Evidence map›Paper›PMID 39680432›Full record

ArticleJMIR bioinformatics and biotechnology2024

Effect of a Web-Based Heartfulness Program on the Mental Well-Being, Biomarkers, and Gene Expression Profile of Health Care Students: Randomized Controlled Trial.

Jayaram Thimmapuram, Kamlesh D Patel, Deepti Bhatt, Ajay Chauhan, Divya Madhusudhan, Kashyap K Bhatt, Snehal Deshpande, Urvi Budhbhatti, Chaitanya Joshi

Abstract read
In one paragraph

Article in JMIR bioinformatics and biotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
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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.

Jayaram Thimmapuram *WellSpan Health, York, PA, United States.ORCID https://orcid.org/0000-0002-3189-3863
Kamlesh D Patel *Heartfulness Institute, Hyderabad, India.ORCID https://orcid.org/0000-0001-5881-4056
Deepti Bhatt *Hospital for Mental Health, Ahmedabad, India.ORCID https://orcid.org/0000-0002-1891-9619
Ajay Chauhan *Hospital for Mental Health, Ahmedabad, India.ORCID https://orcid.org/0009-0006-6273-3252
Divya Madhusudhan *Department of Graduate Medical Education, Harvard Medical School, Boston, MA, United States.ORCID https://orcid.org/0000-0002-3712-0159
Kashyap K Bhatt *I.I Pharmacy College, New Vallabh Vidyanagar, India.ORCID https://orcid.org/0009-0008-9998-7525
Snehal Deshpande *Sneh Rehab and Education Center, Mumbai, India.ORCID https://orcid.org/0000-0002-2862-1365
Urvi Budhbhatti *Gujarat Biotechnology Research Center, Ahmedabad, India.ORCID https://orcid.org/0009-0003-2633-1983
Chaitanya Joshi *Gujarat Biotechnology Research Center, Ahmedabad, India.ORCID https://orcid.org/0000-0003-4680-2861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care students often experience high levels of stress, anxiety, and mental health issues, making it crucial to address these challenges. Variations in stress levels may be associated with changes in dehydroepiandrosterone sulfate (DHEA-S) and interleukin-6 (IL-6) levels and gene expression. Meditative practices have demonstrated effectiveness in reducing stress and improving mental well-being.

objectiveThis study aims to assess the effects of Heartfulness meditation on mental well-being, DHEA-S, IL-6, and gene expression profile.

methodsThe 78 enrolled participants were randomly assigned to the Heartfulness meditation (n=42, 54%) and control (n=36, 46%) groups. The participants completed the Perceived Stress Scale (PSS) and Depression Anxiety Stress Scale (DASS-21) at baseline and after week 12. Gene expression with messenger RNA sequencing and DHEA-S and IL-6 levels were also measured at baseline and the completion of the 12 weeks. Statistical analysis included descriptive statistics, paired t test, and 1-way ANOVA with Bonferroni correction.

resultsThe Heartfulness group exhibited a significant 17.35% reduction in PSS score (from mean 19.71, SD 5.09 to mean 16.29, SD 4.83; P<.001) compared to a nonsignificant 6% reduction in the control group (P=.31). DASS-21 scores decreased significantly by 27.14% in the Heartfulness group (from mean 21.15, SD 9.56 to mean 15.41, SD 7.87; P<.001) while it increased nonsignificantly by 17% in the control group (P=.04). For the DASS-21 subcomponents-the Heartfulness group showed a statistically significant 28.53% reduction in anxiety (P=.006) and 27.38% reduction in stress (P=.002) versus an insignificant 22% increase in anxiety (P=.02) and 6% increase in stress (P=.47) in the control group. Further, DHEA-S levels showed a significant 20.27% increase in the Heartfulness group (from mean 251.71, SD 80.98 to mean 302.74, SD 123.56; P=.002) compared to an insignificant 9% increase in the control group (from mean 285.33, SD 112.14 to mean 309.90, SD 136.90; P=.10). IL-6 levels showed a statistically significant difference in both the groups (from mean 4.93, SD 1.35 to mean 3.67, SD 1.0; 28.6%; P<.001 [Heartfulness group] and from mean 4.52, SD 1.40 to mean 2.72, SD 1.74; 40%; P<.001 [control group]). Notably, group comparison at 12 weeks revealed a significant difference in perceived stress, DASS-21 and its subcomponents, and IL-6 (all P<.05/4). The gene expression profile with messenger RNA sequencing identified 875 upregulated genes and 1539 downregulated genes in the Heartfulness group compared to baseline, and there were 292 upregulated genes and 1180 downregulated genes in the Heartfulness group compared to the control group after the intervention.

conclusionsHeartfulness practice was associated with decreased depression, anxiety, and stress scores and improved health measures in DHEA-S and IL-6 levels. The gene expression data point toward possible mechanisms of alleviation of symptoms of stress, anxiety and depression.

trial registrationISRCTN Registry ISRCTN82860715; https://doi.org/10.1186/ISRCTN82860715.

Indexed as

anxietybioinformaticsbiomarkerdehydroepiandrosteronedepressionDHEAgenegene expressionhealth care studentsheartfulnessinterleukinsmeditationmentalmental healthmental well-beingmessenger ribonucleic acidmRNAnursingpharmacyphysiotherapyrandomizedrandomized studyRNAstatistical analysisstressstudentweb-basedweb-based programwell-beingyoung adultsyouth

Identifiers

PMID39680432
PMCPMC11686021

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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.