Pilot Study Evaluating the Impact of Stress Reduction on Atherosclerotic : Heart and Mind Study

NCT ID: NCT04496947

Last Updated: 2025-12-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-01

Study Completion Date

2026-12-30

Brief Summary

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The plot study aims to evaluate the effect of 8 weeks of stress reducing intervention on atherosclerotic plaque inflammation in adults, as quantified by positron emission tomography (PET) with fluorine-2-deoxy-D-glucose (FDG) in individuals with increased psychosocial stress.

Detailed Description

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This randomized controlled imaging study will be performed to evaluate the impact of mindfulness-based stress reduction via a mind body program on arterial inflammation in individuals with self-identified high levels of stress. Individuals will undergo baseline Fluorodeoxyglucose-Positron emission tomography / magnetic resonance imaging and will then be randomized to the stress-reduction intervention group or no intervention groups by blocks of 2:1, with stratification by age and sex. The stress reduction sessions focus on developing an understanding of stress physiology and the physiology of the relaxation response, on developing a regular practice of eliciting the relaxation response, and on learning cognitive behavioral and positive psychology/resilience skills.

During the screening period, patient acceptability for the study will be assessed based on medical history, concomitant medications, physical examination, and clinical laboratory test results. Acceptability for study participation will be confirmed for subjects who identify as having increased levels of stress and/or a Perceived Stress Scale score \>5. Once the patient has passed screening, they will undergo baseline imaging followed by randomization and group assignment. Approximately 12 weeks after randomization, all individuals will return for follow-up imaging and evaluation.

Thus, 2 Fluorodeoxyglucose-Positron emission tomography / magnetic resonance imaging scans will be performed throughout the study for baseline and follow up to assess the intervention's impact on the brain and arterial inflammation, along with changes in related positron emission tomography / magnetic resonance imaging imaging parameters. Perceived Stress Scale will be delivered prior to Fluorodeoxyglucose-Positron emission tomography / magnetic resonance imaging, during both imaging visits to measure perceived psychological stress. During both imaging sessions, subjects will be exposed to overt faces to measure signals during brain imaging.

Conditions

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Atherosclerosis Stress Inflammation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

2 groups:

1. stress reduction intervention
2. no intervention
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Stress Reduction

8 week stress reduction course

Group Type EXPERIMENTAL

Stress Reduction

Intervention Type BEHAVIORAL

The stress reduction program is a multimodal mind-body resiliency program that incorporates 3 core components into each session:

* Elicitation of the Relaxation Response (RR) through mind-body techniques;
* Discussion about stress awareness to learn how to identify personal stressors and experiences of stress; and
* Coping strategies and adaptive perspective-taking to promote positive well-being.

Control

No intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Stress Reduction

The stress reduction program is a multimodal mind-body resiliency program that incorporates 3 core components into each session:

* Elicitation of the Relaxation Response (RR) through mind-body techniques;
* Discussion about stress awareness to learn how to identify personal stressors and experiences of stress; and
* Coping strategies and adaptive perspective-taking to promote positive well-being.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* • Aged between 30-65 years

* Identifies as having increased levels of stress and/or has a Perceived Stress Scale (PSS) score \>5 at baseline, and is interested in participating

Exclusion Criteria

* Perceived Stress Scale (PSS) score \<6
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Tawakol

Director, Nuclear Cardiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ahmed Tawakol, MD

Role: PRINCIPAL_INVESTIGATOR

MGH

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ahmed Tawakol, MD

Role: CONTACT

Phone: 6177243699

Email: [email protected]

Facility Contacts

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Ahmed Tawakol, MD

Role: primary

Other Identifiers

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2017P000706

Identifier Type: -

Identifier Source: org_study_id