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Prolonged exposure to ‘toxic stress’ caused by financial hardship and social exclusion can result in reduced well-being, increased risk of illness and impaired cognitive function and can negatively impact the physiological processes underlying ageing. Evidence suggests that mindfulness-based interventions (MBIs) may reduce stress and improve well-being in clinical and non-clinical populations, and recent studies indicate they may also help address well-being-related effects of poverty. This study aimed to evaluate the feasibility of delivering an adapted MBI training to adults living with the psychosocial stress caused by poverty and its effectiveness in improving participants’ well-being. In this mixed method, non-randomised waitlist-controlled feasibility pilot study, 40 adults (n = 20 in the training group) from regeneration areas in Scotland earning less than the Living Wage completed the adapted MBI. Delivery proved feasible, even though, as with previous studies on psychosocial interventions in socioeconomically deprived (SED) areas, the rate of participant attrition from recruitment (n = 107) to completion (n = 40) was high (58%). The results showed significant increases in well-being post training for the training group only (p < 0.001). No changes in mindfulness were found in either group. Further qualitative analyses suggested a possible shift in participants’ conceptualisation of well-being from being difficult to manageable or workable. These results indicate that MBI training can be feasibly delivered within SED communities and potentially improve the well-being of course participants. The practicalities of developing accessible MBIs for those living in areas of multiple deprivation are discussed.
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Abercrombie, P., Zamora, A., & Korn, A. P. (2007). Lessons learned providing a mindfulness-based stress reduction. Holistic Nursing Practice, 21(1), 26–34. CrossRef
Adli, M. (2011). Urban Stress and Mental Health | Articles | LSE Cities. London. Retrieved from http://lsecities.net/media/objects/articles/urban-stress-and-mental-health/en-gb/
Bartley, T. (2012). Mindfulness-Based Cognitive Therapy for Cancer, (1st ed., Vol. 16 Suppl 2). Chichester: Wiley-Blackwell.
Bech, P., Olsen, L. R., Kjoller, M., & Rasmussen, N. K. (2003). Measuring well-being rather than the absence of distress symptoms: a comparison of the SF-36 Mental Health subscale and the WHO-Five Well-Being Scale. International Journal of Methods in Psychiatric Research, 12(2), 85–91. https://doi.org/10.1002/mpr.145. CrossRefPubMed
Bermudez, D., Benjamin, M. T., Porter, S. E., Saunders, P. A., Anne, N., Myers, L., & Dutton, M. A. (2013). A qualitative analysis of beginning mindfulness experiences for women with post-traumatic stress disorder and a history of intimate partner violence. Complementary Therapies in Clinical Practice, 19(2), 104–108. https://doi.org/10.1016/j.ctcp.2013.02.004. CrossRefPubMed
Blacker, M., Meleo-meyer, F., Kabat-Zinn, J., & Santorelli, S. (2009). Mindfulness-Based Stress Reduction (MBSR) Curriculum Guide© 2009. Massachusetts: Center for Mindfulness in Medicine, Health Care & Society Department of Medicine.
Bramley, G., Hirsch, D., Littlewood, M., & Watkins, D. (2016). Counting the cost of UK poverty. York. Retrieved from https://www.jrf.org.uk/report/counting-cost-uk-poverty#jl_downloads_0
Brown, K. W., & Creswell, J. D. (2015). Handbook of Mindfulness:Thoery, Research, and Practice. New York London: Guildford Press.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-35184.108.40.2062. CrossRefPubMed
Cabinet Office. (2006). Reaching Out: An Action Plan on Social Exclusion. London.
Carel, H. (2009). ‘I am well, apart from the fact that I have cancer’: explaining wellbeing within illness. In L. Bortolloti (Ed.), Philosophy and Happiness (First, pp. 82–99). Basingstoke: Palgrave Macmillan.
Carlson, L. E., & Brown, K. W. (2005). Validation of the Mindful Attention Awareness Scale in a cancer population. Journal of Psychosomatic Research, 58(1), 29–33. https://doi.org/10.1016/j.jpsychores.2004.04.366. CrossRefPubMed
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33. https://doi.org/10.1007/s10865-007-9130-7. CrossRefPubMed
Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: an integrative review. Clinical Psychology Review, 29(6), 560–572. https://doi.org/10.1016/j.cpr.2009.06.005. CrossRefPubMed
Chen, S., & Ravallion, M. (2010). The developing world is poorer than we thought, but no less successful in the fight against poverty. The Quarterly Journal of Economics, 125(4), 1577–1625. https://doi.org/10.1162/qjec.2010.125.4.1577. CrossRef
Conner, C. M., & White, S. W. (2014). Stress in mothers of children with autism: trait mindfulness as a protective factor. Research in Autism Spectrum Disorders, 8(6), 617–624. https://doi.org/10.1016/j.rasd.2014.02.001. CrossRef
Davis, A., Hirsch, D., & Padley, M. (2014). A Minimum Income Standard for the UK in 2014. York. Retrieved from www.jrf.org.uk
Diener, E. (2008). Happiness: Unlocking the Mysteries of Psychological Wealth. (online). Malden, Oxford.: Blackwell Publishing. Retrieved from doi: https://doi.org/10.1002/9781444305159
Dutton, M. A., Bermudez, D., Matás, A., Majid, H., & Myers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20(1), 23–32. https://doi.org/10.1016/j.cbpra.2011.08.003. CrossRefPubMed
Egan, M., Tannahill, C., Petticrew, M., & Thomas, S. (2008). Psychosocial risk factors in home and community settings and their associations with population health and health inequalities: a systematic meta-review. BMC Public Health, 8(1), 239. https://doi.org/10.1186/1471-2458-8-239. CrossRefPubMedPubMedCentral
Fox, K. C. R., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P., et al. (2014). Is meditation associated with altered brain structure ? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners author ’ s personal copy. Neuroscience and Biobehavioral Reviews, 43, 48–73. https://doi.org/10.1016/j.neubiorev.2014.03.016. CrossRefPubMed
Fresco, D. M., Segal, Z. V., Buis, T., & Kennedy, S. (2007). Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression. Journal of Consulting and Clinical Psychology, 75(3), 447–455. https://doi.org/10.1037/0022-006X.75.3.447. CrossRefPubMed
Goyal, M., Singh, S., Sibinga, E., Gould, N., Rowland-Seymour, A., Sharma, R., et al. (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Internal Medicine, 29(6), 997–1003. https://doi.org/10.1016/j.biotechadv.2011.08.021.Secreted. CrossRef
Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 53(9), 1034–1040. https://doi.org/10.1037/a0022713. CrossRef
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. https://doi.org/10.1016/S0022-3999(03)00573-7. CrossRefPubMed
Gucht, K. Van Der, Takano, K., Broeck, N. Van, & Raes, F. (2014). A mindfulness-based intervention for economically disadvantaged people : effects on symptoms of stress, anxiety, and depression and on cognitive reactivity and overgeneralization. Mindfulness, 11. doi https://doi.org/10.1007/s12671-014-0353-8.
Hick, S. F., & Furlotte, C. (2010). An exploratory study of radical mindfulness training with severely economically disadvantaged people: findings of a Canadian study. Australian Social Work, 63(3), 281–298. https://doi.org/10.1080/0312407X.2010.496865. CrossRef
Hoge, E. A., Bui, E., Elizabeth, G., Robinaugh, D. J., Ojserkis Rebecca, A., Fresco, D. M., & Simon, N. M. (2015). Change in decentering mediates improvement in anxiety in mindfulness-based stress reduction for generalized anxiety disorder. Cognitive Therapy and Research, 39(2), 228–235. https://doi.org/10.1016/j.coviro.2015.09.001.Human. CrossRefPubMed
IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.00. Armonk, NY.: IBM Corp. Retrieved from http://www-01.ibm.com/support/docview.wss?uid=swg21476197
Kabat-Zinn, J. (1982). An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. CrossRef
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness: The program of the stress reduction clinic at the University of Massachusetts Medical Center. New York: Delacorte Press
Kabat-Zinn, J. (2004). Full Catastrophe Living. How to Cope with Stress, Pain and Illness Using Mindfulness Meditation. New York: Bantam Dell.
Kenealy, D. D. (2015). Elitest Scotland. Edinburgh. Retrieved from www.gov.uk/smcpc
Kenway, P., & Bushe, S. (2015). Monitoring Poverty and Social exclusion in Scotland 2015. York. Retrieved from www.jrf.org.uk
Kim, P., Evans, G. W., Angstadt, M., Ho, S. S., Sripada, C. S., Swain, J. E., … Phan, K. L. (2013). Effects of childhood poverty and chronic stress on emotion regulatory brain function in adulthood. Proceedings of the National Academy of Sciences, 110(46), 18442–18447. doi https://doi.org/10.1073/pnas.1308240110.
Kuyken, W., Crane, R. S., & Williams, J. M. G. (2012). Mindfulness-Based Cognitive Therapy (MBCT) Implementation Resources. Exeter, Bangor and Oxford: Exeter, Bangor and Oxford Universities.
Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., et al. (2012). Transforming the perceptual situation: a meta-ethnography of qualitative work reporting patients’ experiences of mindfulness-based approaches. Mindfulness, 3(1), 60–75. https://doi.org/10.1007/s12671-011-0081-2. CrossRef
Mani, A., Mullainathan, S., Shafir, E., & Zhao, J. (2013). Poverty impedes cognitive function. Science (New York, N.Y.). , 341(6149), 976–980. https://doi.org/10.1126/science.1238041.
McCracken, L. M., Gauntlett-Gilbert, J., & Vowles, K. E. (2007). The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability. Pain, 131(1–2), 63–69. https://doi.org/10.1016/j.pain.2006.12.013. CrossRefPubMed
Mcknight, A. (2015). Downward Mobility, Opportunity Hoarding and the “Glass Floor” (No. 1) (Vol. 1). London. Retrieved from www.gov.uk/smcpc
Mindfulness All-party Parliamentary Group. (2015). Mindful nation uk. London. Retrieved from www.themindfulnessinitiative.org.uk
Noble, K. G., Houston, S. M., Kan, E., & Sowell, E. R. (2012). Neural correlates of socioeconomic status in the developing human brain. Developmental Science, 15(4), 516–527. https://doi.org/10.1111/j.1467-7687.2012.01147.x. CrossRefPubMed
Palmer, G. (2015). Key facts—the poverty site. Retrieved December 4, 2015, from http://www.poverty.org.uk
Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., & Szanton, S. L. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health, 89(2), 308–316. https://doi.org/10.1007/s11524-011-9654-6. CrossRefPubMedPubMedCentral
Rechavi, O., Houri-Ze’Evi, L., Anava, S., Goh, W. S. S., Kerk, S. Y., Hannon, G. J., & Hobert, O. (2014). Starvation-induced transgenerational inheritance of small RNAs in C. elegans. Cell, 158(2), 277–287. https://doi.org/10.1016/j.cell.2014.06.020. CrossRefPubMedPubMedCentral
Reeves, R. V, & Howard, K. (2013). Richard V. Reeves and Kimberly Howard sticky at both ends. Affluence and poverty are both partially inherited. Policy and research has focused on upward mobility, especially from the bottom. But relative intergenerational upward mobility is only poss. Washington, DC. Retrieved from https://www.brookings.edu/research/the-glass-floor-education-downward-mobility-and-opportunity-hoarding/
Richardson, T., Elliott, P., & Roberts, R. (2013). The relationship between personal unsecured debt and mental and physical health: a systematic review and meta-analysis. Clinical Psychology Review, 33(8), 1148–1162. https://doi.org/10.1016/j.cpr.2013.08.009. CrossRefPubMed
Rockville, M. D. (1994). The Buddy System. In Disaster Response and Recovery: a Handbook for Mental Health Professionals (p. 2). Atlanta: Center for Mental Health Services.
Roth, B., & Creaser, T. (1997). Mindfulness meditation-based stress reduction: experience with a bilingual inner-city program. The Nurse Practitioner, 22(3), 150–175. CrossRef
Roth, B., & Robbins, D. (2004). Mindfulness-based stress reduction and health-related quality of life: findings from a bilingual inner-City population. Psychosomatic Medicine, 66(1), 113–123. https://doi.org/10.1097/01.PSY.0000097337.00754.09. CrossRefPubMed
Santorelli, S. F., & Kabat-Zinn, J. (2014). Mindfulness-Based Stress Reduction (MBSR): Standards of Practice. Massachusetts: Center for Mindfulness in Medicine, Health Care & Society Department of Medicine.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Health Care, 62(3), 373–386.
Szanton, S. L., Wenzel, J., Connolly, A. B., & Piferi, R. L. (2011). Examining mindfulness-based stress reduction: perceptions from minority older adults residing in a low-income housing facility. BMC Complementary and Alternative Medicine, 11(1), 44. https://doi.org/10.1186/1472-6882-11-44. CrossRefPubMedPubMedCentral
Taggart, F., & Stewart-Brown, S. (2015). A review of questionnaires designed to measure mental wellbeing. London: Royal Society of Public Health.
Van Dam, N. T., Earleywine, M., & Borders, A. (2010). Measuring mindfulness? An item response theory analysis of the mindful attention awareness scale. Personality and Individual Differences, 49(7), 805–810. https://doi.org/10.1016/j.paid.2010.07.020. CrossRef
Wenzel, M., von Versen, C., Hirschmüller, S., & Kubiak, T. (2015). Curb your neuroticism—mindfulness mediates the link between neuroticism and subjective well-being. Personality and Individual Differences, 80, 68–75. CrossRef
Williams, M., Teasdale, J., & Segal, Z. (2007). The mindful way through depression. New York: The Guilford Press.
- Feasibility and Efficacy of an Adapted Mindfulness-Based Intervention (MBI) in Areas of Socioeconomic Deprivation (SED)
Rebekah Jane Kaunhoven
- Springer US