Perceptions of Mindfulness in a Low-income, Primarily African American Treatment-Seeking Sample.

Perceptions of Mindfulness in a Low-income, Primarily African American Treatment-Seeking Sample.
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DOI:
10.1007/s12671-017-0720-3
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发表时间:
2017-12
期刊:
影响因子:
3.6
通讯作者:
Perskaudas R
Perskaudas R
中科院分区:
医学3区
文献类型:
--
作者:
Spears CA;Houchins SC;Bamatter WP;Barrueco S;Hoover DS;Perskaudas R

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社会经济地位低的个人和种族/少数民族群体成员在心理健康和身体健康方面往往存在巨大差异。以正念为基础的干预措施有望改善高社会地位和非拉丁裔白人的情绪和健康行为。然而,需要进行研究,探索需要什么样的适应,如果有的话,才能最好地支持服务不足的人口。本研究采用定性方法获取以下信息:a)对正念的感知,b)冥想体验,c)练习正念的障碍,以及d)在低收入、主要是非裔美国人寻求治疗的样本中定制基于正念的干预措施的建议。8个焦点小组对目前在社区精神卫生中心接受服务的32名成年人(16名男性和16名女性)进行了研究。大多数参与者(91%)是非裔美国人。使用NVivo 10对焦点组数据进行转录和分析。一个编码员团队审查了这些记录,以确定突出的主题。相关主题包括正念练习可能改善心理健康(例如,更有效地管理压力和愤怒)和身体健康(例如,改善睡眠和慢性疼痛,促进更健康的行为)的信念。参与者还讨论了正念如何与他们的宗教和精神实践相一致,甚至加强他们的宗教和精神实践。结果可能有助于定制基于正念的治疗,以优化低社会经济地位成年人接受心理健康服务的可行性和有效性。
Individuals with low socioeconomic status (SES) and members of racial/ethnic minority groups often experience profound disparities in mental health and physical well-being. Mindfulness-based interventions show promise for improving mood and health behaviors in higher-SES and non-Latino White populations. However, research is needed to explore what types of adaptations, if any, are needed to best support underserved populations. This study used qualitative methods to gain information about a) perceptions of mindfulness, b) experiences with meditation, c) barriers to practicing mindfulness, and d) recommendations for tailoring mindfulness-based interventions in a low-income, primarily African American treatment-seeking sample. Eight focus groups were conducted with 32 adults (16 men and 16 women) currently receiving services at a community mental health center. Most participants (91%) were African American. Focus group data were transcribed and analyzed using NVivo 10. A team of coders reviewed the transcripts to identify salient themes. Relevant themes included beliefs that mindfulness practice might improve mental health (e.g., managing stress and anger more effectively) and physical health (e.g., improving sleep and chronic pain, promoting healthier behaviors). Participants also discussed ways in which mindfulness might be consistent with, and even enhance, their religious and spiritual practices. Results could be helpful in tailoring mindfulness-based treatments to optimize feasibility and effectiveness for low-SES adults receiving mental health services.
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