Abstract Title:

Mindfulness meditation for Chinese patients with psychosis: A systematic review and meta-analysis.

Abstract Source:

Schizophr Res. 2021 Sep 9 ;237:103-114. Epub 2021 Sep 9. PMID: 34509897

Abstract Author(s):

Tiffany Junchen Tao, Christy Lai Ming Hui, Bertha Sze Ting Lam, Elise Chun Ning Ho, Priscilla Wing Man Hui, Yi Nam Suen, Jessie Jingxia Lin, Alan Chun Yat Tong, Edwin Ho Ming Lee, Sherry Kit Wa Chan, Wing Chung Chang, Eric Yu Hai Chen

Article Affiliation:

Tiffany Junchen Tao


Mindfulness meditation (MM) and its alignment with the mind-body perspective of health in Chinese cultures indicate its potential to benefit Chinese patients with psychosis. This is the first systematic review and meta-analysis to address the following questions: (1) Does MM improve clinical, well-being, and third-wave outcomes (i.e., mindfulness, acceptance, and compassion levels) among Chinese patients with psychosis? (2) What are the patient- and/or intervention-specific factors that moderate the efficacy of MM? (3) Are improvements on third-wave outcomes associated with improvements on clinical and well-being outcomes? (4) What are the mechanisms underlying the effects of MM? Evidence synthesized from 23 relevant articles (20 studies) involving 1749 patients showed that (1) MM improved a wide range of patients' outcomes, most consistently and sustainably for insight, rehospitalization duration, recovery rate, and social functioning; (2) age and duration of illness, but not the cumulated intervention hours, moderated the overall efficacy of MM; (3) post-MM improvements on mindfulness and on clinical and well-being outcomes were related, and (4) the effects of MM on patients' outcomes may be driven by its ability to promote positive changes in personal growth and enhance one's coping with the illness and its symptoms. Our data showed preliminary support for the benefits of MM in Chinese patients with psychosis. However, results should be considered in light of the varying quality of included studies and their heterogeneity in multiple aspects. Further research is needed to deduce the sustainability of MM's effects, its active ingredients, underlying mechanisms, and additional moderators of its efficacy.

Study Type : Meta Analysis, Review
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