A parallel group randomised open blinded evaluation of A cceptance and Commitment Therapy for d epression a fter p sychosis: Pilot t rial outcomes (ADAPT)

Gumley, Andrew; White, Ross; Briggs, Andrew; Ford, Ian; Barry, Sarah; Stewart, C. N.; Beedie, Sara A.; McTaggart, Jacqueline; Clarke, Caoimhe; MacLeod, Rachel; Lidstone, Emma; Riveros, Bruno Salgado; Young, Robin; McLeod, Hamish J.

doi:10.1016/j.schres.2016.11.026

Cited by 31 publications

(7 citation statements)

References 39 publications

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“…For example, like Cognitive Behavior Therapy for Psychosis (CBT-P)[ 68 ], MERIT focuses on normalizing distressing experiences[ 69 ]. It also shares with mindfulness[ 70 ] and Acceptance Commitment Therapy[ 71 , 72 ] a focus on patients’ relationship to their experience. MERIT and these therapies, sometimes called third wave Cognitive Behavior Therapy[ 73 ], seek to address matters that go beyond individual cognition and require curiosity about mental experience with the expectation that patients will have unique responses to psychological and social challenges[ 69 ].…”

Section: Introductionmentioning

confidence: 99%

Promoting recovery from severe mental illness: Implications from research on metacognition and metacognitive reflection and insight therapy

Lysaker

Hamm

Hasson‐Ohayon

et al. 2018

WJP

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Research indicates that individuals with schizophrenia recover. Recovery, however means different things to different individuals and regardless of what kind of experiences define recovery, the individual diagnosed with the serious mental illness must feel ownership of their recovery. This raises the issue of how mental health services should systematically promote recovery. This paper explores the practical implications for research on metacognition in schizophrenia for this issue. First, we present the integrated model of metacognition, which defines metacognition as the spectrum of activities which allow individual to have available to themselves an integrated sense of self and others as they appraise and respond to the unique challenges they face. Second, we present research suggesting that many with schizophrenia experience deficits in metacognition and that those deficits compromise individuals’ abilities to manage their lives and mental health challenges. Third, we discuss a form of psychotherapy inspired by this research, Metacognitive Reflection and Insight Therapy which assists individuals to recapture the ability to form integrated ideas about themselves and others and so direct their own recovery. The need for recovery oriented interventions to focus on process and on patient’s purposes, assess metacognition and consider the intersubjective contexts in which this occurres is discussed.

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Section: Introductionmentioning

confidence: 99%

Promoting recovery from severe mental illness: Implications from research on metacognition and metacognitive reflection and insight therapy

Lysaker

Hamm

Hasson‐Ohayon

et al. 2018

WJP

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“…Only Gumley et al. [ 35 ] adopted an individual-based intervention, while a group-based format was used in the other studies. Regarding treatment durations, Manjunath et al.…”

Section: Resultsmentioning

confidence: 99%

“…[ 40 ], Gumley et al. [ 35 ], and Yang and Zhu [ 41 ]. Nineteen studies arranged for home practice, either compulsory or non-compulsory, following guided sound-tracks or the completion of a log book.…”

Section: Resultsmentioning

confidence: 99%

Mindfulness-based interventions for non-affective psychosis: a comprehensive systematic review and meta-analysis

2022

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Aim Although mindfulness-based interventions (MBIs) are routinely used in clinical practice, a comprehensive synthesis of the effectiveness of MBIs for non-affective psychosis has yet to be conducted. The aim of the present review and meta-analysis was to investigate the effectiveness of MBIs including those with mindfulness as an active treatment component for alleviating symptoms of psychosis to inform future clinical practice. Methods A systematic review of studies published in journals or in dissertations in CINAHL, PubMed, EMBASE, PsycINFO, CENTRAL, ISRCTN, or CNKI from January 1990 until December 2020. A total of 31 eligible studies ( n = 2146) were included. Results Effect-size estimates suggested that 22 independent samples ( n = 1632) produced a statistically significant small effect for psychotic symptoms ( g = −0.48), and with a clinically significant reduction of 50% from baseline (pooled OR: 1.84). Separate meta-analyses demonstrated small effects for affective symptoms ( g = −0.44) and small - to-large positive effects for quality of life ( g = 0.38), mindfulness skills ( g = 0.45), and insight into illness/treatment ( g = 1.35). The heterogeneity was high across the studies. Conclusion Results suggest that short-term MBIs can be beneficial for non-affective psychosis. Future research is needed to test the efficacy and safety of dedicated MBIs for this population group over a longer term. KEY MESSAGES Schizophrenia spectrum and other psychotic disorders, also known as non-affective psychosis, is the most chronic and debilitating type of psychosis, seriously affecting every aspect of a person’s life, including social, occupational, or general functioning. The aim of the current systematic review and meta-analysis was to investigate formerly unexamined questions regarding the clinical significance of MBIs including yoga as an increasingly utilized, conceptualized psychological intervention on overall psychotic symptoms for people with non-affective psychosis. No serious adverse events were reported in the studies, suggesting that MBIs may be safe interventions, while there is robust evidence to support the view that MBIs are beneficial to young people in particular.

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“…In a study conducted in Iran, it was concluded that ACT improved overall health and reduced aggression in psychotic methamphetamine addicts (Ghouchani et al, 2018). Emphasis on the use of ACT as a promising therapy in treatment of depression in psychotic disorders appears to be a common outcome of two studies (Gumley et al, 2017;White et al, 2011). It was found that ACT provided a subjective benefit in psychotic disorders (Shawyer et al, 2017), and it had positive effects on treatment satisfaction and recovery expectations (Gaudiano et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…The pre-test and post-test results were aimed to be examined to evaluate the effectiveness of a counseling program based on ACT and supported with MI on individual improvement. The effect size obtained from previous studies was found to be 0.93 (Gumley et al, 2017), and with 0.90 theoretical power, the minimum required sample size was calculated as 52 (26 experiments, 26 controls). Nevertheless, considering potential dropouts, 52 participants were planned to be assigned to each of the experimental and control groups.…”

Section: Sample Sizementioning

confidence: 99%

How Counseling Based on Acceptance and Commitment Therapy and Supported with Motivational Interviewing Affects Levels of Functional Recovery in Patients Diagnosed with Schizophrenia: A Quasi-Experimental Study

Yıldız

Aylaz

2020

Clin Nurs Res

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This study aimed to determine how counseling based on acceptance and commitment therapy (ACT) and supported with motivational interviewing (MIs) affected functional recovery in individuals diagnosed with schizophrenia (IDSs). A quasi-experimental design was used. The participants of this study were 87 individuals diagnosed with schizophrenia (36 in the experimental group and 51 in the control group). The experimental group received counseling based on ACT and supported with MIs. The data were collected between September 2018 and May 2019 using a Descriptive Information Form and the Functional Remission of General Schizophrenia Scale (FROGS). The participants in the experimental group were given a group counseling program of eight sessions at community mental health centers in downtown Malatya, Turkey. The results revealed a statistically significant difference in the mean scores on FROGS between those in the IDS experimental group and those in the control group. The scores increased on both groups.

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A parallel group randomised open blinded evaluation of A cceptance and Commitment Therapy for d epression a fter p sychosis: Pilot t rial outcomes (ADAPT)

Abstract: ISRCTN: 33306437.

Cited by 31 publications

References 39 publications

Promoting recovery from severe mental illness: Implications from research on metacognition and metacognitive reflection and insight therapy

Promoting recovery from severe mental illness: Implications from research on metacognition and metacognitive reflection and insight therapy

Mindfulness-based interventions for non-affective psychosis: a comprehensive systematic review and meta-analysis

How Counseling Based on Acceptance and Commitment Therapy and Supported with Motivational Interviewing Affects Levels of Functional Recovery in Patients Diagnosed with Schizophrenia: A Quasi-Experimental Study

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