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Feasibility of mindfulness-based therapy in patients recovering from a first psychotic episode: a pilot study. (hubmed)

Early Interv Psychiatry. 2012 Mar 9;

van der Valk R, van de Waerdt S, Meijer CJ, van den Hout I, de Haan L

Aim: Recently, a mindfulness therapy for people with psychotic disorders was
developed. However, clinicians and researchers are cautious given case reports
in which extensive meditation provoked psychotic symptoms in people with a
psychotic disorder. The purpose of this study was to examine the feasibility,
adverse effects and possible favourable effects of mindfulness-based therapy
(MBT) in people recently recovering from a first episode of psychosis. Method:
A nonrandomized, non-controlled prospective follow-up study. Patients were
offered an MBT that consisted of eight 1-hour sessions within a 4-week time
span. Positive and Negative Syndrome Scale, Symptoms Checklist 90 and the
Southampton Mindfulness Questionnaire were assessed before and after the
therapy. Results: Of the 16 persons who started MBT, 13 completed (81.5%) the
therapy. No significant increase in psychotic symptoms was found. Between two
meetings, one participant initially misunderstood the mindfulness
instructions, which led to an increase in distress. No increased awareness of
intrusive thoughts or visual or auditory hallucinations was reported by
participants. We found a decrease in agoraphobic symptoms (p 0.028) and in
psychoneuroticism (P 0.025). Conclusion: ...

hubmed