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A multi-method exploration of mindfulness as a coping tool: Perspectives from trauma-exposed, unhoused women residing at a drug treatment facility.

Stress and Health August 23, 2022 DOI: 10.1002/smi.3188 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Multi-method qualitative and quantitative study Peer reviewed
Sample size 28
Population Trauma-exposed women experiencing homelessness residing in a state-funded residential drug treatment site in Southern California, United States
Topics Meditation
Key findings Almost 90% of the women met criteria for probable PTSD and most reported multiple traumas over their lives. The authors report that participants used a variety of coping techniques, had some familiarity with mindfulness, and were optimistic that a mindfulness-based intervention would help, while also identifying challenges to implementation.

Abstract

Abstract: This multi‐method study examined perspectives on mindfulness and coping strategies used by trauma‐exposed women experiencing homelessness (WEH), residing in a state‐funded residential drug treatment site in Southern California (United States). Questionnaires and in‐depth focus group interviews were utilised to examine traumatic experiences over the lifespan, probable‐posttraumatic stress disorder (PTSD), and coping strategies. Mindfulness was explored as a potential way to improve coping; potential benefits and challenges associated with implementing a mindfulness‐based intervention (MBI) with trauma‐exposed WEH were also investigated. A Community Advisory Board (CAB) was formed to identify key issues experienced by WEH and to develop a semi structured interview guide (SSIG). Using the SSIG, women participated in one of four focus groups (total N = 28; n = 7 per group). Quantitative data on demographic indicators, probable‐PTSD, and trauma exposure were collected. Almost 90% of women met criteria for probable‐PTSD; trauma exposure was exceedingly high; most women had experienced multiple traumas throughout their lives. Four main themes emerged from qualitative analyses, which drew from Grounded Theory and used open, selective, and axial coding: (1) ways of coping with trauma; (2) perspectives on mindfulness; (3) prior experiences with mindfulness; and (4) challenges for conducting a mindfulness programme. Overall, WEH used a variety of coping techniques to deal with their trauma, had some familiarity with mindfulness, and were optimistic an MBI would be helpful, despite identifying several challenges to implementation. MBIs may be helpful adjuncts to traditional care for trauma‐exposed, WEH, recovering from substance use disorder. Population‐specific considerations may improve implementation and participation.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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