Abstract
Few resilience enhancement interventions are available to help homeless youth at high risk for mental health problems and substance abuse. Mindfulness meditation has demonstrated effectiveness in persons who deal with some of these issues. Our purpose was to examine the feasibility of delivering a spirituality development class—a minimally modified version of Yale University’s 8-session Spiritual Self-Schema (3-S) program—to homeless youth in a shelter in an urban center in the Southeastern United States. We used a quasi-experimental, one group, pre- and post-intervention design with standardized self-report measures of impulsiveness, resilience, spirituality, mental wellness, and psychological symptoms. Seventy-one youth enrolled in the study; 39 of the youth attended at least four sessions of the class and completed the posttest. The spirituality development class was well received by the youth and, overall, participants demonstrated improvement on measures of spirituality, mental wellness, psychological symptoms, and resilience on the posttest. There were no statistically meaningful changes in impulsiveness scores. We concluded that mindfulness meditation programs are feasible for this population. Future studies of high-risk youth should use a randomized controlled trial design to examine the long-term impact of such training on psychological status and behavioral outcomes such as educational path, work attainment, and drug and alcohol abuse.
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Beitel, M., Genova, M., Schuman-Olivier, Z., Arnold, R., Avants, S. K., & Margolin, A. (2007). Reflections by inner-city drug users on a Buddhist-based spirituality-focused therapy: A qualitative study. The American Journal of Orthopsychiatry, 77, 1–9. doi:10.1037/0002-9432.77.1.1.
Bender, K., Thompson, S. J., McManus, H., Lantry, J., & Flynn, P. M. (2007). Capacity for survival: Exploring strengths of homeless street youth. Child & Youth Care Forum, 36, 25–42. doi:10.1007/s10566-006-9029-4. PMC—PMC2776751.
Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: A review of treatment efficacy. Pediatrics, 124, e532–e541. doi:10.1542/peds.2008-3434.
Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., et al. (2009). Mindfulness-based relapse prevention for substance use disorders: A pilot efficacy trial. Substance abuse: Official publication of the association for medical education and research in substance abuse, 30, 295–305. doi:10.1080/08897070903250084.
Cahn, B. R., Delorme, A., & Polich, J. (2010). Occipital gamma activation during Vipassana meditation. Cognitive Processing, 11, 39–56. doi:10.1007/s10339-009-0352-1.
Cleverley, K., & Kidd, S. A. (2010). Resilience and suicidality among homeless youth. Journal of Adolescence. doi:10.1016/j.adolescence.2010.11.003.
Derogatis, L. R. (2001). The Brief Symptom Inventory-18 (BSI-18): Administration, scoring and procedures manual. Minneapolis: Pearson.
Dishion, T. J., & Connell, A. C. (2006). Adolescents’ resilience as a self-regulatory process: Promising themes for linking intervention with developmental science. Annals of the New York Academy of Sciences, 1094, 125–138. doi:10.1196/annals.1376.012.
Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48, 1002–1011. doi:10.1016/j.brat.2010.06.006.
Gabriel, R. M., Hopson, T., Haskins, M., & Powell, K. E. (1996). Building relationships and resilience in the prevention of youth violence. American Journal of Preventive Medicine, 12, 48–55.
Greenberg, M. T. (2006). Promoting resilience in children and youth: Preventive interventions and their interface with neuroscience. Annals of the New York Academy of Sciences, 1094, 139–150.
Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., et al. (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: A randomized controlled clinical trial. Explore (New York, NY), 7, 76–87. doi:10.1016/j.explore.2010.12.003.
Hickler, B., & Auerswald, C. L. (2009). The worlds of homeless white and African American youth in San Francisco, California: A cultural epidemiological comparison. Social science & Medicine (1982), 68, 824–831. doi:10.1016/j.socscimed.2008.12.030.
Hunter, A. J., & Chandler, G. E. (1999). Adolescent resilience. Image: The Journal of Nursing Scholarship, 31, 243–247.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.
Kerrigan, D., Johnson, K., Stewart, M., Magyari, T., Hutton, N., Ellen, J. M., et al. (2011). Perceptions, experiences, and shifts in perspective occurring among urban youth participating in a mindfulness-based stress reduction program. Complementary Therapies in clinical practice, 17, 96–101. doi:10.1016/j.ctcp.2010.08.003.
Keyes, C. L. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43, 207–222.
Keyes, C. L. (2006). Mental health in adolescence: Is America’s youth flourishing? American Journal of Orthopsychiatry, 76, 395–402.
Kidd, S. A. (2003). Street youth: Coping and interventions. Child and Adolescent Social Work Journal, 20, 235–261.
Kidd, S. A., & Kral, M. J. (2002). Suicide and prostitution among street youth: A qualitative analysis. Adolescence, 37, 411–430.
Kimbrough, E., Magyari, T., Langenberg, P., Chesney, M., & Berman, B. (2010). Mindfulness intervention for child abuse survivors. Journal of Clinical Psychology, 66, 17–33. doi:10.1002/jclp.20624.
Knight, J. R., Shrier, L. A., Bravender, T. D., Farrell, M., Vander Bilt, J., & Shaffer, H. J. (1999). A new brief screen for adolescent substance abuse. Archives of Pediatrics and Adolescent Medicine, 153, 591–596.
Marcotte, D., Avants, S. K., & Margolin, A. (2003a). Spiritual self-schema therapy, drug abuse, and HIV. Journal of Psychoactive Drugs, 35, 389–391.
Marcotte, D., Margolin, A., & Avants, S. K. (2003b). Addressing the spiritual needs of a drug user living with human immunodeficiency virus: A case study. Journal of Alternative and Complementary Medicine (New York, NY), 9, 169–175. doi:10.1089/107555303321223044.
Margolin, A., Schuman-Olivier, Z., Beitel, M., Arnold, R. M., Fulwiler, C. E., & Avants, S. K. (2007). A preliminary study of spiritual self-schema (3-S(+)) therapy for reducing impulsivity in HIV-positive drug users. Journal of Clinical Psychology, 63, 979–999. doi:10.1002/jclp.20407.
McCay, E., Langley, J., Beanlands, H., Cooper, L., Mudachi, N., Harris, A., et al. (2010). Mental health challenges and strengths of street-involved youth: The need for a multi-determined approach. The Canadian Journal of Nursing Research = Revue Canadienne de Recherche en Sciences Infirmieres, 42, 30–49.
Merscham, C., Van Leeuwen, J. M., & McGuire, M. (2009). Mental health and substance abuse indicators among homeless youth in Denver, Colorado. Child Welfare, 88, 93–110.
Milburn, N. G., Batterham, P., Ayala, G., Rice, E., Solorio, R., Desmond, K., et al. (2010). Discrimination and mental health problems among homeless minority young people. Public Health Reports (Washington, D.C.): 1974), 125, 61–67.
Neil, A. L., & Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29, 208–215.
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768–774.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 49–58.
Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040. doi:10.1016/j.cpr.2011.05.002.
Rew, L., Chambers, K. B., & Kulkarni, S. (2002). Planning a sexual health promotion intervention with homeless adolescents. Nursing Research, 51, 168–174.
Rew, L., & Horner, S. D. (2003). Personal strengths of homeless adolescents living in a high-risk environment. ANS. Advances in Nursing Science, 26, 90–101.
Rew, L., Taylor-Seehafer, M., Thomas, N. Y., & Yockey, R. D. (2001). Correlates of resilience in homeless adolescents. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing/Sigma Theta Tau, 33, 33–40.
Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29–36.
Roy, E., Haley, N., Leclerc, P., Sochanski, B., Boudreau, J. F., Boivin, J. F. C. I. N. J. A., et al. (2004). Mortality in a cohort of street youth in Montreal. JAMA: The Journal of the American Medical Association, 292, 569–574. doi:10.1001/jama.292.5.569.
Seligman, M. E., & Csikszentmihalyi, M. C. (2000). Positive psychology. An introduction. The American Psychologist, 55, 5–14.
Sibinga, E. M., Kerrigan, D., Stewart, M., Johnson, K., Magyari, T., & Ellen, J. M. (2011). Mindfulness-based stress reduction for urban youth. Journal of Alternative and Complementary Medicine (New York, NY), 17, 213–218. doi:10.1089/acm.2009.0605.
Steptoe, A., Dockray, S., & Wardle, J. (2009). Positive affect and psychobiological processes relevant to health. Journal of Personality, 77, 1747–1776. doi:10.1111/j.1467-6494.2009.00599.x.
Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.
Vollestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49(4), 281–288. doi:10.1016/j.brat.2011.01.007.
Wagnild, G. (2009). A review of the Resilience Scale. Journal of Nursing Measurement, 17, 105–113.
Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1, 165–178.
Wang, J., Kelly, B. C., Booth, B. M., Falck, R. S., Leukefeld, C., & Carlson, R. G. (2010). Examining factorial structure and measurement invariance of the Brief Symptom Inventory (BSI)-18 among drug users. Addictive Behaviors, 35, 23–29. doi:10.1016/j.addbeh.2009.08.003.
Werner, E., & Smith, R. (1982). Vulnerable but invincible. New York: McGraw-Hill.
Whitbeck, L. B., Hoyt, D. R., Johnson, K. D., & Chen, X. (2007). Victimization and posttraumatic stress disorder among runaway and homeless adolescents. Violence and Victims, 22, 721–734.
Witkiewitz, K., & Bowen, S. (2010). Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 78, 362–374. doi:10.1037/a0019172.
Zabora, J., BrintzenhofeSzoc, K., Jacobsen, P., Curbow, B., Piantadosi, S., Hooker, C., et al. (2001). A new psychosocial screening instrument for use with cancer patients. Psychosomatics, 42, 241–246.
Acknowledgments
This research was funded by the Office of University-Community Partnerships of Emory University. The authors would like to acknowledge the support of Ms. Connie Buchanan and Drs. Arthur Margolin, Terence Chorba, Bonnie Jennings, and Nancy J. Thompson. The 3-S training program may be accessed at www.3-s.us and the YESSS version at http://www.nursing.emory.edu/directory/profile.cfm?PEOPLE_NUMBER=621.
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Grabbe, L., Nguy, S.T. & Higgins, M.K. Spirituality Development for Homeless Youth: A Mindfulness Meditation Feasibility Pilot. J Child Fam Stud 21, 925–937 (2012). https://doi.org/10.1007/s10826-011-9552-2
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DOI: https://doi.org/10.1007/s10826-011-9552-2