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Mindfulness-Based Cognitive Therapy for Psychosis: Measuring Psychological Change Using Repertory Grids.

Chloe Randal, Sandra Bucci, Tirma Morera, Moya Barrett, Daniel Pratt

Clinical Psychology & Psychotherapy November 2016 DOI: 10.1002/cpp.1966 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Uncontrolled pre-post feasibility study Peer reviewed
Sample size 16
Population People with experience of psychosis
Intervention Mindfulness-Based Cognitive Therapy (MBCT)
Duration 8-week MBCT group; pre-group and post-group assessments
Measures repertory grid
Topics Meditation
Keywords Personal construct Psychosis Repertory grid Theory
Key points The authors report some evidence that MBCT was followed by changes in how participants construed their ideal self and recovered self, along with an indication of increased self-understanding, and improvements in self-reported ability to act with awareness and in recovery. They argue the findings support the feasibility and potential benefits of MBCT for people experiencing psychosis, while noting that controlled studies are needed to determine whether these changes are attributable to the group.

Abstract

There are an increasing, but limited, number of studies investigating the benefits of mindfulness interventions for people experiencing psychosis. To our knowledge, changes following mindfulness for psychosis have not yet been explored from a personal construct perspective. This study had two main aims: (i) to explore changes in the way a person construes their self, others and their experience of psychosis following a Mindfulness-Based Cognitive Therapy (MBCT) group; and (ii) to replicate the findings of other studies exploring the feasibility and potential benefits of MBCT for psychosis. Sixteen participants, with experience of psychosis, completed an 8-week MBCT group. Participants completed pre-group and post-group assessments including a repertory grid, in addition to a range of outcome measures. There was some evidence of changes in construing following MBCT, with changes in the way participants viewed their ideal self and recovered self, and an indication of increased self-understanding. Improvements were found in participants' self-reported ability to act with awareness and in recovery. This study demonstrates the feasibility and potential benefits of MBCT groups for people experiencing psychosis. Furthermore, it provides some evidence of changes in construal following MBCT that warrant further exploration. Large-scale controlled trials of MBCT for psychosis are needed, as well as studies investigating the mechanisms of change. Copyright © 2015 John Wiley & Sons, Ltd. MBCT may contribute to change in individuals' perceptions and increase self-understanding. The study highlights the importance of measuring change in recovery following MBCT. Findings support the need for person-centred approaches to assessment and monitoring of personal change following therapy. Similar studies using a control group are needed in order to identify whether the changes found are attributable to participation in an MBCT group. Copyright © 2015 John Wiley & Sons, Ltd.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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