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

San Juan de Dios Hospital, 28350 Ciempozuelos, Spain
Psychology Department, Rey Juan Carlos University, 28922 Madrid, Spain
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;
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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