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Mindfulness-Based Interventions for People with Schizophrenia: A Systematic Review and Meta-Analysis

Author

Listed:
  • Ricardo M. Hodann-Caudevilla

    (San Juan de Dios Hospital, 28350 Ciempozuelos, Spain)

  • Cintia Díaz-Silveira

    (Psychology Department, Rey Juan Carlos University, 28922 Madrid, Spain)

  • Francisco A. Burgos-Julián

    (Psychology Department, Rey Juan Carlos University, 28922 Madrid, Spain)

  • Miguel A. Santed

    (Personality, Psychological Assessment and Treatment Department, Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain)

Abstract

(1) Background: There is increasing interest in the practice of mindfulness-based interventions (MBIs) to treat people with schizophrenia, as evidenced by the publication of different randomized controlled trials (RCTs). However, no meta-analysis of RCTs has been carried out to date with the exclusive inclusion of this type of interventions. (2) Objective: To analyze empirical evidence regarding the effectiveness of MBIs for the improvement of clinical parameters associated with schizophrenia. Method: A systematic review and meta-analysis was conducted of RCTs published in the databases PsycINFO, PubMed, WOS, and Cochrane Library. (3) Results: A total of 10 articles (n = 1094) fulfilled the criteria for inclusion in the review. The analysis of these studies suggests that MBIs combined with standard interventions are able to generate significant improvements in a variety of clinical schizophrenia-related parameters, such as the intensity of overall symptomatology (g = 0.72), positive symptoms (g = 0.32), negative symptoms (g = 0.40), functioning level (g = 1.28), and awareness of illness (g = 0.65). (4) Conclusions: There is evidence that supports the effectiveness and safety of MBIs for the treatment of people with schizophrenia. The results obtained by MBIs are comparable to those obtained by cognitive-behavioral therapy for psychosis. However, given the heterogeneity of the applied interventions and the methodological limitations found in the reviewed trials, the results should be interpreted with caution.

Suggested Citation

  • Ricardo M. Hodann-Caudevilla & Cintia Díaz-Silveira & Francisco A. Burgos-Julián & Miguel A. Santed, 2020. "Mindfulness-Based Interventions for People with Schizophrenia: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(13), pages 1-18, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4690-:d:378076
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    References listed on IDEAS

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    2. Michael de Vibe & Arild Bjørndal & Sabina Fattah & Gunvor M Dyrdal & Even Halland & Emily E Tanner‐Smith, 2017. "Mindfulness‐based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta‐analysis," Campbell Systematic Reviews, John Wiley & Sons, vol. 13(1), pages 1-264.
    3. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    1. Ae Sil Kim & Mi Heui Jang & Min Jung Sun, 2021. "Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress, Heart Rate Variability, Affect, and Wellbeing among People with Schizophrenia," IJERPH, MDPI, vol. 18(22), pages 1-14, November.

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