Mindfulness-based interventions for patients with schizophrenia spectrum disorders : A systematic review of the literature

Article Article scientifique Revue de la littérature Mindfulness-based interventions for patients with schizophrenia spectrum disorders : A systematic review of the literature eng 2024-02 author Sabe Michel 889218 Département de psychiatrie (PSYAT) author Kohler Raoul Samuel 931417 author Perez Natacha 749641 author Sauvain Mathilde 977714 author Sentissi El Idrissi Othman 0000-0001-6280-2197 711790 Département de psychiatrie (PSYAT) author Jermann Françoise 506192 Département de psychiatrie (PSYAT) author Prada Paco Boris 506849 Département de psychiatrie (PSYAT) author Perroud Nader Ali 0000-0002-9282-9216 94458 Département de psychiatrie (PSYAT) author Böge Kerem 191-203 10.1016/j.schres.2023.12.011 38157679 0920-9964 https://linkinghub.elsevier.com/retrieve/pii/S0920996423004498 Background: Mindfulness-based interventions (MBIs) have emerged as secular practices, including elements of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT). While MBIs have been widely adopted for physical and mental illness, only a few available programs are explicitly adapted for psychosis. However, previous reviews have reported the vital heterogeneity regarding treatment program structure. Therefore, this review aims to compare the structure of different mindfulness protocols applied to patients with schizophrenia spectrum disorder (SSD). Methods: A systematic search was conducted up to March 2023 in PubMed, Embase and PsycInfo. Following our protocol (CRD 42023253356), we followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist. Results: We included 22 randomized controlled trials (RCTs) involving 1500 patients SSD. All programs varied in structure, session components, duration, and instructor experience. While MBSR-like programs focused on stress reactivity, MBCT-like programs addressed primary symptoms of psychosis and relapse prevention. Despite the heterogeneity of programs, some common mechanisms emerged, including attention training, emotion and stress regulation, decentering, self-compassion, and cognitive restructuring. Conclusions: The critical heterogeneity found limits the interpretation of results. However, most recent trials present fewer risks of bias and more homogenous programs. Findings suggested potential benefits, such as reduced negative symptoms, increased well-being, and decreased hospitalization rates. For future studies, authors should align on more congruent MBIs programs for patients with SSD. Further research is needed to identify optimal mindfulness teaching approaches for patients with psychosis and investigate specific mechanisms of action, relevant processes, and optimal doses in varying settings. MBCT MBIs MBSR Meditation Mind-body Schizophrenia Dewey 616.89 60 Département de psychiatrie 225 false 1342 Régulation des émotions : TDAH et trouble de la personnalité borderline 1028 Schizophrenia research 264 dec137ab-760b-4c97-8142-229f9b66f2b3 Article (Published version) Public 1-s2.0-S0920996423004498-main.pdf 747188 application/pdf CC BY-4.0 c5baa177fc762a29375fc7946b4735775d3b76556389ea4bb12ab3c1d9bfa51a 04279bdb-dbb9-41ee-8d3c-7f9b6b49e260 Supplemental data Public 1-s2.0-S0920996423004498-mmc1.docx 588489 application/vnd.openxmlformats-officedocument.wordprocessingml.document 3cf6ee5ccf6ee3b80d16679e546decd75f67b6ee00f3bdd2fa195fd3722ed9ba openAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie

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Mindfulness-based interventions for patients with schizophrenia spectrum disorders : A systematic review of the literature	Schizophrenia research			2024	103	557

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Kohler, Raoul Samuel