Stress Reduction Program from Mind-Body Medicine

Transtheoretical Model and the Socio-Cognitive Theory


  • Andrea Catalina Nassar Tobón Neuróloga



Transtheoretical Model, Socio-Cognitive Theory, Mind-Body Medicine, Stress , Allostatic Load


This text reflects on the harmful consequences of chronic stress and proposes a stress reduction program based on relaxation techniques. It is grounded in mind-body medicine, the transtheoretical model, and socio-cognitive theory because they offer a comprehensive approach to promote relaxation habits and physical well-being. The program consists of eight weekly sessions lasting 60 minutes each, along with exercises, with the aim of reducing allostatic load. Effectiveness is assessed using the Stress Perception Scale. Although there are no empirical results yet, the goal is to promote health, prevent illnesses, and enhance the quality of life.


Astin, J. A., Shapiro, S. L., Eisenberg, D. M., & Forys, K. L. (2003). Mind-body medicine: State of the science, implications for practice. The Journal of the American Board of Family Practice, 16(2), 131–147. DOI:

Bandura, A. (1971). Social Learning Theory. General Learning Press.

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26. DOI:

Barrows, K. A., & Jacobs, B. P. (2002). Mind-body medicine. An introduction and review of the literature. The Medical Clinics of North America, 86(1), 11–31. DOI:

Berra Ruiz, E., & Muñoz Maldonado, S. I. (2018). El modelo transteórico aplicado al cambio de conductas relacionadas con la reducción del peso corporal. Revista digital internacional de psicología y ciencia social, 4(2), 153–170. DOI:

Bhasin, M. K., Dusek, J. A., Chang, B.-H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., Benson, H., & Libermann, T. A. (2013). Relaxation Response Induces Temporal Transcriptome Changes in Energy Metabolism, Insulin Secretion and Inflammatory Pathways. PLOS ONE, 8(5), e62817. DOI:

Caballo, V. (1991). Manual de técnicas de terapia y modificación de conducta / Handbook of techniques of behavior therapy and modification. Siglo XXI.

Chrousos, G. P., & Gold, P. W. (1992). The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis. JAMA, 267(9), 1244–1252. DOI:

Coburn, E. (2014). Meditation in psychotherapy. Harvard Health.

Cummings, N. A., & Follette, W. T. (2016). Psychiatric Services and Medical Utilization in a Prepaid Health Plan Setting II. En Psyche’s Prophet. Routledge.

Dusek, J. A., & Benson, H. (2009). Mind-body medicine: A model of the comparative clinical impact of the acute stress and relaxation responses. Minnesota Medicine, 92(5), 47–50.

Epel, E., Daubenmier, J., Moskowitz, J. T., Folkman, S., & Blackburn, E. (2009). Can meditation slow rate of cellular aging? Cognitive stress, mindfulness, and telomeres. Annals of the New York Academy of Sciences, 1172, 34–53. 6632.2009.04414.x DOI:

Fonte, J. D., & Cruzado, J. A. (2021). El Modelo Transteórico y el Ejercicio en Supervivientes de Cáncer de Mama. Clínica y Salud, 32(3), 129–137. DOI:

Gilmartin, H., Goyal, A., Hamati, M. C., Mann, J., Saint, S., & Chopra, V. (2017). Brief Mindfulness Practices for Healthcare Providers—A Systematic Literature Review. The American Journal of Medicine, 130(10), 1219.e1-1219.e17. DOI:

Hussain, D., & Bhushan, B. (2010). Psychology of meditation and health: Present status and future directions. International Journal of Psychology & Psychological Therapy, 10, 439–451.

Jacobson, E. (1938). Progressive relaxation: A physiological and clinical investigation of muscular states and their significance in psychology and medical practice. University of Chicago Press.

Jeter, P. E., Slutsky, J., Singh, N., & Khalsa, S. B. S. (2015). Yoga as a Therapeutic Intervention: A Bibliometric Analysis of Published Research Studies from 1967 to 2013. Journal of Alternative and Complementary Medicine, 21(10), 586–592. DOI:

Khakha, D. C., Satapathy, S., & Dey, A. B. (2015). Impact of Jacobson progressive muscle relaxation (JPMR) and deep breathing exercises on anxiety, psychological distress and quality of sleep of hospitalized older adults. Journal of Psychosocial Research, 10(2), 211.

López-Gonzalez, L. (2013). El Programa TREVA (técnicas de Relajación Vivencial Aplicadas al Aula): Aplicaciones, eficacia y acciones formativas. ISEP Science, 4, 35–46.

Luna Rodríguez Bueno, A. G., & García y Barragán, L. (2014). El Modelo Transteórico y adherencia terapéutica en adolescentes con Diabetes Mellitus Tipo I. Revista iberoamericana de psicología, 7(1), 49–58.

McEwen, B. S., & Seeman, T. (1999). Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostasis and allostatic load. Annals of the New York Academy of Sciences, 896, 30–47. 6632.1999.tb08103.x DOI:

Ministerio de la Protección Social. (2010). Batería de instrumentos para la evaluación de factores de riesgo psicosocial (Ministerio de la Protección Social).

Ormrod, J. E. (2004). Human learning (4th ed). Merrill.

Park, S.-H., & Han, K. S. (2017). Blood Pressure Response to Meditation and Yoga: A Systematic Review and Meta-Analysis. Journal of Alternative and Complementary Medicine (New York, N.Y.), 23(9), 685–695. DOI:

Pifarré, P., Simó, M., Gispert, J.-D., Plaza, P., Fernández, A., & Pujol, J. (2015). Diazepam and Jacobson’s progressive relaxation show similar attenuating short-term effects on stress- related brain glucose consumption. European Psychiatry: The Journal of the Association of European Psychiatrists, 30(2), 187–192. DOI:

Reigal, R., & Videra, A. (2011). Efectos de la técnica de relajación de Schultz en el control de las pulsaciones tras un esfuerzo aeróbico. Lecturas: Educación Física y Deportes. Revista Digital, 16(160).

Rodríguez, A. M. P., & Abaunza, A. F. C. (2021). El rol de la familia en la rehabilitación de adicciones desde el Modelo Transteórico e Intervenciones Cognitivo-Conductuales. Informes Psicológicos, 21(1),. DOI:

Seeman, T. E., Singer, B. H., Rowe, J. W., Horwitz, R. I., & McEwen, B. S. (1997). Price of adaptation—Allostatic load and its health consequences. MacArthur studies of successful aging. Archives of Internal Medicine, 157(19), 2259–2268. DOI:

Tejada, A. (2005). Agenciación humana en la teoría cognitivo social: Definición y posibilidades de aplicación. Pensamiento Psicológico, 1, 117–123.

Tuah, N., Amiel, C., Qureshi, S., Car, J., Kaur, B., & Majeed, A. (2012). Modelo transteórico de modificación dietética y ejercicio físico para la pérdida de peso en adultos con sobrepeso y obesos. Revista Médica Clínica Las Condes, 23(2), 201–202. DOI:

Wahbeh, H., Elsas, S.-M., & Oken, B. S. (2008). Mind-body interventions: Applications in neurology. Neurology, 70(24), 2321–2328. DOI:

Wolff, M., Memon, A. A., Chalmers, J. P., Sundquist, K., & Midlöv, P. (2015). Yoga’s effect on inflammatory biomarkers and metabolic risk factors in a high risk population—A controlled trial in primary care. BMC Cardiovascular Disorders, 15, 91. DOI:



How to Cite

Nassar Tobón, A. C. (2023). Stress Reduction Program from Mind-Body Medicine : Transtheoretical Model and the Socio-Cognitive Theory . MEDICA REVIEW. International Medical Humanities Review / Revista Internacional De Humanidades Médicas, 11(1), 67–83.