Skip to main content
Top
Gepubliceerd in:

25-03-2024 | ORIGINAL PAPER

Mindfulness-Based Interventions for People Experiencing Psychosis: A Randomized Feasibility Study

Auteurs: Joseph Ridler, Audrey Millar, Matthias Schwannauer

Gepubliceerd in: Mindfulness | Uitgave 4/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

There is a rapidly growing body of research into mindfulness-based interventions (MBIs) for People Experiencing Psychosis. This study aimed to examine the feasibility of a novel, 6-week 1:1 MBI, as well as the feasibility of the assessment and analysis of between-session practice and metacognitive beliefs as predictors of Quality of Life (QoL) outcomes.

Method

A case series design was used. Eight participants were recruited, with seven completers. The primary outcome, QoL, was assessed up to four times per week, with additional outcomes taken weekly, pre-post, and pre-mid-post. Multilevel modelling was used to examine predictors.

Results

The methods and intervention were feasible. However, most participants preferred shorter, 30-min appointments with one mindfulness practice. Between-session practice varied significantly (0–220 min total), with three participants completing no between-session practice. Pre- to mid-intervention improvement in metacognitive beliefs was lost at post-intervention assessment. Non-significant trends of improvement were noted in most outcomes.

Conclusions

A full-scale trial is recommended to assess the intervention and predictors, with adjustment of intervention length and post-intervention assessment suggested. Future research should also further examine metacognitive processes and factors associated with between-session practice adherence for people experiencing psychosis accessing MBIs.

Preregistration

This study was not preregistered. However, detailed study and intervention protocols were created as part of the ethics application, which was followed throughout the study. These documents are available upon request.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.).CrossRef American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.).CrossRef
go back to reference Gold, L. H. (2014). DSM-5 and the assessment of functioning: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The Journal of the American Academy of Psychiatry and the Law, 42(2), 173–181.PubMed Gold, L. H. (2014). DSM-5 and the assessment of functioning: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The Journal of the American Academy of Psychiatry and the Law, 42(2), 173–181.PubMed
go back to reference Hox, J., & McNeish, D. (2020). Small samples in multilevel modeling. In J. Hox & D. McNeish (Eds.), Small sample size solutions: A guide for applied researchers and practitioners (pp. 215–225). Routledge.CrossRef Hox, J., & McNeish, D. (2020). Small samples in multilevel modeling. In J. Hox & D. McNeish (Eds.), Small sample size solutions: A guide for applied researchers and practitioners (pp. 215–225). Routledge.CrossRef
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette Books. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette Books.
go back to reference Kabat-Zinn, J. (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (2nd ed.). Random House Publishing Group. Kabat-Zinn, J. (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (2nd ed.). Random House Publishing Group.
go back to reference Kravariti, E., Reeve-Mates, C., Pires, R. D. G., Tsakanikos, E., Hayes, D., Renshaw, S., McAllister, S., Bhavsar, V., Patterson, P., Daley, E., Stewart, J., Pritchard, M., Shetty, H., Ramsay, R., Perez-Iglesias, R., & McGuire, P. (2018). Effectiveness of automated appointment reminders in psychosis community services: A randomised controlled trial. BJPsych Open, 4(1), 15–17. https://doi.org/10.1192/bjo.2017.7CrossRefPubMedPubMedCentral Kravariti, E., Reeve-Mates, C., Pires, R. D. G., Tsakanikos, E., Hayes, D., Renshaw, S., McAllister, S., Bhavsar, V., Patterson, P., Daley, E., Stewart, J., Pritchard, M., Shetty, H., Ramsay, R., Perez-Iglesias, R., & McGuire, P. (2018). Effectiveness of automated appointment reminders in psychosis community services: A randomised controlled trial. BJPsych Open, 4(1), 15–17. https://​doi.​org/​10.​1192/​bjo.​2017.​7CrossRefPubMedPubMedCentral
go back to reference Kumari, S., Malik, M., Florival, C., Manalai, P., & Sonje, S. (2017). An assessment of five (PANSS, SAPS, SANS, NSA-16, CGI-SCH) commonly used symptoms rating scales in schizophrenia and comparison to newer scales (CAINS, BNSS). Journal of Addiction Research & Therapy, 8(3). https://doi.org/10.4172/2155-6105.1000324 Kumari, S., Malik, M., Florival, C., Manalai, P., & Sonje, S. (2017). An assessment of five (PANSS, SAPS, SANS, NSA-16, CGI-SCH) commonly used symptoms rating scales in schizophrenia and comparison to newer scales (CAINS, BNSS). Journal of Addiction Research & Therapy, 8(3). https://​doi.​org/​10.​4172/​2155-6105.​1000324
go back to reference Lysaker, P. H., Kukla, M., Vohs, J. L., Schnakenberg Martin, A. M., Buck, K. D., & Hasson Ohayon, I. (2019). Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy. Journal of Experimental Psychopathology, 10(1), 2043808718814992. https://doi.org/10.1177/2043808718814992CrossRef Lysaker, P. H., Kukla, M., Vohs, J. L., Schnakenberg Martin, A. M., Buck, K. D., & Hasson Ohayon, I. (2019). Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy. Journal of Experimental Psychopathology, 10(1), 2043808718814992. https://​doi.​org/​10.​1177/​2043808718814992​CrossRef
go back to reference Morrison, A. P., Gumley, A. I., Ashcroft, K., Manousos, I. R., White, R., Gillan, K., Wells, A., & Kingdon, D. (2011). Metacognition and persecutory delusions: Tests of a metacognitive model in a clinical population and comparisons with non-patients. British Journal of Clinical Psychology, 50(3), 223–233. https://doi.org/10.1348/014466510X511141CrossRefPubMed Morrison, A. P., Gumley, A. I., Ashcroft, K., Manousos, I. R., White, R., Gillan, K., Wells, A., & Kingdon, D. (2011). Metacognition and persecutory delusions: Tests of a metacognitive model in a clinical population and comparisons with non-patients. British Journal of Clinical Psychology, 50(3), 223–233. https://​doi.​org/​10.​1348/​014466510X511141​CrossRefPubMed
go back to reference Ritsner, M., Kurs, R., Gibel, A., Ratner, Y., & Endicott, J. (2005). Validity of an abbreviated Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-18) for schizophrenia, schizoaffective, and mood disorder patients. Quality of Life Research, 14(7), 1693–1703. https://doi.org/10.1007/s11136-005-2816-9CrossRef Ritsner, M., Kurs, R., Gibel, A., Ratner, Y., & Endicott, J. (2005). Validity of an abbreviated Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-18) for schizophrenia, schizoaffective, and mood disorder patients. Quality of Life Research, 14(7), 1693–1703. https://​doi.​org/​10.​1007/​s11136-005-2816-9CrossRef
go back to reference Rivera, G., Fuentes-Ferrada, R., Krogh, E., & Langer, Á. I. (2023). Mindfulness and compassion as a path to recovery and personal discovery: A first-episode schizophrenia case study. In J. A. Díaz-Garrido, R. Zúñiga, H. Laffite, & E. Morris (Eds.), Psychological interventions for psychosis (pp. 539–557). Springer. https://doi.org/10.1007/978-3-031-27003-1_25CrossRef Rivera, G., Fuentes-Ferrada, R., Krogh, E., & Langer, Á. I. (2023). Mindfulness and compassion as a path to recovery and personal discovery: A first-episode schizophrenia case study. In J. A. Díaz-Garrido, R. Zúñiga, H. Laffite, & E. Morris (Eds.), Psychological interventions for psychosis (pp. 539–557). Springer. https://​doi.​org/​10.​1007/​978-3-031-27003-1_​25CrossRef
go back to reference Schennach, R., Obermeier, M. J., Seemüller, F. H., Jäger, M., Schmauss, M., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L. G., Gaebel, W., Klosterkötter, J., Heuser, I., Maier, W., Lemke, M. R., Ruether, E., Klingberg, S., Gastpar, M., Riedel, M., & Möller, H.-J. (2012). Evaluating depressive symptoms in schizophrenia: A psychometric comparison of the Calgary Depression Scale for Schizophrenia and the Hamilton Depression Rating Scale. Psychopathology, 45(5), 276–285. https://doi.org/10.1159/000336729CrossRefPubMed Schennach, R., Obermeier, M. J., Seemüller, F. H., Jäger, M., Schmauss, M., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L. G., Gaebel, W., Klosterkötter, J., Heuser, I., Maier, W., Lemke, M. R., Ruether, E., Klingberg, S., Gastpar, M., Riedel, M., & Möller, H.-J. (2012). Evaluating depressive symptoms in schizophrenia: A psychometric comparison of the Calgary Depression Scale for Schizophrenia and the Hamilton Depression Rating Scale. Psychopathology, 45(5), 276–285. https://​doi.​org/​10.​1159/​000336729CrossRefPubMed
go back to reference Skivington, K., Matthews, L., Simpson, S. A., Craig, P., Baird, J., Blazeby, J. M., Boyd, K. A., Craig, N., French, D. P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M., & Moore, L. (2021). A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ, 374(1), n2061. https://doi.org/10.1136/bmj.n2061 Skivington, K., Matthews, L., Simpson, S. A., Craig, P., Baird, J., Blazeby, J. M., Boyd, K. A., Craig, N., French, D. P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M., & Moore, L. (2021). A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ, 374(1), n2061. https://​doi.​org/​10.​1136/​bmj.​n2061 
go back to reference Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Erlbaum. Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Erlbaum.
Metagegevens
Titel
Mindfulness-Based Interventions for People Experiencing Psychosis: A Randomized Feasibility Study
Auteurs
Joseph Ridler
Audrey Millar
Matthias Schwannauer
Publicatiedatum
25-03-2024
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 4/2024
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-024-02326-5