Feasibility of mindfulness-based therapy in patients recovering from a first psychotic episode: a pilot study
Article first published online: 9 MAR 2012
© 2012 Wiley Publishing Asia Pty Ltd
Early Intervention in Psychiatry
Volume 7, Issue 1, pages 64–70, February 2013
How to Cite
van der Valk, R., van de Waerdt, S., Meijer, C. J., van den Hout, I. and de Haan, L. (2013), Feasibility of mindfulness-based therapy in patients recovering from a first psychotic episode: a pilot study. Early Intervention in Psychiatry, 7: 64–70. doi: 10.1111/j.1751-7893.2012.00356.x
- Issue published online: 28 JAN 2013
- Article first published online: 9 MAR 2012
- Received 10 May 2011; accepted 26 January 2012
- early psychosis;
- group therapy;
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: The MBT had no significant adverse effect on psychotic symptoms in patients in this small pilot study, neither did it raise the level of mindfulness in the participants. A decrease in psychological symptoms was found, although one patient experienced an increase in symptoms of distress. Our study demonstrates that therapists should be cautious that therapy and practice instructions are understood properly. Future studies are feasible and needed, in larger samples with an RCT design, in order to draw conclusions regarding the effects of the MBT.