Skip to main content

Advertisement

Log in

Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: A waitlist-controlled study

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

The present study is a waitlist-controlled investigation of the impact of a Mindfulness-Based Stress Reduction (MBSR) program on mindful attentiveness, rumination and blood pressure (BP) in women with cancer. Female post-treatment cancer patients were recruited from the MBSR program waitlist. Participants completed self-report measures of mindfulness and rumination and measured casual BP at home before and after the 8-week MBSR program or waiting period. MBSR group participants demonstrated higher levels of mindful attentiveness and decreased ruminative thinking following the intervention but no difference in BP, when compared to controls. In the MBSR group, decreases in rumination correlated with decreases in SBP and increases in mindful attention. When participants were assigned to “Higher BP” and “Lower BP” conditions based on mean BP values at week 1, “Higher BP” participants in the MBSR group (n = 19) had lower SBP at week 8 relative to the control group (n = 16). A MBSR program may be efficacious in increasing mindful attention and decreasing rumination in women with cancer. Randomized controlled trials are needed to evaluate an impact on clinically elevated BP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Adams, M. J., Lipshultz, S. E., Schwartz, C., Fajardo, L. F., Coen, V., & Constine, L. S. (2003). Radiation-associated cardiovascular disease: Manifestations and management. Seminars in Radiation Oncology, 13, 346–356.

    Article  PubMed  Google Scholar 

  • Anderson, J. W., Liu, C., & Kryscio, R. J. (2008). Blood pressure response to transcendental meditation: A meta-analysis. American Journal of Hypertension, 21, 310–316.

    Article  PubMed  Google Scholar 

  • Association for the Advancement of Medical Instrumentation. (1993). American national standard. electronic or automated sphygmomanometers. ANSI/AAMI SP 10–1992. Arlington, VA: AAMI, 40.

    Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.

    Article  Google Scholar 

  • Barnes, V. A., Davis, H. C., Murzynowski, J. B., & Treiber, F. A. (2004). Impact of meditation on resting and ambulatory blood pressure and heart rate in youth. Psychosomatic Medicine, 66, 909–914.

    Article  PubMed  Google Scholar 

  • Barnes, V. A., Pendergrast, R. A., Harshfield, G. A., & Treiber, F. A. (2008). Impact of breathing awareness meditation on ambulatory blood pressure and sodium handling in prehypertensive African American adolescents. Ethnicity and Disease, 18, 1–5.

    PubMed  Google Scholar 

  • Benvenuto, G. M., Ometto, R., Fontanelli, A., Fortunato, A., Ruffini, P. A., Fosser, V., et al. (2003). Chemotherapy-related cardiotoxicity: New diagnostic and preventive strategies. Italian Heart Journal : Official Journal of the Italian Federation of Cardiology, 4, 655–667.

    Google Scholar 

  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J. F., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science & Practice, 11, 230–241.

    Article  Google Scholar 

  • Brady, S. S., & Matthews, K. A. (2006). Chronic stress influences ambulatory blood pressure in adolescents. Annals of Behavioral Medicine, 31, 80–88.

    Article  PubMed  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

    Article  PubMed  Google Scholar 

  • Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., et al. (2004a). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90, 2297–2304.

    PubMed  CAS  Google Scholar 

  • Carlson, L. E., & Brown, K. W. (2005). Validation of the mindful attention awareness scale in a cancer population. Journal of Psychosomatic Research, 58, 29–33.

    Article  PubMed  Google Scholar 

  • Carlson, L. E., Labelle, L. E., Garland, S. N., Hutchins, M. L., & Birnie, K. (2009). Mindfulness-based interventions in oncology. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 383–404). New York, NY: Springer.

    Chapter  Google Scholar 

  • Carlson, L. E., Speca, M., Patel, K. D., & Faris, P. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, doi:10.1016/j.bbi.2007.04.002

  • Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2003). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65, 571–581.

    Article  PubMed  Google Scholar 

  • Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2004b). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29, 448–474.

    Article  PubMed  CAS  Google Scholar 

  • Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jr., et al. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report. JAMA, 289, 2560–2572.

    Article  PubMed  CAS  Google Scholar 

  • Eisenberg, D. M., Delbanco, T. L., Berkey, C. S., Kaptchuk, T. J., Kupelnick, B., Kuhl, J., et al. (1993). Cognitive behavioral techniques for hypertension: Are they effective? Annals of Internal Medicine, 118, 964–972.

    PubMed  CAS  Google Scholar 

  • Erselcan, T., Kairemo, K. J., Wiklund, T. A., Hernberg, M., Blomqvist, C. P., Tenhunen, M., et al. (2000). Subclinical cardiotoxicity following adjuvant dose-escalated FEC, high-dose chemotherapy, or CMF in breast cancer. British Journal of Cancer, 82, 777–781.

    Article  PubMed  CAS  Google Scholar 

  • Fillingim, R. B., Maixner, W., Bunting, S., & Silva, S. (1998). Resting blood pressure and thermal pain responses among females: Effects on pain unpleasantness but not pain intensity. International Journal of Psychophysiology, 30, 313–318.

    Article  PubMed  CAS  Google Scholar 

  • Fortner, B. V., Stepanski, E. J., Wang, S. C., Kasprowicz, S., & Durrence, H. H. (2002). Sleep and quality of life in breast cancer patients. Journal of Pain and Symptom Management, 24, 471–480.

    Article  PubMed  Google Scholar 

  • Fredrikson, M., Blumenthal, J. A., Evans, D. D., & Sherwood, A. (1989). Cardiovascular responses in the laboratory and in the natural environment: Is blood pressure reactivity to laboratory-induced mental stress related to ambulatory blood pressure during everyday life? Journal of Psychosomatic Research, 33, 753–762.

    Article  PubMed  CAS  Google Scholar 

  • Gerin, W., Davidson, K. W., Christenfeld, N. J. S., Goyal, T., & Schwartz, J. E. (2006). The role of angry rumination and distraction in blood pressure recovery from emotional arousal. Psychosomatic Medicine, 68, 64–72.

    Article  PubMed  Google Scholar 

  • He, J., Whelton, P. K., Appel, L. J., Charleston, J., & Klag, M. J. (2000). Long-term effects of weight loss and dietary sodium reduction on incidence of hypertension. Hypertension, 35, 544–549.

    PubMed  CAS  Google Scholar 

  • Hollis, S., & Campbell, F. (1999). What is meant by intention to treat analysis? survey of published randomised controlled trials. British Medicine Journal, 319, 670–674.

    Article  CAS  Google Scholar 

  • Jensen, B. V., Skovsgaard, T., & Nielsen, S. L. (2002). Functional monitoring of anthracycline cardiotoxicity: A prospective, blinded, long-term observational study of outcome in 120 patients. Annals of Oncology, 13, 699–709.

    Article  PubMed  CAS  Google Scholar 

  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.

    Article  PubMed  CAS  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacourt.

    Google Scholar 

  • Key, B. L., Campbell, T. S., Bacon, S. L., & Gerin, W. (2008). The influence of trait and state rumination on cardiovascular recovery from a negative emotional stressor. Journal of Behavioral Medicine, 31, 237–248.

    Article  PubMed  Google Scholar 

  • King, M. S., Carr, T., & D’Cruz, C. (2002). Transcendental meditation, hypertension and heart disease. Australian Family Physician, 31, 164–168.

    PubMed  Google Scholar 

  • Kissane, D. W., Grabsch, B., Love, A., Clarke, D. M., Bloch, S., & Smith, G. C. (2004). Psychiatric disorder in women with early stage and advanced breast cancer: A comparative analysis. Australian and New Zealand Journal of Psychiatry, 38, 320–326.

    Article  PubMed  Google Scholar 

  • Lamanque, P., & Daneault, S. (2006). Does meditation improve the quality of life for patients living with cancer? [La meditation ameliore-t-elle la qualite de vie des patients vivant avec un cancer?]. Canadian Family Physician [Medecin De Famille Canadien], 52, 474–475.

    Google Scholar 

  • Ledesma, D., & Kumano, H. (2009). Mindfulness-based stress reduction and cancer: A meta-analysis. Psycho-Oncology, 18, 579. doi:10.1002/pon.1400

    Article  Google Scholar 

  • Lengacher, C. A., Johnson-Mallard, V., Post-White, J., Moscoso, M. S., Jacobson, P. B., & Klein, T. W., et al. (2009). Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psycho-Oncology. doi:10.1002/pon.1529

  • Lewington, S., Clarke, R., Qizilbash, N., Peto, R., Collins, R., & Prospective Studies, C. (2002). Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet, 360, 1903–1913.

    Article  PubMed  Google Scholar 

  • Linden, W., & Satin, J. R. (2007). Avoidable pitfalls in behavioral medicine outcome research. Annals of Behavioral Medicine, 33, 143–147.

    Article  PubMed  Google Scholar 

  • Mackenzie, M. J., Carlson, L. E., & Speca, M. (2005). Mindfulness-based stress reduction (MBSR) in oncology: Rationale and review. Evidence Based Integrative Medicine, 2, 139–145.

    Article  Google Scholar 

  • Manikonda, J. P., Stork, S., Togel, S., Lobmuller, A., Grunberg, I., Bedel, S., et al. (2008). Contemplative meditation reduces ambulatory blood pressure and stress-induced hypertension: A randomized pilot trial. Journal of Human Hypertension, 22, 138–140.

    Article  PubMed  CAS  Google Scholar 

  • Matchim, Y., & Armer, J. M. (2007). Measuring the psychological impact of mindfulness meditation on health among patients with cancer: A literature review. Oncology Nursing Forum, 34, 1059–1066. doi:10.1188/07.ONF.1059-1066

    Article  PubMed  Google Scholar 

  • Matthews, K. A., Gump, B. B., & Owens, J. F. (2001). Chronic stress influences cardiovascular and neuroendocrine responses during acute stress and recovery, especially in men. Health Psychology, 6, 403–410.

    Article  Google Scholar 

  • Matthews, K. A., Katholi, C. R., McCreath, H., Whooley, M. A., Williams, D. R., Zhu, S., et al. (2004). Blood pressure reactivity to psychological stress predicts hypertension in the CARDIA study. Circulation, 110, 74–78.

    Article  PubMed  Google Scholar 

  • Meinardi, M. T., Gietema, J. A., Van Veldhuisen, D. J., van der Graaf, W. T., De Vries, E. G., & Sleijfer, D. T. (2000). Long-term chemotherapy-related cardiovascular morbidity. Cancer Treatment Reviews, 26, 429–447.

    Article  PubMed  CAS  Google Scholar 

  • Meinardi, M. T., van Veldhuisen, D. J., Gietema, J. A., Dolsma, W. V., Boomsma, F., van den Berg, M. P., et al. (2001). Prospective evaluation of early cardiac damage induced by epirubicin-containing adjuvant chemotherapy and locoregional radiotherapy in breast cancer patients. Journal of Clinical Oncology, 19, 2746–2753.

    PubMed  CAS  Google Scholar 

  • Montori, V. M., & Guyatt, G. H. (2001). Intention-to-treat principle. Canadian Medical Association Journal, 165, 1339–1341.

    PubMed  CAS  Google Scholar 

  • O’Brien, E., Petrie, J., Littler, W., de Swiet, M., Padfield, P. L., Altman, D. G., et al. (1993). An outline of the revised british hypertension society protocol for the evaluation of blood pressure measuring devices. Journal of Hypertension, 11, 677–679.

    Article  PubMed  Google Scholar 

  • O’Brien, E., Waeber, B., Parati, G., Staessen, J., & Myers, M. G. (2001). Blood pressure measuring devices: Recommendations of the european society of hypertension. BMJ, 322, 531–536.

    Article  PubMed  Google Scholar 

  • Ospina, M. B., Bond, T. K., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., et al. (2007). Meditation practices for health: State of the research. Evidence Report/Technology Assessment No. 155. Rockville, MD: Agency for Healthcare Research and Quality.

    Google Scholar 

  • Ott, M. J., Norris, R. L., & Bauer-Wu, S. M. (2006). Mindfulness meditation for oncology patients. Integrative Cancer Therapies, 5, 98–108.

    Article  PubMed  Google Scholar 

  • Parati, G., Stergiou, G. S., Asmar, R., Bilo, G., de Leeuw, P., Imai, Y., et al. (2008). European Society of Hypertension guidelines for blood pressure monitoring at home: A summary report of the second International Consensus Conference on Home Blood Pressure Monitoring. Journal of Hypertension, 26, 1505–1526.

    Article  PubMed  CAS  Google Scholar 

  • Rainforth, M. V., Schneider, R. H., Nidich, S. I., Gaylord-King, C., Salerno, J. W., & Anderson, J. W. (2007). Stress reduction programs in patients with elevated blood pressure: A systematic review and meta-analysis. Current Hypertension Reports, 9, 520–528.

    Article  PubMed  Google Scholar 

  • Ries, L. A. G., Melbert, D., Krapcho, M., Mariotto, A., Miller, B. A., & Feuer, E. J., et al. (2007). SEER cancer statistics review, 1975–2004. http://www.seer.cancer.gov/csr/1975_2004/.

  • Rosamond, W., Flegal, K., Furie, K., Go, A., Greenlund, K., Haase, N., et al. (2008). Heart disease and stroke statistics–2008 update: A report from the American heart association statistics committee and stroke statistics subcommittee. Circulation, 117, e25–146.

    Article  PubMed  Google Scholar 

  • Rosenzweig, S., Reibel, D. K., Greeson, J. M., Edman, J. S., Jasser, S. A., McMearty, K. D., et al. (2007). Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: A pilot study. Alternative Therapies in Health & Medicine, 13, 36–38.

    Google Scholar 

  • Schneider, R. H., Staggers, F., Alxander, C. N., Sheppard, W., Rainforth, M., Kondwani, K., et al. (1995). A randomised controlled trial of stress reduction for hypertension in older African Americans. Hypertension, 26, 820–827.

    PubMed  CAS  Google Scholar 

  • Schroevers, M., Kraaij, V., & Garnefski, N. (2008). How do cancer patients manage unattainable personal goals and regulate their emotions? British Journal of Health Psychology, 13, 551–562.

    Article  PubMed  Google Scholar 

  • Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.

    Article  PubMed  Google Scholar 

  • Shapiro, S. L., Oman, D., Thoresen, C. E., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: Effects on well-being. Journal of Clinical Psychology, 64, 840–862.

    Article  PubMed  Google Scholar 

  • Smith, J. E., Richardson, J., Hoffman, C., & Pilkington, K. (2005). Mindfulness-based stress reduction as supportive therapy in cancer care: Systematic review. Journal of Advanced Nursing, 52, 315–327.

    Article  PubMed  Google Scholar 

  • Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom.Med., 62, 613–622.

    PubMed  CAS  Google Scholar 

  • Speca, M., Carlson, L. E., Mackenzie, M. J., & Angen, M. (2006). Mindfulness-based stress reduction (MBSR) as an intervention for cancer patients. In R. A. Baer (Ed.), Mindfulness-based treatment approaches: A clinician’s guide to evidence base and approaches (pp. 239–261). Burlington, MA: Elsevier.

    Chapter  Google Scholar 

  • Stewart, J. C., Janicki, D. L., & Kamarck, T. W. (2006). Cardiovascular reactivity to and recovery from psychological challenge as predictors of 3-year change in blood pressure. Health Psychology, 25, 111–118.

    Article  PubMed  Google Scholar 

  • Teasdale, J. D., & Green, H. A. (2004). Ruminative self-focus and autobiographical memory. Personality and Individual Differences, 36, 1933–1943.

    Article  Google Scholar 

  • The Trials of Hypertension Prevention Collaborative Research Group. (1997). Effects of weight loss and sodium reduction intervention on blood pressure and hypertension incidence in overweight people with high normal blood pressure. Archives of Internal Medicine, 157, 657–667.

    Article  Google Scholar 

  • Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76, 284–304.

    Article  PubMed  CAS  Google Scholar 

  • Treiber, F. A., Kamarck, T., Schneiderman, N., Sheffield, D., Kapuku, G., & Taylor, T. (2003). Cardiovascular reactivity and development of preclinical and clinical disease states. Psychosomatic Medicine, 65, 46–62.

    PubMed  Google Scholar 

  • Vallebona, A. (2000). Cardiac damage following therapeutic chest irradiation. importance, evaluation and treatment. Minerva Cardioangiologica, 48, 79–87.

    CAS  Google Scholar 

  • Van Wielingen, L. E., Carlson, L. E., & Campbell, T. S. (2006). Mindfulness-based stress reduction and acute stress responses in women with cancer. Psychooncology, 15, S42.

    Google Scholar 

  • Vitaliano, P. P., Scanlan, J. M., Zhang, J., Savage, M. V., & Hirsch, I. B. (2002). A path model of chronic stress, the metabolic syndrome, and coronary heart disease. Psychosomatic Medicine, 64, 418–435.

    PubMed  CAS  Google Scholar 

  • Wua, J., Kraja, A. T., Oberman, A., Lewis, C. E., Ellison, R. C., & Arnett, D. K. (2005). A summary of the effects of antihypertensive medications on measured blood pressure. American Journal of Hypertension, 18, 935–942.

    Article  Google Scholar 

  • Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10, 19–28.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We extend our gratitude to the Canadian Breast Cancer Research Alliance, the Alberta Heritage Foundation for Medical Research, and the Canadian Interdisciplinary Network for Complementary and Alternative Medicine Research for funding this study. We would also like to thank the students and research assistants who have worked diligently at various stages of the project: Barbara Pickering, Tanya Jacobs, Jennifer Schneider, Beth Debruyne and Laura Todd.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tavis S. Campbell.

Additional information

This research is funded by the Canadian Breast Cancer Research Alliance (CBCRA), the Alberta Heritage Foundation for Medical Research, and the Canadian Interdisciplinary Network for Complementary and Alternative Medicine Research. Preliminary results have been presented at the CBCRA Reasons for Hope conference (April 2008), Mind and Life Summer Research Institute (June 2007), American Psychosomatic Society meeting (March 2007), and the Canadian Interdisciplinary Network for Complementary and Alternative Medicine research symposium (November 2006).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Campbell, T.S., Labelle, L.E., Bacon, S.L. et al. Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: A waitlist-controlled study. J Behav Med 35, 262–271 (2012). https://doi.org/10.1007/s10865-011-9357-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10865-011-9357-1

Keywords

Navigation