"mindfulness" "schizophrenia"
214643367
The Effectiveness of a Mindfulness Based Psychoeducation Programme for Emotional Regulation in Individuals with Schizophrenia Spectrum Disorders: A Pilot Randomised Controlled Trial
Background Emotion dysregulation has emerged as a transdiagnostic factor that potentially exacerbates the risk of early onset, maintenance, and relapse of psychosis. Mindfulness is described as the awareness that emerges from paying attention to the present moment without judgment. It gently pulls the mind out of the negative emotions induced by the disparity between expectation and reality by focusing on the present moment, instead of worrying about the future or regretting the past. However, only a few research has ever focused on the efficacy of using a mindfulness based intervention to improve emotion regulation in schizophrenia spectrum disorders. Purpose The purpose of this study was to examine the effectiveness of a Mindfulness Based Psychoeducation Programme (MBPP) on the emotion regulation of individuals with schizophrenia, in particular, to access emotion regulation strategies. The objective of this study was to find out whether MBPP is feasible for improving emotion regulation strategies, in terms of rumination, cognitive reappraisal, and expressive suppression, with a sustainable effect at a three month follow up. Patients and Methods A single blinded pilot randomised controlled trial with repeated measures designs was adopted. Forty six participants diagnosed with schizophrenia and its subtypes were randomised in either the 8 week mindfulness based psychoeducation programme or treatment as usual (control) group. Results The results of the Generalised Estimating Equations test indicated that the MBPP group showed a significant improvement in reappraisal at a three month follow up (b 6.59, Wald's kh2=4.55, p=0.033) and a significant reduction in rumination across time. However, the Generalised Estimating Equations indicated no significant difference in rumination and expressive suppression in the MBPP group. Two participants reported having unwanted experiences, including feelings of terror and distress during the mindfulness practice. Conclusion The MBPP appeared to be effective for improving emotion regulation, which will contribute to future large scale RCT to confirm the treatment effects in more diverse groups of schizophrenic patients.
Neuropsychiatric disease and treatment
Angie Ho Yan Lam Sau Fong Leung Jessie Jingxia Lin Wai Tong Chien
220389040
Mindfulness Based Interventions for People with Schizophrenia: A Systematic Review and Meta Analysis
(1) Background: There is increasing interest in the practice of mindfulness based interventions (MBIs) to treat people with schizophrenia, as evidenced by the publication of different randomized controlled trials (RCTs) However, no meta analysis of RCTs has been carried out to date with the exclusive inclusion of this type of interventions. (2) Objective: To analyze empirical evidence regarding the effectiveness of MBIs for the improvement of clinical parameters associated with schizophrenia. Method: A systematic review and meta analysis was conducted of RCTs published in the databases PsycINFO, PubMed, WOS, and Cochrane Library. (3) Results: A total of 10 articles (n 1094) fulfilled the criteria for inclusion in the review. The analysis of these studies suggests that MBIs combined with standard interventions are able to generate significant improvements in a variety of clinical schizophrenia related parameters, such as the intensity of overall symptomatology (g 0.72) positive symptoms (g 0.32) negative symptoms (g 0.40) functioning level (g 1.28) and awareness of illness (g 0.65) (4) Conclusions: There is evidence that supports the effectiveness and safety of MBIs for the treatment of people with schizophrenia. The results obtained by MBIs are comparable to those obtained by cognitive behavioral therapy for psychosis. However, given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution.
International journal of environmental research and public health
Ricardo M Hodann-Caudevilla Cintia Diaz-Silveira Francisco A Burgos-Julian Miguel A Santed
219608051
The Effect of Mindfulness Based Psychosocial Skills Training on Functioning and Insight Level in Patients with Schizophrenia
This study aims to determine the effect of mindfulness based psychosocial skills training (MBPST) on the functional recovery and insight level in patients with schizophrenia. In this study, 40 patients with schizophrenia registered in the Aksaray Community Mental Health Centre were divided into two groups: the intervention group (n 20) and the non intervention group (n 20) The Functional Recovery Scale in Schizophrenia (FRSS) and the Beck Cognitive Insight Scale (BCIS) were measured at preintervention and postintervention. The posttest mean scores of FRSS and BCIS of the intervention group were statistically higher than the non intervention group p 0.05) The MBPST program improved functional recovery and cognitive insight in schizophrenia. In line with these results, it has been recommended that MBPST program should be provided along with medical treatment in Community Mental Health Centres.
Community Mental Health Journal
Arzu Yuksel Emel Bahadir-Yilmaz
220070736
Mindfulness Based Interventions for In Patients With Schizophrenia Spectrum Disorders A Qualitative Approach
In recent years, mindfulness based interventions (MBI) have gained clinical relevance in the treatment of patients with schizophrenia spectrum disorders (SSDs) High symptom burden, long durations of hospitalization and high rehospitalization rates demonstrate the severity and cost intensity of these disorders. MBIs have shown promising treatment outcomes in a small number of trials, primarily taking place in English speaking countries. The current study aims to explore mechanisms and processes as well as adverse effects of MBIs on in patients with SSDs in a German university hospital setting. A qualitative design based on inductive thematic analysis accompanied by quantitative assessments was chosen. A semi structured interview guide was developed by psychiatrists and psychologists to assess patient experiences, perceptions, thoughts, and feelings during and after taking part in a MBI. Twenty seven interviews were conducted between September 2017 and October 2018 with in patients who are diagnosed with schizophrenia or schizoaffective disorder. Rater based questionnaires, such as the Positive and Negative Syndrome Scale (PANSS) Montgomery Asberg Depression Rating Scale (MADRS) and Psychotic Symptom Rating Scales Auditory Hallucination (PSYRATS AH) were administered at baseline to collect clinical outcomes. Qualitative analysis revealed two domains: content and function. In the first domain related to content with the core elements "detachment and rumination" "presence and getting lost" "non judgment and judgment" and effects with "emotions" "cognition" and "symptom changes" A second domain related to function was extracted, including the relevance of perception of context and transfer to everyday life. Overall, improvements concerning cognition, distress, and psychopathology were detected, while no adverse effects, such as increased psychotic symptoms, were revealed. As the first study of its kind, mechanisms, processes, and the safety of MBIs were explored and confirmed in a sample of German in patients with SSDs. The results of this qualitative study are in line with recent findings on MBIs amongst patients with psychotic disorders from other countries. Results lay the ground for future research to focus on the systematic study of MBIs in large samples, its treatment processes, outcomes, and effectiveness for in patients with SSDs.
Frontiers in Psychiatry
Kerem Boge Almira Karadza Lukas Marian Fuchs Felicitas Ehlen Thi Minh Tam Ta Neil Thomas Malek Bajbouj Eric Hahn
221756183
Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia
Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited. Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia. Methods: This quasi experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2 session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS 9) and Recovery Assessment Scale (RAS) and analyzed using the Chi Square and Mann Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30+ 2.50 and 9.04+ 2.15, respectively) as well as in the mean of recovery (86.78+ 4.00 and 73.56+ 6.04, respectively) There were significant differences in hope and recovery levels between the two groups with p value <0.001. Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.
Halimah Wenny Yulina Astuti Murti Agustin Sri Padma Sari Diyan Yuli Wijayanti Widodo Sarjana Rozzano C Locsin
231695960
Effects of Spiritual Mindfulness on Spiritual Self Reliance and Medication Adherence in Patients with Schizophrenia
Mental health problems have been a concern in all countries throughout the world. Patients with schizophrenia tend to have low spiritual self reliance and medication adherence, resulting in an increasing number of hospitalizations. Spiritual interventions, for example, spiritual mindfulness, are evident to improve patients' spiritual self reliance and self awareness to adhere to medication. This study aimed to determine the effects of Spiritual Mindfulness on spiritual self reliance and medication adherence in patients with schizophrenia. The present study used a pre posttest quasi experimental design without a control group. The samples were 45 patients with schizophrenia at a psychiatric hospital in Semarang, Indonesia. Spiritual Mindfulness was given to the patients for six meetings. The data were collected using the questionnaires of DAI (Drug Attitude Inventory) and NAMA (Nursing Assessment of Medication Acceptance) and analyzed using a t test or mean/median difference test or delta analysis. The results showed that Spiritual Mindfulness affected the spiritual self reliance of schizophrenic patients with a p value of 0.001. Spiritual Mindfulness also affected drug taking behaviors (p=0.027) and drug taking acceptance (p=0.000) Spiritual Mindfulness gave effects on the level of self efficacy of spiritual self reliance and medication adherence in patients with schizophrenia.
Meidiana Dwidiyanti Sri Padma Sari Diyan Yulia Wijayanti Hasanah Eka Wahyu Ningsih Reza Indra Wiguna Akhmad Yanuar Fahmi Pamungkas Badrul Munif
229576392
Mindfulness based mobile applications for social interaction in people with schizophrenia
People with schizophrenia experience limited social interaction because of affective, cognitive, and psychomotor alterations. The problem of interaction requires intervention to increase their social interaction. There is a need for a system that can monitor the development of the interactive social abilities of people with schizophrenia. The purpose of this study was to determine the impact of mindfulness therapy on the social interaction of people with schizophrenia using a mobile application (SI DESIS) Fifty two people with schizophrenia who met the criteria were divided into an intervention group and a control group. The mindfulness therapy was carried out in six sessions for three weeks. Data were collected using pre test and post test scores with the Social Interaction Questionnaire and Behavior Observation Sheet. The results showed an increase in the level of social interaction for participants who were given the intervention (U 12,000, p 0.05) The rise of social interaction emphasized the stages of mindfulness therapy: the comfort stage and the independently healthy target stage. Mindfulness based mobile applications are useful to enhance the social interactions of people with schizophrenia.
Cecilia Indri Kurniasari Sri Padma Sari Meidiana Dwidiyanti Rozzano C Locsin
231696087
The effectiveness of mindfulness application "SI Informasi Sehat Jiwa dengan Cinta) to increase the spirituality of schizophrenia patients: Experimental study
Spirituality is an important aspect in human life and individuals with schizophrenia are no exception, where the problem of spirituality in schizophrenia patients can be handled with spiritual mindfulness psychotherapy which is currently starting to be developed based on an android application. The purpose of this study was to determine the effect of spiritual mindfulness interventions through the android application SI SIWATA on the spirituality of schizophrenic patients. This research is a quasi experimental study with a sampling technique using purposive sampling. The sample in this study was 46 schizophrenic patients divided into intervention and control groups. Spiritual mindfulness intervention was carried out six times and was carried out pre test and the Daily Spiritual Experience Scale questionnaire and analyzed using paired sample t test. Statistical test results show the p(0.05) it means that there is an influence of spiritual mindfulness interventions on the spirituality of schizophrenic patients. An increase in patient spirituality was related to the emphasis on the mindfulness intervention stage, namely the muhasabah (introspection) stage and the independent healthy target stage so, the patient can consciousl understand the conditions experienced, accept the treatment process and perform the independent healthy target in worship. Spirituality independence is very important in helping patients growing faith in Allah SWT when undergoing the treatment process. This open access article is under the CC BY SA license. spiritualitas pasien skizofrenia dengan SI SIWATA
Feri Agus Triyani Meidiana Dwidiyanti Titik Suerni
218807167
The effectiveness of mindfulness application "SI SIWATA (Sistem Informasi Sehat Jiwa dengan Cinta) to increase the spirituality of schizophrenia patients: Experimental study
Spirituality is an important aspect in human life and individuals with schizophrenia are no exception, where the problem of spirituality in schizophrenia patients can be handled with spiritual mindfulness psychotherapy which is currently starting to be developed based on an android application. The purpose of this study was to determine the effect of spiritual mindfulness interventions through the android application SI SIWATA on the spirituality of schizophrenic patients. This research is a quasi experimental study with a sampling technique using purposive sampling. The sample in this study was 46 schizophrenic patients divided into intervention and control groups. Spiritual mindfulness intervention was carried out six times and was carried out pre test and post test using the Daily Spiritual Experience Scale questionnaire and analyzed using paired sample t test. Statistical test results show the p value 0,001 (less than 0.05) it means that there is an influence of spiritual mindfulness interventions on the spirituality of schizophrenic patients. An increase in patient spirituality was related to the emphasis on the mindfulness intervention stage, namely the muhasabah (introspection) stage and the independent healthy target stage so, the patient can consciously understand the conditions experienced, accept the treatment process and perform the independent healthy target in worship. Spirituality independence is very important in helping patients growing faith in Allah SWT when undergoing the treatment process. Peningkatan spiritualitas pasien skizofrenia dengan mindfulness melalui aplikasi SI SIWATA (Sistem Informasi Sehat Jiwa Dengan Cinta) Abstrak Spiritualitas merupakan aspek penting dalam kehidupan manusia, tidak terkecuali individu dengan skizofrenia dimana masalah spiritualitas pasien skizofrenia dapat ditangan dengan psikoterapi mindfulness spiritual yang saat ini mulai dikembangkan dengan berbasis aplikasi android. Tujuan penelitian ini untuk mengetahui pengaruh intervensi mindfulness spiritual melalui aplikasi android SI SIWATA terhadap spiritualitas pasien skizofrenia. Penelitian ini merupakan penelitian quasi eksperimental dengan tehnik pengambilan sampel menggunakan purposive sampling. Sampel pada penelitian ini berjumpal 46 pasien skizofrenia yang dibagi dalam kelompok intervensi dan kelompok kontrol. Intervensi mindfulness spiritual dilakukan selama enam kali dan dilakuakn pre test dan post test menggunakan kuesioner Daily Spiritual Experience Scale dan dianalisis menggunakan paired sample t test. Hasil uji statistic menunjukan nilai p 0,001 (kurang dari 0,05) artinya ada pengaruh intervensi mindfulness spiritual terhadap spiritualitas pasien skizofrenia. Adanya peningkatan spiritualitas pasien berhubungan dengan penekanan tahapan intervensi mindfulness yaitu tahapan muhasabah dan tahap target sehat mandiri, sehingga pasien secara sadar mampu memahami kondisi yang dialami, menerima proses pengobatan dan melakukan target sehat mandiri dalam beribadah. Kemandirian spiritualitas sangat penting dalam membantu pasien menumbuhkan keyakinan kepada Allah SWT dalam menjalani proses perawatan.
Feri Agustriyani Meidiana Dwidiyanti Titik Suerni
216293166
An Investigation of Mood and Executive Functioning Effects of Brief Auditory and Visual Mindfulness Meditations in Patients with Schizophrenia
Brief meditations led by audio versus visual stimuli can lead to differential effects on mood and cognition in healthy people. We examine whether similar effects were evident amongst schizophrenia patients. Forty three patients underwent either 30 min image (e.g. a mountain stream; n 15) or audio led (e.g. running water; n 15) meditations or waited 30 min without instructions n 13) Prior to and following the meditation/wait, participants completed a self report measure of positive and negative affect and the Trail Making Test to measure attentional shifting abilities. Participants who underwent a visual led meditation were significantly more positive than those who underwent an audio led meditation or if they did not meditate. Irrespective of meditation modality, participants showed significant improvement in attentional shifting abilities. Brief meditative practice amongst patients with schizophrenia may have immediate effects on mood and cognition. Future research must explore these effects in larger mindfulness programmes and with longer follow up assessments.
Tom J Barry Jose Vicente Hernandez-Viadel Jorge Javier Ricarte