University of Southampton, Southampton, UK.
Psychol Psychother. 2024 Mar;97(1):34-40. doi: 10.1111/papt.12480. Epub 2023 Jun 30.
PURPOSE & METHOD: Mindfulness for psychosis research has grown exponentially over the last 15 years. In this paper, a brief overview of mindfulness for psychosis is provided followed by a summary of the findings from a systematic search of meta-analyses dated up to February 2023. Current issues in the field are discussed and a future research agenda is presented.
Ten meta-analyses published between 2013 and 2023 were identified. Reported effect sizes on reductions in psychotic symptoms ranged from small-large across reviews. Four key issues in the field are identified and discussed - (1) is mindfulness for psychosis safe? (2) is home practice essential and related to clinical outcomes? (3) what is the impact of mindfulness practice versus metacognitive insights derived from practice, on clinical outcomes? (4) do the benefits translate into routine clinical practice?
Mindfulness is a promising intervention that is emerging as being both safe and effective for people with psychosis. Future research focused on evaluating mechanisms of change and implementation in routine clinical practice should be prioritised.
过去 15 年来，精神病学领域对正念的研究呈指数级增长。本文简要概述了正念在精神病学中的应用，并对截至 2023 年 2 月的元分析系统检索结果进行了总结。讨论了当前该领域存在的问题，并提出了未来的研究议程。
共确定了 10 项发表于 2013 年至 2023 年的元分析。各综述报告的正念对精神症状减轻的效果从小到大不等。该领域确定并讨论了四个关键问题：（1）正念对精神病是否安全？（2）家庭练习是否必不可少且与临床结果相关？（3）正念练习与练习中产生的元认知洞察对临床结果的影响是什么？（4）益处是否转化为常规临床实践？
正念是一种很有前途的干预措施，对于精神病患者来说，既安全又有效。未来的研究应侧重于评估常规临床实践中的变化机制和实施情况。
