Exploring Mindfulness in Self-Injuring Adolescents in a Psychiatric Setting

Botha, Karel; Kirsten, Doret Karen; Kok, Rumando

doi:10.1080/14330237.2011.10820447

Cited by 8 publications

(3 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Non-reactivity to inner experience refers to an individual’s ability to perceive feelings and emotions without reacting or getting lost in them (e.g., “I perceive my feelings and emotions without having to react to them”). The FFMQ has been used prior in research in South Africa (Kok, 2011).…”

Section: Methodsmentioning

confidence: 99%

The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study

et al. 2017

View full text Add to dashboard Cite

Despite the recent growth of mindfulness research worldwide, there remains little research examining the application of mindfulness-based interventions in resource-limited, international settings. This study examined the application of Mindfulness Based Stress Reduction (MBSR) for HIV-infected individuals in South Africa, where rates of HIV are highest in the world. Mixed methods were used to examine the following over a three-month follow up: (1) feasibility, acceptability, and preliminary adaptation of MBSR for this new context; and (2) effects of MBSR on immune functioning, self-reported mindfulness (MAAS, FFMQ), depression, anxiety, and stress (DASS-21). Ten individuals initiated MBSR, and seven completed all eight sessions. Results indicated medium effect size improvements in immune functioning (CD4 count and t-cell count; d = .5) through the three-month follow up, though the small sample size limited power to detect a statistically significant effect. From baseline to post-treatment, improvements in “Observing” and “Non-reactivity” (FFMQ) approached statistical significance with large effect sizes (observing: d = 1.5; p = .08; non-reactivity: d = .7; p = .07). There were no statistically significant changes in depression, anxiety, or stress throughout the study period. Primary areas for adaptation of MBSR included emphasis on informal practice, ways to create “space” without much privacy, and ways to concretize the concepts and definitions of mindfulness. Feedback from participants can shape future adaptations to MBSR for this and similar populations. Findings provide preliminary evidence regarding the implementation of MBSR for individuals living with HIV in South Africa. A future randomized clinical trial with a larger sample size is warranted.

show abstract

Section: Methodsmentioning

confidence: 99%

The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The only study located involving mindfulness approaches for adolescent inpatients was qualitative in nature, with a sample of eight adolescent inpatients with self-injurious behaviors. Thematic analysis indicated that those who "often" versus "sometimes" act mindful reported less frequent and less severe self-injury and more self-compassion (Kok, Kirsten, & Botha, 2011).…”

Section: Mindfulness Approaches On Psychiatric Inpatient Unitsmentioning

confidence: 99%

Mindfulness-based group therapy: Impact on psychiatrically hospitalized adolescents

Sams

Handley

Alpert-Gillis

2018

Clin Child Psychol Psychiatry

View full text Add to dashboard Cite

The practice of mindfulness has long been incorporated into psychotherapy. Research on the therapeutic benefits of mindfulness exists within adult populations, and emerging empirical evidence demonstrates the benefit of such practices in the treatment of adolescents in both clinical and non-clinical settings. However, there are extremely limited data on the practice of mindfulness with adolescents in a psychiatric hospital. The iMatter ( Improve Mindful ATTention, Enhance Relaxation) group is a manualized program developed to provide adolescents on a short-term psychiatric inpatient unit with an opportunity to learn and practice relaxation strategies, mindfulness exercises, and simple yoga poses. Mindfulness skills are taught in the context of the group and include self-observation of thoughts and feelings, breathing exercises, self-validation of one's experience, loving-kindness toward self, non-judgmental stance toward self, and acceptance and observation of change within self. Participants included 65 adolescents aged 13-17 years ( M = 15.06, standard deviation ( SD) = 1.34) who took part in at least one session of the iMatter intervention. Improvements in self-reported mood were evident following participation in a mindfulness group. Also, participants' heart rate significantly decreased following participation in two groups. Future directions include improved integration of mindfulness into the milieu and other unit programming. Furthermore, comparing self-reported mood and physiological measures from this sample to findings obtained for other unit groups will further clarify the impact of the iMatter intervention.

show abstract

“…That this treatment directly addresses proposed diagnostic features of NSSI, and core mechanisms repeatedly implicated in NSSI [ 8 ], offers immense promise for MBCT as a treatment for NSSI. Yet, despite recent work implicating a lack of mindfulness in the maintenance of NSSI [ 24 ], no prior research has explored the ability of MBCT to impact the frequency and medical severity of NSSI. Garnering support for MBCT as a viable and efficacious treatment is essential to the on-going effort to reduce the impact and burden of NSSI.…”

Section: Introductionmentioning

confidence: 99%

Group mindfulness based cognitive therapy vs group support for self-injury among young people: study protocol for a randomised controlled trial

et al. 2015

View full text Add to dashboard Cite

BackgroundNon-suicidal self-injury (NSSI) is a transdiagnostic behaviour that can be difficult to treat; to date no evidence based treatment for NSSI exists. Mindfulness Based Cognitive Therapy (MBCT) specifically targets the mechanisms thought to initiate and maintain NSSI, and thus appears a viable treatment option. The aims of the current study are to test the ability of MBCT to reduce the frequency and medical severity of NSSI, and explore the mechanisms by which MBCT exerts its effect.Methods/DesignWe will conduct a parallel group randomised controlled trial of Mindfulness Based Cognitive Therapy (MBCT) versus Supportive Therapy (ST) in young people aged 18–25 years. Computerised block randomisation will be used to allocate participants to groups. All participants will meet the proposed DSM-5 criteria for NSSI (i.e. five episodes in the last twelve months). Participants will be excluded if they: 1) are currently receiving psychological treatment, 2) have attempted suicide in the previous 12 months, 3) exhibit acute psychosis, 4) have a diagnosis of borderline personality disorder, or 5) have prior experience of MBCT. Our primary outcome is the frequency and medical severity of NSSI. As secondary outcomes we will assess changes in rumination, mindfulness, emotion regulation, distress tolerance, stress, and attentional bias, and test these as mechanisms of change.DiscussionThis is the first randomised controlled trial to test the efficacy of MBCT in reducing NSSI. Evidence of the efficacy of MBCT for self-injury will allow provision of a brief intervention for self-injury that can be implemented as a stand-alone treatment or integrated with existing treatments for psychiatric disorders.Trial registrationAustralian New Zealand Clinical Trials Registry Number ACTRN12615000023550. Registered 16 January 2015.

show abstract

Exploring Mindfulness in Self-Injuring Adolescents in a Psychiatric Setting

Abstract: We, the co-authors, hereby give consent for Rümando Kok to submit the following manuscript for purposes of a dissertation (article format): Exploring mindfulness in self-injuring adolescents in a psychiatric setting.

Cited by 8 publications

References 54 publications

The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study

The Application of Mindfulness for Individuals Living with HIV in South Africa: a Hybrid Effectiveness-Implementation Pilot Study

Mindfulness-based group therapy: Impact on psychiatrically hospitalized adolescents

Group mindfulness based cognitive therapy vs group support for self-injury among young people: study protocol for a randomised controlled trial

Contact Info

Product

Resources

About