title: Mindfulness based stress reduction adapted for depressed disadvantaged women in an urban Federally Qualified Health Center.
abstract: BACKGROUND
  In this study we examine the feasibility and preliminary effectiveness of mindfulness based stress reduction adapted for delivery in an urban Federally Qualified Health Center (FQHC).
  
  
  METHODS
  Thirty-one African- American adult women ages 18-65 with depressive symptoms enrolled to participate in an 8-week mindfulness group intervention. The primary outcome (depression) and secondary outcomes (stress, mindfulness, functioning, well-being, and depression stigma) were assessed at baseline, 8 and 16-weeks.
  
  
  RESULTS
  Depressive symptoms significantly decreased from baseline to 16 weeks. A significant decrease in stress and significant increase in mindfulness was found from baseline to 8 weeks and baseline to 16 weeks. Additionally, aspects of well-being-self-acceptance and growth-significantly increased from baseline to 8-weeks. Stigma significantly increased from baseline to 8 weeks and significantly decreased from 8 to 16 weeks (all p's < 0.05).
  
  
  CONCLUSIONS
  Mindfulness-based interventions implemented in FQHCs may increase access to effective treatments for mental health symptoms.
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Chicago, IL, USA. Electronic address: i-burnett-zeigler@northwestern.edu.
authors.forename: Inger E
authors.initials: IE
authors.lastname: Burnett-Zeigler
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Chicago, IL, USA.
authors.forename: Maureen D
authors.initials: MD
authors.lastname: Satyshur
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Chicago, IL, USA.
authors.forename: Sunghyun
authors.initials: S
authors.lastname: Hong
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Chicago, IL, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Yang
authors.affiliation: Northwestern University, Feinberg School of Medicine, Medical Social Sciences, Chicago, IL, USA.
authors.forename: Judith
authors.initials: J
authors.lastname: T Moskowitz
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, Chicago, IL, USA.
authors.forename: Katherine L
authors.initials: KL
authors.lastname: Wisner
mesh_terms: D000328:Adult; D000368:Aged; D003863:Depression / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D064866:Mindfulness; D013315:Stress, Psychological / Q000628:therapy*; D035862:Vulnerable Populations
keywords: Depression; Disadvantaged; Mental health; Mindfulness; Race/ethnicity; Women