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Youth-focused group mindfulness-based intervention in individuals with early psychosis: A randomized pilot feasibility study.

Arlene G MacDougall, Elizabeth Price, Matthew R J Vandermeer, Chantelle Lloyd, Richelle Bird, Rickinder Sethi, Aturan Shanmugalingam, Jason Carr, Kelly K. Anderson, Ross M G Norman

Early Intervention in Psychiatry October 15, 2018 DOI: 10.1111/eip.12753 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized pilot trial Pilot study Peer reviewed
Sample size 21
Population Youth experiencing early psychosis in an early psychosis intervention program
Interventions Mindfulness Ambassador Program (MAP) treatment as usual
Duration 12 sessions
Topics Meditation
Keywords Humans Feasibility studies Pilot projects Single-blind method Psychotic disorders Adolescent Referral and consultation Patient satisfaction Ontario Female Young adult Early medical intervention Schizophrenia Psychosis Affective symptoms
Key findings The Mindfulness Ambassador Program was associated with high acceptability and beneficial effects on depression and fatigue, and the randomized pilot design was feasible. The authors conclude the pilot data support a larger randomized trial of effectiveness.

Abstract

Aim: To assess the feasibility of a randomized pilot trial that evaluated the acceptability and potential clinical utility of the Mindfulness Ambassador Program (MAP), a unique, standardized 12-session facilitated group mindfulness-based intervention (MBI) for youth experiencing early psychosis.

Methods: Twenty-one patients of an early psychosis intervention program were randomized to receive MAP (n = 11) or treatment as usual (n = 10). Acceptability was measured by group attendance rate and client satisfaction; feasibility of the study design was measured by the recruitment and retention rate. The means, standard deviations, and 95% confidence intervals were described for outcomes of interest.

Results: MAP is associated with a high degree of acceptability and has beneficial effects for depression and fatigue. The randomized trial design is feasible.

Conclusions: This study provides important pilot data supporting a larger randomized trial of effectiveness for MAP as a group MBI for early psychosis. Details of MAP and study limitations are discussed.

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

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