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Martin-Subero, IAuthorKulis, MAuthorGarcia, CAuthor
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Epigenetic, psychological, and EEG changes after a 1-week retreat based on mindfulness and compassion for stress reduction in healthy adults: Study protocol of a cross-over randomized controlled trial

Publicated to:Plos One. 18 (11): e0283169- - 2023-11-17 18(11), DOI: 10.1371/journal.pone.0283169

Authors: Diez, Gustavo G; Martin-Subero, Ignacio; Zangri, Rosaria M; Kulis, Marta; Andreu, Catherine; Blanco, Ivan; Roca, Pablo; Cuesta, Pablo; Garcia, Carola; Garzon, Jesus; Herradon, Carlos; Riutort, Miguel; Baliyan, Shishir; Venero, Cesar; Vazquez, Carmelo

Affiliations

Fac Psychol, Sch Psychol, UNED - Author
IDIBAPS - Author
Mindfulness Vivendi - Author
Nirakara Lab - Author
Univ Autonoma Madrid, Sch Med, Dept Anat Histol & Neurosci, PhD Program Neurosci - Author
Univ Complutense Madrid, Sch Med - Author
Univ Complutense Madrid, Sch Psychol - Author
Univ Valencia, Polibienestar Inst - Author
Villanueva Univ, Sch Psychol - Author
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Abstract

IntroductionThe main objective of the study will be to evaluate the effects of two widely used standardized mindfulness-based programs [Mindfulness-Based Stress Reduction (MBSR) and Compassion Cultivation Training (CCT)], on epigenetic, neurobiological, psychological, and physiological variables.MethodsThe programs will be offered in an intensive retreat format in a general population sample of healthy volunteer adults. During a 7-day retreat, participants will receive MBSR and CCT in a crossover design where participants complete both programs in random order. After finishing their first 3-day training with one of the two programs, participants will be assigned to the second 3-day training with the second program. The effects of the MBSR and CCT programs, and their combination, will be measured by epigenetic changes (i.e., DNA methylation biomarkers), neurobiological and psychophysiological measures (i.e., EEG resting state, EKG, respiration patterns, and diurnal cortisol slopes), self-report questionnaires belonging to different psychological domains (i.e., mindfulness, compassion, well-being, distress, and general functioning), and stress tasks (i.e., an Arithmetic Stress Test and the retrieval of negative autobiographical memories). These measures will be collected from both groups on the mornings of day 1 (pre-program), day 4 (after finishing the first program and before beginning the second program), and day 7 (post-second program). We will conduct a 3-month and a 12-month follow-up using only the set of self-report measures.DiscussionThis study aims to shed light on the neurobiological and psychological mechanisms linked to meditation and compassion in the general population. The protocol was registered at clinicaltrials.gov (Identifier: NCT05516355; August 23, 2022).

Keywords
Active compassion practiceAdultAnxietyArithmetic stress testArticleAutobiographical memoryAwarenessBlood samplingBreathingBreathing patternBreathing rateChallengesCircadian rhythmCompassion cultivation trainingCompassionate useCrossover procedureDepressionDistress syndromeDna extractionDna methylationElectrocardiogramElectroencephalographyEmotion regulationEmpathyEnzyme linked immunosorbent assayEpigenetic clockEpigeneticsFearFemaleFollow upGene expressionHumansHydrocortisoneInterventionsMeditationMeditation retreatsMental functionMental stressMetaanalysisMindfulnessMindfulness-based stress reductionMolecular fingerprintingMononuclear cellNegative affectNeurobiologyNormal humanOutcome assessmentPatient health questionnaire 15Perceived stress scalePhysiological stressProceduresPsychological aspectPsychological questionnairePsychological well-beingPsychologyPsychophysiologyQigongQuestionnaireRandomized controlled trialRandomized controlled trial (topic)Randomized controlled trials as topicRna extractionRna sequenceSaliva analysisSample sizeSatisfaction with life scaleSelf reportSelf-compassionSelfkindnessSleep disorderStateStress assessmentStress taskStress, psychologicalThinkingTreatment outcomeValidationWalking meditationWhole body scintiscanningYoga

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Plos One due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 32/134, thus managing to position itself as a Q1 (Primer Cuartil), in the category Multidisciplinary Sciences.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 6.48, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-13, the following number of citations:

  • WoS: 1
  • Scopus: 6
  • Europe PMC: 2
  • OpenCitations: 2
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-13:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 31.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 31 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.
  • The number of mentions on the social network X (formerly Twitter): 3 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.