Sustained Impact of MBSR on Stress, Well-Being, and Daily Spiritual Experiences for 1 Year in Academic Health Care Employees
Abstract
OBJECTIVES: The objectives of the study were (1) to evaluate self-reported stress levels and daily spiritual experiences in academic health care employees before, immediately after, and 1 year after enrolling in a mindfulness-based stress reduction (MBSR) course; and (2) to evaluate the correlation between a potential measure of pulse rate variability and self-reported stress levels. SUBJECTS: Fifty-nine (59) participants in the MBSR course offered to employees at the University of Texas Medical Branch in Galveston (UTMB) comprised the intervention group, and 94 health care providers in the neonatal nurseries comprised the control group. INTERVENTION: MBSR is an 8-week course that introduces mindfulness meditation practices. No intervention was offered to the control group. All participants were employees (or relatives of employees) at UTMB. DESIGN: All MBSR participants completed Cohen's Perceived Stress Scale, the SCL-90, the SF-36 Measure of Health and Well-Being, the Daily Spiritual Experiences Scale, and a 5-minute measure of pulse rate coherence. This testing was done before and after the MBSR course and 1 year later. Ninety-four (94) neonatal health care providers completed the same series of questionnaires and pulse rate variability (PRV) measures, with 49 of the 94 completing the questionnaires 2 months and 1 year later. RESULTS: MBSR participants improved on all measures except the physical component score of the SF-36 upon completion of the MBSR course, and these results were maintained at the 1-year follow-up. The control group did not significantly change on any of the measures. PRV as measured by the Heart Math system did not correlate with any of the self-report questionnaires. CONCLUSIONS: MBSR effectively reduces self-report measures of stress and increases daily spiritual experiences in employees in an academic health care setting, and these effects are stable for at least 1 year. Using a simple measure of PRV was not a clinically reliable biologic measure of stress.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Significant improvements in mental wellbeing were reported at one-year follow-up compared to controls.
“significant improvements of mental wellbeing were also reported at one-year follow-up compared to controls (Geary and Rosenthal 2011).”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Geary and Rosenthal 2011
Four studies reported ethnicity; three had mostly Caucasian participants and one had mostly Chinese participants.
“Four studies detailed ethnicity information of participants, and there was an overrepresentation of Caucasian participants in three studies (Crowder and Sears 2017; Fortney et al. 2013; Geary and Rosenthal 2011) and an overrepresentation of Chinese participants in another study (Suyi et al. 2017).”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Geary and Rosenthal 2011
Significant stress reductions were maintained at follow-ups ranging from 2 months to 1 year.
“Significant reductions in stress were also maintained ranging from 2 months (Hallman et al. 2017) to 1-year (Geary and Rosenthal 2011) follow-up.”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Geary and Rosenthal 2011
Significant improvements in psychological distress were maintained at 3-month and 1-year follow-up, with the 1-year result compared to controls.
“Significant improvements in psychological distress were maintained at 3-month (Martin-Asuero and Garcia-Banda 2010) and 1-year follow-up (Geary and Rosenthal 2011; compared to controls)”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Geary and Rosenthal 2011
Mindfulness training lowers subjective stress, and the reduction persists over time.
“considerable evidence that mindfulness training can decrease subjective measures of stress and that stress reduction effects endure over time [4–7]”
From Mindfulness and physical disease: a concise review (2019) · cites this paper as [6]
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use
Electrophysiology, T. F. O. T. E. S. O. C. T. N. A. (1996) · Circulation · doi:10.1161/01.cir.93.5.1043 · Cited by 17,159 · see citing works
SF-36 health survey: Manual and interpretation guide
Ware, J. (2003) · Medical Entomology and Zoology · Cited by 11,424 · see citing works
Kabat-Zinn, J. (1982) · General Hospital Psychiatry · doi:10.1016/0163-8343(82)90026-3 · Cited by 4,255 · see citing works
Mindfulness-based stress reduction and health benefits
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00573-7 · Cited by 3,958 · see citing works
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy.
Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.4.615 · Cited by 3,236 · see citing works
Alterations in brain and immune function produced by mindfulness meditation
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., Urbanowski, F., Harrington, A., Bonus, K., & Sheridan, J. F. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000077505.67574.e3 · Cited by 2,925 · cited 1× · see citing works
“Implementing an MBSR course was feasible within a health care setting, with a completion rate similar to that reported in the literature.(2,3,7) Unlike many published studies, participants in this study were relatively heterogeneous in regard to not having any unifying diagnosis, but similar to each other in being emp…”
Krasner, M. S. (2009) · JAMA · doi:10.1001/jama.2009.1384 · Cited by 1,650 · see citing works
Effects of mindfulness-based stress reduction on medical and premedical students
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998) · Journal of Behavioral Medicine · doi:10.1023/a:1018700829825 · Cited by 1,493 · see citing works
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice
Lutz, A., Greischar, L. L., Rawlings, N. B., Ricard, M., & Davidson, R. J. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0407401101 · Cited by 1,328 · see citing works
Heart rate variability: measurement and clinical utility.
Kleiger, R. E., Stein, P. K., & Bigger, J. T. (2005) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.2005.10101.x · Cited by 1,290 · see citing works
Underwood, L. G., & Teresi, J. A. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2401_04 · Cited by 1,212 · see citing works
Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995) · General Hospital Psychiatry · doi:10.1016/0163-8343(95)00025-m · Cited by 1,131 · cited 2× · see citing works
“21–25 Measuring HRV is not clinically simple.”
Neural correlates of attentional expertise in long-term meditation practitioners
Brefczynski-Lewis, J. A., Lutz, A., Schaefer, H. S., Levinson, D. B., & Davidson, R. J. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0606552104 · Cited by 983 · see citing works
Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., Cropley, T. G., Hosmer, D., & Bernhard, J. D. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199809000-00020 · Cited by 826 · see citing works
Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000074003.35911.41 · Cited by 773 · see citing works
Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2007.04.002 · Cited by 688 · see citing works
Morone, N. E., Greco, C. M., & Weiner, D. K. (2008) · Pain · doi:10.1016/j.pain.2007.04.038 · Cited by 546 · see citing works
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students
Rosenzweig, S., Reibel, D. K., Greeson, J. M., Brainard, G. C., & Hojat, M. (2003) · Teaching and Learning in Medicine · doi:10.1207/s15328015tlm1502_03 · Cited by 507 · see citing works
Witek-Janusek, L., Albuquerque, K., Chroniak, K. R., Chroniak, C., Durazo-Arvizu, R., & Mathews, H. L. (2008) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2008.01.012 · Cited by 506 · see citing works
A brief mindfulness-based stress reduction intervention for nurses and nurse aides
Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006) · Applied Nursing Research · doi:10.1016/j.apnr.2005.08.002 · Cited by 448 · see citing works
Mindfulness, spirituality, and health-related symptoms
Carmody, J., Reed, G., Kristeller, J., & Merriam, P. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.06.015 · Cited by 394 · see citing works
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout
Cohen-Katz, J., Wiley, S. D., Capuano, T. A., Baker, D. M., & Shapiro, S. L. (2004) · Holistic Nursing Practice · doi:10.1097/00004650-200411000-00006 · Cited by 388 · see citing works
Carlson, L. E., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001) · Supportive Care in Cancer · doi:10.1007/s005200000206 · Cited by 376 · see citing works
Wachholtz, A. B., & Pargament, K. I. (2005) · Journal of Behavioral Medicine · doi:10.1007/s10865-005-9008-5 · Cited by 350 · see citing works
Stauss, H. M. (2003) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00452.2003 · Cited by 318 · see citing works
Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2005) · Holistic Nursing Practice · doi:10.1097/00004650-200501000-00008 · Cited by 285 · see citing works
Garland, S. N., Carlson, L. E., Cook, S., Lansdell, L., & Speca, M. (2007) · Supportive Care in Cancer · doi:10.1007/s00520-007-0280-5 · Cited by 266 · see citing works
Evaluation of a wellness-based mindfulness stress reduction intervention: A controlled trial
Williams, K. A., Kolar, M. M., Reger, B. E., & Pearson, J. C. (2001) · American Journal of Health Promotion · doi:10.4278/0890-1171-15.6.422 · Cited by 262 · see citing works
Heart rate dynamics during three forms of meditation.
Peng, C.-K., Henry, I. C., Mietus, J. E., Hausdorff, J. M., Khalsa, G., Benson, H., & Goldberger, A. L. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.02.006 · Cited by 247 · see citing works
(2007) · PubMed · Cited by 211 · see citing works
Clinical Trials of Meditation Practices in Health Care: Characteristics and Quality
Ospina, M., Bond, K., Karkhaneh, M., Buscemi, N., Dryden, D., Barnes, V., Carlson, L., Dusek, J., & Shannahoff-Khalsa, D. (2008) · Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2008.0307 · Cited by 153 · see citing works
Saxe, G. A., Hébert, J. R., Carmody, J., Kabat‐Zinn, J., Rosenzweig, P. H., JARZOBSKI, D., Reed, G. W., & Blute, R. (2001) · The Journal of Urology · doi:10.1016/s0022-5347(05)65535-8 · Cited by 128 · see citing works
Zamarrón, C., Gudé, F., González‐Barcala, F. J., Rodriguez, J. R., & Romero, P. V. (2003) · CHEST Journal · doi:10.1378/chest.123.5.1567 · Cited by 108 · see citing works
Assessment of pulse rate variability by the method of pulse frequency demodulation
Hayano, J., Barros, A. K., Kamiya, A., Ohte, N., & Yasuma, F. (2005) · BioMedical Engineering OnLine · doi:10.1186/1475-925x-4-62 · Cited by 80 · see citing works
Gianaros, P. J., Salomon, K., Zhou, F., Owens, J. F., Edmundowicz, D., Kuller, L. H., & Matthews, K. A. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000170335.92770.7a · Cited by 70 · see citing works
Foo, J. Y. A., Wilson, S. J., Dakin, C., Williams, G., Harris, M., & Cooper, D. M. (2005) · Physiological Measurement · doi:10.1088/0967-3334/26/4/017 · Cited by 27 · see citing works
Stress and coping in the NICU staff nurse
Gribbins, R. E., & Marshall, R. E. (1982) · Critical Care Medicine · doi:10.1097/00003246-198212000-00012 · Cited by 22 · see citing works
Saxe, G. A., BERT, J. R. H., Carmody, J., et al. (2001) · The Journal of Urology · doi:10.1097/00005392-200112000-00041 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Mindfulness-based stress reduction for healthy individuals: A meta-analysis
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.03.009 · Cited by 1,617 · see citing works
Effects of Mindfulness-Based Stress Reduction on employees’ mental health: A systematic review
Janssen, M., Heerkens, Y., Kuijer, W., van der Heijden, B., & Engels, J. (2018) · PLOS ONE · doi:10.1371/journal.pone.0191332 · Cited by 415 · see citing works
Sharma, M., & Rush, S. E. (2014) · Journal of Evidence-Based Complementary & Alternative Medicine · doi:10.1177/2156587214543143 · Cited by 342 · see citing works
Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2021) · Mindfulness · doi:10.1007/s12671-020-01500-9 · Cited by 342 · see citing works
“Significant improvements in psychological distress were maintained at 3-month (Martin-Asuero and Garcia-Banda 2010) and 1-year follow-up (Geary and Rosenthal 2011; compared to controls), and significant improvements of mental wellbeingwere also reported at one-year followup compared to controls…”
BackgroundFoureur, M., Besley, K., Burton, G., Yu, N., & Crisp, J. (2013) · Contemporary Nurse · doi:10.5172/conu.2013.45.1.114 · Cited by 336 · see citing works
Prospects for a clinical science of mindfulness-based intervention
Dimidjian, S., & Segal, Z. V. (2015) · American Psychologist · doi:10.1037/a0039589 · Cited by 291 · see citing works
Virgili, M. (2015) · Mindfulness · doi:10.1007/s12671-013-0264-0 · Cited by 273 · see citing works
Lamothe, M., Rondeau, É., Malboeuf-Hurtubise, C., Duval, M., & Sultan, S. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2015.11.001 · Cited by 228 · see citing works
Effectiveness of lifestyle health promotion interventions for nurses: a systematic review
Stanulewicz, N., Knox, E., Narayanasamy, M., Shivji, N., Khunti, K., & Blake, H. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17010017 · Cited by 206 · see citing works
Mejía‐Mejía, E., May, J. M., Torres, R., & Kyriacou, P. A. (2020) · Physiological Measurement · doi:10.1088/1361-6579/ab998c · Cited by 160 · see citing works
A realist informed mixed-methods evaluation of Schwartz Center Rounds® in England
Maben, J., Taylor, C., Dawson, J., Leamy, M. C., McCarthy, I., Reynolds, E., Ross, S., Shuldham, C. M., Bennett, L., & Foot, C. (2018) · Health Services and Delivery Research · doi:10.3310/hsdr06370 · Cited by 161 · see citing works
Amutio, A., Martínez-Taboada, C., Hermosilla, D., & Delgado, L. C. (2015) · Psychology, Health & Medicine · doi:10.1080/13548506.2014.986143 · Cited by 130 · see citing works
Mindfulness in Healthcare Professionals and Medical Education
Chmielewski, J., Łoś, K., & Łuczyński, W. (2021) · International Journal of Occupational Medicine and Environmental Health · doi:10.13075/ijomeh.1896.01542 · Cited by 96 · see citing works
Koszycki, D., Bilodeau, C., Raab, K. A., & Bradwejn, J. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.22052 · Cited by 96 · 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
Kolahkaj, B., & Zargar, F. (2015) · Nursing and Midwifery Studies · doi:10.17795/nmsjournal29655 · Cited by 77 · see citing works
Psychological Effects of Meditation for Healthy Practitioners: An Update
Sedlmeier, P., Loße, C., & Quasten, L. C. (2018) · Mindfulness · doi:10.1007/s12671-017-0780-4 · Cited by 74 · see citing works
What Do We Really Know About the Effects of Mindfulness-Based Training in the Workplace?
Allen, T. D., Eby, L. T. D. T., Conley, K. M., Smith, R. W., Mancini, V. S., & Mitchell, M. E. (2015) · Industrial and Organizational Psychology · doi:10.1017/iop.2015.95 · Cited by 72 · see citing works
Amutio, A., Martínez-Taboada, C., Delgado, L. C., Hermosilla, D., & Mozaz, M. J. (2015) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000002 · Cited by 63 · see citing works
Crescentini, C., Urgesi, C., Campanella, F., Eleopra, R., & Fabbro, F. (2014) · Consciousness and Cognition · doi:10.1016/j.concog.2014.09.013 · Cited by 52 · see citing works
Shin, Y.-K., Kim, D., Jung‐Choi, K., Son, Y.-J., Koo, J., Min, J., & Chae, J. (2012) · Scandinavian Journal of Forest Research · doi:10.1080/02827581.2012.706634 · Cited by 52 · see citing works
Brief video-module administered mindfulness program for physicians: A pilot study
Pflugeisen, B. M., Drummond, D., Ebersole, D., Mundell, K., & Chen, D. (2016) · EXPLORE · doi:10.1016/j.explore.2015.10.005 · Cited by 49 · see citing works
Demarzo, M. M. P., Andreoni, S., Sanches, N., Perez, S., Fortes, S., & Garcia-Campayo, J. (2014) · EXPLORE · doi:10.1016/j.explore.2013.12.005 · Cited by 41 · see citing works
Mindfulness-Based Stress Reduction for Nurses: An Integrative Review
Wexler, T. M., & Schellinger, J. (2022) · Journal of Holistic Nursing · doi:10.1177/08980101221079472 · Cited by 46 · see citing works
Eek, F., & Axmon, A. (2013) · Scandinavian Journal of Public Health · doi:10.1177/1403494813491167 · Cited by 40 · see citing works
Senders, A., Hanes, D. A., BOURDETTE, D. N., Carson, K. M., Marshall, L. M., & Shinto, L. H. (2018) · Multiple Sclerosis Journal · doi:10.1177/1352458518786650 · Cited by 41 · see citing works
Krentzman, A. R., Strobbe, S., Harris, J. I., Jester, J. M., & Robinson, E. A. (2017) · Psychology of Religion and Spirituality · doi:10.1037/rel0000121 · Cited by 39 · see citing works
Johansson, B., Bjuhr, H., & Rönnbäck, L. (2015) · Mindfulness · doi:10.1007/s12671-013-0249-z · Cited by 34 · see citing works
Zargar, F., & Omidi, A. (2015) · Journal of Research in Medical Sciences · doi:10.4103/1735-1995.172816 · Cited by 31 · see citing works
Spiritual Perspective, Mindfulness, and Spiritual Care Practice of Hospice and Palliative Nurses
Ricci‐Allegra, P. (2018) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0000000000000426 · Cited by 31 · see citing works
Effect of Mindfulness-Based Stress Reduction Training on Health Care Worker Safety
Valley, M., & Stallones, L. F. (2017) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000001090 · Cited by 31 · see citing works
Loiselle, M., Brown, C. L., Travis, F. T., Gruener, G., Rainforth, M. V., & Nidich, S. I. (2023) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000472 · Cited by 31 · see citing works
Wright, E. M., Matthai, M. T., & Warren, N. (2017) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.12651 · Cited by 28 · see citing works
Mindfulness Training to Improve Nurse Clinical Performance: A Pilot Study
Zeller, J. M., Johnson, A. M., Hoffman, A., Hoyem, R. L., Alexander, M. B., Yudkowsky, R., & Hicks, F. D. (2020) · Western Journal of Nursing Research · doi:10.1177/0193945920964938 · Cited by 26 · see citing works
Kozasa, E. H., Lacerda, S. S., Menezes, C. B., Wallace, B. A., Radvany, J., Mello, L. E., & Sato, J. R. (2015) · Mindfulness · doi:10.1007/s12671-015-0385-8 · Cited by 26 · see citing works
Tan, Z., Roberts, A. C., Lee, E. H., Kwok, K. W., Car, J., Soh, C. K., & Christopoulos, G. I. (2020) · Building and Environment · doi:10.1016/j.buildenv.2020.106840 · Cited by 24 · see citing works
Strauss, C., Gu, J., Pitman, N., Chapman, C., Kuyken, W., & Whittington, A. (2018) · Trials · doi:10.1186/s13063-018-2547-1 · Cited by 27 · see citing works
Short-Term Meditation Training Fosters Mindfulness and Emotion Regulation: A Pilot Study
Fazia, T., Bubbico, F., Iliakis, I., Salvato, G., Berzuini, G., Bruno, S., & Bernardinelli, L. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.558803 · Cited by 22 · see citing works
Exploring How Trait Mindfulness Relates to Perceived Stress and Cardiovascular Reactivity
Ede, D., Walter, F. A., & Hughes, J. W. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09871-y · Cited by 24 · see citing works
Mindfulness, mental health and emotion regulation among workers
Grégoire, S., Lachance, L., & Taylor, G. (2015) · International Journal of Wellbeing · doi:10.5502/ijw.v5i4.444 · Cited by 24 · see citing works
de Castro, J. M. (2015) · Consciousness and Cognition · doi:10.1016/j.concog.2015.04.022 · Cited by 21 · see citing works
Williams, S. P., Malik, H. T., Nicolay, C. R., Chaturvedi, S., Darzi, A. W., & Purkayastha, S. (2017) · Journal of Healthcare Risk Management · doi:10.1002/jhrm.21284 · Cited by 20 · see citing works
A Thematic Analysis of Health Care Workers’ Adoption of Mindfulness Practices
Valley, M., & Stallones, L. (2018) · Workplace Health & Safety · doi:10.1177/2165079918771991 · Cited by 21 · see citing works
Lederer, A. M., & Middlestadt, S. E. (2014) · Journal of American College Health · doi:10.1080/07448481.2014.907296 · Cited by 19 · see citing works
Mensah, S. B., & Anderson, J. G. (2015) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2015.01.004 · Cited by 17 · see citing works
Vespa, A., Spatuzzi, R., Fabbietti, P., Penna, M., & Giulietti, M. V. (2021) · PLoS ONE · doi:10.1371/journal.pone.0251813 · Cited by 17 · 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
Clinician Stress and Patient–Clinician Communication in HIV Care
Ratanawongsa, N., Korthuis, P. T., Saha, S., ROTER, D. L., Moore, R. D., Sharp, V., & Beach, M. C. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2157-7 · Cited by 16 · see citing works
Krentzman, A. R. (2016) · Psychology of Religion and Spirituality · doi:10.1037/rel0000096 · Cited by 16 · see citing works
Hente, E. A., Sears, R. W., Cotton, S., Pallerla, H., Siracusa, C. M., Filigno, S. S., & Boat, T. F. (2020) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2020.02.081 · Cited by 19 · see citing works
Landau, S. D., & Jones, F. W. (2021) · Mindfulness · doi:10.1007/s12671-021-01600-0 · Cited by 15 · see citing works
Underwood, L., & Vagnini, K. M. (2022) · Religions · doi:10.3390/rel13030237 · Cited by 12 · see citing works
Freeman, R. C., Sukuan, N., Tota, N. M., Bell, S. M., Harris, A. G., & Wang, H. (2019) · Workplace Health & Safety · doi:10.1177/2165079919874795 · Cited by 12 · see citing works
Psycho-spiritual transformation after an exceptional human experience
Tassell-Matamua, N., & Frewin, K. (2018) · Journal of Spirituality in Mental Health · doi:10.1080/19349637.2018.1481487 · Cited by 11 · see citing works
Guillén, J. M. B. (2015) · Revista de la Asociación Española de Neuropsiquiatría · doi:10.4321/s0211-57352015000200005 · Cited by 11 · see citing works
Ito, Y., Browne, C. A., & Yamamoto, K. (2022) · Mindfulness · doi:10.1007/s12671-022-01888-6 · Cited by 10 · see citing works
Meditation, stress relief, and well-being.
Dunlop, J. (2015) · PubMed · Cited by 10 · see citing works
Zhou, Y., Jackson, C. D., Oates, V. J., Davis, G. W., Davis, C., Takizala, Z.-M., Akatue, R. A., Williams, K., Liu, J., Hébert, J. R., et al. (2017) · Open Journal of Epidemiology · doi:10.4236/ojepi.2017.72009 · Cited by 10 · see citing works
Out of sight, out of mind? Exploring the long-term effects of Relational Mindfulness Training (RMT)
Vich, M., Lukeš, M., & Burian, J. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.04.001 · Cited by 10 · see citing works
Verdes-Montenegro-Atalaya, J. C., de Torres, L. Á. P., Liétor-Villajos, N., Bartolomé-Moreno, C., Moreno-Martos, H., Rodríguez, L. A. G., Grande-Grande, T., Pardo-Hernández, R., del Barco, B. L., Santamaría‐Peláez, M., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910230 · Cited by 9 · see citing works
Lamothe, M., Rondeau, É., Duval, M., McDuff, P., Pastore, Y. D., & Sultan, S. (2020) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2020.101249 · Cited by 10 · see citing works
Merrigan, J. J., Klatt, M. D., Quatman‐Yates, C. C., Emerson, A. M., Kronenberg, J., Orr, M. L., Caputo, J., Daniel, K., Summers, R., Mulugeta, Y., et al. (2024) · EXPLORE · doi:10.1016/j.explore.2024.103022 · Cited by 7 · see citing works
Positive Psychology and Buddhism
Segall, S. Z., & Kristeller, J. L. (2022) · Springer eBooks · doi:10.1007/978-3-031-10274-5_14 · Cited by 7 · see citing works
Haslam, A., Wirth, M., & Robb, S. (2017) · Stress and Health · doi:10.1002/smi.2706 · Cited by 4 · see citing works
Spence, G. B. (2016) · doi:10.1002/9781118977620.ch8 · Cited by 6 · see citing works
Mindful practice with medical interpreters
Roman, G., Nooraie, R. Y., Vermilion, P., Cupertino, A. P., Barnett, S. L., & Epstein, R. M. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1171993 · Cited by 5 · see citing works
Li, J., Luo, R., Guo, P., Zhang, D., Mo, P. K. H., Wu, A. M. S., Xin, M., Shang, M., Cai, Y., Wang, X., et al. (2024) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796024000106 · Cited by 6 · see citing works
Luo, R., Guo, P., Shang, M., Cai, Y., Huang, J., He, Y., Mo, P. K. H., Wu, A. M. S., Xu, R. D., Li, J., et al. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100541 · Cited by 5 · see citing works
Feng, Q., Huang, Z., Wang, Y., & Wang, B. (2024) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2024.049010 · Cited by 4 · see citing works
Component analysis and evidentiary basis of coping skills content on Pinterest
Breeden, N. C., Hall, C. M., & Giacobe, N. A. (2018) · Psychology in the Schools · doi:10.1002/pits.22141 · Cited by 4 · see citing works
Marks, D. R., & Moriconi, C. D. (2016) · Springer eBooks · doi:10.1007/978-3-319-30100-6_22 · Cited by 4 · see citing works
Mindfulness and mystical experiences in Sufis and non-Sufis
Dildar, S., Khalid, A., Naveed, A., & Shazia, A. (2023) · Mental Health Religion & Culture · doi:10.1080/13674676.2023.2250269 · Cited by 3 · see citing works
Secular, religious or spiritual? A sociological portrait of UK mindfulness teachers
Arat, A., & Hemming, P. (2024) · Religion · doi:10.1080/0048721x.2024.2388534 · Cited by 3 · see citing works
Moradi, N., Maleki, A., & Zenoozian, S. (2020) · Preventive Care In Nursing and Midwifery Journal · doi:10.52547/pcnm.10.2.55 · Cited by 4 · see citing works
Miller-Perrin, C. L., & Mancuso, E. (2015) · Springer eBooks · doi:10.1007/978-94-017-9436-7_4 · Cited by 3 · see citing works
Physiological outcomes from mind-body resiliency programs in healthcare workers: A scoping review
Kronenberg, J., Merrigan, J. J., Quatman‐Yates, C. C., Emerson, A. M., Orr, M. L., Summers, R., Hagen, J. A., & Klatt, M. D. (2025) · PLOS mental health. · doi:10.1371/journal.pmen.0000332 · Cited by 3 · see citing works
Kim, J., Gray, J. A., & Johnson, H. (2021) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2020.0541 · Cited by 2 · see citing works
Choudhary, M. (2023) · Lloyd Business Review · doi:10.56595/lbr.v2i1.12 · Cited by 1 · see citing works
Non Pharmacological Treatment of Insomnia in Multiple Sclerosis Patients: A Brief Review
Tassi, P., & Seze, J. D. (2018) · Journal of Sleep Disorders and Medical Care · doi:10.16966/2577-882x.101 · Cited by 1 · see citing works
Illuminating the Mystique of Honor in Nursing
Van, P. (2015) · International Archives of Nursing and Health Care · doi:10.23937/2469-5823/1510017
Therapist effects in workplace stress management interventions: A systematic review
Thomas, M. (2015) · UTAS Research Repository · doi:10.25959/23241731
Centering: An Antidote for Stress and Catalyst for Learning
Van, P. (2018) · Advances in Complementary & Alternative Medicine · doi:10.31031/acam.2018.02.000547
Kimpara, S., Goodmann, D. R., & Faerman, A. (2021) · Journal of Health Psychology Research · doi:10.11560/jhpr.180424093
Is Mindfulness “Religious”? From Sectarianism to UniversalismPreprint
Sun, J. (2018) · doi:10.31231/osf.io/m5esh
Implementing Mindfulness in A Continuation School in Order to Help Decrease Negative Behaviors
Ambrosetti, D. (2022) · Open Access Journal of Addiction and Psychology · doi:10.33552/oajap.2022.05.000612
Tavakoli, A., Patterson, M., Atkinson, J., & Saarinen, H. (2023) · Springer eBooks · doi:10.1007/978-3-031-16983-0_5
An Investigation of Mindfulness Training As a Self-Care Strategy for Trauma Counsellors
Pillay, K., Eagle, G. T., & Esprey, Y. M. (2024) · Studies in Clinical Social Work Transforming Practice Education and Research · doi:10.1080/28376811.2024.2342351
Merrigan, J. J., Klatt, M. D., Quatman‐Yates, C. C., Emerson, A. M., Kronenberg, J., Orr, M. L., Caputo, J., Daniel, K., Duchemin, A., Steinberg, B. A., et al. (2025) · Discover Public Health · doi:10.1186/s12982-025-00690-8
Kober, M., Livingston, J. A., Barrick, C., & Chang, Y. (2026) · Journal of Holistic Nursing · doi:10.1177/08980101261424557
Lim, M. (2026) · Springer eBooks · doi:10.1007/978-981-95-7147-5_21
Effects of Mindfulness Practices on Perceived Stress Levels
Ginn, K. (2014)
- Authors
- Geary, C., & Rosenthal, S. L.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- Morgan Stanley Children's Hospital (US)
- Corresponding author
- Geary, Cara
- ORCID
- Rosenthal, Susan L.
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2011-10
- Volume
- 17
- Issue
- 10
- Pages
- 939-944
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- OpenAlex
- W2060612271
- Cited by
- 95
- References
- 39
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 11 · 2019: 2 · 2018: 12 · 2017: 6 · 2016: 5 · 2015: 17 · 2014: 6 · 2013: 7 · 2012: 3
- FWCI
- 5.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Massachusetts Amherst
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- mindfulness-based stress reduction, mindfulness meditation, occupational stress, well-being, daily spiritual experiences, pulse rate variability, healthcare workers, long-term intervention effects, perceived stress
- MeSH terms
- Adaptation, Psychological, Adult, Female, Health Personnel, Health Status, Heart Rate, Humans, Male, Mental Health, Middle Aged, Pulse, Surveys and Questionnaires, Relaxation, Stress, Psychological, Texas, Meditation, Mind-Body Relations, Metaphysical, Spirituality, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
