Top

Mindfulness

Gepubliceerd in:

30-08-2019 | ORIGINAL PAPER

Adapting Mindfulness to Engage Latinos and Improve Mental Health in Primary Care: a Pilot Study

Auteurs: J. Alexis Ortiz, Bruce W. Smith, Brian M. Shelley, Kelly S. Erickson

Gepubliceerd in: Mindfulness | Uitgave 12/2019

Abstract

Objectives

Latinos comprise a sizeable and growing population that experiences unmet health needs and health inequities. Mindfulness-based interventions may be a cost-effective way to address mental health problems in primary care. We sought to adapt a mindfulness-based intervention to better serve and improve the mental health of Latinos in the primary care setting.

Methods

The authors employed a unique set of adaptations to increase retention and engagement of Latinos in a mindfulness-based stress reduction (MBSR) intervention. These adaptations included (1) group motivational interviewing, (2) problem-solving barriers to retention, (3) a testimonial by a prior Latino MBSR participant, and (4) modifications to increase perceived applicability of MBSR for Latinos. Thirty Latino participants were recruited for an 8-week mindfulness intervention adapted (MBSR-A) specifically for Latino populations.

Results

Twenty-six out of thirty (87%) participants completed at least five of the eight sessions, which was significantly greater than in previous studies targeting Latino participants (60–66%). Of those who completed and provided pre- and post-data, there were decreases in anxiety and depression, and increases in measures of general mental health and physical health.

Conclusions

The adaptations utilized in this pilot study may increase retention and engagement of Latinos in mindfulness-based interventions and may be a cost-effective way to reduce mental health problems in this growing population.

vorige artikel Negative Mood Reduces Negative False Memories After a Brief Mindfulness Exercise

volgende artikel Effects of an 8-Week Body Scan Intervention on Individually Perceived Psychological Stress and Related Steroid Hormones in Hair

Abdullah, T., & Brown, T. L. (2011). Mental illness stigma and ethnocultural beliefs, values, and norms: an integrative review. Clinical Psychology Review, 31(6), 934–948.PubMedCrossRef

Alegría, M., Canino, G., Shrout, P. E., Woo, M., Duan, N., Vila, D., et al. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry, 165(3), 359–369.CrossRef

Andres-Hyman, R. C., Ortiz, J. A., Anez, L. M., Paris, M., & Davidson, L. (2006). Culture and clinical practice: recommendations for working and Puerto Ricans and other Latinas(os) in the United States. Professional Psychology: Research and Practice, 37(6), 694–701.CrossRef

Barrera, M., & Castro, F. G. (2006). A heuristic framework for the cultural adaptation of interventions. Clinical Psychology: Science and Practice, 13(4), 311–316.

Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale: an updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.PubMedCrossRef

Chapman, D. P., Perry, G. S., & Strine, T. W. (2004). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease, 2(1).

Cohen, J. (1998). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates, Inc..

Concato, J., Shah, N., & Horwitz, R. I. (2000). Randomized, controlled trials, observational studies, and the hierarchy of research designs. New England Journal of Medicine, 342(25), 1887–1892.CrossRef

Corringan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614–625.CrossRef

D’Amico, E. J., Osilla, K. C., & Hunter, S. B. (2010). Developing a group motivational interviewing intervention for first-time adolescent offenders at-risk for an alcohol or drug use disorder. Alcoholism Treatment Quarterly, 28(4), 417–436.PubMedPubMedCentralCrossRef

Durden, T. E., & Hummer, R. A. (2006). Access to healthcare among working-aged Hispanic adults in the United States. Social Science Quarterly, 87(5), 1319–1343.CrossRef

Falicov, C. J. (1998). Latino families in therapy: a guide to multicultural practice. New York: Guilford Press.

Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119.PubMedCrossRef

Franzini, P. L., Ribble, M. J. C., & Keddie, M. A. M. (2011). Understanding the Hispanic paradox. Ethnic Disparities, 11(3), 496–518.

Gaynes, B. N., Rush, J., Trivedi, M. H., Wisniewski, S. R., Balasubramani, G. K., Spencer, D. C., et al. (2007). Major depression symptoms in primary care and psychiatric care settings: a cross-cultural analysis. Annals of Family Medicine, 5(2), 126–134.PubMedPubMedCentralCrossRef

Goldberg, J., Hayes, W., & Huntley, J. (2004). Understanding health disparities. Columbus, Ohio: Health Policy Institute of Ohio.

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.PubMedCrossRef

Kabat-Zinn, J. (1987). Six-month hospital visit cost reductions in medical patients following self-regulatory training. Paper presentation presented at the Society of Behavioral Medicine, Washington, DC.

Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta.

Kabat-Zinn, J. (1994). Mindfulness-based inner-city community stress reduction clinic. Worchester: University of Massachusetts Medical Center.

Kouyoumdjian, H., Zamboanga, B. L., & Hansen, D. J. (2003). Barriers to community mental health services for Latinos: treatment considerations. Clinical Psychology: Science and Practice, 10(4), 394–422.

Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317.PubMedCrossRef

Lewinsohn, P. M., Seeley, J. R., Roberts, R. E., & Allen, N. B. (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12(2), 277–287.PubMedCrossRef

Lochman, J. E., & Curry, J. F. (1986). Effects of social problem-solving training and self-instruction training with aggressive boys. Journal of Clinical Child Psychology, 15(2), 159–164.CrossRef

Markides, K. S., & Eschbach, K. (2011). Hispanic paradox in adult mortality in the United States. In International Handbooks of Population, International Handbook of Adult Mortality (pp. 227–240).

Marmot, M. G., Wilkinson, R. G., & Brunner, E. (2006). Social determinants of health. New York: Oxford University Press.

McEwen, B. S., & Seeman, T. E. (1999). Protective and damaging effects of mediators of stress: elaborating and testing the concepts of allostatic and allostatic load. Annals of the New York Academy of Sciences, 896(1), 30–47.PubMedCrossRef

Meadow, M. J., & Culligan, K. (2007). Christian insight meditation: following in the footsteps of John of the Cross. Boston: Wisdom Publications.

Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: helping people change (3rd ed.). New York: Guilford Press.

Peek, M. K., Cutchin, M. P., Salinas, J. J., Sheffield, K. M., Eschbach, K., Stowe, R. P., & Goodwin, J. S. (2010). Allostatic load among non-Hispanic Whites, non-Hispanic Blacks, and people of Mexican origin: effects of ethnicity, nativity, and acculturation. American Journal of Public Health, 100(5), 940–946.PubMedPubMedCentralCrossRef

Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef

Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23(4), 183–192.PubMedCrossRef

Roche, M. J. L. (2002). Psychotherapeutic considerations in treating Latinos. Harvard Review of Psychiatry, 10(2), 115–122.PubMedCrossRef

Roth, B. (1997). Mindfulness-based stress reduction in the inner city. Advances, 13(4), 50–58.

Roth, B., & Creaser, T. (1997). Mindfulness meditation-based stress reduction: experience with a bilingual inner-city program. The Nurse Practitioner, 22(3), 150–157.PubMedCrossRef

Roth, B., & Robbins, D. (2004). Mindfulness-based stress reduction and health-related quality of life: findings from a bilingual inner-city patient population. Psychosomatic Medicine, 66(1), 113.PubMedCrossRef

Roth, B., & Stanley, T. (2002). Mindfulness-based stress reduction and healthcare utilization in the inner city: preliminary findings. Alternative Therapies in Health & Medicine, 8(1), 60–66.

Smith, B. W., Shelley, B. M., Dalen, J., Wiggins, K., Tooley, E., & Bernard, J. (2008). A pilot study comparing the effects of mindfulness-based and cognitive-behavioral stress reduction. The Journal of Alternative and Complementary Medicine, 14(3), 251–258.PubMedCrossRef

Swanson, A. J., Pantalon, M. V., & Cohen, K. R. (1999). Motivational interviewing and treatment adherence among psychiatric and dually diagnosed patients. The Journal of Nervous and Mental Disease, 187(10), 630–635.PubMedCrossRef

Tarricone, I., Stivanello, E., Poggi, F., Castorini, V., Marseglia, M. V., Fantini, M. P., & Berardi, D. (2012). Ethnic variation in the prevalence of depression and anxiety in primary care: a systematic review and meta-analysis. Psychiatry Research, 195(3), 91–106.PubMedCrossRef

U.S. Department of Health and Human Services. (2001). Mental health: culture, race, and ethnicity. A supplement to mental health: a report of the Surgeon General. Rockville: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.CrossRef

Vega, W. A., Rodriguez, M. A., & Gruskin, E. (2009). Health disparities in the Latino population. Epidemiologic Reviews, 31(1), 99–112.PubMedCrossRef

Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef

Wittchen, H.-U., Kessler, R. C., Beesdo, K., Krause, P., Höfler, M., & Hoyer, J. (2002). Generalized anxiety and depression in primary care: prevalence, recognition, and management. The Journal of Clinical Psychiatry, 63(Suppl 8), 24–34.PubMed

Zigmond, A. S., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef

Titel: Adapting Mindfulness to Engage Latinos and Improve Mental Health in Primary Care: a Pilot Study
Auteurs: J. Alexis Ortiz
Bruce W. Smith
Brian M. Shelley
Kelly S. Erickson
Publicatiedatum: 30-08-2019
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 12/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-019-01229-0

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 12/2019

Correction to: Principles for a Responsible Integration of Mindfulness in Individual Therapy

Utilization and Perceived Effectiveness of Mindfulness Meditation in Veterans: Results from a National Survey

A Randomized Controlled Trial of a Mindfulness-Based Weight Loss Intervention on Cardiovascular Reactivity to Social-Evaluative Threat Among Adults with Obesity

Testing a Moderated Mediation Model of MBCT’s Effects for Psoriasis Patients

Mindfulness Training, Implicit Bias, and Force Response Decision-Making

The Relationship Between Adopting Mindfulness Practice and Reperceiving: a Qualitative Investigation of CARE for Teachers