| Author: | Lam, Ho Yan |
| Title: | The effectiveness of a mindfulness psychoeducation programme for emotional regulation in individuals with schizophrenia : a pilot randomised control trial |
| Advisors: | Chien, Wai Tong (SN) Leung, Sau Fong (SN) |
| Degree: | DHSc |
| Year: | 2020 |
| Subject: | Schizophrenia Emotions Mindfulness-based cognitive therapy Hong Kong Polytechnic University -- Dissertations |
| Department: | Faculty of Health and Social Sciences |
| Pages: | xiv, 290 pages : color illustrations |
| Language: | English |
| Abstract: | Background: Emotion regulation has emerged as a transdiagnostic process in psychopathology that potentially exacerbates the risk of onset, maintenance of symptoms, and relapse of psychosis. Emotion dysregulation is closely associated with clinical outcomes in schizophrenic patients, including affective and psychological disturbance, symptom exacerbation and severity, social impairment, and illness relapse. Yet, there is no therapeutic intervention to target emotion regulation in this special population. Aims: The purpose of this study was to examine the effects of a mindfulness-based psychoeducation programme (MBPP) on emotion regulation in people with schizophrenia, in particular, in accessing and altering emotion regulation strategies. The objective of this study was to determine whether it is feasible to implement MBPP in the community setting, and whether MBPP's affect on emotion regulation reduces rumination, expressive suppression, and enhances cognitive reappraisal with a sustainable effect at 3-month follow-up. It also explored these patients' perceptions of benefits and shortcomings of mindfulness and the programme in relation to living and coping with their disease. Methods: This study adopted a mixed-method design. A single-blinded randomized control trial with repeated-measures designs was used, and a formative evaluation of this intervention was conducted using individual interviews to explore the participants' perceived benefits and limitations of mindfulness and the programme. Participants: A total of 49 patients who met the study criteria were recruited from Integrated Community Centre for Mental Wellness (ICCMW) and two Long Stay Care Home (LSCH), covering a large geographical region (New Territories and Kowloon) of Hong Kong. Participants were randomly assigned into either the intervention (MBPP) or control (treatment as usual; TAU) group. Intervention: The treatment group received a 90-min weekly MBPP for 8 weeks, with 6-8 participants per group; the control group received TAU plus weekly telephone contacts for 8 weeks. Outcome measures: Primary measures of this study were the Short Ruminative Response Scale (SRRS) to measure rumination and Emotion Regulation Questionnaire (ERQ) to measure emotion regulation strategies, including cognitive appraisal and suppression. Secondary measures included Depression Anxiety Stress Scale (DASS-21) to measure mood symptoms, Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF) to measure mindfulness levels and psychotic symptoms, and the Chinese version of the Psychotic Symptom Rating Scale (C-PSYRATS) to measure psychotic symptoms. Socio-demographic and clinical data were also collected by a trained assessor who was blinded to the intervention assignment. These data were measured at recruitment (T1) and immediately after intervention (T2), and 3-month after intervention (T3). Results: There were no statistically significant differences in demographic characteristics and in outcome measures (SRRS, ERQ, DASS-21, FFMQ-20, and PYSRAT) between the two groups at the baseline (T1) using independent t tests (continues variables) and Chi-square test (categorical variables). Generalized estimating equations (GEE) indicated that there was a significant between-group difference in improvement in reappraisal at T3 (B = 6.65, Wald's X2 = 3.95, p = .047) in the adjusted model. There were statistically significant improvements in total SRRS at post-assessment (T2; MD = -2.73, p = .016) and 3-month post-assessment (T3; MD = -2.73, p = 0.42) in the intervention group. Participants reported feeling peaceful and calm during mindfulness practice, an increase in self-understanding, and the development of a mindfulness attitude to cope with daily difficulties. Conclusion: MBPP appeared to be an effective intervention for people with schizophrenia. Further data and research are warranted to evaluate the effectiveness of this new treatment. |
| Rights: | All rights reserved |
| Access: | restricted access |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| 5064.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 3.67 MB | Adobe PDF | View/Open |
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