Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression.
Within mindfulness-based programs (MBPs), mixed results have been found for the role of childhood trauma as a moderator of depression outcomes. Furthermore, childhood trauma and PTSD symptoms have been identified as possible risk factors for the occurrence of meditation-related adverse effects (MRAE...
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Public Library of Science (PLoS)
2025-01-01
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Online Access: | https://doi.org/10.1371/journal.pone.0318499 |
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author | Nicholas K Canby Elizabeth A Cosby Roman Palitsky Deanna M Kaplan Josie Lee Golnoosh Mahdavi Adrian A Lopez Roberta E Goldman Kristina Eichel Jared R Lindahl Willoughby B Britton |
author_facet | Nicholas K Canby Elizabeth A Cosby Roman Palitsky Deanna M Kaplan Josie Lee Golnoosh Mahdavi Adrian A Lopez Roberta E Goldman Kristina Eichel Jared R Lindahl Willoughby B Britton |
author_sort | Nicholas K Canby |
collection | DOAJ |
description | Within mindfulness-based programs (MBPs), mixed results have been found for the role of childhood trauma as a moderator of depression outcomes. Furthermore, childhood trauma and PTSD symptoms have been identified as possible risk factors for the occurrence of meditation-related adverse effects (MRAE). The present research examined multiple forms of childhood trauma and PTSD symptoms as predictors of depression treatment outcomes and MRAEs. Various forms of childhood trauma (e.g., abuse and neglect) were examined as predictors of depression treatment outcomes and participant attrition using secondary analyses of two MBP clinical trials (N = 52 and 104, respectively). Study 2 also examined meditation-related side effects (MRSE) and MRAE as outcomes and current subclinical and past PTSD symptoms as predictors. Childhood trauma led to worse depression outcomes across both study 1 and study 2, such that total childhood trauma and childhood sexual abuse were significant predictors across both studies. Childhood sexual abuse predicted attrition in study 2. Finally, multiple forms of childhood trauma and PTSD symptoms predicted MRSE, while total childhood trauma, childhood emotional abuse, and subclinical PTSD symptoms predicted lasting MRAE. Childhood trauma and PTSD symptoms may lead to worse outcomes and a greater occurrence of adverse effects within MBPs for active depression. These results call for further trauma-sensitive modifications, safety monitoring, participant screening, and provider education when implementing these programs. |
format | Article |
id | doaj-art-989e6418cee54999aacce5472037c930 |
institution | Kabale University |
issn | 1932-6203 |
language | English |
publishDate | 2025-01-01 |
publisher | Public Library of Science (PLoS) |
record_format | Article |
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spelling | doaj-art-989e6418cee54999aacce5472037c9302025-02-05T05:31:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031849910.1371/journal.pone.0318499Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression.Nicholas K CanbyElizabeth A CosbyRoman PalitskyDeanna M KaplanJosie LeeGolnoosh MahdaviAdrian A LopezRoberta E GoldmanKristina EichelJared R LindahlWilloughby B BrittonWithin mindfulness-based programs (MBPs), mixed results have been found for the role of childhood trauma as a moderator of depression outcomes. Furthermore, childhood trauma and PTSD symptoms have been identified as possible risk factors for the occurrence of meditation-related adverse effects (MRAE). The present research examined multiple forms of childhood trauma and PTSD symptoms as predictors of depression treatment outcomes and MRAEs. Various forms of childhood trauma (e.g., abuse and neglect) were examined as predictors of depression treatment outcomes and participant attrition using secondary analyses of two MBP clinical trials (N = 52 and 104, respectively). Study 2 also examined meditation-related side effects (MRSE) and MRAE as outcomes and current subclinical and past PTSD symptoms as predictors. Childhood trauma led to worse depression outcomes across both study 1 and study 2, such that total childhood trauma and childhood sexual abuse were significant predictors across both studies. Childhood sexual abuse predicted attrition in study 2. Finally, multiple forms of childhood trauma and PTSD symptoms predicted MRSE, while total childhood trauma, childhood emotional abuse, and subclinical PTSD symptoms predicted lasting MRAE. Childhood trauma and PTSD symptoms may lead to worse outcomes and a greater occurrence of adverse effects within MBPs for active depression. These results call for further trauma-sensitive modifications, safety monitoring, participant screening, and provider education when implementing these programs.https://doi.org/10.1371/journal.pone.0318499 |
spellingShingle | Nicholas K Canby Elizabeth A Cosby Roman Palitsky Deanna M Kaplan Josie Lee Golnoosh Mahdavi Adrian A Lopez Roberta E Goldman Kristina Eichel Jared R Lindahl Willoughby B Britton Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression. PLoS ONE |
title | Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression. |
title_full | Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression. |
title_fullStr | Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression. |
title_full_unstemmed | Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression. |
title_short | Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression. |
title_sort | childhood trauma and subclinical ptsd symptoms predict adverse effects and worse outcomes across two mindfulness based programs for active depression |
url | https://doi.org/10.1371/journal.pone.0318499 |
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