Stress Management


Article Author:
Mary Worthen


Article Editor:
Elizabeth Cash


Editors In Chief:
Sherry Gossman


Managing Editors:
Frank Smeeks
Scott Dulebohn
Erin Hughes
Sobhan Daneshfar
William Gossman
Pritesh Sheth
John Shell
Matthew Varacallo
Mark Pellegrini
James Hughes
Richard Ciresi
Phillip Hynes


Updated:
1/19/2019 3:42:08 PM

Introduction

Effective techniques for stress management are varied. They typically include behaviors that improve physical health, such as nutrition and exercise, but may also incorporate strategies that improve cognitive and emotional functioning. The stress-reduction approach based on mindfulness practices has recently enjoyed an explosion of interest from a variety of healthcare and epidemiological researchers. The concept of mindfulness, which originates from practices of Buddhism, is defined as a focused awareness of one’s experience, and purposeful and nonjudgmental focus on the present moment. Structured interventions, such as the Mindfulness-Based Stress Reduction (MBSR) program, provide participants with the opportunity to learn breathing meditation, body scanning techniques, and gentle, yoga-inspired physical exercises. With practice, individuals learn to process emotions, thoughts, and sensations as they arise. Individuals learn to modify their reflexive conditioning from automatically reacting or worrying about the future to a more adaptive, measured response with greater awareness of the present moment. The literature is replete with evidence suggesting that, with practice, individuals can become more mindful, increasing their capacity to fully process emotions, thoughts, and sensations as they arise. MBSR interventions have been adapted to a wide variety of individuals, from those suffering from chronic or debilitating health conditions to healthy undergraduate or medical students. Randomized controlled trials of MBSR interventions have demonstrated improvements to psychological and physiological processes with relevance to health outcomes and improved stress management.

Some individuals have a greater innate, or trait, capacity for mindfulness. These individuals, who have not participated in mindfulness-training interventions, tend to experience better physical health, report fewer physiological symptoms such as pain, and utilize fewer healthcare resources. Trait mindfulness has been associated with lower ratings of anxiety and depression in a variety of medical and non-medical populations. Trait mindfulness may emerge from a genetic predisposition. A recent epidemiological study of adolescent twins revealed that trait mindfulness was 32% heritable. The same study also revealed that 66% of the variance in trait mindfulness was due to environmental factors, suggesting that is also a skill that can be learned. In fact, an MBSR study in university undergraduates revealed that, while increases in mindfulness and psychological outcomes can be observed in participants as a whole, effects may be more pronounced among individuals higher in trait mindfulness at study entry. These data substantiate the utility of mindfulness training, even for high-trait individuals.

Issues of Concern

Standard MBSR Programs

Standard MBSR programs have demonstrated potential to ameliorate physiological dysregulation, including attenuated hypothalamic-pituitary-adrenal (HPA) axis activation, autonomic activation, and inflammation. A study of healthy adult males who endorsed a higher capacity for present-moment focus found they also exhibited reduced emotional distress and autonomic (heart rate) reactivity when exposed to hypoxic conditions. Neural correlates may underlie relationships between mindfulness practices and central nervous system (CNS) function reported in the literature. Higher trait mindfulness positively correlates with activity in the anterior cingulate and prefrontal cortices in healthy adults, both of which demonstrate reduced activity in studies of individuals suffering from anxiety and depressive disorders. Levels of trait mindfulness also correlate with grey matter volume reductions in the amygdala and caudate in healthy adults and greater volume in bilateral gyri of adults with generalized anxiety disorder. Likewise, studies also demonstrate that mindfulness training results in increased blood flow in the amygdala and hippocampal regions among breast cancer patients and increased grey matter concentrations in the norepinephrine and serotonin systems in the brain of in healthy adults. This evidence for shared neural circuitry suggests at least partial mechanisms by which mindful approaches may be beneficial for individuals who are experiencing prolonged psychological distress or difficulty managing stress.

Mindfulness-Based Stress Reduction

Mindfulness-Based Stress Reduction (MBSR) was initially designed to relieve suffering among chronic pain patients by teaching skills that cultivate present moment-focused, non-judgmental awareness. Three formal mindfulness techniques are taught over eight weeks: The “body scan,” an attention-focusing technique; gentle yoga; and sitting meditation. The body scan is performed supine with attention directed systematically and non-judgmentally through regions of the body, encouraging relaxed awareness and acceptance of proprioceptive and interoceptive sensation. Hatha yoga consists of gentle movement and stretching sequences that promote awareness of movement and position. Sitting meditation helps develop a stable cognitive perspective from which to observe mental events with openness and acceptance without becoming caught up in distressing thoughts or feelings. Informal mindfulness practice is also encouraged: Participants cultivate an awareness of the present moment, whether perceived as pleasant or unpleasant. The intent is to help participants become engaged with the experiences of each moment as they arise and learn to face stressful events in a way that is skillfully responsive rather than habitually reactive. With practice, individuals learn to modify their reflexive conditioning from automatically reacting or worrying about the future to a more adaptive, measured response with greater awareness of the present moment.

Traditional MBSR Interventions

Traditional MBSR interventions can easily be performed without the use of specialized equipment. Many group administrators and practitioners prefer to have materials handy to help modify movement-based exercises and yoga poses for those with physical limitations. Typically a yoga mat, blocks, and strap are sufficient. Studies of MBSR group interventions have suggested that limiting group size to less than 20 individuals is preferable to build a cohesive dynamic between practitioners. Guided practices, including the body scan and sitting meditations, are available on electronic media or for download from several sources. There is also an abundance of freely available apps and podcasts that offer mindfulness teachings, guided and unguided timed sitting and supine meditations, and guided mindfulness practices to listen to during activities such as exercising or cleaning. Most are available for free or for a range of modest costs. Some offer free trials, while some apps and many quality podcasts are totally free. Encourage interested individuals to try out a few different options and find what works best for them. Practitioners also may find that different approaches are more preferable, depending on the day, stress level, and practice time available. Caution individuals to avoid listening to guided sessions or podcasts while driving, as increased drowsiness may occur. 

Mindfulness-based interventions may be optimized to enhance pre-existing practitioner strengths and address specific stress-management needs. Among cancer patients, a benefit was observed after an MBSR program incorporated a shortened length of meditation assignments, reduced frequency of group meetings, and adjustments of the physical movements taught (e.g., yoga poses). Similar modifications have been considered for other cancer patient samples, including changing the usual mindful (raisin) eating exercise to utilize a liquid for those who have trouble eating or swallowing, omitting the day-long silent retreat if thought to be too taxing or inappropriate for the population, adjusting physical movements to account for any injury or pain that may be present, and employing an individual (versus group) format to better incorporate session scheduling with medical appointments. Given the similar improvements to psychological measures when compared to standard MBSR program outcomes, modified interventions may not be an inferior approach to increasing mindfulness practices among participants. These strategies may be advantageous with regard to implementation and utilization by practitioners who are experiencing busy daily activities and have limited flexibility to facilitate adding a new routine to their daily lives. 

Clinical Significance

Several authors have offered thoughtful conceptualizations of mechanisms by which mindfulness may reduce stress and ameliorate illness symptoms. Theoretical models focus on metacognitive factors, explore mindfulness in the context of a widely accepted model of stress and coping, and contrast this practice, which stems from Eastern tradition and includes Western psychology. Other recent work has highlighted the need to examine process variables related to the techniques used, individual meditation practice, social factors, and other aspects of MBSR.

Novice mindfulness practitioners also engage in "informal" practice as they learn to observe their own thoughts and sensations and explore a new stance as a nonjudgmental observer of their own life. Attending to one’s own experience may set up a dynamic cognitive interaction that can facilitate a capacity to respond to ongoing experiences as if they are occurring for the first time, typically referred to as "beginner’s mind." This interrupts the automatic processes of relying on previously conditioned stress reactions. Paradoxically, positive changes seem especially likely to occur when one can let go of the struggle of trying to change or control the process. This perspective lies at the core of empirically validated acceptance-based intervention model. A focus on the present moment can potentially help decondition habitual reaction patterns and increase response flexibility. From a cognitive perspective, this suggests that viewing present circumstances as new and unique experiences increases one’s capacity for generating multiple alternative response options. Mindfulness also may address cognitive-behavioral factors, such as self-focused attention, experiential avoidance, and perceived control. 


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Stress Management - Questions

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A group of schizophrenic patients have a history of psychotic behavior. An occupational therapist is asked to run a treatment group to improve stress management skills. Select the best strategy for this group.



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What should an 8 session stress management program for disabled or healthy patients schedule for the first meeting?



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A patient has a new diagnosis of multiple sclerosis and is seeing an OT. The therapist recognizes that a stress management and reduction program would be helpful. The patient's teenage offspring are resistant to assume chores that the patient had been able to do. Select the best coping strategy to assist the patient.



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A patient with substance use disorder is observed having difficulty lacing a leather wallet. He becomes agitated and stomps out of the room to go watch TV. What information does the observed behavior provide?



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A patient has discharged planned in one day and is referred to OT for stress management. Select the best method for this situation.



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A stress management series for patients with multiple sclerosis is being designed. Which of the following would be the first step?



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What type of OT group would involve deep breathing, mental imagery, and slow rhythmic rocking?



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Which of the following is the brain's priority in processing data?



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Which of the following is not true of learning and environment?



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What are two common emotions experienced by patients and families during hospitalizations?



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Which is the most appropriate approach to stress management?



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Individuals can have an innate capacity for mindfulness. What is another term for this?



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Individuals who are not habitually mindful may rapidly learn to employ and benefit from mindfulness-based techniques successfully.



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Standard mindfulness-based stress reduction (MBSR) programs have demonstrated potential to ameliorate physiological dysregulation, including which of the following?



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Neural correlates may underlie relationships between mindfulness practices and central nervous system (CNS) function reported in the literature. Higher trait mindfulness positively correlates with activity in the what location?



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Mindfulness-Based Stress Reduction (MBSR) was initially designed to relieve suffering among chronic pain patients by teaching skills that cultivate present moment-focused, non-judgmental awareness. What are some of the formal mindfulness techniques taught in the MBSR program?



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Stress Management - References

References

Moral Distress: Using Mindfulness-Based Stress Reduction Interventions to Decrease Nurse Perceptions of Distress., Vaclavik EA,Staffileno BA,Carlson E,, Clinical journal of oncology nursing, 2018 Jun 1     [PubMed]
Mediational pathways of meditation and exercise on mental health and perceived stress: A randomized controlled trial., Goldstein E,Topitzes J,Brown RL,Barrett B,, Journal of health psychology, 2018 May 1     [PubMed]
Mindfulness-Based Processes of Healing for Veterans with Post-Traumatic Stress Disorder., Schure MB,Simpson TL,Martinez M,Sayre G,Kearney DJ,, Journal of alternative and complementary medicine (New York, N.Y.), 2018 May 7     [PubMed]
Feasibility evaluation of a mindfulness-based intervention for primary care professionals: Proposal of an evaluative model., Ribeiro Santiago PH,Colussi CF,, Complementary therapies in clinical practice, 2018 May     [PubMed]
Mindfulness-Based Stress Reduction (MBSR) or Psychoeducation for the Reduction of Menopausal Symptoms: A Randomized, Controlled Clinical Trial., Wong C,Yip BH,Gao T,Lam KYY,Woo DMS,Yip ALK,Chin CY,Tang WPY,Choy MMT,Tsang KWK,Ho SC,Ma HSW,Wong SYS,, Scientific reports, 2018 Apr 26     [PubMed]
Does Mindfulness Training Enhance the Professional Development of Residents? A Qualitative Study., Verweij H,van Ravesteijn H,van Hooff MLM,Lagro-Janssen ALM,Speckens AEM,, Academic medicine : journal of the Association of American Medical Colleges, 2018 Apr 24     [PubMed]
Effects of mindfulness-based stress reduction on prenatal stress, anxiety and depression., Zhang JY,Cui YX,Zhou YQ,Li YL,, Psychology, health & medicine, 2018 Apr 26     [PubMed]
Mindfulness-based stress reduction in adolescents with mental disorders: A randomised clinical trial., Díaz-González MC,Pérez Dueñas C,Sánchez-Raya A,Moriana Elvira JA,Sánchez Vázquez V,, Psicothema, 2018 May     [PubMed]
Common and Dissociable Neural Activity Following Mindfulness-Based Stress Reduction and Relaxation Response Programs., Sevinc G,Hölzel BK,Hashmi J,Greenberg J,McCallister A,Treadway M,Schneider ML,Dusek JA,Carmody J,Lazar SW,, Psychosomatic medicine, 2018 Apr 10     [PubMed]
The Effectiveness of Mindfulness- and Acceptance-Based Interventions for Informal Caregivers of People With Dementia: A Meta-Analysis., Collins RN,Kishita N,, The Gerontologist, 2018 Apr 4     [PubMed]
The effectiveness of mindfulness meditation for nurses and nursing students: An integrated literature review., van der Riet P,Levett-Jones T,Aquino-Russell C,, Nurse education today, 2018 Jun     [PubMed]
How Is Stress Reduced by a Workplace Mindfulness Intervention? A Qualitative Study Conceptualising Experiences of Change., Hugh-Jones S,Rose S,Koutsopoulou GZ,Simms-Ellis R,, Mindfulness, 2018     [PubMed]
Mindfulness Meditation for Primary Headache Pain: A Meta-Analysis., Gu Q,Hou JC,Fang XM,, Chinese medical journal, 2018 Apr 5     [PubMed]
Emotional clarity and attention to emotions in cognitive behavioral group therapy and mindfulness-based stress reduction for social anxiety disorder., Butler RM,Boden MT,Olino TM,Morrison AS,Goldin PR,Gross JJ,Heimberg RG,, Journal of anxiety disorders, 2018 Apr     [PubMed]
Mindfulness Approaches and Weight Loss, Weight Maintenance, and Weight Regain., Dunn C,Haubenreiser M,Johnson M,Nordby K,Aggarwal S,Myer S,Thomas C,, Current obesity reports, 2018 Mar     [PubMed]
Heart Rate Variability as a Marker of Distress and Recovery: The Effect of Brief Supportive Expressive Group Therapy With Mindfulness in Cancer Patients., Park H,Oh S,Noh Y,Kim JY,Kim JH,, Integrative cancer therapies, 2018 Feb 1     [PubMed]
Being mindful of mindfulness interventions in cancer: A systematic review of intervention reporting and study methodology., Shaw JM,Sekelja N,Frasca D,Dhillon HM,Price MA,, Psycho-oncology, 2018 Apr     [PubMed]
Effects of Mindfulness-Based Stress Reduction on employees' mental health: A systematic review., Janssen M,Heerkens Y,Kuijer W,van der Heijden B,Engels J,, PloS one, 2018     [PubMed]
Effects of mindfulness-based cognitive therapy on shame, self-compassion and psychological distress in anxious and depressed patients: A pilot study., Proeve M,Anton R,Kenny M,, Psychology and psychotherapy, 2018 Jan 18     [PubMed]
Yoga into Cancer Care: A Review of the Evidence-based Research., Agarwal RP,Maroko-Afek A,, International journal of yoga, 2018 Jan-Apr     [PubMed]
Associations of mindfulness with depressive symptoms and well-being in older adults: the moderating role of neuroticism., Elliot AJ,Gallegos AM,Moynihan JA,Chapman BP,, Aging & mental health, 2018 Jan 17     [PubMed]
Internet-Based Group Intervention for Ovarian Cancer Survivors: Feasibility and Preliminary Results., Kinner EM,Armer JS,McGregor BA,Duffecy J,Leighton S,Corden ME,Gauthier Mullady J,Penedo FJ,Lutgendorf SK,, JMIR cancer, 2018 Jan 15     [PubMed]
Mindfulness-Based Stress Reduction for Residents: A Randomized Controlled Trial., Verweij H,van Ravesteijn H,van Hooff MLM,Lagro-Janssen ALM,Speckens AEM,, Journal of general internal medicine, 2018 Apr     [PubMed]
Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence., Boyd JE,Lanius RA,McKinnon MC,, Journal of psychiatry & neuroscience : JPN, 2018 Jan     [PubMed]
Becoming conscious: the science of mindfulness., Paulson S,Davidson R,Jha A,Kabat-Zinn J,, Annals of the New York Academy of Sciences, 2013 Nov     [PubMed]
A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome., Azulay J,Smart CM,Mott T,Cicerone KD,, The Journal of head trauma rehabilitation, 2013 Jul-Aug     [PubMed]
A pilot study evaluating the effect of mindfulness-based stress reduction on psychological status, physical status, salivary cortisol, and interleukin-6 among advanced-stage cancer patients and their caregivers., Lengacher CA,Kip KE,Barta M,Post-White J,Jacobsen PB,Groer M,Lehman B,Moscoso MS,Kadel R,Le N,Loftus L,Stevens CA,Malafa MP,Shelton MM,, Journal of holistic nursing : official journal of the American Holistic Nurses' Association, 2012 Sep     [PubMed]
Mindfulness and rumination: does mindfulness training lead to reductions in the ruminative thinking associated with depression?, Deyo M,Wilson KA,Ong J,Koopman C,, Explore (New York, N.Y.), 2009 Sep-Oct     [PubMed]
Mindfulness in medicine., Ludwig DS,Kabat-Zinn J,, JAMA, 2008 Sep 17     [PubMed]
Cultivating mindfulness: effects on well-being., Shapiro SL,Oman D,Thoresen CE,Plante TG,Flinders T,, Journal of clinical psychology, 2008 Jul     [PubMed]
Mindfulness-based cognitive therapy for generalized anxiety disorder., Evans S,Ferrando S,Findler M,Stowell C,Smart C,Haglin D,, Journal of anxiety disorders, 2008 May     [PubMed]
Mindfulness meditation to reduce symptoms after organ transplant: a pilot study., Gross CR,Kreitzer MJ,Russas V,Treesak C,Frazier PA,Hertz MI,, Advances in mind-body medicine, 2004 Summer     [PubMed]
Mindfulness meditation to reduce symptoms after organ transplant: a pilot study., Gross CR,Kreitzer MJ,Russas V,Treesak C,Frazier PA,Hertz MI,, Alternative therapies in health and medicine, 2004 May-Jun     [PubMed]
The power of the human heart: a story of trauma and recovery and its implications for rehabilitation and healing., Meili T,Kabat-Zinn J,, Advances in mind-body medicine, 2004 Spring     [PubMed]
Alterations in brain and immune function produced by mindfulness meditation., Davidson RJ,Kabat-Zinn J,Schumacher J,Rosenkranz M,Muller D,Santorelli SF,Urbanowski F,Harrington A,Bonus K,Sheridan JF,, Psychosomatic medicine, 2003 Jul-Aug     [PubMed]
Mindfulness meditation in the control of severe headache., Sun TF,Kuo CC,Chiu NM,, Chang Gung medical journal, 2002 Aug     [PubMed]
Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemotherapy (PUVA)., Kabat-Zinn J,Wheeler E,Light T,Skillings A,Scharf MJ,Cropley TG,Hosmer D,Bernhard JD,, Psychosomatic medicine, 1998 Sep-Oct     [PubMed]
Meditation, melatonin and breast/prostate cancer: hypothesis and preliminary data., Massion AO,Teas J,Hebert JR,Wertheimer MD,Kabat-Zinn J,, Medical hypotheses, 1995 Jan     [PubMed]
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders., Kabat-Zinn J,Massion AO,Kristeller J,Peterson LG,Fletcher KE,Pbert L,Lenderking WR,Santorelli SF,, The American journal of psychiatry, 1992 Jul     [PubMed]
Compliance with an outpatient stress reduction program: rates and predictors of program completion., Kabat-Zinn J,Chapman-Waldrop A,, Journal of behavioral medicine, 1988 Aug     [PubMed]
The clinical use of mindfulness meditation for the self-regulation of chronic pain., Kabat-Zinn J,Lipworth L,Burney R,, Journal of behavioral medicine, 1985 Jun     [PubMed]
An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results., Kabat-Zinn J,, General hospital psychiatry, 1982 Apr     [PubMed]

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