Stakeholder views on mindfulness for youth at risk for psychosis.
Daniel Reich, Subhadra Evans, Melissa O'Shea
PMID 35779266WHAT IT FOUND
People at risk for psychosis and practitioners saw mindfulness as potentially helpful for stress and difficult thoughts, but said self-criticism, low motivation, anxiety and paranoia can block practice.
They asked for short, concrete, trauma-sensitive, guided exercises.
Key findings
01Stakeholders saw mindfulness as potentially helpful for stress and difficult thoughts, but low motivation, self-criticism, social anxiety and paranoia were barriers to uptake.
02They recommended short, concrete, repeatable exercises and compassion practices to help young people stay with difficult experiences.
03Safety recommendations included trauma-sensitive practice, grounding exercises, reduced silence and co-facilitation to monitor distressing experiences.
STILL TO COME
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What it does not show
No mindfulness programme was delivered or tested, so these are stakeholder views, not evidence of effectiveness. Only six young people were interviewed, and five were male, so the findings may not cover the wider UHR group. The interviewer and research team had a clinical interest in mindfulness, and the authors note this may have biased interviews toward positive interpretations. Experience with mindfulness among practitioners was not measured, and the UHR group is clinically heterogeneous. Recruitment was difficult because UHR young people can be hard to access, and some case managers were hesitant to discuss risk status.
The easy way to misread this
Do not read these stakeholder views as evidence that mindfulness improves outcomes for youth at risk for psychosis. No mindfulness programme was delivered or tested, and the findings come from 14 interviews.