Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study
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...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-08-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.959467/full |
| _version_ | 1818016342190587904 |
|---|---|
| author | Kerem Böge Franziska Pollex Niklas Bergmann Inge Hahne Marco Matthäus Zierhut Selin Mavituna Neil Thomas Eric Hahn |
| author_facet | Kerem Böge Franziska Pollex Niklas Bergmann Inge Hahne Marco Matthäus Zierhut Selin Mavituna Neil Thomas Eric Hahn |
| author_sort | Kerem Böge |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-14T07:12:03Z |
| format | Article |
| id | doaj.art-f5dbe5d0b3db4f61b65bc21669e8e6ea |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-14T07:12:03Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-f5dbe5d0b3db4f61b65bc21669e8e6ea2022-12-22T02:06:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-08-011310.3389/fpsyt.2022.959467959467Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional studyKerem Böge0Franziska Pollex1Niklas Bergmann2Inge Hahne3Marco Matthäus Zierhut4Selin Mavituna5Neil Thomas6Eric Hahn7Department of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyDepartment of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyDepartment of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyDepartment of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyDepartment of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyDepartment of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyCentre for Mental Health, Swinburne University of Technology, Melbourne, VIC, AustraliaDepartment of Psychiatry and Neurosciences, Charité – Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, GermanyIn 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.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.959467/fullschizophrenia spectrum disorderspsychosismindfulnessself-compassionpsychological flexibilitymoderated mediation |
| spellingShingle | Kerem Böge Franziska Pollex Niklas Bergmann Inge Hahne Marco Matthäus Zierhut Selin Mavituna Neil Thomas Eric Hahn Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study Frontiers in Psychiatry schizophrenia spectrum disorders psychosis mindfulness self-compassion psychological flexibility moderated mediation |
| title | Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study |
| title_full | Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study |
| title_fullStr | Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study |
| title_full_unstemmed | Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study |
| title_short | Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders—A cross-sectional study |
| title_sort | mindfulness cognitive fusion and self compassion in patients with schizophrenia spectrum disorders a cross sectional study |
| topic | schizophrenia spectrum disorders psychosis mindfulness self-compassion psychological flexibility moderated mediation |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.959467/full |
| work_keys_str_mv | AT keremboge mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT franziskapollex mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT niklasbergmann mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT ingehahne mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT marcomatthauszierhut mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT selinmavituna mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT neilthomas mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy AT erichahn mindfulnesscognitivefusionandselfcompassioninpatientswithschizophreniaspectrumdisordersacrosssectionalstudy |