Mindfulness on daily life coping in people experiencing psychosisa randomized controlled trial

  1. Emilio López-Navarro 1
  2. Susana Al-Halabí 2
  1. 1 Universitat de les Illes Balears
    info

    Universitat de les Illes Balears

    Palma, España

    ROR https://ror.org/03e10x626

  2. 2 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Aldizkaria:
International journal of clinical and health psychology

ISSN: 1697-2600

Argitalpen urtea: 2022

Alea: 22

Zenbakia: 2

Orrialdeak: 11-20

Mota: Artikulua

DOI: 10.1016/J.IJCHP.2022.100298 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: International journal of clinical and health psychology

Garapen Iraunkorreko Helburuak

Laburpena

Antecedentes/Objetivo La Terapia Cognitivo-Conductual para la psicosis (TCCp) es un tratamiento eficaz mediado por el afrontamiento del estrés. Las Intervenciones Basadas en Mindfulness (IBM) han demostrado efectos positivos en psicosis por lo que combinarlas con TCCp podría mejorar el afrontamiento. El estudio compara el efecto de la TCCp con TCCp+IBM sobre el afrontamiento en psicosis. Método Cincuenta y seis participantes con psicosis fueron reclutados y asignados aleatoriamente a TCCp o TCCp+IBM. Los protocolos fueron sincronizados con las rutinas de los participantes. Las medidas incluyeron la entrevista PANSS y el inventario COPE. Los datos se analizaron con ANOVA de medidas repetidas y se calculó el RCI. Resultados No hubo diferencias estadísticamente significativas entre grupos en el pre-tratamiento, sí las hubo en la interacción Tratamiento x Tiempo en desconexión mental (F = 5,65, p = 0,021, η2 = 0,102), Aceptación (F = 7,69, p = 0,008, η2 = 0,133), y Supresión de distractores (F = 4,62, p = 0,037, η2 = 0,085). Conclusiones La IBM fomenta estilos de afrontamiento en psicosis que la TCCp en solitario no. TCCp+IBM mejoró la aceptación del estresor y redujo la desconexión mental. La intervención es eficaz y viable en un contexto asistencial.

Erreferentzia bibliografikoak

  • Al-Halabí, S., Saiz, P. A., Garrido, M., Galvan, G., Casares, M. J., Bobes-Bascaran, M. T., Díaz-Mesa, E. M., Buron, P., García-Alvarez, L., Suarez-Alvarez, J., Muñiz, J., García-Portilla, M. P., & Bobes, J. (2016). Psychometric properties of a Spanish-version of the Schizophrenia Objective Functioning Instrument (Sp-SOFI). International Journal of Clinical and Health Psychology, 16, 58–75. https://doi.org/10.1016/j.ijchp.2015.07.004.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Association.
  • Blanco-Donoso, L. M., Garcia-Rubio, C., Gallardo, J. A., Pereira, G., de la Pinta, M. L. R., Rubio, J. J., & Garrosa, E. (2021). ACTbased Stress Management Training Aimed at Improving Workers’ Mental Health in an Intensive Care Unit: A Mixed Methods Study1. Clínica y Salud, 32, 111–117. https://doi.org/10.5093/clysa2021a12.
  • Calvete, E., Franco, M. A. R., Oñate, L., Alonso, M. S.-I., & Bermejo-Toro, L (2021). Trait Mindfulness, Rumination, and Well-being in Family Caregivers of People with Acquired Brain Injury. Clínica y Salud, 32, 71–77. https://doi.org/10.5093/clysa2021a5.
  • Carver, C. S., Scheier, M. F., & Weintraub, K. J. (1989). Assessing Coping Strategies: A Theoretically Based Approach. Journal of Personality and Social Psychology, 56, 267–283. https://doi.org/10.1037/0022-3514.56.2.267.
  • Chadwick, P. (2019). Mindfulness for psychosis: A humanising therapeutic process. Current Opinion in Psychology, 28, 317–320.https://doi.org/10.1016/j.copsyc.2019.07.022.
  • Chen, H., Xu, J., Mao, Y., Sun, L., Sun, Y., & Zhou, Y. (2019). Positive Coping and Resilience as Mediators Between Negative Symptoms and Disability Among Patients With Schizophrenia. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00641 Article 641.
  • Chien, W. T., Cheng, H. Y., McMaster, T. W., Yip, A. L. K., & Wong, J. C. L. (2019). Effectiveness of a mindfulness-based psychoeducation group programme for early-stage schizophrenia: An 18-month randomised controlled trial. Schizophrenia Research, 212, 140–149. https://doi.org/10.1016/j.schres.2019.07.053.
  • Christensen, L., & Mendoza, J. L. (1986). A method of assessing change in a single subject: An alteration of the RC index. Behavior Therapy, 17, 305–308.
  • Christensen, M. K., Lim, C. C. W., Saha, S., Plana-Ripoll, O., Cannon, D., Presley, F., Weye, N., Momen, N. C., Whiteford, H. A., Iburg, K. M., & McGrath, J. J. (2020). The cost of mental disorders: a systematic review. Epidemiology and Psychiatric Sciences, 29. https://doi.org/10.1017/ S204579602000075X Article e161.
  • Cooke, A. (2017). Understanding Psychosis and Schizophrenia. The British Psychological Society.
  • Crits-Christoph, P., & Connolly-Gibbons, M. B. (2021). Psychotherapy Process-Outcome Research: Advances in Unverstanding Cusal Connections. In M. Barkham, W. Lutz, L. Castongua (Eds.), Bergin and Garfield0s Handbook of Psychotherapy and Behavior Change. Wiley.
  • Errasti-Perez, J., Al-Halabí, S., Lopez-Navarro, E., & Perez-Alvarez, M. (in press). Mindfulness: Why it may work and why it is sure to succeed. Behavioral Psychology /Psicología Conductual. In press
  • Folkman, S., & Moskowitz, J. T. (2004). Coping: Pitfalls and Promise. Annual Review of Psychology, 55, 745–774. https://doi.org/10.1146/annurev.psych.55.090902.141456.
  • Fonseca Pedrero, E., Perez-Alvarez, M., Al-Halabí, S., Inchausti, F., Muñiz, J., Lopez-Navarro, E., Perez de Albeniz, A., Lucas Molina, B., Debbane, M., Bobes-Bascaran, M. T., Gimeno-Peon, A., Prado-Abril, J., Fernandez-Alvarez, J., Rodríguez-Testal, J. F., Gonzalez Pando, D., Díez-Gomez, A., García Montes, J. M., García-Cerdan, L., Osma, J., . . . Marrero, R. J. (2021). Evidence-Based Psychological Treatments for Adults: A Selective Review. Psicothema, 33, 188–197. https://doi.org/10.7334/psicothema2020.426.
  • Forman, E. M., Arch, J. J., Bricker, J. B., Guadiano, B. A., Jurascio, A. S., Rizvi, S. L., Segal, Z. V., & Vowles, K. E. (2021). Mindfulness and Acceptance-Based Treatments. In M. Barkham, W. Lutz, L. G. Castongua (Eds.), Bergin and Garfield0s Handbook of Psychotherapy and Behavior Change. (50th ed.). Wiley.
  • Gin, K., Stewart, C., Abbott, C., Banerjea, P., Bracegirdle, K., Browning, S., Byrne, M., Emsley, R., Ginestet, C., Hirsch, C., Kuipers, E., Laurens, K. R., Onwumere, J., Plant, D., Valmaggia, L., & Jolley, S. (2021). Psychosocial predictors of distressing unusual experiences in adolescence: Testing the fit of an adult cognitive model of psychosis. Schizophrenia Research, 237, 1–8. https://doi.org/10.1016/j.schres.2021.08.018.
  • Jansen, J. E., Gleeson, J., Bendall, S., Rice, S., & Alvarez-Jimenez, M. (2020). Acceptanceand mindfulness-based interventions for persons with psychosis: A systematic review and meta-analysis. Schizophrenia Research, 215, 25–37. https:// doi.org/10.1016/j.schres.2019.11.016.
  • Karas, H., Çarpar, E., Kucukgoncu, S., & Kaser, M. (2021). Associations of Attachment and Coping Styles With Social Functioning in Patients With Bipolar Disorder I. Journal of Nervous & Mental Disease, 209, 578–584. https://doi.org/10.1097/NMD.0000000000001352.
  • Kay, S. R., Fiszbein, A., Vital-Herne, M., & Fuentes, L. S. (1990). The positive and negative syndrome scale Spanish adaptation. Journal of Nervous and Mental Disease, 178, 510–517.
  • Levin, M. E., & Villatte, M. (2016). The role of experimental psycho-pathology and laboratory-based intervention studies in contextual behavioral science. In R. D. Zettle, S. Hayes, S. Barnes-Holmes, A. Biglan (Eds.), The Wiley handbook of contextual behavioral science (pp. 347-364). Wiley Blackwell.
  • Lindsay, E. K., & Creswell, J. D. (2019). Mindfulness, acceptance, and emotion regulation: perspectives from Monitor and Acceptance Theory (MAT). Current Opinion in Psychology, 28, 120–125. https://doi.org/10.1016/j.copsyc.2018.12.004.
  • Liu, Y., Li, I., & Hsiao, F. (2021). Effectiveness of mindfulness-based intervention on psychotic symptoms for patients with schizophrenia: A meta-analysis of randomized controlled trials. Journal of Advanced Nursing, 77, 2565–2580. https://doi.org/ 10.1111/jan.14750.
  • Lopez-Navarro, E., del Canto, C., Mayol, A., Fern�andez-Alonso, O., & Munar, E. (2018). Psychotic symptoms and quality of life: A mediation analysis of daily-life coping. Psychiatry Research, 262, 505–509. https://doi.org/10.1016/j.psychres.2017.09.034.
  • Lopez-Navarro, E., & Al-Halabí, S (2021). Effects of mindfulness on psychotic symptoms: insights from a randomized clinical trial. Psychosis. https://doi.org/10.1080/17522439.2021.1889649 Advance online publication.
  • Lopez-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernandez-Alonso, O., Lluis, J., Munar, E., & Chadwick, P. (2015). Mindfulness improves psychological quality of life in communitybased patients with severe mental health problems: A pilot randomized clinical trial. Schizophrenia Research, 168, 530–536. https://doi.org/10.1016/j.schres.2015.08.016.
  • Lopez-Navarro, E., Del Canto, C., Mayol, A., Fernandez-Alonso, O., Reig, J., & Munar, E. (2020). Does mindfulness improve inhibitory control in psychotic disorders? A randomized controlled clinical trial. International Journal of Clinical and Health Psychology, 20, 192–199. https://doi.org/10.1016/j.ijchp.2020.07.002.
  • Lysaker, P. H., Hillis, J. D., Zalzala, A. B., & Gagen, E. C. (2020). Reflection and Recovery from Psychosis during the Time of COVID-19: Adaptation in Psychotherapy in the United States. Clínica y Salud, 31, 99–103. https://doi.org/10.5093/clysa2020a16.
  • National Institute of Mental Health. (2021). Recovery After an Initial Schizophrenia Episode (RAISE). Questions and Answers. . https://www.nimh.nih.gov/health/topics/schizophrenia/raise/raise-questions-and-answers#3.
  • NICE. (2020). Rehabilitation for adults with complex psychosis. NICE guideline. National Institute for Health and Care Excellence.
  • Ordoñez-Camblor, N., Paino, M., Fonseca-Pedrero, E., & Pizarro-Ruiz, J. P. (2021). Mediation of the stigma in the influence of negative symptomatology over recovery in psychosis. International Journal of Clinical and Health Psychology, 21. https://doi.org/10.1016/j.ijchp.2021.100220 Article 100220.
  • Pardos-Gascón, E. M., Narambuena, L., Leal-Costa, C., & van-der Hofstadt-Román, C. J. (2021). Differential efficacy between cognitive-behavioral therapy and mindfulness-based therapies for chronic pain: Systematic review. International Journal of Clinical and Health Psychology, 21, 100197. https:// doi.org/10.1016/j.ijchp.2020.08.001.
  • Peralta, V., & Cuesta, M. (1994). Validaci�on de la escala de los síndromes positivo y negativo (PANSS) en una muestra de esquizofr�enicos espa~noles. Actas Luso-Espa~nolas de Neurología y Psiquiatría, 4, 44–50.
  • Pérez-Aranda, A., García-Campayo, J., Gude, F., Luciano, J. V., Feliu-Soler, A., Gonzalez-Quintela, A., Lopez-del-Hoyo, Y., & Montero-Marin, J. (2021). Impact of mindfulness and self-compassion on anxiety and depression: The mediating role of resilience. International Journal of Clinical and Health Psychology, 21. https://doi.org/10.1016/j.ijchp.2021.100229 Article 100229.
  • Piotrowski, P., Rymaszewska, J., Stanczykiewicz, B., Malecka, M., Kotowicz, K., Samochowiec, J., Samochowiec, A., Plichta, P., Kalinowska, S., & Misiak, B. (2020). Stress coping strategies and their clinical correlates in patients with psychosis at various stages of illness: A case-control study. Early Intervention in Psychiatry, 14, 559–567. https://doi.org/10.1111/eip.12880.
  • Prasko, J., Holubova, M., Hruby, R., Latalova, K., Kamaradova, D., Marackova, M., Slepecky, M., & Gubova, T. (2016). Coping strategies and self-stigma in patients with schizophrenia-spectrum disorders. Patient Preference and Adherence, 10, 1151–1158. https://doi.org/10.2147/PPA.S106437.
  • Ramos, J. M., Broco, L., Sanchez, A., & Doll, A. (2020). Personality as unidimensional and bidimensional vulnerability: The mediator role of cognitive variables in symptom severity in a sample of people with severe personality disorder. Clínica y Salud, 31, 1– 12. https://doi.org/10.5093/clysa2019a18.
  • Scharfstein, D. O., & McDermott, A. (2019). Global sensitivity analysis of clinical trials with missing patient-reported outcomes. Statistical Methods in Medical Research, 28, 1439–1456. https://doi.org/10.1177/0962280218759565.
  • Schlier, B., Ludwig, L., Wiesjahn, M., Jung, E., & Lincoln, T. M. (2020). Fostering coping as a mechanism of symptom change in cognitive behavioural therapy for psychosis. Schizophrenia Research, 215, 416–423. https://doi.org/10.1016/j.schres.2019.07.047.
  • Strauss, C., Gu, J., Montero-Marin, J., Whittington, A., Chapman, C., & Kuyken, W. (2021). Reducing stress and promoting well-being in healthcare workers using mindfulness-based cognitive therapy for life. International Journal of Clinical and Health Psychology, 21. https://doi.org/10.1016/j.ijchp.2021.100227 Article 100227.
  • World Health Organization. (2019). International statistical classification of diseases and related health problems (11th ed.). Author.
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