Mindfulness-Based Interventions for In-Patients With Schizophrenia Spectrum Disorders—A Qualitative Approach

摘要: In recent years, mindfulness-based interventions (MBI) have gained clinical relevance in the treatment of patients with schizophrenia spectrum disorders (SSDs). High symptom burden, long durations hospitalization and high rehospitalization rates demonstrate severity cost-intensity these disorders. MBIs shown promising outcomes a small number trials, primarily taking place English-speaking countries. The current study aims to explore mechanisms processes as well adverse effects on in-patients SSDs German university hospital setting. A qualitative design based inductive thematic analysis accompanied by quantitative assessments was chosen. semi-structured interview guide developed psychiatrists psychologists assess patient experiences, perceptions, thoughts, feelings during after part MBI. Twenty-seven interviews were conducted between September 2017 October 2018 who are diagnosed or schizoaffective disorder. Rater-based questionnaires, such Positive Negative Syndrome Scale (PANSS), Montgomery Asberg Depression Rating (MADRS), Psychotic Symptom Scales-Auditory Hallucination (PSYRATS-AH) administered at baseline collect outcomes. Qualitative revealed two domains: content function. first domain related core elements "detachment rumination", "presence getting lost", "non-judgment judgment", "emotions", "cognition", "symptom changes". second function extracted, including perception context transfer everyday life. Overall, improvements concerning cognition, distress, psychopathology detected, while no effects, increased psychotic symptoms, revealed. As its kind, mechanisms, processes, safety explored confirmed sample SSDs. results this line findings amongst from other Results lay ground for future research focus systematic large samples, outcomes, effectiveness