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Published in: The Journal of Behavioral Health Services & Research 2/2018

01-04-2018

Amigas Latinas Motivando el Alma (ALMA): an Evaluation of a Mindfulness Intervention to Promote Mental Health among Latina Immigrant Mothers

Authors: Daron Ryan, MPH, Serena Maurer, PhD, Liliana Lengua, PhD, Bonnie Duran, DrPH, India J. Ornelas, PhD, MPH

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2018

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Abstract

Latina immigrants are at increased risk for poor mental health. Amigas Latinas Motivando el Alma (ALMA) is a group-based intervention to reduce symptoms of depression, anxiety, and stress among Latina immigrants. Based on participants’ feedback and growing evidence supporting mindfulness as a way to reduce stress and improve mental health, additional sessions of the ALMA intervention were developed and pilot tested to provide more training on mindfulness as a coping strategy. The feasibility and potential efficacy were evaluated in a community sample using a pre- and post-test study design. Findings suggested that women were satisfied with the sessions and used mindfulness strategies they learned in their daily lives. The program also reduced symptoms of depression and anxiety (19% reduction in mean depression scores and 26% reduction in mean anxiety scores). Further evaluation is needed to test the efficacy of the intervention.
Literature
1.
go back to reference Alegria M, Mulvaney-Day N, Torres M, et al. Prevalence of Psychiatric Disorders Across Latino Subgroups in the United States. American Journal of Public Health 2007;97(1):68–75.CrossRefPubMedPubMedCentral Alegria M, Mulvaney-Day N, Torres M, et al. Prevalence of Psychiatric Disorders Across Latino Subgroups in the United States. American Journal of Public Health 2007;97(1):68–75.CrossRefPubMedPubMedCentral
2.
go back to reference Ornelas IJ, Perreira KM. The Role of Migration in the Development of Depressive Symptoms among Latino Immigrant Parents in the USA. Social Science & Medicine 2011;73(8):1169–1177.CrossRef Ornelas IJ, Perreira KM. The Role of Migration in the Development of Depressive Symptoms among Latino Immigrant Parents in the USA. Social Science & Medicine 2011;73(8):1169–1177.CrossRef
3.
go back to reference Ai AL, Appel HB, Huang B, et al. Overall Health and Healthcare Utilization among Latino American Women in the United States. Journal of Women’s Health 2012;21(8):878–885.CrossRefPubMed Ai AL, Appel HB, Huang B, et al. Overall Health and Healthcare Utilization among Latino American Women in the United States. Journal of Women’s Health 2012;21(8):878–885.CrossRefPubMed
4.
go back to reference Alegria M, Canino G, Shrout PE, et al. Prevalence of Mental Illness in Immigrant and Non-Immigrant U.S. Latino Groups. American Journal of Psychiatry. 2008;165(3):359–369.CrossRefPubMedPubMedCentral Alegria M, Canino G, Shrout PE, et al. Prevalence of Mental Illness in Immigrant and Non-Immigrant U.S. Latino Groups. American Journal of Psychiatry. 2008;165(3):359–369.CrossRefPubMedPubMedCentral
5.
go back to reference Vega WA, Kolody B, Aguilar-Gaxiola S, et al. Lifetime Prevalence of DSM-III-R Psychiatric Disorders among Urban and Rural Mexican Americans in California. Archives of General Psychiatry 1998;55(9):771–778.CrossRefPubMed Vega WA, Kolody B, Aguilar-Gaxiola S, et al. Lifetime Prevalence of DSM-III-R Psychiatric Disorders among Urban and Rural Mexican Americans in California. Archives of General Psychiatry 1998;55(9):771–778.CrossRefPubMed
6.
go back to reference Wassertheil-Smoller S, Arredondo EM, Cai J, et al. Depression, Anxiety, Antidepressant Use, and Cardiovascular Disease among Hispanic Men and Women of Different National Backgrounds: Results from the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology 2014;24(11):822–830.CrossRefPubMedPubMedCentral Wassertheil-Smoller S, Arredondo EM, Cai J, et al. Depression, Anxiety, Antidepressant Use, and Cardiovascular Disease among Hispanic Men and Women of Different National Backgrounds: Results from the Hispanic Community Health Study/Study of Latinos. Annals of Epidemiology 2014;24(11):822–830.CrossRefPubMedPubMedCentral
7.
go back to reference Nam Y, Wikoff N, Sherraden M. Racial and Ethnic Differences in Parenting Stress: Evidence from a Statewide Sample of New Mothers. Journal of Child and Family Studies 2015;24(2):278–288.CrossRef Nam Y, Wikoff N, Sherraden M. Racial and Ethnic Differences in Parenting Stress: Evidence from a Statewide Sample of New Mothers. Journal of Child and Family Studies 2015;24(2):278–288.CrossRef
8.
go back to reference Menselson T, Rehkopf DH, Kubzansky LD. Depression among Latinos in the United States: A Meta-Analytic Review. Journal of Consulting and Clinical Psychology 2008;76(3):355–366.CrossRefPubMed Menselson T, Rehkopf DH, Kubzansky LD. Depression among Latinos in the United States: A Meta-Analytic Review. Journal of Consulting and Clinical Psychology 2008;76(3):355–366.CrossRefPubMed
9.
go back to reference Tran AN, Ornelas IJ, Kim M, et al. Results from a Pilot Promotora Program to Reduce Depression and Stress among Immigrant Latinas. Health Promotion Practice 2014;15(3):365–372.CrossRefPubMed Tran AN, Ornelas IJ, Kim M, et al. Results from a Pilot Promotora Program to Reduce Depression and Stress among Immigrant Latinas. Health Promotion Practice 2014;15(3):365–372.CrossRefPubMed
10.
go back to reference Kotecki J, Khubchandani J, Simmons R, et al. Mind-Body Interventions: Applications and Potential Opportunities for Health Education Practice. Health Promotion Practice 2015;16(2):157–161.CrossRefPubMed Kotecki J, Khubchandani J, Simmons R, et al. Mind-Body Interventions: Applications and Potential Opportunities for Health Education Practice. Health Promotion Practice 2015;16(2):157–161.CrossRefPubMed
12.
go back to reference Bluth K, Roberson PN, Gaylord SA. A Pilot Study of a Mindfulness Intervention for Adolescents and the Potential Role of Self-Compassion in Reducing Stress. Explore 2015;11(4):292–295.CrossRefPubMed Bluth K, Roberson PN, Gaylord SA. A Pilot Study of a Mindfulness Intervention for Adolescents and the Potential Role of Self-Compassion in Reducing Stress. Explore 2015;11(4):292–295.CrossRefPubMed
13.
go back to reference Falsafi N, Leopard L. Pilot Study: Use of Mindfulness, Self-Compassion, and Yoga Practices with Low-Income and/or Uninsured Patients with Depression and/or Anxiety. Journal of Holistic Nursing 2015;33(4):289–297.CrossRefPubMed Falsafi N, Leopard L. Pilot Study: Use of Mindfulness, Self-Compassion, and Yoga Practices with Low-Income and/or Uninsured Patients with Depression and/or Anxiety. Journal of Holistic Nursing 2015;33(4):289–297.CrossRefPubMed
14.
go back to reference Louie L. The Effectiveness of Yoga for Depression: A Critical Literature Review. Issues in Mental Health Nursing 2014;35(4):265–276.CrossRefPubMed Louie L. The Effectiveness of Yoga for Depression: A Critical Literature Review. Issues in Mental Health Nursing 2014;35(4):265–276.CrossRefPubMed
15.
go back to reference Marchand WR. Mindfulness Meditation Practices as Adjunctive Treatments for Psychiatric Disorders. The Psychiatric Clinics of North America 2013;36(1):141–152.CrossRefPubMed Marchand WR. Mindfulness Meditation Practices as Adjunctive Treatments for Psychiatric Disorders. The Psychiatric Clinics of North America 2013;36(1):141–152.CrossRefPubMed
16.
go back to reference Serpa JG, Taylor SL, Tillisch K. Mindfulness-Based Stress Reduction (MBSR) Reduces Anxiety, Depression, and Suicidal Ideation in Veterans. Medical Care 2014;52(12 Suppl 5):S19–24.CrossRefPubMed Serpa JG, Taylor SL, Tillisch K. Mindfulness-Based Stress Reduction (MBSR) Reduces Anxiety, Depression, and Suicidal Ideation in Veterans. Medical Care 2014;52(12 Suppl 5):S19–24.CrossRefPubMed
17.
go back to reference Sheffield KM, Woods-Giscombe CL. Efficacy, Feasibility, and Acceptability of Perinatal Yoga on Women's Mental Health and Well-Being: A Systematic Literature Review. Journal of Holistic Nursing 2016;34(1):64–79.CrossRefPubMed Sheffield KM, Woods-Giscombe CL. Efficacy, Feasibility, and Acceptability of Perinatal Yoga on Women's Mental Health and Well-Being: A Systematic Literature Review. Journal of Holistic Nursing 2016;34(1):64–79.CrossRefPubMed
18.
go back to reference Jinpa T. Compassion Cultivation Training (CCT): Instructor’s Manual. Stanford, CA: The Center for Compassion and Altruism Research and Education, 2010. Jinpa T. Compassion Cultivation Training (CCT): Instructor’s Manual. Stanford, CA: The Center for Compassion and Altruism Research and Education, 2010.
19.
go back to reference Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine 2001;16(9):606–613.CrossRefPubMedPubMedCentral Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine 2001;16(9):606–613.CrossRefPubMedPubMedCentral
20.
go back to reference Wulsin L, Somoza E, Heck J. The Feasibility of Using the Spanish PHQ-9 to Screen for Depression in Primary Care in Honduras. Primary Care Companion to the Journal of Clinical Psychiatry 2002;4(5):191–195.CrossRefPubMedPubMedCentral Wulsin L, Somoza E, Heck J. The Feasibility of Using the Spanish PHQ-9 to Screen for Depression in Primary Care in Honduras. Primary Care Companion to the Journal of Clinical Psychiatry 2002;4(5):191–195.CrossRefPubMedPubMedCentral
21.
go back to reference Spitzer RL, Kroenke K, Williams JB, et al. A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine 2006;166(10):1092–1097.CrossRefPubMed Spitzer RL, Kroenke K, Williams JB, et al. A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine 2006;166(10):1092–1097.CrossRefPubMed
22.
go back to reference Zhong QY, Gelaye B, Zaslavsky AM, et al. Diagnostic Validity of the Generalized Anxiety Disorder—7 (GAD-7) among Pregnant Women. PLoS One 2015;10(4):e0125096.CrossRefPubMedPubMedCentral Zhong QY, Gelaye B, Zaslavsky AM, et al. Diagnostic Validity of the Generalized Anxiety Disorder—7 (GAD-7) among Pregnant Women. PLoS One 2015;10(4):e0125096.CrossRefPubMedPubMedCentral
23.
go back to reference Berry JO, Jones WH. The Parental Stress Scale: Initial Psychometric Evidence. Journal of Social and Personal Relationships 1995;12(3):463–472.CrossRef Berry JO, Jones WH. The Parental Stress Scale: Initial Psychometric Evidence. Journal of Social and Personal Relationships 1995;12(3):463–472.CrossRef
24.
go back to reference Oronoz B, Alonso-Arbiol I, Balluerka N. A Spanish Adaptation of the Parental Stress Scale. Psicothema 2007;19(4):687–692.PubMed Oronoz B, Alonso-Arbiol I, Balluerka N. A Spanish Adaptation of the Parental Stress Scale. Psicothema 2007;19(4):687–692.PubMed
25.
go back to reference Cohen S, Kamarck T, Mermelstein R. A Global Measure of Perceived Stress. Journal of Health and Social Behavior 1983;24(4):385–396.CrossRefPubMed Cohen S, Kamarck T, Mermelstein R. A Global Measure of Perceived Stress. Journal of Health and Social Behavior 1983;24(4):385–396.CrossRefPubMed
26.
go back to reference Ramirez MT, Hernandez RL. Factor Structure of the Perceived Stress Scale (PSS) in a Sample from Mexico. The Spanish Journal of Psychology 2007;10(1):199–206.CrossRefPubMed Ramirez MT, Hernandez RL. Factor Structure of the Perceived Stress Scale (PSS) in a Sample from Mexico. The Spanish Journal of Psychology 2007;10(1):199–206.CrossRefPubMed
27.
go back to reference Brown KW, Ryan RM. The Benefits of Being Present: Mindfulness and its Role in Psychological Well-Being. Journal of Personality and Social Psychology 2003;84(4):822–848.CrossRefPubMed Brown KW, Ryan RM. The Benefits of Being Present: Mindfulness and its Role in Psychological Well-Being. Journal of Personality and Social Psychology 2003;84(4):822–848.CrossRefPubMed
28.
go back to reference Soler J, Tejedor R, Feliu-Soler A, et al. Psychometric Proprieties of Spanish Version of Mindful Attention Awareness Scale (MAAS). Actas Espanolas de Psiquiatria 2012;40(1):19–26.PubMed Soler J, Tejedor R, Feliu-Soler A, et al. Psychometric Proprieties of Spanish Version of Mindful Attention Awareness Scale (MAAS). Actas Espanolas de Psiquiatria 2012;40(1):19–26.PubMed
29.
go back to reference Silveira ML, Pekow PS, Dole N, et al. Correlates of High Perceived Stress among Pregnant Hispanic Women in Western Massachusetts. Maternal and Child Health Journal 2013;17(6):1138–1150.CrossRefPubMedPubMedCentral Silveira ML, Pekow PS, Dole N, et al. Correlates of High Perceived Stress among Pregnant Hispanic Women in Western Massachusetts. Maternal and Child Health Journal 2013;17(6):1138–1150.CrossRefPubMedPubMedCentral
30.
go back to reference Cardona JRP, Domenech-Rodriguez M, Forgatch M, et al. Culturally Adapting an Evidence-Based Parenting Intervention for Latino Immigrants: The Need to Integrate Fidelity and Cultural Relevance. Family Process 2012;51(1):56–72.CrossRefPubMedCentral Cardona JRP, Domenech-Rodriguez M, Forgatch M, et al. Culturally Adapting an Evidence-Based Parenting Intervention for Latino Immigrants: The Need to Integrate Fidelity and Cultural Relevance. Family Process 2012;51(1):56–72.CrossRefPubMedCentral
Metadata
Title
Amigas Latinas Motivando el Alma (ALMA): an Evaluation of a Mindfulness Intervention to Promote Mental Health among Latina Immigrant Mothers
Authors
Daron Ryan, MPH
Serena Maurer, PhD
Liliana Lengua, PhD
Bonnie Duran, DrPH
India J. Ornelas, PhD, MPH
Publication date
01-04-2018
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 2/2018
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-017-9582-7

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