The Role of Five Facets of Mindfulness in a Mindfulness-Based Psychoeducation Intervention for People With Recent-Onset Psychosis on Mental and Psychosocial Health Outcomes

Abstract

Objective: This study aimed to examine how five facets of mindfulness may be associated with the changes in psychotic patients' health outcomes after participating in a mindfulness-based psychoeducation group (MBPEG) program.Methods: Longitudinal follow-up data from two pragmatic randomized controlled trials of MBPEG for psychotic patients were used for this study. A total of 124 patients who completed the MBPEG program were included in this analysis. Patient outcomes (psychotic symptoms, functioning, insight into illness/treatment, subjective recovery) and five facets of mindfulness were assessed at baseline and six, 12 and 24 months post-intervention. Areas under the curve of individual outcomes in repeated-measures were computed using trapezoidal method, rescaled to the original possible range of the underlying variable and used for correlation and regression analyses.Results: All mean scores of the five facets increased across time and were significantly correlated with the improvements in all patient outcomes (p-values ranged from < 0.001 to <0.05), except "non-judging" facet and symptom severity. Regression analyses revealed that only "observing" and "acting with awareness" were significantly associated with positive changes across all outcomes (increase in adjusted R 2 ranged from 5.9% to 24.2%, p < 0.001).Conclusions: Two facets of mindfulness, "observing" and "acting with awareness," were related to positive outcomes of psychotic patients after participating in the MBPEG. More efforts in addressing these two facets of mindfulness can be considered to increase the efficacy of mindfulness-based interventions in psychosis.

A Review of Psychological Issues among Patients and Healthcare Staff during Two Major Coronavirus Disease Outbreaks in China: Contributory Factors and Management Strategies

“…Moreover, although the included studies in this review suggested a number of strategies in addressing psychological issues among Chinese patients and healthcare staff, studies on the effectiveness of such interventional strategies specifically on Chinese patients and healthcare staff appear to be lacking. Further, with certain interventions such as yoga, cognitive behavioural therapies, and mindfulness-based interventions having shown to be effective in addressing psychological issues such as anxiety and depression [ 77 , 78 , 79 , 80 ], research efforts may also be directed towards the evaluation of the effectiveness of such interventions in reducing these psychological symptoms among the aforementioned Chinese subjects. Indeed, more research on the feasibility and effectiveness of these interventional strategies would be required to provide the evidence base in making a case for the development of the suggested strategies for implementation.…”

A network approach to the five-facet model of mindfulness

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Changes Induced by Mind–Body Intervention Including Epigenetic Marks and Its Effects on Diabetes

“…In addition to MBI, interventions with the aim of improving living environments and behavior (e.g., education, exercise, diet, sleep) were associated with changes in DNA methylation profiles [ 148 , 149 ]. Furthermore, elements of MBI have been combined with existing cognitive and psychological interventions [ 150 , 151 ]. Changes were observed in the DNA methylation profiles in response to cognitive behavioral therapy and social support [ 152 , 153 ].…”