Mindfulness Groups for Distressing Voices and Paranoia: A Replication and Randomized Feasibility Trial

Chadwick, Paul; Hughes, Stephanie; Russell, Daphne; Russell, Ian; Dagnan, Dave

doi:10.1017/s1352465809990166

Cited by 190 publications

(191 citation statements)

References 18 publications

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“…Relative to the TAU arm of the study, participants receiving ACT had a significantly greater change in mindfulness skills. Our findings add to previous research (Chadwick et al, 2009;Abba et al, 2008) showing that individuals with psychosis can tolerate mindfulness exercises and develop mindfulness skills over time. In the current trial, there was no significant difference between the two arms of in the degree of change in experiential avoidance across time.…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 81%

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

White

Gumley

McTaggart

et al. 2011

Behaviour Research and Therapy

144

139

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The experience of psychosis can lead to depression, anxiety and fear. Acceptance and Commitment Therapy (ACT) facilitates individuals to accept difficult mental experiences and behave in ways that are consistent with personally held values. This study was a single (rater) blind pilot randomised controlled trial of ACT for emotional dysfunction following psychosis.Twenty-seven participants with psychosis were randomised to either: ten sessions of ACT plus treatment as usual (TAU) or TAU alone. The Hospital Anxiety and Depression Scale, Positive and Negative Syndrome Scale, Acceptance and Action Questionnaire, Kentucky Inventory of Mindfulness Skills and Working Alliance Inventory were used. Individuals were assessed at baseline and 3 months post-baseline. The individuals randomised to receive ACT found the intervention acceptable. A significantly greater proportion of the ACT group changed from being depressed at time of entry into the study to not being depressed at followup. The ACT group showed a significantly greater increase in mindfulness skills and reduction in negative symptoms. Results indicated that individuals randomised to ACT had significantly fewer crisis contacts over the study. Changes in mindfulness skills correlated positively with changes in depression. ACT appears to offer promise in reducing negative symptoms, depression and crisis contacts in psychosis.

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Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 81%

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

White

Gumley

McTaggart

et al. 2011

Behaviour Research and Therapy

144

139

View full text Add to dashboard Cite

show abstract

“…MBCT has established efficacy for relapse prevention and symptom reduction in recurrent depression (Teasdale et al, 2000;Helen Ma & Teasdale, 2004;Hofmann, Sawyer, Witt, & Oh, 2010;Barnhofer et al, 2009), and recent evidence suggests that it can also benefit people with psychosis (Chadwick, Taylor, & Abba, 2005;Chadwick, Hughes, Russell, Russell, & Dagnan, 2009). These treatment studies add weight to the hypothesis that avoidance, as well as having a special relationship with depression, is also likely to be an important process in the pathological persistence of positive psychotic symptoms like delusions.…”

Section: Therapies Targeting Avoidancementioning

confidence: 99%

Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.

Vorontsova¹,

Garety²,

Freeman³

2013

Journal of Abnormal Psychology

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Depression is common in people with schizophrenia, but how it might directly contribute to the persistence of psychotic symptoms has rarely been tested. The key aim of the present study was to test whether depression and associated cognitive processes predict the maintenance of persecutory delusions. Three groups of participants were tested at baseline: 60 patients with persecutory delusions in the context of a schizophrenia spectrum diagnosis, 30 patients with depression, and 30 nonclinical controls. They completed interviewer and self-report assessments of depression and paranoia, and measures of six cognitive factors (schematic beliefs, experiential avoidance, autobiographical memory, problem solving, rumination, worry style). The patients with persecutory delusions were then assessed again, six months later. It was found that 50% of the patients with persecutory delusions met diagnostic criteria for major depression. Cognitive processes found to be associated with depression across the groups were negative schematic beliefs about the self, experiential avoidance and rumination, but not autobiographical memory or problem solving. The severity of initial depression in patients with persecutory delusions predicted the persistence of paranoia over six months. A number of cognitive factors also predicted the persistence of persecutory delusions, including negative schematic beliefs about the self, worry, and problem-solving difficulties. In conclusion, depression is common in patients with current persecutory delusions, and it shows similar cognitive features to major depressive disorder. The results of this study indicate that depression and related processes may contribute to the maintenance of paranoia. Trials are warranted of depression-related therapeutic techniques for people with persecutory delusions.

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“…Along with this has emerged a body of empirical literature supporting the efficacy of MBIs in addressing a range of problems. For example, MBIs may be helpful for some forms of chronic pain (Kabat-Zinn 1982;Morone et al 2008;Rosenzweig et al 2010), anxiety disorders (Kim et al 2009;Lee et al 2007;Miller et al 1995;Ossman et al 2006;Piet et al 2010), depression (Kuyken et al 2008;Ma and Teasdale 2004;Teasdale et al 2000), irritable bowel syndrome (Gaylord et al 2011;Kearney et al 2011;Zernicke et al 2012), fibromyalgia (Grossman et al 2007;Kaplan et al 1993), binge eating (Kristeller and Hallett 1999;Safer et al 2010), psychosis (Ashcroft et al 2011;Bach and Hayes 2002;Chadwick et al 2009) and substance abuse (Witkiewitz and Bowen 2010;Witkiewitz et al 2005). MBIs are promising because they may be effective in populations unresponsive to other treatments, such as individuals with chronic depression (Kenny and Williams 2007).…”

Section: Mindfulness For Health/mental Health Problemsmentioning

confidence: 99%

Of the Soul and Suffering: Mindfulness-Based Interventions and Bereavement

et al. 2013

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Mindfulness Groups for Distressing Voices and Paranoia: A Replication and Randomized Feasibility Trial

Abstract: Findings on feasibility are encouraging and secondary analyses replicated earlier clinical benefits and showed improved mindfulness of thoughts and images, but not voices.

Cited by 190 publications

References 18 publications

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.

Of the Soul and Suffering: Mindfulness-Based Interventions and Bereavement

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