Skip to main content
Log in

Mindfulness and Posttraumatic Stress Disorder Symptom Severity in Urban African-American High School Students

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

Objectives: The aim of the current study was to examine the relations among mindfulness, posttraumatic stress disorder (PTSD) symptom severity, and stressful life events (SLEs) in African-American urban adolescents. Another aim was to examine mindfulness as a moderator of the relation between SLEs and PTSD symptom severity in this population. Method: Eighty-eight African-American high school students from a low-income urban community completed measures of demographics, PTSD symptom severity, SLEs, and mindfulness. Results: Mindfulness was significantly negatively related to PTSD symptom severity, r(86) = −.70, p < .001, 95% CI [−.58, −79], and SLEs were significantly positively related to PTSD symptom severity, r(86) = .29, p = .003, 95% CI [.09, .47]. Mindfulness was an independent predictor of PTSD symptom severity after accounting for SLEs, B = −1.16, t(84) = −9.06, p < .001, 95% CI [−1.41, −0.90], and SLEs were an independent predictor of PTSD symptom severity after accounting for mindfulness, B = 0.49, t(84) = 2.92, p = .004, 95% CI [0.16, 0.82]. Mindfulness did not moderate the relation between SLEs and PTSD symptom severity, B = −.003, t(84) = −0.15, p = .89, 95% CI [−.04, .03]. Implications: This study has implications for both mindfulness as a potential protective factor against PTSD symptom severity and SLEs as a potential risk factor for increased PTSD symptom severity in African-American urban adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. American Psychological Association, Task Force on Resilience and Strength in Black Children and Adolescents. Resilience in African American children and adolescents: a vision for optimal development. Washington, DC: Author; 2008. Retrieved from http://www.apa.org/pi/cyf/resilience.html

    Google Scholar 

  2. Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self- report assessment methods to explore facets of mindfulness. Assessment. 2006;13:27–45. https://doi.org/10.1177/1073191105283504.

    Article  PubMed  Google Scholar 

  3. Banks KH, Kohn-Wood LP, Spencer M. An examination of the African American experience of everyday discrimination and symptoms of psychological distress. Community Ment Health J. 2006;42:555–70. https://doi.org/10.1007/s10597-006-9052-9.

    Article  PubMed  Google Scholar 

  4. Bergomi C, Ströhle G, Michalak J, Funke F, Berking M. Facing the dreaded: does mindfulness facilitate coping with distressing experiences? A moderator analysis. Cogn Behav Ther. 2013;42:21–30. https://doi.org/10.1080/16506073.2012.713391.

    Article  PubMed  Google Scholar 

  5. Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, et al. Mindfulness: a proposed operational definition. Clin Psychol Sci Pract. 2004;11:230–41. https://doi.org/10.1093/clipsy.bph077.

    Article  Google Scholar 

  6. Boelen PA, Lenferink LIM. Experiential acceptance and trait-mindfulness as predictors of analogue post-traumatic stress. Psychol Psychother Theory Res Pract. 2018;91:1–14. https://doi.org/10.1111/papt.12138.

    Article  Google Scholar 

  7. Borquist DS, Maynard BR, Brendel KE. Mindfulness-based interventions for youth with anxiety: a systematic review and meta-analysis. Res Soc Work Pract. 2017;29:195–205. https://doi.org/10.1177/1049731516684961.

    Article  Google Scholar 

  8. Call D, Pitcock J, Pyne J. Longitudinal evaluation of the relationship between mindfulness, general distress, anxiety, and PTSD in a recently deployed National Guard sample. Mindfulness. 2015;6:1303–12. https://doi.org/10.1007/s12671-015-0400-0.

  9. Cardaciotto L, Herbert JD, Forman EM, Moitra E, Farrow V. The assessment of present-moment awareness and acceptance: the Philadelphia mindfulness scale. Assessment. 2008;15:204–23. https://doi.org/10.1177/1073191107311467.

    Article  Google Scholar 

  10. Cheng S, Banks K, Bartlett BA, San Miguel G, Vujanovic AA. Posttraumatic stress and mindfulness facets in relation to suicidal ideation severity among psychiatric inpatients. Mindfulness. 2018;9:761–72. https://doi.org/10.1007/s12671-017-0814-y.

    Article  Google Scholar 

  11. Children’s Defense Fund. The State of American children. 2017. Retrieved from https://www.childrensdefense.org/wp-content/uploads/2018/06/2017-soac.pdf

  12. Chopko BA, Schwartz RC. The relation between mindfulness and posttraumatic stress symptoms among police officers. J Loss Trauma. 2013;18:1–9. https://doi.org/10.1080/15325024.2012.674442.

    Article  Google Scholar 

  13. Coffey KA, Hartman M, Fredrickson BL. Deconstructing mindfulness and constructing mental health: understanding mindfulness and its mechanisms of action. Mindfulness. 2010;1:235–53. https://doi.org/10.1007/s12671-010-0033-2.

    Article  Google Scholar 

  14. Cutright NL, Padgett EE, Awada SR, Pabis JM, Pittman LD. The role of mindfulness in psychological outcomes for children following hurricane exposure. Mindfulness. 2019;10(1):1760–7. https://doi.org/10.1007/s12671-019-01135-5.

    Article  Google Scholar 

  15. Dahm KA, Meyer EC, Neff KD, Kimbrel NA, Gulliver SB, Morissette SB. Mindfulness, self-compassion, posttraumatic stress disorder symptoms, and functional disability in U.S. Iraq and Afghanistan war veterans. J Trauma Stress. 2015;28:1–5. https://doi.org/10.1002/jts.22045.

    Article  Google Scholar 

  16. Dempsey M, Overstreet S, Moely B. “Approach” and “avoidance” coping and PTSD symptoms in inner-city youth. Curr Psychol. 2000;19:28–45. https://doi.org/10.1007/s12144-000-1002-z.

    Article  Google Scholar 

  17. D’Imperio RL, Dubow EF, Ippolito MF. Resilient and stress-affected adolescents in an urban setting. J Clin Child Psychol. 2000;29:129–42. https://doi.org/10.1207/S15374424jccp2901_13.

    Article  PubMed  Google Scholar 

  18. Fincham DS, Altes LK, Stein DJ, Seedat S. Posttraumatic stress disorder in adolescents: risk factors versus resilience moderation. Compr Psychiatry. 2009;50:193–9. https://doi.org/10.1016/j.comppsych.2008.09.001.

    Article  Google Scholar 

  19. Follette VM, Palm KM, Hall MLR. Mindfulness and trauma: implications for treatment. J Ration Emot Cogn Behav Ther. 2006;24:45–61. https://doi.org/10.1007/s10942-006-0025-2.

    Article  Google Scholar 

  20. Garland EL, Roberts-Lewis A. Differential roles of thought suppression and dispositional mindfulness in posttraumatic stress symptoms and craving. Addict Behav. 2013;38:1555–62. https://doi.org/10.1016/j.addbeh.2012.02.004.

    Article  PubMed  Google Scholar 

  21. Grant KE, Compas BE, Stuhlmacher AF, Thurm AE, McMahon SD, Halpert JA. Stressors and child and adolescent psychopathology: moving from markers to mechanisms of risk. Psychol Bull. 2003;123:447–66. https://doi.org/10.1037/0033-2909.129.3.447.

  22. Greco LA, Baer RA, Smith GT. Assessing mindfulness in children and adolescents: development and validation of the child and adolescent mindfulness measure (CAMM). Psychol Assess. 2011;23:606–14. https://doi.org/10.1037/a0022819.

    Article  PubMed  Google Scholar 

  23. Holistic Life Foundation. Stress reduction & mindfulness curriculum. 2016. Retrieved from http://hlfinc.org/programs-services/stress-reduction-mindfulness-curriculum/

  24. Hill CLM, Updegraff JA. Mindfulness and its relationship to emotional regulation. Emotion. 2011;12:81–90. https://doi.org/10.1037/a00026355.

    Article  PubMed  Google Scholar 

  25. Horowitz K, Weine S, Jekel J. PTSD symptoms in urban adolescent girls: compounded community trauma. J Am Acad Child Adolesc Psychiatry. 1995;34:1353–61. https://doi.org/10.1097/00004583-199510000-00021il.

    Article  CAS  PubMed  Google Scholar 

  26. Hunt KL, Martens PM, Belcher HME. Risky business, trauma exposure and rate of posttraumatic stress disorder in African American children and adolescents. J Trauma Stress. 2011;24:365–9. https://doi.org/10.1002/jts.20648.

    Article  PubMed  Google Scholar 

  27. Jenkins EJ, Wang E, Turner L. Traumatic events involving friends and family members in a sample of African American early adolescents. Am J Orthopsychiatry. 2009;79:398–406. https://doi.org/10.1037/a0016659.

    Article  PubMed  Google Scholar 

  28. Jones JM. Exposure to chronic community violence: resilience in African American children. J Black Psychol. 2007;33:125–49. https://doi.org/10.1177/0095798407299511.

    Article  Google Scholar 

  29. Kabat-Zinn J. Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion; 1994.

    Google Scholar 

  30. Lewis SJ, Arsenault L, Caspi A, Fisher HL, Matthews T, Moffitt TE, et al. The epidemiology of trauma and post-traumatic stress disorder in a representative cohort of young people in England and Wales. Lancet Psychiatry. 2019;6:247–56. https://doi.org/10.1016/S2215-0366(19)30031-8.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Lipschitz DS, Rasmusson AM, Anyan W, Cromwell PF, Southwick SM. Clinical and functional correlates of posttraumatic stress disorder in urban adolescent girls at a primary care clinic. J Am Acad Child Adolesc Psychiatry. 2000;39:1104–11. https://doi.org/10.1097/00004583-200009000-00009.

    Article  CAS  PubMed  Google Scholar 

  32. Luthra R, Abramovitz R, Greenberg R, Schoor A, Newcorn J, Schmeidler J, et al. Relationship between type of trauma exposure and posttraumatic stress disorder among urban children and adolescents. J Interpers Violence. 2009;24:1919–27. https://doi.org/10.1177/0886260508325494.

    Article  PubMed  Google Scholar 

  33. Martin CE, Bartlett BA, Reddy MK, Gonzalez A, Vujanovic AA. Associations between mindfulness facets and PTSD symptom severity in psychiatric inpatients. Mindfulness. 2018:1–13. https://doi.org/10.1007/s12672-018-0904-5.

  34. Matthews T, Dempsey M, Overstreet S. Effects of exposure to community violence on school functioning: the mediating role of posttraumatic stress symptoms. Behav Res Ther. 2009;47:586–91. https://doi.org/10.1016/j.brat.2009.04.001.

    Article  Google Scholar 

  35. Mazza JJ, Reynolds WM. Exposure to violence in young inner-city adolescents: relationships with suicidal ideation, depression, and PTSD symptomatology. J Abnorm Child Psychol. 1999;27:203–13 Retrieved from http://link.springer.com/article/10.1023/A:1021900423004.

    Article  CAS  Google Scholar 

  36. McCabe KM, Clark R, Barnett D. Family protective factors among urban African American youth. J Clin Child Psychol. 1999;28:137–50. https://doi.org/10.1207/s15374424jccp2802_2.

    Article  CAS  PubMed  Google Scholar 

  37. McCrea KT, Guthrie D, Bulanda JJ. When traumatic stressors are not past, but now: psychosocial treatment to develop resilience with children and youth enduring concurrent, complex trauma. J Child Adolesc Trauma. 2016;9:5–16. https://doi.org/10.1007/s40653-015-0060-1.

    Article  Google Scholar 

  38. McGill TM, Self-Brown SR, Lai BS, Cowart-Osborne M, Tiwari A, LeBlanc M, et al. Effects of exposure to community violence and family violence on school functioning problems among urban youth: the potential mediating role of posttraumatic stress symptoms. Front Public Health. 2014;2:1–8. https://doi.org/10.3389/fpubh.2014.00008.

    Article  Google Scholar 

  39. Merikangas KR, He J, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in US adolescents: results from the national comorbidity study-adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49:980–9. https://doi.org/10.1016/j.jaac.2010.05.017.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Michal M, Beutel ME, Jordan J, Zimmerman M, Wolters S, Heidenreich T. Depersonalization, mindfulness, and childhood trauma. J Nerv Ment Dis. 2007;195:693–96. https://doi.org/10.1097/NMD.0b013e31811f4492.

  41. Neblett EW, Hammond WP, Seaton EK, Townsend TG. Underlying mechanisms in the relationship between Africentric worldview and depressive symptoms. J Couns Psychol. 2010;57:105–13. https://doi.org/10.1037/a0017710.

    Article  PubMed  Google Scholar 

  42. Ozer EJ, Weinstein RS. Urban adolescents’ exposure to community violence: the role of support, school safety, and social constraints in a school-based sample of boys and girls. J Clin Child Adolesc Psychol. 2004;33:463–76. https://doi.org/10.1207/s15374424jccp3303_4.

    Article  PubMed  Google Scholar 

  43. Perona-Garcelán S, García-Montes JM, Rodríguez-Testal JF, López-Jiménez AM, Ruiz-Veguilla M, Ductor-Recuerda MJ, et al. Relationship between childhood trauma, mindfulness, and dissociation in subjects with and without hallucination proneness. J Trauma Dissociation. 2013;15:35–51. https://doi.org/10.1080/15299732.2013.821433.

  44. Prenoveau JM, Papadakis AA, Schmitz JCS, Hirsch EL, Dariotis JK, Mendelson T. Psychometric properties of the child and adolescent mindfulness measure (CAMM) in racial minority adolescents from low-income environments. Psychol Assess. 2018;30:1395–400. https://doi.org/10.1037/pas0000630.

    Article  PubMed  Google Scholar 

  45. Ruchkin V, Schwab-Stone M, Jones S, Cicchetti DV, Koposov R, Vermeiren R. Is posttraumatic stress in youth a culture-bound phenomenon? A comparison of symptom trends in selected U.S. and Russian communities. Am J Psychiatr. 2005;162:538–44. https://doi.org/10.1176/appi.ajp.162.3.538.

    Article  PubMed  Google Scholar 

  46. Ruggiero KJ, Del Ben K, Scott JR, Rabalats AE. Psychometric properties of the PTSD checklist – civilian version. Journal of Traumatic Stress. 2003;16:495–502 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14584634.

    Article  Google Scholar 

  47. Saigh PH, Yasik AE, Oberfield RA, Halamandaris PV, McHugh M. An analysis of the internalizing and externalizing behaviors of traumatized urban youth with and without PTSD. J Abnorm Psychol. 2002;111:462–70. https://doi.org/10.1037//0021-843X.111.3.462.

    Article  PubMed  Google Scholar 

  48. Sanders-Phillips K, Settles-Reaves B, Walker D, Brownlow J. Social inequality and racial discrimination: risk factors for health disparities in children of color. Pediatrics. 2009;124:S176–86. https://doi.org/10.1542/peds.2009-1100E.

    Article  PubMed  Google Scholar 

  49. Shorey RC, Brasfield H, Anderson S, Stuart GL. Differences in trait mindfulness across mental health symptoms among adults in substance abuse treatment. Subst Use Misuse. 2014;49:595–600. https://doi.org/10.3109/10826084.2014.850310.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Smith BW, Ortiz AJ, Steffen LE, Tooley EM, Wiggins KT, Yeater EA, et al. Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. J Consult Clin Psychol. 2011;79:613–7. https://doi.org/10.1037/a0025189.

    Article  PubMed  Google Scholar 

  51. Springer C, Padgett D. Gender differences in young adolescents’ exposure to violence and rates of PTSD symptomatology. Am J Orthopsychiatry. 2000;70:370–9. https://doi.org/10.1037/h0087637.

    Article  CAS  PubMed  Google Scholar 

  52. Suliman S, Mkabile SG, Fincham DS, Ahmed R, Stein DJ, Seedat S. Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescents. Compr Psychiatry. 2009;50:121–7. https://doi.org/10.1016/j.comppsych.2008.06.006.

    Article  PubMed  Google Scholar 

  53. Thompson BL, Waltz J. Mindfulness and experiential avoidance as predictors of posttraumatic disorder avoidance symptom severity. J Anxiety Disord. 2010;24:409–15. https://doi.org/10.1016/j.janxdis.2010.02.005.

    Article  PubMed  Google Scholar 

  54. Thompson T, Massat CR. Experiences of violence, post-traumatic stress, academic achievement and behavior problems of urban African-American children. Child Adolesc Soc Work J. 2005;22:367–93. https://doi.org/10.1007/S10560-005-0018-5.

    Article  Google Scholar 

  55. Tull MT, Barrett HM, McMillan ES, Roemer L. A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behav Ther. 2007;38:303–13. https://doi.org/10.1016/j.beth.2006.10.001.

    Article  PubMed  Google Scholar 

  56. United States Department of Veterans Affairs [PDF Document]. 2012. Retrieved from http://sph.umd.edu/sites/default/files/files/PTSDChecklistScoring.pdf

  57. van Son J, Nyklíček I, Nefs G, Speight J, Pop VJ, Pouwer F. The association between mindfulness and emotional distress in adults with diabetes: could mindfulness serve as a buffer? Results from diabetes MILES: the Netherlands. J Behav Med. 2014;38:251–60. https://doi.org/10.1007/s10865-014-9592-3.

    Article  PubMed  Google Scholar 

  58. Vujanovic AA, Bonn-Miller MO, Marlatt AG. Posttraumatic stress and alcohol use coping motives among a trauma-exposed community sample: the mediating role of non-judgmental acceptance. Addict Behav. 2011;36:707–12. https://doi.org/10.1016/j.addbeh.2011.01.033.

    Article  PubMed  Google Scholar 

  59. Vujanovic AA, Youngwirth NE, Johnson KA, Zvolensky MJ. Mindfulness-based acceptance and posttraumatic stress symptoms among trauma-exposed adults without axis I psychopathology. J Anxiety Disord. 2009;23:297–303. https://doi.org/10.1016/j.janxdis.2008.08.005.

    Article  PubMed  Google Scholar 

  60. Washington HA. Medical apartheid: the dark history of medical experimentation on black Americans from colonial times to the present. New York: Doubleday; 2006.

    Google Scholar 

  61. Weathers FW, Litz BT, Huska JA, Keane TM. PTSD checklist-civilian version. Boston: National Center for PTSD, Behavioral Science Division; 1994.

    Google Scholar 

  62. Yasik AE, Saigh PA, Oberfield RA, Halamandaris PV, Wasserstrum LA. Self-reported anxiety among traumatized urban youth. Traumatology. 2012;18:47–55. https://doi.org/10.1177/1534765612438947.

    Article  Google Scholar 

  63. Zeller M, Yuval K, Nitzan-Assayag Y, Bernstein A. Self-compassion in recovery following potentially traumatic stress: longitudinal study of at-risk youth. J Abnorm Child Psychol. 2015;43:645–53 Retrieved from http://self-compassion.org/wp-content/uploads/2015/03/Zeller.pdf.

    Article  Google Scholar 

  64. Zona K, Milan S. Gender differences in the longitudinal impact of exposure to violence on mental health in urban youth. J Youth Adolesc. 2011;40:1674–90. https://doi.org/10.1007/s10964-011-9649-3.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank the Holistic Life Foundation for their many contributions to the larger project this study is a part of and all they do for the City of Baltimore. We would also like to thank Sara Tafeen for her work towards the design and implementation of the larger project and Eleni Rizakos for her work towards the implementation of the larger project. We also thank the Baltimore City Public School administrators, teachers, and students who made the larger project possible.

Funding

This research was supported in part by a grant from the Loyola University Maryland Dean’s Supplemental Professional Development Fund and a Loyola University Maryland Summer Research Grant.

Author information

Authors and Affiliations

Authors

Contributions

All authors were involved in the development of the current manuscript. All authors aside from Jeffery Lating and Adanna Johnson were involved in the design and implementation of the larger study. Jason Prenoveau, Jeffery Lating, and Adanna Johnson were involved in the design of the present study. Jacob Schmitz was involved in all aspects of the present and larger studies as well as conducting analyses and writing the manuscript for the present study.

Corresponding author

Correspondence to Jacob C. S. Schmitz.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board at Loyola University Maryland FWA00013527. It is also in accordance with the 1964 Helsinki declaration and other similar ethical standards.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Schmitz, J.C.S., Prenoveau, J.M., Papadakis, A.A. et al. Mindfulness and Posttraumatic Stress Disorder Symptom Severity in Urban African-American High School Students. Psychiatr Q 92, 85–99 (2021). https://doi.org/10.1007/s11126-020-09774-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-020-09774-x

Keywords

Navigation