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The connection between chronic psychological stress and the onset of various diseases, including diabetes, HIV, cancer, and cardiovascular conditions, is well documented. This review synthesizes current research on the neurological, immune, hormonal, and genetic pathways through which stress influences disease progression, affecting multiple body systems: nervous, immune, cardiovascular, respiratory, reproductive, musculoskeletal, and integumentary. Central to this review is an evaluation of 16 Behavioral Stress Reduction Programs (BSRPs) across over 200 studies, assessing their effectiveness in mitigating stress-related health outcomes. While our findings suggest that BSRPs have the potential to enhance the effectiveness of medical therapies and reverse disease progression, the variability in study designs, sample sizes, and methodologies raises questions about the generalizability and robustness of these results. Future research should focus on long-term, large-scale studies with rigorous methodologies to validate the effectiveness of BSRPs.

The aim of this study was determine the effectiveness of a mindfulness-based stress-reduction (MBSR) program on quality of life (QOL) and psychosocial outcomes in women with early-stage breast cancer, using a three-arm randomized controlled clinical trial (RCT). This RCT consisting of 172 women, aged 20–65 with stage I or II breast cancer consisted of the 8-week MBSR, which was compared to a nutrition education program (NEP) and usual supportive care (UC). Follow-up was performed at three post-intervention points: 4 months, 1, and 2 years. Standardized, validated self-administered questionnaires were adopted to assess psychosocial variables. Statistical analysis included descriptive and regression analyses incorporating both intention-to-treat and post hoc multivariable approaches of the 163 women with complete data at baseline, those who were randomized to MBSR experienced a significant improvement in the primary measures of QOL and coping outcomes compared to the NEP, UC, or both, including the spirituality subscale of the FACT-B as well as dealing with illness scale increases in active behavioral coping and active cognitive coping. Secondary outcome improvements resulting in significant between-group contrasts favoring the MBSR group at 4 months included meaningfulness, depression, paranoid ideation, hostility, anxiety, unhappiness, and emotional control. Results tended to decline at 12 months and even more at 24 months, though at all times, they were as robust in women with lower expectation of effect as in those with higher expectation. The MBSR intervention appears to benefit psychosocial adjustment in cancer patients, over and above the effects of usual care or a credible control condition. The universality of effects across levels of expectation indicates a potential to utilize this stress reduction approach as complementary therapy in oncologic practice.

Many breast cancer survivors have to deal with a variety of psychological and physiological sequelae including impaired immune responses. The primary purpose of this randomized controlled trial was to determine the efficacy of a mindfulness‐based stress reduction (MBSR) intervention for mood disorders in women with breast cancer. Secondary outcomes were symptom experience, health status, coping capacity, mindfulness, posttraumatic growth, and immune status. This RTC assigned 166 women with breast cancer to one of three groups: MBSR (8 weekly group sessions of MBSR), active controls (self‐instructing MBSR) and non‐MBSR. The primary outcome measure was the Hospital Anxiety and Depression Scale. Secondary outcome measures were: Memorial Symptom Assessment Scale, SF‐36, Sense of Coherence, Five Facets of Mindfulness Questionnaire, and Posttraumatic Growth Index. Blood samples were analyzed using flow cytometry for NK‐cell activity (FANKIA) and lymphocyte phenotyping; concentrations of cytokines were determined in sera using commercial high sensitivity IL‐6 and IL‐8 ELISA (enzyme‐linked immunosorbent assay) kits. Results provide evidence for beneficial effects of MBSR on psychological and biological responses. Women in the MBSR group experienced significant improvements in depression scores, with a mean pre‐MBSR HAD‐score of 4.3 and post‐MBSR score of 3.3 (P = 0.001), and compared to non‐MBSR (P = 0.015). Significant improvements on scores for distress, symptom burden, and mental health were also observed. Furthermore, MBSR facilitated coping capacity as well as mindfulness and posttraumatic growth. Significant benefits in immune response within the MBSR group and between groups were observed. MBSR have potential for alleviating depression, symptom experience, and for enhancing coping capacity, mindfulness and posttraumatic growth, which may improve breast cancer survivorship. MBSR also led to beneficial effect on immune function; the clinical implications of this finding merit further research. MBSR alleviates depression and symptom experience and enhance coping capacity which may improve breast cancer survivorship. MBSR also led to changes in immune response.

Burnout is a common syndrome seen in healthcare workers, particularly physicians who are exposed to a high level of stress at work; it includes emotional exhaustion, depersonalization, and low personal accomplishment. Burnout among physicians has garnered significant attention because of the negative impact it renders on patient care and medical personnel. Physicians who had high burnout levels reportedly committed more medical errors. Stress management programs that range from relaxation to cognitive-behavioral and patient-centered therapy have been found to be of utmost significance when it comes to preventing and treating burnout. However, evidence is insufficient to support that stress management programs can help reducing job-related stress beyond the intervention period, and similarly mindfulness-based stress reduction interventions efficiently reduce psychological distress and negative vibes, and encourage empathy while significantly enhancing physicians' quality of life. On the other hand, a few small studies have suggested that Balint sessions can have a promising positive effect in preventing burnout; moreover exercises can reduce anxiety levels and exhaustion symptoms while improving the mental and physical well-being of healthcare workers. Occupational interventions in the work settings can also improve the emotional and work-induced exhaustion. Combining both individual and organizational interventions can have a good impact in reducing burnout scores among physicians; therefore, multidisciplinary actions that include changes in the work environmental factors along with stress management programs that teach people how to cope better with stressful events showed promising solutions to manage burnout. However, until now there have been no rigorous studies to prove this. More interventional research targeting medical students, residents, and practicing physicians are needed in order to improve psychological well-being, professional careers, as well as the quality of care provided to patients.

Objectives Mindfulness practice can enhance different aspects of attentional functions, such as the ability to sustain the attentional focus over time. However, it is still unclear whether this practice might indeed impact higher cognitive functions, such as control mechanisms that allow the appropriate and flexible allocation of attentional resources. In this longitudinal study, changes associated with a mindfulness-based stress reduction (MBSR) program were investigated, with a focus on proactive and reactive cognitive control mechanisms, namely, the ability to maintain task-relevant information and to prepare in advance the response, and the ability to promptly adjust overlearned behaviors in response to conflicting stimuli. Methods Two groups of participants took part in the study: 26 participants who completed a formal MBSR training (mean age = 43 years, females = 21) and 23 participants who performed a control training (mean age = 47.2 years, females = 20). They were tested on a modified AX-continuous performance task (AX-CPT), before and after eight weeks of training. The electroencephalographic (EEG) signal was recorded during task execution, and amplitude modulations of event-related potentials (ERPs) associated with cues and probes were examined. Results After the training, the MBSR group exhibited a significant reduction of errors on high conflicting trials. Concurrently, the Contingent Negative Variation (CNV), an ERP index of anticipatory processes elicited by task cues, became more pronounced in the post-training session in the MBSR group only. In addition, an attenuated probe-locked N2 and an increased P3a component emerged. Conclusions Taken together, the behavioral and electrophysiological results suggest that the mindfulness practice enhanced the ability to implement both proactive and reactive cognitive control processes.

Objectives This study assessed the effectiveness of the Mindfulness-Based Stress Reduction program (MBSR) compared to an active control intervention, the Health Enhancement Program (HEP) in reducing stress and burnout, and enhancing emotion regulation, well-being, and cognitive function in a group of Australian teachers experiencing work-related stress. The programs were evaluated across subjective and objective testing modalities including (1) teachers’ self-reported stress, burnout, psychological distress, emotion regulation, well-being, and mindfulness; (2) behavioural performance on cognitive tasks assessing attention, memory, emotion recognition, and cognitive control; and (3) the neural correlates of emotion regulation as identified using an emotion Stroop task administered during f MRI. Methods Utilising an independent groups, matched sample longitudinal design, a completer sample of 75 teachers participated in questionnaires and cognitive tasks at pre-intervention, post-intervention, and 5-month follow-up. A subsample of 47 teachers also completed f MRI scans pre- and post-intervention. Results Both programs resulted in equivalent significant, and sustained improvements for teachers on self-report measures of well-being, mindfulness, perceived stress, and intention to leave the profession, and in the cognitive domains of cognitive control and memory. Between group differences were found on the sustained attention task, with MBSR showing greater improvements than HEP. The f MRI analysis revealed that neural reactivity to generally negative stimuli on the emotional Stroop task was significantly reduced for MBSR participants after the intervention. Conclusions Although important subtle differences were found between the programs, results overwhelmingly suggest that both the MBSR and HEP programs are similarly and highly beneficial to teachers experiencing work-related stress.

Burnout se define como la experiencia del contexto laboral caracterizada por agotamiento emocional, despersonalización y baja realización personal, que surge en respuesta a diferentes factores, entre ellos, el contacto con el sufrimiento humano y la muerte. El riesgo de sufrir burnout en trabajadores de la salud es muy elevado. En particular, el equipo humano de las unidades de Cuidados Paliativos Pediátricos hace frente a la enfermedad de los niños/niñas y asiste inevitablemente a su fin de vida y duelo anticipado de padres y familiares. Este estudio ofrece el diseño de una propuesta de intervención psicológica basada en el programa MBSR, que se plantea como ensayo experimental aleatorio con grupo experimental y control. Se espera que los resultados muestren mejora en los resultados en burnout, calidad de vida, regulación emocional, habilidades de atención plena, resiliencia y autocompasión, favoreciendo su bienestar y, en consecuencia, la calidad de atención al paciente y familiares.

There has been an explosion of interest in mindfulness-based programs (MBPs) such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy. This is demonstrated in increased research, implementation of MBPs in healthcare, educational, criminal justice and workplace settings, and in mainstream interest. For the sustainable development of the field there is a need to articulate a definition of what an MBP is and what it is not. This paper provides a framework to define the essential characteristics of the family of MBPs originating from the parent program MBSR, and the processes which inform adaptations of MBPs for different populations or contexts. The framework addresses the essential characteristics of the program and of teacher. MBPs: are informed by theories and practices that draw from a confluence of contemplative traditions, science, and the major disciplines of medicine, psychology and education; underpinned by a model of human experience which addresses the causes of human distress and the pathways to relieving it; develop a new relationship with experience characterized by present moment focus, decentering and an approach orientation; catalyze the development of qualities such as joy, compassion, wisdom, equanimity and greater attentional, emotional and behavioral self-regulation, and engage participants in a sustained intensive training in mindfulness meditation practice, in an experiential inquiry-based learning process and in exercises to develop understanding. The paper's aim is to support clarity, which will in turn support the systematic development of MBP research, and the integrity of the field during the process of implementation in the mainstream.

The relationship between chronic stress and weight management efforts may be a concern for African American (AA) women, who have a high prevalence of obesity, high stress levels, and modest response to obesity treatment. This pilot study randomly assigned 44 overweight/obese AA women with moderate to high stress levels to either a 12-week adaptation of the Diabetes Prevention Program Lifestyle Balance intervention augmented with stress management strategies (Lifestyle + Stress) or Lifestyle Alone. A trend toward greater percentage of baseline weight loss at 3-month data collection was observed in Lifestyle + Stress (-2.7 ± 3.6%) compared with Lifestyle Alone (-1.4 ± 2.3%; p = .17) and a greater reduction in salivary cortisol (Lifestyle + Stress: -0.2461 ± 0.3985 ng/mL; Lifestyle Alone: -0.0002 ± 0.6275 ng/mL; p = .20). These promising results suggest that augmenting a behavioral weight control intervention with stress management components may be beneficial for overweight/obese AA women with moderate to high stress levels and merit further investigation with an adequately powered trial.

Background Migration is a phenomenon worldwide, with older migrants, particularly those with fewer socioeconomic resources, having an increased risk of developing adverse cognitive and health outcomes and social isolation. Therefore, it is of utmost importance to validate interventions that promote healthy aging in this population. Previous studies have shown a positive impact of mindfulness based-stress reduction (MBSR) on outcomes such as cognition and sleep. However, only a few studies verified its potential in older adults, especially with vulnerable populations such as migrants. This article presents the protocol of the MEDITAGING study, which is the first to investigate the MBSR effects in migrants aged ≥55 in comparison to a health promotion program. Methods MEDITAGING is a two-arm randomized, double-blinded, controlled study, which will include older Portuguese-speaking migrants ( n  = 90). Participants are randomized to the MBSR or a health promotion program. Both interventions are conducted in groups over a total of 8 weeks, incorporating weekly meetings, an additional 4-hour class, and extra at-home tasks. The health promotion program has the same structure as the MBSR but comprises different activities related to dementia prevention, healthy habits, cognitive stimulation, sleeping, nutrition, watercolor painting, and physical activity. The assessment of executive functioning, physiological stress measures, self-reported questionnaires, and qualitative interviews are conducted at baseline, after 8 weeks (post-intervention), and at a follow-up session (from one to 3 months thereafter). Analyzes will be conducted using a modified intention-to-treat approach (all participants with at least 3 days of participation in the group-sessions and one post-intervention observation). Discussion This study will test effects of a mindfulness-based intervention against an active control condition in older adult migrants, which few studies have addressed. Trial registration ClinicalTrials.gov NCT05615337 (date of registration: 27 September 2022; date of record verification: 14 November 2022).