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Mindfulness Mediates the Effect of a Psychological Online Intervention for Psychosis on Self-Reported Hallucinations: A Secondary Analysis of Voice Hearers From the EviBaS Trial

Permanent link
https://hdl.handle.net/10037/20198
DOI
https://doi.org/10.3389/fpsyt.2020.00228
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Date
2020-04-03
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Author
Lüdtke, Thies; Platow-Kohlschein, Heike; Rüegg, Nina; Berger, Thomas; Moritz, Steffen; Westermann, Stefan
Abstract
Background: Psychological online interventions (POIs) could represent a promising approach to narrow the treatment gap in psychosis but it remains unclear whether improving mindfulness functions as a mechanism of change in POIs. For the present study, we examined if mindfulness mediates the effect of a comprehensive POI on distressing (auditory) hallucinations.

Methods: We conducted a secondary analysis on voice hearers (n = 55) from a randomized controlled trial evaluating a POI for psychosis (EviBaS; trial registration NCT02974400, clinicaltrials.gov). The POI includes a module on mindfulness and we only considered POI participants in our analyses who completed the mindfulness module (n = 16).

Results: Participants who completed the mindfulness module reported higher mindfulness (p = 0.015) and lower hallucinations (p = 0.001) at post assessment, compared to controls, but there was no effect on distress by voices (p = 0.598). Mindfulness mediated the POI’s effect on hallucinations (b = −1.618, LLCI = −3.747, ULCI = −0.054) but not on distress by voices (b = −0.057, LLCI = −0.640, ULCI = 0.915).

Is part of
Lüdtke, T. (2021). Identifying and treating predictors of psychotic symptoms - How findings from Experience Sampling research can help to improve the treatment of psychosis and the prediction of relapse. (Doctoral thesis). https://hdl.handle.net/10037/21190
Publisher
Frontiers Media
Citation
Lüdtke, Platow-Kohlschein, Rüegg, Berger, Moritz, Westermann. Mindfulness Mediates the Effect of a Psychological Online Intervention for Psychosis on Self-Reported Hallucinations: A Secondary Analysis of Voice Hearers From the EviBaS Trial. Frontiers in Psychiatry. 2020;11:1-10
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