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Mindfulness for Psychosis Groups; Within-Session Effects on Stress and Symptom-Related Distress in Routine Community Care

Published online by Cambridge University Press:  18 January 2019

Pamela Jacobsen Open the ORCID record for Pamela Jacobsen [Opens in a new window] ,
Matthew Richardson ,
Emma Harding  and
Paul Chadwick
Pamela Jacobsen*
Affiliation:
King's College London, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), Department of Psychology, London, UK
Matthew Richardson
Affiliation:
South London and Maudsley NHS Foundation Trust, London, UK
Emma Harding
Affiliation:
South London and Maudsley NHS Foundation Trust, London, UK
Paul Chadwick
Affiliation:
King's College London, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), Department of Psychology, London, UK
*
Correspondence to Dr Pamela Jacobsen, Department of Psychology, University of Bath, Bath BA2 7AY. E-mail: [email protected]
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Abstract

Background: There is an emerging evidence base that mindfulness for psychosis is a safe and effective intervention. However, empirical data on the within-session effects of mindfulness meditation was hitherto lacking. Aims: The aim of the study was to assess the impact of taking part in a mindfulness for psychosis group, using a within-session self-report measure of general stress, and symptom-related distress. Method: Users of a secondary mental health service (n = 34), who experienced enduring psychotic symptoms, took part in an 8-week mindfulness for psychosis group in a community setting. Mindfulness meditations were limited to 10 minutes and included explicit reference to psychotic experience arising during the practice. Participants self-rated general stress, and symptom-related distress, before and after each group session using a visual analogue scale. Results: Average ratings of general stress and symptom-related distress decreased from pre- to post-session for all eight sessions, although not all differences were statistically significant. There was no increase in general stress, or symptom-related distress across any session. Conclusions: There was evidence of positive effects and no evidence of any harmful effects arising from people with psychotic symptoms taking part in a mindfulness for psychosis session.

Keywords

community health servicesmindfulnessmeditationpsychotherapyschizophrenia
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 47 , Issue 4 , July 2019 , pp. 421 - 430
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2019 

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References

Abba, N., Chadwick, P. and Stevenson, C. (2008). Responding mindfully to distressing psychosis: a grounded theory analysis. Psychotherapy Research, 18, 77–87.Google Scholar
Ashcroft, K., Barrow, F., Lee, R. and MacKinnon, K. (2012). Mindfulness groups for early psychosis: a qualitative study. Psychology and Psychotherapy – Theory Research and Practice, 85, 327–334.Google Scholar
Chadwick, P. (2006). Relationship to internal experience: mindfulness practice. In Person-Based Cognitive Therapy for Distressing Psychosis, pp. 78–97. Wiley: Chichester, Sussex.Google Scholar
Chadwick, P. (2014). Mindfulness for psychosis. British Journal of Psychiatry, 204, 333–334.Google Scholar
Chadwick, P., Hember, M., Symes, J., Peters, E., Kuipers, E. and Dagnan, D. (2008). Responding mindfully to unpleasant thoughts and images: reliability and validity of the Southampton mindfulness questionnaire (SMQ). British Journal of Clinical Psychology, 47, 451–455.Google Scholar
Chadwick, P., Hughes, S., Russell, D., Russell, I. and Dagnan, D. (2009). Mindfulness groups for distressing voices and paranoia: a replication and randomized feasibility trial. Behavioural and Cognitive Psychotherapy, 37, 403–412.Google Scholar
Chadwick, P., Strauss, C., Jones, A.-M., Kingdon, D., Ellett, L., Dannahy, L. and Hayward, M. (2016). Group mindfulness-based intervention for distressing voices: a pragmatic randomised controlled trial. Schizophrenia Research, 175, 168–173.Google Scholar
Chadwick, P., Taylor, K. N. and Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.Google Scholar
Cramer, H., Lauche, R., Haller, H., Langhorst, J. and Dobos, G. (2016). Mindfulness- and acceptance-based interventions for psychosis: a systematic review and meta-analysis. Global Advances in Health and Medicine, 5, 30–43.Google Scholar
Crane, C., Crane, R. S., Eames, C., Fennell, M. J. V., Silverton, S., Williams, J. M. G. and Barnhofer, T. (2014). The effects of amount of home meditation practice in Mindfulness Based Cognitive Therapy on hazard of relapse to depression in the Staying Well after Depression Trial. Behaviour Research and Therapy, 63, 17–24.Google Scholar
Dannahy, L., Hayward, M., Strauss, C., Turton, W., Harding, E. and Chadwick, P. (2011). Group person-based cognitive therapy for distressing voices: pilot data from nine groups. Journal of Behavior Therapy and Experimental Psychiatry, 42, 111–116.Google Scholar
Deatherage, G. (1975). The clinical use of ‘mindfulness’ meditation techniques in short-term psychotherapy. Journal of Transpersonal Psychology, 7, 133–143.Google Scholar
Dennick, L., Fox, A. P. and Walter-Brice, A. (2013). Mindfulness groups for people experiencing distressing psychosis: an interpretative phenomenological analysis. Mental Health Review Journal, 18, 32–43.Google Scholar
Evans, C., J, M.-C., Margison, F., Barkham, M., Audin, K., Connell, J. and McGrath, G. (2000). CORE: Clinical Outcomes in Routine Evaluation. Journal of Mental Health, 9, 247–255.Google Scholar
Jacobsen, P., Morris, E., Johns, L. and Hodkinson, K. (2011). Mindfulness groups for psychosis; key issues for implementation on an inpatient unit. Behavioural and Cognitive Psychotherapy, 39, 349–353.Google Scholar
Jacobsen, P., Peters, E. R. and Chadwick, P. (2016). Mindfulness-Based Crisis Interventions for patients with psychotic symptoms on acute psychiatric wards (amBITION study). Pilot and Feasibility Studies, 2.Google Scholar
Kabat-Zinn, J. (2005). Full Catastrophe Living: Using the Wisdom of your Body and Mind to Face Stress, Pain and Illness (15th anniversary edn). Delta Trade Paperback/Bantam Dell; US: New York, NY.Google Scholar
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M. A., Paquin, K. and Hofmann, S. G. (2013a). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771.Google Scholar
Khoury, B., Lecomte, T., Gaudiano, B. A. and Paquin, K. (2013b). Mindfulness interventions for psychosis: a meta-analysis. Schizophrenia Research, 150, 176–184.Google Scholar
Kuijpers, H. J., van der Heijden, F. M., Tuinier, S. and Verhoeven, W. M. (2007). Meditation-induced psychosis. Psychopathology, 40, 461–464.Google Scholar
Lopez-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernandez-Alonso, O., Lluis, J., Munar, E. and Chadwick, P. (2015). Mindfulness improves psychological quality of life in community-based patients with severe mental health problems: a pilot randomized clinical trial. Schizophrenia Research, 168, 530–536.Google Scholar
Louise, S., Fitzpatrick, M., Strauss, C., Rossell, S. L. and Thomas, N. (2017). Mindfulness- and acceptance-based interventions for psychosis: our current understanding and a meta-analysis. Schizophrenia Research.Google Scholar
Lumma, A.-L., Kok, B. E. and Singer, T. (2015). Is meditation always relaxing? Investigating heart rate, heart rate variability, experienced effort and likeability during training of three types of meditation. International Journal of Psychophysiology, 97, 38–45.Google Scholar
Morera, T., Bucci, S., Randal, C., Barrett, M. and Pratt, D. (2017). Exploring views about mindfulness groups for voice-hearing from the perspective of service users and staff: a Q-methodology study. Psychotherapy Research, 27, 179–188.Google Scholar
Rycroft-Malone, J., Gradinger, F., Griffiths, H. O., Crane, R., Gibson, A., Mercer, S., Anderson, R. and Kuyken, W. (2017). Health Services and Delivery Research. In Accessibility and implementation in the UK NHS services of an effective depression relapse prevention programme: learning from mindfulness-based cognitive therapy through a mixed-methods study. NIHR Journals Library: Southampton (UK).Google Scholar
Sethi, S. and Bhargava, S. C. (2003). Relationship of meditation and psychosis: case studies. Australian and New Zealand Journal of Psychiatry, 37, 382.Google Scholar
Shonin, E., Van Gordon, W. and Griffiths, M. D. (2014). Do mindfulness-based therapies have a role in the treatment of psychosis? Australian and New Zealand Journal of Psychiatry, 48, 124–127.Google Scholar
Walsh, R. and Roche, L. (1979). Precipitation of acute psychotic episodes by intensive meditation in individuals with a history of schizophrenia. American Journal of Psychiatry, 136, 1085–1086.Google Scholar
York, M. (2007). A qualitative study into the experience of individuals involved in a mindfulness group within an acute inpatient mental health unit. Journal of Psychiatric and Mental Health Nursing, 14, 603–608.Google Scholar
Yorston, G. A. (2001). Mania precipitated by meditation: a case report and literature review. Mental Health, Religion and Culture, 4, 209–213.Google Scholar
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