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Cited by 9Mindfulness and Compassion InterventionsPosttraumatic Stress Disorder ResearchHomelessness and Social Issues

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Adaptation of a mindfulness-based intervention for trauma-exposed, unhoused women with substance use disorder.

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Garfin, Dana Rose, Amador, Alexandra, Osorio, Jessica, Ruivivar, Krista Sadiwa, Torres, April, Nyamathi, Adeline M.·2024·Psychological Trauma: Theory, Research, Practice, and Policy
DOI 10.1037/tra0001486PMC PMC12102743
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Abstract

OBJECTIVE: Women experiencing homelessness (WEH) report exceedingly high rates of trauma exposure, posttraumatic stress disorder (PTSD), and substance use disorder (SUD). Mindfulness-based interventions including Mindfulness-based Stress Reduction (MBSR) may help lower traumatic stress-related symptoms and reduce SUD, but have been underexplored in community-based settings serving WEH with symptoms of PTSD and SUD. METHOD: = 28) living at a drug treatment site provided perspectives and feedback on an MBSR demonstration via quantitative questionnaires and four focus groups. RESULTS: Quantitative measures indicated high perceived acceptability and feasibility: Nearly all WEH reported MBSR activities (including yoga, meditation, body scans, class discussion, and home practice) would be at least "somewhat helpful"; between 71.43% to 89.29% reported each activity would be "a great deal helpful." Most reported the focus group sessions were useful for providing feedback relevant for improving program design and administration. Qualitative findings revealed four themes aligning with quantitative findings that provided useful suggestions to guide MBSR implementation with trauma-exposed WEH: (a) perception of feasibility and effectiveness of MBSR, (b) strategies for successful recruitment, (c) strategies for successful retention, and (d) characteristics of the MBSR trainer. CONCLUSIONS: Focus group recommendations could bolster intervention compliance, engagement, and completion for MBSR and community-based programs for WEH more generally. Results provide suggestions for implementing a trauma-sensitive approach when administering MBSR to trauma-exposed WEH. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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  • MBSR comprises weekly two-hour sessions where participants receive training in mindfulness practices.

    “It com -prises weekly two-hour sessions where participants receive training in mindfulness practices (i.e., meditation, openness to sensory stimuli, physical sensations, thoughts, and emotions) (Garfin et al., 2024; Goldberg et al., 2016; Krasner, 2004; Shapiro et al., 2007).”

    From Mapping mindfulness in psychotherapy: a scoping review on conceptualization, applications, and research directions (2026) · cites this paper as Garfin et al., 2024

    The section on mindfulness-based interventions describes weekly MBSR sessions with instruction and practice in meditation and other mindfulness activities. It specifies 2.5–3-hour sessions, however, not the two-hour sessions claimed. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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Metadata

Authors
Garfin, D. R., Amador, A., Osorio, J., Ruivivar, K. S., Torres, A., & Nyamathi, A. M.
Affiliations
  • University of California, Los Angeles (US)
  • University of California, Irvine (US)
  • HealthRIGHT 360 (US)
ORCID
Venue
Psychological Trauma: Theory, Research, Practice, and Policy
Publisher
American Psychological Association (APA)
Published
2024-12
Volume
16
Issue
Suppl 3
Pages
S599-S610
ISSN
  • 1942-9681 (ISSN-L)
  • 1942-969X
DOI
10.1037/tra0001486
PMC
PMC12102743
OpenAlex
W4380318952
Cited by
9
References
0
Citations by year
2026: 3 · 2025: 5
FWCI
2.62
Type
journal article
Language
en
Open access
Locations
  • Psychological Trauma Theory Research Practice and Policy (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Minority Health and Health Disparities (K01 MD013910)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Keywords
mindfulness-based stress reduction, homeless women, trauma exposure, substance use disorders, post-traumatic stress disorder, intervention adaptation, treatment acceptability, intervention feasibility, participant recruitment, participant retention, trauma-informed care
MeSH terms
Psychological Trauma, Adult, Female, Ill-Housed Persons, Humans, Middle Aged, Stress Disorders, Post-Traumatic, Substance-Related Disorders, Mindfulness

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