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Evidence Map of Mindfulness for Stages of Psychosis: State of the Literature and Implications for Future Research
Mindfulness ( IF 3.801 ) Pub Date : 2021-03-31 , DOI: 10.1007/s12671-021-01611-x
Daniel Reich , Subhadra Evans , Barnaby Nelson , Tara Hickey , Melissa O’Shea

Objectives

How to best implement mindfulness interventions within different stages of psychosis (high risk for psychosis, first episode psychosis (FEP), established psychosis) remains relatively unexplored. Understanding where and how mindfulness research has been conducted at different stages of illness can guide future research, and improve intervention acceptability and treatment effects.

Methods

An evidence mapping approach was taken to systematically search and identify where and how mindfulness research has been conducted across stages of psychosis. Papers were examined for intervention approaches and safety concerns, and content analysis examined practitioner recommendations to identify recommendations within and across stages of illness.

Results

A paucity of research relating to the application of mindfulness in the treatment of psychotic illness exists for the high risk stage, with some research in FEP. The majority of research examines mindfulness approaches for the chronic stage of illness. Intervention formats for different stages of psychosis varied widely. Across all stages of psychosis, authors recommended adaptations for cognitive impairments (e.g., shorter exercises for impacted attention), longer interventions, and more helpful ways of explaining mindfulness and encouraging practice. Few stage-specific recommendations emerged beyond the potential helpfulness of compassion-based practices within earlier stages of illness where self-stigmatization often emerges.

Conclusions

Recommendations for how to best adapt mindfulness to early intervention in psychosis are needed, and future research needs to better understand risks and utility of different mindfulness practices for different stages of illness.



中文翻译:

精神病阶段正念的证据图:文献现状和对未来研究的影响

目标

如何在精神病的不同阶段(精神病的高风险、首发精神病 (FEP)、已确立的精神病)最好地实施正念干预仍然相对未探索。了解在疾病的不同阶段在哪里以及如何进行正念研究可以指导未来的研究,并提高干预的可接受性和治疗效果。

方法

采用证据映射方法来系统地搜索和确定在精神病的各个阶段进行正念研究的地点和方式。研究论文的干预方法和安全问题,内容分析检查了从业者的建议,以确定疾病阶段内和跨疾病阶段的建议。

结果

在高风险阶段,关于正念在治疗精神疾病中的应用的研究很少,但在 FEP 中有一些研究。大多数研究检查了慢性疾病阶段的正念方法。精神病不同阶段的干预形式差异很大。在精神病的所有阶段,作者建议对认知障碍进行调整(例如,缩短锻炼时间来影响注意力)、更长的干预时间以及更有用的解释正念和鼓励练习的方法。在疾病的早期阶段,自我污名化经常出现,除了基于同情心的做法的潜在帮助之外,很少有针对特定阶段的建议出现。

结论

需要就如何最好地使正念适应精神病的早期干预提出建议,未来的研究需要更好地了解不同正念练习对不同疾病阶段的风险和效用。

更新日期:2021-03-31
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