%0 Journal Article
%T Mediators of a culturally-sensitive intervention for suicidal African American women
%J Journal of clinical psychology in medical settings
%D 2013
%A Zhang, Huaiyu
%A Neelarambam, Kiranmayi
%A Schwenke, Tomina J.
%A Rhodes, Miesha N.
%A Pittman, Delishia M.
%A Kaslow, Nadine J.
%V 20
%N 4
%P 401-414
%X 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.<p /> <p>Language: en</p>
%G en
%I Holtzbrinck Springer Nature Publishing Group
%@ 1068-9583
%U http://dx.doi.org/10.1007/s10880-013-9373-0