight Score2.57
Normalized Score0.72
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