Implementing mindfulness in group settings for people suffering from psychosis

Mindfulness has its roots in Buddhist philosophical tradition of meditation which traditionally aims to improve resilience and enduring discomfort, suffering and pain. It has been used in different healthcare settings since... [ view full abstract ]

Mindfulness has its roots in Buddhist philosophical tradition of meditation which traditionally aims to improve resilience and enduring discomfort, suffering and pain. It has been used in different healthcare settings since the 1960’s but not until recent decades has the practice of mindfulness been studied systematically.

Mindfulness is concentration, observation and presence in the moment. Evidence shows that regular practice has positive impact on various conditions such as chronic pain, anxiety and depression, chronic infections, heart and pulmonary diseases, different psychiatric diagnoses i.e. ADHD, eating disorders and sleep disorders. Effects have been combined to improved resilience, metacognition, mindful presence and increased kindness/empathy towards oneself and others and decrease of worrying and rumination. There is yet little evidence of the impacts of mindfulness interventions on people suffering from schizophrenia or other psychotic disorders.

Aim

Existing group interventions are highly structured and manualized, during approximately 8 weeks. Results often show improvement (stress relief, decrease of negative feelings and improved quality of life) already after a few weeks of regular practice.

We aim to develop a group intervention supporting the rehabilitation of schizophrenia and other psychotic disorders.

Method

The group will be based on existing interventions, modified using the guidelines developed by Paul Chadwick. Duration will be set at 10-12 weeks to ensure repetition and possibilities to transfer the practice to everyday life.

Goals will be set and effects will be documented using Goal Attainment Scaling (GAS).

Discussion

Effects of mindfulness have been both documented and criticized. Results are difficult to measure due to the highly qualitative nature of effects. Planning mindfulness interventions also contain many challenges, especially concerning psychosis. Inclusion of group members in planning and feedback is of high importance. Use of mindfulness in individual settings encourages the use also in group settings.