NCT02894229

Brief Summary

The primary purpose of the present study is to investigate the relationship between mindfulness and stress habituation. The investigators propose to measure the effect of mindfulness on stress habituation by randomly assigning participants to a 6-week mindfulness-based stress reduction group intervention, a cognitive-behavioral skills group comparison intervention, or a waitlist control condition followed by repeated acute psychosocial stress testing (2 laboratory sessions on 2 separate days). Saliva will be collected from participants throughout both laboratory testing sessions to measure HPA axis activation (an essential stress-responsive system), along with other measures of physiological and psychological stress (e.g., heart rate, blood pressure, emotions). Mediators and moderators of treatment outcome will be examined. The cognitive-behavioral skills group condition is an appropriate comparison group due to the well-documented efficacy of cognitive-behavioral interventions on stress.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2016

Typical duration for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2016

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

September 5, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 9, 2016

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2019

Completed
Last Updated

April 4, 2018

Status Verified

April 1, 2018

Enrollment Period

2.9 years

First QC Date

September 5, 2016

Last Update Submit

April 3, 2018

Conditions

Outcome Measures

Primary Outcomes (2)

  • Perceived Stress Scale

    A 10-item self-report measure that examines perceived stress. The measure produces one total score. The investigators will measure the change in total score from baseline to the 6-week assessment.

    Baseline and 6-weeks after baseline.

  • Salivary cortisol response to repeated acute psychosocial stress

    4 saliva samples will be collected before and after a psychosocial stressor task, which will be administered on two separate occasions separated in time by at least 48 hours. All saliva samples will be assayed for salivary cortisol using enzyme-linked immunoassays. The investigators will measure the change in cortisol stress profiles from the first stressor exposure to the second.

    Post-intervention (approximately 7-14 weeks after baseline assessment)

Secondary Outcomes (24)

  • Cardiovascular response to repeated acute psychosocial stress

    Post-intervention (approximately 7-14 weeks after baseline assessment)

  • Autonomic response to repeated acute psychosocial stress

    Post-intervention (approximately 7-14 weeks after baseline assessment)

  • Dispositional Mindfulness

    Baseline and 6-weeks

  • Equanimity

    Baseline and 6-weeks

  • Smoking

    Baseline and 6-weeks

  • +19 more secondary outcomes

Study Arms (3)

No intervention wait-list

NO INTERVENTION

This arm will receive no intervention for approximately the first 4 months. At the conclusion of the 4-month period, this group will receive a 6-week cognitive-behavioral therapy (CBT) group

Mindfulness Based Stress Reduction(MBSR)

ACTIVE COMPARATOR

This arm will receive 6 weekly, 2-hour groups that focuses on mindfulness meditation for stress reduction

Behavioral: Mindfulness Based Stress Reduction

Cognitive Behavioral Therapy (CBT) Group

ACTIVE COMPARATOR

This are will receive 6 weekly, 2-hour groups that focus on cognitive-behavioral skills for stress

Behavioral: Cognitive-Behavioral Therapy (CBT) Group

Interventions

A modified version of traditional MBSR. The current study's version of MBSR is shortened to 6-weeks.

Mindfulness Based Stress Reduction(MBSR)

A 6-week, 2-hour per group, skills group that focuses on various cognitive-behavioral skills for stress reduction (e.g., progressive muscle relaxation; cognitive restructuring).

Cognitive Behavioral Therapy (CBT) Group

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • English-speaking adults who are between the ages of 18-50, who are in general good health
  • Perceived stress scores (PSS) \> 3 on a screening survey

You may not qualify if:

  • reported previous completion of a Mindfulness-Based Stress Reduction or Cognitive Behavioral Therapy program.
  • reported pregnancy
  • reported use of steroid medication
  • presence of a major psychiatric or endocrine disorder (e.g., Major Depression, Cushings Disease; self-reported)
  • reported regular wake time after 10:00 AM on a weekday

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Manigault AW, Shorey RC, Decastro G, Appelmann HM, Hamilton KR, Scanlin MC, France CR, Zoccola PM. Standardized stress reduction interventions and blood pressure habituation: Secondary results from a randomized controlled trial. Health Psychol. 2021 Mar;40(3):196-206. doi: 10.1037/hea0000954.

MeSH Terms

Conditions

Stress, Psychological

Interventions

Mindfulness-Based Stress ReductionCognitive Behavioral TherapyPopulation Groups

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

MindfulnessBehavior TherapyPsychotherapyBehavioral Disciplines and ActivitiesDemographyPopulation Characteristics

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 5, 2016

First Posted

September 9, 2016

Study Start

August 1, 2016

Primary Completion

July 1, 2019

Study Completion

July 1, 2019

Last Updated

April 4, 2018

Record last verified: 2018-04

Data Sharing

IPD Sharing
Will not share