Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: A waitlist-controlled study
Abstract
The present study is a waitlist-controlled investigation of the impact of a Mindfulness-Based Stress Reduction (MBSR) program on mindful attentiveness, rumination and blood pressure (BP) in women with cancer. Female post-treatment cancer patients were recruited from the MBSR program waitlist. Participants completed self-report measures of mindfulness and rumination and measured casual BP at home before and after the 8-week MBSR program or waiting period. MBSR group participants demonstrated higher levels of mindful attentiveness and decreased ruminative thinking following the intervention but no difference in BP, when compared to controls. In the MBSR group, decreases in rumination correlated with decreases in SBP and increases in mindful attention. When participants were assigned to "Higher BP" and "Lower BP" conditions based on mean BP values at week 1, "Higher BP" participants in the MBSR group (n=19) had lower SBP at week 8 relative to the control group (n=16). A MBSR program may be efficacious in increasing mindful attention and decreasing rumination in women with cancer. Randomized controlled trials are needed to evaluate an impact on clinically elevated BP.
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Past research shows that mindfulness can reduce rumination and worry related to difficult experiences and emotions, which can increase vulnerability to depression and anxiety, and increase cognitive and emotional flexibility, improving emotional reactivity and behavioral regulation.
“Past research shows that mindfulness can reduce rumination and worry related to difficult experiences and emotions, which can increase vulnerability to depression and anxiety, and increase cognitive and emotional flexibility, improving emotional reactivity and behavioral regulation.22,37–39”
From Mindfulness, Mental Health, and Violence Exposure Among Transgender Female Sex Workers Living with HIV in the Dominican Republic. (2026) · cites this paper as [38]
Increases in mindful attention and decreases in rumination mediate blood pressure reductions after mindfulness training.
“preliminary research has shown that BP decreases following mindfulness training are mediated by increased mindful attention and decreased rumination [17].”
From Mindfulness and physical disease: a concise review (2019) · cites this paper as [17]
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Borgi, M., Collacchi, B., Ortona, E., & Cirulli, F. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.10.011 · Cited by 90 · see citing works
Vahle‐Hinz, T., Bamberg, E., Dettmers, J., Friedrich, N., & Keller, M. (2014) · Journal of Occupational Health Psychology · doi:10.1037/a0036009 · Cited by 89 · see citing works
Rush, S. E., & Sharma, M. (2017) · Journal of Evidence-Based Complementary & Alternative Medicine · doi:10.1177/2156587216661467 · Cited by 89 · see citing works
Mindfulness and physical disease: a concise review
Greeson, J. M., & Chin, G. R. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.12.014 · Cited by 85 · see citing works
Current Perspectives on the Use of Meditation to Reduce Blood Pressure
Goldstein, C. M., Josephson, R., Xie, S. S., & Hughes, J. W. (2012) · International Journal of Hypertension · doi:10.1155/2012/578397 · Cited by 81 · see citing works
Rosen, C., & Hochwarter, W. (2014) · Organizational Behavior and Human Decision Processes · doi:10.1016/j.obhdp.2014.03.003 · Cited by 84 · see citing works
Mindfulness-based yoga intervention for women with depression
Schuver, K. J., & Lewis, B. A. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2016.03.003 · Cited by 77 · see citing works
Labelle, L. E., Lawlor-Savage, L., Campbell, T. S., Faris, P., & Carlson, L. E. (2015) · The Journal of Positive Psychology · doi:10.1080/17439760.2014.927902 · Cited by 77 · see citing works
Self-citationThe Mindful Self: A Mindfulness-Enlightened Self-view
Xiao, Q., Yue, C., He, W., & Yu, J.-Y. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01752 · Cited by 80 · see citing works
Wolkin, J. (2015) · Psychology Research and Behavior Management · doi:10.2147/prbm.s31458 · Cited by 69 · see citing works
Meditation, stress processes, and telomere biology
Conklin, Q. A., Crosswell, A. D., Saron, C. D., & Epel, E. S. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.11.009 · Cited by 69 · see citing works
Maffei, C., Cavicchioli, M., Movalli, M., Cavallaro, R., & Fossati, A. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1480035 · Cited by 62 · see citing works
Effects of mindfulness training on emotional and physiologic recovery from induced negative affect
Crosswell, A. D., Moreno, P. I., Raposa, E. B., Motivala, S. J., Stanton, A. L., Ganz, P. A., & Bower, J. E. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.08.003 · Cited by 69 · see citing works
Tran, M. A. Q., Vo‐Thanh, T., Soliman, M. S. A., Khoury, B., & Chau, N. N. T. (2022) · Mindfulness · doi:10.1007/s12671-022-01980-x · Cited by 73 · see citing works
Riley, K. E., & Kalichman, S. (2015) · Health Psychology Review · doi:10.1080/17437199.2014.895928 · Cited by 60 · see citing works
Trait-Like Mindfulness Promotes Healthy Self-Regulation of Stress
Kadziolka, M. J., Di Pierdomenico, E.-A., & Miller, C. J. (2016) · Mindfulness · doi:10.1007/s12671-015-0437-0 · Cited by 56 · see citing works
Different effects of rumination on depression: key role of hope
Sun, H., Tan, Q., Fan, G., & Tsui, Q. (2014) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-8-53 · Cited by 56 · see citing works
Ștefan, C. A., Căpraru, C., & Szilágyi, M. (2018) · Mindfulness · doi:10.1007/s12671-018-0899-y · Cited by 48 · see citing works
Rumination and multi-modal emotional reactivity
Hilt, L. M., Aldao, A., & Fischer, K. (2014) · Cognition & Emotion · doi:10.1080/02699931.2014.989816 · Cited by 49 · see citing works
Intarakamhang, U., Macaskill, A., & Prasittichok, P. (2020) · Heliyon · doi:10.1016/j.heliyon.2020.e03834 · Cited by 46 · see citing works
“(2012) [18] Patients with cancer Quasi-experimental, preand posttest control group design Wait-list control 70 39 31 Mindfulness-Based Stress Reduction, (8 sessions, 8 weeks) 24-hour ABP No significant group differences were found for BP parameters after the intervention Medium”
MethodMindfulness-Based Interventions and Body Awareness
Pérez-Peña, M., Notermans, J., Desmedt, O., der Gucht, K. V., & Philippot, P. (2022) · Brain Science · doi:10.3390/brainsci12020285 · Cited by 36 · see citing works
A Brief Mindfulness Exercise Reduces Cardiovascular Reactivity During a Laboratory Stressor Paradigm
Steffen, P. R., & Larson, M. J. (2015) · Mindfulness · doi:10.1007/s12671-014-0320-4 · Cited by 39 · see citing works
Lengacher, C. A., Gruss, L. F., Kip, K. E., Reich, R. R., Chauca, K. G., Moscoso, M. S., Joshi, A., Tinsley, S., Shani, B., Cousin, L., et al. (2021) · Journal of Behavioral Medicine · doi:10.1007/s10865-021-00214-0 · Cited by 40 · see citing works
Baydoun, M., Moran, C., McLennan, A., Piedalue, K.-A. L., Oberoi, D. V., & Carlson, L. E. (2021) · Patient Preference and Adherence · doi:10.2147/ppa.s267064 · Cited by 38 · see citing works
Self-citationMindful Caring: Using Mindfulness-Based Cognitive Therapy With Caregivers of Cancer Survivors
Wood, A. W., Gonzalez, J., & Barden, S. M. (2014) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2014.977418 · Cited by 38 · see citing works
Landry, J. M. (2013) · American Journal of Health Promotion · doi:10.4278/ajhp.121031-arb-528 · Cited by 38 · see citing works
Mindfulness-Based Cancer Recovery
Speca, M., Carlson, L. E., MacKenzie, M. J., & Angen, M. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-416031-6.00013-x · Cited by 36 · see citing works
Self-citationCarlson, L. E., Zelinski, E. L., Speca, M., Balneaves, L. G., Jones, J. M., Mina, D. S., Wayne, P. M., Campbell, T. S., Giese‐Davis, J., Faris, P., et al. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.05.015 · Cited by 39 · see citing works
Self-citationCavicchioli, M., Movalli, M., Ramella, P., Vassena, G., Prudenziati, F., & Maffei, C. (2019) · Addiction Research & Theory · doi:10.1080/16066359.2019.1590558 · Cited by 38 · see citing works
Capítulo 3 - Avaliação Clínica e Complementar
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160153 · Cited by 36 · see citing works
Ivtzan, I., Young, T., Lee, H. C., Lomas, T., Daukantaité, D., & Kjell, O. (2017) · Journal of Happiness Studies · doi:10.1007/s10902-017-9919-1 · Cited by 36 · see citing works
“Off with the Old”: Mindfulness Practice Improves Backward Inhibition
Greenberg, J., Reiner, K., & Meiran, N. (2013) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00618 · Cited by 33 · see citing works
Dawson, D. N., Eisenlohr-Moul, T. A., Paulson, J. L., Peters, J. R., Rubinow, D. R., & Girdler, S. S. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22522 · Cited by 32 · see citing works
Önder, F. C., & Utkan, Ç. (2018) · Mersin Üniversitesi Eğitim Fakültesi Dergisi · doi:10.17860/mersinefd.444876 · Cited by 32 · see citing works
Frances, S., Shawyer, F., Cayoun, B., Enticott, J., & Meadows, G. (2020) · BMC Psychiatry · doi:10.1186/s12888-019-2411-1 · Cited by 27 · see citing works
Keng, S., Phang, C. K., & Oei, T. P. S. (2015) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2015.8.4.335 · Cited by 31 · see citing works
Mori, M., & Tanno, Y. (2015) · Psychology · doi:10.4236/psych.2015.65059 · Cited by 30 · see citing works
Steiner, J. L., Wagner, C. D., Bigatti, S. M., & Storniolo, A. M. (2014) · Families, Systems, & Health · doi:10.1037/fsh0000066 · Cited by 31 · see citing works
Geiger, C., Cramer, H., Dobos, G., & Kohl-Heckl, W. K. (2022) · Journal of Human Hypertension · doi:10.1038/s41371-022-00764-z · Cited by 31 · see citing works
Capítulo 14 – Crise Hipertensiva
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160164 · Cited by 30 · see citing works
Alsubaie, M., Dickens, C. M., Dunn, B. D., Gibson, A., Ukoumunne, O. C., Evans, A., Vicary, R., Gandhi, M., & Kuyken, W. (2018) · Mindfulness · doi:10.1007/s12671-018-0999-8 · Cited by 29 · see citing works
Yang, H., Koh, E., & Kang, Y. (2021) · Biomolecules · doi:10.3390/biom11050708 · Cited by 31 · see citing works
Changes in Mindfulness Following a Mindfulness Telehealth Intervention
Niles, B. L., Vujanovic, A. A., Silberbogen, A. K., Seligowski, A. V., & Potter, C. M. (2012) · Mindfulness · doi:10.1007/s12671-012-0130-5 · Cited by 29 · see citing works
Wu, T.-Y., Nien, J., Kuan, G., Wu, C., Chang, Y.-C., Chen, H., & Chang, Y. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.661961 · Cited by 32 · see citing works
Babak, A., Motamedi, N., Mousavi, S. Z., & Darestani, N. G. (2022) · The Journal of Tehran University Heart Center · doi:10.18502/jthc.v17i3.10845 · Cited by 26 · see citing works
Marchand, W. R. (2011) · Depression Research and Treatment · doi:10.1155/2012/246725 · Cited by 25 · see citing works
Tamagawa, R., Speca, M., Stephen, J., Pickering, B., Lawlor-Savage, L., & Carlson, L. E. (2015) · Mindfulness · doi:10.1007/s12671-014-0381-4 · Cited by 24 · see citing works
Self-citationFeasibility of a Mindfulness-Based Intervention for Aboriginal Adults with Type 2 Diabetes
Dreger, L. C., Mackenzie, C. S., & McLeod, B. (2013) · Mindfulness · doi:10.1007/s12671-013-0257-z · Cited by 24 · see citing works
Carlson, L. E., & Psych, C. (2013) · Cited by 24 · see citing works
Self-citationEffects of mindfulness-based stress reduction training on rumination in patients with breast cancer
Bagherzadeh, R., Sohrabineghad, R., Gharibi, T., Mehboodi, F., & Vahedparast, H. (2022) · BMC Women s Health · doi:10.1186/s12905-022-02124-y · Cited by 23 · see citing works
Zhu, T., Xue, J., Montuclard, A., Jiang, Y., Weng, W., & Chen, S. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01549 · Cited by 22 · see citing works
7th Brazilian Guideline of Arterial Hypertension: Chapter 6 - Non-pharmacological treatment
Malachias, M., Franco, R., Forjaz, C., Pierin, A., Gowdak, M., Klein, M., & Matsudo, V. K. R. (2016) · The Scientific Electronic Library Online (Fundação de Amparo à Pesquisa do Estado de São Paulo) · Cited by 21 · see citing works
Nyklíček, I., Truijens, S. E. M., Spek, V., & Pop, V. J. M. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.01.012 · Cited by 21 · see citing works
Shaw, J. M., Sekelja, N., Frasca, D., Dhillon, H. M., & Price, M. A. (2018) · Psycho-Oncology · doi:10.1002/pon.4651 · Cited by 20 · see citing works
Capítulo 9 - Hipertensão Arterial na gestação
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Poli‐de‐Figueiredo, C. E., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160159 · Cited by 21 · see citing works
Liang, L.-J., & Lee, Y. (2019) · Advances in Applied Sociology · doi:10.4236/aasoci.2019.96016 · Cited by 15 · see citing works
Psychiatric benefits of integrative therapies in patients with cancer
Cassileth, B. R. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2013.838153 · Cited by 19 · see citing works
Oberoi, D. V., Piedalue, K.-A. L., Pirbhai, H., Guirguis, S., Mina, D. S., & Carlson, L. E. (2020) · BMC Research Notes · doi:10.1186/s13104-020-05172-5 · Cited by 18 · see citing works
Self-citationMithochondria signaling in adaptation to hypoxia
Luk'ianova, L. D. (2014) · Fìzìologìčnij žurnal · doi:10.15407/fz59.06.141 · Cited by 17 · see citing works
Birk, J. L., Cornelius, T., Edmondson, D., & Schwartz, J. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000727 · Cited by 15 · see citing works
Terapias cognitivo-conductuales de tercera generación (TTG): la atención plena / mindfulness
Moreno-Coutiño, A. B. (2012) · Revista Internacional de Psicología · doi:10.33670/18181023.v12i01.66 · Cited by 17 · see citing works
Barnes, V. A., Johnson, M. H., Williams, R. B., & Williams, V. P. (2012) · Translational Behavioral Medicine · doi:10.1007/s13142-012-0162-3 · Cited by 17 · see citing works
Tri-process model of interpersonal mindfulness: theoretical framework and study protocol
Khoury, B., Manova, V., Adel, L., Dumas, G., Lifshitz, M., Vergara, R. C., Sekhon, H., & Rej, S. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1130959 · Cited by 16 · see citing works
Kalmbach, D. A., Cheng, P., Ong, J. C., Reffi, A. N., Fresco, D. M., Fellman-Couture, C., Ruprich, M. K., Sultan, Z., Sagong, C., & Drake, C. L. (2023) · Frontiers in Sleep · doi:10.3389/frsle.2023.1072752 · Cited by 14 · see citing works
Polat, H., & Karakaş, S. A. (2021) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12726 · Cited by 15 · see citing works
Cognitive and Affective Benefits of a Mindful State in Response to and in Anticipation of Pain
Schultz, P. P., & Ryan, R. M. (2018) · Mindfulness · doi:10.1007/s12671-018-1013-1 · Cited by 15 · see citing works
Burnett‐Zeigler, I., Waldron, E. M., Hong, S. H., Yang, A., Wisner, K. L., & Ciolino, J. D. (2018) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2018.09.001 · Cited by 15 · see citing works
Capítulo 6 - Tratamento não medicamentoso
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160156 · Cited by 14 · see citing works
Gentile, C., Starnino, L., Dupuis, G., & D’Antono, B. (2021) · Clinical Gerontologist · doi:10.1080/07317115.2021.1887421 · Cited by 14 · see citing works
Stress and Blood Pressure in Dementia Caregivers: The Moderator Role of Mindfulness
Vara-García, C., Romero-Moreno, R., Márquez-González, M., Mausbach, B., von Känel, R., Gallego-Alberto, L., Olmos, R., & Losada, A. (2019) · Clinical Gerontologist · doi:10.1080/07317115.2018.1554611 · Cited by 15 · see citing works
Stewart, O., Yamarat, K., Neeser, K. J., Lertmaharit, S., & Holroyd, E. A. (2013) · Nursing and Health Sciences · doi:10.1111/nhs.12075 · Cited by 12 · see citing works
- Authors
- Campbell, T. S., Labelle, L. E., Bacon, S. L., Faris, P., & Carlson, L. E.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Campbell, Tavis S.
- Venue
- Journal of Behavioral Medicine
- Published
- 2011-06-12
- Volume
- 35
- Issue
- 3
- Pages
- 262-271
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2086456696
- Cited by
- 173
- References
- 72
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 13 · 2021: 10 · 2020: 9 · 2019: 9 · 2018: 16 · 2017: 14 · 2016: 17 · 2015: 14 · 2014: 23 · 2013: 16 · 2012: 9
- FWCI
- 16.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Research Board
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- mindfulness-based stress reduction, mindfulness, rumination, resting blood pressure, women with cancer, mindful attention, hypertension
- MeSH terms
- Adult, Aged, Attention, Behavior Therapy, Blood Pressure, Female, Humans, Middle Aged, Neoplasms, Quality of Life, Surveys and Questionnaires, Self Care, Stress, Psychological, Thinking, Waiting Lists, Women, Treatment Outcome, Meditation
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