Candidate mechanisms of action of mindfulness-based trauma recovery for refugees (MBTR-R): Self-compassion and self-criticism.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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).