Mindfulness for psychosis: current evidence, unanswered questions and future directions

Ellett, Lyn (2023) Mindfulness for psychosis: current evidence, unanswered questions and future directions. Psychology and Psychotherapy: Theory, Research and Practice. (In Press)

Record type: Article

Abstract

Purpose & Method: mindfulness for psychosis research has grown exponentially over the last 15 years. In this paper, a brief overview of mindfulness for psychosis is provided followed by a summary of the findings from a systematic search of meta-analyses dated up to February 2023. Current issues in the field are discussed and a future research agenda is presented.

Results: 10 meta-analyses published between 2013-2023 were identified. Reported effect sizes on reductions in psychotic symptoms ranged from small-large across reviews. Four key issues in the field are identified and discussed – (1) is mindfulness for psychosis safe?; (2) is home practice essential and related to clinical outcomes?; (3) what is the impact of mindfulness practice vs metacognitive insights derived from practice, on clinical outcomes?; (4) do the benefits translate into routine clinical practice?

Conclusions: mindfulness is a promising intervention that is emerging as being both safe and effective for people with psychosis. Future research focused on evaluating mechanisms of change and implementation in routine clinical practice should be prioritised.

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Mindfulness for Psychosis_Special Issue - Accepted Manuscript

Available under License University of Southampton Accepted Manuscript Licence.

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