Cortisol as a marker for improvement in mindfulness-based stress reduction

Matousek, Rose H.; Dobkin, Patricia L.; Pruessner, Jens

doi:10.1016/j.ctcp.2009.06.004

Cited by 233Mindfulness and Compassion InterventionsStress Responses and CortisolHealth, psychology, and well-being

Cortisol as a marker for improvement in mindfulness-based stress reduction

Matousek, Rose H., Dobkin, Patricia L., Pruessner, Jens·2010·Complementary Therapies in Clinical Practice

DOI 10.1016/j.ctcp.2009.06.004

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Abstract

While much attention has been devoted to examining the beneficial effects of Mindfulness-Based Stress Reduction programs on patients' ability to cope with various chronic medical conditions, most studies have relied on self-report measures of improvement. Given that these measures may not accurately reflect physiological conditions, there is a need for an objective marker of improvement in research evaluating the beneficial effects of stress management programs. Cortisol is the major stress hormone in the human organism and as such is a promising candidate measure in the study of the effects of Mindfulness-Based Stress Reduction programs. In conjunction with other biological measures, the use of cortisol levels as a physiological marker of stress may be useful to validate self-reported benefits attributed to this program. In the current manuscript, we review the available literature on the role of cortisol as a physiological marker for improvement with regards to mindfulness practice, and make recommendations for future study designs.

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Mindfulness training and reductions in teacher stress and burnout: Results from two randomized, waitlist-control field trials.
Roeser, R. W., Schonert-Reichl, K. A., Jha, A., Cullen, M., Wallace, L., Wilensky, R., Oberle, E., Thomson, K., Taylor, C., & Harrison, J. (2013) · Journal of Educational Psychology · doi:10.1037/a0032093 · Cited by 795 · see citing works
How Does Mindfulness Training Affect Health? A Mindfulness Stress Buffering Account
Creswell, J. D., & Lindsay, E. K. (2014) · Current Directions in Psychological Science · doi:10.1177/0963721414547415 · Cited by 543 · see citing works
The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults
Ma, X., Yue, Z.-Q., Gong, Z.-Q., Zhang, H., Duan, N.-Y., Shi, Y.-T., Wei, G.-X., & Li, Y.-F. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00874 · Cited by 509 · see citing works
Assessment of Mindfulness: Review on State of the Art
Sauer, S., Walach, H., Schmidt, S., Hinterberger, T., Lynch, S., Büssing, A., & Kohls, N. (2013) · Mindfulness · doi:10.1007/s12671-012-0122-5 · Cited by 464 · see citing works
Yoga, Meditation and Mind-Body Health: Increased BDNF, Cortisol Awakening Response, and Altered Inflammatory Marker Expression after a 3-Month Yoga and Meditation Retreat
Cahn, B. R., Goodman, M. S., Peterson, C. T., Maturi, R., & Mills, P. J. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00315 · Cited by 292 · see citing works
“Matousek et al. (2010) reasonably suggest that such discrepancies might be attributed to methodological differences, such as sample size and population characteristics.”
Background
Mindfulness training affects attention—Or is it attentional effort?
Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012) · Journal of Experimental Psychology: General · doi:10.1037/a0024931 · Cited by 284 · see citing works
A systems approach to stress, stressors and resilience in humans
Oken, B., Chamine, I., & Wakeland, W. W. (2014) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.12.047 · Cited by 288 · see citing works
Effects of forest bathing (shinrin-yoku) on levels of cortisol as a stress biomarker: a systematic review and meta-analysis
Antonelli, M., Barbieri, G., & Donelli, D. (2019) · International Journal of Biometeorology · doi:10.1007/s00484-019-01717-x · Cited by 271 · see citing works
A lifespan view of anxiety disorders
Lenze, E. J., & Wetherell, J. L. (2011) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2011.13.4/elenze · Cited by 227 · see citing works
Mental stress as consequence and cause of vision loss: the dawn of psychosomatic ophthalmology for preventive and personalized medicine
Sabel, B. A., Wang, J., Cárdenas‐Morales, L., Faiq, M. A., & Heim, C. C. (2018) · The EPMA Journal · doi:10.1007/s13167-018-0136-8 · Cited by 237 · see citing works
Workplace based mindfulness practice and inflammation: A randomized trial
Malarkey, W. B., Jarjoura, D., & Klatt, M. (2013) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2012.10.009 · Cited by 194 · see citing works
Efficacy of a Short-Term Yoga-Based Lifestyle Intervention in Reducing Stress and Inflammation: Preliminary Results
Yadav, R. K., Magan, D., Mehta, N., Sharma, R., & Mahapatra, S. C. (2012) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2011.0265 · Cited by 191 · see citing works
Influence of mindfulness practice on cortisol and sleep in long-term and short-term meditators
Brand, S., Holsboer-Trachsler, E., Naranjo, J. R., & Schmidt, S. (2012) · Neuropsychobiology · doi:10.1159/000330362 · Cited by 169 · see citing works
A Pilot Study Evaluating the Effectiveness of a Mindfulness-Based Intervention on Cortisol Awakening Response and Health Outcomes among Law Enforcement Officers
Christopher, M. S., Goerling, R. J., Rogers, B. S., Hunsinger, M., Baron, G., Bergman, A. L., & Zava, D. T. (2016) · Journal of Police and Criminal Psychology · doi:10.1007/s11896-015-9161-x · Cited by 170 · see citing works
Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an "on the job" program.
Orellana-Rios, C. L., Radbruch, L., Kern, M., Regel, Y. U., Anton, A., Sinclair, S., & Schmidt, S. (2018) · BMC Palliative Care · doi:10.1186/s12904-017-0219-7 · Cited by 162 · see citing works
Effects of mindfulness-based interventions on salivary cortisol in healthy adults: a meta-analytical review
Sanada, K., Montero-Marin, J., Alda Díez, M., Salas-Valero, M., Pérez-Yus, M. C., Morillo, H., Demarzo, M. M. P., García-Toro, M., & García-Campayo, J. (2016) · Frontiers in Physiology · doi:10.3389/fphys.2016.00471 · Cited by 161 · see citing works
The impact of mindfulness-based interventions on symptom burden, positive psychological outcomes, and biomarkers in cancer patients
Carlson, L. E., Rouleau, C. R., & Garland, S. N. (2015) · Cancer Management and Research · doi:10.2147/cmar.s64165 · Cited by 157 · see citing works
Mindfulness-based stress reduction for people with chronic diseases
Merkes, M. (2010) · Australian Journal of Primary Health · doi:10.1071/py09063 · Cited by 151 · see citing works
Mindfulness meditation alleviates fibromyalgia symptoms in women: results of a randomized clinical trial
Cash, E., Salmon, P., Weissbecker, I., Rebholz, W. N., Bayley-Veloso, R., Zimmaro, L. A., Floyd, A., Dedert, E., & Sephton, S. E. (2015) · Annals of Behavioral Medicine · doi:10.1007/s12160-014-9665-0 · Cited by 146 · see citing works
Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals
Atanes, A. C. M., Andreoni, S., Hirayama, M. S., Montero-Marin, J., Barros, V. V., Ronzani, T. M., Kozasa, E. H., Soler, J., Cebolla, A., Garcia-Campayo, J., et al. (2015) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-015-0823-0 · Cited by 133 · see citing works
PTSD Symptom Reduction With Mindfulness-Based Stretching and Deep Breathing Exercise: Randomized Controlled Clinical Trial of Efficacy
Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2012-3742 · Cited by 135 · see citing works
A pilot randomized controlled trial of mindfulness-based stress reduction for caregivers of family members with dementia.
Brown, K. W., Coogle, C. L., & Wegelin, J. (2016) · Aging & Mental Health · doi:10.1080/13607863.2015.1065790 · Cited by 126 · see citing works
Neurobiological Changes Induced by Mindfulness and Meditation: A Systematic Review
Calderone, A., Latella, D., Impellizzeri, F., Pasquale, P. D., Famà, F., Quartarone, A., & Calabrò, R. S. (2024) · Biomedicines · doi:10.3390/biomedicines12112613 · Cited by 158 · see citing works
Mindfulness and the College Transition: The Efficacy of an Adapted Mindfulness-Based Stress Reduction Intervention in Fostering Adjustment among First-Year Students
Ramler, T. R., Tennison, L. R., Lynch, J., & Murphy, P. (2016) · Mindfulness · doi:10.1007/s12671-015-0398-3 · Cited by 113 · see citing works
Mindfulness-based stress reduction for integrative cancer care: a summary of evidence
Musial, F., Büssing, A., Heusser, P., Choi, K.-E., & Ostermann, T. (2011) · Forschende Komplementärmedizin / Research in Complementary Medicine · doi:10.1159/000330714 · Cited by 112 · see citing works
A systematic review of the effects of mindfulness interventions on cortisol
O’Leary, K., O’Neill, S., & Dockray, S. (2016) · Journal of Health Psychology · doi:10.1177/1359105315569095 · Cited by 103 · see citing works
A review of primary care interventions to improve health outcomes in adult survivors of adverse childhood experiences
Korotana, L. M., Dobson, K. S., Pusch, D., & Josephson, T. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.007 · Cited by 101 · see citing works
Potential benefits of mindfulness-based interventions in mild cognitive impairment and Alzheimer’s disease: an interdisciplinary perspective.
Larouche, E., Hudon, C., & Goulet, S. (2015) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.05.058 · Cited by 93 · see citing works
The Mindful Attention Awareness Scale for Adolescents (MAAS-A): Psychometric Properties in a Dutch Sample
de Bruin, E. I., Zijlstra, B. J. H., van de Weijer-Bergsma, E., & Bögels, S. M. (2011) · Mindfulness · doi:10.1007/s12671-011-0061-6 · Cited by 91 · see citing works
Meditation interventions efficiently reduce cortisol levels of at-risk samples: A meta-analysis
Koncz, A., Demetrovics, Z., & Takacs, Z. K. (2021) · Health Psychology Review · doi:10.1080/17437199.2020.1760727 · Cited by 94 · see citing works
Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer
Matousek, R. H., Pruessner, J. C., & Dobkin, P. L. (2011) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2010.10.005 · Cited by 93 · see citing works
Self-citation
Effects of Mindfulness-Based Stress Reduction (MBSR) on Health Among Breast Cancer Survivors
Matchim, Y., Armer, J. M., & Stewart, B. R. (2010) · Western Journal of Nursing Research · doi:10.1177/0193945910385363 · Cited by 92 · see citing works
Individual-Level Interventions for Decreasing Job-Related Stress and Enhancing Coping Strategies Among Nurses: A Systematic Review
Velana, M., & Rinkenauer, G. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.708696 · Cited by 78 · see citing works
Hair Cortisol Measurement by an Automated Method
González, D., Jacobsen, D., Ibar, C., Paván, C. H., Monti, J., Machulsky, N. F., Balbi, A., Fritzler, A., Jamardo, J., Repetto, E. M., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-44693-3 · Cited by 67 · see citing works
Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial
Félix, M. M. D. S., Ferreira, M. B. G., de Oliveira, L. F., Barichello, E., Pires, P. D. S., & Barbosa, M. H. (2018) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.2850.3101 · Cited by 66 · see citing works
The Modulating Role of Stress in the Onset and Course of Tourette’s Syndrome
Buse, J., Kirschbaum, C., Leckman, J. F., Münchau, A. M., & Roessner, V. (2014) · Behavior Modification · doi:10.1177/0145445514522056 · Cited by 65 · see citing works
The Effects of Psychotherapy on Psychological Well-Being and Diurnal Cortisol Patterns in Breast Cancer Survivors
Hsiao, F.-H., Jow, G.-M., Kuo, W.-H., Chang, K.-J., Liu, Y.-F., Ho, R. T. H., Ng, S.-M., Chan, C. L. W., Lai, Y.-M., & Chen, Y.-T. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000329178 · Cited by 63 · see citing works
Feasibility, Acceptability, and Preliminary Outcomes of a Mindfulness-Based Relapse Prevention Intervention for Culturally-Diverse, Low-Income Women in Substance Use Disorder Treatment
Amaro, H., Spear, S., Vallejo, Z., Conron, K., & Black, D. S. (2014) · Substance Use & Misuse · doi:10.3109/10826084.2013.852587 · Cited by 62 · see citing works
Cortisol Level Modulated by Integrative Meditation in a Dose‐dependent Fashion
Fan, Y., Tang, Y., & Posner, M. I. (2014) · Stress and Health · doi:10.1002/smi.2497 · Cited by 62 · see citing works
Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review
Sanada, K., Díez, M. A., Valero, M. S., Pérez-Yus, M. C., Demarzo, M., Montero‐Marín, J., Garcı́a-Toro, M., & García‐Campayo, J. (2017) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-017-1638-y · Cited by 62 · see citing works
Biobehavioral Mechanisms of Mindfulness as a Treatment for Chronic Stress: An RDoC Perspective
Garland, E. L., Hanley, A. W., Baker, A. K., & Howard, M. O. (2017) · Chronic Stress · doi:10.1177/2470547017711912 · Cited by 62 · see citing works
Self-reported mindfulness and cortisol during a Shamatha meditation retreat.
Jacobs, T. L., Shaver, P. R., Epel, E. S., Zanesco, A. P., Aichele, S., Bridwell, D. A., Rosenberg, E. L., King, B. G., MacLean, K. A., Sahdra, B. K., et al. (2013) · Health Psychology · doi:10.1037/a0031362 · Cited by 61 · see citing works
Hair cortisol: A new tool for evaluating stress in programs of stress management
Iglesias, S. L., Jacobsen, D., González, D., Azzara, S. H., Repetto, E. M., Jamardo, J., Gómez, S. G., Mesch, V., Berg, G. A., & Fabre, B. R. (2015) · Life Sciences · doi:10.1016/j.lfs.2015.10.006 · Cited by 59 · see citing works
A Review of Weight Control Strategies and Their Effects on the Regulation of Hormonal Balance
Schwarz, N. A., Rigby, B. R., Bounty, P. L., Shelmadine, B., & Bowden, R. G. (2011) · Journal of Nutrition and Metabolism · doi:10.1155/2011/237932 · Cited by 61 · see citing works
Brief mindfulness meditation group training in aphasia: exploring attention, language and psychophysiological outcomes
Marshall, R. S., Laures‐Gore, J., & Love, K. (2018) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.12325 · Cited by 57 · see citing works
Changes in Biochemical Markers of Pain Perception and Stress Response After Spinal Manipulation
Plaza‐Manzano, G., Molina, F., Lomas‐Vega, R., Martínez‐Amat, A., Achalandabaso‐Ochoa, A., & Hita‐Contreras, F. (2014) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2014.4996 · Cited by 57 · see citing works
The effect of group mindfulness - based stress reduction program and conscious yoga on the fatigue severity and global and specific life quality in women with breast cancer.
Rahmani, S., & Talepasand, S. (2015) · PubMed Central · Cited by 56 · see citing works
Effects of panel sex composition on the physiological stress responses to psychosocial stress in healthy young men and women
Duchesne, A., Tessera, E., Dedovic, K., Engert, V., & Pruessner, J. C. (2012) · Biological Psychology · doi:10.1016/j.biopsycho.2011.09.009 · Cited by 56 · see citing works
Self-citation
Reduction in salivary α-amylase levels following a mind–body intervention in cancer survivors—An exploratory study
Lipschitz, D. L., Kuhn, R., Kinney, A. Y., Donaldson, G. W., & Nakamura, Y. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.12.021 · Cited by 55 · see citing works
Hair Cortisol as a Biomarker of Stress in Mindfulness Training for Smokers
Goldberg, S. B., Manley, A. R., Smith, S. S., Greeson, J. M., Russell, E., Van Uum, S., Koren, G., & Davis, J. M. (2014) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2014.0080 · Cited by 51 · see citing works
A short Mindfulness retreat can improve biological markers of stress and inflammation
Gardi, C., Fazia, T., Stringa, B., & Giommi, F. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105579 · Cited by 56 · see citing works
Open and Calm – A randomized controlled trial evaluating a public stress reduction program in Denmark
Jensen, C. G., Lansner, J., Petersen, A., Vangkilde, S., Ringkøbing, S. P., Frøkjær, V. G., Adamsen, D., Knudsen, G. M., Denninger, J. W., & Hasselbalch, S. G. (2015) · BMC Public Health · doi:10.1186/s12889-015-2588-2 · Cited by 51 · see citing works
Stress and Glucocorticoids Increase Transthyretin Expression in Rat Choroid Plexus via Mineralocorticoid and Glucocorticoid Receptors
Martinho, A., Gonçalves, I., Costa, M., & Santos, C. R. A. (2012) · Journal of Molecular Neuroscience · doi:10.1007/s12031-012-9715-7 · Cited by 50 · see citing works
Exercise Combined With Ultrasound Attenuates Neuropathic Pain in Rats Associated With Downregulation of IL-6 and TNF-α, but With Upregulation of IL-10
Huang, P., Tsai, K., Chen, Y., Lin, H.-T., & Hung, C. (2017) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000001600 · Cited by 50 · see citing works
Mindful neuropsychology : repenser la réhabilitation neuropsychologique à travers la pleine conscience
Bulzacka, E., Lavault, S., Pélissolo, A., & Bagnis, C. I. (2017) · L Encéphale · doi:10.1016/j.encep.2017.03.006 · Cited by 49 · see citing works
The Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain and Anxiety Levels of Patients Undergoing Colorectal Cancer Surgery: A Randomized Controlled Study
Özhanlı, Y., & Akyüz, N. (2021) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2021.08.008 · Cited by 49 · see citing works
An Exploratory Study of the Effects of Mind–Body Interventions Targeting Sleep on Salivary Oxytocin Levels in Cancer Survivors
Lipschitz, D. L., Kuhn, R., Kinney, A. Y., Grewen, K., Donaldson, G. W., & Nakamura, Y. (2015) · Integrative Cancer Therapies · doi:10.1177/1534735415580675 · Cited by 47 · see citing works
Cortisol, oxytocin, and quality of life in major depressive disorder
Tang, A. L., Thomas, S. J., & Larkin, T. (2019) · Quality of Life Research · doi:10.1007/s11136-019-02236-3 · Cited by 45 · see citing works
The Benefit of Mental Skills Training on Performance and Stress Response in Military Personnel
Jensen, A. E., Bernards, J. R., Jameson, J., Johnson, D. C., & Kelly, K. R. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02964 · Cited by 44 · see citing works
Comparison of effectiveness of the metacognition treatment and the mindfulness-based stress reduction treatment on global and specific life quality of women with breast cancer.
Rahmani, S., Talepasand, S., & Ghanbary-Motlagh, A. (2014) · Europe PMC (PubMed Central) · Cited by 43 · see citing works
Salivary cortisol profiles in patients remitted from recurrent depression: One-year follow-up of a mindfulness-based cognitive therapy trial
Gex‐Fabry, M., Jermann, F., Kosel, M., Rossier, M. F., der Linden, M. V., Bertschy, G., Bondolfi, G., & Aubry, J. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2011.09.011 · Cited by 44 · see citing works
Early brain changes associated with psychotherapy in major depressive disorder revealed by resting-state fMRI: Evidence for the top-down regulation theory
Huang, X., Huang, P., Li, D., Zhang, Y., Wang, T., Mu, J., Li, Q., & Xie, P. (2014) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2014.10.011 · Cited by 43 · see citing works
Effect of yoga-based interventions for anxiety symptoms: A meta-analysis of randomized controlled trials
Zoogman, S., Goldberg, S. B., Vousoura, E., Diamond, M. C., & Miller, L. (2019) · Spirituality in Clinical Practice · doi:10.1037/scp0000202 · Cited by 41 · see citing works
Sex-specific effects of mindfulness on romantic partners' cortisol responses to conflict and relations with psychological adjustment
Laurent, H., Laurent, S., Hertz, R., Egan-Wright, D., & Granger, D. A. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.07.018 · Cited by 41 · see citing works
Early-Stage Psychotherapy Produces Elevated Frontal White Matter Integrity in Adult Major Depressive Disorder
Wang, T., Huang, X., Huang, P., Li, D., Lv, F., Zhang, Y., Zhou, L., Yang, D., & Xie, P. (2013) · PLoS ONE · doi:10.1371/journal.pone.0063081 · Cited by 39 · see citing works
L’histoire de la Mindfulness à l’épreuve des données actuelles de la littérature : questions en suspens
Trousselard, M., Steiler, D., Claverie, D., & Canini, F. (2014) · L Encéphale · doi:10.1016/j.encep.2014.08.006 · Cited by 43 · see citing works
Effects of a Brief Qigong-based Stress Reduction Program (BQSRP) in a distressed Korean population: a randomized trial
Hwang, E.-Y., Chung, S.-Y., Cho, J., Song, M., Kim, S., & Kim, J.-W. (2013) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-13-113 · Cited by 38 · see citing works
The Long-Term Effects of Mindfulness Added to Family Resilience-Oriented Couples Support Group on Psychological Well-Being and Cortisol Responses in Breast Cancer Survivors and Their Partners
Hsiao, F.-H., Jow, G.-M., Kuo, W.-H., Yang, P.-S., Lam, H.-B., Chang, K.-J., Lee, J.-J., Huang, C.-S., Lai, Y.-M., Chen, Y.-T., et al. (2016) · Mindfulness · doi:10.1007/s12671-016-0578-9 · Cited by 39 · see citing works
Effects of mindfulness-based stress reduction on psychological distress in health workers: A three-arm parallel randomized controlled trial
Errázuriz, A., Schmidt, K., Undurraga, E. A., Medeiros, S., Baudrand, R. F., Cussen, D., Henríquez, M., Celhay, P., & Figueroa, R. A. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.11.011 · Cited by 39 · see citing works
Mindfulness-based Intervention for Female Adolescents with Chronic Pain: A Pilot Randomized Trial.
Chadi, N., McMahon, A., Vadnais, M., Malboeuf‐Hurtubise, C., Djemli, A., Dobkin, P. L., Lacroix, J., Luu, T. M., & Haley, N. (2016) · Europe PMC (PubMed Central) · Cited by 38 · see citing works
Self-citation
Reviewing Mindfulness-Based Interventions for Suicidal Behavior
Chesin, M., Interian, A., Kline, A., Benjamin-Phillips, C., Latorre, M., & Stanley, B. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1162244 · Cited by 37 · see citing works
Psychological endurance: how grit, resilience, and related factors contribute to sustained effort despite adversity
Biggs, A. T., Seech, T. R., Johnston, S. L., & Russell, D. W. (2023) · The Journal of General Psychology · doi:10.1080/00221309.2023.2253955 · Cited by 43 · see citing works
Smartphone use disorder and future time perspective of college students: the mediating role of depression and moderating role of mindfulness
Zhang, Y., Lv, S., Li, C., Xiong, Y., Zhou, C., Li, X., & Ye, M. (2020) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-020-0309-9 · Cited by 38 · see citing works
A Mindfulness-Based Program Improves Health in Caregivers of People with Autism Spectrum Disorder: a Pilot Study
Ruiz‐Robledillo, N., Sariñana‐González, P., Pérez‐Blasco, J., González‐Bono, E., & Moya‐Albiol, L. (2014) · Mindfulness · doi:10.1007/s12671-014-0316-0 · Cited by 36 · see citing works
Feasibility and Pilot Testing of a Mindfulness Intervention for Frail Older Adults and Individuals With Dementia
Kovach, C. R., Evans, C.-R., Sattell, L., Rosenau, K., & Gopalakrishnan, S. (2018) · Research in Gerontological Nursing · doi:10.3928/19404921-20180223-01 · Cited by 34 · see citing works
Psychosocial interventions reduce cortisol in breast cancer patients: systematic review and meta-analysis
Crow, E., Lopez-Gigosos, R. M., Mariscal-López, E., Agredano-Sanchez, M., García‐Casares, N., Mariscal, A., & Gutiérrez‐Bedmar, M. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1148805 · Cited by 36 · see citing works
Brief Training of Psychoneuroendocrinoimmunology-Based Meditation (PNEIMED) Reduces Stress Symptom Ratings and Improves Control on Salivary Cortisol Secretion Under Basal and Stimulated Conditions
Bottaccioli, F., Carosella, A., Cardone, R., Mambelli, M., Cemin, M., D’Errico, M. M., Ponzio, E., Bottaccioli, A. G., & Minelli, A. (2014) · EXPLORE · doi:10.1016/j.explore.2014.02.002 · Cited by 34 · see citing works
A Pilot Study of a Mindfulness Intervention for Individuals with Williams Syndrome: Physiological Outcomes
Miodrag, N., Lense, M., & Dykens, E. M. (2012) · Mindfulness · doi:10.1007/s12671-012-0178-2 · Cited by 34 · see citing works
A novel multidisciplinary educational programme for patients with chronic skin diseases: Ghent pilot project and first results
Lambert, J., Bostoen, J., Geusens, B., Bourgois, J., Boone, J., Smedt, D. D., & Annemans, L. (2010) · Archives of Dermatological Research · doi:10.1007/s00403-010-1082-z · Cited by 33 · see citing works
A soy-based phosphatidylserine/ phosphatidic acid complex (PAS) normalizes the stress reactivity of hypothalamus-pituitary-adrenal-axis in chronically stressed male subjects: a randomized, placebo-controlled study
Hellhammer, D. H., Vogt, D., Franz, N., Freitas, U., & Rutenberg, D. (2014) · Lipids in Health and Disease · doi:10.1186/1476-511x-13-121 · Cited by 34 · see citing works
Dispositional mindfulness moderates the effect of a brief mindfulness induction on physiological stress responses
Laurent, H. K., Laurent, S. M., Nelson, B., Wright, D. B., & De Araujo Sanchez, M.-A. (2015) · Mindfulness · doi:10.1007/s12671-014-0377-0 · Cited by 31 · see citing works
The immediate effects of cervical spine manipulation on pain and biochemical markers in females with acute non-specific mechanical neck pain: a randomized clinical trial
Lohman, E., Pacheco, G., Gharibvand, L., Daher, N. S., Devore, K., Bains, G. S., Alameri, M., & Berk, L. (2018) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2018.1553696 · Cited by 31 · see citing works
A time to be chronically stressed? Maladaptive time perspectives are associated with allostatic load
Bourdon, O., Raymond, C., Marin, M., Olivera-Figueroa, L. A., LUPIEN, S. J., & Juster, R. (2020) · Biological Psychology · doi:10.1016/j.biopsycho.2020.107871 · Cited by 31 · see citing works
The influence of psychological stress on arginine vasopressin concentration in the human plasma and cerebrospinal fluid
Bao, L.-L., Jiang, W.-Q., Sun, F.-J., Wang, D., Pan, Y.-J., Song, Z., Wang, C., & Yang, J. (2014) · Neuropeptides · doi:10.1016/j.npep.2014.09.006 · Cited by 30 · see citing works
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Mindfulness-Based Stress Reduction: Physiological Effects and Health Outcomes.
Reibel, D. K. (2009)

Authors: Matousek, R. H., Dobkin, P. L., & Pruessner, J.
Affiliations: McGill University (CA)
Corresponding author: Dobkin, Patricia L.
ORCID: Dobkin, Patricia L.
Pruessner, Jens
Venue: Complementary Therapies in Clinical Practice
Publisher: Elsevier BV
Published: 2010-02
Volume: 16
Issue: 1
Pages: 13-19
ISSN: 1744-3881 (ISSN-L)
DOI: 10.1016/j.ctcp.2009.06.004
OpenAlex: W2069307582
Cited by: 233
References: 95
Citations by year: 2026: 11 · 2025: 11 · 2024: 9 · 2023: 14 · 2022: 15 · 2021: 13 · 2020: 13 · 2019: 10 · 2018: 15 · 2017: 21 · 2016: 12 · 2015: 19 · 2014: 25 · 2013: 11 · 2012: 14
FWCI: 11.54
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Complementary Therapies in Clinical Practice (publishedVersion)
PubMed (publishedVersion)
Funders: Canadian Institutes of Health Research
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Keywords: cortisol, mindfulness-based stress reduction, stress management, mindfulness practice, self-reported outcomes, chronic disease, stress hormones, outcome measurement
MeSH terms: Adaptation, Psychological, Female, Humans, Hydrocortisone, Male, Relaxation Therapy, Stress, Psychological, Biomarkers, Mind-Body Relations, Metaphysical

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Cortisol as a marker for improvement in mindfulness-based stress reduction

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