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

1
San Juan de Dios Hospital, 28350 Ciempozuelos, Spain
2
Psychology Department, Rey Juan Carlos University, 28922 Madrid, Spain
3
Personality, Psychological Assessment and Treatment Department, Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(13), 4690; https://doi.org/10.3390/ijerph17134690
Received: 24 April 2020 / Revised: 19 June 2020 / Accepted: 26 June 2020 / Published: 30 June 2020
(This article belongs to the Special Issue Adult Psychiatry )
(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. View Full-Text
Keywords: mindfulness; effectiveness; schizophrenia; meta-analysis mindfulness; effectiveness; schizophrenia; meta-analysis
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Hodann-Caudevilla, R.M.; Díaz-Silveira, C.; Burgos-Julián, F.A.; Santed, M.A. Mindfulness-Based Interventions for People with Schizophrenia: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2020, 17, 4690.

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