Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer

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

doi:10.1016/j.ctcp.2010.10.005

Cited by 93Mindfulness and Compassion InterventionsCancer survivorship and careCancer, Stress, Anesthesia, and Immune Response

Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer

Matousek, Rose H., Pruessner, Jens C., Dobkin, Patricia L.·2011·Complementary Therapies in Clinical Practice

DOI 10.1016/j.ctcp.2010.10.005

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Abstract

Background Changes in the cortisol awakening response (CAR) were studied in women participating in a Mindfulness-Based Stress Reduction (MBSR) program after completion of their medical treatment for breast cancer.Method Thirty-three women completed questionnaires pre- and post-MBSR pertaining to: stress, depressive symptomatology, and medical symptoms. The CAR was assessed on 3 days pre- and 3 days post-MBSR as a biological marker of stress.Results A significant effect on the CAR was found, with cortisol levels showing a prolonged increase after awakening at the post-MBSR assessment period. This was accompanied by significant improvements in self-reported stress levels, depressive symptomatology, and medical symptoms. Furthermore, the change in medical symptoms was negatively correlated with the area under the curve (AUC) at study onset (r = -.52, p < .002); i.e., the greater the AUC of the CAR before MBSR, the greater the reduction in medical symptoms after the program.Conclusions These results suggest the potential usefulness of employing the CAR as a biological marker in women with breast cancer participating in an MBSR program.

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Results regarding the impact of mindfulness-based interventions on CAR are mixed.
“However, results regarding the impact of mindfulness-based interventions on CAR are mixed [63–66].”
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Authors: Matousek, R. H., Pruessner, J. C., & Dobkin, P. L.
Affiliations: McGill University (CA)
Corresponding author: Dobkin, Patricia L.
ORCID: Pruessner, Jens C.
Dobkin, Patricia L.
Venue: Complementary Therapies in Clinical Practice
Publisher: Elsevier BV
Published: 2011-05
Volume: 17
Issue: 2
Pages: 65-70
ISSN: 1744-3881 (ISSN-L)
DOI: 10.1016/j.ctcp.2010.10.005
OpenAlex: W2130707987
Cited by: 93
References: 37
Citations by year: 2026: 2 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 8 · 2019: 8 · 2018: 8 · 2017: 12 · 2016: 6 · 2015: 15 · 2014: 6 · 2013: 4 · 2012: 10
FWCI: 5.25
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: Jewish General Hospital
Canadian Institutes of Health Research
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
Keywords: cortisol awakening response, mindfulness-based stress reduction, breast cancer survivors, depressive symptoms, clinical symptoms
MeSH terms: Adult, Aged, Breast Neoplasms, Circadian Rhythm, Depression, Female, Humans, Hydrocortisone, Middle Aged, Surveys and Questionnaires, Stress, Psychological, Biomarkers, Meditation, Mind-Body Relations, Metaphysical, Area Under Curve, Self Report

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Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer

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