Acceptance- and mindfulness-based interventions for persons with psychosis: A systematic review and meta-analysis

Jansen, Jens Einar; Gleeson, John; Bendall, Sarah; Rice, Simon; Álvarez‐Jiménez, Mario

doi:10.1016/j.schres.2019.11.016

Cited by 106 publications

(133 citation statements)

References 62 publications

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“…This makes MBIs a costeffective treatment option, also potentially suitable for the inpatient setting, in which frequently only a limited time frame for psychotherapeutic interventions is available, and group therapies are commonly implemented. In conclusion, the promising effects of adapted MBIs in SSDs have been confirmed in four metaanalyses comprising total psychotic symptoms, positive-as well as negative symptoms, depression, mindfulness, and rehospitalization rates and duration (56,57,77,78). Moreover, two of these explicitly stated that MBIs in group format showed relatively larger effects compared to individual sessions (57,78).…”

Section: Introductionmentioning

confidence: 74%

“…Most wards are open, and patients stay voluntary. Therefore, German hospitals offer unique structural settings for psychological interventions such as MBIs which can successfully be implemented in group format (78). Concerning the treatment length in Germany MBIs enduring for approximately four weeks might be especially suitable, even though an in-patient trial from the UK showed effects after 1-3 sessions (80).…”

Section: Introductionmentioning

confidence: 99%

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Mindfulness-Based Interventions for In-Patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

et al. 2020

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In recent years, mindfulness-based interventions (MBI) have gained clinical relevance in the treatment of patients with schizophrenia spectrum disorders (SSDs). High symptom burden, long durations of hospitalization and high rehospitalization rates demonstrate the severity and cost-intensity of these disorders. MBIs have shown promising treatment outcomes in a small number of trials, primarily taking place in English-speaking countries. The current study aims to explore mechanisms and processes as well as adverse effects of MBIs on in-patients with SSDs in a German university hospital setting. A qualitative design based on inductive thematic analysis accompanied by quantitative assessments was chosen. A semi-structured interview guide was developed by psychiatrists and psychologists to assess patient experiences, perceptions, thoughts, and feelings during and after taking part in a MBI. Twenty-seven interviews were conducted between September 2017 and October 2018 with in-patients who are diagnosed with schizophrenia or schizoaffective disorder. Rater-based questionnaires, such as the Positive and Negative Syndrome Scale (PANSS), Montgomery Asberg Depression Rating Scale (MADRS), and Psychotic Symptom Rating Scales-Auditory Hallucination (PSYRATS-AH) were administered at baseline to collect clinical outcomes. Qualitative analysis revealed two domains: content and function. In the first domain related to content with the core elements "detachment and rumination", "presence and getting lost", "nonjudgment and judgment", and effects with "emotions", "cognition", and "symptom changes". A second domain related to function was extracted, including the relevance of perception of context and transfer to everyday life. Overall, improvements concerning cognition, distress, and psychopathology were detected, while no adverse effects, such as increased psychotic symptoms, were revealed. As the first study of its kind, mechanisms, processes, and the safety of MBIs were explored and confirmed in a sample of German in-patients with SSDs. The results of this qualitative study are in line

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Section: Introductionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Interventions for In-Patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

et al. 2020

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“…They were shown to be successful in stress and pain reduction as well as decreasing anxiety and depression symptoms (Segal et al, 2002;Hayes et al, 2006;Veehof et al, 2011;Twohig and Levin, 2017;Feliu-Soler et al, 2018). Other studies showed the role of mindfulness and acceptance for the severity of psychotic symptoms (Cramer et al, 2016;Jansen et al, 2019), eating disorders (Prefit et al, 2019), compulsive sexual behavior (Lew-Starowicz et al, 2019), addictive behaviors (Bowen et al, 2011), suicidal ideation and self-harm (Tighe et al, 2018) as well as other psychopathological symptom clusters (Aldao et al, 2010).…”

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confidence: 99%

Acceptance as an Emotion Regulation Strategy in Experimental Psychological Research: What We Know and How We Can Improve That Knowledge

2020

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“…Mindfulness for Psychosis groups have been evaluated in a variety of different health-care settings internationally, including the United Kingdom (UK) [ 12 ], Spain [ 13 ], Hong Kong [ 14 ], and China [ 15 ]. There have been several systematic reviews and meta-analyses published in the field since 2013 [ 16 – 19 ]. The most recent meta-analyses have reported large effect sizes for overall symptomatology in favour of mindfulness (9 RCTs, SMD = 0.8; [ 16 ]), and significant overall benefit specifically for psychotic symptoms, with a small to medium effect size (8 RCTs, SMD = 0.29; [ 18 ]).…”

Section: Introductionmentioning

confidence: 99%

“…There have been several systematic reviews and meta-analyses published in the field since 2013 [ 16 – 19 ]. The most recent meta-analyses have reported large effect sizes for overall symptomatology in favour of mindfulness (9 RCTs, SMD = 0.8; [ 16 ]), and significant overall benefit specifically for psychotic symptoms, with a small to medium effect size (8 RCTs, SMD = 0.29; [ 18 ]).…”

Section: Introductionmentioning

confidence: 99%

Mindfulness for psychosis groups; description and preliminary evaluation of a novel routine care pathway in Hong Kong

Ting

Tam

Jacobsen

2020

Int J Ment Health Syst

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Background There is no current guidance on where Mindfulness for Psychosis groups should best be situated within care pathways. The objectives of this paper are to (1) describe a novel care pathway tested out in a psychiatric outpatient service in Hong Kong, and (2) to present feasibility outcomes on attendance and drop-out, and routine clinical outcomes. Methods A new mindfulness pathway was set up, for service users with psychosis who had first completed a course of Cognitive Behavioural Therapy for psychosis (CBTp). After attending an orientation ‘taster’ session, service users could then attended a 4-session weekly Mindfulness for Psychosis group, followed by optional monthly follow-up sessions. Results A high proportion of service users referred into the pathway (19/22; 86%) went on to attend a Mindfulness for Psychosis group after attending an orientation ‘taster’ session. Attendance at group sessions was high, with all participants attending at least 2/4 group sessions, and no drop-outs. Attendance at monthly follow-up groups was also high, with 84% (16/19) attending at least one monthly follow-up. Routine clinical outcome data showed a reduction in negative symptoms of psychosis, and an increase in mindfulness and mindful responding in daily life, from pre- to post group. Conclusions Offering service users with psychosis the opportunity to attend a mindfulness for psychosis group after completing a course of CBTp was highly acceptable, as evidenced by high attendance, and low drop-out. Possible benefits in terms of improving negative symptoms may be particularly important in promoting recovery through improved everyday functioning.

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Acceptance- and mindfulness-based interventions for persons with psychosis: A systematic review and meta-analysis

Cited by 106 publications

References 62 publications

Mindfulness-Based Interventions for In-Patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

Mindfulness-Based Interventions for In-Patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

Acceptance as an Emotion Regulation Strategy in Experimental Psychological Research: What We Know and How We Can Improve That Knowledge

Mindfulness for psychosis groups; description and preliminary evaluation of a novel routine care pathway in Hong Kong

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