Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.