Skip to main content
×
×
Home

Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up

  • Wai Tong Chien (a1) and David R. Thompson (a2)
Abstract
Background

Psychoeducation programmes for people with schizophrenia are shown to reduce relapses but few studies have indicated significant improvements in patients' illness awareness and insight, functioning, symptom severity or rates of readmission to hospital.

Aims

To examine the effects of a mindfulness-based psychoeducation programme for Chinese people with schizophrenia.

Method

A multisite randomised controlled trial was conducted with 107 out-patients with schizophrenia: 36 and 35 received a 6-month mindfulness-based psychoeducation and a conventional psychoeducation programme, respectively, and 35 received routine care alone. Patient outcome measures were psychiatric symptom severity, psychosocial functioning, social support, insight into illness/treatment, and frequency and duration of readmissions to hospital (ClinicalTrials.gov: trial registration NCT01667601).

Results

The mindfulness-based psychoeducation group reported significantly greater improvements in psychiatric symptoms, psychosocial functioning, insight into illness/treatment and duration of readmissions to hospital over 24 months when compared with the other two groups.

Conclusions

Mindfulness-based psychoeducation appears to be a promising approach to treatment for Chinese patients with schizophrenia.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up
      Available formats
      ×
Copyright
Corresponding author
Wai Tong Chien, Mental Health Research Group, School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China. Email: wai.tong.chien@polyu.edu.hk
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 Lehman, AF, Lieberman, JA, Dixon, LB, McGlashan, TH, Miller, AL, Perkins, DO, et al. Practice guideline for the treatment of patients with schizophrenia. Am J Psychiatry 2004; 161 (suppl 2): s156.
2 National Institute for Health and Clinical Excellence. Core Interventions in the Treatment and Management of Schizophrenia in Adults in Primary and Secondary Care (Update). NICE, 2009.
3 Rummel-Kluge, C, Kissling, W. Psychoeducation in schizophrenia: new developments and approaches in the field. Curr Opin Psychiatry 2008; 21: 168–72.
4 Xia, J, Merinder, LB, Belqamwar, MR. Psychoeducation for schizophrenia. Cochrane Database Syst Rev 2001; 6: CD002831.
5 Chadwick, P, Hughes, S, Russell, D, Russell, I, Daqnan, D. Mindfulness groups for distressing voices and paranoia: a replication and randomized feasibility trial. Behav Cogn Psychother 2009; 27: 403–12.
6 Bäuml, J, Froböse, T, Kraemer, S, Rentrop, M, Pitschel-Walz, G. Psychoeducation: a basic psychotherapeutic intervention for patients with schizophrenia and their families. Schizophr Bull 2006; 32 (suppl 1): s19.
7 Chien, WT, Lee, YMI. The mindfulness-based psychoeducation program for Chinese patients with schizophrenia. Psychiatr Serv 2013; 64: 376–9.
8 Ma, SH, Teasdale, JD. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Couns Clin Psychol 2004; 72: 3140.
9 Freeman, D, Garety, PA, Kuipers, E, Fowler, D, Bebbington, PE. A cognitive model of persecutory delusions. Br J Clin Psychol 2002; 41: 331–47.
10 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn). APA, 1994.
11 Chan, SW, Yip, B, Tso, S, Cheng, BS, Tam, W. Evaluation of a psychoeducation program for Chinese patients with schizophrenia and their family caregivers. Patient Educ Couns 2009; 75: 6776.
12 Li, Z, Arthur, D. Family education for people with schizophrenia in Beijing, China: randomised controlled trial. Br J Psychiatry 2005; 187: 339–45.
13 Stevens, JP. Applied Multivariate Statistics for the Social Sciences. Lawrence Erlbaum, 2002.
14 Schultz, KF, Altman, DG, Moher, D, CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med 2010; 152: 726–32.
15 Overall, JE, Gorham, DR. The Brief Psychiatric Rating Scale. Psychol Reports 1962; 10: 799812.
16 Schneider, LC, Struening, EL. SLOF: a behavioral rating scale for assessing the mentally ill. Soc Work Res Abstr 1983; 19: 921.
17 Sarason, IG, Sarason, BR, Shearin, EN, Pierce, GR. A brief measure of social support: practical and theoretical implications. J Soc Person Relat 1987; 4: 497510.
18 McEvoy, JP, Apperson, LJ, Appelbaum, PS, Ortlip, P, Brecosky, J, Hammill, K, et al. Insight in schizophrenia: its relationship to acute psychopathology. J Nerv Ment Dis 1989; 177: 43–7.
19 Chien, W-T, Chan, SWC, Thompson, DR. Effects of a mutual support group for families of Chinese people with schizophrenia: 18-month follow-up. Br J Psychiatry 2006; 189: 41–9.
20 Chien, WT, Leung, SF. A controlled trial of a needs-based, nurse-led psychoeducation program for Chinese patients with first-onset mental disorders: 6-month follow-up. Int J Nurs Practice 2013; 19 (suppl 1): s313.
21 Bezchlibnyk-Butler, KZ, Jeffries, JJ, Virani, AS. Clinical Handbook of Psychotropic Drugs (17th edn). Hogrefe and Huber, 2007.
22 Kreyenbuhl, J, Buchanan, RW, Dickerson, FB, Dixon, LB, Schizophrenia Patients Outcomes Research Team. The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2009. Schizophr Bull 2010; 36: 94103.
23 Macpherson, R, Jerrom, B, Hughes, A. A controlled study of education about drug treatment in schizophrenia. Br J Psychiatry 1996; 168: 709–17.
24 Tabachnick, BG, Fidell, LS. Using Multivariate Statistics. Allyn and Bacon, 2001.
25 Chlesa, A, Serretti, A. Mindfulness-based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Res 2011; 187: 441–53.
26 Brown, LF, Davis, LW, LaRocco, VA, Strasburger, A. Participant perspectives on mindfulness meditation training for anxiety in schizophrenia. Am J Psychiatric Rehabil 2010; 13: 224–42.
Recommend this journal

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

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×
Type Description Title
PDF
Supplementary materials

Chien and Thompson supplementary material
Supplementary Table S1

 PDF (49 KB)
49 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 11
Total number of PDF views: 138 *
Loading metrics...

Abstract views

Total abstract views: 961 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 16th August 2018. This data will be updated every 24 hours.

Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-year follow-up

  • Wai Tong Chien (a1) and David R. Thompson (a2)
Submit a response

eLetters

Mindfulness-based intervention can be effective to psychotic patients

Cecilia Chun, Lecturer, The University of Hong Kong
17 September 2015

The controlled trial tested the effects of a mindfulness-based psycho-education programme for Chinese outpatients with schizophrenia on a wide variety of patient outcomes, including their mental and psychosocial functioning, insights into illness and re-hospitalisation rates, over a long-term (18 months) follow-up. The programme was an integrated, insight-inducing educational programme that addressed patients’ awareness and knowledge of schizophrenia and skills of illness management. The findings suggest that people with schizophrenia may not be distressed by the occurrence of psychotic symptoms but the meaning they construct. With only a few clinical trials, it is important to have this evidence suggesting that mindfulness-based education can be effective not only in recurrently depressed patients but also in schizophrenia sufferers. However, it is noteworthy that these improvements might be a combined effect of mindfulness training, psycho-education and problem-solving, all of which are considered therapeutic factors in previous psychosocial interventions.

... More

Conflict of interest: None Declared

Write a reply

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *