Skip Navigation
Skip to contents

KMJ : Kosin Medical Journal

OPEN ACCESS
SEARCH
Search

Articles

Page Path
HOME > Kosin Med J > Volume 31(2); 2016 > Article
Review Article
Women, Stress and Heart Health: Mindfulness-Based Stress Reduction and Cardiovascular Disease
Kyoung-Im Cho
Kosin Medical Journal 2016;31(2):103-112.
DOI: https://doi.org/10.7180/kmj.2016.31.2.103
Published online: January 20, 2016

Division of Cardiology, Department of Internal Medicine, College of Medicine, Kosin University, Busan, Korea

Corresponding Author: Kyoung Im Cho, Division of Cardiology, Department of Internal Medicine, Cardiovascular Research Institute, College of Medicine, Kosin University 262, Gamcheon-ro, Seo-gu, Busan 49267, Korea Tel: +82-51-990-6105, Fax: +82-51-990-3005, E-mail: kyoungim74@gmail.com
• Received: January 12, 2016   • Accepted: January 16, 2016

Copyright © 2016 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 1,241 Views
  • 37 Download
  • 2 Crossref
  • Psychological stress including depression and anxiety are independent risk factors for cardiovascular disease morbidity and mortality, especially in women. Emotional regulation plays a mediating role in the development of depression and physical illness, and can alter resting physiologic responses associated with the stress response. Mindfulness-based stress reduction (MBSR) is a structured group program that employs mindfulness meditation to alleviate suffering associated with physical, psychosomatic, and psychiatric disorders. MBSR was originally developed for the management of chronic pain, which is now used widely to reduce psychological morbidity associated with chronic illnesses and to treat emotional and behavioral disorders. In cardiovascular disease, MBSR may be helpful for controlling several risk factors for coronary heart disease such as hypertension, type 2 diabetes mellitus, dyslipidemia, oxidative and psychosocial stress, obesity, and smoking, and improvements in submaximal exercise responses and heart rate variability. Although the most effective mode of stress reduction therapy is yet to be established, increasing recognition is being given to MBSR therapy.
  • 1. Pepine CJ. Ischemic heart disease in women: facts and wishful thinking. J Am Coll Cardiol 2004;43:1727–30.ArticlePubMed
  • 2. Vaccarino V. Ischemic heart disease in women: many questions, few facts. Circ Cardiovasc Qual Outcomes 2010;3:111–5.PubMedPMC
  • 3. Grippo AJ, Johnson AK. Stress, depression and cardiovascular dysregulation: a review of neurobiological mechanisms and the integration of research from preclinical disease models. Stress 2009;12:1–21.ArticlePubMedPMC
  • 4. Hamilton S, Fagot BI. Chronic stress and coping styles: a comparison of male and female under graduates. J Pers Soc Psychol 1988;55:819–23.ArticlePubMed
  • 5. McDaniel DM, Richards CS. Coping with dysphoria: gender differences in college students. J Clin Psychol 1990;46:896–9.ArticlePubMed
  • 6. Matthews KA, Owens JF, Kuller LH, Sutton-Tyrrell K, Lassila HC, Wolfson SK. Stress-induced pulse pressure change predicts women's carotid atherosclerosis. Stroke 1998;29:1525–30.ArticlePubMed
  • 7. Ghiadoni L, Donald AE, Cropley M, Mullen MJ, Oakley G, Taylor M, et al. Mental stress induces transient endothelial dysfunction in humans. Circulation 2000;102:2473–8.ArticlePubMed
  • 8. Strawn WB, Bondjers G, Kaplan JR, Manuck SB, Schwenke DC, Hansson GK, et al. Endothelial dysfunction in response to psychosocial stress in monkeys. Circ Res 1991;68:1270–9.ArticlePubMed
  • 9. Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 1998;41:778–99.ArticlePubMed
  • 10. Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology. J Am Coll Cardiol 2005;45:637–51.PubMed
  • 11. Tofler GH, Muller JE. Triggering of acute cardiovascular disease and potential preventive strategies. Circulation 2006;114:1863–72.ArticlePubMed
  • 12. Pang KY. Hwabyung: the construction of a Korean popular illness among Korean elderly immigrant women in the United States. Cult Med Psychiatry 1990;14:495–512.ArticlePubMed
  • 13. Park YJ, Kim HS, Schwartz-Barcott D, Kim JW. The conceptual structure of hwa-byung in middle-aged Korean women. Health Care Women Int 2002;23:389–97.ArticlePubMed
  • 14. Kim HS, Cho KI. Impact of chronic emotional stress on myocardial function in postmenopausal women and its relationship with endothelial dysfunction. Korean Circ J 2013;43:295–302.ArticlePubMedPMC
  • 15. Cho KI, Shim WJ, Park SM, Kim MA, Kim HL, Son JW, et al. Association of depression with coronary artery disease and QTc interval prolongation in women with chest pain: data from the KoRean wOmen'S chest pain rEgistry (KoROSE) study. Physiol Behav 2015;143:45–50.ArticlePubMed
  • 16. Compare A, Zarbo C, Shonin E, Van Gordon W, Marconi C. Emotional Regulation and Depression: A Potential Mediator between Heart and Mind. Cardiovasc Psychiatry Neurol 2014;2014:324374.ArticlePubMedPMC
  • 17. Béliveau R. [Mindfulness based stress reduction in a cardiac medical setting: my personal (22 years) and professional (10 years) experience]. Sante Ment Que 2013;38:297–313.PMC
  • 18. Benson H, Dryer T, Hartley LH. Decreased VO2 consumption during exercise with elicitation of the relaxation response. J Human Stress 1978;4:38–42.ArticlePubMed
  • 19. Kabat-Zinn J, Lipworth L, Burney R. The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med 1985;8:163–90.ArticlePubMed
  • 20. Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psy 1992;149:936–43.Article
  • 21. Kabat-Zinn J. Bringing mindfulness to medicine: an interview with Jon Kabat-Zinn, PhD. Interview by Karolyn Gazella. Ad Mind Body Med 2005;21:22–7.
  • 22. Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry 1982;4:33–47.ArticlePubMed
  • 23. Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits. A metaanalysis. J Psychosom Res 2004;57:35–43.ArticlePubMed
  • 24. Amutio A, Martinez-Taboada C, Hermosilla D, Delgado LC. Enhancing relaxation states and positive emotions in physicians through a mindfulness training program: A one-year study. Psychol Health Med 2015;20:720–31.ArticlePubMed
  • 25. Cho KI, Lee JH, Kim SM, Lee HG, Kim TI. Assessment of endothelial function in patients with fibromyalgia–cardiac ultrasound study. Clin Rheumatol 2011;30:647–54.ArticlePubMed
  • 26. Lee JH, Cho KI, Kim SM, Lee HG, Kim TI. Arterial stiffness in female patients with fibromyalgia and its relationship to chronic emotional and physical stress. Korean Circ J 2011;41:596–602.ArticlePubMedPMC
  • 27. Cho KI, Lee JH, Lee HG, Kim SM, Kim TI. Assessment of myocardial function in patients with fibromyalgia and the relationship to chronic emotional and physical stress. Korean Circ J 2010;40:74–80.ArticlePubMedPMC
  • 28. Lush E, Salmon P, Floyd A, Studts JL, Weissbecker I, Sephton SE. Mindfulness meditation for symptom reduction in fibromyalgia: psychophysiological correlates. J Clin Psychol Med Settings 2009;16:200–7.ArticlePubMed
  • 29. Carlson LE, Speca M, Faris P, Patel KD. One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain Behav Immunity 2007;21:1038–49.Article
  • 30. Parswani MJ, Sharma MP, Iyengar S. Mindfulness based stress reduction program in coronary heart disease: A randomized control trial. Int J Yoga 2013;6:111–7.ArticlePubMedPMC
  • 31. Nyklicek I, Mommersteeg PM, Van Beugen S, Ramakers C, Van Boxtel GJ. Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health psychol 2013;32:1110–3.ArticlePubMed
  • 32. Melloni M, Sedeño L, Couto B, Reynoso M, Gelormini C, Favaloro R, et al. Preliminary evidence about the effects of meditation on interoceptive sensitivity and social cognition. Behav Brain Funct 2013;9:47.ArticlePubMedPMC
  • 33. Nijjar PS, Puppala VK, Dickinson O, Duval S, Duprez D, Kreitzer MJ, et al. Modulation of the autonomic nervous system assessed through heart rate variability by a mindfulness based stress reduction program. Int J Cardiol 2014;177:557–9.ArticlePubMed
  • 34. Tacón AM, McComb J, Caldera Y, Randolph P. Mindfulness meditation, anxiety reduction, and heart disease: a pilot study. Fam Community Health 2003;26:25–33.PubMed
  • 35. Abbott RA, Whear R, Rodgers LR, Bethel A, Thompson Coon J, Kuyken W, et al. Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and metaanalysis of randomised controlled trials. J Psychosom Res 2014;76:341–51.ArticlePubMed
  • 36. Tovote KA, Fleer J, Snippe E, Bas IV, Links TP, Emmelkamp PM, et al. Cognitive behavioral therapy and mindfulness-based cognitive therapy for depressive symptoms in patients with diabetes: design of a randomized controlled trial. BMC psychol 2013;1:17.ArticlePubMedPMC
  • 37. van Son J, Nyklicek I, Pop VJ, Blonk MC, Erdtsieck RJ, Spooren PF, et al. The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA(1c) in outpatients with diabetes (DiaMind): a randomized controlled trial. Diabetes care 2013;36:823–30.PubMedPMC
  • 38. Joo HM, Lee SJ, Chung YG, Shin IY. Effects of mindfulness based stress reduction program on depression, anxiety and stress in patients with aneurysmal subarachnoid hemorrhage. J Korean Neurosurg Soc 2010;47:345–51.ArticlePubMedPMC
  • 39. Ditto B, Eclache M, Goldman N. Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Ann Behav Med 2006;32:227–34.ArticlePubMed
  • 40. Robert McComb JJ, Tacon A, Randolph P, Caldera Y. A pilot study to examine the effects of a mindfulness-based stress-reduction and relaxation program on levels of stress hormones, physical functioning, and submaximal exercise responses. J Altern Complement Med 2004;10:819–27.ArticlePubMed

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Psychosomatic Approach to Fibromyalgia Syndrome: Concept, Diagnosis and Treatment
      Sang-Shin Lee
      Kosin Medical Journal.2021; 36(2): 79.     CrossRef
    • Investigating the effect of meditation on spiritual wellbeing of Type-2 diabetic amputees: A clinical trial study
      Ali Heydari Movahed, Fakhri Sabouhi, Reza Mohammadpourhodki, Sepideh Mahdavi, Sima Goudarzian, Malihe Amerian, Mona Mohtashami, Mansoure Kheiri, Malihe Imeni
      Heliyon.2020; 6(11): e05567.     CrossRef

    • PubReader PubReader
    • ePub LinkePub Link
    • Cite
      CITE
      export Copy
      Close
    • Download Citation
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Women, Stress and Heart Health: Mindfulness-Based Stress Reduction and Cardiovascular Disease
      Kosin Med J. 2016;31(2):103-112.   Published online January 20, 2016
      Close
    • XML DownloadXML Download

    KMJ : Kosin Medical Journal