Mindfulness, Anxiety, And Psychosis Discussion Case Study

Mindfulness, Anxiety, And Psychosis Discussion Case Study

Method

Participants

Thirty participants will be chosen from G. Werber Bryan Psychiatric Hospital (BPH)

from two separate acute in patient lodges; with fifteen participants on each lodge, respectively.

The participants anticipated age range would be from 18 years of age to 59 years of age with an

anticipated average of 32 years of age. The expected gender makeup of the participants would be

twenty-eight men and two women. The participants will be of different ethnicities, but mainly

African American and European American descent. The participants will be chosen based on the

following criteria: at least two weeks of stay at BPH prior to beginning of research with at least

two weeks of stay at BPH before discharge, and the diagnosis of schizophrenia, schizoaffective

disorder, or bipolar one with psychosis as defined by the DSM V. Participants that meet these

requirements will further be eliminated based on their level of cognitive functioning with the

mental status examination.

After selection. The fifteen participants on lodge 1 and lodge 2 will then be randomly

assigned to either Group A, the mindfulness training or Group B, the standard training of BPH.

Both of the groups will be conducted on the participants’ lodges so they did not have to meet

outside of their lodge. On lodge 1, eight participants will be assigned to Group A, while seven

participants will be assigned to Group B. On lodge 2, seven participants will be assigned to

Group A, while eight participants will be assigned to Group B. All participants are anticipated to

stay throughout the intended study time of two weeks.

Materials

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MINDFULNESS, ANXIETY, AND PSYCHOSIS

The Mental Health Status Examination (MHSE) will be used to assess cognitive ability

and memory retention for participants to participate. The inter-rater validity is strong and the

external validity is shown through the wide use in mental health settings.

The State Trait Anxiety Inventory (STAI) will be used prior to first group meeting and

after the last group meeting. This tool is to assess how much the participants’ anxiety levels

decrease. It has validity in the range of 0.69 to 0.89 with test-retest (APA 2016).

The Beck’s Anxiety Inventory (BAI) will be used prior to the first group meeting and

after the last group meeting to make sure that the mindfulness addresses physical attributes of

anxiety. It is a 21-item self-report inventory with a high internal consistency (alpha=0.92) and a

high test-retest reliability of 0.75 over one-week period (Beck, Epstein, Brown, and Steer 1988).

The Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) is a 12-item self-

report inventory that will be used to see if participants understand mindfulness. It has an

acceptable internal consistency and will only be given to only participants in Group A during the

first group and after the last group has been administered. [Feldman, Hayes, Kumar, Greeson,

and Laureanceau 2007]

Design

This study will be a between-subjects, experimental design. The independent variables

are the two following groups: mindfulness training and standard BPH training. The dependent

variable is the amount of anxiety reduction experienced by the participants. By having two

groups a day one in the morning and one in the afternoon, it will help control for participants that

may not be “morning” people.

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