The use of mindfulness-based stress reduction and mindfulness-based cognitive therapy in psychosis.

This article reviews the application of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) in treating psychosis, a complex psychiatric condition. Analyzing twelve studies, the review finds that adapted MBSR and MBCT protocols are feasible, safe, and acceptable for patients with psychosis, showing benefits such as reduced stress, positive and negative symptoms, stigma, and social isolation, alongside improvements in mindfulness skills, cognitive flexibility, and socio-occupational functioning. While preliminary evidence suggests potential effectiveness in early psychosis and individuals at high risk, the authors emphasize the need for larger, well-characterized randomized controlled trials to clarify cognitive and neural impacts and to differentiate effects across affective and non-affective psychoses. The review highlights the complementary role of these structured mindfulness interventions alongside standard pharmacological treatments.