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Article: The effect of a brief mindfulness-based intervention on personal recovery in people with bipolar disorder: a randomized controlled trial (study protocol)

TitleThe effect of a brief mindfulness-based intervention on personal recovery in people with bipolar disorder: a randomized controlled trial (study protocol)
Authors
KeywordsBipolar disorder
Mindfulness-based intervention
Personal recovery
Issue Date2019
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpsychiatr/
Citation
BMC Psychiatry, 2019, v. 19, p. article no. 255 How to Cite?
AbstractBackground: With the advent of the recovery movement in mental health, a humanistic paradigm shift has occurred, placing the focus on personal recovery (i.e., hope, identity, and life meaning) instead of functional or clinical recovery only (i.e., symptom reduction or increases in physical function). Along the journey of recovery, people with bipolar disorder (BD) struggle to cope with recurring mood fluctuations between depression and mania. Mindfulness-based interventions (MBIs) have the potential to result in improvements in personal recovery outcomes. Thus, this protocol will evaluate the efficacy and mechanisms of a brief MBI for helping individuals with BD with their personal recovery. It is hypothesized that adults with BD randomly assigned to a brief MBI intervention will report greater improvements in personal recovery than those in a waiting list control condition. In addition, it is hypothesized that such benefits will be mediated by improvements in emotion awareness, emotion regulation, and illness acceptance. Moreover, the specific stage of BD is hypothesized to moderate the beneficial effects of the brief MBI, such that those in the early stage of BD will report more benefits regarding emotion awareness and emotion regulation, whereas those in the late stage of BD will report more advantages concerning illness acceptance. Method: One hundred and fifty-four adults with BD will be recruited from hospitals and community settings for this research project. This study will use a mixed methods design. A randomized-controlled trial will be conducted to compare a brief MBI (four sessions in total) group and a waiting list control group. Assessments will be made at baseline, after intervention, and at six-month follow-up. In addition, a qualitative and participatory research method called Photovoice will be employed to further understand the experiences of the participants who receive the brief MBI along their personal recovery journey. Discussion: If the study hypotheses are supported, the findings from this research project will provide empirical support for an alternative treatment. Moreover, by identifying the mechanisms of the beneficial effects of the brief MBI, the findings will highlight process variables that could be specifically targeted to make MBI treatment even more effective in this population. Trial registration: This study is registered with the Chinese Clinical Trial Registry (ChiCTR- 1900024658). Registered 20th July 2019. © 2019 The Author(s).
Persistent Identifierhttp://hdl.handle.net/10722/275150
ISSN
2018 Impact Factor: 2.666
2015 SCImago Journal Rankings: 1.307
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorChan, SHW-
dc.contributor.authorTse, S-
dc.contributor.authorChung, KF-
dc.contributor.authorYu, CH-
dc.contributor.authorChung, RCK-
dc.contributor.authorLo, HHM-
dc.date.accessioned2019-09-10T02:36:33Z-
dc.date.available2019-09-10T02:36:33Z-
dc.date.issued2019-
dc.identifier.citationBMC Psychiatry, 2019, v. 19, p. article no. 255-
dc.identifier.issn1471-244X-
dc.identifier.urihttp://hdl.handle.net/10722/275150-
dc.description.abstractBackground: With the advent of the recovery movement in mental health, a humanistic paradigm shift has occurred, placing the focus on personal recovery (i.e., hope, identity, and life meaning) instead of functional or clinical recovery only (i.e., symptom reduction or increases in physical function). Along the journey of recovery, people with bipolar disorder (BD) struggle to cope with recurring mood fluctuations between depression and mania. Mindfulness-based interventions (MBIs) have the potential to result in improvements in personal recovery outcomes. Thus, this protocol will evaluate the efficacy and mechanisms of a brief MBI for helping individuals with BD with their personal recovery. It is hypothesized that adults with BD randomly assigned to a brief MBI intervention will report greater improvements in personal recovery than those in a waiting list control condition. In addition, it is hypothesized that such benefits will be mediated by improvements in emotion awareness, emotion regulation, and illness acceptance. Moreover, the specific stage of BD is hypothesized to moderate the beneficial effects of the brief MBI, such that those in the early stage of BD will report more benefits regarding emotion awareness and emotion regulation, whereas those in the late stage of BD will report more advantages concerning illness acceptance. Method: One hundred and fifty-four adults with BD will be recruited from hospitals and community settings for this research project. This study will use a mixed methods design. A randomized-controlled trial will be conducted to compare a brief MBI (four sessions in total) group and a waiting list control group. Assessments will be made at baseline, after intervention, and at six-month follow-up. In addition, a qualitative and participatory research method called Photovoice will be employed to further understand the experiences of the participants who receive the brief MBI along their personal recovery journey. Discussion: If the study hypotheses are supported, the findings from this research project will provide empirical support for an alternative treatment. Moreover, by identifying the mechanisms of the beneficial effects of the brief MBI, the findings will highlight process variables that could be specifically targeted to make MBI treatment even more effective in this population. Trial registration: This study is registered with the Chinese Clinical Trial Registry (ChiCTR- 1900024658). Registered 20th July 2019. © 2019 The Author(s).-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpsychiatr/-
dc.relation.ispartofBMC Psychiatry-
dc.rightsBMC Psychiatry. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectBipolar disorder-
dc.subjectMindfulness-based intervention-
dc.subjectPersonal recovery-
dc.titleThe effect of a brief mindfulness-based intervention on personal recovery in people with bipolar disorder: a randomized controlled trial (study protocol)-
dc.typeArticle-
dc.identifier.emailTse, S: samsont@hku.hk-
dc.identifier.emailChung, KF: kfchung@hku.hk-
dc.identifier.authorityTse, S=rp00627-
dc.identifier.authorityChung, KF=rp00377-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12888-019-2242-0-
dc.identifier.pmid31438925-
dc.identifier.pmcidPMC6704723-
dc.identifier.scopuseid_2-s2.0-85071222614-
dc.identifier.hkuros303338-
dc.identifier.hkuros308455-
dc.identifier.volume19-
dc.identifier.spagearticle no. 255-
dc.identifier.epagearticle no. 255-
dc.publisher.placeUnited Kingdom-

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