Heart rate variability is enhanced in controls but not maladaptive perfectionists during brief mindfulness meditation following stress-induction: A stratified-randomized trial
Open accessAbstract
Heart rate variability (HRV) is a vagal nerve-mediated biomarker of cardiac function used to investigate chronic illness, psychopathology, stress and, more recently, attention-regulation processes such as meditation. This study investigated HRV in relation to maladaptive perfectionism, a stress-related personality factor, and mindfulness meditation, a stress coping practice expected to elevate HRV, and thereby promote relaxation. Maladaptive perfectionists (n=21) and Controls (n=39) were exposed to a lab-based assessment in which HRV was measured during (1) a 5-minute baseline resting phase, (2) a 5-minute cognitive stress-induction phase, and (3) a post-stress phase. In the post-stress phase, participants were randomly assigned to a 10-minute audio-instructed mindfulness meditation condition or a 10-minute rest condition with audio-description of mindfulness meditation. Analyses revealed a significant elevation in HRV during meditation for Controls but not for Perfectionists. These results suggest that mindfulness meditation promotes relaxation following cognitive stress and that the perfectionist personality hinders relaxation possibly because of decreased cardiac vagal tone. The results are discussed in the context of developing psychophysiological models to advance therapeutic interventions for distressed populations.
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The intervention content was built on two prior successful web-based CBT-M RCTs with students and on effective methods used with other populations assessed in RCTs.
“The intervention content was built on two prior successful web-based CBT-M RCTs with students [10-17] and on effective methods used with other populations assessed in RCTs [29-39].”
From Online Mindfulness-Based Cognitive Behavioral Therapy Intervention for Youth With Major Depressive Disorders: Randomized Controlled Trial. (2021) · cites this paper as [17]
The Procedure describes randomized allocation to brief mindfulness meditation or rest, and the Discussion reports increased heart-rate variability during meditation in controls. But the Participants section identifies the sample as undergraduate students, not another population, and the reported benefit did not extend to maladaptive perfectionists. The paper does not establish that its method was incorporated into the citing authors’ web-based intervention. (LLM, conf=0.85)
Experimental — accuracy not yet measuredOnline CBT-M research with student and adult populations has yielded psychometric and neurophysiological benefits in single-arm and randomized controlled trials.
“Online CBT-M research with student and adult populations has yielded psychometric and neurophysiological [10-20] benefits in single-arm and randomized controlled trials (RCTs).”
From Online Mindfulness-Based Cognitive Behavioral Therapy Intervention for Youth With Major Depressive Disorders: Randomized Controlled Trial. (2021) · cites this paper as [17]
The Introduction and Discussion report randomized trials in perfectionists with psychological benefits and improved cortical inhibition; the References identify a web-based CBT study in university students. But this paper’s own trial used brief, audio-guided mindfulness with undergraduates, and these passages do not establish online CBT-M benefits in adult populations or single-arm trials. Page numbers are unavailable in our copy. (LLM, conf=0.85)
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- Authors
- Azam, M. A., Katz, J., Fashler, S. R., Changoor, T., Azargive, S., & Ritvo, P.
- Affiliations
- York University (CA)
- Corresponding author
- Ritvo, Paul
- Venue
- International Journal of Psychophysiology
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 98
- Issue
- 1
- Pages
- 27-34
- ISSN
- 0167-8760 (ISSN-L)
- OpenAlex
- W810116217
- Semantic Scholar
- 225c0ec6c4fe7b3fd73ade18b41afb8ac32b9e33
- Cited by
- 78
- References
- 78
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 6 · 2023: 9 · 2022: 4 · 2021: 10 · 2020: 7 · 2019: 11 · 2018: 6 · 2017: 8 · 2016: 1 · 2015: 2
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- International Journal of Psychophysiology (publishedVersion)
- PubMed (publishedVersion)
- York University Digital Library (York University) (submittedVersion)
- Funders
- York University
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
- Keywords
- heart rate variability, maladaptive perfectionism, mindfulness meditation, stress induction, cardiac vagal tone, relaxation, stress coping, personality factors, psychophysiological model
- MeSH terms
- Adaptation, Psychological, Analysis of Variance, Cognition, Electrocardiography, Female, Heart Rate, Humans, Male, Neuropsychological Tests, Rest, Stress, Psychological, Time Factors, Pattern Recognition, Physiological, Young Adult, Mindfulness
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