This study aims to determine the effect of mindfulness-based psychosocial skills training (MBPST) on the functional recovery and insight level in patients with schizophrenia. In this study, 40 patients with schizophrenia registered in the Aksaray Community Mental Health Centre were divided into two groups: the intervention group (n = 20) and the non-intervention group (n = 20). The Functional Recovery Scale in Schizophrenia (FRSS) and the Beck Cognitive Insight Scale (BCIS) were measured at preintervention and postintervention. The posttest mean scores of FRSS and BCIS of the intervention group were statistically higher than the non-intervention group (p < 0.05). The MBPST program improved functional recovery and cognitive insight in schizophrenia. In line with these results, it has been recommended that MBPST program should be provided along with medical treatment in Community Mental Health Centres.
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Aleman, A. (2014). Neurocognitive basis of schizophrenia: Information processing abnormalities and clues for treatment. Advanced Neurology, 104920, 1–15.
Ali, A., Carre, A., Orri, M., Urbach, M., Barry, C., Hassler, C., et al. (2017). The real-life effectiveness of psychosocial therapies on social autonomy in schizophrenia patients: results from a nationwide cohort study in France. Psychiatry Research, 247, 97–104.
Aslan, S., Türkçapar, H., Güney, E., Eren, N., Akkoca, Y., Uğurlu, M., et al. (2005). The validity and reliability of the Turkish version of "Beck cognitive insight scale" in schizophrenic patient. Journal of Clinical Psychology, 8(4), 186–196.
Beck, A. T., Baruch, E., Balter, J. M., Steer, R. A., & Warman, D. M. (2004). A new instrument for measuring insight: The Beck cognitive insight scale. Schizophrenia Research, 68(2–3), 319–329.
Buonocore, M., Bosia, M., Baraldi, M. A., Bechi, M., Spangaro, M., Cocchi, F., et al. (2018). Achieving recovery in patients with schizophrenia through psychosocial interventions: A retrospective study. Psychiatry and Clinical Neurosciences, 72(1), 28–34.
Chakraborty, K., & Basu, D. (2010). Insight in schizophrenia: A comprehensive update. German Journal of Psychiatry, 13, 17–30.
Chiu, E. C., Hung, T. M., Huang, C. M., Lee, S. C., & Hsieh, C. L. (2018). Responsiveness of the personal and social performance scale in patients with schizophrenia. Psychiatry Research, 260, 338–342.
Çetin, N., & Aylaz, R. (2018). The effect of mindfulness-based psychoeducation on insight and medication adherence of schizophrenia patients. Archives of Psychiatric Nursing, 32(5), 737–744.
Emiroğlu, B., Karadayi, G., & Aydemir, Ö. (2009). Validation of the Turkish version of the “functional remission of general schizophrenia” (FROGS) scale. Noro Psikiyatri Arsivi, 46(Suppl), 15–24.
Erol, A., Delibas, H., Bora, O., & Mete, L. (2015). The impact of insight on social functioning in patients with schizophrenia. International Journal of Social Psychiatry, 61(4), 379–385.
Ertem, M. Y., & Duman, Z. Ç. (2019). The effect of motivational interviews on treatment adherence and insight levels of patients with schizophrenia: A randomized controlled study. Perspectives Psychiatric Care, 55(1), 75–86.
Fatani, B. Z., Aldawod, R., Alhawaj, F. A., Alsadah, S., Slais, F. R., Alyaseen, E. N., et al. (2017). Schizophrenia: Etiology, pathophysiology and management: A review. Egyptian Journal of Hospital Medicine, 69(6), 2640–2646.
Inchausti, F., García-Poveda, N. V., Ballesteros-Prados, A., Ortuño-Sierra, J., Sánchez-Reales, S., Prado-Abril, J., et al. (2018). The effects of metacognition-oriented social skills training on psychosocial outcome in schizophrenia-spectrum disorders: A randomized controlled trial. Schizophrenia Bulletin, 44(6), 1235–1244.
Joseph, B., Narayanaswamy, J. C., & Venkatasubramanian, G. (2015). Insight in schizophrenia: Relationship to positive, negative and neurocognitive dimensions. Indian Journal of Psychological Medicine, 37(1), 5–11.
Kaya, Y., & Öz, F. (2019). Global social functioning of patients with schizophrenia and care burden of caregiving relatives. Journal of Psychiatric Nursing, 10(1), 28–38.
Kuo, J., & Lin, S. K. (2010). Functional recovery in schizophrenia. Taiwanese Journal of Psychiatry, 24(2), 87–98.
Lam, A. H. Y., & Chien, W. T. (2016). The effectiveness of mindfulness-based intervention for people with schizophrenia: A systematic review. Neuropsychiatry, 6(5), 208–222.
Langer, A. I., Cangas, A. J., Salcedo, E., & Fuentes, B. (2012). Applying mindfulness therapy in a group of psychotic individuals: A controlled study. Behavioural and Cognitive Psychotherapy, 40(1), 105–109.
Lee, K. H. (2019). A randomized controlled trial of mindfulness in patients with schizophrenia. Psychiatry Research, 275, 137–142.
Llorca, P. M., Lançon, C., Lancrenon, S., Bayle, F. J., Caci, H., Rouillon, F., et al. (2009). Functional remission of general schizophrenia (frogs) scale: Development and validation of a new questionnaire. Schizophrenia Research, 113(2–3), 218–225.
Lopez-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernandez-Alonso, O., Lluis, J., et al. (2015). Mindfulness improves psychological quality of life in community-based patients with severe mental health problems: A pilot randomized clinical trial. Schizophrenia Research, 168(1–2), 530–536.
Lysaker, P. H., Pattison, M. L., Leonhardt, B. L., Phelps, S., & Vohs, J. L. (2018). Insight in schizophrenia spectrum disorders: Relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments. World Psychiatry, 17(1), 12–23.
Lysaker, P. H., Vohs, J., Hillis, J. D., Kukla, M., Popolo, R., Salvatore, G., et al. (2013). Poor insight into schizophrenia: Contributing factors, consequences and emerging treatment approaches. Expert Reviews Neurotherapy, 13(7), 785–793.
Patel, K. R., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: Overview and treatment options. Pharmacy and Therapeutics, 39(9), 638–645.
Pazvantoğlu, O., Sarısoy, G., Böke, Ö., Aker, A. A., Özturan, D. D., & Ünverdi, E. (2014). The dimensions of caregiver burden in schizophrenia: The role of patients’ functionality. Düşünen Adam The Journal of Psychiatry and Neurological Sciences, 27, 53–60.
Rakitzi, S., Georgila, P., & Efthimiou, K. (2016). Insight and rehabilitation of patients with schizophrenia. Journal of Memory Disorders and Rehabilitation, 1(1), 1002.
Reddy, M. S. (2015). Insight and psychosis. Indian Journal of Psychological Medicine, 37(3), 257–260.
Rus-Calafell, M., Gutiérrez-Maldonado, J., Ribas-Sabaté, J., & Lemos-Giráldez, S. (2014). Social skills training for people with schizophrenia: what do we train? Behavioral Psychology / Psicología Conductual, 22(3), 461–477.
Ruzanna, Z., Marhani, M., Parveen, K., & Cheah, Y. C. (2010). Does psychoeducation improve insight of patient with schizophrenia. Malaysian Journal of Psychiatry, 19(2), 1–14.
Sahai, S., Beniwal, R. P., Deshpande, S. N., & Bhatia, T. (2018). Assessment of functionality in persons with schizophrenia and its impact on burden and self-efficacy of caregivers. Indian Journal of Positive Psychology, 9(4), 465–469.
Sathyanarayanan, G., Vengadavaradan, A., & Bharadwaj, B. (2019). Role of yoga and mindfulness in severe mental illnesses: A narrative review. International Journal of Yoga, 12(1), 3–28.
Stuart, G. W. (2001). Psychological context of psychiatric nursing care. In G. W. Stuart & M. T. Laraia (Eds.), Principles and practice of psychiatric nursing (pp. 120–134). Maryland Heights: Mosby.
Tabak, N. T., Horan, W. P., & Green, M. F. (2015). Mindfulness in schizophrenia: Associations with self-reported motivation, emotion regulation, dysfunctional attitudes, and negative symptoms. Schizophrenia Research, 168, 537–542.
Tang, Y. Y., Hölzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Review Neuroscience, 16, 213–225.
Ulusoy, S., & Delice, M. A. (2015). The role of individual assessment on increasing the functionality of a person with schizophrenia, Düşünen Adam. The Journal of Psychiatry and Neurological Sciences, 28, 162–166.
Uzdil, N., & Tanrıverdi, D. (2014). Effect of psychosocial skills training on functional remission of patients with schizophrenia. Western Journal of Nursing Research, 37(9), 1142–1159.
Vidovi, D., Brečić, P., Vilibić, M., & Jukić, V. (2016). Insight and self-stigma in patients with schizophrenia. Acta Clinica Croatia, 55(1), 23–28.
Vita, A., & Barlati, S. (2018). Recovery from schizophrenia: Is it possible? Current Opinion inPsychiatry, 31(3), 246–255.
Wang, L. Q., Chien, W. T., Yip, L. K., & Karatzias, T. (2016). A randomized controlled trial of a mindfulness-based intervention program for people with schizophrenia: 6-month follow-up. Neuropsychiatric Disease and Treatment, 12, 3097–3110.
Yıldırım, A., Hacıhasanoğlu-Aşılar, R., Camcıoğlu, T. H., Erdiman, S., & Karaağaç, E. (2015). Effect of psychosocial skills training on disease symptoms, ınsight, ınternalized stigmatization, and social functioning in patients with schizophrenia. Rehabilitation Nursing, 40(6), 341–348.
Yıldız, M. (2001). Content and activities of psychosocial skills training for schizophrenia. Journal of Clinic Psychiatry, 4(2), 119–123.
Yıldız, M., Özaslan, Z., İncedere, A., Kırcalı, A., Kiras, F., & İpçi, K. (2018). The effect of psychosocial skills training and metacognitive training on social and cognitive functioning in schizophrenia. Noro Psikiyatri Arsivi, 56(2), 139–143.
Yılmaz, E., & Okanlı, A. (2018). Test of mindfulness-based psychosocial skills training to improve insight and functional recovery in schizophrenia. Western Journal of Nursing Research, 40(9), 1357–1373.
Zhou, Y., Rosenheck, R., Mohamed, S., Zhang, J., Chang, Q., Ou, Y., et al. (2015). Insight in inpatients with schizophrenia: Relationship to symptoms and neuropsychological functioning. Schizophrenia Research, 161(2–3), 376–381.
The authors would like to thank all study participants for participating in the study.
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Yüksel, A., Bahadır-Yılmaz, E. The Effect of Mindfulness-Based Psychosocial Skills Training on Functioning and Insight Level in Patients with Schizophrenia. Community Ment Health J 57, 365–371 (2021). https://doi.org/10.1007/s10597-020-00658-9
- Psychosocial skills