Mindfulness-Based Therapy for Serious Mental Illness

(MBT Trial)

BG
RR
TA
Overseen ByToni Amaral
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Butler Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test the effectiveness of mindfulness-based therapy (MBT) for individuals with serious mental illnesses such as schizophrenia and major mood disorders. It will compare regular treatment alone to regular treatment combined with MBT, which integrates mindfulness exercises with cognitive-behavioral techniques to help manage the illness. Conducted in community mental health centers across the U.S., the study seeks to establish MBT as a common part of mental health care if proven helpful. The trial seeks participants diagnosed with schizophrenia or a major mood disorder who are already receiving care at a community mental health center. As an unphased trial, it offers participants the chance to contribute to pioneering research that could enhance mental health care practices.

Do I need to stop my current medications to join the trial?

The trial protocol does not specify whether you need to stop taking your current medications. It seems likely that you can continue your usual treatment while participating, as the trial involves adding mindfulness-based therapy to your existing care.

What prior data suggests that mindfulness-based therapy is safe for patients with serious mental illness?

Research has shown that mindfulness-based therapy (MBT) is safe for individuals with serious mental health conditions such as schizophrenia and major mood disorders. Studies have found that MBT can reduce the likelihood of hospitalization or emergency service use, potentially helping individuals remain stable and avoid hospital visits. Other research suggests that group mindfulness sessions can improve symptoms of schizophrenia and depression. Overall, MBT appears to be well-received and beneficial for mental health without causing serious side effects.12345

Why are researchers excited about this trial?

Mindfulness-based therapy is unique because it focuses on enhancing present-moment awareness and acceptance, which is different from traditional treatments for serious mental illness like pharmacotherapy and standard psychotherapy. Most treatments aim to manage symptoms through medication or traditional talk therapy, while mindfulness-based therapy empowers patients by teaching them skills to manage stress and emotions in real-time. Researchers are excited about this approach because it has the potential to improve mental well-being without the side effects often associated with medication, offering a holistic complement to existing treatment options.

What evidence suggests that mindfulness-based therapy might be an effective treatment for serious mental illness?

Research has shown that mindfulness-based therapy (MBT), which participants in this trial may receive, can help individuals with serious mental illness (SMI) feel and function better. Studies from the United Kingdom have found that MBT aids people living in the community in managing their conditions more effectively. Specifically, MBT has reduced symptoms of depression and anxiety, common in SMI. It combines mindfulness exercises with strategies to change thinking patterns, assisting individuals in managing their illness. Moreover, MBT has succeeded even in everyday healthcare settings, suggesting it could be widely adopted. This evidence supports the idea that MBT could be a helpful treatment for those with SMI.15678

Who Is on the Research Team?

BG

Brandon Gaudiano, PhD

Principal Investigator

Butler Hospital

Are You a Good Fit for This Trial?

This trial is for adults with serious mental illnesses like schizophrenia, major depression, or bipolar disorder. Participants must be receiving care at a community mental health center and able to undergo mindfulness-based therapy alongside their usual treatment.

Inclusion Criteria

Ability to speak and read English
I am currently getting mental health treatment at a community center.
I have been diagnosed with schizophrenia or a major mood disorder.

Exclusion Criteria

Not clinically stable enough to participate in treatment
I practice mindfulness weekly.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Mindfulness-Based Therapy (MBT) in a group format for 12 weeks

12 weeks
Weekly group sessions

Midpoint Assessment

Blinded assessments conducted to evaluate progress at the midpoint of the treatment

1 week
1 visit (in-person)

Post-Treatment Assessment

Blinded assessments conducted to evaluate outcomes immediately after treatment

1 week
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Mindfulness-Based Therapy
Trial Overview The study tests if adding mindfulness-based therapy (MBT) to the standard treatment helps people with serious mental illness. It compares patients' progress between those who get MBT plus usual care versus just usual care over a period of up to 24 weeks.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Mindfulness-based therapyExperimental Treatment1 Intervention
Group II: Treatment as UsualActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Butler Hospital

Lead Sponsor

Trials
133
Recruited
16,700+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

Published Research Related to This Trial

A study of 98 veterans with psychiatric disorders showed that while attendance in mindfulness-based cognitive therapy (MBCT) was low (average of 4.87 out of 8 sessions), those who attended had a significant reduction in psychiatric hospitalizations after the intervention.
Despite the challenges in implementing MBCT due to high dropout rates, the results suggest that MBCT could be beneficial for veterans at high risk for psychiatric hospitalization, warranting further prospective studies.
Treatment Engagement and Outcomes of Mindfulness-Based Cognitive Therapy for Veterans with Psychiatric Disorders.Marchand, WR., Yabko, B., Herrmann, T., et al.[2020]
Mindfulness-based interventions have strong evidence supporting their effectiveness in treating mental disorders, particularly depression and anxiety, by helping individuals change their relationship with unhelpful thoughts and emotions.
While home practice can be a barrier for some, it also provides practical tools that can aid in ongoing recovery and well-being, making mindfulness a valuable approach for both patients and clinicians.
Mindfulness in psychiatry - where are we now?Groves, P.[2020]
Mindfulness-based cognitive therapy (MBCT) significantly reduces the rate of depression relapse by 40% in patients with three or more previous episodes of depression, based on a systematic review of 11 studies.
The evidence suggests that MBCT is effective for treating mental disorders, particularly in preventing relapse, although the overall methodological quality of the studies was moderate.
Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials.Galante, J., Iribarren, SJ., Pearce, PF.[2020]

Citations

Evaluating the Effectiveness of Mindfulness-Based Therapy ...Previous trials conducted in the United Kingdom have shown that MBT improves symptoms and functioning in community-based outpatients with SMI, including in ...
Mindfulness-Based Therapy for Serious Mental IllnessPrevious trials conducted in the United Kingdom have shown that MBT improves symptoms and functioning in community-based outpatients with SMI, ...
Effectiveness of mindfulness based interventions in ...The results revealed that MBCT, ACT, DBT and others are efficacious in treating depressive symptoms across psychiatric diagnoses compared to active control ...
The efficacy of mindfulness-based interventions on mental ...A total of five outcomes were evaluated: depression, anxiety, stress, mindfulness scores and sleep quality. The mindfulness group (MG) had ...
Mindfulness-Based Therapy for Serious Mental Illness ...What data supports the effectiveness of the treatment Mindfulness-Based Therapy for serious mental illness? Research shows that mindfulness-based therapies ...
Systematic review of the safety of mindfulness-based ...MBIs for psychosis appear to be safe and may reduce the risk of hospitalisation and use of crisis services.
Mindfulness-Based Therapy for Serious Mental IllnessExplore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this ...
Systematic Review of Studies on Group Mindfulness ...The results showed that structured group MBIs have positive effects on the general symptoms of schizophrenia, negative and depressive symptoms, ...
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