Mindfulness-based group therapy for in-patients with schizophrenia spectrum disorders – Feasibility, acceptability, and preliminary outcomes of a rater-blinded randomized controlled trial

Böge, Kerem; Hahne, Inge; Bergmann, Niklas; Wingenfeld, Katja; Zierhut, Marco; Thomas, Neil; Ta, Thi Minh Tam; Bajbouj, Malek; Hahn, Eric

doi:10.1016/j.schres.2020.12.008

Cited by 27 publications

(28 citation statements)

References 64 publications

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“…According to the model, distress may arise as one is not able to notice and accept psychotic (and any other possibly unpleasant) sensations as temporary experiences, instead, a mindful response involving clear awareness could pose a more adaptive reaction. Most importantly, there was no increase in hallucinations or other PS consistent with previous research on Yoga and mindfulness-based interventions, showing that these are safe interventions for patients with psychosis (77)(78)(79)(80). Additionally, patients seemed to feel safe as only very few reported incidents of mistrust of others, such as feeling nervous or watched, or not being able to close their eyes during Yoga.…”

Section: How Yoga Affects Symptom Representationsupporting

confidence: 84%

Yoga-Based Group Intervention for In-patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

et al. 2021

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Background: Yoga may pose a promising complementary therapy in the multimodal treatment of in-patients with schizophrenia spectrum disorders (SSD). However, to date, no studies have qualitatively examined in-patients' with SSD experiences of Yoga as well as their perceptions of its limitations and benefits as a treatment component. This qualitative study aimed to explore for the first time the mechanisms and processes of Yoga-based Group Intervention (YoGI) for in-patients with SSD in Germany by asking for their subjective experiences. Findings could serve as a preliminary basis for developing an effective and evidence-based YoGI manual tailored to this patient group.Materials and Methods: In total, 25 semi-structured interviews were conducted directly after YoGI, for which responses were either noted down by hand or audio-recorded. The interview guide was pilot-tested and consisted of 14 questions to explore the personal articulated experiences of participation in YoGI from in-patients with SSD. Positive, negative, depressive, and anxiety symptoms were assessed during a diagnostic interview and through questionnaires. The interview data was transcribed, coded by two independent researchers, and analysed using an inductive thematic approach. The research team collaboratively discussed emerging categories to reduce redundancy and form meaningful themes and subthemes.Results: The analysis revealed seven main themes. YoGI was perceived as feasible and focusing on individual adaptation, captured by the theme inclusivity. Nevertheless, participants encountered challenges; thus, physical limitations need to be considered. While practising together, participants experienced interconnectedness and developed a mindful stance as they accepted their limitations and adapted exercises with self-compassion. Patients described that following the flow of the asanas required physical persistence, which ultimately led many participants to experience confidence and relaxation. YoGI affected symptom representation as heightened awareness led participants to notice impeding as well as improved symptoms.Conclusion: YoGI showed various promising effects on in-patients with SSD. Future research should examine to what extent these effects can be sustained and how the mindful approach during YoGI can be transferred to areas outside the Yoga class. Furthermore, a randomised controlled trial could investigate the effectiveness of a manualised YoGI.

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Section: How Yoga Affects Symptom Representationsupporting

confidence: 84%

Yoga-Based Group Intervention for In-patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

et al. 2021

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“…More specifically, in a randomized-controlled trial, individuals in a MBI group compared to a control group were found to improve in scores of the WHO QoL questionnaire regarding psychological and environmental QoL as well as physical health, whereas social relationships were not affected ( López-Navarro et al, 2015 ). The same results were indicated in a recent pilot trial examining the effects of mindfulness-based group therapy for SSD ( Böge et al, 2021 ).…”

Section: Introductionsupporting

confidence: 72%

The Relationship Between Mindfulness, Depression, Anxiety, and Quality of Life in Individuals With Schizophrenia Spectrum Disorders

et al. 2021

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Background: Schizophrenia spectrum disorders (SSD) are frequently accompanied by comorbid depressive and anxiety symptoms, as well as impaired quality of life (QoL). A growing body of evidence has demonstrated the relevance of mindfulness for SSD in recent years. The study examined the association between mindfulness, depression, anxiety, and QoL.Materials and Methods: A total of 83 participants with SSD were recruited at the in- and outpatient psychiatric hospital care. Participants completed the Southampton Mindfulness Questionnaire, Comprehensive Inventory for Mindful Experiences, and Freiburger Mindfulness Inventory, the Depression, Anxiety, Stress Scale to assess depression and anxiety, and the WHO-QoL Questionnaire. Multiple regression analyses examined the relationship between mindfulness and QoL and the mediating role of depression and anxiety.Results: Mindfulness had a significant statistical positive effect on QoL domains physical health, psychological, and environmental QoL in patients with SSD. Depression was identified as a significant mediator of this relationship.Conclusion: This study provides novel insight into mindfulness’ mechanisms and paves the way for a process-oriented approach to treat SSD. The results provide first evidence for the process-based value of mindfulness for SSD; future studies can focus on the role of mindfulness for central therapeutic processes of change by employing longitudinal designs.

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“…Qualitative 100 2. Böge et al [ 59 ] RCT NCT03671005 Germany Inpatient Mindfulness Based Group Therapy, n = 21 TAU, n = 19 3 × 30-60 min session/week for 4 weeks Feasibility and acceptability 2. RCT 100 3.…”

Section: Resultsmentioning

confidence: 99%

Home practice in mindfulness-based interventions for psychosis groups: a systematic review and qualitative study

et al. 2022

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Background Regular home practice is considered a core component of mindfulness groups and may be associated with better treatment outcomes. This study aimed to (1) review the existing evidence on how much home practice people do in mindfulness-based interventions for psychosis groups, and (2) explore participants’ experiences of the barriers and facilitators to completing home practice in a mindfulness for psychosis group using a qualitative study. Methods In study 1, we conducted a systematic review of mindfulness-based interventions for psychosis studies and extracted data on home practice rates. In study 2, we conducted semi-structured interviews with people who had completed a mindfulness for psychosis group (N = 5) as part of their routine community care, specifically focusing on experiences of home practice. Results Out of 43 studies included in the systematic review, only 5 reported any data on amount of home practice, and none examined the relationship between completion of home practice and treatment outcomes. In the qualitative study, participants described home practice as being difficult but important. Arising themes were similar to findings from previous (non-psychosis) studies suggesting that generic challenges are common, rather than being specific to psychosis. Conclusions We recommend that future mindfulness-based interventions for psychosis studies record data on home practice rates, in order to investigate any association between home practice and treatment outcome. Our qualitative findings suggest home practice can be a valued part of mindfulness for psychosis group, and a normalising approach could be taken when and if participants encounter common challenges.

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Mindfulness-based group therapy for in-patients with schizophrenia spectrum disorders – Feasibility, acceptability, and preliminary outcomes of a rater-blinded randomized controlled trial

Cited by 27 publications

References 64 publications

Yoga-Based Group Intervention for In-patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

Yoga-Based Group Intervention for In-patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

The Relationship Between Mindfulness, Depression, Anxiety, and Quality of Life in Individuals With Schizophrenia Spectrum Disorders

Home practice in mindfulness-based interventions for psychosis groups: a systematic review and qualitative study

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