Approximately 15–30 % of individuals diagnosed with PTSD experience high levels of dissociation, a condition categorized in the DSM-V as a dissociative subtype of PTSD (PTSD-D). Despite the rising number of studies supporting mindfulness-based interventions (MBIs) for the treatment of PTSD, literature on mindfulness and dissociation remains scarce and discording. While best practices for offering mindfulness for dissociative patients remain unclear, integrating choice points into MBIs may be aligned with trauma-informed principles and effective in countering loss of self-agency associated with trauma. In this article, we present a case study from a larger randomized controlled trial of an individual with PTSD-D who successfully completed an 8-week MBI while displaying active dissociation symptoms throughout the group. Follow-up interviews with stakeholders in the patient’s care as well as pre-and post-intervention assessments indicate that the patient had a positive experience with the mindfulness training and improved self-regulation. Analysis of the case study suggests that the mindfulness training may have been safe and effective for this patient due to the integration of choice points throughout the mindfulness training and promotion of structural safety. We expand on this by further discussing six influencing factors that contributed to the outcome of the case study and can serve as a reference for clinicians, researchers, and instructors who wish to offer MBIs safely to patients with PTSD-D.

Background: Diasporic Indigenous peoples of Mexico living in the United States continue to survive and reclaim their cultures despite multiple disruptions to identity formation resulting from systematic violence and cultural silencing enacted through white settler colonialism in the United States and Mexico. Honoring Indigenous survivance, the authors present a conceptual model of Indigenous identity healing and reformation that mirrors the dynamic qualities of water for Indigenous Mexican peoples living in the United States. Methods: The conceptual model arose from a ceremony-based, participatory, digital archiving project documenting Indigenous oral histories. The model is illustrated through case analysis of three Indigenous Mexican individuals living in the United States whose stories holistically represent the model’s components. Results: The case narratives illustrate how Indigenous Mexican identities are (re)formed by moving through the model components of Rift (disconnection from land, culture, and community), Longing (yearning to find what was lost), Reconnecting (reclaiming cultural practices), and Affirmation (strengthening of identity through community), via Reflection (memory work which propels movement through each stage). Conclusions: Findings suggest that identities can be (re)formed through reclaiming cultural practices and reconnecting with the community. This conceptual model may be useful for further understanding Indigenous Latinx identity development and healing.

Background: Mind–body practices (MBPs), which include seated- (meditation) and movement-based practices (yoga, Tai Chi, qigong ), have grown increasingly popular in the United States for improving mental and physical wellness. While literature has identified socioeconomic and health-related factors related to seated- and movement-MBP engagement separately, no studies have explored the factors associated with combined-MBP use. This study accordingly used Anderson’s behavioral model of health service utilization to explore sociodemographic and health-related factors associated with seated-, movement-, and combined-MBP engagement among a representative adult sample in the 2017 National Health Interview Survey. Methods: Descriptive statistics were used to summarize sample characteristics. Multinomial logistic regression using survey weights examined associations between predisposing ( race-ethnicity , age , geographic region , sex , sexual minority status , and marital status ), enabling ( educational attainment , income , having continuous health insurance coverage , and having flexible spending accounts ), and needs factors ( psychological distress , self-reported health , and chronic pain ) with type of MBP engagement. Results: Nearly 6% (5.8%) of the U.S. adult population practiced combined-MBPs. Results also showed that educational attainment was associated with increasingly higher odds of utilizing all forms of MBPs and revealed racial–ethnic disparities in movement- and combined-MBP engagement. Combined-MBP engagement was roughly two times higher among those with moderate psychological distress (relative risk ratio [RRR] = 1.92; 95% confidence interval [CI]: 1.58–2.32; p < 0.001), severe psychological distress (RRR = 1.96; 95% CI: 1.35–2.85; p < 0.001), and chronic pain. Conclusions and Implications: Findings suggest that combined-MBPs are utilized by a significant portion of the U.S. population and that engagement has varied distribution across sociodemographic and health factors. Considering the association of combined-MBP usage with mental and physical health needs, the authors recommend that health care providers suggest combined-MBPs as an additional resource for patients with psychological distress or mild chronic pain. Future practice and research can focus on increasing accessibility to MBPs in education settings to reduce racial–ethnic disparities.

Background: Chinese Americans, the largest Asian American subgroup in the U.S., face linguistic, cultural, and socio-economic barriers to dementia prevention. To promote brain health in this population, a culturally tailored community approach is essential. This study evaluates a culturally tailored community brain health education program to enhance brain health knowledge and motivate lifestyle changes to prevent the risk of dementia among Chinese Americans aged 50 or older. Methods: The program was developed and evaluated in four phases. First, we assessed participants’ interests in brain health topics, availability, and preferred delivery modes. Next, experts on the identified topics developed educational content and outcome assessments. The third phase focused on implementing a six-session program covering general knowledge about Alzheimer’s disease and related dementias, diet, sleep, physical exercise, health checks, and mindfulness. Finally, we evaluated the program’s feasibility and effectiveness using pre–post surveys, feedback questionnaires, and focus groups. Results: Seventy-seven participants registered for the program, and sixty-nine (90%) attended at least four sessions. The quantitative results, based on paired t-tests, showed significant increases in brain health knowledge, sleep quality, and behavioral motivation for lifestyle changes, and a decrease in depressive symptoms, with two-tailed p-values lower than 0.05. The qualitative results further revealed promising feasibility and acceptability, as well as the perceived benefits of the program. Conclusions: The findings highlight the feasibility, acceptability, and potential effectiveness of a culturally tailored community education approach for promoting brain health and lifestyle changes. Sustained community outreach and education efforts among Chinese Americans are needed.