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08-09-2022 | ORIGINAL PAPER

Mindfulness for Reducing Minority Stress and Promoting Health Among Sexual Minority Men: Uncovering Intervention Principles and Techniques

Auteurs: Shufang Sun, Arryn A. Guy, David G. Zelaya, Don Operario

Gepubliceerd in: Mindfulness | Uitgave 10/2022

Abstract

Objectives

Tailored, evidence-based interventions are in high need for sexual minority men (gay, bisexual, and queer men who have sex with men) to address prevalent mental health issues and HIV/STI risk. This study describes the formative research that informed the development of Mindfulness-Based Queer Resilience (MBQR): a mindfulness-based intervention for health promotion among sexual minority men.

Methods

Guided by the ADAPT-ITT model, we conducted a series of interviews with community stakeholders, including sexual minority men with anxiety and depressive symptoms (n = 15) and mindfulness service providers with experience working with sexual minority men (n = 11). Thematic analysis was used for data analysis.

Results

Six intervention principles and seven key techniques/delivery considerations emerged relevant to intervention development. Principles included (a) reducing minority stress as a key theoretical guide, (b) affirming LGBTQ + identity and facilitating healthy identity development, (c) attending to intersectionality, (d) facilitating resilience and self-empowerment, (e) trauma sensitivity, and (f) promoting healthy relationships and a healthy community. Key techniques represent the pathways through which MBQR may address the adverse impacts of minority stress, including through attention control practice to facilitate agency and self-awareness, enhancing emotion regulation, reducing reactivity to minority stress-informed thoughts, self-compassion to increase self-acceptance, and reducing behavioral avoidance. Delivery considerations also included careful navigation regarding mindfulness and religion, as well as using modern technology to increase reach, access, and engagement.

Conclusions

If proven to be feasible and efficacious, MBQR may offer the potential to alleviate adverse impacts of minority stress and improve mental and sexual health of sexual minority men.

vorige artikel Nonattachment at Work on Well-being Among Working Adults in Hong Kong

volgende artikel Shifting Baselines: Longitudinal Reductions in EEG Beta Band Power Characterize Resting Brain Activity with Intensive Meditation

American Psychological Association. (2012). Guidelines for psychological practice with lesbian, gay, and bisexual clients. American Psychologist, 67(1), 10–42. https://doi.org/10.1037/a0024659 CrossRef

Babel, R. A., Wang, P., Alessi, E. J., Raymond, H. F., & Wei, C. (2021). Stigma, HIV Risk, and access to HIV prevention and treatment services among men who have sex with men (MSM) in the United States: A scoping review. AIDS and Behavior, 25(11), 3574–3604. https://doi.org/10.1007/s10461-021-03262-4 CrossRefPubMedPubMedCentral

Boroughs, M. S., Bedoya, C. A., O’Cleirigh, C., & Safren, S. A. (2015). Toward defining, measuring, and evaluating LGBT cultural competence for psychologists. Clinical Psychology: Science and Practice, 22(2), 151–171. https://doi.org/10.1111/cpsp.12098 CrossRef

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. https://doi.org/10.1191/1478088706qp063oa CrossRef

Cardona, N. D., Madigan, R. J., & Sauer-Zavala, S. (2022). How minority stress becomes traumatic invalidation: An emotion-focused conceptualization of minority stress in sexual and gender minority people. Clinical Psychology: Science and Practice, 29(2), 185–195. https://doi.org/10.1037/cps0000054 CrossRef

Carrico, A. W., Gόmez, W., Jain, J., Shoptaw, S., Discepola, M. V., Olem, D., Lagana-Jackson, J., Andrews, R., Neilands, T. B., Dilworth, S. E., Evans, J. L., Woods, W. J., & Moskowitz, J. T. (2018). Randomized controlled trial of a positive affect intervention for methamphetamine users. Drug and Alcohol Dependence, 192, 8–15. https://doi.org/10.1016/j.drugalcdep.2018.07.029 CrossRefPubMedPubMedCentral

Carrico, A. W., Neilands, T. B., Dilworth, S. E., Evans, J. L., Gόmez, W., Jain, J. P., Gandhi, M., Shoptaw, S., Horvath, K. J., Coffin, L., Discepola, M. V., Andrews, R., Woods, W. J., Feaster, D. J., & Moskowitz, J. T. (2019). Randomized controlled trial of a positive affect intervention to reduce HIV viral load among sexual minority men who use methamphetamine. Journal of the International AIDS Society, 22(12). https://doi.org/10.1002/jia2.25436

CDC. (2019). HIV among Gay and Bisexual Men. https://www.cdc.gov/msmhealth/HIV.htm

Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental health disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71(1), 53–61. https://doi.org/10.1038/jid.2014.371 CrossRefPubMedPubMedCentral

Cvetkovich, A. (2003). An archive of feelings: Trauma, sexuality, and lesbian public cultures. Duke University Press.

Fish, J. N., Williams, N. D., McInroy, L. B., Paceley, M. S., Edsall, R. N., Devadas, J., Henderson, S. B., & Levine, D. S. (2022). Q chat space: Assessing the feasibility and acceptability of an internet-based support program for LGBTQ+ youth. Prevention Science, 23(1), 130–141. https://doi.org/10.1007/s11121-021-01291-y CrossRefPubMed

Gayner, B., Esplen, M. J., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., & Butler, K. (2012). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 35(3), 272–285. https://doi.org/10.1007/s10865-011-9350-8 CrossRefPubMed

Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60. https://doi.org/10.1016/j.cpr.2017.10.011 CrossRefPubMed

Goldberg, S. B., Riordan, K. M., Sun, S., & Davidson, R. J. (2022). The empirical status of mindfulness-based interventions: A systematic review of 44 meta-analyses of randomized controlled trials. Perspectives on Psychological Science, 17(1), 108–130. https://doi.org/10.1177/174569162096877 CrossRefPubMed

Grant, S., Colaiaco, B., Motala, A., Shanman, R., Booth, M., Sorbero, M., & Hempel, S. (2017). Mindfulness-based relapse prevention for substance use disorders: A systematic review and meta-analysis. Journal of Addiction Medicine, 11(5), 386–396. https://doi.org/10.1097/ADM.0000000000000338 CrossRefPubMedPubMedCentral

Haldeman, D. C. (1994). The practice and ethics of sexual orientation conversion therapy. Journal of Consulting and Clinical Psychology, 62(2), 221–227. CrossRef

Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707–730. CrossRef

Iacono, G., Craig, S. L., Crowder, R., Brennan, D. J., & Loveland, E. K. (2022). A qualitative study of the LGBTQ+ youth affirmative mindfulness program for sexual and gender minority youth. Mindfulness, 13, 222–237. https://doi.org/10.1007/s12671-021-01787-2 CrossRef

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy/bpg016 CrossRef

Keating, L., & Muller, R. T. (2020). LGBTQ+ based discrimination is associated with PTSD symptoms, dissociation, emotion dysregulation, and attachment insecurity among LGBTQ+ adults who have experienced trauma. Journal of Trauma and Dissociation, 21(1), 124–141. https://doi.org/10.1080/15299732.2019.1675222 CrossRefPubMed

Kerridge, B. T., Pickering, R. P., Saha, T. D., Ruan, W. J., Chou, S. P., Zhang, H., Jung, J., & Hasin, D. S. (2017). Prevalence, sociodemographic correlates and DSM-5 substance use disorders and other psychiatric disorders among sexual minorities in the United States. Drug and Alcohol Dependence, 170, 82–92. https://doi.org/10.1016/j.drugalcdep.2016.10.038 CrossRefPubMed

Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: A meta-analysis. Journal of Psychosomatic Research, 78(6), 519–528. https://doi.org/10.1016/j.jpsychores.2015.03.009 CrossRefPubMed

Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ–4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1016/s0033-3182(09)70864-3 CrossRefPubMed

Lyons, A. (2016). Mindfulness attenuates the impact of discrimination on mental health of middle-aged and older gay men. Psychology of Sexual Orientation and Gender Diversity, 3(2), 227–235. https://doi.org/10.1037/sgd0000164 CrossRef

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1097/MCA.0000000000000178 CrossRefPubMedPubMedCentral

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923 CrossRefPubMed

Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30(8), 1019–1029. https://doi.org/10.1016/j.cpr.2010.07.003 CrossRefPubMed

Operario, D., Sun, S., Bermudez, A. N., Masa, R., Shangani, S., van der Elst, E., & Sanders, E. (2022). Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men. The Lancet HIV, 9(8), e574–e584. https://doi.org/10.1016/S2352-3018(22)00076-5 CrossRefPubMedPubMedCentral

Pachankis, J. E., Rendina, H. J., Restar, A., Ventuneac, A., Grov, C., & Parsons, J. T. (2014). A minority stress — Emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men. Health Psychology, 34(8), 829–840. https://doi.org/10.1037/hea0000180 CrossRefPubMedPubMedCentral

Pachankis, J. E., Hatzenbuehler, M. L., Hickson, F., Weatherburn, P., Berg, R. C., Marcus, U., & Schmidt, A. J. (2015). Hidden from health: Structural stigma, sexual orientation concealment, and HIV across 38 countries in the European MSM Internet Survey. AIDS, 29(10), 1239–1246. https://doi.org/10.1097/QAD.0000000000000724 CrossRefPubMed

Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889. https://doi.org/10.1037/ccp0000037 CrossRefPubMedPubMedCentral

Pachankis, J. E., Sullivan, T. J., Feinstein, B. A., & Newcomb, M. E. (2018). Young adult gay and bisexual men’s stigma experiences and mental health: An 8-year longitudinal study. Developmental Psychology, 54(7), 1381–1393. https://doi.org/10.1037/dev0000518 CrossRefPubMed

Pachankis, J. E., Mahon, C. P., Jackson, S. D., Fetzner, B. K., & Bränström, R. (2020). Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin, 146(10), 831–871. https://doi.org/10.1037/bul0000271 CrossRefPubMedPubMedCentral

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

Platero, R. L., & López-Sáez, M. Á. (2021). Community responses to LGBT+ adults with intellectual and developmental disabilities during the COVID-19 confinement in Madrid. International Social Work. (online First Publication). https://doi.org/10.1177/00208728211044741 CrossRef

Ramchandani, M. S., & Golden, M. R. (2019). Confronting rising STIs in the era of PrEP and treatment as prevention. Current HIV/AIDS Reports, 16, 244–256. https://doi.org/10.1007/s11904-019-00446-5 CrossRefPubMedPubMedCentral

Roberts, A. L., Austin, S. B., Corliss, H. L., Vandermorris, A. K., & Koenen, K. C. (2010). Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health, 100(12), 2433–2441. CrossRef

Russell, S. T., & Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annual Review of Clinical Psychology, 12(1), 465–487. https://doi.org/10.1146/annurev-clinpsy-021815-093153 CrossRefPubMedPubMedCentral

Sibinga, E. M. S., Perry-Parrish, C., Thorpe, K., Mika, M., & Ellen, J. M. (2014). A small mixed-method RCT of mindfulness instruction for urban youth. Explore: The Journal of Science and Healing, 10(3), 180–186. https://doi.org/10.1016/j.explore.2014.02.006 CrossRef

Siegel, D. J. (1999). The Developing Mind. Guilford Press.

Storholm, E. D., Satre, D. D., Kapadia, F., & Halkitis, P. N. (2016). Depression, compulsive sexual behavior, and sexual risk-taking among urban young gay and bisexual men: The P18 cohort study. Archives of Sexual Behavior, 45(6), 1431–1441. https://doi.org/10.1007/s10508-015-0566-5 CrossRefPubMed

Sun, S., Nardi, W., Loucks, E. B., & Operario, D. (2021). Mindfulness-based interventions for sexual and gender minorities: A systematic review and evidence. Mindfulness, 12, 2439–2459. https://doi.org/10.1007/s12671-021-01710-9 CrossRef

Sun, S., Lin, D., Goldberg, S., Shen, Z., Chen, P., Qiao, S., Brewer, J., Loucks, E., & Operario, D. (2022). A mindfulness-based mobile health (mHealth) intervention among psychologically distressed university students in quarantine during the COVID-19 pandemic: A randomized controlled trial. Journal of Counseling Psychology, 69(2), 157–171. https://doi.org/10.1037/cou0000568 CrossRefPubMed

Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. https://doi.org/10.1037//0022-006x.68.4.615 CrossRefPubMed

Toomey, R. B., & Anhalt, K. (2016). Mindfulness as a coping strategy for bias-based school victimization among Latina/o sexual minority youth. Psychology of Sexual Orientation and Gender Diversity, 3(4), 432–441. https://doi.org/10.1037/sgd0000192 CrossRefPubMedPubMedCentral

Toplu-Demirtaş, E., Kemer, G., Pope, A. L., & Moe, J. L. (2018). Self-compassion matters: The relationships between perceived social support, self-compassion, and subjective well-being among LGB individuals in Turkey. Journal of Counseling Psychology, 65(3), 372–382. https://doi.org/10.1037/cou0000261 CrossRefPubMed

Treleaven, D. A. (2018). Trauma-sensitive mindfulness: Practices for safe and transformative healing. WW Norton & Company.

Wingood, G. M., & Diclemente, R. J. (2008). The ADAPT-ITT model: A novel method of adapting evidence-based HIV interventions. Journal of Acquired Immune Deficiency Syndromes, 47(SUPPL. 1), 40–46. https://doi.org/10.1097/QAI.0b013e3181605df1 CrossRef

Witkiewitz, K., & Bowen, S. (2010). Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 78(3), 362–374. https://doi.org/10.1037/a0019172 CrossRefPubMedPubMedCentral

Titel: Mindfulness for Reducing Minority Stress and Promoting Health Among Sexual Minority Men: Uncovering Intervention Principles and Techniques
Auteurs: Shufang Sun
Arryn A. Guy
David G. Zelaya
Don Operario
Publicatiedatum: 08-09-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 10/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01973-w

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Abstract

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Conclusions

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