Evidence map›Paper›PMID 33657083›Full record

Trial reportPsychosomatic medicine

Mindfulness-Based Stress Reduction Buffers Glucocorticoid Resistance Among Older Adults: A Randomized Controlled Trial.

Emily K Lindsay, J David Creswell, Harrison J Stern, Carol M Greco, Janine M Dutcher, Sarah Lipitz, Catherine P Walsh, Aidan G C Wright, Kirk Warren Brown, Anna L Marsland

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02888600 (Stress Management Training for Healthy Aging), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02888600 nacompletednot on this map

Stress Management Training for Healthy Aging

TypeinterventionalSponsorCarnegie Mellon UniversityRan2016 to 2020Enrolled190ConditionsPsychological Stress, LonelinessArmsMindfulness Training, Health Education
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Mindfulness-based stress reduction and loneliness in older adults: two randomized controlled trials.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Emily K LindsayFrom the University of Pittsburgh (Lindsay, Stern, Greco, Walsh, Wright, Marsland); Carnegie Mellon University (Creswell, Dutcher, Lipitz), Pittsburgh, Pennsylvania; and Virginia Commonwealth University (Brown), Richmond, Virginia.
J David Creswell
Harrison J Stern
Carol M Greco
Janine M Dutcher
Sarah Lipitz
Catherine P Walsh
Aidan G C Wright
Kirk Warren Brown
Anna L Marsland
MaRS · CA

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
CARDIOVASCULAR BEHAVIORAL MEDICINE RESEARCH TRAININGT32HL007560 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Peter J Gianaros, REBECCA C THURSTON · 1985 to 2026
$11.3M
Mindfulness Meditation Training in Lonely Older AdultsR01AT008685 · NCCIH · CARNEGIE-MELLON UNIVERSITY · PI CRESWELL, JOHN DAVID · 2015 to 2019
$2.9M
Training in Renal, GI, Endocrine, and Epithelial BiologyT35DK065521 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEFRANCO, DONALD B, JURCZAK, MICHAEL J. · 2004 to 2024
$811k
Biological Mechanisms of Mindfulness Training for HealthF32AT009508 · NCCIH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LINDSAY, EMILY · 2017 to 2019
$190k
NCATS NIH HHS UL1 TR001857NCCIH NIH HHS F32 AT009508NCCIH NIH HHS R01 AT008685NHLBI NIH HHS T32 HL007560NIDDK NIH HHS T35 DK065521
6 · The paper itself

Abstract

objectiveMindfulness interventions have been effective for improving a range of health outcomes; however, pathways underlying these effects remain unclear. Inflammatory processes may play a role, possibly through increased resistance of immune cells to the anti-inflammatory effects of glucocorticoids (i.e., glucocorticoid resistance, or GCR). Here, we conducted an initial examination of whether mindfulness training mitigates GCR among lonely older adults.

methodsLonely older adults (65-85 years; n = 190) were randomly assigned to an 8-week Mindfulness-Based Stress Reduction (MBSR) or a matched Health Enhancement Program (HEP). Whole blood drawn before and after the intervention and at 3-month follow-up was incubated with endotoxin and varying concentrations of dexamethasone, and interleukin-6 production was assessed using enzyme-linked immunosorbent assay. GCR was assessed as the concentration of dexamethasone required to decrease the stimulated interleukin-6 response by 50% (half maximal inhibitory concentration), with higher concentrations indicating greater GCR. Mixed-effects linear models tested time (pre, post, follow-up) by condition (MBSR versus HEP) effects.

resultsThere was no overall time by condition effect on GCR across all time points. However, a significant time by condition effect was observed from preintervention to postintervention (d = 0.29), such that MBSR buffered increases in GCR observed in the HEP group. Although MBSR showed small, nonsignificant reductions in GCR from preintervention to 3-month follow-up, group differences were not maintained at the 3-month follow-up (d = 0.10).

conclusionsResults suggest that MBSR may protect against declines in the sensitivity of immune cells to the anti-inflammatory effects of glucocorticoids among at-risk lonely older adults and show value in studying this biological mechanism in future trials.Trial Registration: Clinical Trials identifier NCT02888600.

Indexed as

MindfulnessAgedAged, 80 and overGlucocorticoidsHumansInterleukin-6Stress, PsychologicalTreatment OutcomeGlucocorticoidsInterleukin-6

Identifiers

PMID33657083
PMCPMC8254739
OpenAlexW3133895950

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.