Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia

Halimah Wenny Yulina Astuti; Murti Agustin; Sri Padma Sari; Diyan Yuli Wijayanti; Widodo Sarjana; Rozzano C. Locsin

doi:10.14710/nmjn.v10i2.28775

DOI: https://doi.org/10.14710/nmjn.v10i2.28775

Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia

Halimah Wenny Yulina Astuti - Universitas Diponegoro, Indonesia

Murti Agustin - Universitas Diponegoro, Indonesia

*Sri Padma Sari - Universitas Diponegoro, Indonesia

Diyan Yuli Wijayanti - Universitas Diponegoro, Indonesia

Widodo Sarjana - Universitas Diponegoro, Indonesia

Rozzano C. Locsin - Tokushima University, Japan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN28775,
    author = {Halimah Wenny Yulina Astuti and Murti Agustin and Sri Padma Sari and Diyan Yuli Wijayanti and Widodo Sarjana and Rozzano C. Locsin},
    title = {Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia},
    journal = {Nurse Media Journal of Nursing},
  volume = {10},
    number = {2},
    year = {2020},
    keywords = {Hope; mindfulness; recovery; schizophrenia},
    abstract = {  Background:  Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.   Purpose:  This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.   Methods:  This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests.    Results:  After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.   Conclusion:  This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.     },
   issn = {2406-8799},   pages = {119--129}  doi = {10.14710/nmjn.v10i2.28775},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/28775}
}

Citation Format:

Abstract

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.

Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.

Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests.

Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.

Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population.

Fulltext View|Download

Keywords: Hope; mindfulness; recovery; schizophrenia

Article Metrics:

Article Info

Section: Articles

Language : EN

In Vol 10, No 2 (2020): (August 2020)

Recent articles

Students’ Views of Classroom Debates as a Strategy to Enhance Critical Thinking and Oral Communication Skills Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia Editorial Front Matter Editorial Back Matter More recent articles

Most cited articles

Review: Burden on Family Caregivers Caring for Patients with Schizophrenia and Its Related Factors Ethical Values in the Nursing Profession as Perceived by Head Nurses and Staff Nurses in Public Hospitals, Banda Aceh, Indonesia: A comparison Study EFFECTIVENESS OF MUSIC THERAPY TOWARD REDUCING PATIENT’S ANXIETY IN INTENSIVE CARE UNIT The Competencies, Roles and Scope of Practice of Advanced Psychiatric Nursing in Indonesia Effects of Islamic Spiritual Mindfulness on Stress among Nursing Students More cited articles

Acharya, T., & Agius, M. (2017). The importance of hope against other factors in the recovery of mental illness. Psychiatria Danubina, 29(Suppl 3), 619-622
Black, D. S. (2011). A brief definition of mindfulness. Mindfulness research guide, 1-2. Retrieved from http://www.mindfulexperience.org
Chien, W.T., Cheng, H.Y., McMaster, T.W., Yip, A.L.K., & Wong, J.C.L. (2019). Effectiveness of a mindfulness-based psychoeducation group programme for early-stage of schizophrenia: A 18-month randomised controlled trial. Schizophrenia Research, 212, 140-149. doi: 10.1016/j.schres.2019.07.053
Chien, W. T., & Thompson, D. R. (2014). Effects of a mindfulness-based psychoeducation programme for Chinese patients with schizophrenia: 2-Year follow-up. British Journal of Psychiatry, 205(1), 52-59. doi: 10.1192/bjp.bp.113.134635
Choe, K. (2014). Development and preliminary testing for schizophrenia hope scale, a brief scale to measure hope in people with schizophrenia. International Journal of Nursing Studies, 51(6), 927-933. doi: 10.1016/j.ijnurstu.2013.10.018
Coşkun, E., & Altun, Ö. Ş. (2017). The relationship between the hope levels of patients with schizophrenia and functional recovery. Archives of Psychiatric Nursing, 32(1), 98-102. doi: 10.1016/j.apnu.2017.10.006
Falkenburg, J., & Tracy, D. K. (2014). Sex and schizophrenia: A review of gender differences. Psychosis, 6(1), 1-9. doi: 10.1080/17522439.2012.733405
Gaiswinkler, L., Kaufmann, P., Pollheimer, E., Ackermann, A., Holasek, S., Kapfhammer, H. P., & Unterrainer, H. F. (2020). Mindfulness and self-compassion in clinical psychiatric rehabilitation: A clinical trial. Mindfulness, 11, 374-383. doi: 10.1007/s12671-019-01171-1
Ganguly, P. (2018). Mindfulness in holistic management of schizophrenia. International Journal of Psychology & Behavior Analysis, 4, 156. doi: 10.15344/2455-3867/2018/156
Hancock, N., Scanlan, J.N., Honey, A., Bundy, A.C., & O'Shea, C. (2015). Recovery assessment scale - domains and stages (RAS-DS): Its feasibility and outcomes measurement capacity. Aust N Z J Psychiatry, 49(7), 624-633. doi: 10.1177/0004867414564084
Hayes, L. M. (2014). Hope and recovery in a family treatment for schizophrenia: A program evaluation of a family psychoeducational intervention. Retrieved from https://minerva-access.unimelb.edu.au/handle/11343/40751
Hayes, L., Herrman, H., Castle, D., & Harvey, C. (2017). Hope, recovery, symptoms: The importance of hope for people living with severe mental illness. Australas Psychiatry, 25(6), 583-587. doi: 10.1177/1039856217726693
Hodann-Caudevilla, R.M., Diaz-Silveira, C., Burgos-Julian, F., & Santed, M.A. (2020). Mindfulness-based interventions for people with schizophrenia: A systematic review and meta-analysis. International Journal of Environmental Resaerch and Public Health, 17(13), 4690. doi: 10.3390/ijerph17134690
Kavak, F., Unal, S., & Yilmaz, E. (2016). Effects of relaxation exercises and music therapy on the psychological symptoms and depression levels of patients with schizophrenia. Archives of Psychiatric Nursing, 30, 508-512. doi: 10.1016/j.apnu.2016.05.003
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., … & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763-771. doi: 10.1016/j.cpr.2013.05.005
Knight, M., Pultinas, D., Collins, S., Sellig, C., Freeman, D. C., Strimaitis, C., & Silver, R. R. (2014). Teaching mindfulness on an inpatient psychiatric unit. Mindfulness, 5(3), 259-267. doi: 10.1007/s12671-012-0175-5
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. doi: 10.4172/Neuropsychiatry.1000142
Lee, K. (2019). A randomized controlled trial of mindfulness in patients with schizophrenia. Psychiatry Research, 275, 137-142. doi: 10.1016/j.psychres.2019.02.079
Li, R., Ma, X., Wang, G., Yang, J., & Wang, C. (2016). Why sex differences in schizophrenia?. Journal of Translational Neuroscience (Beijing), 1(1), 37-42
Libman-Sokolowska, M., & Nasierowski, T. (2013). The importance of hope in coping with schizophrenia. Psychiatria Polska, 47(5), 933-943. doi: 10.12740/PP/18147
Lin, Y.-R., Wu, M.-H., Yang, C.-I., Chen, T.-H., Hsu, C.-C., Chang, Y-C, … & Chou, K.-R. (2008). Evaluation of assertive training for psychiatric patients. Journal of Clinical Nursing, 17, 2875-2883. doi: 10.1111/j.1365-2702.2008.02343.x
Louise, S., Fitzpatrick, M., Strauss, C., Rossell, S. L., & Thomas, N. (2018). Mindfulness- and acceptance-based interventions for psychosis: Our current understanding and a meta-analysis. Schizophrenia Research, 192, 57-63. doi: 10.1016/j.schres.2017.05.023
Munif, B., Poeranto, S., & Utami, Y. W. (2019). Effects of Islamic spiritual mindfulness on stress among nursing students. Nurse Media Journal of Nursing, 9(1), 69. doi: 10.14710/nmjn.v9i1.22253
Nada, K., Kusumawardhani, A.A.A., Wiguna, T., & Elvira, S.D. (2018). RAS-DS (recovery assessment scale - domains and stages). Retrieved from https://ras-ds.net.au/download
Parekh, R. (2017). What is schizophrenia? Retrieved from https://www.psychiatry.org/patients-families/schizophrenia/what-is-schizophrenia
Riecher-Rössler, A., Butler, S., & Kulkarni, J. (2018). Sex and gender differences in schizophrenic psychoses — A critical review. Archives of Women’s Mental Health, 21(6), 627–648. doi: 10.1007/s00737-018-0847-9
Sari, S.P., Dwidiyanti, M., Wijayanti, D.Y., & Sarjana, W. (2017). Prevalence, demographic, clinical features and its association of comorbid depressive symptoms in patients with schizophrenia. International Journal of Psychosocial Rehabilitation, 21(2), 99-108
Sari, S. P, & Dwidiyanti, M. (2014). Studi kasus: Mindfullness dengan pendekatan spiritual pada pasien skizofrenia dengan resiko perilaku kekerasan [Case study: Mindfullness with a spiritual approach in schizophrenic patients with risk of violent behavior]. Proceeding Konferensi Nasional XI Keperawatan Kesehatan Jiwa. 290-294. Pekanbaru: Ikatan Perawat Kesehatan Jiwa Indonesia Wilayah Provinsi Riau
Snyder, C. R. (2002). Hope theory: rainbows in the mind. Psychological Inquiry, 13(4), 249-275
Sommer, I. E., Tiihonen, J., Van Mourik, A., Tanskanen, A., & Taipale, H. (2020). The clinical course of schizophrenia in women and men- a nation-wide cohort study. npj Schizophrenia, 6(12). doi: 10.1038/s41537-020-0102-z
Soundy, A., Stubbs, B., Roskell, C., Williams, S.E, Fox, A., & Vancampfort, D. (2015). Identifying the facilitators and processes which influence recovery in individuals with schizophrenia: a systematic review and thematic synthesis. Journal of Mental Health, 24(2), 103-110. doi: 10.3109/09638237.2014.998811
Substance Abuse and Mental Health Services Administration (SAMHSA). (2012). SAMHSA’s working definition of recovery. USA. Retrieved from https://store.samhsa.gov/sites/default/files/d7/priv/pep12-recdef.pdf
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(1-2), 537-542. doi: 10.1016/j.schres.2015.07.030
Vrbova, K., Prasko, J., Ociskova, M., Kamaradova, D., Marackova, M., Holubova, M., … & Latalova, K. (2017). Quality of life, self-stigma, and hope in schizophrenia spectrum disorders: A cross-sectional study. Neuropsychiatric Disease and Treatment, 13, 567-576. doi: 10.2147/NDT.S122483
World Health Organization. (2018). Schizophrenia. Retrieved from https://www.who.int/mental_health/management/schizophrenia/en/
Yılmaz, E., & Okanlı, A. (2017). Test of mindfulness-based psychosocial skills training to improve insight and functional recovery in schizophrenia. Western Journal of Nursing Research, 40(9), 1357-1373. doi: 10.1177/0193945917697222
Yüksel, A., & Bahadır Yılmaz, E. (2020). The effect of mindfulness-based psychosocial skills training on functioning and insight level in patients with schizophrenia. Community Mental Health Journal. doi: 10.1007/s10597-020-00658-9

Last update:

The effectiveness of mindfulness training on social adjustment, self-esteem, and hope among transgender individuals in Tehran
Savafi Sepideh, Bazzazian Saeideh, Sirtori Cesare R. Journal of Neurology, Neurological Science and Disorders, 10 (1), 2024. doi: 10.17352/jnnsd.000057
Mental health recovery for people with schizophrenia in Southeast Asia: A systematic review
Bandu Murwasuminar, Ian Munro, Katrina Recoche. Journal of Psychiatric and Mental Health Nursing, 30 (4), 2023. doi: 10.1111/jpm.12902
Being Hopeful and Mindful During Adversity: A Longitudinal Study on College Students’ Adjustment During COVID-19
Yao Sun, Chun Bun Lam, Kevin Kien Hoa Chung. Mindfulness, 13 (6), 2022. doi: 10.1007/s12671-022-01892-w
A Pilot Randomized Controlled Trial Among People Recovering from Mental Illness: A Tailored Mindfulness-Based Intervention versus Relaxation Training
Yi Ting Daphne Cheng, Kim Wan Daniel Young, Per Carlbring, Yat Nam Ng, Suet Lin Shirley Hung. Journal of Evidence-Based Social Work, 21 (3), 2024. doi: 10.1080/26408066.2023.2281418
Mindfulness and subjective happiness during the pandemic: Longitudinal mediation effect of hope
Begum Satici, Seydi Ahmet Satici. Personality and Individual Differences, 197 , 2022. doi: 10.1016/j.paid.2022.111781
Home practice in mindfulness-based interventions for psychosis groups: a systematic review and qualitative study
Pamela Jacobsen, Twinkle Choksi, Katherine Sawyer, Cassia Maximen, Emma Harding, Matthew Richardson. BMC Psychology, 10 (1), 2022. doi: 10.1186/s40359-021-00694-4

Last update: 2024-11-20 16:49:10

No citation recorded.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Journal Author(s) Rights

In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.

As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including:

use for classroom teaching by the author or the author’s institution and presentation at a meeting or conference, including distributing copies to attendees;
use for internal training by the author’s company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author’s works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgment of the final article);
preparation of derivative works (other than for commercial purposes) (with full acknowledgment of the final article);
voluntary posting on open websites operated by the author or the author’s institution for scholarly purposes;

following the open access license of the Creative Commons CC BY-SA License.

Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.

Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).

Copyright Transfer Agreement for Publishing (Publishing Right)

The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).

Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.

Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.

Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.

The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]

The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:

Dr. Meira Erawati (Editor-in-Chief)
Editorial Office of Nurse Media Journal of Nursing
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: media_ners@live.undip.ac.id

(This policy statements has been updated at 24th January 2024)

Effects of Mindfulness on Stimulating Hope and Recovery among People with Schizophrenia

Journal Author(s) Rights

Copyright Transfer Agreement for Publishing (Publishing Right)

OFFICE INFORMATION