Evidence map›Paper›PMID 33858395›Full record

Trial reportBMC complementary medicine and therapies2021

The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study.

Zsofia P Cohen, Kelly T Cosgrove, Elisabeth Akeman, Sara Coffey, Kent Teague, Jennifer Hays-Grudo, Martin P Paulus, Robin L Aupperle, Namik Kirlic

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

Trial report in BMC complementary medicine and therapies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03633903 (Mindfulness for Resilience in Early Life), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT03633903 nacompletednot on this map

Mindfulness for Resilience in Early Life

TypeinterventionalSponsorLaureate Institute for Brain Research, Inc.Ran2018 to 2019Enrolled40ConditionsAdolescent With Early Life Stress, ResilienceArmsMindfulness
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  13. Utilization of Mind-Body Intervention for Integrative Health Care of COVID-19 Patients and Survivors.International journal of environmental research and public health · 2022
    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

9 authors at 4 institutions in 1 country.

Zsofia P CohenLaureate Institute for Brain Research, 6655 S Yale Avenue, Tulsa, OK, 74136, USA.
Kelly T CosgroveLaureate Institute for Brain Research, 6655 S Yale Avenue, Tulsa, OK, 74136, USA.
Elisabeth AkemanLaureate Institute for Brain Research, 6655 S Yale Avenue, Tulsa, OK, 74136, USA.
Sara CoffeyCenter for Health Sciences, Oklahoma State University - Tulsa, 1111 W 17th St, Tulsa, OK, 74107, USA.
Kent TeagueCenter for Health Sciences, Oklahoma State University - Tulsa, 1111 W 17th St, Tulsa, OK, 74107, USA.
Jennifer Hays-GrudoCenter for Health Sciences, Oklahoma State University - Tulsa, 1111 W 17th St, Tulsa, OK, 74107, USA.
Martin P PaulusLaureate Institute for Brain Research, 6655 S Yale Avenue, Tulsa, OK, 74136, USA.
Robin L AupperleLaureate Institute for Brain Research, 6655 S Yale Avenue, Tulsa, OK, 74136, USA.
Namik KirlicLaureate Institute for Brain Research, 6655 S Yale Avenue, Tulsa, OK, 74136, USA. nkirlic@laureateinstitute.org.
Laureate Institute for Brain Research · USOklahoma State University Center for Health Sciences · USTulsa Community College · USUniversity of Tulsa · US

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI Maëlle Camille Marie Gueguen · 2017 to 2026
$23.7M
The Impact of Maternal Adversity and Attachment Security on Infant Stress Reactivity: Prenatal Epigenetic PathwaysP20GM109097 · NIGMS · OSU CENTER FOR HEALTH SCIENCES · PI William Kyle Simmons · 2016 to 2026
$22.8M
The Role of Social and Neural Connectedness in Predicting Neurodevelopmental Functioning in AdolescenceF31HD103340 · NICHD · UNIVERSITY OF TULSA · PI COSGROVE, KELLY THERESA · 2020 to 2021
$90k
NICHD NIH HHS F31 HD103340NIGMS NIH HHS P20 GM109097
6 · The paper itself

Abstract

backgroundEarly life stress (ELS) has been linked to poor mental and physical health outcomes in adolescence and adulthood. Mindfulness reduces symptoms of depression and anxiety and improves cognitive and social outcomes in both youth and adults. However, little is known whether mindfulness can mitigate against the adverse neurobiological and psychological effects of ELS. This study aimed to examine the feasibility of conducting a group mindfulness intervention in adolescents with ELS and provide preliminary indication of potential effects on stress-related biomarkers and mental health symptoms.

methodsForty adolescents were randomized to receive either eight sessions of Mindfulness-Based Stress Reduction for Teens in group format (MBSR-T; n = 21) or Treatment as Usual Control group (CTRL; n = 17). Outcomes were assessed at baseline and follow-up and included measures associated with neurobiological functioning (immune and endocrine biomarkers) and self-reported mental health (depressive) symptoms. Linear mixed effects models were used to assess the effects of group and time on these outcome measures.

resultsSixteen of the 21 adolescents completed the intervention, attending an average of 6.5 sessions. The model examining cortisol responses to stress induction revealed medium effects trending toward significance (Cohen's d = .56) for anticipatory cortisol levels in the MBSR-T relative to CTRL groups. No significant effects were found in models examining C-reactive protein or interleukin 6 inflammatory markers. The model examining depressive symptoms revealed a medium effect for symptom reduction (Cohen's d = .69) in the MBSR-T relative to CTRL groups.

conclusionsThis study demonstrated feasibility of conducting a group-based MBSR-T intervention for adolescents with ELS. There was some evidence for efficacy on a symptom level with potential subtle changes on a biological level. Future larger studies are needed to determine the efficacy of group-based mindfulness interventions in this population.

trial registrationIdentifier # NCT03633903 , registered 16/08/2018.

Indexed as

MindfulnessAdverse Childhood ExperiencesAnimalsFeasibility StudiesFemaleHumansMaleMicePsychometricsStress, PsychologicalTreatment OutcomeAdolescenceCortisolEarly life stressEpigeneticInflammationMindfulnessPreventionResilience

Identifiers

PMID33858395
PMCPMC8050904
OpenAlexW3130987373

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.