Development of a cognitive behavioral therapy with integrated mindfulness for Latinx immigrants with co-occurring disorders: Analysis of intermediary outcomes.
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Findings suggest that skills related to the studied intermediary outcomes can be helpful for Latinx immigrants experiencing circumstances of ongoing exposure to adversity and traumatic stress. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Greater levels of mindful awareness measured by the MAAS were found after the use of an Integrated Intervention for Dual Problems and Early Action (IIDEA).
“Greater levels of mindful awareness measured by the MASS were found after the use of an Integrated Intervention for Dual Problems and Early Action (IIDEA) that incorporates cognitive therapy and mindfulness practice to alleviate anxiety and depression symptoms, post-traumatic stress, and co-occurring substance use issues (Fortuna et al., 2020).”
From Mapping mindfulness in psychotherapy: a scoping review on conceptualization, applications, and research directions (2026) · cites this paper as Fortuna et al., 2020
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The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9476-1 · Cited by 3,445 · cited 2× · see citing works
“IIDEA was designed to integrate mindfulness practice, in combination with Cognitive Behavioral Therapy (CBT), in order to offer a metacognitive approach aimed at improving awareness of thoughts and reactions to stress, support emotional regulation and self-care and provide culturally responsive care in order to promot…”
BackgroundMethodPrevalence of psychiatric disorders across Latino subgroups in the United States
Alegría, M., Mulvaney-Day, N., Torres, M., Polo, A., Cao, Z., & Canino, G. (2007) · American Journal of Public Health · doi:10.2105/ajph.2006.087205 · Cited by 816 · see citing works
Garcia-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Perez-Paramo, M., Lopez-Gomez, V., Freire, O., & Rejas, J. (2010) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-8-8 · Cited by 673 · see citing works
Validation of the Mindful Attention Awareness Scale in a cancer population
Carlson, L. E., & Brown, K. W. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.04.366 · Cited by 583 · see citing works
Newby, J. M., McKinnon, A., Kuyken, W., Gilbody, S., & Dalgleish, T. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.06.002 · Cited by 545 · cited 2× · see citing works
“, 2014), generally perform better than wait-list controls, compare well to diagnosis-specific treatments (Arnfred et al., 2017; McEvoy et al., 2009; Newby et al., 2015), are associated with excellent patient satisfaction and positive therapeutic and treatment expectations (Arnfred et al.”
BackgroundWilliams, J. M. G., Crane, C., Barnhofer, T., Brennan, K., Duggan, D. S., Fennell, M. J. V., Hackmann, A., Krusche, A., Muse, K., Von Rohr, I. R., et al. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0035036 · Cited by 420 · see citing works
Boyd, J. E., Lanius, R. A., & McKinnon, M. C. (2018) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.170021 · Cited by 407 · see citing works
Sijbrandij, M., Kunovski, I., & Cuijpers, P. (2016) · Depression and Anxiety · doi:10.1002/da.22533 · Cited by 213 · see citing works
Garland, E. L., Roberts-Lewis, A., Tronnier, C. D., Graves, R., & Kelley, K. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.11.012 · Cited by 173 · see citing works
Fortuna, L. R., Porche, M. V., & Padilla, A. (2018) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12143 · Cited by 60 · see citing works
Self-citationEffectiveness of the Engagement and Counseling for Latinos (ECLA) intervention in low-income Latinos
Alegría, M., Ludman, E., Kafali, E. N., Lapatin, S., Vila, D., Shrout, P. E., Keefe, K., Cook, B., Ault, A., Li, X., et al. (2014) · Medical Care · doi:10.1097/mlr.0000000000000232 · Cited by 54 · see citing works
Rector, N. A., Man, V., & Lerman, B. (2014) · The Canadian Journal of Psychiatry · doi:10.1177/070674371405900603 · Cited by 28 · see citing works
Flagged first, then by citations
Research works printed but not linked: 46
- Aggarwal NK (2017, Autumn). Culture, Communication, and DSM-5 Diagnostic Reliability. J Natl Med Assoc, 109(3), 150– 152. 10.1016/j.jnma.2017.03.005 28987242 · DOI
- Alcántara C, Li X, Wang Y, Canino G, & Alegría M (2016). Treatment moderators and effectiveness of Engagement and Counseling for Latinos intervention on worry reduction in a low-income primary care sample. Journal of consulting and clinical psychology, 84(11), 1016. 27631958 PMC5343668
- Alegría M, Canino G, Shrout PE, Woo M, Duan N, Vila D, Torres M, Chen C.-n., & Meng X-L (2008). Prevalence of mental illness in immigrant and non-immigrant US Latino groups. American Journal of Psychiatry, 165(3), 359– 369. PMC2712949 18245178
- Alegría M, Chatterji P, Wells K, Cao Z, Chen C, Takeuchi D, Jackson J, & Meng XL (2008). Disparity in Depression Treatment among Racial and Ethnic Minority Populations in the United States. Psychiatric Services, 59(11), 1264– 1272. 18971402 PMC2668139
- Alegria M, Falgas-Bague I, Collazos F, Carmona Camacho R, Lapatin Markle S, Wang Y, Baca-Garcia E, Le Cook B, Chavez LM, Fortuna LR, Herrera L, Qureshi A, Ramos Z, Gonzalez C, Aroca P, Albarracin Garcia L, Cellerino L, Villar A, Ali N, Mueser KT, & Shrout PE (2019, Jan 4). Evaluation of the Integrated Intervention for Dual Problems and Early Action among Latino immigrants with co-occurring mental health and substance misuse symptoms: A randomized clinical trial. JAMA Netw Open, 2(1), e186927. 10.1001/jamanetworkopen.2018.6927 30646205 PMC6484537 · DOI
- Arnfred SM, Aharoni R, Hvenegaard M, Poulsen S, Bach B, Arendt M, Rosenberg NK, & Reinholt N (2017). Transdiagnostic group CBT vs. standard group CBT for depression, social anxiety disorder and agoraphobia/panic disorder: Study protocol for a pragmatic, multicenter non-inferiority randomized controlled trial. BMC Psychiatry, 17, 37. 28114915 PMC5260024
- Atdjian S, & Vega WA (2005). Disparities in mental health treatment in US racial and ethnic minority groups: Implications for psychiatrists. Psychiatric Services, 56(12), 1600– 1602. 16339626
- Blevins CA, Weathers FW, Davis MT, Witte TK, & Domino JL (2015, Dec). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation. J Trauma Stress, 28(6), 489– 498. 10.1002/jts.22059 26606250 · DOI · Paper page
- Bordin ES (1979, Fal 1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, research & practice, 16(3), 252– 260. 10.1037/h0085885 · DOI · Paper page
- Brown KW, & Ryan RM (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of personality and social psychology, 84(4), 822– 848. 10.1037/0022-3514.84.4.822 12703651 · DOI · Paper page
- Canadian Paediatric Society. (2008). Harm reduction: An approach to reducing risky health behaviours in adolescents. Paediatrics and Child Health, 13(1), 53– 56. 19119355 PMC2528824
- Cepeda-Benito A, & Gleaves DH (2000, Aug). Cross-ethnic equivalence of the Hopkins Symptom Checklist-21 in European American, African American, and Latino college students. Cultur Divers Ethnic Minor Psychol, 6(3), 297– 308. 10938637
- Chavez LM, Shrout PE, Wang Y, Collazos F, Carmona R, & Alegría M (2017). Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants. Drug and Alcohol Dependence, 180, 121– 128. 10.1016/j.drugalcdep.2017.07.042 28888151 PMC5648606 · DOI
- Corbella S, Botella L, Gómez AM, Herrero O, & Pacheco M (2011). Características psicométricas de la versión Española del Working Alliance Inventory-Short (WAI-S) = Psychometric properties of Spanish version of Working Alliance Inventory-Short (WAl-S). anales de psicología, 27(2), 298– 301.
- Creswell J, & Plano Clark V (2017). Designing and conducting mixed methods research (3rd ed). SAGE.
- Diez-Quevedo C, Rangil T, Sanchez-Planell L, Kroenke K, & Spitzer RL (2001, Jul-Aug). Validation and utility of the patient health questionnaire in diagnosing mental disorders in 1003 general hospital Spanish inpatients. Psychosom Med, 63(4), 679– 686. 10.1097/00006842-200107000-00021 11485122 · DOI · Paper page
- Falkenström F, Hatcher RL, & Holmqvist R (2015). Confirmatory factor analysis of the patient version of the Working Alliance Inventory–Short Form Revised. Assessment, 22(5), 581– 593. 25271007
- Fortuna LR, Alegria M, & Gao S (2010). Retention in depression treatment among ethnic and racial minority groups in the United States. Depression and anxiety, 27(5), 485– 494. 10.1002/da.20685 20336808 PMC2927223 · DOI
- Fortuna LR, Álvarez K, Ramos Ortiz Z, Wang Y, Alegría XM, Cook BL, & Alegría M (2016). Mental health, migration stressors and suicidal ideation among Latino immigrants in Spain and the United States. European Psychiatry, 36, 15– 22. 10.1016/j.eurpsy.2016.03.001 27311103 PMC5500916 · DOI
- Fortuna LR, Porche MV, & Alegria M (2008). Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States. Ethnicity & health, 13(5), 435– 463. 18850369 PMC2771411
- Fortuna LR, & Vallejo Z (2015). Treating co-occurring adolescent PTSD and addiction: Mindfulness-based cognitive therapy for adolescents with trauma and substance-abuse disorders. Context Press/New Harbinger Publications. http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2015-48593-000&site=ehost-live&scope=site
- Furman R, Negi NJ, Iwamoto DK, Rowan D, Shukraft A, & Gragg J (2009). Social Work Practice with Latinos: Key Issues for Social Workers. Social Work, 54(2), 167– 174. 19366165 PMC2861823
- Gallardo ME (2013). Context and culture: The initial clinical interview with the Latina/o client. Journal of Contemporary Psychotherapy, 43(1), 43– 52.
- Hasson-Ohayon I, Roe D, & Kravetz S (2008). The psychometric properties of the Illness Management and Recovery scale: Client and clinician versions. Psychiatry Research, 160(2), 228– 235. 18599126
- Howard Taylor E, & Pizzo P (2004). Evaluation of the DrugCheck® 9 On-Site Immunoassay Test Cup according to a standard method validation protocol. Journal of Analytical Toxicology, 28(3), 190– 197. 10.1093/jat/28.3.190 15107150 · DOI
- Logan DE, & Marlatt GA (2010). Harm Reduction Therapy: A practice-friendly review of research. Journal of Clinical Psychology, 66(2), 201– 214. 20049923 PMC3928290
- McEvoy PM, Nathan P, & Norton PJ (2009). Efficacy of transdiagnostic treatments: A review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23(1), 20– 33.
- Miles JN, Marshall GN, & Schell TL (2008, Aug). Spanish and English versions of the PTSD Checklist-Civilian version (PCL-C): testing for differential item functioning. J Trauma Stress, 21(4), 369– 376. 10.1002/jts.20349 18720394 PMC2958820 · DOI
- Mueser KT, Gottlieb JD, Xie H, Lu W, Yanos PT, Rosenberg SD, Silverstein SM, Duva SM, Minsky S, Wolfe RS, & McHugo GJ (2015). Evaluation of cognitive restructuring for post-traumatic stress disorder in people with severe mental illness. British Journal of Psychiatry, 206(6), 501– 508. 10.1192/bjp.bp.114.147926 PMC4450219 25858178 · DOI
- Mueser KT, Rosenberg SD, Xie H, Jankowski MK, Bolton EE, Lu W, Hamblen JL, Rosenberg HJ, McHugo GJ, & Wolfe R (2008, Apr). A randomized controlled trial of cognitive-behavioral treatment for posttraumatic stress disorder in severe mental illness. J Consult Clin Psychol, 76(2), 259– 271. 10.1037/0022-006X.76.2.259 18377122 PMC3916092 · DOI
- Patton MQ (2002). Qualitative research and evaluation methods (3 ed.). Sage Publications, Inc.
- Paulus DJ, Gallagher MW, Rogers AH, Viana AG, Garza M, Valdivieso J, Ochoa-Perez M, Lemaire C, Bakhshaie J, & Zvolensky MJ (2017). Emotion dysregulation as a mechanism linking anxiety and hazardous drinking among Latinos in primary care. The American Journal on Addictions, 26(6), 615– 622. 10.1111/ajad.12574 28594448 PMC11846054 · DOI
- Paykel E, Myers J, Lindenthal J, & Tanner J (1974). Suicidal feelings in the general population: a prevalence study. The British Journal of Psychiatry, 124(582), 460– 469. 4836376
- Röthlin P, Birrer D, Horvath S, & grosse Holtforth M (2016). Psychological skills training and a mindfulness-based intervention to enhance functional athletic performance: design of a randomized controlled trial using ambulatory assessment. BMC Psychology, 4, 39. 27457721 PMC4960835
- Schuling R, Huijbers MJ, van Ravesteijn H, Donders R, Kuyken W, & Speckens AE (2016). A parallel-group, randomized controlled trial into the effectiveness of Mindfulness-Based Compassionate Living (MBCL) compared to treatment-as-usual in recurrent depression: Trial design and protocol. Contemporary clinical trials, 50, 77– 83. 27451354
- Shonin E, & Van Gordon W (2016). The mechanisms of mindfulness in the treatment of mental illness and addiction. International Journal of Mental Health and Addiction, 14(5), 844– 849. 10.1007/s11469-016-9653-7 27688740 PMC5023750 · DOI
- Sklar M, Sarkin A, Gilmer T, & Groessl E (2012). The psychometric properties of the Illness Management and Recovery scale in a large American public mental health system. Psychiatry Research, 199(3), 220– 227. 22503383
- Soler J, Tejedor R, Feliu-Soler A, Pascual JC, Cebolla A, Soriano J, Alvarez E, & Perez V (2012, Jan-Feb). Psychometric proprieties of Spanish version of Mindful Attention Awareness Scale (MAAS). Actas Esp Psiquiatr, 40(1), 19– 26. 22344492
- Spitzer RL, Kroenke K, Williams JB, & Lowe B (2006, May 22). A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med, 166(10), 1092– 1097. 10.1001/archinte.166.10.1092 16717171 · DOI · Paper page
- Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, & Lau MA (2000, Aug). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol, 68(4), 615– 623. 10.1037//0022-006x.68.4.615 10965637 · DOI · Paper page
- Tracey TJ, & Kokotovic AM (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment: A journal of consulting and clinical psychology, 1(3), 207– 210. 10.1037/1040-3590.1.3.207 · DOI · Paper page
- Vega WA, Canino G, Cao Z, & Alegria M (2009). Prevalence and correlates of dual diagnoses in U.S. Latinos. Drug and Alcohol Dependence, 100(1–2), 32– 38. 10.1016/j.drugalcdep.2008.08.018 19028025 PMC3578213 · DOI
- Williams JW Jr., Stellato CP, Cornell J, & Barrett JE (2004). The 13- and 20-item Hopkins Symptom Checklist Depression Scale: psychometric properties in primary care patients with minor depression or dysthymia. Int J Psychiatry Med, 34(1), 37– 50. 10.2190/u1b0-nkwc-568v-4mak 15242140 · DOI
- Zilcha-Mano S, Muran JC, Hungr C, Eubanks CF, Safran JD, & Winston A (2016). The relationship between alliance and outcome: Analysis of a two-person perspective on alliance and session outcome. Journal of consulting and clinical psychology, 84(6), 484– 496. 27054824 PMC4873423
- Zilcha-Mano S, Snyder J, & Silberschatz G (2015). The effect of congruence in patient and therapist alliance on patienťs symptomatic levels. Psychotherapy Research, 27(3), 371– 380. 26837661
- Zvolensky MJ, Bakhshaie J, Garza M, Paulus DJ, Valdivieso J, Lam H, Bogiaizian D, Robles Z, Schmidt NB, & Vujanovic A (2015). Anxiety sensitivity and mindful attention in terms of anxiety and depressive symptoms and disorders among Latinos in primary care. Psychiatry Research, 229(1), 245– 251. 26205630 PMC11846047
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R., M., A., C., Q., Y., M., J., C., N., & K., M. (2026) · Current Psychology · doi:10.1007/s12144-025-08767-y
- Authors
- Fortuna, L. R., Falgas-Bague, I., Ramos, Z., Porche, M. V., & Alegría, M.
- Affiliations
- University of California, San Francisco (US)
- Massachusetts General Hospital (US)
- Venue
- Psychological Trauma: Theory, Research, Practice, and Policy
- Published
- 2020-11
- Volume
- 12
- Issue
- 8
- Pages
- 825-835
- ISSN
- 1942-9681 (ISSN-L)
- 1942-969X
- PMC
- PMC8846425
- OpenAlex
- W3047697990
- Cited by
- 16
- References
- 12
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 1
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychological Trauma Theory Research Practice and Policy (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Drug Abuse (7R01DA034952)
- National Institute of Mental Health (R01MH100155)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, mindfulness, Latinx immigrants, co-occurring disorders, trauma exposure, traumatic stress, adversity, psychotherapy development
- MeSH terms
- Adult, Anxiety Disorders, Central America, Depressive Disorder, Female, Hispanic or Latino, Humans, Male, Mexico, Puerto Rico, South America, Spain, Stress Disorders, Post-Traumatic, United States, Comorbidity, Cognitive Behavioral Therapy, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Emigrants and Immigrants, Mindfulness
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