Cited by 193Mindfulness and Compassion InterventionsStress Responses and CortisolAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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The effect of mindfulness meditation training on biological acute stress responses in generalized anxiety disorder

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Hoge, Elizabeth A., Bui, Eric, Palitz, Sophie A., Schwarz, Noah R., Owens, Maryann E., Johnston, Jennifer M., Pollack, Mark H., Simon, Naomi M.·2018·Psychiatry Research

DOI 10.1016/j.psychres.2017.01.006PMC PMC5526744

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Abstract

Mindfulness-Based interventions have increased in popularity in psychiatry, but the impact of these treatments on disorder-relevant biomarkers would greatly enhance efficacy and mechanistic evidence. If Generalized Anxiety Disorder (GAD) is successfully treated, relevant biomarkers should change, supporting the impact of treatment and suggesting improved resilience to stress. Seventy adults with GAD were randomized to receive either Mindfulness-Based Stress Reduction (MBSR) or an attention control class; before and after, they underwent the Trier Social Stress Test (TSST). Area-Under-the-Curve (AUC) concentrations were calculated for adrenocorticotropic hormone (ACTH) and pro-inflammatory cytokines. MBSR participants had a significantly greater reduction in ACTH AUC compared to control participants. Similarly, the MBSR group had a greater reduction in inflammatory cytokines' AUC concentrations. We found larger reductions in stress markers for patients with GAD in the MBSR class compared to control; this provides the first combined hormonal and immunological evidence that MBSR may enhance resilience to stress.

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Authors: Hoge, E. A., Bui, E., Palitz, S. A., Schwarz, N. R., Owens, M. E., Johnston, J. M., Pollack, M. H., & Simon, N. M.
Affiliations: Georgetown University Medical Center (US)
Massachusetts General Hospital (US)
Boston University (US)
Rush University Medical Center (US)
Harvard University (US)
Corresponding author: Hoge, Elizabeth A.
ORCID: Hoge, Elizabeth A.
Palitz, Sophie A.
Schwarz, Noah R.
Pollack, Mark H.
Simon, Naomi M.
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2018-04
Volume: 262
Pages: 328-332
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2017.01.006
PMC: PMC5526744
OpenAlex: W2581630748
Cited by: 193
References: 38
Citations by year: 2026: 8 · 2025: 16 · 2024: 15 · 2023: 28 · 2022: 24 · 2021: 30 · 2020: 27 · 2019: 25 · 2018: 14
FWCI: 24.36
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychiatry Research (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: American Foundation for Suicide Prevention
Harvard University
Harvard Catalyst
National Center for Research Resources (UL1RR025758)
National Center for Complementary and Integrative Health (K23AT004432, L30 AT005427)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: mindfulness meditation, mindfulness-based stress reduction, generalized anxiety disorder, acute stress response, Trier Social Stress Test, ACTH, inflammatory cytokines, stress resilience, biomarkers, neuroendocrine stress response, inflammation
MeSH terms: Adaptation, Psychological, Adrenocorticotropic Hormone, Adult, Anxiety Disorders, Arousal, Female, Humans, Male, Middle Aged, Stress, Psychological, Tumor Necrosis Factor-alpha, Interleukin-6, Meditation, Mindfulness

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The effect of mindfulness meditation training on biological acute stress responses in generalized anxiety disorder

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