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Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial.

Psychoneuroendocrinology
January 1, 2018
Emily K Lindsay et al. (5 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether acceptance training is a critical mechanism underlying mindfulness stress reduction effects by comparing different mindfulness components.

Results Summary

Monitor+Accept training reduced cortisol and systolic blood pressure reactivity compared to Monitor Only and control trainings, while subjective stress levels remained moderate across all conditions. The study provides evidence that acceptance training drives mindfulness-related stress reduction effects.

Population

153 stressed adults (mean age=32 years; 67% female; 53% white, 21.5% black, 21.5% Asian, 4% other race).

Effective Dosage

15 smartphone-based lessons (specific dosage not detailed).

Duration

Duration of intervention not explicitly stated (implied by 15 lessons).

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Monitor+Accept training
decrease
cortisol reactivity
153 stressed adults
-
reduced
#1
Monitor+Accept training
decrease
systolic blood pressure reactivity
153 stressed adults
-
reduced
#2
Monitor+Accept training
decrease
stress reactivity
153 stressed adults
-
reduced
#3
Monitor Only training
no change
subjective stress
153 stressed adults
moderate levels
-
#4
Coping control training
no change
subjective stress
153 stressed adults
moderate levels
-
#5
brief smartphone mindfulness training
decrease
stress biology
153 stressed adults
-
can impact
#6
Abstract

OBJECTIVE: Mindfulness interventions, which train practitioners to monitor their present-moment experience with a lens of acceptance, are known to buffer stress reactivity. Little is known about the active mechanisms driving these effects. We theorize that acceptance is a critical emotion regulation mechanism underlying mindfulness stress reduction effects. METHOD: In this three-arm parallel trial, mindfulness components were dismantled into three structurally equivalent 15-lesson smartphone-based interventions: (1) training in both monitoring and acceptance (Monitor+Accept), (2) training in monitoring only (Monitor Only), or (3) active control training (Coping control). 153 stressed adults (mean age=32years; 67% female; 53% white, 21.5% black, 21.5% Asian, 4% other race) were randomly assigned to complete one of three interventions. After the intervention, cortisol, blood pressure, and subjective stress reactivity were assessed using a modified Trier Social Stress Test. RESULTS: As predicted, Monitor+Accept training reduced cortisol and systolic blood pressure reactivity compared to Monitor Only and control trainings. Participants in all three conditions reported moderate levels of subjective stress. CONCLUSIONS: This study provides the first experimental evidence that brief smartphone mindfulness training can impact stress biology, and that acceptance training drives these effects. We discuss implications for basic and applied research in contemplative science, emotion regulation, stress and coping, health, and clinical interventions.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAdultEmotionsFemaleHumansHydrocortisoneMaleMeditationMindfulnessPsychological DistanceSmartphoneStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations113
Citations/Year16.1
Relative Citation Ratio7.58
NIH Percentile96.5%
Research Impact Scores
APT Score0.95
Weight Score2.59
Normalized Score0.72
Related Supplements
Acceptance lowers stress reactivity: Dismantling mindfulness... | Panacea Index