Impact of Meditation on Mental Health Outcomes of Female Trauma Survivors of Interpersonal Violence With Co-Occurring Disorders: A Randomized Controlled Trial

Authors
Lee, M. Y. Zaharlick, A. Akers, D.
Publication year
2017
Citation Title
Impact of meditation on mental health outcomes of female trauma survivors of interpersonal violence with co-occurring disorders: A randomized controlled trial.
Journal Name
Journal of Interpersonal Violence
Journal Volume
32
Issue Number
14
Page Numbers
2139–2165
DOI
10.1177/0886260515591277
Summary
Women who experienced interpersonal violence are at risk for developing mental health and trauma symptoms, and meditation can potentially be an effective intervention. This study randomly assigned 58 women who experienced interpersonal violence into a six-week meditation training condition or a control condition. Results indicated that meditation was effective at reducing these women's mental health and trauma symptoms.
Key Findings
Compared to participants in the control condition, more participants in the meditation condition experienced significant changes in mental health symptoms (36% vs. 8%) and trauma symptoms (42% vs. 5%).
No participants in the meditation condition had negative changes in mental health symptoms or trauma symptoms, whereas 24% of participants in the control condition experienced more severe trauma symptoms after treatment.
Participants in the meditation condition had significantly fewer mental health and trauma symptoms than participants in the control condition after treatment.
Implications for Military Professionals
Attend training about meditation to enhance their abilities to provide meditation treatment as an option to Service members who experienced trauma
Facilitate support groups for Service members who have posttraumatic stress disorder to decrease their symptoms
Implications for Program Leaders
Offer meditation workshops for Service members who show symptoms of trauma and anxiety
Disseminate information regarding possible symptoms of depression, anxiety, and posttraumatic stress disorder after deployment and where military families can seek help for the symptoms
Implications for Policy Makers
Promote the development of programs that use meditation to help Service members deal with mental health symptoms and trauma symptoms
Recommend education of professionals who work with military families on the effect of meditation on people's well-being
Methods
Participants were recruited by flyers from a substance abuse treatment program for homeless women; women had to have experienced interpersonal violence to be eligible for the study.
Participants in both the meditation and control groups received normal treatments from the substance abuse treatment center; in addition,
participants in the meditation group also completed a six-week training on meditation.
All participants completed questionnaires regarding their mental health and trauma symptoms both pre- and post-treatment.
Data were analyzed to examine the effect of meditation on participants' mental health and trauma symptoms.
Participants
Participants were 58 women; 32 of them were in the meditation group and 26 of them were in the control group.
The average age of participants was 38.6 years (age range = 22-56 years, SD = 8.6).
The majority of participants in the meditation group were White (72%), whereas 42% of participants in the control group were White; the race/ethnicity of the rest of the participants was not reported.
Limitations
There was a significant difference between the meditation and control groups in race/ethnicity, which may potentially contribute to the observed group differences.
The sample was recruited from a substance abuse treatment program for homeless women; therefore, the findings cannot be generalized to women who do not seek treatment for substance abuse problems or women who are not homeless.
The severity level of participants' interpersonal violence was not recorded or reported, so it is unclear whether women who experienced slight or severe interpersonal violence benefited equally from meditation.
Avenues for Future Research
Recruit women from various backgrounds (e.g., socioeconomic level, marital status) so that the results can be better generalized
Examine the effectiveness of meditation on men who experienced interpersonal violence
Explore whether people who experienced different severity levels of interpersonal violence can benefit equally from meditation
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Civilian
Target Population
Population Focus
Abstract
This study was a randomized controlled trial that examined the impact of meditation practice on the mental health outcomes of female trauma survivors of interpersonal violence who have co-occurring disorders. Sixty-three female trauma survivors were randomly assigned to the meditation condition and the control condition. Treatment conditions consisted of a 6-week meditation curriculum that was influenced by Tibetan meditation tradition and focused on breathing, loving kindness, and compassion meditation. Clients in the meditation condition made significant changes in mental health symptoms (t = 5.252, df = 31, p = .000) and trauma symptoms (t = 6.009, df = 31, p = .000) from pre-treatment to posttreatment, whereas non-significant changes were observed among the control condition clients. There were significant group differences between clients in the meditation condition and in the control condition on their mental health symptoms, F(1, 54) = 13.438, p = .001, and trauma symptoms, F(1, 54) = 13.395, p = .001, with a generally large effect size of eta squared .127 and .146, respectively. In addition, significantly more clients in the meditation condition achieved reliable change in mental health symptoms (35.5% vs. 8.3%) and trauma symptoms (42.3% vs. 4.8%) than clients in the control condition. Significance of the study is discussed with respect to the empirical evidence of meditation practice as a complementary behavioral intervention for treating female trauma survivors of interpersonal violence who have co-occurring disorders.
Attach