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Randomized Controlled Trial
. 2013 Dec;20(4):401-14.
doi: 10.1007/s10880-013-9373-0.

Mediators of a culturally-sensitive intervention for suicidal African American women

Huaiyu Zhang  1 , Kiranmayi Neelarambam, Tomina J Schwenke, Miesha N Rhodes, Delishia M Pittman, Nadine J Kaslow
Affiliations
Randomized Controlled Trial

Mediators of a culturally-sensitive intervention for suicidal African American women

Huaiyu Zhang et al. J Clin Psychol Med Settings. 2013 Dec.

Abstract

This study explored intervention outcomes and mechanisms that could help explain why low-income, African American women with a history of intimate partner abuse and suicide attempt improve in response to a culturally-informed intervention, the Grady Nia Project. Specifically, the investigation examined whether or not the intervention had effects on the women and whether or not spiritual well-being and coping mediated the effects of the intervention on suicidal ideation and depressive symptoms. In this randomized controlled clinical trial, data from 89 women who completed both pre- and post-intervention assessments were analyzed. During the post-intervention follow-up, women in the active intervention group reported lower levels of suicidal ideation and depressive symptoms and higher levels of existential well-being and adaptive coping skills than those women randomized to the treatment as usual group. However, only existential well-being was found to mediate treatment effects on suicidal ideation and depressive symptoms. Religious well-being, as well as adaptive and maladaptive coping, did not serve a mediational function. These findings highlight the importance of designing and implementing culturally-sensitive and evidence-based strategies that enhance existential well-being in this population.

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Figures

Fig. 1
Fig. 1
The participant-flowchart
Fig. 2
Fig. 2
Path diagram showing results of two multiple mediator models controlling for covariates
See this image and copyright information in PMC

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