Mindfulness groups for distressing voices and paranoia: a replication and randomized feasibility trial.
Paul Chadwick, Stephanie Hughes, Daphne Russell, Ian Russell, Dave Dagnan
Behavioural and Cognitive Psychotherapy July 1, 2009 DOI: 10.1017/s1352465809990166 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 22 |
| Population | People with current distressing psychotic experiences |
| Duration | 5-week intervention plus 5-week home practice |
| Topics | Meditation |
| Key findings | No significant differences were found between mindfulness therapy and waiting list groups, but secondary analyses showed significant improvement in clinical functioning and mindfulness of distressing thoughts and images. |
Abstract
The clinical literature cautions against use of meditation by people with psychosis. There is, however, evidence for acceptance-based therapy reducing relapse, and some evidence for clinical benefits of mindfulness groups for people with distressing psychosis, though no data on whether participants became more mindful. To assess feasibility of randomized evaluation of group mindfulness therapy for psychosis, to replicate clinical gains observed in one small uncontrolled study, and to assess for changes in mindfulness. Twenty-two participants with current distressing psychotic experiences were allocated at random between group-based mindfulness training and a waiting list for this therapy. Mindfulness training comprised twice-weekly sessions for 5 weeks, plus home practice (meditation CDs were supplied), followed by 5 weeks of home practice. There were no significant differences between intervention and waiting-list participants. Secondary analyses combining both groups and comparing scores before and after mindfulness training revealed significant improvement in clinical functioning (p = .013) and mindfulness of distressing thoughts and images (p = .037). Findings on feasibility are encouraging and secondary analyses replicated earlier clinical benefits and showed improved mindfulness of thoughts and images, but not voices.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 39
- Potential treatment mechanisms in a mindfulness‐based intervention for people with progressive multiple sclerosis British Journal of Health Psychology May 30, 2016
- The Buddhist roots of mindfulness training: a practitioners view Contemporary Buddhism May 1, 2011
- An international multi-site, randomized controlled trial of a mindfulness-based psychoeducation group programme for people with schizophrenia Psychological Medicine April 4, 2017
- The effect of a mindfulness-based intervention in cognitive functions and psychological well-being applied as an early intervention in schizophrenia and high-risk mental state in a Chilean sample: study protocol for a randomized controlled trial Trials May 25, 2017
- More Meditation, Less Habituation? The Effect of Mindfulness Practice on the Acoustic Startle Reflex PLoS One May 6, 2015
and 34 more in the library
Cites 4
- Using Self-Report Assessment Methods to Explore Facets of Mindfulness Assessment January 27, 2006
- Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology Science and Practice 2003
- Mindfulness-based cognitive therapy for depression August 21, 2006
- Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology 2002