Skip to main navigation menu Skip to main content Skip to site footer

Review

Vol. 10 No. 1 (2022): Jurnal Keperawatan Padjadjaran

The Effect of Different Modalities of Mindfulness-Based Interventions on Blood Pressure

DOI
https://doi.org/10.24198/jkp.v10i1.1946
Submitted
December 27, 2021
Published
2022-04-30

Abstract

Background: Hypertension is one of the major killers around the world resulting in 7.6 million deaths and 92 million disability-adjusted life years (DALYs) per year (Lawes et al., 2001). Mindfulness-based interventions (MBIs) have been studied as nonpharmacological modalities of lowering blood pressure. However, the evidence about the different modalities of MBIs is still unclear. Purpose: The aim of this review is to identify the evidence about the effect of different MBIs on lowering blood pressure among different populations including hypertensive patients and healthy individuals. Methods: Pubmed, Cochrane Central Register of Controlled Trials (Ovid) and EBSCO databases were systematically used to search by using the keywords “(mindfulness) AND (blood pressure)â€. All trials published from 1989 to July 2021 that reported the effect of MBIs on blood pressure as primary or secondary outcomes were included. Trials that did not report their results in English were excluded. Titles and abstracts were first screened for eligibility. Eligible studies were then fully reviewed and summarized. Results: A total of 53 research articles were included in this review with 3947 participants. They include patients with hypertension, cardiovascular diseases, obesity, cancer, stress, diabetes, pregnancy and healthy individuals. Articles were classified and sorted according to the modality of MBI used for better comparison. Conclusion: MBI modalities that are instructor guided and include breathing and/or physical exercises might result in a significant reduction of BP, especially among patients with HTN and/or anxiety. This effect could be complemented by other pharmacological and non-pharmacological interventions.

Article Matrics
Abstract views : 790 times PDF Downloads: 711

Downloads

Download data is not yet available.

References

  1. Abbott, R. A., Whear, R., Rodgers, L. R., Bethel, A., Thompson Coon, J., Kuyken, W., Stein, K., & Dickens, C. (2014). Effectiveness of mindfulness-based stress reduction and mindfulness-based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. Journal of Psychosomatic Research, 76(5), 341-351. https://doi.org/10.1016/j.jpsychores.2014.02.012
  2. Ahmadpanah, M., Paghale, S. J., Bakhtyari, A., Kaikhavani, S., Aghaei, E., Nazaribadie, M., Holsboer-Trachsler, E., & Brand, S. (2016). Effects of psychotherapy in combination with pharmacotherapy, when compared to pharmacotherapy only on blood pressure, depression, and anxiety in female patients with hypertension. Journal of Health Psychology, 21(7), 1216-1227. https://doi.org/10.1177/1359105314550350
  3. Bonnaire, C., Barrault, S., Aïte, A., Cassotti, M., Moutier, S., & Varescon, I. (2017). Relationship between pathological gambling, alexithymia, and gambling type. The American journal on addictions, 26(2), 152-160.
  4. Alamout, M. M., Rahmanian, M., Aghamohammadi, V., Mohammadi, E., & Nasiri, K. (2020). Effectiveness of mindfulness-based cognitive therapy on weight loss, improvement of hypertension and attentional bias to eating cues in overweight people. International Journal of Nursing Sciences, 7(1), 35-40. https://doi.org/10.1016/j.ijnss.2019.12.010
  5. Alexander, C. N., Langer, E. J., Newman, R. I., Chandler, H. M., & Davies, J. L. (1989). Transcendental Meditation, mindfulness, and longevity: An experimental study with the elderly. Journal of Personality and Social Psychology, 57(6), 950-964. https://doi.org/10.1037/0022-3514.57.6.950
  6. Amutio, A., Martínez-Taboada, C., Delgado, L. C., Hermosilla, D., & Mozaz, M. J. (2015). Acceptability and effectiveness of a long-term educational intervention to reduce physicians’ stress-related conditions. The Journal of Continuing Education in the Health Professions, 35(4), 255-260. https://doi.org/10.1097/ceh.0000000000000002
  7. Blom, K., Baker, B., How, M., Dai, M., Irvine, J., Abbey, S., Abramson, B. L., Myers, M. G., Kiss, A., Perkins, N. J., & Tobe, S. W. (2014). Hypertension analysis of stress reduction using mindfulness meditation and yoga: results from the HARMONY randomized controlled trial. American Journal of Hypertension, 27(1), 122-129. https://doi.org/10.1093/ajh/hpt134
  8. Bostock, S., Crosswell, A. D., Prather, A. A., & Steptoe, A. (2019). Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being. Journal of Occupational Health Psychology, 24(1), 127-138. https://doi.org/10.1037/ocp0000118
  9. Campbell, T. S., Labelle, L. E., Bacon, S. L., Faris, P., & Carlson, L. E. (2012). Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: a waitlist-controlled study. Journal of Behavioral Medicine, 35(3), 262-271. https://doi.org/10.1007/s10865-011-9357-1
  10. Chen, Y., Yang, X., Wang, L., & Zhang, X. (2013). A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Education Today, 33(10), 1166-1172. https://doi.org/10.1016/j.nedt.2012.11.014
  11. Chesney, M., Reeves, A., Goldberger, W., Mehling, W., Avins, A., Pressman, A., & Anderson, D. (2016). Mindful breathing effects on respiration and blood pressure in prehypertensive women. Journal of Alternative and Complementary Medicine, 22(6), A92-A93.
  12. Coelho, B. A., Paiva, S. de P. C., & da Silva Filho, A. L. (2018). Extremely brief mindfulness interventions for women undergoing breast biopsies: a randomized controlled trial. Breast Cancer Research and Treatment, 171(3), 685-692. https://doi.org/10.1007/s10549-018-4869-9
  13. Conversano, C., Orrù, G., Pozza, A., Miccoli, M., Ciacchini, R., Marchi, L., & Gemignani, A. (2021). Is mindfulness-based stress reduction effective for people with hypertension? A systematic review and meta-analysis of 30 years of evidence. International Journal of Environmental Research and Public Health, 18(6), 2882. https://doi.org/10.3390/ijerph18062882
  14. Creswell, J. D., Pacilio, L. E., Lindsay, E. K., & Brown, K. W. (2014). Brief mindfulness meditation training alters psychological and neuroendocrine responses to social evaluative stress. Psychoneuroendocrinology, 44, 1-12. https://doi.org/10.1016/j.psyneuen.2014.02.007
  15. Crosswell, A. D., Moreno, P. I., Raposa, E. B., Motivala, S. J., Stanton, A. L., Ganz, P. A., & Bower, J. E. (2017). Effects of mindfulness training on emotional and physiologic recovery from induced negative affect. Psychoneuroendocrinology, 86, 78-86. https://doi.org/10.1016/j.psyneuen.2017.08.003
  16. Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., Dallman, M., Lustig, R. H., Grunfeld, C., Nixon, D. F., Milush, J. M., Goldman, V., Laraia, B., Laugero, K. D., Woodhouse, L., Epel, E. S., & Hecht, F. M. (2016). Effects of a mindfulness-based weight loss intervention in adults with obesity: A randomized clinical trial: Mindfulness-Based Weight Loss for Obesity. Obesity (Silver Spring, Md.), 24(4), 794-804. https://doi.org/10.1002/oby.21396
  17. Ditto, B., Eclache, M., & Goldman, N. (2006). Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 32(3), 227-234. https://doi.org/10.1207/s15324796abm3203_9
  18. Ee, C., de Courten, B., Avard, N., de Manincor, M., Al-Dabbas, M. A., Hao, J., McBride, K., Dubois, S., White, R. L., Fleming, C., Egger, G., Blair, A., Stevens, J., MacMillan, F., Deed, G., Grant, S., Templeman, K., & Chang, D. (2020). Shared medical appointments and mindfulness for type 2 diabetes-A mixed-methods feasibility study. Frontiers in Endocrinology, 11, 570777. https://doi.org/10.3389/fendo.2020.570777
  19. Eisenberg, D. M., Righter, A. C., Matthews, B., Zhang, W., Willett, W. C., & Massa, J. (2019). Feasibility pilot study of a Teaching Kitchen and self-care curriculum in a workplace setting. American Journal of Lifestyle Medicine, 13(3), 319-330. https://doi.org/10.1177/1559827617709757
  20. Gainey, A., Himathongkam, T., Tanaka, H., & Suksom, D. (2016). Effects of Buddhist walking meditation on glycemic control and vascular function in patients with type 2 diabetes. Complementary Therapies in Medicine, 26, 92-97. https://doi.org/10.1016/j.ctim.2016.03.009
  21. Gotink, R. A., Younge, J. O., Wery, M. F., Utens, E. M. W. J., Michels, M., Rizopoulos, D., van Rossum, L. F. C., Roos-Hesselink, J. W., & Hunink, M. M. G. (2017). Online mindfulness as a promising method to improve exercise capacity in heart disease: 12-month follow-up of a randomized controlled trial. PloS One, 12(5), e0175923. https://doi.org/10.1371/journal.pone.0175923
  22. Grant, C., Hobkirk, A., Persons, E., Hwang, V., & Danoff-Burg, S. (2013). Cardiovascular reactivity to and recovery from stressful tasks following a mindfulness analog in college students with a family history of hypertension. Journal of Alternative and Complementary Medicine (New York, N.Y.), 19(4), 341-346. https://doi.org/10.1089/acm.2011.0880
  23. Gu, Y., & Zhu, Y. (2018). TCTAP A-138 effects of mindfulness-based stress reduction on components of the metabolic syndrome in patients with coronary heart disease: A randomized controlled trial. Journal of the American College of Cardiology, 71(16), S38. https://doi.org/10.1016/j.jacc.2018.03.125
  24. Hilcove, K., Marceau, C., Thekdi, P., Larkey, L., Brewer, M. A., & Jones, K. (2021). Holistic nursing in practice: Mindfulness-based yoga as an intervention to manage stress and burnout. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses’ Association, 39(1), 29-42. https://doi.org/10.1177/0898010120921587
  25. Hughes, J. W., Fresco, D. M., Myerscough, R., van Dulmen, M. H. M., Carlson, L. E., & Josephson, R. (2013). Randomized controlled trial of mindfulness-based stress reduction for prehypertension. Psychosomatic Medicine, 75(8), 721-728. https://doi.org/10.1097/PSY.0b013e3182a3e4e5
  26. Intarakamhang, U., Macaskill, A., & Prasittichok, P. (2020). Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis. Heliyon, 6(4), e03834. https://doi.org/10.1016/j.heliyon.2020.e03834
  27. Johnson, K. T., Merritt, M. M., Zawadzki, M. J., Di Paolo, M. R., & Ayazi, M. (2019). Cardiovascular and affective responses to speech and anger: Proactive benefits of a single brief session of mindfulness meditation. Journal of Applied Biobehavioral Research, 24(3), e12167. https://doi.org/10.1111/jabr.12167
  28. Kabat-Zinn, J. (1990). Full catastrophe living : using the wisdom of your body and mind to face stress, pain, and illness.
  29. Kalinowski, J., Castaneda, S. F., Allison, M. A., Duberstein, Z. T., Kaur, K., Rutigliano, M., Jin, P., Fredericks, S., Yepez, M., Sperber, S. H., Payano, L., Ogedegbe, G., & Spruill, T. M. (2021). Abstract P191: Telephone-based mindfulness training in diverse prehypertensive women: Results of A pilot randomized controlled trial. Circulation, 143(Suppl_1). https://doi.org/10.1161/circ.143.suppl_1.p191
  30. Kingston, J., Chadwick, P., Meron, D., & Skinner, T. C. (2007). A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. Journal of Psychosomatic Research, 62(3), 297-300. https://doi.org/10.1016/j.jpsychores.2006.10.007
  31. Kopf, S., Oikonomou, D., Hartmann, M., Feier, F., Faude-Lang, V., Morcos, M., Häring, H.-U., Herzog, W., Bierhaus, A., Humpert, P. M., & Nawroth, P. P. (2014). Effects of stress reduction on cardiovascular risk factors in type 2 diabetes patients with early kidney disease - results of a randomized controlled trial (HEIDIS). Experimental and Clinical Endocrinology & Diabetes, 122(6), 341-349. https://doi.org/10.1055/s-0034-1372583
  32. Lawes, C. M. M., Vander Hoorn, S., Rodgers, A., & International Society of Hypertension. (2008). Global burden of blood-pressure-related disease, 2001. Lancet, 371(9623), 1513-1518. https://doi.org/10.1016/S0140-6736(08)60655-8
  33. Lindsay, E. K., Young, S., Smyth, J. M., Brown, K. W., & Creswell, J. D. (2018). Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial. Psychoneuroendocrinology, 87, 63-73. https://doi.org/10.1016/j.psyneuen.2017.09.015
  34. Manigault, A. W., Scanlin, M., Hamilton, K., Hollenbeck, C., Slepian, M., Strauss, C., Haynes, E., Bryant, A., Thiessen, C., Woody, A., Shorey, R., & Zoccola, P. (2018). Participation in a 6-week mindfulness based stress reduction intervention uniquely predicts blood pressure recovery from repeated acute stress. Psychosomatic Medicine, 80(3), A66-A67.
  35. Manigault, Andrew W., Shorey, R. C., Decastro, G., Appelmann, H. M., Hamilton, K. R., Scanlin, M. C., France, C. R., & Zoccola, P. M. (2021). Standardized stress reduction interventions and blood pressure habituation: Secondary results from a randomized controlled trial. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 40(3), 196-206. https://doi.org/10.1037/hea0000954
  36. Marino, F., Failla, C., Carrozza, C., Ciminata, M., Chilà , P., Minutoli, R., Genovese, S., Puglisi, A., Arnao, A. A., Tartarisco, G., Corpina, F., Gangemi, S., Ruta, L., Cerasa, A., Vagni, D., & Pioggia, G. (2021). Mindfulness-based interventions for physical and psychological wellbeing in cardiovascular diseases: A systematic review and meta-analysis. Brain Sciences, 11(6), 727. https://doi.org/10.3390/brainsci11060727
  37. Matchim, Y., Armer, J. M., & Stewart, B. R. (2011). Effects of mindfulness-based stress reduction (MBSR) on health among breast cancer survivors. Western Journal of Nursing Research, 33(8), 996-1016. https://doi.org/10.1177/0193945910385363
  38. Miller, R. L., Lucas-Thompson, R. G., Sanchez, N., Smith, A. D., Annameier, S. K., Casamassima, M., Verros, M., Melby, C., Johnson, S. A., & Shomaker, L. B. (2021). Effects of a mindfulness-induction on subjective and physiological stress response in adolescents at-risk for adult obesity. Eating Behaviors, 40(101467), 101467. https://doi.org/10.1016/j.eatbeh.2020.101467
  39. Mitsungnern, T., Srimookda, N., Imoun, S., Wansupong, S., & Kotruchin, P. (2021). The effect of pursed-lip breathing combined with number counting on blood pressure and heart rate in hypertensive urgency patients: A randomized controlled trial. Journal of Clinical Hypertension (Greenwich, Conn.), 23(3), 672-679. https://doi.org/10.1111/jch.14168
  40. Mohammadi, R., Javanmard, G. H., Alipour, A., & Zare, H. (2021). Effects of mindful breath awareness and muscle relaxation and transcranial electrical stimulation techniques on improving blood pressure status in patients with type 2 diabetes. Explore (New York, N.Y.). https://doi.org/10.1016/j.explore.2021.05.002
  41. Momeni, J., Omidi, A., Raygan, F., & Akbari, H. (2016). The effects of mindfulness-based stress reduction on cardiac patients’ blood pressure, perceived stress, and anger: a single-blind randomized controlled trial. Journal of the American Society of Hypertension: JASH, 10(10), 763-771. https://doi.org/10.1016/j.jash.2016.07.007
  42. Muthukrishnan, S., Jain, R., Kohli, S., & Batra, S. (2016). Effect of mindfulness meditation on perceived stress scores and autonomic function tests of pregnant Indian women. Journal of Clinical and Diagnostic Research: JCDR, 10(4), CC05-8. https://doi.org/10.7860/JCDR/2016/16463.7679
  43. Nejati, S., Zahiroddin, A., Afrookhteh, G., Rahmani, S., & Hoveida, S. (2015). Effect of group mindfulness-based stress-reduction program and conscious yoga on lifestyle, coping strategies, and systolic and diastolic blood pressures in patients with hypertension. The Journal of Tehran Heart Center, 10(3), 140-148.
  44. Ng, C. G., Lai, K. T., Tan, S. B., Sulaiman, A. H., & Zainal, N. Z. (2016). The effect of 5 minutes of mindful breathing to the perception of distress and physiological responses in palliative care cancer patients: A randomized controlled study. Journal of Palliative Medicine, 19(9), 917-924. https://doi.org/10.1089/jpm.2016.0046
  45. Nijjar, P. S., Connett, J. E., Lindquist, R., Brown, R., Burt, M., Pergolski, A., Wolfe, A., Balaji, P., Chandiramani, N., Yu, X., Kreitzer, M. J., & Everson-Rose, S. A. (2019). Randomized trial of mindfulness-based stress reduction in cardiac patients eligible for cardiac rehabilitation. Scientific Reports, 9(1), 18415. https://doi.org/10.1038/s41598-019-54932-2
  46. NyklíÄek, I., Mommersteeg, P. M. C., Van Beugen, S., Ramakers, C., & Van Boxtel, G. J. (2013). Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 32(10), 1110-1113. https://doi.org/10.1037/a0032200
  47. Oswald, L. B., Fox, R. S., Murphy, K. M., Salsman, J. M., Sanford, S., McDade, T. W., & Victorson, D. E. (2021). Feasibility of biological data collection and preliminary effects of mindfulness training on inflammatory markers and blood pressure in young adult cancer survivors. Psychosomatic Medicine, 83(7).
  48. Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., & Szanton, S. L. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 89(2), 308-316. https://doi.org/10.1007/s11524-011-9654-6
  49. Park, J., Lyles, R. H., & Bauer-Wu, S. (2014). Mindfulness meditation lowers muscle sympathetic nerve activity and blood pressure in African-American males with chronic kidney disease. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 307(1), R93-R101. https://doi.org/10.1152/ajpregu.00558.2013
  50. Parswani, M. J., Sharma, M. P., & Iyengar, S. (2013). Mindfulness-based stress reduction program in coronary heart disease: A randomized control trial. International Journal of Yoga, 6(2), 111-117. https://doi.org/10.4103/0973-6131.113405
  51. Ponte, P., Castella, M., Filella, D., Feliu, A., Matas, L., Soler, J., Ruiz, M., Sole, M. J., Ferrero, M., Aguilera, M., Roca-Cusachs, A., & Arroyo, J. A. (2018). Benefits of mindfulness meditation in reducing blood pressure and stress in patients with arterial hypertension. Journal of Hypertension, 36(Supplement 1), e294-e295. https://doi.org/10.1097/01.hjh.0000539863.81866.ac
  52. Priya, G., & Kalra, S. (2018). Mind-body interactions and mindfulness meditation in diabetes. European Endocrinology, 14(1), 35. https://doi.org/10.17925/ee.2018.14.1.35
  53. Raja-Khan, N., Agito, K., Shah, J., Stetter, C. M., Gustafson, T. S., Socolow, H., Kunselman, A. R., Reibel, D. K., & Legro, R. S. (2017). Mindfulness-based stress reduction in women with overweight or obesity: A randomized clinical trial. Obesity (Silver Spring, Md.), 25(8), 1349-1359. https://doi.org/10.1002/oby.21910
  54. Rajendran, I., Mctigue, K., Greco, C., Yabes, J., Marcum, Z., Kinzel, L., Seiler, E., & Morone, N. (2020). Minding-goals: effects of a web-based, interactive, mind-body intervention in the management of hypertension. Global Advances in Health and Medicine, 9.
  55. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2001). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Publications.
  56. Shay, M. S., Campbell, T. S., Carlson, L. E., Giesbrecht, G. F., & Tomfohr-Madsen, L. M. (2018). Mindfulness-based cognitive therapy for treatment of psychological distress in pregnancy: is there an effect on maternal autonomic response to acute stress? Psychosomatic Medicine, 80(3).
  57. Shilling, V., Scutt, G., Patel, B., Jenkins, V., Ng, A., Patel, N., Patel, M., Fathi, M., & Flint, M. (2017). A potentially useful mindfulness tool for women with breast cancer. Psycho-Oncology, 26, 17-18.
  58. Solano López, A. L. (2018). Effectiveness of the mindfulness-based stress reduction program on blood pressure: A systematic review of literature. Worldviews on Evidence-Based Nursing, 15(5), 344-352. https://doi.org/10.1111/wvn.12319
  59. Tolbaños Roche, L., Miró Barrachina, M. T., Ibáñez Fernández, I., & Betancort, M. (2017). YOGA and self-regulation in management of essential arterial hypertension and associated emotional symptomatology: A randomized controlled trial. Complementary Therapies in Clinical Practice, 29, 153-161. https://doi.org/10.1016/j.ctcp.2017.09.012
  60. Verma, N., Rastogi, S., Chia, Y.-C., Siddique, S., Turana, Y., Cheng, H.-M., Sogunuru, G. P., Tay, J. C., Teo, B. W., Wang, T.-D., Tsoi, K. K. F., & Kario, K. (2021). Non-pharmacological management of hypertension. Journal of Clinical Hypertension (Greenwich, Conn.), 23(7), 1275-1283. https://doi.org/10.1111/jch.14236
  61. Wolever, R. Q., Bobinet, K. J., McCabe, K., Mackenzie, E. R., Fekete, E., Kusnick, C. A., & Baime, M. (2012). Effective and viable mind-body stress reduction in the workplace: A randomized controlled trial. Journal of Occupational Health Psychology, 17(2), 246-258. https://doi.org/10.1037/a0027278
  62. Wright, K. D., Klatt, M. D., Adams, I. R., Nguyen, C. M., Mion, L. C., Tan, A., Monroe, T. B., Rose, K. M., & Scharre, D. W. (2021). Mindfulness in Motion and Dietary Approaches to Stop Hypertension (DASH) in hypertensive African Americans. Journal of the American Geriatrics Society, 69(3), 773-778. https://doi.org/10.1111/jgs.16947
  63. Younge, J. O., Gotink, R. A., Baena, C. P., Roos-Hesselink, J. W., & Hunink, M. G. M. (2015). Mind-body practices for patients with cardiac disease: a systematic review and meta-analysis. European Journal of Preventive Cardiology, 22(11), 1385-1398. https://doi.org/10.1177/2047487314549927
  64. Younge, J. O., Wery, M. F., Gotink, R. A., Utens, E. M. W. J., Michels, M., Rizopoulos, D., van Rossum, E. F. C., Hunink, M. G. M., & Roos-Hesselink, J. W. (2015). Web-based mindfulness intervention in heart disease: A randomized controlled trial. PloS One, 10(12), e0143843. https://doi.org/10.1371/journal.pone.0143843
  65. Zou, H., Cao, X., & Chair, S. Y. (2021). A systematic review and meta-analysis of mindfulness-based interventions for patients with coronary heart disease. Journal of Advanced Nursing, 77(5), 2197-2213. https://doi.org/10.1111/jan.14738