Experience of mindfulness in people with bipolar disorder: A qualitative study
Abstract
The aim of the study was to explore experiences of practising mindfulness and how this related to living with, and managing, bipolar disorder. Qualitative methodology was used to explore the experiences of 12 people with bipolar disorder who had been practising mindfulness for at least 18 weeks. Semi-structured interviews exploring how mindfulness practice related to living with bipolar disorder were recorded verbatim, transcribed and analysed using thematic analysis. Seven themes emerged: Focusing on what is present; clearer awareness of mood state/change; acceptance; mindfulness practice in different mood states; reducing/stabilizing negative affect; relating differently to negative thoughts; reducing impact of mood state. All participants reported subjective benefits and challenges of mindfulness practice, and gave insights into processes of change.
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Chadwick et al. (2011) used investigator triangulation with at least two researchers coding transcripts independently before a consensus review, member-checks with six participants, and assessment of inter-rater reliability of fifty quotations, to increase qualitative credibility, confirmability and dependability.
“Investigator triangulation involved at least two researchers coding transcripts independently before holding a consensus review, conducting member-checks with six participants, and assessing the inter-rater reliability of fifty quotations to increase qualitative credibility, confirmability and dependability.”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Chadwick et al., 2011
This theme of acceptance was also reflected in Chadwick et al.'s (2011) outcomes with bipolar disorder, and improvements in emotional-wellbeing supporting findings reported by Dickinson et al. (2017) in their single case study of a person with aphasia.
“This theme of acceptance was also reflected in Chadwick et al.'s (2011) outcomes with bipolar disorder, and improvements in emotional-wellbeing supporting findings reported by Dickinson et al. (2017) in their single case study of a PwA.”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Chadwick et al., 2011
Published literature on people's experiences of face-to-face psychological interventions for bipolar disorders is limited, with only three studies available.
“However, published literature on people's experiences of face-to-face psychological interventions for bipolar disorders is limited, with only three studies available (Chadwick, Kaur, Swelam, Ross, & Ellett, 2011; O'Connor, Gordon, Graham, Kelly, & O'Grady Walshe, 2008; Poole, Smith, & Simpson, 2015).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Chadwick, Kaur, Swelam, Ross, & Ellett, 2011
TEAMS differs to previous future-oriented psychological interventions that emphasised relapse prevention and were designed for groups rather than being individually tailored.
“TEAMS differs to previous future-oriented psychological interventions that emphasised relapse prevention and were designed for groups rather than being individually tailored (Chadwick et al., 2011; O'Connor et al., 2008; Poole et al., 2015).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Chadwick et al., 2011
People with bipolar disorders have previously described these relapse prevention techniques as useful post-intervention changes and ways of remaining well.
“People with bipolar disorders have previously described these relapse prevention techniques as useful post-intervention changes (Chadwick et al., 2011; O'Connor et al., 2008; Todd, Jones, & Lobban, 2012) and ways of remaining well (Murray et al., 2010; Russell & Browne, 2005).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Chadwick et al., 2011
Participants' accounts of recognising prodromal symptoms resonate more with the mindful awareness of internal states described as useful.
“Participants' accounts of recognising prodromal symptoms resonate more with the mindful awareness of internal states described as useful (Chadwick et al., 2011; Russell & Browne, 2005).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Chadwick et al., 2011
Mindfulness-based CBT participants also described increased tolerance of mood changes, acceptance of bipolar disorder, and self-acceptance.
“Mindfulness-based CBT participants also described increased tolerance of mood changes, acceptance of bipolar disorder, and self-acceptance (Chadwick et al., 2011).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Chadwick et al., 2011
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Level of Satisfaction with the Intervention
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Introduction to Bipolar Disorders
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The Group Rules (if the group format is used)
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Psychoeducation for Patients and Family Members
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Cognitive and Functional Remediation
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Reinares, M., Martínez‐Arán, A., & Vieta, E. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108589802.006
Promotion of a Healthy Lifestyle
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- Authors
- Chadwick, P., Kaur, H., Swelam, M., Ross, S., & Ellett, L.
- Affiliations
- King's College London (GB)
- Royal Holloway University of London (GB)
- Royal South Hants Hospital (GB)
- Corresponding author
- Chadwick, Paul
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2011-05
- Volume
- 21
- Issue
- 3
- Pages
- 277-285
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2088719627
- Cited by
- 67
- References
- 29
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 8 · 2019: 17 · 2018: 6 · 2017: 4 · 2016: 4 · 2015: 2 · 2014: 1 · 2013: 4 · 2012: 4
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- mindfulness, bipolar disorder, lived experience, mood regulation, acceptance, negative affect, negative automatic thoughts, change processes, mental health self-management
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Awareness, Bipolar Disorder, Female, Group Processes, Humans, Interview, Psychological, Male, Middle Aged, Patient Satisfaction, Meditation, Secondary Prevention
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