Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study

Datos Bibliográficos

ID15519287
AutoresKerem Böge (0000-0001-8263-4936, Charité - Universitätsmedizin Berlin, autor de correspondencia), Franziska Pollex (Charité - Universitätsmedizin Berlin), Niklas Bergmann (0000-0001-6764-4802, Charité - Universitätsmedizin Berlin), Inge Hahne (Charité - Universitätsmedizin Berlin), Marco Zierhut (0000-0003-3109-9050, Charité - Universitätsmedizin Berlin), Marco Matthäus Zierhut, Selin Mavituna (Charité - Universitätsmedizin Berlin), Neil Thomas (0000-0001-7006-6361, Swinburne University of Technology), Eric Hahn (0000-0002-3782-1983, Charité - Universitätsmedizin Berlin)
Año2022
Volumen13
Páginas959467-959467
Fecha de publicación2022-08-02
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1664-0640 • E-ISSN: 1664-0640
EditorialFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.959467
PMID35982935
OpenAlexW4289521567
IdiomaEN
Citas recibidas6
Referencias citadas78

In the last decades, third wave approaches in cognitive-behavioral therapies (CBT) have shown effectiveness in treating several mental disorders, including schizophrenia spectrum disorders (SSD). Three crucial processes associated with clinical changes in patients include mindfulness, psychological flexibility (PF) and self-compassion (SC). PF is generally assessed by cognitive fusion (CF), a negative formulated key process of PF. The current study encompasses a cross-sectional design to examine the interplay of mindfulness, CF, SC and symptom severity in SSD. It was hypothesized that mindfulness is negatively correlated with symptom severity, CF mediates the negative relation between mindfulness and symptom severity, and SC moderates the link between mindfulness and CF. In total, 79 persons with SSD were recruited at the Department of Psychiatry and Neurosciences at the Charité - Universitätsmedizin Berlin. Correlations, as well as moderated mediation analyses, were performed using the analysis modeling tool PROCESS with total symptom severity and negative symptom severity as outcome variables, measured by the Positive and Negative Syndrome Scale (PANSS) and the Self-Evaluation of Negative Symptoms Scale (SNS). Results show that the moderated mediation hypothesis was confirmed for negative symptom severity assessed by SNS, however, not for total symptom severity assessed by PANSS. In general, the association between mindfulness and CF was stronger for participants with higher SC scores in our data. Future studies should investigate the relationship between mindfulness, SC, and PF regarding symptom severity in SSD in longitudinal designs while considering the impact on different outcomes and differences regarding assessment tools

Cognition · Mediation · Mindfulness · Positive and Negative Syndrome Scale · Psychiatry · Psychosis · Schizophrenia (object-oriented programming · Schizophrenia Spectrum · Self-compassion · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Mindfulness and Compassion Interventions · Psychology · Schizophrenia research and treatment