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The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study

BACKGROUND: Patients within psychiatric rehabilitation services have multiple, complex and enduring difficulties, and are frequently described as ‘treatment resistant’. This group have diagnoses of major mental health conditions, most commonly schizophrenia, often alongside a history of complex trau...

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Autores principales: Millar, Audrey, Tip, Liesbeth, Lennon, Ruth, Macinnes, Marlene, Michalska, Beata, Lawrie, Stephen M, Schwannauer, Matthias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305618/
https://www.ncbi.nlm.nih.gov/pubmed/32563244
http://dx.doi.org/10.1186/s12888-020-02725-7
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author Millar, Audrey
Tip, Liesbeth
Lennon, Ruth
Macinnes, Marlene
Michalska, Beata
Lawrie, Stephen M
Schwannauer, Matthias
author_facet Millar, Audrey
Tip, Liesbeth
Lennon, Ruth
Macinnes, Marlene
Michalska, Beata
Lawrie, Stephen M
Schwannauer, Matthias
author_sort Millar, Audrey
collection PubMed
description BACKGROUND: Patients within psychiatric rehabilitation services have multiple, complex and enduring difficulties, and are frequently described as ‘treatment resistant’. This group have diagnoses of major mental health conditions, most commonly schizophrenia, often alongside a history of complex trauma, co-morbid alcohol/ substance misuse, and cognitive impairment. There is no known effective medical treatment other than Clozapine in this patient group, however, there is preliminary evidence that mindfulness can help individuals with psychosis by improving their ability to cope with stressful internal experiences. This study aimed to determine if mindfulness practice groups are an acceptable therapeutic intervention in an in-patient rehabilitation setting. The study also aimed to monitor the well-being of those who participated. METHODS: Mindfulness practice groups were offered three times weekly on a 15-bedded rehabilitation ward in a psychiatric hospital over 5 months, and weekly in a second ward over an 18 month period. The sessions were delivered by Clinical Psychologists in accordance with adaptations for a psychosis population. Attendance data were gathered on both wards and additional measures of well-being were collected on one ward. Qualitative interviews were conducted with a sample of patients, group facilitators, and staff, to provide supplementary information about the acceptability of the intervention. RESULTS: In both wards around two thirds (65, 67%) of in-patients attended at least one group and smaller proportion (around a third) went on to attend regularly. There was no discernible impact on well-being using the Warwick-Edinburgh well-being scale. Qualitative interviews suggested a number of benefits to individuals attending as well as the potential for groups to enhance the therapeutic culture within wards. CONCLUSIONS: Clinical guidelines suggest that all patients with a diagnosis of psychosis should have access to psychological therapies, but delivering psychological therapy within an in-patient rehabilitation setting can be challenging. This preliminary feasibility study suggests that mindfulness practice groups are an acceptable intervention, and that further research to look at the effectiveness of mindfulness for symptoms of treatment-resistant psychosis is both possible and merited.
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spelling pubmed-73056182020-06-22 The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study Millar, Audrey Tip, Liesbeth Lennon, Ruth Macinnes, Marlene Michalska, Beata Lawrie, Stephen M Schwannauer, Matthias BMC Psychiatry Research Article BACKGROUND: Patients within psychiatric rehabilitation services have multiple, complex and enduring difficulties, and are frequently described as ‘treatment resistant’. This group have diagnoses of major mental health conditions, most commonly schizophrenia, often alongside a history of complex trauma, co-morbid alcohol/ substance misuse, and cognitive impairment. There is no known effective medical treatment other than Clozapine in this patient group, however, there is preliminary evidence that mindfulness can help individuals with psychosis by improving their ability to cope with stressful internal experiences. This study aimed to determine if mindfulness practice groups are an acceptable therapeutic intervention in an in-patient rehabilitation setting. The study also aimed to monitor the well-being of those who participated. METHODS: Mindfulness practice groups were offered three times weekly on a 15-bedded rehabilitation ward in a psychiatric hospital over 5 months, and weekly in a second ward over an 18 month period. The sessions were delivered by Clinical Psychologists in accordance with adaptations for a psychosis population. Attendance data were gathered on both wards and additional measures of well-being were collected on one ward. Qualitative interviews were conducted with a sample of patients, group facilitators, and staff, to provide supplementary information about the acceptability of the intervention. RESULTS: In both wards around two thirds (65, 67%) of in-patients attended at least one group and smaller proportion (around a third) went on to attend regularly. There was no discernible impact on well-being using the Warwick-Edinburgh well-being scale. Qualitative interviews suggested a number of benefits to individuals attending as well as the potential for groups to enhance the therapeutic culture within wards. CONCLUSIONS: Clinical guidelines suggest that all patients with a diagnosis of psychosis should have access to psychological therapies, but delivering psychological therapy within an in-patient rehabilitation setting can be challenging. This preliminary feasibility study suggests that mindfulness practice groups are an acceptable intervention, and that further research to look at the effectiveness of mindfulness for symptoms of treatment-resistant psychosis is both possible and merited. BioMed Central 2020-06-20 /pmc/articles/PMC7305618/ /pubmed/32563244 http://dx.doi.org/10.1186/s12888-020-02725-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Millar, Audrey
Tip, Liesbeth
Lennon, Ruth
Macinnes, Marlene
Michalska, Beata
Lawrie, Stephen M
Schwannauer, Matthias
The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
title The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
title_full The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
title_fullStr The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
title_full_unstemmed The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
title_short The introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
title_sort introduction of mindfulness groups to a psychiatric rehabilitation in-patient setting: a feasibility study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305618/
https://www.ncbi.nlm.nih.gov/pubmed/32563244
http://dx.doi.org/10.1186/s12888-020-02725-7
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