Internalized HIV Stigma and Mindfulness

Gonzalez, Adam; Locicero, Briana; Mahaffey, Brittain; Fleming, Crystal M.; Harris, Jalana; Vujanovic, Anka A.

doi:10.1177/0145445515615354

Cited by 39 publications

(11 citation statements)

References 57 publications

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“…Other authors have similarly reported that benefit finding provided greater resilience from the negative effects of stigma and promoted psychological growth in cancer survivors 6,38 . This is highly relevant to HNC survivors, as internalised stigma has been widely demonstrated in this population 6 and mindfulness‐based interventions may reduce distress as they have been shown to do in other stigmatised populations, for example, people living with HIV/AIDS 39 …”

Section: Discussionmentioning

confidence: 86%

“…6,38 This is highly relevant to HNC survivors, as internalised stigma has been widely demonstrated in this population 6 and mindfulness-based interventions may reduce distress as they have been shown to do in other stigmatised populations, for example, people living with HIV/AIDS. 39 Work was important to many participants who cited financial, social and identity related reasons for wanting to return to work.…”

Section: Discussionmentioning

confidence: 99%

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Return to valued activities: Survivors' experiences of adaptation and growth after treatment for head and neck cancer

et al. 2023

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Objective The objective of this study was to explore the experiences of head and neck cancer (HNC) survivors who returned to valued activities to understand how they reconstruct their lives following HNC diagnosis and treatment. Methods A qualitative research approach based on social constructionist theory was used. A total of 21 in‐depth semi‐structured interviews were conducted with adults diagnosed with any type of HNC in the previous 6 years. Reflexive thematic analysis was used to identify themes. Results HNC presents a unique trauma following which some survivors navigate paths back to meaningful activities. The experiences of HNC survivors who adapted to life after treatment described internal and external change and development, identified by three themes; Mindfulness; Gratitude; and Adaptation. Conclusion People diagnosed with HNC frequently experience lasting effects and other survivorship issues, however some survivors were able to return to valued activities and recreate a meaningful lifestyle reflecting the possibility of post traumatic growth. This study provides insight into the experiences of head and neck cancer survivors who were able to make meaning and find internal and external growth following treatment. These findings can be used to inform advanced communication skills training for oncology health professionals and psychoeducational courses for people diagnosed with head and neck cancer in the future.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Return to valued activities: Survivors' experiences of adaptation and growth after treatment for head and neck cancer

et al. 2023

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“…Thus, instead of avoiding or denying such experiences, trait mindfulness teaches individuals to cope with stressful life events by adopting an attitude of self-compassion and nonjudgment towards their own thoughts and emotions [65]. Other studies found that certain facets of mindfulness such as acting with awareness and nonreactivity, moderate health outcomes [66,67]. To the authors' knowledge, no published study has examined trait mindfulness as a moderator of the association between ETE, trauma symptomatology, and craving.…”

Section: Trait Mindfulness As a Moderatormentioning

confidence: 99%

Acting with awareness moderates the association between lifetime exposure to interpersonal traumatic events and craving via trauma symptoms: a moderated indirect effects model

et al. 2022

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Background History of exposure to traumatic events (ETE) is common among women in substance use disorder (SUD) treatment and is related to craving. We examined whether ETE (i.e., emotional, physical, sexual abuse) in childhood, adulthood, or both is related to craving via trauma symptoms and how trait mindfulness might attenuate this association. Methods Baseline data from a larger randomized clinical trial of a mindfulness-based intervention for women (N = 245) in SUD treatment were used. Inclusion criteria were: 18–65 years of age, SUD diagnosis, English fluency, no cognitive impairment, and willingness to be audio recorded and provide consent. Demographics and validated measures of ETE, posttraumatic stress symptoms, trait mindfulness, and substance use craving were collected via in-person interviews. Descriptive statistics, correlational analysis, and relative direct, indirect, and conditional indirect effects models were run. Results Most participants identified as Hispanic (58.5%), had at least a high school education (52.2%), with a mean age of 32.2. Women reported ETE in childhood only (20.4%), adulthood only (17.5%), both childhood and adulthood (50.0%), and never (11.4%). Compared to women with ETE in both childhood and adulthood, those with exposure in adulthood only (β = -.10, 95% CI = -.20, -.02) or no exposure (β = -.11, 95% CI = -.23, -.03; [∆R2=.347, F(8, 245) = 15.7, p < .001) had lower craving via lower trauma symptomatology but no difference when compared to those with ETE only in childhood. Acting with awareness moderated this indirect effect (∆R2 = .04, F(3, 245) = 4.66, p = .004. At low levels of awareness, women with ETE during both childhood and adulthood reported higher craving via trauma symptomatology than women with no exposure or only adulthood exposure. Conclusions Low levels of acting with awareness may worsen trauma symptoms after ETE, which in turn may lead to more craving for women in substance use treatment. Despite a small moderating effect size, acting with awareness may have clinical significance due to the prevalence of trauma symptoms among women in SUD treatment.

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“…Mindfulness is inversely related to anxiety, experiential avoidance, distress and uncertainty, external stimulus reactivity (poorer executive control), and persistence of negative affect [70,71]. Mindfulness programs can improve coping and resiliency in specific conditions including quality of life in patients with multiple sclerosis [72], depression and anxiety in patients with cancer [73], and specifically in trauma-exposed individuals with human immunodeficiency virus (HIV), can reduce PTSD symptoms [74]. …”

Section: Mindfulnessmentioning

confidence: 99%

The Role of Mindfulness in Reducing the Adverse Effects of Childhood Stress and Trauma

2017

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Research suggests that many children are exposed to adverse experiences in childhood. Such adverse childhood exposures may result in stress and trauma, which are associated with increased morbidity and mortality into adulthood. In general populations and trauma-exposed adults, mindfulness interventions have demonstrated reduced depression and anxiety, reduced trauma-related symptoms, enhanced coping and mood, and improved quality of life. Studies in children and youth also demonstrate that mindfulness interventions improve mental, behavioral, and physical outcomes. Taken together, this research suggests that high-quality, structured mindfulness instruction may mitigate the negative effects of stress and trauma related to adverse childhood exposures, improving short- and long-term outcomes, and potentially reducing poor health outcomes in adulthood. Future work is needed to optimize implementation of youth-based mindfulness programs and to study long-term outcomes into adulthood.

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Internalized HIV Stigma and Mindfulness

Cited by 39 publications

References 57 publications

Return to valued activities: Survivors' experiences of adaptation and growth after treatment for head and neck cancer

Return to valued activities: Survivors' experiences of adaptation and growth after treatment for head and neck cancer

Acting with awareness moderates the association between lifetime exposure to interpersonal traumatic events and craving via trauma symptoms: a moderated indirect effects model

The Role of Mindfulness in Reducing the Adverse Effects of Childhood Stress and Trauma

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