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Journal of Clinical Psychology in Medical Settings

Erschienen in:

01.12.2013

Mediators of a Culturally-Sensitive Intervention for Suicidal African American Women

verfasst von: Huaiyu Zhang, Kiranmayi Neelarambam, Tomina J. Schwenke, Miesha N. Rhodes, Delishia M. Pittman, Nadine J. Kaslow

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 4/2013

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Abstract

This study explored intervention outcomes and mechanisms that could help explain why low-income, African American women with a history of intimate partner abuse and suicide attempt improve in response to a culturally-informed intervention, the Grady Nia Project. Specifically, the investigation examined whether or not the intervention had effects on the women and whether or not spiritual well-being and coping mediated the effects of the intervention on suicidal ideation and depressive symptoms. In this randomized controlled clinical trial, data from 89 women who completed both pre- and post-intervention assessments were analyzed. During the post-intervention follow-up, women in the active intervention group reported lower levels of suicidal ideation and depressive symptoms and higher levels of existential well-being and adaptive coping skills than those women randomized to the treatment as usual group. However, only existential well-being was found to mediate treatment effects on suicidal ideation and depressive symptoms. Religious well-being, as well as adaptive and maladaptive coping, did not serve a mediational function. These findings highlight the importance of designing and implementing culturally-sensitive and evidence-based strategies that enhance existential well-being in this population.

Aarons, G. A., Green, A. E., Palinkas, L. A., Self-Brown, S., Whitaker, D. J., Lutzker, J. R., et al. (2012). Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implementation Science, 7, 32–40.PubMedCrossRef

Arnette, N. C., Mascaro, N., Santana, M. C., Davis, S., & Kaslow, N. J. (2007). Enhancing spiritual well-being among suicidal African American female survivors of intimate partner violence (IPV). Journal of Clinical Psychology, 63, 909–924.PubMedCrossRef

Azziz-Baumgartner, E., McKeown, L., Melvin, P., Dang, Q., & Reed, J. (2011). Rates of femicide in women of different races, ethnicities, and places of birth: Massachusetts, 1993–2007. Journal of Interpersonal Violence, 26, 1077–1090.PubMedCrossRef

Beck, A. T., Brown, G. K., & Steer, R. A. (1997). Psychometric characteristics of the scale for suicide ideation with psychiatric outpatients. Behavior Research and Therapy, 35, 1039–1046.CrossRef

Beck, A. T., Schuyler, D., & Herman, I. (1974). The development of suicide intent scales. In A. T. Beck, H. L. Resnick, & D. J. Littieri (Eds.), Prediction of suicide (pp. 45–56). Bowie, MD: Charles Press.

Beck, A. T., & Steer, R. (1991). Beck scale for suicide ideation manual. San Antonio: Harcourt Brace.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory manual (2nd ed.). San Antonio, TX: Psychological Corporation.

Bent-Goodley, T. B. (2004). Perceptions of domestic violence: A dialogue with African American women. Health and Social Work, 29, 307–316.PubMedCrossRef

Campbell, J. C., Campbell, D. W., Gary, F., Nedd, D., Price-Lea, P., Sharps, P. W., et al. (2008). African American women’s responses to intimate partner violence: An examination of cultural context. Journal of Aggression, Maltreatment & Trauma, 16, 277–295.CrossRef

Campbell, D. W., Campbell, J., King, C., Parker, B., & Ryan, J. (1994). The reliability and factor structure of the index of spouse abuse with African–American women. Violence and Victims, 9(3), 259–274.PubMed

Capaldi, D. M., Knoble, N. B., Shortt, J. W., & Kim, H. K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3, 1–194.CrossRef

Carr, E. R., Woods, A. M., Vahabzadeh, A., Sutton, C., Witteneaur, J., & Kaslow, N. J. (2013). PTSD, depressive symptoms, and suicidal ideation in African American women: A mediated model. Journal of Clinical Psychology in Medical Settings, 20, 37–45.PubMedCrossRef

Carroll, C., Patterson, M. D., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2, 40–48.PubMedCrossRef

Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4, 92–100.PubMedCrossRef

Cavanaugh, C. E., Messing, J. T., Del-Colle, M., O’Sullivan, C., & Campbell, J. C. (2011). Prevalence and correlates of suicidal behavior among adult female victims of intimate partner violence. Suicide and Life-Threatening Behavior, 41, 372–383.PubMedCrossRef

Chapman, L. K., & Steger, M. F. (2010). Race and religion: Differential prediction of anxiety symptoms by religious coping in African American and European American young adults. Depression and Anxiety, 27, 316–322.PubMedCrossRef

Claessens, M. (2009). Mindfulness and existential therapy. Existential Analysis, 20, 109–119.

Culver, J. L., Arena, P. L., Antoni, M. H., & Carver, C. S. (2002). Coping and distress among women under treatment for early stage breast cancer: Comparing African Americans, Hispanics, and Non-Hispanic Whites. Psycho-Oncology, 11, 495–504.PubMedCrossRef

Culver, J. L., Arena, P. L., Wimberly, S. R., Antoni, M. H., & Carver, C. S. (2004). Coping among African-American, Hispanic, and non-Hispanic White women recently treated for early stage breast cancer. Psychology and Health, 19, 157–166.CrossRef

Cunradi, C. B., Mair, C., Ponicki, W., & Remer, L. (2011). Alcohol outlets, neighborhood characteristics, and intimate partner violence: Ecological analysis of a California city. Journal of Urban Health, 88, 191–200.PubMedCrossRef

Dalmida, S. G., Holstad, M., Dilorio, C., & Laderman, G. (2011). Spiritual well-being and health-related quality of life among African-American women with HIV/AIDS. Applied Research in Quality of Life, 6, 139–157.PubMedCrossRef

Davis, S. P., Arnette, N. C., Bethea, K. I., Graves, K. N., Rhodes, M. N., Harp, S. E., et al. (2009). The Grady Nia Project: A culturally competent intervention for low-income, abused and suicidal African American women. Professional Psychology: Research and Practice, 40, 141–147.CrossRef

Devries, K., Watts, C., Yoshihama, M., Kiss, L., Schraiber, L. B., Deyessa, N., et al. (2011). Violence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women’s health and domestic violence against women. Social Science and Medicine, 73, 79–86.PubMedCrossRef

Dutton, M. A., Mitchell, B., & Haywood, Y. (1996). The emergency department as a violence prevention center. Journal of the American Medical Women’s Association, 51, 92–96.PubMed

Edmondson, D., Park, C. L., Blank, T. O., Fenster, J. R., & Mills, M. A. (2008). Deconstructing spiritual well-being: Existential well-being and HRQOL in cancer survivors. Psycho-Oncology, 17, 161–169.PubMedCrossRef

Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330–340.

Ellison, C. G., & Hummer, R. (Eds.). (2010). Religion, family, and health: Population-based research in the United States. New Brunswick, NJ: Rutgers University Press.

Flay, B. R., & Petraitis, J. (1994). The theory of triadic influence: A new theory of health behavior with implications for preventive interventions. Advances in Medical Sociology, 4, 19–44.

Folkman, S. (2010). Stress, coping, and hope. Psycho-Oncology, 19, 901–908.PubMedCrossRef

Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination. Odessa, FL: Psychological Assessment Resources.

Fox, G. L., Benson, M. L., DeMaris, A. A., & Van Wyk, J. (2002). Economic distress and intimate violence: Testing family stress and resource theories. Journal of Marriage and Family, 64, 793–807.CrossRef

Genia, V. (2001). Evaluation of the spiritual well-being scale in a sample of college students. The International Journal for the Psychology of Religion, 11, 25–33.CrossRef

Gullatte, M., Brawley, O., Kinney, A., Powe, B., & Mooney, K. (2010). Religiosity, spirituality, and cancer fatalism beliefs in delay in breast cancer diagnosis in African American women. Journal of Religion and Health, 49, 62–72.PubMedCrossRef

Hayes, A. F. (2013). An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.

Heron, S. L., Thompson, M. P., Jackson, E. B., & Kaslow, N. J. (2003). Do responses to an intimate partner violence screen predict scores on a comprehensive measure of intimate partner violence in low-income Black women? Annals of Emergency Medicine, 42, 483–491.PubMedCrossRef

Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.PubMedCrossRef

Houry, D., Kaslow, N. J., & Thompson, M. P. (2005). Depressive symptoms in women experiencing intimate partner violence. Journal of Interpersonal Violence, 20, 1467–1477.PubMedCrossRef

Houry, D., Kemball, R., Rhodes, K. V., & Kaslow, N. J. (2006). Intimate partner violence and mental health symptoms in African American female ED patients. American Journal of Emergency Medicine, 24, 444–450.PubMedCrossRef

Hudson, W. W., & McIntosh, S. R. (1981). The assessment of spouse abuse: Two quantifiable dimensions. Journal of Marriage and the Family, 43, 873–888.CrossRef

Joe, S., & Neidermeier, D. M. (2008). Social work research on African Americans and suicidal behavior: A systematic 25-year review. Health and Social Work, 33, 249–257.PubMedCrossRef

Joe, S., Woolley, M. E., Brown, G. K., Ghahramanlou-Holloway, M., & Beck, A. T. (2008). Psychometric properties of the Beck depression inventory-II in low-income African American suicide attempters. Journal of Personality Assessment, 90, 521–523.PubMedCrossRef

Kaslow, N. J., Leiner, A. S., Reviere, S. L., Jackson, E., Bethea, K., Bhaju, J., et al. (2010). Suicidal, abused African American women’s response to a culturally-informed intervention. Journal of Consulting and Clinical Psychology, 78, 449–458.PubMedCrossRef

Kaslow, N. J., Thompson, M., Meadows, L., Chance, S., Puett, R., Hollins, L., et al. (2000). Risk factors for suicide attempts among African American women. Depression and Anxiety, 12, 13–20.PubMedCrossRef

Kaslow, N. J., Thompson, M., Meadows, L., Jacobs, D., Chance, S., Gibb, B., et al. (1998). Factors that mediate and moderate the link between partner abuse and suicidal behavior in African American women. Journal of Consulting and Clinical Psychology, 66, 533–540.PubMedCrossRef

Kaslow, N. J., Thompson, M. P., Okun, A., Price, A., Young, S., Bender, M., et al. (2002). Risk and protective factors for suicidal behavior in abused African American women. Journal of Consulting and Clinical Psychology, 70, 311–319.PubMedCrossRef

Kubrin, C. E., & Wadsworth, T. (2009). Explaining suicide among Blacks and Whites: How socioeconomic factors and gun availability affect race-specific rates. Social Science Quarterly, 90, 1203–1227.CrossRef

Leiner, A. S., Compton, M. T., Houry, D., & Kaslow, N. J. (2008). Intimate partner violence, psychological distress, and suicidality: A path model using data from African American women seeking care at an urban emergency department. Journal of Family Violence, 23, 473–481.CrossRef

Levin, J. S., Taylor, R. J., & Chatters, L. M. (1995). A multidimensional measure of religious involvement for African Americans. The Sociological Quarterly, 36, 157–173.CrossRef

Mascaro, N., & Rosen, D. H. (2005). Existential meaning’s role in the enhancement of hope and prevention of depressive symptoms. Journal of Personality, 73, 985–1014.PubMedCrossRef

McKnight-Eily, L. R., Presley-Cantrell, L., Elam-Evans, L. D., Chapman, D. P., Kaslow, N. J., & Perry, G. S. (2009). Prevalence and correlates of current depressive symptomatology and lifetime diagnosis of depression in Black women. Women’s Health Issues, 19, 243–252.PubMedCrossRef

Meyer, B. (2001). Coping with severe mental illness: Relations of the Brief COPE with symptoms, functioning, and well-being. Journal of Psychopathology and Behavioral Assessment, 23, 265–277.CrossRef

Mitchell, M. D., Hargrove, G. L., Collins, M. H., Thompson, M. P., Reddick, T. L., & Kaslow, N. J. (2006). Coping variables that mediate the relation between intimate partner violence and mental health outcomes among low-income, African American women. Journal of Clinical Psychology, 62, 1503–1520.PubMedCrossRef

Nathanson, A. M., Shorey, R. C., Tirone, V., & Rhatigan, D. L. (2012). The prevalence of mental health disorders in a community sample of female victims of intimate partner violence. Partner Abuse, 3, 59–75.PubMedCrossRef

Paloutzian, R. E., & Ellison, C. W. (1991). Manual for the spiritual well-being scale. Navack, NY: Life Advance.

Paranjape, A., & Kaslow, N. J. (2010). Family violence exposure and health outcomes among older African American women: Do spirituality and social support play protective roles? Journal of Women’s Health, 19, 1899–1904.PubMedCrossRef

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef

Rees, S., Silove, D., Chey, T., Ivancic, L., Steel, Z., Creamer, M., et al. (2011). Lifetime prevalence of gender-based violence in women and the relationship with mental disorders and psychosocial function. JAMA, 306, 513–521.PubMedCrossRef

Rennison, C. M., & Planty, M. (2003). Nonlethal intimate partner violence: Examining race, gender, and income patterns. Violence and Victims, 18, 433–443.PubMedCrossRef

Reviere, S. L., Farber, E., Twomey, H., Okun, A., Jackson, E., Zanville, H., et al. (2007). Intimate partner violence and suicidality in low-income African American women: A multi-method assessment of coping factors. Violence Against Women, 13, 1113–1129.PubMedCrossRef

Schuettler, D., & Boals, A. (2011). The path to posttraumatic growth versus posttraumatic stress disorder: Contributions of event centrality and coping. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 16, 180–194.CrossRef

Self, R., Oates, P., Pinnock-Hamilton, T., & Leach, C. (2005). The relationship between social deprivation and unilateral termination (attrition) from psychotherapy at various stages of the health care pathway. Psychology and Psychotherapy: Theory, Research, and Practice, 78, 11–95.CrossRef

Short, L. M., McMahon, P. M., Chervin, D. D., Shelley, G. A., Lezin, N., Sloop, K. S., et al. (2000). Survivor’s identification of protective factors and early warning signs for intimate partner violence. Violence Against Women, 6, 272–285.CrossRef

Simonelli, L., Fowler, J., Maxwell, G., & Andersen, B. (2008). Physical sequelae and depressive symptoms in gynecologic cancer survivors: Meaning in life as a mediator. Annals of Behavioral Medicine, 35, 275–284.PubMedCrossRef

Snell-Johns, J., Mendez, J., & Smith, B. (2004). Evidence-based solutions for overcoming access barriers, decreasing attrition, and promoting change with underserved families. Journal of Family Psychology, 18, 19–35.PubMedCrossRef

Sobezak, L. R., & West, L. M. (2013). Clinical considerations in using mindfulness- and acceptance-based approaches with diverse populations: Addressing challenges in service delivery in diverse community settings. Cognitive and Behavioral Practice, 20, 13–22.CrossRef

Spates, K. (2011). African-American women and suicide: A review and critique of the literature. Sociology Compass, 5, 336–350.CrossRef

Taliaferro, L. A., Rienzo, B. A., Pigg, R. M, Jr, Miller, M. B., & Dodd, V. J. (2009). Spiritual well-being and suicidal ideation among college students. Journal of American College Health, 58, 83–90.PubMedCrossRef

Thompson, V. L. S., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26.CrossRef

Thompson, M. P., Kaslow, N. J., & Kingree, J. B. (2002). Risk factors for suicide attempts among African American women experiencing recent intimate partner violence. Violence and Victims, 17, 283–295.PubMedCrossRef

U.S. Census Bureau. (2005). Poverty thresholds 2005.

Utsey, S. O., Bolden, M. A., Williams, O., III., Lee, A., Lanier, Y., & Newsome, C. (2007). Spiritual well-being as a mediator of the relation between culture-specific coping and quality of life in a community sample of African Americans. Journal of Cross-Cultural Psychology, 38, 123–136.

Waldrop, A. E., & Resick, P. A. (2004). Coping among adult female victims of domestic violence. Journal of Family Violence, 19, 291–302.CrossRef

Watlington, C. G., & Murphy, C. M. (2006). The roles of religion and spirituality among African American survivors of domestic violence. Journal of Clinical Psychology, 62, 837–856.PubMedCrossRef

West, L. M., Davis, T. A., Thompson, M. P., & Kaslow, N. J. (2011). “Let me count the ways:” Fostering reasons for living among low-income, suicidal, African American women. Suicide and Life-Threatening Behavior, 41, 491–500.PubMedCrossRef

Yoshihama, M., Hammock, A. C., & Horrocks, J. (2006). Intimate partner violence, welfare receipt, and health status of low-income African American women: A lifecourse analysis. American Journal of Community Psychology, 37, 95–109.PubMedCrossRef

Titel: Mediators of a Culturally-Sensitive Intervention for Suicidal African American Women
verfasst von: Huaiyu Zhang
Kiranmayi Neelarambam
Tomina J. Schwenke
Miesha N. Rhodes
Delishia M. Pittman
Nadine J. Kaslow
Publikationsdatum: 01.12.2013
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 4/2013
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-013-9373-0

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Mediators of a Culturally-Sensitive Intervention for Suicidal African American Women

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