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Depression and anxiety following psychosis: associations with mindfulness and psychological flexibility.

Behavioural and cognitive psychotherapy
January 1, 2013
Ross G White et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate how psychological flexibility and mindfulness are associated with depression and anxiety following psychosis.

Results Summary

The study found that psychological flexibility and aspects of mindfulness were significantly correlated with depression and anxiety in individuals with psychosis, but psychological flexibility accounted for a larger proportion of variance in these symptoms.

Population

Thirty participants with psychosis experiencing emotional dysfunction.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
psychological flexibility
no change
depression subscale of the HADS
participants with psychosis experiencing emotional dysfunction
-
had significant correlations with
#1
psychological flexibility
no change
anxiety subscale of the HADS
participants with psychosis experiencing emotional dysfunction
-
had significant correlations with
#2
aspects of mindfulness
no change
depression subscale of the HADS
participants with psychosis experiencing emotional dysfunction
-
had significant correlations with
#3
aspects of mindfulness
no change
anxiety subscale of the HADS
participants with psychosis experiencing emotional dysfunction
-
had significant correlations with
#4
psychological flexibility
no change
variance in depression scores
participants with psychosis experiencing emotional dysfunction
46%
contributed significantly to models predicting
#5
psychological flexibility
no change
variance in anxiety scores
participants with psychosis experiencing emotional dysfunction
46%
contributed significantly to models predicting
#6
mindfulness
no change
variance in depression scores
participants with psychosis experiencing emotional dysfunction
-
did not contribute significantly to models predicting
#7
mindfulness
no change
variance in anxiety scores
participants with psychosis experiencing emotional dysfunction
-
did not contribute significantly to models predicting
#8
Abstract

BACKGROUND: Individuals experiencing psychosis can present with elevated levels of depression and anxiety. Research suggests that aspects of depression and anxiety may serve an avoidant function by limiting the processing of more distressing material. Acceptance and Commitment Therapy suggests that avoidance of aversive mental experiences contributes to psychological inflexibility. Depression and anxiety occurring in the context of psychosis have a limiting effect on quality of life. No research to date has investigated how levels of psychological flexibility and mindfulness are associated with depression and anxiety occurring following psychosis. AIMS: This study investigated associations psychological flexibility and mindfulness had with depression and anxiety following psychosis. METHOD: Thirty participants with psychosis were recruited by consecutive referral on the basis that they were experiencing emotional dysfunction following psychosis. The Hospital Anxiety and Depression Scale (HADS), Positive and Negative Syndrome Scale (PANSS), Acceptance and Action Questionnaire (AAQ-II) and the Kentucky Inventory of Mindfulness Skills (KIMS) were used. A cross-sectional correlational design was used. RESULTS: The depression and anxiety subscales of the HADS both had significant correlations with psychological flexibility (as assessed by the AAQ-II) and aspects of mindfulness (as assessed by the KIMS). Hierarchical regression analyses indicated that psychological flexibility, but not mindfulness, contributed significantly to models predicting 46% of variance in both depression and anxiety scores. CONCLUSIONS: Although aspects of mindfulness are associated with depression and anxiety following an episode of psychosis, psychological flexibility appears to account for a larger proportion of variance in depression and anxiety scores in this population.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAdultAnxiety DisordersAwarenessCognitive Behavioral TherapyCommunity Mental Health ServicesDepressive DisorderFemaleHumansMalePsychiatric Status Rating ScalesPsychotic DisordersScotland
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality70/10
Citation Metrics
Total Citations11
Citations/Year0.9
Relative Citation Ratio0.51
NIH Percentile27.6%
Research Impact Scores
APT Score0.50
Weight Score1.35
Normalized Score0.60
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