Effects of two mindfulness based interventions on the distinct phases of the stress response across different physiological systems

Abstract

When evaluating the effects of mindfulness-based interventions (MBIs) on the stress response, several aspects should be considered, such as (1) effects on various response systems, (2) temporal dynamics of the stress response, and (3) differences between programs. This study assesses the stress-attenuating effects of a standard mindfulness-based stress reduction (MBSR) and a second-generation MBI: MBSR with elements of other Buddhist practices (MBSR-B). Ninety-nine healthy volunteers were randomly assigned to the MBSR, MBSR-B, or waitlist control groups and their stress response was evaluated with the Trier Social Stress Test. Changes in the activity of the hypothalamic-pituitary-adrenal (HPA) axis, sympathoadrenomedullary system, the autonomic nervous system (ANS), and affect were measured during distinct phases of the task. Compared to waitlist control, the stress-attenuated effects of MBIs were detected across almost all systems and both negative and positive affect. In the parasympathetic branch of the ANS, the effect of MBIs was present in all stress phases (however, in the recovery phase, only MBSR-B has shown a statistically significant effect in comparison with the waitlist control). The stress-attenuating effects of MBIs were observed already in the anticipatory phase for cortisol, ANS, and negative affect (for negative affect, only the modified MBSR-B program has shown statistically significant effect in comparison with the waitlist control).

Keywords: Mindfulness; Negative affect; Positive affect; Prolonged stress activation; Second-generation mindfulness interventions; Social-evaluative threat; Stress anticipation; Stress biology; Stress reactivity; Stress recovery.