Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 85
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    McKie, Ashley Askew, Kristina and Dudley, Robert 2017. An experimental investigation into the role of ruminative and mindful self-focus in non-clinical paranoia. Journal of Behavior Therapy and Experimental Psychiatry, Vol. 54, p. 170.

    Antonova, Elena Amaratunga, Kavitha Wright, Bernice Ettinger, Ulrich and Kumari, Veena 2016. Schizotypy and mindfulness: Magical thinking without suspiciousness characterizes mindfulness meditators. Schizophrenia Research: Cognition, Vol. 5, p. 1.

    Bernárdez, Beatriz Durán, Amador Parejo, José A. and Ruiz–Cortés, Antonio 2016. An experimental replication on the effect of the practice of mindfulness in conceptual modeling performance. Journal of Systems and Software,

    Bogosian, Angeliki Hughes, Alicia Norton, Sam Silber, Eli and Moss-Morris, Rona 2016. Potential treatment mechanisms in a mindfulness-based intervention for people with progressive multiple sclerosis. British Journal of Health Psychology,

    Chadwick, Paul Strauss, Clara Jones, Anna-Marie Kingdon, David Ellett, Lyn Dannahy, Laura and Hayward, Mark 2016. Group mindfulness-based intervention for distressing voices: A pragmatic randomised controlled trial. Schizophrenia Research, Vol. 175, Issue. 1-3, p. 168.

    Cramer, Holger Lauche, Romy Haller, Heidemarie Langhorst, Jost and Dobos, Gustav 2016. Mindfulness- and Acceptance-based Interventions for Psychosis: A Systematic Review and Meta-analysis. Global Advances in Health and Medicine, Vol. 5, Issue. 1, p. 30.

    Hayward, Mark Slater, Luke Berry, Katherine and Perona-Garcelán, Salvador 2016. Establishing the “Fit” between the Patient and the Therapy: The Role of Patient Gender in Selecting Psychological Therapy for Distressing Voices. Frontiers in Psychology, Vol. 7,

    Jansen, Jens Einar and Morris, Eric M.J. 2016. Acceptance and Commitment Therapy for Posttraumatic Stress Disorder in Early Psychosis: A Case Series. Cognitive and Behavioral Practice,

    Johns, Louise C. Oliver, Joseph E. Khondoker, Mizanur Byrne, Majella Jolley, Suzanne Wykes, Til Joseph, Candice Butler, Lucy Craig, Thomas and Morris, Eric M.J. 2016. The feasibility and acceptability of a brief Acceptance and Commitment Therapy (ACT) group intervention for people with psychosis: The ‘ACT for life’ study. Journal of Behavior Therapy and Experimental Psychiatry, Vol. 50, p. 257.

    Martins, Maria João Castilho, Paula Santos, Vitor and Gumley, Andrew 2016. Schizophrenia: An Exploration of an Acceptance, Mindfulness, and Compassion-based Group Intervention. Australian Psychologist,

    Lavin, D. 2015. The challenges of facilitating a mindfulness programme in a psychiatric inpatient unit. Irish Journal of Psychological Medicine, p. 1.

    Lincoln, Tania M. Hartmann, Maike Köther, Ulf and Moritz, Steffen 2015. Do People With Psychosis Have Specific Difficulties Regulating Emotions?. Clinical Psychology & Psychotherapy, Vol. 22, Issue. 6, p. 637.

    López-Navarro, Emilio Del Canto, Cristina Belber, Miriam Mayol, Antoni Fernández-Alonso, Ovidio Lluis, Josep Munar, Enric and Chadwick, Paul 2015. Mindfulness improves psychological quality of life in community-based patients with severe mental health problems: A pilot randomized clinical trial. Schizophrenia Research, Vol. 168, Issue. 1-2, p. 530.

    McManus, Freda Muse, Kate Surawy, Christina Hackmann, Ann and Williams, J. Mark G. 2015. Relating Differently to Intrusive Images: the Impact of Mindfulness-Based Cognitive Therapy (MBCT) on Intrusive Images in Patients with Severe Health Anxiety (Hypochondriasis). Mindfulness, Vol. 6, Issue. 4, p. 788.

    Morera, Tirma Bucci, Sandra Randal, Chloe Barrett, Moya and Pratt, Daniel 2015. Exploring views about mindfulness groups for voice-hearing from the perspective of service users and staff: A Q-methodology study. Psychotherapy Research, p. 1.

    Randal, Chloe Bucci, Sandra Morera, Tirma Barrett, Moya and Pratt, Daniel 2015. Mindfulness-Based Cognitive Therapy for Psychosis: Measuring Psychological Change Using Repertory Grids. Clinical Psychology & Psychotherapy, p. n/a.

    Sauer, Sebastian Lemke, Jana Zinn, Winfried Buettner, Ricardo and Kohls, Niko 2015. Mindful in a random forest: Assessing the validity of mindfulness items using random forests methods. Personality and Individual Differences, Vol. 81, p. 117.

    Sistig, Brigitte Lambrecht, Ingo and Friedman, Susan Hatters 2015. Journey back into body and soul – An exploration of mindful yoga with psychosis. Psychosis, Vol. 7, Issue. 1, p. 25.

    Sistig, Brigitte Friedman, Susan Hatters McKenna, Brian and Consedine, Nathan S. 2015. Mindful yoga as an adjunct treatment for forensic inpatients: a preliminary evaluation. The Journal of Forensic Psychiatry & Psychology, Vol. 26, Issue. 6, p. 824.

    Strauss, Clara Thomas, Neil and Hayward, Mark 2015. Can we respond mindfully to distressing voices? A systematic review of evidence for engagement, acceptability, effectiveness and mechanisms of change for mindfulness-based interventions for people distressed by hearing voices. Frontiers in Psychology, Vol. 6,


Mindfulness Groups for Distressing Voices and Paranoia: A Replication and Randomized Feasibility Trial

  • Paul Chadwick (a1), Stephanie Hughes (a2), Daphne Russell (a3), Ian Russell (a3) and Dave Dagnan (a4)
  • DOI:
  • Published online: 01 July 2009

Background: The clinical literature cautions against use of meditation by people with psychosis. There is, however, evidence for acceptance-based therapy reducing relapse, and some evidence for clinical benefits of mindfulness groups for people with distressing psychosis, though no data on whether participants became more mindful. Aims: To assess feasibility of randomized evaluation of group mindfulness therapy for psychosis, to replicate clinical gains observed in one small uncontrolled study, and to assess for changes in mindfulness. Method: Twenty-two participants with current distressing psychotic experiences were allocated at random between group-based mindfulness training and a waiting list for this therapy. Mindfulness training comprised twice-weekly sessions for 5 weeks, plus home practice (meditation CDs were supplied), followed by 5 weeks of home practice. Results: There were no significant differences between intervention and waiting-list participants. Secondary analyses combining both groups and comparing scores before and after mindfulness training revealed significant improvement in clinical functioning (p = .013) and mindfulness of distressing thoughts and images (p = .037). Conclusions: Findings on feasibility are encouraging and secondary analyses replicated earlier clinical benefits and showed improved mindfulness of thoughts and images, but not voices.

Corresponding author
Reprint requests to Paul Chadwick, Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail:
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

N. Abba , P. D. J. Chadwick and C. Stevenson (2008). Responding mindfully to distressing psychosis: a grounded theory analysis. Psychotherapy Research, 18, 7787.

P. Bach and S. C. Hayes (2002). The use of acceptance and commitment therapy to prevent the rehospitalisation of psychotic patients: a randomised controlled trial. Journal of Consulting Clinical Psychology, 70, 11291139.

R. A. Baer , G. T. Smith , J. Hopkins , J. Krietemeyer and L. Toney (2006). Using self report assessment methods to explore facets of mindfulness. Assessment, 13, 2745.

M. J. Birchwood and P. D. J. Chadwick (1997). The omnipotence of voices: testing the validity of a cognitive model. Psychological Medicine, 27, 13451353.

P. D. J. Chadwick (2006). Person-Based Cognitive Therapy for Distressing Psychosis. Chichester: Wiley.

P. D. J. Chadwick , M. Hember , J. Symes , E. Peters , E. Kuipers and D. Dagnan (2008). Responding mindfully to distressing thoughts and images: reliability and validity of the Southampton Mindfulness Questionnaire (SMQ). British Journal of Clinical Psychology, 47, 451455.

P. D. J. Chadwick , S. J. Lees and M. J. Birchwood (2000). The revised Beliefs about Voices Questionnaire (BAVQ-r). British Journal of Psychiatry, 177, 229232.

B. A. Gaudiano and J. D. Herbert (2006). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: pilot results. Behavior Research Therapy, 44, 415437.

G. Haddock , J. McCarron , N. Tarrier and E. B. Faragher (1999). Scales to measure dimensions of hallucinations and delusions: the Psychotic Symptoms Rating Scale (PSYRATS). Psychological Medicine, 29, 879889.

A. P. Morrison (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29, 257276.

A. P. Morrison and A. Wells (2003). A comparison of metacognitions in patients with hallucinations, delusions, panic disorder, and non-patient controls. Behavior Research Therapy, 41, 251256.

M. A. J. Romme , A. Honig , E. O. Noorthoorn and A. D. Escher (1992). Coping with hearing voices: an emancipatory approach. British Journal of Psychiatry, 161, 99103.

J. D. Teasdale , R. G. Moore , H. Hayhurst , M. Pope , S. Williams and Z. V. Segal (2002). Metacognitive awareness and prevention of relapse in depression: empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275287.

G. Yorston (2001). Mania precipitated by meditation: a case report and literature review. Mental Health, Religion and Culture, 4, 209213.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
Please enter your name
Please enter a valid email address
Who would you like to send this to? *