The Role of Five Facets of Mindfulness in a Mindfulness-Based Psychoeducation Intervention for People With Recent-Onset Psychosis on Mental and Psychosocial Health Outcomes
Open accessAbstract
Objective: This study aimed to examine how five facets of mindfulness may be associated with the changes in psychotic patients’ health outcomes after participating in a mindfulness-based psychoeducation group (MBPEG) program. Methods: Longitudinal follow-up data from two pragmatic randomized controlled trials of MBPEG for psychotic patients were used for this study. A total of 124 patients who completed the MBPEG program were included in this analysis. Patient outcomes (psychotic symptoms, functioning, insight into illness/treatment, subjective recovery) and five facets of mindfulness were assessed at baseline and six, 12 and 24 months post-intervention. Areas under the curve of individual outcomes in repeated-measures were computed using trapezoidal method, rescaled to the original possible range of the underlying variable and used for correlation and regression analyses. Results: All mean scores of the five facets increased across time and were significantly correlated with the improvements in all patient outcomes (p values ranged from <.001 to <.05), except ‘non-judging’ facet and symptom severity. Regression analyses revealed that only ‘observing’ and ‘acting with awareness’ were significantly associated with positive changes across all outcomes (increase in adjusted R2 ranged from 5.9% to 24.2%, p values <.001). Conclusions: Two facets of mindfulness, ‘observing’ and ‘acting with awareness’, were related to positive outcomes of psychotic patients after participating in the MBPEG. More efforts in addressing these two facets of mindfulness can be considered to increase the efficacy of mindfulness-based interventions in psychosis.
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A 2-year longitudinal follow-up study revealed that all facets of mindfulness significantly increased over time and that two facets (observing and acting with awareness) were significantly associated with improvements in positive and negative symptoms.
“A 2-year longitudinal follow-up study of the relationships between changes in the five facets of mindfulness (observing, describing, acting with awareness, nonjudging and nonreactivity) and the clinical outcomes of psychotic patients who received mindfulness training revealed that all facets of mindfulness significantly increased over time and that two facets (observing and acting with awareness)”
From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [50]
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- Authors
- Chien, W. T., Chow, K. M., Chong, Y. Y., Bressington, D., Choi, K. C., & Chan, C. W. H.
- Affiliations
- Chinese University of Hong Kong (HK)
- Hong Kong Polytechnic University (HK)
- Corresponding author
- Chong, Yuen Yu
- ORCID
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2020-03-11
- Volume
- 11
- Pages
- 177-177
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC7078358
- OpenAlex
- W3012557249
- Cited by
- 33
- References
- 59
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 7 · 2021: 5 · 2020: 3 · 2018: 1
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by)
- Funders
- Hong Kong Polytechnic University
- Food and Health Bureau
- Health and Medical Research Fund
- 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, psychosis, recent-onset psychosis, psychotic symptoms, functioning, insight into illness, subjective recovery, observation, acting with awareness, non-judgment, mental health outcomes, psychosocial outcomes
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 ›
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