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Relationship of Mindfulness to Distress and Cortisol Response in Adolescent Girls At-Risk for Type 2 Diabetes.

Amanda Skoranski, Nichole R Kelly, Rachel M Radin, Katherine A Thompson, Ovidiu Galescu, Andrew P Demidowich, Sheila M Brady, Kong Y Chen, Marian Tanofsky-Kraff, Jack A Yanovski, Lauren B Shomaker

Journal of Child and Family Studies March 19, 2018 DOI: 10.1007/s10826-018-1065-9 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Sample size 119
Population Adolescent girls aged 12-17 years with overweight/obesity, a family history of diabetes, and mild-to-moderate depressive symptoms
Topics Anxiety Depression Meditation
Keywords Stress Adolescence Dispositional mindfulness
Key findings Greater dispositional mindfulness was associated with less perceived pain and negative affect during and after a cold-pressor stressor, but was unrelated to cortisol response. Regardless of mindfulness level, greater depressive and anxiety symptoms related to a more blunted cortisol response. The authors propose that mindfulness may promote distress tolerance by altering how adolescents perceive and relate to acute stress rather than through the physiological stress response.

Abstract

Altered stress response theoretically contributes to the etiology of cardiometabolic disease. Mindfulness may be a protective buffer against the effects of stress on health outcomes by altering how individuals evaluate and respond to stress. We engaged adolescent girls at risk for developing Type 2 diabetes in a cold-pressor test in order to determine the relationship of dispositional mindfulness to cortisol response and subjective stress, including perceived pain and unpleasantness during the stressor, and negative affect following the stressor. We also evaluated mindfulness as a moderator of psychological distress (depressive/anxiety symptoms) and stress response. Participants were 119 girls age 12-17 years with overweight/obesity, family history of diabetes, and mild-to-moderate depressive symptoms. Greater mindfulness was associated with less perceived pain and negative affect, but was unrelated to cortisol response to the stressor. Regardless of mindfulness, greater depressive/anxiety symptoms related to a more blunted cortisol response. Mindfulness might promote better distress tolerance in adolescents at risk for diabetes by altering how youth perceive and relate to acute stress, rather than through altering the physiological stress response. At all levels of mindfulness, depressive/anxiety symptoms relate to greater blunting of cortisol response. Findings contribute to emerging literature on the role of mindfulness in promoting the mental and physical health and well-being of individuals at risk for Type 2 diabetes.

Comparable studies

Other observational and cohort studies on meditation, most cited first.

Study Year Design Participants
Using Self-Report Assessment Methods to Explore Facets of Mindfulness Undergraduate students 2006 Observational cohort
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice Long-term Buddhist practitioners and controls 2004 Observational cohort

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