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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04125758
Other study ID # 2019-0153
Secondary ID A487400L&S/PSYCH
Status Completed
Phase N/A
First received
Last updated
Start date January 21, 2020
Est. completion date November 30, 2022

Study information

Verified date December 2022
Source University of Wisconsin, Madison
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Chronic stress has been shown to impact long-term emotional and physical health. When nearly three-quarters of Americans report stress at levels that exceed what they consider healthy, there is a desperate need to understand factors that contribute to effective stress regulation. This work seeks to develop a measure tied to awareness and acceptance of stress that has shown promise as a predictor of multiple markers of mental and physical well-being, understand how it relates to awareness of the body, and explore whether it can be trained to alleviate suffering and promote well-being. This study aims to 1) Conceptually replicate and extend previous findings linking greater stress-physiology coherence to higher well-being. 2) Assess whether awareness of physiology is associated with stress-physiology coherence. 3) Explore whether stress-physiology coherence can be trained through a brief mindfulness training intervention.


Recruitment information / eligibility

Status Completed
Enrollment 120
Est. completion date November 30, 2022
Est. primary completion date November 30, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: 1. Age 18 to 65; 2. Comfortable reading, writing, and conversing in English 3. U.S. Citizen or permanent resident (for payment purposes) 4. Have a smartphone compatible with our study app Exclusion Criteria: 1. Significant past experience with meditation, yoga, tai chi, or qi gong; 2. Current or past psychotic disorder, Bipolar Disorder, PTSD, or social phobia; 3. Current, severe major depressive episode; 4. Current, severe generalized anxiety; 5. Active prescription stimulant use (current or in the past month); 6. Active prescription beta-blocker, beta-agonist, anti-high blood pressure, or anti-anxiety medication use (current or in the past month); 7. Currently pregnant (due to physiological changes); 8. History of neurological disorder; 9. Currently diagnosed with high blood pressure, or heart murmur; 10. Have a pacemaker 11. Have participated in the Trier Social Stress Test previously

Study Design


Related Conditions & MeSH terms

  • Not Seeking to Treat Any Conditions

Intervention

Behavioral:
Mindfulness training
Brief audio recordings discussing mindfulness or guided mindfulness practices.
Tracking time spent on mobile device
Participants will record each day how much time they estimate they spent on their smart phone in the past 24 hours.

Locations

Country Name City State
United States University of Wisconsin - Madison Madison Wisconsin

Sponsors (2)

Lead Sponsor Collaborator
University of Wisconsin, Madison Mind and Life Institute, Hadley, Massachusetts

Country where clinical trial is conducted

United States, 

References & Publications (28)

Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D, Williams JM. Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment. 2008 Sep;15(3):329-42. doi: 10.1177/1073191107313003. Epub 2008 Feb 29. — View Citation

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Birkett MA. The Trier Social Stress Test protocol for inducing psychological stress. J Vis Exp. 2011 Oct 19;(56):3238. doi: 10.3791/3238. — View Citation

Brener J, Liu X, Ring C. A method of constant stimuli for examining heartbeat detection: comparison with the Brener-Kluvitse and Whitehead methods. Psychophysiology. 1993 Nov;30(6):657-65. doi: 10.1111/j.1469-8986.1993.tb02091.x. — View Citation

Brener J, Ring C, Liu X. Effects of data limitations on heartbeat detection in the method of constant stimuli. Psychophysiology. 1994 May;31(3):309-12. doi: 10.1111/j.1469-8986.1994.tb02219.x. — View Citation

Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4. — View Citation

Campbell J, Ehlert U. Acute psychosocial stress: does the emotional stress response correspond with physiological responses? Psychoneuroendocrinology. 2012 Aug;37(8):1111-34. doi: 10.1016/j.psyneuen.2011.12.010. Epub 2012 Jan 18. — View Citation

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Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available. — View Citation

Darwin, C. (2009). The expression of the emotions in man and animals (P. Ekman, Ed.). Oxford, England: Oxford University Press. (Original work published 1872)

Ekman, P. (1992). An argument for basic emotions. Cognition & emotion, 6(3-4), 169-200.

Gamez W, Chmielewski M, Kotov R, Ruggero C, Suzuki N, Watson D. The brief experiential avoidance questionnaire: development and initial validation. Psychol Assess. 2014 Mar;26(1):35-45. doi: 10.1037/a0034473. Epub 2013 Sep 23. — View Citation

Garfinkel SN, Manassei MF, Hamilton-Fletcher G, In den Bosch Y, Critchley HD, Engels M. Interoceptive dimensions across cardiac and respiratory axes. Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708):20160014. doi: 10.1098/rstb.2016.0014. Epub 2016 Oct 10. — View Citation

Gillanders DT, Bolderston H, Bond FW, Dempster M, Flaxman PE, Campbell L, Kerr S, Tansey L, Noel P, Ferenbach C, Masley S, Roach L, Lloyd J, May L, Clarke S, Remington B. The development and initial validation of the cognitive fusion questionnaire. Behav Ther. 2014 Jan;45(1):83-101. doi: 10.1016/j.beth.2013.09.001. Epub 2013 Sep 18. — View Citation

Hirshberg MJ, Goldberg SB, Schaefer SM, Flook L, Findley D, Davidson RJ. Divergent effects of brief contemplative practices in response to an acute stressor: A randomized controlled trial of brief breath awareness, loving-kindness, gratitude or an attention control practice. PLoS One. 2018 Dec 12;13(12):e0207765. doi: 10.1371/journal.pone.0207765. eCollection 2018. — View Citation

Kesebir P, Gasiorowska A, Goldman R, Hirshberg MJ, Davidson RJ. Emotional Style Questionnaire: A multidimensional measure of healthy emotionality. Psychol Assess. 2019 Oct;31(10):1234-1246. doi: 10.1037/pas0000745. Epub 2019 Jul 1. — View Citation

Lang, P. J. (1988). What are the data of emotion? In V. Hamilton, G. H. Bower, & N. Frijda (Eds.), Cognitive perspectives on emotion and motivation (pp. 173-191). Amsterdam, The Netherlands: Martinus Nijhoff Publishers.

Lazarus, R. S. (1991). Emotion and adaptation. Oxford, England: Oxford University Press.

Levenson H. Multidimensional locus of control in psychiatric patients. J Consult Clin Psychol. 1973 Dec;41(3):397-404. doi: 10.1037/h0035357. No abstract available. — View Citation

Levenson, R. W. (1994). Human emotion: A functional view. In P. Ekman & R. J. Davidson (Eds.), The nature of emotion: Fundamental questions (pp. 123-126). New York, NY: Oxford University Press.

Mauss IB, Levenson RW, McCarter L, Wilhelm FH, Gross JJ. The tie that binds? Coherence among emotion experience, behavior, and physiology. Emotion. 2005 Jun;5(2):175-90. doi: 10.1037/1528-3542.5.2.175. — View Citation

Mehling WE, Acree M, Stewart A, Silas J, Jones A. The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). PLoS One. 2018 Dec 4;13(12):e0208034. doi: 10.1371/journal.pone.0208034. eCollection 2018. — View Citation

Plutchik, R. (1980). Emotion: A psychoevolutionary synthesis. New York, NY: HarperCollins College Division.

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychology Measurement, 1, 385-401.

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069-1081.

Sommerfeldt SL, Schaefer SM, Brauer M, Ryff CD, Davidson RJ. Individual Differences in the Association Between Subjective Stress and Heart Rate Are Related to Psychological and Physical Well-Being. Psychol Sci. 2019 Jul;30(7):1016-1029. doi: 10.1177/0956797619849555. Epub 2019 Jun 12. — View Citation

Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (Form Y) ("Self-Evaluation Questionnaire"). Palo Alto, CA: Consulting Psychologists Press.

Sze JA, Gyurak A, Yuan JW, Levenson RW. Coherence between emotional experience and physiology: does body awareness training have an impact? Emotion. 2010 Dec;10(6):803-14. doi: 10.1037/a0020146. — View Citation

* Note: There are 28 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Other Mean Change in Accuracy on Method of Constant Stimuli (MCS) Interoceptive Accuracy Task Participants will complete a modified version of the MCS heart beat detection task used by Brener, Ring, and Liu. Participants will be asked to report whether a series of five tones are simultaneous with five of their heart beats. Each trial involves five heart beats. Each heart beat is followed by a tone, and the lag between heart beat and tone is varied across trials with five delay conditions: 0 ms, 100 ms, 200 ms, 300 ms, 400 ms, or 500 ms. Thus, each trial involves five beat-tone pairs, separated according to a single delay condition. Delays will be pseudorandomly presented across trials. Varying delays allow for individual differences in when participants perceive their heart beat. A continuous measure of judgement precision is defined as the participant's interquartile range (IQR) of the distribution of percent of simultaneous responses for each delay condition. IQR ranges from 0 to 450. Lower IQRs indicate more consistent responses and thus higher accuracy. Baseline and post-test, separated by 4 weeks
Other Mean Change in Interoceptive Sensibility measured as the total score on the Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2) Interoceptive Sensibility measured as the total score on the Multidimensional Assessment of Interoceptive Awareness Version 2. Scores range from 0 to 185. Higher scores indicate greater interoceptive sensibility. Baseline and post-test, separated by 4 weeks
Other Mean Change in Meta-Awareness Measured on a Method of Constant Stimuli Light-Tone Task Participants will complete a Method of Constant Stimuli (MCS) light-tone task. Participants will be asked to report whether a series of five tones are simultaneous with five light flashes. Each trial involves five light-tone pairs. Each light flash is followed by a tone, and the lag between light flash and tone is varied across trials with five delay conditions: 0 ms, 100 ms, 200 ms, 300 ms, 400 ms, or 500 ms. Thus, each trial involves five light-tone pairs, separated according to a single delay condition. Delays will be pseudorandomly presented across trials. After each trial in the task, participants will be asked how confident they are in their response on a simple likert scale ranging from 1 = not at all confident to 4 = completely confident. Meta-awareness is defined as the correlation between accurate responses (simultaneous judgements at the 0 ms delay) and confidence ratings. Scores thus range from -1 to 1. Higher scores indicate more meta-awareness. Baseline and post-test, separated by 4 weeks
Other Mean Change in Total (Sum) Score on the Cognitive Fusion Questionnaire (CFQ) Cognitive Fusion Questionnaire (CFQ) total (sum) score. Scores range from 7-49. Greater numbers reflect greater cognitive fusion. Baseline and post-test, separated by 4 weeks
Other Mean Change in Internal Locus of Control Subscale Total (Sum) Score of the Locus of Control (LOC) Internal locus of control subscale total (sum) score of the Locus of Control (LOC). Scores range from 0-48 on this subscale. Higher scores indicate greater internal locus of control. Baseline and post-test, separated by 4 weeks
Other Mean Change in Total (Sum) Score on Psychological Well Being Scale (42-item version) Total score (sum) on Psychological Well Being Scale (42-item version). Scores range from 42 to 294. Higher scores indicate higher psychological well-being. Baseline and post-test, separated by 4 weeks
Other Mean Change in Total (Sum) Score on the Brief Experiential Avoidance Questionnaire (BEAQ) Brief Experiential Avoidance Questionnaire (BEAQ) total (sum) score. Scores ranger from 15 to 90. Higher scores indicate greater experiential avoidance. Baseline and post-test, separated by 4 weeks
Other Mean Change in Acceptance Subscale Total (Sum) Score of the COPE Questionnaire Acceptance subscale total (sum) score of the COPE questionnaire. Scores range from 4 to 16. Higher scores indicate more use of acceptance coping. Baseline and post-test, separated by 4 weeks
Other Mean Change in Denial Subscale Total (Sum) Score of the COPE Questionnaire Denial subscale total (sum) score of the COPE questionnaire. Scores range from 4 to 16. Higher scores indicate more use of denial coping. Baseline and post-test, separated by 4 weeks
Other Mean Change in Total (Sum) Score on Center for Epidemiological Studies Depression Inventory - Revised 20-item (CESD-R-20) Total score (sum) on Center for Epidemiological Studies Depression Inventory - Revised 20-item. Scores range from 0 to 60, with higher scores indicating more depressive symptoms. Baseline and post-test, separated by 4 weeks
Other Mean Change in Total (Sum) Score on Spielberger Trait Anxiety Inventory Y2 Total (Sum) Score on Spielberger Trait Anxiety Inventory Y2. Scores range from 20-80. Higher scores indicate greater trait anxiety. Baseline and post-test, separated by 4 weeks
Other Mean Change in Global Score on Pittsburgh Sleep Quality Index (PSQI) Global score on Pittsburgh Sleep Quality Index (PSQI). Global scores range from 0 to 21. Higher scores indicate worse sleep quality. Baseline and post-test, separated by 4 weeks
Other Mean Change in Total (Sum) Score on Perceived Stress Scale-10 (PSS-10) Total (sum) score on Perceived Stress Scale-10 (PSS-10). Scores range from 0 to 40. Higher scores indicating higher perceived stress. Baseline and post-test, separated by 4 weeks
Other Mean Change in Nonjudging of Inner Experience Subscale Total (Sum) Score on the Five Facet Mindfulness Questionnaire (FFMQ) Nonjudging of Inner Experience Subscale Total (Sum) Score on the Five Facet Mindfulness Questionnaire (FFMQ). Scores on this subscale range from 8-40. Higher scores indicate greater nonjudging of inner experience. Baseline and post-test, separated by 4 weeks
Other Mean Change in Observing Subscale Total (Sum) Score on the Five Facet Mindfulness Questionnaire (FFMQ) Observing Subscale Total (Sum) Score on the Five Facet Mindfulness Questionnaire (FFMQ). Scores on this subscale range from 8-40. Higher scores indicate greater observing of experience. Baseline and post-test, separated by 4 weeks
Other Mean Change in Self-Awareness Subscale Total (Sum) Score on the Emotional Styles Questionnaire (ESQ) Self-Awareness Subscale Total (Sum) Score on the Emotional Styles Questionnaire (ESQ). Scores on this subscale range from 4-28. Higher scores indicate greater self-awareness. Baseline and post-test, separated by 4 weeks
Other Mean Change in Difficulty Identifying Feelings Subscale Total (Sum) Score on the Toronto Alexithymia Scale (TAS-20) Difficulty Identifying Feelings Subscale Total (Sum) Score on the Toronto Alexithymia Scale (TAS-20; Bagby, Parker, & Taylor, 1994). Scores range from 20-60. Greater scores indicate stronger alexithymia. Baseline and post-test, separated by 4 weeks
Other Mean Change in Incremental Mindset Total (Average) Score on the Dweck Mindset Instrument (DWI) Scores range from 1 to 6. Lower scores indicate more fixed/entity views of intelligence and talent. Higher scores indicate more incremental/malleable views of intelligence and talent. Baseline and post-test, separated by 4 weeks
Primary Change in subjective stress-heart rate coherence Within-participant association between repeated measures of subjective stress (1-100 Visual Analog Scale rating) and heart rate over the course of a stress-induction paradigm. Stronger positive associations indicate higher stress-heart rate coherence. Baseline and post-test, separated by 4 weeks