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05-11-2024 | ORIGINAL PAPER

The Effects of Mindfulness-Based Stress Reduction in Mental and Physical Health: Is Mindful Breathing Key?

Auteurs: Mengjiao Wu, Cheng Fan, Xin Zhao, Jianhao Zhou, Hong Liu, Huibiao Li, Xiaonan Zhan, Zheng Jiang

Gepubliceerd in: Mindfulness | Uitgave 10/2024

Abstract

Objectives

Mindful breathing constitutes a crucial component of Mindfulness-Based Stress Reduction (MBSR). This study aimed to compare the effects of MBSR training with and without mindful breathing components on physical and mental health, with the primary goal of clarifying the specific contribution and significance of mindful breathing within the MBSR regimen.

Method

Forty-eight participants were randomly assigned to either the experimental (MBSR) or the control (MBSR without mindful breathing) group. The assessment consisted of two parts: analyzing the functional structure of inner core muscles via ultrasound, utilizing B-mode for muscle thickness, M-mode for diaphragmatic excursion, and shear wave elastography for muscle elasticity. Mental health assessments employed the Five Facet Mindfulness Questionnaire (FFMQ), the 21-item Depression Anxiety Stress Scales (DASS-21), and the Regulatory Self-Efficacy Scale (RESE).

Results

After the intervention, the experimental group demonstrated a significant increase in diaphragmatic excursion and increased contracted state multifidus muscle thickness in contrast to the control group. Both groups exhibited improved mental health status compared to the pre-intervention period, with no substantial difference between the experimental and control groups.

Conclusions

Mindful breathing may play a crucial role in activating inner core muscles within MBSR practice, notably contributing to increased diaphragmatic excursion. However, it is not the central component in promoting mental health through this practice.

Preregistration

This study was preregistered with the Chinese Clinical Trial Registry (ChiCTR2300070457).

vorige artikel How Does Self-compassion Interact with Depression and Anxiety Among Old People? Evidence from Cross-Lagged Panel Network Analysis

volgende artikel Effects of a Mindfulness-Based Intervention Delivered by Mobile Phone on Perinatal-Specific Stress and Neonatal Outcomes: A Randomized Controlled Trial

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Abbasi, S., HadianRasanani, M. R., Olyaei, G. R., Ghotbi, N., & Rasouli, O. (2021). Reliability of ultrasound measurement of the lateral abdominal and lumbar multifidus muscles in individuals with chronic low back pain: A cross-sectional test-retest study. Journal of Bodywork and Movement Therapies, 26, 394–400. https://doi.org/10.1016/j.jbmt.2020.12.029CrossRefPubMed

Alfuraih, A. M., Tan, A. L., O’Connor, P., Emery, P., & Wakefield, R. J. (2019). The effect of ageing on shear wave elastography muscle stiffness in adults. Aging Clinical and Experimental Research, 31(12), 1755–1763. https://doi.org/10.1007/s40520-019-01139-0CrossRefPubMedPubMedCentral

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504CrossRefPubMed

Bair, A., Marksteiner, J., Stöcklein, T., Reyes Del Paso, G. A., & Duschek, S. (2022). Parasympathetic cardiac control during attentional focus and worry in major depressive disorder. International Journal of Psychophysiology, 177, 1–10. https://doi.org/10.1016/j.ijpsycho.2022.04.008CrossRefPubMed

Beblo, T., Pelster, S., Schilling, C., Kleinke, K., Iffland, B., Driessen, M., & Fernando, S. (2018). Breath versus emotions: The impact of different foci of attention during mindfulness meditation on the experience of negative and positive emotions. Behavior Therapy, 49(5), 702–714. https://doi.org/10.1016/j.beth.2017.12.006CrossRefPubMed

Bortolla, R., Galli, M., Spada, G. E., & Maffei, C. (2022). Mindfulness effects on mind wandering and autonomic balance. Applied Psychophysiology and Biofeedback, 47(1), 53–64. https://doi.org/10.1007/s10484-021-09527-xCrossRefPubMed

Bouchet, P., Gennisson, J.-L., Podda, A., Alilet, M., Carrié, M., & Aubry, S. (2020). Artifacts and technical restrictions in 2D shear wave elastography. Ultraschall in der Medizin, 41(3), 267–277. https://doi.org/10.1055/a-0805-1099CrossRefPubMed

Burns, J. W., Jensen, M. P., Gerhart, J., Thorn, B. E., Lillis, T. A., Carmody, J., & Keefe, F. (2023). Cognitive therapy, mindfulness-based stress reduction, and behavior therapy for people with chronic low back pain: A comparative mechanisms study. Journal of Consulting and Clinical Psychology, 91(3), 171–187. https://doi.org/10.1037/ccp0000801CrossRefPubMed

Cai, Y., Ren, X., Wang, J., Ma, B., & Chen, O. (2024). Effects of breathing exercises in patients with chronic obstructive pulmonary disease: A network meta-analysis. Archives of Physical Medicine and Rehabilitation, 105(3), 558–570. https://doi.org/10.1016/j.apmr.2023.04.014CrossRefPubMed

Caprara, G. V., Di Giunta, L., Eisenberg, N., Gerbino, M., Pastorelli, C., & Tramontano, C. (2008). Assessing regulatory emotional self-efficacy in three countries. Psychological Assessment, 20(3), 227–237. https://doi.org/10.1037/1040-3590.20.3.227CrossRefPubMedPubMedCentral

Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33. https://doi.org/10.1007/s10865-007-9130-7CrossRefPubMed

Chen, Y., Huang, L., Li, W., Xia, J., Qiu, Y., Yang, M., Yi, K., Wang, J., Chen, R., Xue, H., & Yang, J. (2023). Effect of group mindfulnessbased stress reduction therapy in managing comorbid depression in patients with stable chronic obstructive pulmonary disease. SiChuan Mental Health, 36(4), 320–325. https://doi.org/10.11886/scjsws20230405002CrossRef

Cheng, K. S., Croarkin, P. E., & Lee, P. F. (2019). Heart rate variability of various video-aided mindful deep breathing durations and its impact on depression, anxiety, and stress symptom severity. Mindfulness, 10(10), 2082–2094. https://doi.org/10.1007/s12671-019-01178-8CrossRef

Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative and Complementary Medicine, 15(5), 593–600. https://doi.org/10.1089/acm.2008.0495CrossRefPubMed

Dai, Z., Wang, H., Xiao, W., Huang, Y., Si, M., Fu, J., Chen, X., Jia, M., Leng, Z., Cui, D., Dong, L., Mak, W. W. S., & Su, X. (2022). The association of mindfulness and psychological well-being among individuals who have recovered from COVID-19 in Jianghan District, Wuhan, China: A cross-sectional study. Journal of Affective Disorders, 319, 437–445. https://doi.org/10.1016/j.jad.2022.09.062CrossRefPubMedPubMedCentral

De Troyer, A., & Boriek, A. M. (2011). Mechanics of the respiratory muscles. Comprehensive Physiology, 1(3), 1273–1300. https://doi.org/10.1002/cphy.c100009CrossRefPubMed

Eman, G., Synn, S., Galen, B., Shah, R., Nauka, P., Hope, A. A., Congdon, S., & Islam, M. (2023). Thoracic ultrasound in COVID-19: Use of lung and diaphragm ultrasound in evaluating dyspnea in survivors of acute respiratory distress syndrome from COVID-19 pneumonia in a post-ICU clinic. Lung, 201(2), 149–157. https://doi.org/10.1007/s00408-023-00614-wCrossRefPubMedPubMedCentral

Esmaeel, H. M., Atta, K. A., Khalaf, S., & Gadallah, D. (2024). Clinical utility of chest sonography in chronic obstructive pulmonary disease patients focusing on diaphragmatic measurements. Tuberculosis and Respiratory Diseases, 87(1), 80–90. https://doi.org/10.4046/trd.2023.0030CrossRefPubMed

Feruglio, S., Matiz, A., Grecucci, A., Pascut, S., Fabbro, F., & Crescentini, C. (2021). Differential effects of mindfulness meditation conditions on repetitive negative thinking and subjective time perspective: A randomized active-controlled study. Psychology & Health, 36(11), 1275–1298. https://doi.org/10.1080/08870446.2020.1836178CrossRef

Finta, R., Nagy, E., & Bender, T. (2018). The effect of diaphragm training on lumbar stabilizer muscles: A new concept for improving segmental stability in the case of low back pain. Journal of Pain Research, 11, 3031–3045. https://doi.org/10.2147/JPR.S181610CrossRefPubMedPubMedCentral

Güneş, S., Genç, A., Aytür, Y. K., Çiftçi, F., Hayme, S., & Kaya, A. (2022). Effects of pulmonary rehabilitation on diaphragm thickness and contractility in patients with chronic obstructive pulmonary disease. Turkish Journal of Medical Sciences, 52(1), 89–96. https://doi.org/10.3906/sag-2105-345CrossRefPubMed

Hendriks, T., de Jong, J., & Cramer, H. (2017). The effects of yoga on positive mental health among healthy adults: a systematic review and meta-analysis. Journal of Alternative and Complementary Medicine, 23(7), 505–517. https://doi.org/10.1089/acm.2016.0334CrossRefPubMed

Hirayama, K., Akagi, R., Moniwa, Y., Okada, J., & Takahashi, H. (2017). Transversus abdominis elasticity during various exercises: A shear wave ultrasound elastography study. International Journal of Sports Physical Therapy, 12(4), 601–606.PubMedPubMedCentral

Horner, A., Olschewski, H., Hartl, S., Valipour, A., Funk, G.-C., Studnicka, M., Merkle, M., Kaiser, B., Wallner, E. M., Brecht, S., & Lamprecht, B. (2023). Physical activity, depression and quality of life in COPD - results from the CLARA II study. International Journal of Chronic Obstructive Pulmonary Disease, 18, 2755–2767. https://doi.org/10.2147/COPD.S435278CrossRefPubMedPubMedCentral

Isaka, M., Sugimoto, K., Akasaka, H., Yasunobe, Y., Takahashi, T., Xie, K., Onishi, Y., Yoshida, S., Minami, T., Yamamoto, K., Kamide, K., & Rakugi, H. (2022). The muscle thickness assessment using ultrasonography is a useful alternative to skeletal muscle mass by bioelectrical impedance analysis. Clinical Interventions in Aging, 17, 1851–1861. https://doi.org/10.2147/CIA.S385469CrossRefPubMedPubMedCentral

Jamil, A., Gutlapalli, S. D., Ali, M., Oble, M. J. P., Sonia, S. N., George, S., Shahi, S. R., Ali, Z., Abaza, A., & Mohammed, L. (2023). Meditation and its mental and physical health benefits in 2023. Cureus, 15(6), e40650. https://doi.org/10.7759/cureus.40650CrossRefPubMedPubMedCentral

Jerath, R., & Beveridge, C. (2020). Respiratory rhythm, autonomic modulation, and the spectrum of emotions: The future of emotion recognition and modulation. Frontiers in Psychology, 11, 1980. https://doi.org/10.3389/fpsyg.2020.01980CrossRefPubMedPubMedCentral

Jones, A. Y. M., Ngai, S. P. C., Ying, M. T. C., Morris, N. R., Laakso, E. L., Lee, S. W. Y., & Parry, S. M. (2017). Sonographic evaluation of diaphragmatic function during breathing control. Physiotherapy Theory and Practice, 33(7), 560–567. https://doi.org/10.1080/09593985.2017.1323363CrossRefPubMed

Kabat-Zinn, J. (2001). Mindfulness meditation for everyday life. Piatkus.

Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal of Psychosomatic Research, 78(6), 519–528. https://doi.org/10.1016/j.jpsychores.2015.03.009CrossRefPubMed

Kiesel, K. B., Uhl, T. L., Underwood, F. B., Rodd, D. W., & Nitz, A. J. (2007). Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Manual Therapy, 12(2), 161–166. https://doi.org/10.1016/j.math.2006.06.011CrossRefPubMed

Kim, T., Huh, S., Chung, J. H., Kim, Y. S., Yun, R. Y., Park, O., & Lee, S. E. (2023). Clinical values of diaphragmatic movement in patients with chronic obstructive pulmonary disease. BMC Pulmonary Medicine, 23(1), 33. https://doi.org/10.1186/s12890-022-02220-7CrossRefPubMedPubMedCentral

Kim, W. Y., Suh, H. J., Hong, S.-B., Koh, Y., & Lim, C.-M. (2011). Diaphragm dysfunction assessed by ultrasonography: Influence on weaning from mechanical ventilation. Critical Care Medicine, 39(12), 2627–2630. https://doi.org/10.1097/CCM.0b013e3182266408CrossRefPubMed

Kolář, P., & Kobesova, A. (2010). 2.A.2. Postural–locomotion function in the diagnosis and treatment of movement disorders. Clinical Chiropractic, 13, 58–68. https://doi.org/10.1016/j.clch.2010.02.063CrossRef

Koppenhaver, S., Gaffney, E., Oates, A., Eberle, L., Young, B., Hebert, J., Proulx, L., & Shinohara, M. (2020). Lumbar muscle stiffness is different in individuals with low back pain than asymptomatic controls and is associated with pain and disability, but not common physical examination findings. Musculoskeletal Science & Practice, 45, 102078. https://doi.org/10.1016/j.msksp.2019.102078CrossRef

Koppenhaver, S. L., Hebert, J. J., Fritz, J. M., Parent, E. C., Teyhen, D. S., & Magel, J. S. (2009a). Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Archives of Physical Medicine and Rehabilitation, 90(1), 87–94. https://doi.org/10.1016/j.apmr.2008.06.022CrossRefPubMed

Koppenhaver, S. L., Parent, E. C., Teyhen, D. S., Hebert, J. J., & Fritz, J. M. (2009b). The effect of averaging multiple trials on measurement error during ultrasound imaging of transversus abdominis and lumbar multifidus muscles in individuals with low back pain. The Journal of Orthopaedic and Sports Physical Therapy, 39(8), 604–611. https://doi.org/10.2519/jospt.2009.3088CrossRefPubMed

Laborde, S., Allen, M. S., Borges, U., Dosseville, F., Hosang, T. J., Iskra, M., Mosley, E., Salvotti, C., Spolverato, L., Zammit, N., & Javelle, F. (2022). Effects of voluntary slow breathing on heart rate and heart rate variability: A systematic review and a meta-analysis. Neuroscience and Biobehavioral Reviews, 138, 104711. https://doi.org/10.1016/j.neubiorev.2022.104711CrossRefPubMed

Lee, N.-G., Jung, J.-H., You, J.S.-H., Kang, S.-K., Lee, D.-R., Kwon, O.-Y., & Jeon, H.-S. (2011). Novel augmented ADIM training using ultrasound imaging and electromyography in adults with core instability. Journal of Back and Musculoskeletal Rehabilitation, 24(4), 233–240. https://doi.org/10.3233/BMR-2011-0300CrossRefPubMed

Li, S. Y. H., & Bressington, D. (2019). The effects of mindfulness-based stress reduction on depression, anxiety, and stress in older adults: A systematic review and meta-analysis. International Journal of Mental Health Nursing, 28(3), 635–656. https://doi.org/10.1111/inm.12568CrossRefPubMed

Linek, P., Pałac, M., & Wolny, T. (2021). Shear wave elastography of the lateral abdominal muscles in C-shaped idiopathic scoliosis: A case-control study. Scientific Reports, 11(1), 6026. https://doi.org/10.1038/s41598-021-85552-4CrossRefPubMedPubMedCentral

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-uCrossRefPubMed

Magnon, V., Dutheil, F., & Vallet, G. T. (2021). Benefits from one session of deep and slow breathing on vagal tone and anxiety in young and older adults. Scientific Reports, 11(1), 19267. https://doi.org/10.1038/s41598-021-98736-9CrossRefPubMedPubMedCentral

Malaktaris, A., McLean, C. L., Mallavarapu, S., Herbert, M. S., Kelsven, S., Bormann, J. E., & Lang, A. J. (2022). Higher frequency of mantram repetition practice is associated with enhanced clinical benefits among United States Veterans with posttraumatic stress disorder. European Journal of Psychotraumatology, 13(1), 2078564. https://doi.org/10.1080/20008198.2022.2078564CrossRefPubMedPubMedCentral

Mañago, M. M., Seamon, B. A., Boncella, K. L., Wallin, M. T., Maloni, H., Hoover, B., Blackman, M. R., & Harris-Love, M. O. (2023). Ultrasound measures of muscle morphology in people with multiple sclerosis are associated with muscle performance and functional mobility. Multiple Sclerosis and Related Disorders, 75, 104759. https://doi.org/10.1016/j.msard.2023.104759CrossRefPubMedPubMedCentral

Matamis, D., Soilemezi, E., Tsagourias, M., Akoumianaki, E., Dimassi, S., Boroli, F., Richard, J.-C.M., & Brochard, L. (2013). Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Medicine, 39(5), 801–810. https://doi.org/10.1007/s00134-013-2823-1CrossRefPubMed

Mesci, E., Dogruoz, B., Mesci, N., & Icagasioglu, A. (2023). Ultrasonographic evaluation of muscle thickness in female patients with fibromyalgia and its relationship with clinical parameters. Northern Clinics of Istanbul, 10(6), 718–725. https://doi.org/10.14744/nci.2023.04382CrossRefPubMedPubMedCentral

Misirlioglu, T. O., Palamar, D., Taskiran, O. O., Terlemez, R., & Akgun, K. (2021). Relationship between ultrasonographic hand muscle thickness measurements and muscle strength following median or ulnar nerve reconstruction. Muscle & Nerve, 63(3), 351–356. https://doi.org/10.1002/mus.27129CrossRef

Nowakowska-Domagała, K., Podlecka, M., Sadowski, K., Pietras, T., & Mokros, Ł. (2023). The relationship between chronotype, dispositional mindfulness and suicidal ideation among medical students: Mediating role of anxiety, insomnia and social dysfunction. Journal of Sleep Research, 32(4), e13823. https://doi.org/10.1111/jsr.13823CrossRefPubMed

Onders, R. P., Elmo, M., Kaplan, C., Katirji, B., & Schilz, R. (2014). Final analysis of the pilot trial of diaphragm pacing in amyotrophic lateral sclerosis with long-term follow-up: Diaphragm pacing positively affects diaphragm respiration. American Journal of Surgery, 207(3), 393–397. https://doi.org/10.1016/j.amjsurg.2013.08.039CrossRefPubMed

Perez, A. M., Fernández-Carnero, S., Sicilia-Gomez-de-Parada, C., Cuenca-Zaldívar, N., Naranjo-Cinto, F., Pecos-Martín, D., Gallego-Izquierdo, T., & Nuñez-Nagy, S. (2023). Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: A pilot study. Medicina, 59(2), 315. https://doi.org/10.3390/medicina59020315CrossRefPubMedPubMedCentral

Plaza-Manzano, G., Navarro-Santana, M. J., Valera-Calero, J. A., Fabero-Garrido, R., Fernández-de-Las-Peñas, C., & Lópezde-Uralde-Villanueva, I. (2022). Reliability of lumbar multifidus ultrasound assessment during the active straight leg raise test. European Journal of Clinical Investigation, 52(5), e13728. https://doi.org/10.1111/eci.13728CrossRefPubMed

Polkey, M. I. (2023). Diaphragm dysfunction as a contributor to breathlessness after COVID-19 infection. American Journal of Respiratory and Critical Care Medicine, 207(8), 964–965. https://doi.org/10.1164/rccm.202301-0105EDCrossRefPubMedPubMedCentral

Pradhan, E. K., Baumgarten, M., Langenberg, P., Handwerger, B., Gilpin, A. K., Magyari, T., Hochberg, M. C., & Berman, B. M. (2007). Effect of mindfulness-based stress reduction in rheumatoid arthritis patients. Arthritis and Rheumatism, 57(7), 1134–1142. https://doi.org/10.1002/art.23010CrossRefPubMed

Quek, F. Y. X., Majeed, N. M., Kothari, M., Lua, V. Y. Q., Ong, H. S., & Hartanto, A. (2021). Brief mindfulness breathing exercises and working memory capacity: Findings from two experimental approaches. Brain Sciences, 11(2), 175. https://doi.org/10.3390/brainsci11020175CrossRefPubMedPubMedCentral

Rantala, H. A., Leivo-Korpela, S., Lehtimäki, L., & Lehto, J. T. (2022). Assessing symptom burden and depression in subjects with chronic respiratory insufficiency. Journal of Palliative Care, 37(2), 134–141. https://doi.org/10.1177/08258597211049592CrossRefPubMed

Russo, M. A., Santarelli, D. M., & O’Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe, 13(4), 298–309. https://doi.org/10.1183/20734735.009817CrossRefPubMedPubMedCentral

Santorelli, S. F., Kabat-Zinn, J., Blacker, M., Meleo-Meyer, F., & Koerbel, L. (2017). Mindfulness-based stress reduction (MBSR) authorized curriculum guide. Center for Mindfulness in Medicine, Health Care, and Society (CFM). University of Massachusetts Medical School.

Schoenfeld, B. J., Vigotsky, A., Contreras, B., Golden, S., Alto, A., Larson, R., Winkelman, N., & Paoli, A. (2018). Differential effects of attentional focus strategies during long-term resistance training. European Journal of Sport Science, 18(5), 705–712. https://doi.org/10.1080/17461391.2018.1447020CrossRefPubMed

Seng-Beng, T., Ck, L., Yk, P., D, L.-C. N., Ts, W., K, W.-S. K., Cy, O., & Cs, C. (2019). The effect of 20-minute mindful breathing on the rapid reduction of dyspnea at rest in patients with lung diseases: a randomized controlled trial. Journal of Pain and Symptom Management, 57(4). https://doi.org/10.1016/j.jpainsymman.2019.01.009

Sions, J. M., Crippen, D. C., Hicks, G. E., Alroumi, A. M., Manal, T. J., & Pohlig, R. T. (2019). Exploring neuromuscular electrical stimulation intensity effects on multifidus muscle activity in adults with chronic low back pain: An ultrasound imaging-informed investigation. Clinical Medicine Insights Arthritis and Musculoskeletal Disorders, 12, 1179544119849570. https://doi.org/10.1177/1179544119849570CrossRefPubMedPubMedCentral

Somohano, V. C., Kaplan, J., Newman, A. G., O’Neil, M., & Lovejoy, T. (2022). Formal mindfulness practice predicts reductions in PTSD symptom severity following a mindfulness-based intervention for women with co-occurring PTSD and substance use disorder. Addiction Science & Clinical Practice, 17(1), 51. https://doi.org/10.1186/s13722-022-00333-2CrossRef

Sun, Y., Zhang, Y., Bai, W., & Liu, X. (2023). Relationship between depression severity and respiratory symptoms in US adults: A national cross-sectional study. Respiratory Medicine, 220, 107451. https://doi.org/10.1016/j.rmed.2023.107451CrossRefPubMed

Svatmarama, Y. (2013). Hatha yoga pradipika. Bihar School of Yoga.

Tang, X., Wang, L., Guo, R., Huang, S., Tang, Y., & Qiu, L. (2020). Application of ultrasound elastography in the evaluation of muscle strength in a healthy population. Quantitative Imaging in Medicine and Surgery, 10(10), 1961–1972. https://doi.org/10.21037/qims-20-439CrossRefPubMedPubMedCentral

Teyhen, D. S., Miltenberger, C. E., Deiters, H. M., Del Toro, Y. M., Pulliam, J. N., Childs, J. D., Boyles, R. E., & Flynn, T. W. (2005). The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. The Journal of Orthopaedic and Sports Physical Therapy, 35(6), 346–355. https://doi.org/10.2519/jospt.2005.35.6.346CrossRefPubMed

Valentín-Mazarracin, I., Nogaledo-Martín, M., López-de-Uralde-Villanueva, I., Fernández-de-Las-Peñas, C., Stokes, M., Arias-Buría, J. L., Díaz-Arribas, M. J., & Plaza-Manzano, G. (2021). Reproducibility and concurrent validity of manual palpation with rehabilitative ultrasound imaging for assessing deep abdominal muscle activity: Analysis with preferential ratios. Diagnostics, 11(2), 298. https://doi.org/10.3390/diagnostics11020298CrossRefPubMedPubMedCentral

Wang, Y., Chen, C., Gu, L., Zhai, Y., Sun, Y., Gao, G., Xu, Y., Pang, L., & Xu, L. (2023). Effect of short-term mindfulness-based stress reduction on sleep quality in male patients with alcohol use disorder. Frontiers in Psychiatry, 14, 928940. https://doi.org/10.3389/fpsyt.2023.928940CrossRefPubMedPubMedCentral

Wehner, C., Blank, C., Arvandi, M., Wehner, C., & Schobersberger, W. (2021). Effect of Tai Chi on muscle strength, physical endurance, postural balance and flexibility: A systematic review and meta-analysis. BMJ Open Sport & Exercise Medicine, 7(1), e000817. https://doi.org/10.1136/bmjsem-2020-000817CrossRef

Werner, I., & Federolf, P. (2023). Focus of attention in coach instructions for technique training in sports: A scrutinized review of review studies. Journal of Functional Morphology and Kinesiology, 8(1), 7. https://doi.org/10.3390/jfmk8010007CrossRefPubMedPubMedCentral

Xie, C., Dong, B., Wang, L., Jing, X., Wu, Y., Lin, L., & Tian, L. (2020). Mindfulness-based stress reduction can alleviate cancerrelated fatigue: a meta-analysis. Journal of Psychosomatic Research, 130, 109916. https://doi.org/10.1016/j.jpsychores.2019.109916CrossRefPubMed

Yang, D., Huang, H., Xu, D. D., & Zhao, Y. (2023a). Effects of Baduanjin exercise on patients with chronic nonspecific low back pain and surface electromyography signs of erector spinal muscle: A randomized controlled trial. Medicine, 102(43), e35590. https://doi.org/10.1097/MD.0000000000035590CrossRefPubMedPubMedCentral

Yang, L., Zhao, K., Gao, Z., Fu, F., Wang, H., Wang, C., Dai, J., Liu, Y., Qin, Y., Dai, M., Cao, X., & Zhao, Z. (2023b). The influence of breathing exercises on regional ventilation in healthy and patients with chronic obstructive pulmonary disease. COPD, 20(1), 248–255. https://doi.org/10.1080/15412555.2023.2234992CrossRefPubMed

Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: a systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002CrossRefPubMed

Titel: The Effects of Mindfulness-Based Stress Reduction in Mental and Physical Health: Is Mindful Breathing Key?
Auteurs: Mengjiao Wu
Cheng Fan
Xin Zhao
Jianhao Zhou
Hong Liu
Huibiao Li
Xiaonan Zhan
Zheng Jiang
Publicatiedatum: 05-11-2024
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 10/2024
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-024-02456-w

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Exploring the Facilitating Environment for Mindfulness Meditation: Establishing a Framework through Analysis of Means and Exploratory Factor Analysis

Open Access
ORIGINAL PAPER