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A Systematic Review and Meta-Analysis of Cultural Adaptations of Mindfulness-Based Interventions for Hispanic Populations

  • Rebeca CastellanosEmail author
  • Melek Yildiz Spinel
  • Van Phan
  • Rosaura Orengo-Aguayo
  • Kathryn L. Humphreys
  • Kate Flory



The present study is a systematic review which aims to evaluate the current state of the literature on the effectiveness and cultural adaptations of mindfulness-based interventions (MBIs) for Hispanics. MBIs are widely used psychological therapies, yet little is known about their effectiveness or appropriateness with the Hispanic population, the fastest growing ethnic minority population in the USA.


We identified and reviewed twenty-two studies, across the USA, Spain, and South America. Eight of these studies were coded for meta-analysis. Studies were also rated using methodological rigor and cultural adaptation ratings, developed for this study.


Culturally adapted MBIs are associated with depression symptom improvement, stress reduction, stress management, and chronic illness management. Results from meta-analysis suggest a moderate to large effect of the interventions on psychiatric distress relative to scores in the comparison group.


Findings from this study suggest there is clear evidence that cultural adaptations can improve evidence-based treatment implementation among Hispanics, but more methodologically rigorous studies are needed. Recommendations for clinical practice and future research are discussed.


Mindfulness-based interventions Mindfulness and Latinos/Hispanic Cultural adaptations and implementations of MBIs 


Author Contributions

RC: designed and executed the study, assisted with the data analyses, and wrote the paper. MYS: assisted in the data analysis and coding procedures and wrote part of the results and discussion. VP: assisted in the data analysis and coding procedures and wrote part of the results. ROA: collaborated with the revisions to the paper and wrote part of the paper. KH: collaborated on the meta-analysis and wrote part of the results. KF: collaborated with the design and writing of the study. All authors approved the final version of the manuscript for submission.

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no conflict of interest.


An (*) indicates the paper is included in this review.

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of South CarolinaColumbiaUSA
  2. 2.Medical University of South CarolinaCharlestonUSA
  3. 3.Vanderbilt UniversityNashvilleUSA

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