The Effectiveness of a Mindfulness-Based Psychoeducation Programme for Emotional Regulation in Individuals with Schizophrenia Spectrum Disorders: A Pilot Randomised Controlled Trial
Open accessAbstract
BACKGROUND: Emotion dysregulation has emerged as a transdiagnostic factor that potentially exacerbates the risk of early-onset, maintenance, and relapse of psychosis. Mindfulness is described as the awareness that emerges from paying attention to the present moment without judgment. It gently pulls the mind out of the negative emotions induced by the disparity between expectation and reality by focusing on the present moment, instead of worrying about the future or regretting the past. However, only a few research has ever focused on the efficacy of using a mindfulness-based intervention to improve emotion regulation in schizophrenia spectrum disorders. PURPOSE: The purpose of this study was to examine the effectiveness of a Mindfulness-Based Psychoeducation Programme (MBPP) on the emotion regulation of individuals with schizophrenia, in particular, to access emotion regulation strategies. The objective of this study was to find out whether MBPP is feasible for improving emotion regulation strategies, in terms of rumination, cognitive reappraisal, and expressive suppression, with a sustainable effect at a three-month follow-up. PATIENTS AND METHODS: A single-blinded pilot randomised controlled trial with repeated-measures designs was adopted. Forty-six participants diagnosed with schizophrenia and its subtypes were randomised in either the 8-week mindfulness-based psychoeducation programme or treatment-as-usual (control) group. RESULTS: =4.55, p=0.033), and a significant reduction in rumination across time. However, the Generalised Estimating Equations indicated no significant difference in rumination and expressive suppression in the MBPP group. Two participants reported having unwanted experiences, including feelings of terror and distress during the mindfulness practice. CONCLUSION: The MBPP appeared to be effective for improving emotion regulation, which will contribute to future large-scale RCT to confirm the treatment effects in more diverse groups of schizophrenic patients.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recent randomised control studies and meta-analyses showed that mindfulness-based interventions significantly improved DM, negative emotions, positive symptoms and negative symptoms compared with control groups.
“Recent randomised control studies and meta-analyses showed that mindfulness-based interventions significantly improved DM, negative emotions, positive symptoms and negative symptoms compared with control groups.43–49”
From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [44]
The Results (Primary Outcomes – Emotion Regulation; no page available) report a significant improvement in reappraisal in the mindfulness group, and the Results (Secondary Outcomes; no page available) report within-group reductions in depression and psychotic symptoms. But the Secondary Outcomes pairwise comparison says mood and psychotic symptoms did not differ significantly from controls. Negative symptoms were measured only as a covariate, and the paper does not establish a significant control-group advantage for the full list of outcomes, including DM. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMindfulness practice could improve emotional and psychotic symptoms in people with SSDs.
“Current evidence suggests that mindfulness practice, which cultivates both state and dispositional mindfulness in people with SSDs, could improve emotional and psychotic symptoms.41–44”
From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [44]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
1 retracted
Cognitive behaviour therapy versus other psychosocial treatments for schizophrenia
Jones, C. A., Hacker, D., Meaden, A., Cormac, I., & Irving, C. B. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000524.pub3 · Cited by 95 · see citing works
RetractedStatistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · see citing works
The emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916 · see citing works
Using Self-Report Assessment Methods to Explore Facets of Mindfulness
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006) · Assessment · doi:10.1177/1073191105283504 · Cited by 7,511 · see citing works
Emotion-regulation strategies across psychopathology: A meta-analytic review
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.004 · Cited by 6,686 · cited 1× · see citing works
“Meanwhile, Western studies have consistently found that greater use of suppression in patients with schizophrenia is associated with depression, anxiety, and affective blunting, which has been associated with poorer clinical outcomes in psychosis.(27,34,37,87) More studies are needed to examine the role of suppression…”
BackgroundGross, J. J. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.74.1.224 · Cited by 4,671 · cited 2× · see citing works
“The model for the process of emotion regulation by Gross (1998) explained that emotion regulation starts by selecting, or avoiding situation (situation selection/modification) that needs to be attended to (attentional deployment), giving rise to an appraisal of the situation’s valance and motivational relevance (cogni…”
MethodRumination reconsidered: a psychometric analysis.
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003) · Cognitive Therapy and Research · doi:10.1023/a:1023910315561 · Cited by 3,808 · see citing works
CONSORT 2010 statement: extension to randomised pilot and feasibility trials.
Eldridge, S. M., Chan, C. L., Campbell, M. J., Bond, C. M., Hopewell, S., Thabane, L., & Lancaster, G. A. (2016) · BMJ · doi:10.1136/bmj.i5239 · Cited by 3,404 · see citing works
CONSORT 2010 statement: extension to randomised pilot and feasibility trials
on behalf of the PAFS consensus group, Eldridge, S. M., Chan, C. L., Campbell, M. J., Bond, C. M., Hopewell, S., Thabane, L., & Lancaster, G. A. (2016) · Pilot and Feasibility Studies · doi:10.1186/s40814-016-0105-8 · Cited by 2,843 · see citing works
Negative Symptoms in Schizophrenia: Definition and Reliability
Andreasen, N. C. (1982) · Archives of General Psychiatry · doi:10.1001/archpsyc.1982.04290070020005 · Cited by 2,247 · see citing works
Saha, S., Chant, D., & McGrath, J. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.10.1123 · Cited by 2,065 · see citing works
Chlorpromazine Equivalent Doses for the Newer Atypical Antipsychotics
Woods, S. W. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0607 · Cited by 2,056 · see citing works
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.7.936 · Cited by 1,941 · see citing works
Whitehead, A. L., Julious, S. A., Cooper, C. L., & Campbell, M. J. (2016) · Statistical Methods in Medical Research · doi:10.1177/0962280215588241 · Cited by 1,936 · cited 1× · see citing works
“Whitehead et al (2016) determined that the optimal sample size of a pilot study was 20 per treatment arm for a small standardised effect size (0.2), and this rule of thumb was used to determine the sample size in the main trial designed with 80% power and two-sided 5% significance.54–56 The target…”
MethodInfluentialUsing Generalized Estimating Equations for Longitudinal Data Analysis
Ballinger, G. A. (2004) · Organizational Research Methods · doi:10.1177/1094428104263672 · Cited by 1,567 · see citing works
HADDOCK, G., McCARRON, J., TARRIER, N., & FARAGHER, E. B. (1999) · Psychological Medicine · doi:10.1017/s0033291799008661 · Cited by 1,461 · see citing works
Mindful emotion regulation: an integrative review
Chambers, R., Gullone, E., & Allen, N. B. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.06.005 · Cited by 1,360 · see citing works
Neuropsychiatric Disease and Treatment
(2020) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt · Cited by 1,179 · see citing works
Kahn, R. S., Sommer, I. E., Murray, R. M., Meyer‐Lindenberg, A., Weinberger, D. R., Cannon, T. D., O’Donovan, M. C., Correll, C. U., Kane, J. M., van Os, J., et al. (2015) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2015.67 · Cited by 1,132 · see citing works
Emotion regulation and culture: are the social consequences of emotion suppression culture-specific?
Butler, E. A., Lee, T. L., & Gross, J. J. (2007) · Emotion · doi:10.1037/1528-3542.7.1.30 · Cited by 986 · see citing works
Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis
Hilton, L., Hempel, S., Ewing, B. A., Apaydin, E., Xenakis, L., Newberry, S., Colaiaco, B., Maher, A. R., Shanman, R. M., Sorbero, M. E., et al. (2017) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9844-2 · Cited by 977 · see citing works
PILLING, S., BEBBINGTON, P., KUIPERS, E., GARETY, P., GEDDES, J., ORBACH, G., & MORGAN, C. (2002) · Psychological Medicine · doi:10.1017/s0033291702005895 · Cited by 887 · see citing works
Mindfulness-based cognitive therapy to prevent relapse in recurrent depression.
Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., Barrett, B., Byng, R., Evans, A., Mullan, E., et al. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0013786 · Cited by 770 · see citing works
Understanding the Intention-to-treat Principle in Randomized Controlled Trials
McCoy, E. (2017) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2017.8.35985 · Cited by 767 · see citing works
Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups
Norton, P. J. (2007) · Anxiety, Stress, & Coping · doi:10.1080/10615800701309279 · Cited by 708 · see citing works
Global economic burden of schizophrenia: a systematic review
Chaiyakunapruk, N., Chong, H. Y., Teoh, S. L., Wu, D. B., Kotirum, S., & Chiou, C. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s96649 · Cited by 663 · see citing works
Cross-cultural validation of the Depression Anxiety Stress Scale–21 in China.
Wang, K., Shi, H.-S., Geng, F.-L., Zou, L.-Q., Tan, S.-P., Wang, Y., Neumann, D. L., Shum, D. H. K., & Chan, R. C. K. (2016) · Psychological Assessment · doi:10.1037/pas0000207 · Cited by 635 · see citing works
Parikh, S. V., Quilty, L. C., Ravitz, P., Rosenbluth, M., Pavlova, B., Grigoriadis, S., Velyvis, V., Kennedy, S. H., Lam, R. W., MacQueen, G. M., et al. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716659418 · Cited by 562 · see citing works
(2007) · Cited by 550 · see citing works
Emotion-regulation skills as a treatment target in psychotherapy
Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.08.005 · Cited by 532 · see citing works
Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014) · PLoS ONE · doi:10.1371/journal.pone.0096110 · Cited by 495 · see citing works
Mindfulness‐based stress reduction and cancer: a meta‐analysis
Ledesma, D., & Kumano, H. (2009) · Psycho-Oncology · doi:10.1002/pon.1400 · Cited by 491 · see citing works
Gaudiano, B. A., & Herbert, J. D. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.02.007 · Cited by 435 · see citing works
Efficacy of Psychological Therapy in Schizophrenia: Conclusions From Meta-analyses
Pfammatter, M. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbl030 · Cited by 398 · see citing works
Jazaieri, H., McGonigal, K. M., Jinpa, T., Doty, J. R., Gross, J. J., & Goldin, P. R. (2013) · Motivation and Emotion · doi:10.1007/s11031-013-9368-z · Cited by 343 · see citing works
Robins, C. J., Keng, S., Ekblad, A. G., & Brantley, J. G. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.20857 · Cited by 332 · see citing works
Mindfulness groups for people with psychosis
Chadwick, P., Taylor, K. N., & Abba, N. (2005) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465805002158 · Cited by 292 · cited 2× · see citing works
“Besides, they become lost in the struggle of ruminations and attempts to confront negatively valenced experiences.(24,25) Recent studies and meta-analysis suggested that compared to healthy controls, individuals with schizophrenia were associated with a greater use of rumination (g = −0.”
BackgroundO’Driscoll, C., Laing, J., & Mason, O. J. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.07.002 · Cited by 288 · see citing works
Álvarez‐Jiménez, M., Parker, A. G., Hetrick, S. E., McGorry, P. D., & Gleeson, J. (2009) · Schizophrenia Bulletin · doi:10.1093/schbul/sbp129 · Cited by 243 · see citing works
Emotion Regulation and Psychopathology
(2004) · The Regulation of Emotion · doi:10.4324/9781410610898-23 · Cited by 240 · see citing works
Flat Affect in Schizophrenia: Relation to Emotion Processing and Neurocognitive Measures
Gur, R. C., Kohler, C. G., Ragland, J. D., Siegel, S. J., Lesko, K., Bilker, W. B., & Gur, R. C. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbj041 · Cited by 239 · see citing works
Culture shapes electrocortical responses during emotion suppression
Murata, A., Moser, J. S., & Kitayama, S. (2012) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss036 · Cited by 224 · see citing works
Hou, J., Wong, S. Y.-S., Lo, H. H.-M., Mak, W. W.-S., & Ma, H. S.-W. (2014) · Assessment · doi:10.1177/1073191113485121 · Cited by 215 · see citing works
Kimhy, D., Vakhrusheva, J., Jobson-Ahmed, L., Tarrier, N., Malaspina, D., & Gross, J. J. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.05.029 · Cited by 199 · see citing works
Unwanted effects: is there a negative side of meditation? A multicentre survey
Cebolla, A., Demarzo, M., Martins, P., Soler, J., & Garcia-Campayo, J. (2017) · PLOS ONE · doi:10.1371/journal.pone.0183137 · Cited by 192 · see citing works
Cohen, L. J., Test, M. A., & Brown, R. L. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.5.602 · Cited by 168 · see citing works
Emotion regulation strategies in patients with schizophrenia
van der Meer, L., Wout, M. V., & Aleman, A. (2009) · Psychiatry Research · doi:10.1016/j.psychres.2009.07.010 · Cited by 162 · see citing works
No words for feelings: alexithymia in schizophrenia patients and first-degree relatives
van 't Wout, M., Aleman, A., Bermond, B., & Kahn, R. S. (2007) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2006.07.003 · Cited by 158 · see citing works
Gard, D. E., Sanchez, A. H., Cooper, K., Fisher, M., Garrett, C. T., & Vinogradov, S. (2014) · Journal of Abnormal Psychology · doi:10.1037/abn0000005 · Cited by 155 · see citing works
Chien, W. T., Leung, S. F., Yeung, F. K. K., & Wong, W. K. (2013) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s49263 · Cited by 149 · see citing works
Self-citationFung, J., Kim, J. J., Jin, J., Chen, G., Bear, L., & Lau, A. S. (2019) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-018-0425-7 · Cited by 148 · cited 1× · see citing works
“Meanwhile, recent studies have suggested that emotion regulation practices and the associated psychological impacts are culturally specific.(81) Contradictory to the Western context which values emotional expression, the Asian culture considers the expression of the inner self as ego-focused, and a disturbance of soci…”
BackgroundThe role of emotion regulation in auditory hallucinations
Badcock, J. C., Paulik, G., & Maybery, M. T. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2010.07.011 · Cited by 141 · see citing works
Tarrier, N., Kinney, C., McCarthy, E., Humphreys, L., Wittkowski, A., & Morris, J. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.917 · Cited by 137 · see citing works
Henry, J. D., Rendell, P. G., Green, M. J., McDonald, S., & O'Donnell, M. (2008) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.117.2.473 · Cited by 126 · see citing works
Chien, W. T., & Thompson, D. R. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.134635 · Cited by 115 · see citing works
Self-citationImpaired emotion regulation in schizophrenia: evidence from event-related potentials
Horan, W. P., Hajcak, G., Wynn, J. K., & Green, M. F. (2013) · Psychological Medicine · doi:10.1017/s0033291713000019 · Cited by 111 · see citing works
The Significance of Depression in the Prediction of Relapse in Chronic Schizophrenia
Johnson, D. A. W. (1988) · The British Journal of Psychiatry · doi:10.1192/bjp.152.3.320 · Cited by 109 · see citing works
Perich, T., Manicavasagar, V. L., Mitchell, P. B., & Ball, J. R. B. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.03.006 · Cited by 103 · see citing works
An exploration of emotion regulation in psychosis
Livingstone, K., Harper, S., & Gillanders, D. (2009) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.635 · Cited by 103 · see citing works
Social skills programmes for schizophrenia
Almerie, M. Q., Marhi, M. O. A., Jawoosh, M., Alsabbagh, M., Matar, H. E., Maayan, N., & Bergman, H. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009006.pub2 · Cited by 96 · see citing works
The Mindfulness-Based Psychoeducation Program for Chinese Patients With Schizophrenia
Chien, W. T., & Lee, I. Y. M. (2013) · Psychiatric Services · doi:10.1176/appi.ps.002092012 · Cited by 87 · see citing works
Self-citationGrow, J. C., Collins, S. E., Harrop, E. N., & Marlatt, G. A. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.07.030 · Cited by 84 · see citing works
An ecological momentary assessment evaluation of emotion regulation abnormalities in schizophrenia
Visser, K. F., Esfahlani, F. Z., Sayama, H., & Strauss, G. P. (2018) · Psychological Medicine · doi:10.1017/s0033291717003865 · Cited by 83 · see citing works
Chien, W. T., & Yip, A. L. (2013) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s37485 · Cited by 78 · see citing works
Self-citationSuppression dampens unpleasant emotion faster than reappraisal: Neural dynamics in a Chinese sample
Yuan, J., Long, Q., Ding, N., Lou, Y., Liu, Y., & Yang, J. (2014) · Science China Life Sciences · doi:10.1007/s11427-014-4739-6 · Cited by 74 · see citing works
The habitual use of emotion regulation strategies in schizophrenia
Perry, Y., Henry, J. D., & Grisham, J. R. (2011) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2010.02001.x · Cited by 73 · see citing works
Third-wave strategies for emotion regulation in early psychosis: A pilot study
Khoury, B., Lecomte, T., Comtois, G., & Nicole, L. (2015) · Early Intervention in Psychiatry · doi:10.1111/eip.12095 · Cited by 64 · cited 1× · see citing works
“These results are consistent with a non-controlled study that demonstrated that combined compassion, acceptance and mindfulness (CAM) could significantly improve emotional self-regulation, which includes rumination, self-blaming and mood symptoms in people with psychosis at 3 months followup.(77) The results also echo…”
ResultEmotion regulation across the psychosis continuum
Chapman, H. C., Visser, K. F., Mittal, V. A., Gibb, B. E., Coles, M. E., & Strauss, G. P. (2019) · Development and Psychopathology · doi:10.1017/s0954579418001682 · Cited by 64 · see citing works
Chien, W. T., Bressington, D., Yip, A., & Karatzias, T. (2017) · Psychological Medicine · doi:10.1017/s0033291717000526 · Cited by 57 · see citing works
Self-citationRandomized controlled trials in schizophrenia: a critical perspective on the literature
Gilbody, S. M., Wahlbeck, K., & Adams, C. E. (2002) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2002.00242.x · Cited by 56 · see citing works
Emotion Regulation and Schizophrenia
Khoury, B., & Lecomte, T. (2012) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2012.5.1.67 · Cited by 51 · see citing works
Çetin, N., & Aylaz, R. (2018) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2018.04.011 · Cited by 49 · see citing works
The evidence base of Acceptance and Commitment Therapy (ACT) in psychosis: A systematic review
Wakefield, S., Roebuck, S., & Boyden, P. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.07.001 · Cited by 49 · see citing works
Effects of mindfulness, reappraisal, and suppression on sad mood and cognitive resources
Keng, S., Tan, E. L. Y., Eisenlohr-Moul, T. A., & Smoski, M. J. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.01.006 · Cited by 42 · see citing works
Rumination and autobiographical memory impairment in patients with schizophrenia
Ricarte, J. J., Hernandez, J. V., Latorre, J. M., Danion, J., & Berna, F. S. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.10.027 · Cited by 39 · see citing works
Rumination and Negative Symptoms in Schizophrenia
Halari, R., Premkumar, P., Farquharson, L., Fannon, D., Kuipers, E., & Kumari, V. (2009) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e3181b3af20 · Cited by 37 · see citing works
Guo, Y., Chang, S., Sha, F., & YIP, P. S. F. (2018) · PLoS ONE · doi:10.1371/journal.pone.0190566 · Cited by 33 · see citing works
Yılmaz, E., & Kavak, F. (2020) · Clinical Nursing Research · doi:10.1177/1054773818797871 · Cited by 31 · see citing works
Chien, W. T., Lee, I. Y.-M., & Wang, L.-Q. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s131174 · Cited by 11 · see citing works
Self-citationSchizophrenia Trial Participation: Perceived Inclusion Barriers and Beliefs about Antipsychotics
Ghio, L., Natta, W. M., Barbato, A., Marcenaro, M., Gotelli, S., Jones, P. B., & Parabiaghi, A. (2011) · Pharmacopsychiatry · doi:10.1055/s-0031-1277147 · Cited by 4 · see citing works
Flagged first, then by citations
4 of the 85 references couldn’t be matched to a known paper.
Research works printed but not linked: 5
- [10]National Collaborating Centre for Mental Health (UK). Psychosis and schizophrenia in adults: treatment and management: updated edition 2014. National Institute for Health and Care Excellence (UK). NICE Clinical Guidelines, No. 178.) 2, Psychosis and Schizophrenia in Adults; 2014 Available from: https://www.ncbi.nlm.nih.gov/books/NBK333029/. Accessed 11 7, 2018.. 25340235
- [48]Lam AHY, Chien WT. The effectiveness of mindfulness-based intervention for people with schizophrenia: a systematic review. Neuropsychiatry (London). 2016; 6: 208– 222.
- [60]Zhang C, Chung PK, Si G, Du M, Liu J. Tests of reliability and validity of the Emotion Regulation Questionnaire(ERQ) in Chinese athletes and students. Chin J Sports Med. 2014; 9: 907– 913.:.
- [63]Zhang H, Xu Y. Reliability and validity of the Chinese Short Ruminative Responses Scale (SRRS) in Chinese undergraduates. Psychol Res. 2010; 4: 7.
- [78]Richards D, Martin WE. Thought suppression and mindfulness: a randomized controlled study. VISTAS Online. 2013; 65: 1– 10.
Cited by
Sorted by citations
Conversano, C., Di Giuseppe, M., Miccoli, M., Ciacchini, R., Gemignani, A., & Orrù, G. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.01900 · Cited by 259 · see citing works
Mao, L., Li, P., Wu, Y., Luo, L., & Hu, M. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.10.022 · Cited by 68 · see citing works
Tortella, G., Seabra, A. B., Padrão, J., & Juan, R. D.-S. (2021) · Brain Sciences · doi:10.3390/brainsci11050552 · Cited by 58 · see citing works
The role of dance movement therapy in enhancing emotional regulation: A literature review
Zhang, X., & Wei, Y. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e35733 · Cited by 32 · see citing works
Sabé, M., Kohler, R., Perez, N., Sauvain-Sabé, M., Sentissi, O., Jermann, F., Prada, P., Perroud, N., & Böge, K. (2024) · Schizophrenia Research · doi:10.1016/j.schres.2023.12.011 · Cited by 29 · see citing works
“…al., 2009, 2016; Chien et al., 2017; Chien and Lee, 2013; Chien and Thompson, 2014; Davis et al., 2015; Ellett et al., 2020; Halverson et al., 2021; Lam et al., 2020; Langer et al., 2012; Langer et al., 2020; Lee, 2019; L ´ opez-Navarro et al., 2015, 2022; Mac-dougall et al., 2018; Moritz et al.,…”
Yip, A. L. K., Karatzias, T., & Chien, W. T. (2022) · Annals of Medicine · doi:10.1080/07853890.2022.2108551 · Cited by 24 · see citing works
“…Ikai et al. (2014) Low Some concerns Low Low Low Yes NR Some concerns Ikai et al. (2017) Low Some concerns Low Low Low Yes Yes Some concerns Lam et al. (2020) Low Some concerns Low Low Low Yes Yes Some concerns Langer et al. (2012) Low High High Low Low Yes NR High Lee (2019) Low Some…”
BackgroundSelf-citationChristoforou, R., Boyes, M. E., & Hasking, P. A. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.114253 · Cited by 23 · see citing works
Qin, K., Yu, Y., Cai, H., Li, J., Zeng, J., & Liang, H. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.115808 · Cited by 19 · see citing works
Jacobsen, P. C., Choksi, T., Sawyer, K., Maximen, C., Harding, E., & Richardson, M. (2022) · BMC Psychology · doi:10.1186/s40359-021-00694-4 · Cited by 16 · see citing works
Lam, A. H. Y., Cheung, Y. T. D., Wong, K. H., Leung, S. F., & Chien, W. T. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s338133 · Cited by 13 · see citing works
“The findings also provided exploratory information on the underlying mechanism of mindfulness training that might improve clinical outcomes by modifying transdiagnostic factors like rumination or negative emotions associated with psychotic symptoms.(44,50,69) Our findings suggested that rumination might act as an inde…”
BackgroundSelf-citationThe Role of Emotion in Psychosis Onset and Symptom Persistence: A Systematic Review
Gurnani, R., & Georgiades, A. (2025) · Early Intervention in Psychiatry · doi:10.1111/eip.70096 · Cited by 11 · see citing works
Chien, W. T., Chong, Y. Y., Bressington, D., & McMaster, C. W. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.116046 · Cited by 10 · see citing works
“Examples of earlier programmes designed to improve adherence in psychosis include those combining motivational interviewing-based medication adherence therapy (Gray et al., 2010; Chien et al., 2016) and acceptance-based illness self-management programs (Chien et al., 2020; Lam et al., 2020).”
Self-citationZhang, D., & Shen, J. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1072548 · Cited by 14 · see citing works
“Recent research has reported that dispositional mindfulness is negatively associated with anxiety and depression (Lam et al., 2020) and can effectively improve individual subjective well-being and mental health (Nyklíček et al.”
BackgroundReich, D., Evans, S., Nelson, B., Hickey, T., & O’Shea, M. (2021) · Mindfulness · doi:10.1007/s12671-021-01611-x · Cited by 9 · see citing works
“…or group (I/G) Mindfulness exercises reported Home practice requirements Facilitator’s mindfulness experience of weekly and maximum of daily MBPP (Lam et al., 2020) Schizophrenia spectrum illness (n=26) 8, 90 minutes weekly G Mindfulness of breath, body scan, mindful eating, mindful walking,…”
BackgroundInfluentialXue, T., Sheng, J., Gao, H., Gu, Y., Dai, J., Yang, X., Peng, H., Gao, H., Lu, R., Shen, Y., et al. (2024) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.13641 · Cited by 8 · see citing works
“35,36 These effects might occur through the modulation of emotion-generative brain regions through ‘ top-down ’ and ‘ bottom-up ’ neurological mechanisms induced by meditation.”
BackgroundReangsing, C., Wongsuraprakit, S., Punsuwun, S., & Oerther, S. E. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.116272 · Cited by 9 · see citing works
Systematic review of the safety of mindfulness-based interventions for psychosis
O'Brien-Venus, B., Ellett, L., Burgess-Barr, S., & Chadwick, P. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102445 · Cited by 6 · see citing works
Fattahi, C. B., Hamada, K., Chiang, M., Kosuru, S., Polavarapu, M., Sitthichai, R., & Fan, X. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113707 · Cited by 7 · see citing works
Yang, M., Wang, X., Zhang, Y., Qian, W., & Tang, Y. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1499705 · Cited by 6 · see citing works
Ciufalo, J., Zaccone, S., Fatiga, G., & Caputo, G. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.116211 · Cited by 7 · see citing works
“Previous studies used mindfulness on patients diagnosed with schizophrenia to improve emotion regulation and reduce rumination (Lam et al., 2020).”
BackgroundPlencler, I., Cechnicki, A., Stankiewicz, P., Krupa, A. J., Gorostowicz, A., Kalisz, A., Błądziński, P., Żwirska, M., & Siwek, M. (2025) · Mindfulness · doi:10.1007/s12671-025-02565-0 · Cited by 5 · see citing works
“Improvement in the depressive symptoms and weakening of their mechanisms were noted (Böge et al., 2021; Chadwick et al., 2016; Lam et al., 2020; López-Navarro & Al-Halabí, 2022a, b).”
InfluentialEasdale-Cheele, T., Nash, G., Filobokova, V., Westbury, C., & Bellato, A. (2026) · JCPP Advances · doi:10.1002/jcv2.70103 · Cited by 4 · see citing works
El-Azzab, S., Ali, S. M., & Othman, B. (2022) · Egyptian Journal of Nursing and Health Sciences · doi:10.21608/ejnhs.2022.271499 · Cited by 4 · see citing works
Ting, K. T., Tam, W., & Jacobsen, P. C. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00415-1 · Cited by 4 · see citing works
Lam, A. H. Y., Leung, S. F., & Chien, W. T. (2021) · Contemporary Nurse · doi:10.1080/10376178.2021.1994864 · Cited by 3 · see citing works
Self-citationKhalili, M. D., Makvand-Hosseini, S., & Sabahi, P. (2023) · Jundishapur Journal of Chronic Disease Care · doi:10.5812/jjcdc-132672 · Cited by 2 · see citing works
Adesão ao Tratamento em Esquizofrenia e as Terapias Comportamentais Contextuais
Araújo, D. D. F. (2022) · Contextos Clínicos · doi:10.4013/ctc.2022.151.13 · Cited by 2 · see citing works
Cheng, D., Young, D. K. W., Carlbring, P., Petrus Yat-nam, N. G., & Hung, S. L. (2023) · Journal of Evidence-Based Social Work · doi:10.1080/26408066.2023.2281418 · Cited by 2 · see citing works
Bilge, Y., & Balaban, G. (2023) · Cyprus Turkish Journal of Psychiatry and Psychology · doi:10.35365/ctjpp.23.4.01 · Cited by 2 · see citing works
Pirallahi, Z., Alavi, M., Akbari, M., & Aliyari, N. (2025) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_349_23 · Cited by 2 · see citing works
Şişman, F. N., DÜLCEK, S., Erdoğan, F., Cerrah, E., Erdoğan, A. E., & Cengiz, M. A. (2025) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20250415-02 · Cited by 2 · see citing works
Niv, N., Issa, F., Goldberg, R., Khandekar, P., McGraw, K., Reston, J. T., Ford, S. C., Katz, I. R., & Resnick, S. G. (2025) · Schizophrenia Bulletin · doi:10.1093/schbul/sbaf035 · Cited by 2 · see citing works
Mubashir, A., Arif, S., Kazmi, Q.-A., Naqvi, S. T. A., & Ahmed, O. (2023) · Journal of Education and Social Studies · doi:10.52223/jess.2023.4216 · Cited by 2 · see citing works
“The concept of emotion regulation encompasses the various methods by which people can guide, shape, or modulate their feelings and how they display them (Lam et al., 2020).”
BackgroundPena-Garijo, J., Mor, T. B., & Martı́nez-Raga, J. (2025) · World Journal of Psychiatry · doi:10.5498/wjp.v15.i8.107313 · Cited by 2 · see citing works
Alobudi, W., Al-Rifai, S., & Alkhalaf, A. (2024) · International Journal for Scientific Research · doi:10.59992/ijsr.2024.v3n4p20 · Cited by 1 · see citing works
Nelson, D., Haddad, P. M., Nazarene, A., Varghese, S., Badanapurkar, A., & Dsouza, D. C. (2022) · Journal of Global Health Science · doi:10.35500/jghs.2022.4.e14
Fattal, J., Nadig, A., Ristanovic, I., Osborne, K. J., Haase, C. M., & Mittal, V. A. (2025) · Schizophrenia Research · doi:10.1016/j.schres.2025.10.003
Kaçan, H. S., & Yeyit, Ş. (2026) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20260710-02
Durar, E., Akyüz, M., & Kaya, F. (2026) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2026.152184
Lester, R., Jones, A., & Gillespie, S. M. (2026) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2026.107061
- Authors
- Lam, A. H. Y., Leung, S. F., Lin, J. J., & Chien, W. T.
- Affiliations
- University of Hong Kong (HK)
- Hong Kong Polytechnic University (HK)
- Chinese University of Hong Kong (HK)
- Corresponding author
- Lam, Angie Ho Yan
- Venue
- Neuropsychiatric Disease and Treatment
- Publisher
- Informa UK Limited
- Published
- 2020-03
- Volume
- Volume 16
- Pages
- 729-747
- ISSN
- 1176-6328 (ISSN-L)
- 1178-2021
- PMC
- PMC7075335
- OpenAlex
- W3011160623
- Cited by
- 40
- References
- 85
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 9 · 2023: 6 · 2022: 7 · 2021: 5 · 2020: 2
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Neuropsychiatric Disease and Treatment (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by-nc)
- 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 › Personality Disorders and Psychopathology
- Keywords
- emotion regulation, schizophrenia spectrum disorders, emotional dysregulation, rumination, cognitive reappraisal, expressive suppression, transdiagnostic factors, psychosis relapse, treatment feasibility
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
