Should mindfulness-based cognitive therapy be used for psychosis? A systematic review of the literature and meta-analysis.
Carlo Lazzari, Yasuhiro Kotera, Marco Rabottini
Rivista di psichiatria 2022 DOI: 10.1708/3893.38743 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Meta-analysis Peer reviewed |
|---|---|
| Intervention | Mindfulness-based interventions for psychosis (MBIp) |
| Topics | Meditation |
| Key findings | Pooled across eight studies, mindfulness-based interventions for psychosis showed a moderate effect on psychosis symptoms (r=0.34, 95% CI 0.26-0.42), but effect sizes were heterogeneous across studies, leading the authors to make only conditional recommendations for these interventions. |
Abstract
In England, psychosis incidence is 31.7×100,000 persons per year. Mindfulness-based interventions for psychosis (MBIp) might reduce its symptoms; however, the research outcomes on its effect size (ES) vary considerably. This project aims to ascertain the existing evidence. Eight publications from a pool of over 260 studies were extracted and analysed at meta-analysis for ES as satisfying the inclusion criteria. MBIp has a moderate ES (r=0.34; p<.001) on psychosis with a 95% confidence interval (CI) of 0.26-0.42 (small to high). MBIp improves psychosis symptoms. However, the studies analysed show heterogeneity in ES. Hence only conditional recommendations can be made for MBIp.
Comparable studies
Other systematic reviews and meta-analyses on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations | 2014 | Meta-analysis | n = 3,515 |
| Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects | 2009 | Systematic review and meta-analysis | |
| The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators | 2012 | Meta-analysis | n = 163 |
| Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission | 2016 | Meta-analysis of individual patient data from randomized controlled trials | n = 1,258 |
| Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials | 2011 | Systematic review |
Citations in the library
Cited by 2
- Effects of mindfulness- and acceptance-based interventions for individuals with schizophrenia spectrum disorders: A systematic meta-review. Schizophrenia Research July 1, 2025
- Mindfulness-Based Cognitive Therapy: Basic to an update 2023 Asian Medical Journal and Alternative Medicine November 28, 2023