Mindfulness in severe and persistent mental illness: a systematic review.
Angela Potes, Gabriel Souza, Katerina Nikolitch, Romeo Penheiro, Yara Moussa, Eric Jarvis, Karl Looper, Soham Rej
International Journal of Psychiatry in Clinical Practice November 2018 DOI: 10.1080/13651501.2018.1433857 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review Randomized Qualitative Peer reviewed |
|---|---|
| Population | Individuals with severe and persistent mental illness (SPMI) |
| Intervention | Mindfulness-based interventions |
| Topics | Meditation |
| Keywords | Bipolar Psychosis Severe mental illness |
| Key findings | The review indicates that mindfulness is feasible for people with SPMI and is associated with clinical improvements in psychotic symptoms, depression symptoms, cognition, mindfulness, and psycho-social and vocational outcomes. The authors conclude that effects on psychotic symptoms remain uncertain and call for larger, methodologically rigorous studies with thorough assessments and more representative SPMI populations. |
Abstract
This systematic review summarises the current state of research on mindfulness in SPMI, given the pressing need to provide alternative, scalable and cost-effective treatment modalities for patients with severe and persistent mental illness (SPMI). Articles included mindfulness-based interventions for SPMI. Excluded articles included qualitative studies, acceptance and compassion therapies, case reports and reviews. Studies were identified by searching the databases Medline, Embase and PsycINFO. Six randomised controlled trials, seven prospective studies and one retrospective study were identified. Clinical improvements were observed on psychotic symptoms, and on improvements of depression symptoms, cognition, mindfulness, psycho-social and vocational factors. Findings suggest that mindfulness is feasible for individuals with SPMI, and displays potential benefits in outcomes aside from psychotic symptoms. The effects of mindfulness in psychotic symptoms needs further investigation in larger definitive studies using methodological rigor and thorough assessments of other psychiatric populations who are also representative of SPMI.
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 4
- Effects and safety of virtual reality-based mindfulness in patients with psychosis: a randomized controlled pilot study. Schizophrenia September 13, 2023
- Stress and suicidal ideation in Korean baby boomers: the mediating effect of mindfulness and meaning in life. Frontiers in Psychology August 28, 2023
- Engagement Strategies to Improve Adherence and Retention in Web-Based Mindfulness Programs: Systematic Review Journal of Medical Internet Research August 28, 2023
- Mindfulness related changes in grey matter: a systematic review and meta-analysis. Brain Imaging and Behavior October 1, 2021
Cites 17
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- Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 2000
- Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials Acta Psychiatrica Scandinavica April 28, 2011
- Mindfulness Meditation for Substance Use Disorders: A Systematic Review Substance Abuse October 1, 2009
- Mindfulness-Based Cognitive Therapy for Psychosis: Measuring Psychological Change Using Repertory Grids. Clinical Psychology & Psychotherapy November 2016
and 12 more in the library