Trauma- and Stressor-Related History and Symptoms Predict Distress Experienced during a Brief Mindfulness Meditation Sitting: Moving toward Trauma-Informed Care in Mindfulness-Based Therapy

Zhu, Jenney; Wekerle, Christine; Lanius, Ruth A.; Frewen, Paul A.

doi:10.1007/s12671-019-01173-z

Cited by 29 publications

(24 citation statements)

References 58 publications

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“…There were no significant adverse effects from the MBI identified by participants during the MBI, although three reported to the facilitator finding some of the practices challenging because of the emotions that surfaced (e.g., grief), or emotions that they found difficult to achieve (e.g., self-compassion). These effects were managed by the mindfulness facilitator by adjusting the practice, so participants maintained their sense of agency, well-being, and benefit from the programand working with principles of trauma-sensitive mindfulness practice, allowing and supporting people to stay within their window of tolerance (Zhu et al 2019).…”

Section: Resultsmentioning

confidence: 99%

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A Feasibility Study of a One-to-One Mindfulness-Based Intervention for Improving Mood in Stroke Survivors

et al. 2021

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Objectives Mindfulness is an evidence-based treatment for depression but has never been rigorously tested with stroke survivors with depression. This feasibility study examined several issues relevant to a potential trial of a mindfulness-based intervention (MBI) for improving mood after stroke. Methods In 2017–2019 in New Zealand, we recruited 20 stroke survivors with low mood to undergo a 6-week, one-on-one MBI course delivered by an occupational therapist experienced in MBIs. Pre, post, and 4-week follow-up assessments were completed. Results Fifteen participants completed all six sessions and a 4-week “booster” or top-up session. The 1-hour session duration was considered appropriate by participants and all enjoyed the face-to-face individualized format. Mean Beck Depression Inventory-II scores improved by more than one standard deviation and this was maintained at follow-up. However, the baseline assessment package was too long for some participants due to the cognitive component. Three participants indicated feeling emotionally challenged by some of the practices. These effects were managed by the mindfulness facilitator by adjusting the practice, so participants maintained their sense of agency, well-being, and overall benefit from the program. Conclusions MBI training delivered individually over six weekly sessions was acceptable to stroke survivors with 14/15 participants reporting improved mood. Three participants reported feeling emotionally challenged by some of the practices and we recommend MBIs for stroke survivors be provided by practitioners experienced in mindfulness, working with stroke, and trauma-informed therapy. It is important now to conduct rigorous randomized controlled trials to test the effectiveness and efficacy of MBIs for stroke survivors.

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Section: Resultsmentioning

confidence: 99%

“…In most previous studies of MBIs for people with neurological conditions, this issue has been ignored (Siegert et al 2015). We also suggest that any MBI available for stroke survivors needs to be trauma informed (Zhu et al 2019).…”

Section: Discussionmentioning

confidence: 99%

A Feasibility Study of a One-to-One Mindfulness-Based Intervention for Improving Mood in Stroke Survivors

et al. 2021

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“…Our findings do not imply that a singular resilience policy or practice would benefit all professionals. For instance, despite the benefits of Johnson, Emmons, Rivard, Griffin, and Dusek’s (2015) mindfulness trainings on lowering professionals’ depression and anxiety, the authors acknowledge that intra-individual differences may exist regarding the success of this intervention (see Zhu, Wekerle, Lanius, and Frewen (2019) finding that trauma-related symptoms predict increased distress during meditation). Indeed, as all of our measures, other than HDI, are self-report, we cannot ascertain whether it is the actual levels of workplace support that predict CPPs’ practice of resilient behaviors or if it is the individuals’ interpretation of that support.…”

Section: Discussionmentioning

confidence: 99%

Brazilian Child Protection Professionals’ Resilient Behavior during the COVID-19 Pandemic

Filho

Goldfarb

Zibetti

et al. 2020

Child Abuse & Neglect

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“…Response to these affective descriptions was measured using an 11-point scale (0 = "No, not more than usual" and 10 = "Yes, much more than usual"). These item anchors were used in order to compare response to the meditation as a deviation from baseline, normative experience as was also conducted in the study by Zhu et al (2019), allowing a more direct comparison to their previous findings.…”

Section: Post-meditation Surveysmentioning

confidence: 99%

“…The current research therefore compares the immediate affective impact of delivering instructor-guided meditation practices via three methods: (1) traditional face-to-face (in vivo [IV] method), (2) pre-recorded 360°video viewed by standard laptop computer monitor (2D format), and (3) pre-recorded 360°video viewed through a HMD (VR condition; 3D format). We also evaluated individual differences in response to the meditations in terms of participants' self-reported PTSD symptoms due to previous findings that the presence of PTSD symptoms at baseline represents a risk factor for experiencing distress during meditation both outside (Zhu et al, 2019) and inside (Mistry et al, 2020) the context of VR. In this context, the psychological significance of instructor-guided meditation practices may be of particular relevance to persons who have experienced interpersonal trauma (e.g., being the victim of physical or sexual assault) who consequently tend to be less trusting within relationships (Williams et al, 2014), possibly lowering their ability to benefit from instruction in meditation.…”

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confidence: 99%

Meditating in Virtual Reality 3: 360° Video of Perceptual Presence of Instructor

et al. 2021

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Objectives The need for remote delivery of mental health interventions including instruction in meditation has become paramount in the wake of the current global pandemic. However, the support one may usually feel within the physical presence of an instructor may be weakened when interventions are delivered remotely, potentially impacting one's meditative experiences. Use of head-mounted displays (HMD) to display video-recorded instruction may increase one's sense of psychological presence with the instructor as compared to presentation via regular flatscreen (e.g., laptop) monitor. This research therefore evaluated a didactic, trauma-informed care approach to instruction in mindfulness meditation by comparing meditative responses to an instructor-guided meditation when delivered face-to-face vs. by pre-recorded 360°videos viewed either on a standard flatscreen monitor (2D format) or via HMD (i.e., virtual reality [VR] headset; 3D format). Methods Young adults (n = 82) were recruited from a university introductory course and experienced a 360°video-guided meditation via HMD (VR condition, 3D format). They were also randomly assigned to practice the same meditation either via scripted face-to-face instruction (in vivo [IV] format) or when viewed on a standard laptop display (non-VR condition, 2D format). Positive and negative affect and meditative experience ratings were self-reported and participants' maintenance of focused attention to breathing (i.e., meditation breath attention scores [MBAS]) were recorded during each meditation. Results Meditating in VR (3D format) was associated with a heightened experience of awe overall. When compared to face-toface instruction (IV format), VR meditation was rated as less embarrassing but also less enjoyable and more tiring. When compared to 2D format, VR meditations were associated with greater experiences of relaxation, less distractibility from the process of breathing, and less fatigue. No differences were found between VR and non-VR meditation in concentration (MBAS). Baseline posttraumatic stress symptoms were risk factors for experiencing distress while meditating in either (VR and non-VR) instructional format. Of those who reported a preference for one format, approximately half preferred the VR format and approximately half preferred the IV format. Conclusions Recorded 360°video instruction in meditation viewed with a HMD (i.e., VR/3D format) appears to offer some experiential advantage over instructions given in 2D format and may offer a safe-and for some even preferred-alternative to teaching meditation face-to-face.

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Trauma- and Stressor-Related History and Symptoms Predict Distress Experienced during a Brief Mindfulness Meditation Sitting: Moving toward Trauma-Informed Care in Mindfulness-Based Therapy

Cited by 29 publications

References 58 publications

A Feasibility Study of a One-to-One Mindfulness-Based Intervention for Improving Mood in Stroke Survivors

A Feasibility Study of a One-to-One Mindfulness-Based Intervention for Improving Mood in Stroke Survivors

Brazilian Child Protection Professionals’ Resilient Behavior during the COVID-19 Pandemic

Meditating in Virtual Reality 3: 360° Video of Perceptual Presence of Instructor

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