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Candidate mechanisms of action of mindfulness-based trauma recovery for refugees (MBTR-R): Self-compassion and self-criticism.

Journal of consulting and clinical psychology
February 1, 2022
Anna Aizik-Reebs et al. (5 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to examine the mechanisms of action, specifically self-compassion and self-criticism, underlying the therapeutic effects of Mindfulness-Based Trauma Recovery for Refugees (MBTR-R) on trauma recovery in refugees and asylum-seekers.

Results Summary

MBTR-R significantly increased self-compassion and reduced self-criticism, with changes in self-criticism mediating improvements in depression and PTSD, and changes in self-compassion mediating improvements in PTSD. The intervention showed therapeutic efficacy compared to wait-list controls.

Population

158 traumatized and chronically stressed asylum-seekers (46% female) in an urban post-displacement setting in the Middle East.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)
neutral
trauma recovery
refugees and asylum-seekers
-
demonstrated randomized control evidence of therapeutic efficacy and safety
#1
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)
increase
self-compassion
traumatized and chronically stressed asylum-seekers
-
led to significant elevation
#2
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)
decrease
self-criticism
traumatized and chronically stressed asylum-seekers
-
reduction
#3
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)
neutral
depression outcomes
traumatized and chronically stressed asylum-seekers
-
significantly mediated therapeutic effects
#4
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)
neutral
posttraumatic stress disorder (PTSD) outcomes
traumatized and chronically stressed asylum-seekers
-
significantly mediated therapeutic effects
#5
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)
neutral
PTSD outcomes
traumatized and chronically stressed asylum-seekers
-
mediated therapeutic effects
#6
Abstract

OBJECTIVE: Mindfulness- and compassion-based interventions may represent a promising intervention approach to the global mental health crisis of forced displacement. Specifically, Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)-a mindfulness- and compassion-based, trauma-sensitive, and socioculturally adapted intervention for refugees and asylum-seekers-has recently demonstrated randomized control evidence of therapeutic efficacy and safety. Yet, little is known about potential mechanisms underlying these therapeutic effects for trauma recovery and for refugees and asylum-seekers. METHOD: Thus, we examined adaptive and maladaptive forms of self-referentiality, namely self-compassion and self-criticism, as mechanisms of action for trauma recovery in a randomized wait-list control trial of MBTR-R among a community sample of 158 traumatized and chronically stressed asylum-seekers (46% female) in an urban postdisplacement setting (Middle East). Self-compassion and self-criticism were measured vis-à-vis an experimental Self-Referential Encoding Task (SRET) designed to quantify cognitive processes underlying self-compassion and self-criticism using diffusion modeling, a computational modeling approach to quantify cognitive processes underlying decision-making from behavioral reaction time data. RESULTS: Findings indicate that self-compassion and self-criticism were associated with trauma- and stress-related psychopathology at preintervention. Relative to wait-list controls, MBTR-R led to significant elevation in self-compassion, and reduction in self-criticism, from pre to postintervention. Finally, pre to postintervention change in self-criticism significantly mediated therapeutic effects of MBTR-R on depression and posttraumatic stress disorder (PTSD) outcomes, while pre to postintervention change in self-compassion only mediated therapeutic effects on PTSD outcomes. CONCLUSIONS: Findings speak to the importance of (mal)adaptive self-referentiality as a target mechanism in MBIs and trauma recovery broadly, and among refugees and asylum-seekers specifically. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Medical Subject Headings (MeSH)
FemaleHumansMaleMindfulnessRefugeesSelf-AssessmentSelf-CompassionStress Disorders, Post-Traumatic
Study Links
Quality Scores
Safety85
Efficacy80/10
Quality90/10
Citation Metrics
Total Citations10
Citations/Year3.3
Relative Citation Ratio1.80
NIH Percentile71.2%
Research Impact Scores
APT Score0.75
Weight Score2.84
Normalized Score0.84
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