Depression and anxiety following psychosis: associations with mindfulness and psychological flexibility.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.