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Lee S, Kim JH, Kim H, Kim SH, Park SS, Hong CW, Kwon KT, Lee SH, Kim KS, Choi H, Kim JB, Kim DJ. Investigating the effect of mindfulness training for stress management in military training: the relationship between the autonomic nervous system and emotional regulation. BMC Psychol 2025; 13:13. [PMID: 39773484 PMCID: PMC11706002 DOI: 10.1186/s40359-024-02322-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 12/23/2024] [Indexed: 01/11/2025] Open
Abstract
BACKGROUND Military personnel face an increased risk of developing mental disorders owing to the stressful environments they encounter. Effective stress management strategies are crucial to mitigate this risk. Mindfulness training (MT) is promising as a stress management approach in such demanding settings. This study uses a quantitative approach to investigate the impact of MT on the relationship between the autonomic nervous system (ANS) and emotional regulation. METHODS The study evaluated the effectiveness of MT in reducing stress among 86 military personnel. Participants were divided into two groups: MT (n = 42) and non-MT (n = 38). The study compared the two groups using measures of heart rate variability (HRV), a reliable indicator of ANS activity. RESULTS The MT group exhibited a significant increase in HRV (14.4%, p = 0.001) and alpha asymmetry (AA) in the frontal lobe (45.7%, p < 0.001) compared to the non-MT group. Notably, the MT group achieved significantly higher scores on the parachute landing fall (PLF) training performance (p < 0.001). These improvements in HRV, AA, and PLF performance were strongly correlated. Furthermore, AA fully mediated the relationship between HRV and PLF training performance. CONCLUSIONS The findings suggest that MT has a positive impact on stress resilience, potentially by mitigating anxiety and attention deficits induced by extreme stressors. These positive effects are facilitated by concurrent modulation of the frontal cortex and autonomic nervous system. Our findings provide insight into the neural mechanisms behind MT-induced stress reduction from the perspective of neuromodulation.
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Affiliation(s)
- Seho Lee
- Department of Artificial Intelligence, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
- Department of AI Convergence, University of Ulsan, 93, Daehak-ro, Nam-gu, 44610, Ulsan, Republic of Korea
| | - Jin Hyung Kim
- Department of Brain and Cognitive Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
| | - Hakseung Kim
- Department of Brain and Cognitive Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
| | - Sung Ha Kim
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Sung Soo Park
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Chang Woo Hong
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Ki Tae Kwon
- Chaplaincy, Capital Corps of ROK Army, 132, Bisan-dong, Dongan-gu, Anyang-si, Republic of Korea
| | - Seung Hun Lee
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Kyoung Soo Kim
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Hoon Choi
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Jung Bin Kim
- Department of Neurology, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
| | - Dong-Joo Kim
- Department of Artificial Intelligence, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
- Department of Brain and Cognitive Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
- Department of Neurology, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
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dos Reis LD, Pereira Generoso L, Pereira GS, Teixeira Barú JPDS, Candido NL, Maziero Capello MG, de Castro ROM, Cardoso EJR, Scoz RD, Ferreira LMA, da Silva ML, da Silva JRT. Effects of multisession prefrontal cortex tDCS or taVNS on stress, perceived stress and sleep quality: a double-blind, randomized controlled study. Front Psychol 2024; 15:1343413. [PMID: 39346507 PMCID: PMC11427356 DOI: 10.3389/fpsyg.2024.1343413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 04/18/2024] [Indexed: 10/01/2024] Open
Abstract
Introduction Chronic stress is a condition characterized by prolonged stimulation, leading to mental and physical weakness. It can have detrimental effects on individuals' mental health and cognitive function, potentially causing various health issues. This article explores the potential of non-invasive neuromodulation techniques, specifically transcranial direct current stimulation (tDCS) and transcutaneous auricular vagus nerve stimulation (taVNS), in managing chronic stress and improving sleep quality. Methods The study conducted a randomized, double-blinded, controlled trial with participants experiencing chronic stress. In total, 100 participants were randomly assigned to one of four conditions: the anodal tDCS group (n = 50), the sham tDCS group (n = 50), the taVNS group (n = 50), or the sham taVNS group (n = 50). Within each condition, participants received five sessions of either active treatment or sham treatment, with 20 min of tDCS over the dorsolateral prefrontal cortex (2 mA) for the tDCS groups, or taVNS on the left ear (20 Hz) for the taVNS groups. At baseline, post-intervention, and 4 weeks thereafter, we evaluated stress using the Lipp's Inventory of Stress Symptoms for Adults (LSSI), perceived stress through the Perceived Stress Scale (PSS-10), and sleep quality via the Pittsburgh Sleep Quality Index (PSQI). Results The tDCS and taVNS interventions resulted in reduced stress levels, improved sleep quality, and enhanced perception of stress. Discussion These findings suggest that tDCS and taVNS hold promise as effective treatments for chronic stress, offering a safe and accessible approach to improving individuals' wellbeing and overall quality of life. Clinical trial registration https://ensaiosclinicos.gov.br/rg/RBR-2ww2ts8, identifier UTN: U1111-1296-1810; Brazilian Registry of Clinical Trials (REBEC) RBR-2ww2ts8.
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Affiliation(s)
- Laya Dalila dos Reis
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Laura Pereira Generoso
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Gabrielly Santos Pereira
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - João Paulo da Silva Teixeira Barú
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Natalie Lange Candido
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Maria Gabriela Maziero Capello
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Renato Ortolani Marcondes de Castro
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Edvaldo José Rodrigues Cardoso
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Robson Dias Scoz
- Neuromodulation and Pain Unit (NeuroPain), Egas Moniz Interdisciplinary Research Center (CiiEM), Almada, Portugal
| | - Luciano Maia Alves Ferreira
- Neuromodulation and Pain Unit (NeuroPain), Egas Moniz Interdisciplinary Research Center (CiiEM), Almada, Portugal
| | - Marcelo Lourenço da Silva
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Josie Resende Torres da Silva
- Laboratory of Neuroscience, Neuromodulation and Study of Pain (LANNED), Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
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Brandt-Rauf PW, Ayaz H. Occupational Health and Neuroergonomics: The Future of Wearable Neurotechnologies at the Workplace. J Occup Environ Med 2024; 66:456-460. [PMID: 38829949 DOI: 10.1097/jom.0000000000003080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Affiliation(s)
- Paul W Brandt-Rauf
- From the School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, Pennsylvania
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Wang Y, Zhang J, Li Y, Qi S, Zhang F, Ball LJ, Duan H. Preventing prefrontal dysfunction by tDCS modulates stress-induced creativity impairment in women: an fNIRS study. Cereb Cortex 2023; 33:10528-10545. [PMID: 37585735 DOI: 10.1093/cercor/bhad301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 08/18/2023] Open
Abstract
Stress is a major external factor threatening creative activity. The study explored whether left-lateralized activation in the dorsolateral prefrontal cortex manipulated through transcranial direct current stimulation could alleviate stress-induced impairment in creativity. Functional near-infrared spectroscopy was used to explore the underlying neural mechanisms. Ninety female participants were randomly assigned to three groups that received stress induction with sham stimulation, stress induction with true stimulation (anode over the left and cathode over the right dorsolateral prefrontal cortex), and control manipulation with sham stimulation, respectively. Participants underwent the stress or control task after the transcranial direct current stimulation manipulation, and then completed the Alternative Uses Task to measure creativity. Behavioral results showed that transcranial direct current stimulation reduced stress responses in heart rate and anxiety. The functional near-infrared spectroscopy results revealed that transcranial direct current stimulation alleviated dysfunction of the prefrontal cortex under stress, as evidenced by higher activation of the dorsolateral prefrontal cortex and frontopolar cortex, as well as stronger inter-hemispheric and intra-hemispheric functional connectivity within the prefrontal cortex. Further analysis demonstrated that the cortical regulatory effect prevented creativity impairment induced by stress. The findings validated the hemispheric asymmetry hypothesis regarding stress and highlighted the potential for brain stimulation to alleviate stress-related mental disorders and enhance creativity.
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Affiliation(s)
- Yifan Wang
- Key Laboratory of Modern Teaching Technology, Ministry of Education, Shaanxi Normal University, Xi'an 041000, China
| | - Jiaqi Zhang
- Key Laboratory of Modern Teaching Technology, Ministry of Education, Shaanxi Normal University, Xi'an 041000, China
| | - Yadan Li
- Key Laboratory of Modern Teaching Technology, Ministry of Education, Shaanxi Normal University, Xi'an 041000, China
| | - Senqing Qi
- Key Laboratory of Modern Teaching Technology, Ministry of Education, Shaanxi Normal University, Xi'an 041000, China
| | - Fengqing Zhang
- Department of Psychological and Brain Sciences, Drexel University, Philadelphia, PA 19104, USA
| | - Linden J Ball
- School of Psychology & Computer Science, University of Central Lancashire, Preston PR1 2HE, UK
| | - Haijun Duan
- Key Laboratory of Modern Teaching Technology, Ministry of Education, Shaanxi Normal University, Xi'an 041000, China
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Bu L, Qu J, Zhao L, Zhang Y, Wang Y. A neuroergonomic approach to assessing motor performance in stroke patients using fNIRS and behavioral data. APPLIED ERGONOMICS 2023; 109:103979. [PMID: 36689868 DOI: 10.1016/j.apergo.2023.103979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 01/15/2023] [Accepted: 01/18/2023] [Indexed: 06/17/2023]
Abstract
Stroke is characterized by high morbidity and disability, and proposing effective methods for assessing and designing rehabilitation products is an attractive topic in current research. In this study, a hand function rehabilitation aid was developed for stroke patients. Ten stroke patients and 20 healthy older people as a control group were recruited to perform a 600 s task after a 600 s resting by gripping a stick while clicking on a flashing light in an electronic insert in sequence according to a pattern. The functional near-infrared spectroscopy (fNIRS) and behavioral data were collected during their rehabilitation training. Brain function was analyzed using three indicators, namely brain area activation, functional connectivity and effective connectivity, while behavioral performance was analyzed using ten indicators, such as velocity and acceleration, and correlations were made between both. Followed by proposing a quantitative assessment method based on the fusion of multiple data sources. The results showed that the developed rehabilitation tool could effectively stimulate the patient's brain and help recover their cognitive and behavioral capacities. The scientific validity of the proposed assessment approach was further confirmed by contrasting the data results of the stroke group with those of the healthy elderly group. This study has integrated brain function and behavioral data, providing a practical quantitative evaluation method of product ergonomics and data-driven product design concepts for stroke patients.
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Affiliation(s)
- Lingguo Bu
- Joint SDU-NTU Centre for Artificial Intelligence Research (C-FAIR), Shandong University, Jinan, 250101, China; School of Software, Shandong University, Jinan, 250101, China.
| | - Jing Qu
- Joint SDU-NTU Centre for Artificial Intelligence Research (C-FAIR), Shandong University, Jinan, 250101, China; School of Software, Shandong University, Jinan, 250101, China
| | - Lei Zhao
- School of Mechanical and Electronic Engineering, Shandong Jianzhu University, Jinan, 250101, China
| | - Yanjie Zhang
- Department of Aeronautical and Aviation Engineering, The Hong Kong Polytechnic University, 999077, Hong Kong SAR, China
| | - Yonghui Wang
- Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, 250012, China.
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Alyan E, Combe T, Awang Rambli DR, Sulaiman S, Merienne F, Diyana N. The Influence of Virtual Forest Walk on Physiological and Psychological Responses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11420. [PMID: 34769937 PMCID: PMC8583635 DOI: 10.3390/ijerph182111420] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 10/12/2021] [Accepted: 10/13/2021] [Indexed: 01/15/2023]
Abstract
The authors of this paper sought to investigate the impact of virtual forest therapy based on realistic versus dreamlike environments on reducing stress levels. Today, people are facing an increase in stress levels in everyday life, which may be due to personal life, work environment, or urban area expansion. Previous studies have reported that urban environments demand more attention and mental workload than natural environments. However, evidence for the effects of natural environments as virtual forest therapy on stress levels has not yet been fully explored. In this study, a total of 20 healthy participants completed a letter-detection test to increase their stress level and were then randomly assigned to two different virtual environments representing realistic and dreamlike graphics. The participants' stress levels were assessed using two physiological methods that measured heart rate and skin conductance levels and one psychological method through the Profile of Mood States (POMS) questionnaire. These indicators were analyzed using a sample t-test and a one-way analysis of variance. The results showed that virtual forest environments could have positive stress-relieving effects. However, realistic graphics were more efficient in reducing stress. These findings contribute to growing forest therapy concepts and provide new directions for future forest therapy research.
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Affiliation(s)
- Emad Alyan
- Department of Computer and Information Sciences, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (T.C.); (S.S.)
| | - Theo Combe
- Department of Computer and Information Sciences, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (T.C.); (S.S.)
| | - Dayang Rohaya Awang Rambli
- Department of Computer and Information Sciences, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (T.C.); (S.S.)
| | - Suziah Sulaiman
- Department of Computer and Information Sciences, University Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia; (T.C.); (S.S.)
| | - Frederic Merienne
- Arts et Metiers Institute of Technology, LISPEN, HESAM Université, F-71100 Chalon-sur-Saône, France;
| | - Nadia Diyana
- School of Multimedia Technology and Communication, University Utara Malaysia, Sintok 06010, Kedah, Malaysia;
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Frontal Electroencephalogram Alpha Asymmetry during Mental Stress Related to Workplace Noise. SENSORS 2021; 21:s21061968. [PMID: 33799722 PMCID: PMC7999627 DOI: 10.3390/s21061968] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 02/02/2021] [Accepted: 02/08/2021] [Indexed: 02/07/2023]
Abstract
This study aims to investigate the effects of workplace noise on neural activity and alpha asymmetries of the prefrontal cortex (PFC) during mental stress conditions. Workplace noise exposure is a pervasive environmental pollutant and is negatively linked to cognitive effects and selective attention. Generally, the stress theory is assumed to underlie the impact of noise on health. Evidence for the impacts of workplace noise on mental stress is lacking. Fifteen healthy volunteer subjects performed the Montreal imaging stress task in quiet and noisy workplaces while their brain activity was recorded using electroencephalography. The salivary alpha-amylase (sAA) was measured before and immediately after each tested workplace to evaluate the stress level. The results showed a decrease in alpha rhythms, or an increase in cortical activity, of the PFC for all participants at the noisy workplace. Further analysis of alpha asymmetry revealed a greater significant relative right frontal activation of the noisy workplace group at electrode pairs F4-F3 but not F8-F7. Furthermore, a significant increase in sAA activity was observed in all participants at the noisy workplace, demonstrating the presence of stress. The findings provide critical information on the effects of workplace noise-related stress that might be neglected during mental stress evaluations.
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Seva RR, Tejero LMS, Fadrilan‐Camacho VFF. Barriers and facilitators of productivity while working from home during pandemic. J Occup Health 2021; 63:e12242. [PMID: 34181307 PMCID: PMC8238055 DOI: 10.1002/1348-9585.12242] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 05/25/2021] [Accepted: 06/02/2021] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES This study aims to characterize the working environment, stress levels, and psychological detachment of employees working from home during the COVID-19 pandemic in the Philippines and investigate their relationship to productivity and musculoskeletal symptoms. METHODS Structural equation modeling was used to examine the direct effect of workstation characteristics, stress, and musculoskeletal symptoms to productivity and the indirect effect of psychological detachment to productivity. Data were gathered from a survey of employees working from home during the pandemic from different industries (n = 352). Multigroup analysis was also conducted to determine the effect of age, having a spouse, and having children less than 18 years old, to the model. RESULTS Ergonomic suitability of the workstation (WES) has a significant effect on musculoskeletal symptoms (MSS) (β = -0.31, SE = 0.06; p < .001). Both workstation suitability (β = -0.24, SE = 0.03; p < .001) and workstation ergonomic suitability (β = -0.18, SE = 0.01; p < .01) inversely affect STR. Psychological detachment has a significant inverse effect on stress (β = -0.31, SE = 0.07; p < .001) and stress has a significant negative effect on productivity (β = -0.13, SE = 0.09; p = .03). Multigroup analyses showed that stress significantly affected the productivity of those without spouses and young employees. CONCLUSION Workstation suitability helps improve the productivity of people working from home while stress negatively affects it. Workstation ergonomic suitability and musculoskeletal symptoms have no significant effect.
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Affiliation(s)
- Rosemary R. Seva
- Industrial & Systems EngineeringGokongwei College of EngineeringDe La Salle UniversityManilaPhilippines
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