Heart rate variability is enhanced in controls but not maladaptive perfectionists during brief mindfulness meditation following stress-induction: A stratified-randomized trial

International Journal of Psychophysiology

Volumn 98, Issue 1, 2015, Pages 27-34

  Azam, Muhammad Abid ^a   Katz, Joel ^a   Fashler, Samantha R ^a   Changoor, Tina ^a   Azargive, Saam ^a   Ritvo, Paul ^a  

^a YORK UNIVERSITY   (Canada)

Author keywords

Attention; Heart rate variability; Maladaptive perfectionism; Mindfulness meditation; Stress

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL ASSESSMENT; COGNITION; CONTROLLED STUDY; COPING BEHAVIOR; FEMALE; FOLLOW UP; HEART RATE VARIABILITY; HUMAN; MALADAPTIVE PERFECTIONISM; MALE; MINDFULNESS MEDITATION; OUTCOME ASSESSMENT; PERSONALITY; RANDOMIZED CONTROLLED TRIAL; RELAXATION TRAINING; REST; STRESS; TASK PERFORMANCE; VAGUS TONE; YOUNG ADULT; ADAPTIVE BEHAVIOR; ANALYSIS OF VARIANCE; ELECTROCARDIOGRAPHY; HEART RATE; MENTAL STRESS; MINDFULNESS; NEUROPSYCHOLOGICAL TEST; PATHOPHYSIOLOGY; PATTERN RECOGNITION; PHYSIOLOGY; PROCEDURES; REHABILITATION; TIME FACTOR;

ADAPTATION, PSYCHOLOGICAL; ANALYSIS OF VARIANCE; COGNITION; ELECTROCARDIOGRAPHY; FEMALE; HEART RATE; HUMANS; MALE; MINDFULNESS; NEUROPSYCHOLOGICAL TESTS; PATTERN RECOGNITION, PHYSIOLOGICAL; REST; STRESS, PSYCHOLOGICAL; TIME FACTORS; YOUNG ADULT;

EID: 84945488512     PISSN: 01678760     EISSN: 18727697     Source Type: Journal    
DOI: 10.1016/j.ijpsycho.2015.06.005     Document Type: Article

References (75)

1. Allen J.J.B., Chambers A.S., Towers D.N. The many metrics of cardiac chronotropy: a pragmatic primer and a brief comparison of metrics. Biol. Psychol. 2007, 74(2):243-262. 10.1016/j.biopsycho.2006.08.005.
2. Antony M.M., Purdon C.L., Huta V., Swinson R.P. Dimensions of perfectionism across the anxiety disorders. Behav. Res. Ther. 1998, 36(12):1143-1154. (Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9745799).
3. Argus G., Thompson M. Perceived social problem solving, perfectionism, and mindful awareness in clinical depression: an exploratory study. Cogn. Ther. Res. 2007, 32(6):745-757. 10.1007/s10608-006-9102-1.
4. Arpin-Cribbie C., Irvine J., Ritvo P., Cribbie R., Flett G.L., Hewitt P.L. Perfectionism and psychological distress: a modeling approach to understanding their therapeutic relationship. J. Ration. Emot. Cogn. Behav. Ther. 2008, 26(3):151-167. 10.1007/s10942-007-0065-2.
5. Arpin-Cribbie C., Irvine J., Ritvo P. Web-based cognitive-behavioral therapy for perfectionism: a randomized controlled trial. Psychother. Res. J. Soc. Psychother. Res. 2012, 22(2):194-207. 10.1080/10503307.2011.637242.
6. Ashby J., Noble C., Gnilka P. Multidimensional perfectionism, depression, and satisfaction with life: differences among perfectionists and tests of a stress-mediation model. J. Coll. Couns. 2012, 15:130-143.
7. Bardeen J.R., Fergus T.A., Orcutt H.K. Experiential avoidance as a moderator of the relationship between anxiety sensitivity and perceived stress. Behav. Ther. 2013, 44(3):459-469. 10.1016/j.beth.2013.04.001.
8. Bibbey A., Carroll D., Roseboom T.J., Phillips A.C., de Rooij S.R. Personality and physiological reactions to acute psychological stress. Int. J. Psychophysiol. 2013, 90(1):28-36. 10.1016/j.ijpsycho.2012.10.018.
9. Brosschot J.F. Markers of chronic stress: prolonged physiological activation and (un)conscious perseverative cognition. Neurosci. Biobehav. Rev. 2010, 35(1):46-50. 10.1016/j.neubiorev.2010.01.004.
10. Brosschot J.F., Dijk E.Van, Thayer J.F. Daily worry is related to low heart rate variability during waking and the subsequent nocturnal sleep period. Int. J. Psychophysiol. 2007, 63:39-47. 10.1016/j.ijpsycho.2006.07.016.
11. Brosschot J.F., Gerin W., Thayer J.F. The perseverative cognition hypothesis: a review of worry, prolonged stress-related physiological activation, and health. J. Psychosom. Res. 2006, 60(2):113-124. 10.1016/j.jpsychores.2005.06.074.
12. Brosschot J.F., Thayer J.F. Heart rate response is longer after negative emotions than after positive emotions. Int. J. Psychophysiol. 2003, 50(3):181-187. 10.1016/S0167-8760(03)00146-6.
13. Burg J.M., Wolf O.T. Mindfulness as self-regulated attention. Swiss J. Psychol. 2012, 71(3):135-139. 10.1024/1421-0185/a000080.
14. Cacioppo J.T., Tassinary L.G., Bernston G.G. Handbook of Psychophysiology 2007, Cambridge University Press, New York, NY. 3rd ed.
15. Chalmers J.a, Quintana D.S., Abbott M.J.-A., Kemp A.H. Anxiety disorders are associated with reduced heart rate variability: a meta-analysis. Front. Psychol. 2014, 5:80. (July). 10.3389/fpsyt.2014.00080.
16. Chang E.C., Sanna L.J. Negative attributional style as a moderator of the link between perfectionism and depressive symptoms: preliminary evidence for an integrative model. J. Couns. Psychol. 2001, 48(4):490-495. 10.1037//0022-0167.48.4.490.
17. Chida Y., Steptoe A. Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status: a meta-analysis of prospective evidence. Hypertension 2010, 55(4):1026-1032. 10.1161/HYPERTENSIONAHA.109.146621.
18. Chiesa A., Calati R., Serretti A. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clin. Psychol. Rev. 2011, 31(3):449-464. 10.1016/j.cpr.2010.11.003.
19. Delgado L.C., Guerra P., Perakakis P., Vera M.N., del Paso G.R., Vila J. Treating chronic worry: psychological and physiological effects of a training programme based on mindfulness. Behav. Res. Ther. 2010, 48(9):873-882. 10.1016/j.brat.2010.05.012.
20. Delgado-pastor L.C., Perakakis P., Subramanya P., Telles S., Vila J. Mindfulness (Vipassana) meditation: effects on P3b event-related potential and heart rate variability. Int. J. Psychophysiol. 2013, 90(2):207-214. 10.1016/j.ijpsycho.2013.07.006.
21. Didonna F. Clinical Handbook of Mindfulness 2009, Springer New York, New York, NY. 10.1007/978-0-387-09593-6. F. Didonna (Ed.).
22. Ditto B., Eclache M., Goldman N. Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Ann. Behav. Med. Publ. Soc. Behav. Med. 2006, 32:227-234. (Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17107296).
23. Fabes R., Eisenberg N. Regulatory control and adult's stress-related responses to daily events. J. Pers. Soc. Psychol. 1997, 73(5):1107-1117.
24. Flett G., Hewitt P., Blanestein K., Gray L. Psychological distress and the frequency of perfectionistic thinking. J. Pers. Soc. Psychol. 1998, 75(5):1363-1381. (Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9866193).
25. Flett G., Hewitt P., Whelan T., Martin T.R. The perfectionism cognitions inventory: psychometric properties and associations with distress and deficits in cognitive self-management. J. Ration. Emot. Cogn. Behav. Ther. 2007, 25(4):255-277. 10.1007/s10942-007-0055-4.
26. Flett G.L., Hewitt P.L., Blankenstein K.R., Mosher S.W. Perfectionism, life events, and depressive symptoms: a test of a diathesis-stress model. Curr. Psychol. 1995, 14:112-137.
27. Flett G.L., Hewitt P.L., Demerjian A., Sturman E.D., Sherry S.B., Cheng W. Perfectionistic automatic thoughts and psychological distress in adolescents: an analysis of the perfectionism cognitions inventory. J. Ration. Emot. Cogn. Behav. Ther. 2011, 30(2):91-104. 10.1007/s10942-011-0131-7.
28. Force T. Guidelines heart rate variability. Eur. Heart J. 1996, 17:354-381.
29. Gendolla G.H.E., Richter M., Silvia P. Self-focus and task difficult effects on effort-related cardiovascular reactivity. Psychophysiology 2008, 45:653-662.
30. Glynn L.M. The role of rumination in recovery from reactivity: cardiovascular consequences of emotional states. Psychosom. Med. 2002, 64(5):714-726. 10.1097/01.PSY.0000031574.42041.23.
31. Grossman P., Heidenreich T., Michalak J. Mindfulness practice: a unique clinical intervention for the behavioral sciences. Mindfulness Acceptance Psychother. 2004, 16-18.
32. Grossman P., Taylor E.W. Toward understanding respiratory sinus arrhythmia: relations to cardiac vagal tone, evolution and biobehavioral functions. Biol. Psychol. 2007, 74(2):263-285. 10.1016/j.biopsycho.2005.11.014.
33. Guglietti C.L., Daskalakis Z.J., Radhu N., Fitzgerald P.B., Ritvo P. Meditation-related increases in GABAB modulated cortical inhibition. Brain Stimul. 2013, 6(3):397-402. 10.1016/j.brs.2012.08.005.
34. Haensel A., Mills P.J., Nelesen R.a, Ziegler M.G., Dimsdale J.E. The relationship between heart rate variability and inflammatory markers in cardiovascular diseases. Psychoneuroendocrinology 2008, 33(10):1305-1312. 10.1016/j.psyneuen.2008.08.007.
35. Harris P.W., Pepper C.M., Maack D.J. The relationship between maladaptive perfectionism and depressive symptoms: the mediating role of rumination. Personal. Individ. Differ. 2008, 44:150-160. 10.1016/j.paid.2007.07.011.
36. Hayes S.C., Luoma J.B., Bond F.W., Masuda A., Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav. Res. Ther. 2006, 44(1):1-25. (Retrieved from http://eprints.gold.ac.uk/506/).
37. Healy B. The effect of attentional control and heart-period variability on negative affect and trait anxiety. J. Gen. Psychol. 2010, 137(2):140-150. 10.1080/00221301003645079.
38. Hewitt P., Flett G., Turnbull-Donovan W., Mikail S. The multidimensional perfectionism scale: reliability, validity, and psychometric properties in psychiatric samples. Psychol. Assess. 1991, 3(3):464-468. 10.1037//1040-3590.3.3.464.
39. Hewitt P.L., Flett G.L. Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. J. Pers. Soc. Psychol. 1991, 60(3):456-470. (Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/2027080).
40. Houtveen J.H., Rietveld S., de Geus E.J.C. Contribution of tonic vagal modulation of heart rate, central respiratory drive, respiratory depth, and respiratory frequency to respiratory sinus arrhythmia during mental stress and physical exercise. Psychophysiology 2002, 39(4):427-436. 10.1017/S0048577202394022.
41. Karim N., Hasan J.A., Ali S.S. Heart rate variability - a review. J. Basic Appl. Sci. 2011, 7(1):71-77.
42. Kemp A.H., Quintana D.S., Felmingham K.L., Matthews S., Jelinek H.F. Depression, comorbid anxiety disorders, and heart rate variability in physically healthy, unmedicated patients: implications for cardiovascular risk. PLoS ONE 2012, 7(2):e30777. 10.1371/journal.pone.0030777.
43. Krygier J.R., Heathers J.a J., Shahrestani S., Abbott M., Gross J.J., Kemp A.H. Mindfulness meditation, well-being, and heart rate variability: a preliminary investigation into the impact of intensive Vipassana meditation. Int. J. Psychophysiol. Off. J. Int. Organ. Psychophysiol. 2013, 10.1016/j.ijpsycho.2013.06.017.
44. Lazar S.W., Kerr C.E., Wasserman R.H., Gray J.R., Douglas N., Treadway M.T.,., Dusek J.A. Meditation experience is associated with increased cortical thickness. Neuroreport 2006, 16(17):1893-1897.
45. Lo A., Abbott M.J. Review of the theoretical, empirical, and clinical status of adaptive and maladaptive perfectionism. Behav. Chang. 2013, 30(02):96-116. 10.1017/bec.2013.9.
46. Lutz A., Slagter H.A., Dunne J.D., Davidson R.J. Attention regulation and monitoring in meditation. Trends Cogn. Sci. 2008, 12(4):163-169. 10.1016/j.tics.2008.01.005.
47. MacCoon D.G., Imel Z.E., Rosenkranz M.A., Sheftel J.G., Weng H.Y., Sullivan J.C.,., Lutz A. The validation of an active control intervention for Mindfulness Based Stress Reduction (MBSR). Behav. Res. Ther. 2012, 50(1):3-12. 10.1016/j.brat.2011.10.011.
48. Mankus A.M., Aldao A., Kerns C., Mayville E.W., Mennin D.S. Mindfulness and heart rate variability in individuals with high and low generalized anxiety symptoms. Behav. Res. Ther. 2013, 51(7):386-391. 10.1016/j.brat.2013.03.005.
49. Marano G., Harnic D., Lotrionte M., Biondi-Zoccai G., Abbate A., Romagnoli E., Mazza M. Depression and the cardiovascular system: increasing evidence of a link and therapeutic implications. Expert. Rev. Cardiovasc. Ther. 2009, 7(9):1123-1147. 10.1586/erc.09.78.
50. Masuda A., Tully E.C. The role of mindfulness and psychological flexibility in somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. J. Evid.-Based. Complement. Altern. Med. 2012, 17.
51. Miu A.C., Heilman R.M., Miclea M. Reduced heart rate variability and vagal tone in anxiety: trait versus state, and the effects of autogenic training. Auton. Neurosci. Basic Clin. 2009, 145(1-2):99-103. 10.1016/j.autneu.2008.11.010.
52. Nyklíček I., Mommersteeg P.M.C., Van Beugen S., Ramakers C., Van Boxtel G.J. Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health Psychol. 2013, 10.1037/a0032200.
53. Papousek I., Paechter M., Lackner H.K. Delayed psychophysiological recovery after self-concept-inconsistent negative performance feedback. Int. J. Psychophysiol. 2011, 82(3):275-282. 10.1016/j.ijpsycho.2011.09.013.
54. Phongsuphap S., Pongsupap Y., Chandanamattha P., Lursinsap C. Changes in heart rate variability during concentration meditation. Int. J. Cardiol. 2008, 130(3):481-484. 10.1016/j.ijcard.2007.06.103.
55. Pieper S., Brosschot J.F., van der Leeden R., Thayer J.F. Cardiac effects of momentary assessed worry episodes and stressful events. Psychosom. Med. 2007, 69:901-909. 10.1097/PSY.0b013e31815a9230.
56. Pieper S., Brosschot J.F., van der Leeden R., Thayer J.F. Prolonged cardiac effects of momentary assessed stressful events and worry episodes. Psychosom. Med. 2010, 72:570-577. 10.1097/PSY.0b013e3181dbc0e9.
57. Pirbaglou M., Cribbie R., Irvine J., Radhu N., Vora K., Ritvo P. Perfectionism, anxiety, and depressive distress: evidence for the mediating role of negative automatic thoughts and anxiety sensitivity. J. Am. Coll. Heal. 2013, 61(8):477-483. 10.1080/07448481.2013.833932.
58. Porges S.W., Byrne E.A. Research methods for measurement of heart rate and respiration. Biol. Psychol. 1992, 34:93-130. 10.1016/0301-0511(92)90012-J.
59. Radhu N., Daskalakis Z.J., Arpin-Cribbie C.A., Irvine J., Ritvo P. Evaluating a web-based cognitive-behavioral therapy for maladaptive perfectionism in university students. J. Am. Coll. Heal. 2012, 60(5):357-366. 10.1080/07448481.2011.630703.
60. Radhu N., Daskalakis Z.J., Guglietti C.L., Farzan F., Barr M.S., Arpin-Cribbie C.A.,., Ritvo P. Cognitive behavioral therapy-related increases in cortical inhibition in problematic perfectionists. Brain Stimul. 2012, 5(1):44-54. 10.1016/j.brs.2011.01.006.
61. Ritvo P., Vora K., Irvine J., Mongrain M., Azargive S., Azam M.,., Cribbie R. Reductions in negative automatic thoughts in students attending mindfulness tutorials predicts increased life satisfaction. Int. J. Educ. Psychol. 2013, 2(3):272-296. 10.4471/ijep.2013.28.
62. Rosenkranz M., Davidson R.J., Maccoon D.G., Sheridan J.F., Kalin N.H., Lutz A. A comparison of mindfulness-based stress reduction and an active control in modulation of neurogenic inflammation. Brain Behav. Immun. 2013, 27(1):174-184. 10.1016/j.bbi.2012.10.013.
63. Saboonchi F., Lundh L. Perfectionism, self-consciousness, and anxiety. Personal. Individ. Differ. 1997, 22(6):921-928.
64. Santanello A.W., Gardner F.L. The role of experiential avoidance in the relationship between maladaptive perfectionism and worry. Cogn. Ther. Res. 2006, 31(3):319-332. 10.1007/s10608-006-9000-6.
65. Segerstrom S.C., Nes L.S. Heart rate variability reflects self-regulatory strength, effort, and fatigue. Psychol. Sci. 2007, 18(3):275-281.
66. Shafran R., Cooper Z., Fairburn C.G. "Clinical perfectionism" is not "multidimensional perfectionism": a reply to Hewitt, Flett, Besser, Sherry & McGee. Behav. Res. Ther. 2003, 41(10):1217-1220. 10.1016/S0005-7967(03)00020-2.
67. Short M.M., Mazmanian D. Perfectionism and negative repetitive thoughts: examining a multiple mediator model in relation to mindfulness. Personal. Individ. Differ. 2013, 55(6):716-721. 10.1016/j.paid.2013.05.026.
68. Taelman J., Vandeput S., Spaepen A., Huffel S.Van Influence of mental stress on heart rate and heart rate variability. The International Federation for Medical and Biological Engineering 2009, 1366-1369. Springer-Verlag, Berlin.
69. Takahashi T., Murata T., Hamada T., Omori M., Kosaka H., Kikuchi M.,., Wada Y. Changes in EEG and autonomic nervous activity during meditation and their association with personality traits. Int. J. Psychophysiol. 2005, 55(2):199-207. 10.1016/j.ijpsycho.2004.07.004.
70. Tang Y.-Y., Ma Y., Fan Y., Feng H., Wang J., Feng S.,., Fan M. Central and autonomic nervous system interaction is altered by short-term meditation. Proc. Natl. Acad. Sci. U. S. A. 2009, 106(22):8865-8870. 10.1073/pnas.0904031106.
71. Thayer J.F., Ahs F., Fredrikson M., Sollers J.J., Wager T.D. A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neurosci. Biobehav. Rev. 2012, 36(2):747-756. 10.1016/j.neubiorev.2011.11.009.
72. Thayer J.F., Hansen A.L., Saus-Rose E., Johnsen B.H. Heart rate variability, prefrontal neural function, and cognitive performance: the neurovisceral integration perspective on self-regulation, adaptation, and health. Ann. Behav. Med. 2009, 37(2):141-153. 10.1007/s12160-009-9101-z.
73. Toneatto T., Nguyen L. Does mindfulness meditation improve anxiety and mood symptoms? A review of the controlled research. Can. J. Psychiatry 2007, 52(4):260-266. (Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17500308).
74. Verkuil B., Brosschot J.F., de Beurs D.P., Thayer J.F. Effects of explicit and implicit perseverative cognition on cardiac recovery after cognitive stress. Int. J. Psychophysiol. 2009, 74(3):220-228. 10.1016/j.ijpsycho.2009.09.003.
75. Zeidan F., Johnson S.K., Gordon N.S., Goolkasian P. Effects of brief and sham mindfulness meditation on mood and cardiovascular variables. J. Altern. Complement. Med. N. Y. 2010, 16:867-873. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/20666590.