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20-09-2021 | ORIGINAL PAPER

Mindful Versus Diaphragmatic Breathing: Spirituality Moderates the Impact on Heart Rate Variability

Tijdschrift:: Mindfulness

Auteurs:: Melissa Hunt, Tara Rajagopal, Fumei Cerecino, Meriah O’Neil

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Abstract

Objectives

Both mindful breathing and deep diaphragmatic breathing are used in the treatment of emotional disorders and can help people learn to modulate the body’s stress response. While both result in deep, slow breathing, the two approaches are quite different in their origins. We tested whether individual differences in spirituality might moderate their efficacy.

Methods

Forty-eight undergraduates from the University of Pennsylvania completed baseline measures of spirituality as well as respiration rate, tidal volume and heart rate variability (HRV) at rest. Participants were then randomly assigned to a video that guided them through a mindful breathing exercise (which mentioned “a long tradition of meditation style exercises that have been used for literally thousands of years”) (N = 21) or a diaphragmatic breathing exercise (N = 27).

Results

Both types of training resulted in lower respiration rate and higher tidal volume over baseline (all ts > 3.78, ps < 0.001), but only diaphragmatic breathing resulted in significant increases in HRV (t(26) = 6.29, p < 0.001). Spirituality moderated the impact, such that spiritual people benefited equally from both types of breathing training, but less spiritual people benefited more from diaphragmatic breathing than from mindful breathing (F(4,46) = 3.69, p = .06).

Conclusions

These results suggest that spirituality may moderate the impact of mindfulness-based interventions (MBIs) in the American context. Discussion focuses analyzes how our results may reflect a misunderstanding of eastern wisdom traditions as they were characterized during colonial times.

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Meer informatie

Ahles, J. J., Mezulis, A. H., & Hudson, M. R. (2016). Religious coping as a moderator of the relationship between stress and depressive symptoms. Psychology of Religion and Spirituality, 8(3), 228–234. CrossRef

Arch, J. J., & Ayers, C. R. (2013). Which treatment worked better for whom? Moderators of group cognitive behavioral therapy versus adapted mindfulness based stress reduction for anxiety disorders. Behaviour Research and Therapy, 51(8), 434–442. https://doi.org/10.1016/j.brat.2013.04.004 CrossRefPubMedPubMedCentral

Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: Emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44(12), 1849–1858. PubMedCrossRef

Barber, J. P., & Muenz, L. R. (1996). The role of avoidance and obsessiveness in matching patients to cognitive and interpersonal psychotherapy: Empirical findings from the treatment for depression collaborative research program. Journal of Consulting and Clinical Psychology, 64(5), 951–958. https://doi.org/10.1037/0022-006X.64.5.951 CrossRefPubMed

Berntson, G. G., & Stowell, J. R. (1998). ECG artifacts and heart period variability: Don’t miss a beat! Psychophysiology, 35(1), 127–132. PubMedCrossRef

Brown, C. G. (2016). Can “secular” mindfulness be separated from religion? In R. Purser, D. Forbes, & A. Burke (Eds.), Handbook of mindfulness (pp. 75–94). Springer International Publishing. CrossRef

Chadha, M. (2015). A Buddhist epistemological framework for mindfulness meditation. Asian Philosophy, 25(1), 65–80. CrossRef

Chen, Y. F., Huang, X. Y., Chien, C. H., & Cheng, J. F. (2017). The effectiveness of diaphragmatic breathing relaxation training for reducing anxiety. Perspectives in Psychiatric Care, 53(4), 329–336. PubMedCrossRef

Cho, H., Ryu, S., Noh, J., & Lee, J. (2016). The effectiveness of daily mindful breathing practices on test anxiety of students. PLoS ONE, 11(10), e0164822. https://doi.org/10.1371/journal.pone.0164822 CrossRefPubMedPubMedCentral

Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Modularity in the design and application of therapeutic interventions. Applied and Preventive Psychology, 11(3), 141–156. https://doi.org/10.1016/j.appsy.2005.05.002 CrossRef

Cohen, S. (2019). The ancient connections between atheism, Buddhism and Hinduism. Quartz India. https://qz.com/india/1585631/the-ancient-connections-between-atheism-buddhism-and-hinduism/

Colgan, D. D., Christopher, M., Michael, P., & Wahbeh, H. (2016). The body scan and mindful breathing among veterans with PTSD: Type of intervention moderates the relationship between changes in mindfulness and post-treatment depression. Mindfulness, 7(2), 372–383. https://doi.org/10.1007/s12671-015-0453-0 CrossRefPubMedPubMedCentral

Collard, P., Avny, N., & Boniwell, I. (2008). Teaching mindfulness based cognitive therapy (MBCT) to students: The effects of MBCT on the levels of mindfulness and subjective well-being. Counselling Psychology Quarterly, 21, 323–336. CrossRef

Cullen, M. (2011). Mindfulness-based interventions: An emerging phenomenon. Mindfulness, 2(3), 186–193. CrossRef

Dishman, R. K., Nakamura, Y., Garcia, M. E., Thompson, R. W., Dunn, A. L., & Blair, S. N. (2000). Heart rate variability, trait anxiety, and perceived stress among physically fit men and women. International Journal of Psychophysiology, 37, 121–133. PubMedCrossRef

Eberth, J., Sedlmeier, P., & Schäfer, T. (2019). PROMISE: A model of insight and equanimity as the key effects of mindfulness meditation. Frontiers in Psychology, 10, 2389. https://doi.org/10.3389/fpsyg.2019.02389 CrossRefPubMedPubMedCentral

Gosch, E. A., Flannery-Schroeder, E., Mauro, C. F., & Compton, S. N. (2006). Principles of cognitive-behavioral therapy for anxiety disorders in children. Journal of Cognitive Psychotherapy, 20(3), 247–262. CrossRef

Gould, L. F., Dariotis, J. K., Mendelson, T., & Greenberg, M. T. (2012). A school-based mindfulness intervention for urban youth: Exploring moderators of intervention effects. Journal of Community Psychology, 40(8), 968–982. https://doi.org/10.1002/jcop.21505 CrossRef

Greenberg, J. (2006). Comprehensive stress management. McGraw-Hill Education.

Greeson, J. M., Smoski, M. J., Suarez, E. C., Brantley, J. G., Ekblad, A. G., Lynch, T. R., & Wolever, R. Q. (2015). Decreased symptoms of depression after mindfulness-based stress reduction: Potential moderating effects of religiosity, spirituality, trait mindfulness, sex, and age. The Journal of Alternative and Complementary Medicine, 21(3), 166–174. https://doi.org/10.1089/acm.2014.0285 CrossRefPubMedPubMedCentral

Grossman, P. (1983). Respiration, stress, and cardiovascular function. Psychophysiology, 20(3), 284–300. PubMedCrossRefPubMedCentral

Harvey, J. (1978). Diaphragmatic breathing: A practical technique for breath control. The Behavior Therapist, 1, 13–14.

Hayes, S. C., & Hofmann, S. G. (2017). The third wave of cognitive-behavioral therapy and the rise of process-based care. World Psychiatry, 16(3), 245–246. PubMedPubMedCentralCrossRef

Hazlett-Stevens, H., & Craske, M. G. (2009). Breathing retraining and diaphragmatic breathing techniques. In ODonohue, W. T. & Fisher, J. E. (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (166-172). New Jersey, NJ: John Wiley & Sons

Highnett, K. (2018). Conservative Christians want to stop kids meditation at school. Newsweek, 12/15/2018 . Downloaded from https://www.newsweek.com/mindfulness-meditation-schools-aclj-buddhism-1260323.

Hill, P. C., Pargament, K., II., Hood, R. W., McCullough, Jr., Michael, E., Swyers, J. P., Larson, D. B., & Zinnbauer, B. J. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour, 30(1), 51–77. https://doi.org/10.1111/1468-5914.00119 CrossRef

Howard, V. R. (2017). Dharma: The Hindu, Jain Buddhist and Sikh traditions of India. I.B. Tauris. CrossRef

Hunt, M., Al-Breiki, F., Dailey, S., Russell, R., & Simon, K. (2017). Mindfulness training, yoga, or both? Dismantling the active components of a mindfulness based stress reduction intervention. Mindfulness, 9(2), 512–520. https://doi.org/10.1007/s12671-017-0793-z CrossRef

Hunt, M., Rushton, J., Shenberger, E., & Murayama, S. (2018). Positive effects of diaphragmatic breathing on physiological stress reactivity in varsity athletes. Journal of Clinical Sport Psychology, 12(1), 27–38. https://doi.org/10.1123/jcsp.2016-0041 CrossRef

Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. R. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination and distraction. Annals of Behavioral Medicine, 33, 11–21. PubMedCrossRef

Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2006). Physiology of long pranayamic breathing: Neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Medical Hypotheses, 67(3), 566–571. PubMedCrossRef

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. PubMedCrossRefPubMedCentral

Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion Books.

Kabat-Zinn, J. (2000, October 7). Mindfulness and the cessation of suffering. Interview by D. Fisher. Retrieved January 4, 2016, from http://www.lionsroar.com/mindfulness-and-the-cessation-of-suffering-an-exclusive-new-interview-with-mindfulness-pioneer-jon-kabat-zinn/

Kabat-Zinn, J. (2002). Commentary on Majumdar et al.: Mindfulness meditation for health. The Journal of Alternative and Complementary Medicine, 8(6), 731–735. https://doi.org/10.1089/10755530260511739 CrossRef

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.

Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163–190. PubMedCrossRefPubMedCentral

Kabat-Zinn, J., Lipworth, L., Burney, R., & Sellers, W. (1986). Four year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance. The Clinical Journal of Pain, 2, 159–173. CrossRef

Kabat-Zinn, J., Massion, A. O., Kristeller, J., & Peterson, L. G. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149, 936–943. PubMedCrossRefPubMedCentral

Kemp, A. H., Quintana, D. S., Felmingham, K. L., Mathews, S., & Jelinek, H. F. (2012). Depression, comorbid anxiety disorders, and heart rate variability in physically healthy, unmedicated patients: Implications for cardiovascular risk. PLoS ONE, 7, e30777. PubMedPubMedCentralCrossRef

King, M., Jones, L., Barnes, K., Low, J., Walker, C., Wilkinson, S., Mason, C., Sutherland, J., & Tookman, A. (2006). Measuring spiritual belief: Development and standardization of a Beliefs and Values Scale. Psychological Medicine, 36(3), 417–425. https://doi.org/10.1017/S003329170500629X CrossRefPubMed

Kniffin, T. C., Carlson, C. R., Ellzey, A., Eisenlohr-Moul, T., Beck, K. B., McDonald, R., & Jouriles, E. N. (2014). Using virtual reality to explore self-regulation in high-risk settings. Trauma, Violence, & Abuse, 15(4), 310–321. https://doi.org/10.1177/1524838014521501 CrossRef

Koller, J. M. (1972). Dharma: An expression of universal order. Philosophy of East and West, 22(2), 131–144. CrossRef

Krishnamurti, J. (1979). The Wholeness of Life. Harper and Row.

Kumar, V., & Kumar, S. (2014). Workplace spirituality as a moderator in relation between stress and health: An exploratory empirical assessment. International Review of Psychiatry, 26(3), 344–351. PubMedCrossRef

Laborde, S., Mosley, E., & Thayer, J. F. (2017). Heart rate variability and cardiac vagal tone in psychophysiological research: Recommendations for experiment planning, data analysis, and data reporting. Frontiers in Psychology, 8, 213. https://doi.org/10.3389/fpsyg.2017.00213 CrossRefPubMedPubMedCentral

Lambert, M. J. (2011). Psychotherapy research and its achievements. In J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy (2nd ed.). American Psychological Association.

Lee, B. (2007). Moderating effects of religious/spiritual coping in the relation between perceived stress and psychological well-being. Pastoral Psychology, 55, 751–759. CrossRef

Licht, C. M. M., de Geus, E. J. C., van Dyck, R., & Penninx, B. W. J. H. (2009). Association between anxiety disorders and heart rate variability in the Netherlands study of depression and anxiety (NESDA). Psychosomatic Medicine, 71, 508–518. PubMedCrossRef

Lutfi, M. F. (2017). The physiological basis and clinical significance of lung volume measurements. Multidisciplinary Respiratory Medicine, 12(1), 3. https://doi.org/10.1186/s40248-017-0084-5 CrossRefPubMedPubMedCentral

Ma, X., Yue, Z.-Q., Gong, Z.-Q., Zhang, H., Duan, N.-Y., Shi, Y.-T., … Li, Y.-F. (2017). The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Frontiers in Psychology, 8, 874. https://doi.org/10.3389/fpsyg.2017.00874

Maharaj, N. (1973). I Am That, Vols. I and II. Chetana, Bombay. The Acorn Press, Durham, North Carolina.

Mankus, A. M., Aldao, A., Kerns, C., Wright Mayville, E., & Mennin, D. S. (2013). Mindfulness and heart rate variability in individuals with high and low generalized anxiety symptoms. Behaviour Research and Therapy, 51, 386–391. PubMedCrossRefPubMedCentral

Medicore. (n.d.). SA-3000P clinical manual (Version 3.0). Retrieved from http://medi-core.com/download/HRV_clinical_manual_ver3.0.pdf

Misra, P. (2002). How the British invested Hinduism. New Statesman. https://www.newstatesman.com/node/156145

Modesti, P. A., Ferrari, A., Bazzini, C., & Boddi, M. (2015). Time sequence of autonomic changes induced by daily slow-breathing sessions. Clinical Autonomic Research, 25(2), 95–104. https://doi.org/10.1007/s10286-014-0255-9 CrossRefPubMedPubMedCentral

Momtaz, Y. A., Hamid, T., Ibrahim, R., Yahaya, N., & Chai, S. T. (2011). Moderating effect of religiosity on the relationship between social isolation and psychological well-being. Mental Health, Religion & Culture, 14(2), 141–156. CrossRef

Norcross, J. C. (1991). Prescriptive matching in psychotherapy: An introduction. Psychotherapy: Theory, Research, Practice, Training, 28(3), 439–443. https://doi.org/10.1037/0033-3204.28.3.439 CrossRef

Norcross, J. C., & Wampold, B. E. (2011). What works for whom: Tailoring psychotherapy to the person. Journal of Clinical Psychology, 67(2), 127–132. https://doi.org/10.1002/jclp.20764 CrossRefPubMed

Nunan, D., Sandercock, G. R. H., & Brodie, D. A. (2010). A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. Pacing and Clinical Electrophysiology, 33, 1407–1417. https://doi.org/10.1111/j.1540-8159.2010.02841.x CrossRefPubMedPubMedCentral

Oman, D., Shapiro, S. L., Thoresen, C. E., Plante, T., & Flinders, T. (2008). Meditation lowers stress and supports forgiveness among college students: A randomized controlled trial. Journal of American College Health, 56, 569–578. PubMedCrossRefPubMedCentral

Paul, G., Elam, B., & Verhulst, S. J. (2007). A longitudinal study of students’ perceptions of using deep breathing meditation to reduce testing stresses. Teaching and Learning in Medicine, 19(3), 287–292. https://doi.org/10.1080/10401330701366754 CrossRefPubMedPubMedCentral

Prinsloo, G. E., Derman, W. E., Lambert, M. I., & Rauch, H. L. (2013). The effect of a single session of short duration biofeedback-induced deep breathing on measures of heart rate variability during laboratory-induced cognitive stress: A pilot study. Applied Psychophysiology and Biofeedback, 38(2), 81–90. PubMedCrossRefPubMedCentral

Quintana, D. S., Alvares, G. A., & Heathers, J. A. J. (2016). Guidelines for Reporting Articles on Psychiatry and Heart rate variability (GRAPH): Recommendations to advance research communication. Translational Psychiatry, 6, e803. https://doi.org/10.1038/tp.2016.73 CrossRefPubMedPubMedCentral

Rama, S., Ballentine, R., & Hymes, A. (2007). Science of breath: A practical guide. The Himalayan Institute Press.

Rodríguez-Liñares, L., Lado, M. J., Vila, X. A., Méndez, A. J., & Cuesta, P. (2014). gHRV: Heart rate variability analysis made easy. Computer Methods and Programs in Biomedicine, 116(1), 26–38. https://doi.org/10.1016/j.cmpb.2014.04.007 CrossRefPubMedPubMedCentral

Russo, M. A., Santarelli, D. M., & O’Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe (sheffield, England), 13(4), 289–309.

Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599. PubMedCrossRefPubMedCentral

Shearer, A., Hunt, M., Chowdhury, M., & Nicol, L. (2016). Effects of a brief mindfulness meditation intervention on student stress and heart rate variability. International Journal of Stress Management, 23(2), 232–254. CrossRef

Shonin, E., Van Gordon, W., & Girffiths, M. D. (2013). Mindfulness-based interventions: Towards mindful clinical integration. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2013.00194 CrossRefPubMedPubMedCentral

Silk, J. A. (1994). The Victorian creation of Buddhism. Journal of Indian Philosophy, 22(2), 171–196. https://doi.org/10.1007/BF01061755 CrossRef

Suzuki, S. (1970). Zen mind, beginner’s mind. Weatherall.

Tarvainen, M. P., Niskanen, J. P., Lipponen, J. A., Ranta-Aho, P. O., & Karjalainen, P. A. (2014). Kubios HRV–heart rate variability analysis software. Computer Methods and Programs in Biomedicine, 113(1), 210–220. https://doi.org/10.1016/j.cmpb.2013.07.024 CrossRefPubMed

Task Force of the European Society of Cardiology and The North American Society of Pacing and Electrophysiology. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17, 354–381. CrossRef

Thera, N. (1962). The heart of Buddhist meditation. Samuel Weiser.

Thera, N. (2001). The power of mindfulness. Sukhi Hotu Sdn Bhd.

Tweeddale, P. M., Rowbottom, I., & McHardy, G. J. R. (1994). Breathing retraining: Effect on anxiety and depression scores in behavioural breathlessness. Journal of Psychosomatic Research, 38(1), 11–21. PubMedCrossRef

Visted, E., Sørensen, L., Osnes, B., Svendsen, J. L., Binder, P. E., & Schanche, E. (2017). The association between self-reported difficulties in emotion regulation and heart rate variability: The salient role of not accepting emotions. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2017.00328 CrossRefPubMedPubMedCentral

Wampold, B. E. (2001). The great psychotherapy debate: Models, methods and findings. Erlbaum.

Weisz, J. R. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 274. https://doi.org/10.1001/archgenpsychiatry.2011.147 CrossRefPubMed

Wetherell, J. L., Ayers, C. R., Sorrell, J. T., Thorp, S. R., Nuevo, R., Belding, W., Gray, E., Stanley, M. A., Arean, P. A., Donohue, M., Unützer, J., Ramsdell, J., Xu, R., & Patterson, T. L. (2009). Modular psychotherapy for anxiety in older primary care patients. The American Journal of Geriatric Psychiatry, 17(6), 483–492. https://doi.org/10.1097/JGP.0b013e3181a31fb5

Wolitzky-Taylor, K. B., Arch, J. J., Rosenfield, D., & Caske, M. G. (2012). Moderators and non-specific predictors of treatment outcome for anxiety disorders: A comparison of cognitive-behavioral therapy to acceptance and commitment therapy. Journal of Consulting and Clinical Psychology, 80(5), 786–799. PubMedCrossRef

Yokogawa, M., Kurebayashi, T., Ichimura, T., Nishino, M., Miaki, H., & Nakagawa, T. (2018). Comparison of two instructions for deep breathing exercise: Non-specific and diaphragmatic breathing. Journal of Physical Therapy Science, 3(4), 614–618. https://doi.org/10.1589/jpts.30.614 CrossRef

Titel: Mindful Versus Diaphragmatic Breathing: Spirituality Moderates the Impact on Heart Rate Variability
Auteurs:: Melissa Hunt
Tara Rajagopal
Fumei Cerecino
Meriah O’Neil
Publicatiedatum: 20-09-2021
DOI: https://doi.org/10.1007/s12671-021-01738-x
Uitgeverij: Springer US
Tijdschrift: Mindfulness
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535

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