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. 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. 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. 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.

中文翻译：

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将正念小组引入精神病康复患者住院环境：一项可行性研究。

精神病康复服务部门的患者面临多重，复杂和持久的困难，经常被描述为“抗治疗性”。该组诊断出主要的精神健康状况，最常见的是精神分裂症，并伴有复杂的创伤，合并病态的酒精/物质滥用和认知障碍的病史。在该患者组中，除氯氮平以外，没有其他有效的治疗方法，但是，有初步证据表明，正念可以通过提高他们应对压力内在经历的能力来帮助精神病患者。这项研究旨在确定正念练习组在住院康复环境中是否可以接受。该研究还旨在监测参与人员的幸福感。正念练习小组每周在精神病医院的15张床位的康复病房中进行3次为期5个月的活动，在第二病房中进行为期18个月的每周3次。这些会议由临床心理学家根据针对精神病人群的适应性进行。在两个病房都收集了出勤率数据，并在一个病房上收集了更多的幸福感。对患者，团体协助者和员工进行了定性访谈，以提供有关干预措施可接受性的补充信息。在这两个病房中，约三分之二（65％，67％）的住院病人至少参加了一组，而较小的一部分（约三分之一）则继续定期参加。使用Warwick-Edinburgh的幸福感量表对幸福感没有明显的影响。定性访谈表明，参会人员可以从中受益，也可以让团体增强病房中的治疗文化。临床指南建议，所有确诊为精神病的患者都应该可以接受心理治疗，但是在住院康复环境中进行心理治疗可能具有挑战性。这项初步的可行性研究表明，正念练习小组是可以接受的干预措施，并且有可能进行进一步研究以研究正念治疗对难治性精神病症状的有效性。临床指南建议，所有确诊为精神病的患者都应该可以接受心理治疗，但是在住院康复环境中进行心理治疗可能具有挑战性。这项初步的可行性研究表明，正念练习组是可以接受的干预措施，并且有可能进行进一步研究以研究正念治疗对难治性精神病症状的有效性。临床指南建议，所有确诊为精神病的患者都应该可以接受心理治疗，但是在住院康复环境中进行心理治疗可能具有挑战性。这项初步的可行性研究表明，正念练习组是可以接受的干预措施，并且有可能进行进一步研究以研究正念治疗对难治性精神病症状的有效性。