Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
BMC Psychiatry. 2024 Nov 6;24(1):769. doi: 10.1186/s12888-024-06204-1.
The exact connection between mindfulness, psychological flexibility, and severity of symptoms within schizophrenia spectrum disorders is mostly undefined and requires additional exploration. This study aimed to determine whether mindfulness, cognitive fusion, and symptom severity predict self-compassion among patients with schizophrenia.
A cross-sectional descriptive research design was undertaken within the psychiatric in-patient department of Mansoura University Hospitals, situated in El-Mansoura, the administrative centre of Dakahlia governorate in the Delta area, Egypt. A total of 100 patients with schizophrenia participated in the study. Data were collected from October 2023 to January 2024 by using various tools: A socio-demographic questionnaire and clinical data sheet, the Positive and Negative Syndrome Scale (PANSS), the Mindful Attention Awareness Scale (MAAS), The Cognitive Fusion Questionnaire (CFQ), and The Self-Compassion Scale - Short Form (SCS-SF).
The findings show that mindfulness significantly impacts self-compassion among patients with schizophrenia. The results show that mindfulness significantly and positively impacts self-compassion, and cognitive fusion significantly and negatively impacts self-compassion. However, symptom severity did not significantly impact self-compassion (B = -0.02, t = -0.56, p = 0.57).
The study concluded that people with schizophrenia need to be aware of their inner experience of negative feelings and thoughts at the moment and accept them. Thus, ACT, mindfulness-based, and compassion-based interventions may improve patients' cognitive fusion, mindfulness, psychological flexibility, and self-compassion.
正念、心理灵活性与精神分裂症谱系障碍症状严重程度之间的确切联系大多尚未明确，需要进一步探索。本研究旨在确定正念、认知融合与症状严重程度是否能预测精神分裂症患者的自我同情。
在埃及达卡利亚省首府曼苏拉市的曼苏拉大学附属医院的精神科住院部进行了一项横断面描述性研究设计。共有 100 名精神分裂症患者参与了这项研究。数据是在 2023 年 10 月至 2024 年 1 月期间通过使用各种工具收集的：一份社会人口学问卷和临床数据表、阳性和阴性症状量表（PANSS）、正念注意觉察量表（MAAS）、认知融合问卷（CFQ）和自我同情量表-短式（SCS-SF）。
研究结果表明，正念对精神分裂症患者的自我同情有显著影响。结果表明，正念对自我同情有显著的正向影响，而认知融合对自我同情有显著的负向影响。然而，症状严重程度对自我同情没有显著影响（B=-0.02，t=-0.56，p=0.57）。
研究结论是，精神分裂症患者需要在当下意识到自己的消极情绪和想法，并接受它们。因此，接纳与承诺疗法、基于正念的干预和基于同情的干预可能会改善患者的认知融合、正念、心理灵活性和自我同情。
