Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents

Objectives To determine acute effects of stress-reduction guided imagery delivered in group format on stress biomarkers salivary cortisol and salivary amylase, and on self-reported stress mood, in healthy, predominantly Latino adolescents. Study Design 111 adolescent participants (94% Latino), a sub...

Full description

Bibliographic Details
Main Authors: Marc J. Weigensberg MD, Cheng K. Fred Wen PhD, Donna Spruijt-Metz PhD, Christianne Joy Lane PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-02-01
Series:Global Advances in Health and Medicine
Online Access:https://doi.org/10.1177/21649561211067443
_version_ 1818330982272466944
author Marc J. Weigensberg MD
Cheng K. Fred Wen PhD
Donna Spruijt-Metz PhD
Christianne Joy Lane PhD
author_facet Marc J. Weigensberg MD
Cheng K. Fred Wen PhD
Donna Spruijt-Metz PhD
Christianne Joy Lane PhD
author_sort Marc J. Weigensberg MD
collection DOAJ
description Objectives To determine acute effects of stress-reduction guided imagery delivered in group format on stress biomarkers salivary cortisol and salivary amylase, and on self-reported stress mood, in healthy, predominantly Latino adolescents. Study Design 111 adolescent participants (94% Latino), a subset from a large, randomized controlled lifestyle intervention to improve obesity-related health behaviors, received either 4 weekly lifestyle education sessions (Lifestyle group; LS) or the same weekly lifestyle education sessions plus an additional weekly stress-reduction guided imagery session delivered in group format (Guided imagery group; GI). Salivary cortisol, salivary amylase, and self-reported stress moods were assessed before and after sessions on intervention weeks 3 and 4. Statistics: Linear mixed effects models examined within- and between-session and group differences in pre- to post-session changes. Results Both groups showed decreases in salivary cortisol, 5% decrease in LS group and 32% in GI group (within-group differences all P < .05), with between-group difference in salivary cortisol of moderate size ( P = .05; Cohen’s d = .44). Within the GI group alone, salivary cortisol decrease was similar following either the lifestyle or GI sessions ( P = .64). There were no statistically significant amylase changes within or between groups. All 5 individual stress moods declined by 27% to 46% in the GI group (all P < .05), while only 1 of the 5 declined in LS group. Conclusions Group stress-reduction guided imagery reduces the stress biomarker salivary cortisol, as well as reducing subjective stress mood states, making it a viable modality for large scale stress-reduction interventions.
first_indexed 2024-12-13T13:12:36Z
format Article
id doaj.art-3e5b415fec5c4f61b5d3daf4dc27973e
institution Directory Open Access Journal
issn 2164-9561
language English
last_indexed 2024-12-13T13:12:36Z
publishDate 2022-02-01
publisher SAGE Publishing
record_format Article
series Global Advances in Health and Medicine
spelling doaj.art-3e5b415fec5c4f61b5d3daf4dc27973e2022-12-21T23:44:38ZengSAGE PublishingGlobal Advances in Health and Medicine2164-95612022-02-011110.1177/21649561211067443Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino AdolescentsMarc J. Weigensberg MDCheng K. Fred Wen PhDDonna Spruijt-Metz PhDChristianne Joy Lane PhDObjectives To determine acute effects of stress-reduction guided imagery delivered in group format on stress biomarkers salivary cortisol and salivary amylase, and on self-reported stress mood, in healthy, predominantly Latino adolescents. Study Design 111 adolescent participants (94% Latino), a subset from a large, randomized controlled lifestyle intervention to improve obesity-related health behaviors, received either 4 weekly lifestyle education sessions (Lifestyle group; LS) or the same weekly lifestyle education sessions plus an additional weekly stress-reduction guided imagery session delivered in group format (Guided imagery group; GI). Salivary cortisol, salivary amylase, and self-reported stress moods were assessed before and after sessions on intervention weeks 3 and 4. Statistics: Linear mixed effects models examined within- and between-session and group differences in pre- to post-session changes. Results Both groups showed decreases in salivary cortisol, 5% decrease in LS group and 32% in GI group (within-group differences all P < .05), with between-group difference in salivary cortisol of moderate size ( P = .05; Cohen’s d = .44). Within the GI group alone, salivary cortisol decrease was similar following either the lifestyle or GI sessions ( P = .64). There were no statistically significant amylase changes within or between groups. All 5 individual stress moods declined by 27% to 46% in the GI group (all P < .05), while only 1 of the 5 declined in LS group. Conclusions Group stress-reduction guided imagery reduces the stress biomarker salivary cortisol, as well as reducing subjective stress mood states, making it a viable modality for large scale stress-reduction interventions.https://doi.org/10.1177/21649561211067443
spellingShingle Marc J. Weigensberg MD
Cheng K. Fred Wen PhD
Donna Spruijt-Metz PhD
Christianne Joy Lane PhD
Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents
Global Advances in Health and Medicine
title Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents
title_full Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents
title_fullStr Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents
title_full_unstemmed Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents
title_short Effects of Group-delivered Stress-reduction Guided Imagery on Salivary Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino Adolescents
title_sort effects of group delivered stress reduction guided imagery on salivary cortisol salivary amylase and stress mood in urban predominantly latino adolescents
url https://doi.org/10.1177/21649561211067443
work_keys_str_mv AT marcjweigensbergmd effectsofgroupdeliveredstressreductionguidedimageryonsalivarycortisolsalivaryamylaseandstressmoodinurbanpredominantlylatinoadolescents
AT chengkfredwenphd effectsofgroupdeliveredstressreductionguidedimageryonsalivarycortisolsalivaryamylaseandstressmoodinurbanpredominantlylatinoadolescents
AT donnaspruijtmetzphd effectsofgroupdeliveredstressreductionguidedimageryonsalivarycortisolsalivaryamylaseandstressmoodinurbanpredominantlylatinoadolescents
AT christiannejoylanephd effectsofgroupdeliveredstressreductionguidedimageryonsalivarycortisolsalivaryamylaseandstressmoodinurbanpredominantlylatinoadolescents