Mindfulness- and Acceptance-based Interventions for Psychosis: A Systematic Review and Meta-analysis. Issue 1 (1st January 2016)

• Record Type: Journal Article
• Authors: Cramer, Holger; Lauche, Romy; Haller, Heidemarie; Langhorst, Jost; Dobos, Gustav
• Is Part Of: Global advances in health and medicine. Volume 5:Issue 1(2016)
• Page Start: 30
• Page End: 43
• Publication Date: 2016-01-01
• Subjects: Psychosis -- acceptance -- mindfulness -- systematic review -- meta-analysis; Integrative medicine -- Periodicals; Public health -- Research -- Periodicals; Public health -- Periodicals; Medicine -- Research -- Periodicals; Medicine -- Periodicals; Integrative medicine; Medicine; Medicine -- Research; Public health; Public health -- Research; Periodicals; 610
• DOI: 10.7453/gahmj.2015.083
• Languages: English
• ISSNs: 2164-957X

Abstract

Background: Mindfulness- and acceptance-based interventions are increasingly studied as a potential treatment for a variety of mental conditions. Objective: To assess the effects of mindfulness- and acceptance-based interventions on psychotic symptoms and hospitalization in patients with psychosis Methods: MEDLINE/PubMed, Embase, the Cochrane Library, and PsycINFO were screened from inception through April 2015. Randomized controlled trials (RCTs) were analyzed when they assessed psychotic symptoms or hospitalization in patients with psychosis; affect, acceptance, mind-fulness, and safety were defined as secondary outcomes. Results: Eight RCTs with a total of 434 patients comparing mindfulness-based (4 RCTs) or acceptance-based interventions (4 RCTs) to treatment as usual or attention control were included. Six RCTs had low risk of bias. Moderate evidence was found for short-term effects on total psychotic symptoms, positive symptoms, hospitalization rates, duration of hospitalization, and mindfulness and for long-term effects on total psychotic symptoms and duration of hospitalization. No evidence was found for effects on negative symptoms, affect, or acceptance. No serious adverse events were reported. Conclusion: Mindfulness- and acceptance-based interventions can be recommended as an additional treatment for patients with psychosis.