Racial Differences in Trauma Outcomes After a Mindfulness App Intervention in Frontline Nurses: A Secondary Data Analysis.

IF 1.4 4区 医学 Q2 NURSING
Andrew Thomas Reyes, Miguel Antonio Fudolig, Angel Brock, Manoj Sharma, Lorraine S Evangelista
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Abstract

Empirical understanding of the effects of mindfulness-based interventions for post-traumatic stress disorder (PTSD) across different racial groups remains limited. This secondary analysis of a randomised controlled trial examined racial differences in trauma-related outcomes among U.S. frontline nurses traumatised by the COVID-19 pandemic. Participants (N = 56) were randomly assigned to either the MABSA intervention (Mindfulness and Acceptance-Based Smartphone App), a mindfulness app grounded in Acceptance and Commitment Therapy, or a wait-list control group. Outcomes included PTSD symptoms, experiential avoidance, rumination, mindfulness, and resilience. The intervention significantly reduced PTSD symptoms, experiential avoidance, and rumination for both Black and White participants compared to controls. A significant interaction effect was found for experiential avoidance, with Black participants showing greater improvement than their White counterparts. Across groups and time points, Black participants also consistently reported higher levels of rumination and mindfulness. These findings suggest that there may be differences in how individuals from different racial groups respond to mindfulness-based interventions, highlighting the importance of developing culturally informed PTSD treatments.

一线护士正念应用程序干预后创伤结果的种族差异:二次数据分析。
基于正念的干预对创伤后应激障碍(PTSD)在不同种族群体中的影响的经验理解仍然有限。这项随机对照试验的二次分析研究了受COVID-19大流行创伤的美国一线护士在创伤相关结果方面的种族差异。参与者(N = 56)被随机分配到MABSA干预组(基于正念和接受的智能手机应用程序),一个基于接受和承诺治疗的正念应用程序,或者一个等待名单对照组。结果包括PTSD症状、经验回避、反刍、正念和恢复力。与对照组相比,干预显著减少了黑人和白人参与者的创伤后应激障碍症状、经验回避和反刍。在经验回避方面发现了显著的互动效应,黑人参与者比白人参与者表现出更大的改善。在不同的小组和时间点上,黑人参与者也一致报告了更高水平的反刍和正念。这些发现表明,不同种族的个体对基于正念的干预的反应可能存在差异,这突出了开发具有文化背景的创伤后应激障碍治疗方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Issues in Mental Health Nursing
Issues in Mental Health Nursing NURSINGPSYCHIATRY-PSYCHIATRY
CiteScore
3.30
自引率
4.80%
发文量
111
期刊介绍: Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.
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