Tolerability and suitability of brief group mindfulness-oriented interventions in psychiatric inpatients: a pilot study.
Katerina Nikolitch, Vincent Laliberté, Ching Yu, Natalie Strychowsky, Marilyn Segal, Karl J Looper, Soham Rej
International journal of psychiatry in clinical practice September 1, 2016 DOI: 10.1080/13651501.2016.1197276 (opens in new tab) via PubMed
Summary
AI-generated from the abstractA brief 10-minute group mindfulness-oriented therapy was well tolerated by 92.5% of acutely hospitalized psychiatric inpatients, and 50% met stringent suitability and tolerability criteria. Among the three interventions tested, tai chi was the most suitable (76.5%) compared to body scan (35.7%) and mindful eating (22.2%). Clinical and sociodemographic factors, including gender, hospitalization length, presence of psychosis, and pre-morbid functioning, were not associated with suitability or tolerability. The findings suggest that brief mindfulness interventions, especially those with an active component like tai chi, may be suitable for this population, including those with acute psychosis.
Study at a glance
| Characteristics | Retrospective study Pilot study Peer reviewed |
|---|---|
| Sample size | 40 |
| Population | Psychiatric inpatients |
| Interventions | Tai chi Body scan Mindful eating |
| Dose | one session of a 10-min mindfulness-oriented group intervention |
| Topics | Meditation |
| Keywords | Inpatients Psychiatry Psychotherapy Severe mental illness |
| Key finding | A brief 10-minute group mindfulness-oriented therapy was well tolerated by 92.5% of acutely hospitalized psychiatric inpatients, and tai chi was the most suitable intervention compared to body scan and mindful eating. |
Abstract
Mindfulness-oriented therapies have a positive impact on patients' overall well-being and alleviate many psychiatric conditions. However, little is known about their use in people with severe mental illness. We aimed to identify which clinical and sociodemographic factors are associated with suitability/tolerability of a brief group mindfulness-oriented therapy. This retrospective study examines pre-/post-data from 40 psychiatric inpatients who underwent one session of a 10-min mindfulness-oriented group intervention between January and March 2014. The main outcome was 'suitability for and tolerating the brief mindfulness-oriented group intervention'. We assessed potential correlates of the main outcome, including female gender, shorter hospitalisation, the absence of psychosis and good pre-morbid functioning. The intervention was well tolerated (92.5%) and 50% of patients met both of our relatively stringent suitability and tolerability criteria. Sociodemographic and clinical variables were not associated with suitability/tolerability. Tai chi was the most suitable/tolerable compared to body scan and mindful eating (76.5% vs. 35.7% vs. 22.2%, Fisher's exact p = 0.01, Bonferroni p < 0.05). Brief group mindfulness therapy interventions are very well tolerated and often suitable for acutely hospitalised psychiatric inpatients, including those with acute psychosis. Mindfulness-oriented intervention with an active component (e.g., tai chi, mindful walking) may potentially be best suited for this population.