Cognitive behavioral therapy, mindfulness, and cortisol habituation: A randomized controlled trial

Manigault, Andrew W.; Shorey, Ryan C.; Hamilton, Katrina R.; Scanlin, Matt C.; Woody, Alex; Figueroa, Wilson S.; France, Christopher; Zoccola, Peggy M.

doi:10.1016/j.psyneuen.2019.03.009

Cited by 28 publications

(23 citation statements)

References 47 publications

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“…final models. As described in Manigault et al (2019), MBSR and CBT led to greater cortisol habituation than the waitlisted condition.…”

Section: Preliminary Analysesmentioning

confidence: 55%

“…where 1 ϭ little or no stress and 10 ϭ a great deal of stress), and participants who scored below 4 were considered ineligible. Please refer to Manigault et al (2019) for additional recruitment information, sample size determination, and reason for ending recruitment, and This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

Section: Participantsmentioning

confidence: 99%

“…To address this knowledge gap, we examined secondary outcomes from an existing randomized control trial (Manigault et al, 2019) to test the effects of two standardized stress reduction interventions and a passive control condition on blood pressure habituation to repeated acute stress. In the original study, participants who reported moderate-to-high stress levels were randomly assigned to a 6-week mindfulness-based stress reduction (MBSR) intervention, a 6-week cognitive behavioral therapy (CBT) inter-vention, or a waitlist control condition.…”

mentioning

confidence: 99%

“…Nevertheless, real life stressors may repeat over multiple days, blood pressure habituation has been successfully examined across multiple testing sessions (e.g., Frankish & Linden, 1991), and a recent review invites the publication of existing data where cardiovascular habituation may be quantified within and/or between testing sessions (Hughes et al, 2018). On this basis, using data from Manigault et al, 2019 to examine the effect of stress reduction interventions on blood pressure habituation was considered justified.…”

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confidence: 99%

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Standardized stress reduction interventions and blood pressure habituation: Secondary results from a randomized controlled trial.

et al. 2021

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Meta-analyses suggest a small association between cardiovascular responses to acute stressors and cardiovascular disease, but a recent review suggests that this effect may be underestimated due to insufficient consideration of individual differences in habituation to repeated stressors. Objective: The present article reports new analyses of a published randomized controlled trial comparing the effects of mindfulness-based stress reduction (MBSR), cognitive behavioral therapy (CBT), and a passive control condition on blood pressure habituation-a secondary outcome. Psychological mediators of intervention effects were examined. Method: Participants (138 healthy adults reporting moderate/high stress) were randomly assigned to 6-week MBSR, CBT, or a waitlist control. Analyses were conducted on 86 participants who subsequently completed stressful speech and mental arithmetic tasks during two posttreatment visits scheduled 48 hr apart. Blood pressure was measured Ϫ15, ϩ0, ϩ5, ϩ10, ϩ25, ϩ35, and ϩ60 min poststressor onset. Results: There were no between-condition differences in blood pressure habituation (all ps Ͼ .05). However, both MBSR and CBT led to increased perceived control over thoughts, F(2, 72) ϭ 5.20, p ϭ .008, and individuals who displayed a greater change in perceived control over thoughts also displayed greater habituation to the speech portion of the stressor, F(6, 799) ϭ 2.32, p ϭ .020. Results implied an indirect effect of stress reduction interventions on blood pressure habituation via change in perceived control over thoughts (b ϭ Ϫ3.93, SE ϭ 1.98, 95% CI: [Ϫ8.392, Ϫ0.701]). Conclusion: Stress reduction interventions that increase perceived control over thoughts may benefit cardiovascular health by promoting blood pressure habituation.

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“…final models. As described in Manigault et al (2019), MBSR and CBT led to greater cortisol habituation than the waitlisted condition.…”

Section: Preliminary Analysesmentioning

confidence: 55%

Section: Participantsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Standardized stress reduction interventions and blood pressure habituation: Secondary results from a randomized controlled trial.

et al. 2021

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“…Moreover, the extant literature provides mixed evidence for the claim that mindfulness reduces the magnitude of cardiovascular or neuroendocrine responses to acute stressors. For example, some prior work implies that mindfulness may decrease cortisol (Brown et al., 2012) and cardiovascular reactivity (Nyklíček et al, 2013), whereas other work reports null or inverse associations (Creswell et al., 2014; Manigault et al., 2018, 2019).…”

Section: Introductionmentioning

confidence: 99%

When enhanced awareness threatens: Interactive effects of domain‐specific awareness and acceptance manipulations on cardiovascular indices of challenge and threat

2020

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Stress promotes the development of numerous disorders (Lovallo, 2015), including cardiovascular disease, which remains the leading cause of death in the United States (Kochanek et al., 2017). A major link between stressors and illness lies in the potentially damaging effects of biological stress responses (McEwen, 1998). Episodes of acute stress can activate peripheral stress response cascades like the hypothalamic-pituitary-adrenocortical and sympathetic-adrenal-medullary axes, resulting in the release of primary stress mediators that can modify the functioning of various biological processes.

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Characteristics and Principles of a Healthy Lifestyle

2022

Textbook of Lifestyle Medicine

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Cognitive behavioral therapy, mindfulness, and cortisol habituation: A randomized controlled trial

Cited by 28 publications

References 47 publications

Standardized stress reduction interventions and blood pressure habituation: Secondary results from a randomized controlled trial.

Standardized stress reduction interventions and blood pressure habituation: Secondary results from a randomized controlled trial.

When enhanced awareness threatens: Interactive effects of domain‐specific awareness and acceptance manipulations on cardiovascular indices of challenge and threat

Characteristics and Principles of a Healthy Lifestyle

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