Mindfulness improves psychological quality of life in community-based patients with severe mental health problems: A pilot randomized clinical trial
Open accessAbstract
Objective To examine the effectiveness of group mindfulness-based intervention (MBI) in patients diagnosed with severe mental illness. The primary outcome was health-related psychological quality of life. Secondary measures were environmental, social and physical health related quality of life, frequency and intensity of psychotic symptoms and daily-life mindfulness. Method Forty-four patients from a public community rehabilitation center for people with severe mental illness were recruited, and randomly allocated to Integrated Rehabilitation Treatment (IRT) or IRT plus MBI. Measures included PANSS interview, WHOQOL-BREF, and Mindfulness Attention Awareness Scale. MBI comprised 26 one-hour weekly sessions. Intention-to-treat analysis was used. Results One patient did not complete IRT+MBI and two did not complete IRT. At baseline there were no statistical group differences in demographic characteristics or primary and secondary outcomes. At post-treatment interaction between treatment and time in health-related psychological quality of life was statistically significant, and simple effect analysis showed significant differences for between and within subject factor in favor of MBI. Interaction was also significant in PANSS negative symptoms, simple effects showed a statistical trend in within subject factor. Time factor was significant in environmental and physical quality of life. Conclusions Data suggest mindfulness added to IRT may enhance psychological quality of life in people with severe mental illness from a public community center. Results also suggest that mindfulness may impact frequency and intensity of negative symptoms.
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MBIs promote acting with awareness and intention instead of reacting impulsively, facilitating the shift from automatic responses to deliberate and mindful reactions.
“MBIs promote acting with awareness and intention instead of reacting impulsively, facilitating the shift from automatic responses to deliberate and mindful reactions (López-Navarro et al., 2015; Teasdale, 2003; Williston et al., 2021 ).”
From Mapping mindfulness in psychotherapy: a scoping review on conceptualization, applications, and research directions (2026) · cites this paper as López-Navarro et al., 2015
The available Abstract (page not given) describes an MBI trial and reports improvements in psychological quality of life, but does not say that the intervention shifted participants from impulsive or automatic responses to deliberate ones. Searches for acting with awareness, impulsive reactions, and automatic responses found no passage addressing that claim. (LLM, conf=0.72)
Experimental — accuracy not yet measuredIn a study using a group-format MBI in patients diagnosed with severe mental illness, mindfulness scores (MAAS) showed no statistically significant differences.
“Meanwhile, in a study that used a group-format MBI in patients diagnosed with severe mental illness, mindfulness scores (MASS) showed no statistically significant differences (López-Navarro et al., 2015).”
From Mapping mindfulness in psychotherapy: a scoping review on conceptualization, applications, and research directions (2026) · cites this paper as López-Navarro et al., 2015
The available passages identify a pilot randomized clinical trial in patients with severe mental health problems, but provide no methods or results about a group-format intervention or mindfulness scores. Searches for MAAS, the Mindful Attention Awareness Scale, and statistically significant differences found no relevant passage in our copy, so the reported result cannot be verified. (LLM, conf=0.70)
Experimental — accuracy not yet measured
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MethodSelf-citationRehabilitasi Mental Berbasis Komunitas terhadap Kualitas Hidup ODGJ
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“24 also observed a nonsigni fi cant difference in positive scores when comparing a 26-session, 1-hour weekly MBI program plus an integrated rehabilitation treatment program.”
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“Mindfulness for Psychosis groups have been evaluated in a variety of different health-care settings internationally, including the United Kingdom (UK) [12], Spain [13], Hong Kong [14], and China [15].”
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Mindfulness-Based Interventions
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“The utility of mindfuln ess on severe and persistent mental disorders is also likely [19,20], since it has already been suggested that mindfulness could improve the quality of life of patients suffering from these types of disorders [21].”
BackgroundMindfulness-Based Interventions in Psychosis
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“Meanwhile, in a study that used a group-format MBI in patients diagnosed with severe mental illness, mindfulness scores (MASS) showed no statistically significant differences (López-Navarro et al., 2015).”
Cholbeigi, E., Bahrami, N., Sarichloo, M. E., Griffiths, M. D., & Alimoradi, Z. (2026) · Journal of Workplace Behavioral Health · doi:10.1080/15555240.2026.2745955
Parra, D. C., Regassa, A., Ataro, B., & Zhang, D. (2026) · Mindfulness · doi:10.1007/s12671-026-02984-7
ONLINE MINDFULNESS AMELIORATE SELF-OBSERVATION IN PSYCHIATRIC OUTPATIENTS WITH BROODING
Caletti, E., Delvecchio, G., Herold, M., Turtulici, N., Barone, Y., Perlini, C., & Brambilla, P. (2025) · Psychiatry Research Communications · doi:10.1016/j.psycom.2025.100234
Mind-Body Wellness Project: An Exemplar Case
Ghaffari, M. (2019) · Online Journal of Complementary & Alternative Medicine · doi:10.33552/ojcam.2019.01.000506
“[50], and significantly lowering stress levels by improving mindfulness [50].”
BackgroundDas Konzept der Achtsamkeit im rehabilitativen Setting
Schmid, R. F., Dings, W., & Thomas, J. (2019) · FOM-Edition · doi:10.1007/978-3-658-25673-9_16
- Authors
- López-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernández-Alonso, O., Lluis, J., Munar, E., & Chadwick, P.
- Affiliations
- Research Institute of Health Sciences (ES)
- Hospital Universitario Son Espases (ES)
- Consejo Superior de Investigaciones Científicas (ES)
- King's College London (GB)
- Corresponding author
- López-Navarro, Emilio
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 168
- Issue
- 1-2
- Pages
- 530-536
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2122822048
- Cited by
- 66
- References
- 32
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 8 · 2020: 8 · 2019: 10 · 2018: 4 · 2017: 7 · 2016: 4 · 2015: 1
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- DIGITAL.CSIC (Spanish National Research Council (CSIC)) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- mindfulness-based interventions, severe mental illness
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Male, Pilot Projects, Psychiatric Status Rating Scales, Quality of Life, Treatment Outcome, Mindfulness
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