Skip to main content
Log in

Teaching Mindfulness on an Inpatient Psychiatric Unit

  • ORIGINAL PAPER
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

This pilot study sought to determine if mindfulness skills could be taught to patients hospitalized with depression in a short-term, inpatient psychiatric setting. Mindfulness is the disposition to be aware of one’s current internal and external experiences while accepting them without judgment. Awareness of the breath shaped the meditation experiences used in this study. Twenty-three patients enrolled and participated in at least three mindfulness-based interventions (MBI’s). The interventions available were one-to-one meditation exercises, meditation groups, and yoga groups. Subjects completed the Philadelphia Mindfulness Scale (PHLMS) measuring mindfulness trait upon admission and at the time of discharge. The Toronto Mindfulness Scale (TMS) measuring mindfulness state was completed after each MBI. In addition, subjects completed brief written descriptions of their present-moment experience after each MBI. PHLMS scores showed a significant increase in total score and the awareness subscale. A trend analysis of TMS scores was significant for total score and both subscales. Content analysis of the present-moment statements identified five major themes in the awareness category and two in the acceptance category. This pilot study suggests that mindfulness, cultivated through meditation and yoga can be taught to, and practiced by, individuals experiencing acute psychiatric symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: emotion regulation following a focused breathing induction. Behavioral Research and Therapy, 44, 1849–1858. doi:10.1016/j.brat.2005.12.007.

    Article  Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. doi:10.1093/clipsy/bpg015.

    Google Scholar 

  • Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191–206. doi:10.1177/1073191104268029.

    Article  PubMed  Google Scholar 

  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.

    Google Scholar 

  • Brisbon, N. M., & Lowery, G. A. (2011). Mindfulness and levels of stress: a comparison of beginner and advanced Hatha yoga practitioners. Journal of Religion and Health, 50, 931–941. doi:10.1007/s10943–009–9305–3.

    Article  PubMed  Google Scholar 

  • Broderick, P. C. (2005). Mindfulness and coping with dysphoric mood: contrasts with rumination and distraction. Cognitive Therapy and Research, 29(5), 501–510. doi:10.1007/s10608–005–3888–0.

    Article  Google Scholar 

  • Brown, R.P. & Gerbarg, P.L. (2005). Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression. Part II—clinical applications and guidelines. Journal of Alternative and Complimentary Medicine,11(4), 711–717. doi:10.1089/acm.2005.11.711.

    Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological wellbeing. Journal of Personality and Social Psychology, 84(4), 822–848. doi:10.1037/0022–3514.84.4.822.

    Article  PubMed  Google Scholar 

  • Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: the Philadelphia Mindfulness Scale. Assessment, 15(2), 204–223. doi:10.1177/1073191107311467.

    Article  PubMed  Google Scholar 

  • Davis, K. M., Lau, M. A., & Cairns, D. R. (2009). Development and preliminary validation of a trait version of the Toronto Mindfulness Scale. Journal of Cognitive Psychotherapy: an International Quarterly, 23(3), 185–197. doi:10.1891/0889–8391.23.3.185.

    Article  Google Scholar 

  • Didonna, F. (2009). Mindfulness-based interventions in an inpatient setting. In F. Didonna (Ed.) Clinical Handbook of Mindfulness. New York: Springer Science. DOI: 10.1007/978–0–387–09593–6_25.

  • Downe-Wamboldt, B. (1992). Content analysis: method, applications, and issues. Health Care for Women International, 13(3), 313–321.

    Article  PubMed  Google Scholar 

  • Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving kindness meditation on decentering and negative reations to repetitive thoughts. Behaviour Research and Therapy, 48, 1002–1011. doi:10.1016/j.brat.2010.06.006.

    Article  PubMed Central  PubMed  Google Scholar 

  • Field, T. (2011). Yoga clinical research review. Complimentary Therapies in Clinical Practice, 17, 1–8. doi:10.1016/j.ctcp.2010.09.007.

    Article  Google Scholar 

  • Grabovac, A. D., Lau, M., & Willett, B. R. (2011). Mechanisms of mindfulness: a Buddhist psychological model. Mindfulness, 2, 154–166. doi:10.1007/s12671–011–0054–5.

    Article  Google Scholar 

  • Graneheim, U. B., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105–112. doi:10.1016/j.nedt.2003.10.001.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. New, York: Guilford Press.

    Google Scholar 

  • Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. doi:10.1177/1049732305276687.

    Article  PubMed  Google Scholar 

  • Jacobsen, P., Morris, E., Johns, L., & Hodkinson, K. (2010). Mindfulness groups for psychosis; key issues for implementation on an inpatient unit. Behavioural and Cognitive Psychotherapy, 39, 349–353. doi:10.1017/S1352465810000639.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: the program of the Stress Reduction Clinic at the University of Massachusetts Medical Center. New York: Dell Publishing.

    Google Scholar 

  • Kripalu School of Yoga. (2006). Kripalu Yoga 200 hour teacher training manual (2006). Stockbridge, MA: Kripalu Center for Yoga and Health.

  • Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abby, S., & Devins, G. (2006). The Toronto Mindfulness Scale: development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. doi:10.1002/jclp.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Counseling and Clinical Psychology, 72(1), 31–40. doi:10.1037/0022-006X.72.1.31.

    Article  Google Scholar 

  • Michalak, J., Heidenreich, T., Meibert, P., & Schulte, D. (2008). Mindfulness predicts relapse/recurrence in major depressive disorder after mindfulness based cognitive therapy. The Journal of Nervous and Mental Disease, 196(8), 630–633. doi:10.1097/NMD.0b13e31817d0546.

    Article  PubMed  Google Scholar 

  • Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: a meta-analysis. Psychological Bulletin, 128, 638–662. doi:10.1037/0033-2909.128.4.638.

    Article  PubMed  Google Scholar 

  • Roemer, L., & Orsillo, S. M. (2003). Mindfulness: a promising intervention strategy in need of further study. Clinical Psychology: Science and Practice, 10, 172–178.

    Google Scholar 

  • Rohini, V., Pandey, R. S., Janakiramaiah, N., Gangadhar, B. N., & Vedamurthachar, A. (2000). A comparative study of full and partial Sudarshan Kriya Yoga (SKY) in major depressive disorder. NIMHANS, 18(1–2), 53–57.

    Google Scholar 

  • Salmon, P., Lush, E., Jablonski, M., & Sephton, S. E. (2009). Yoga and mindfulness: clinical aspects of an ancient mind/body practice. Cognitive and Behavioral Practice, 16, 59–72.

    Article  Google Scholar 

  • Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: theoretical rationale and empirical status. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: expanding the cognitive-behavioral tradition (p. 54). New York: Guilford Press.

    Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression—a new approach to preventing relapse. New York: Guilford Press.

    Google Scholar 

  • Shelov, D. V., Suchday, S., & Friedberg, J. P. (2009). A pilot study measuring the impact of yoga on the trait of mindfulness. Behavioral and Cognitive Psychotherapy, 37(5), 595–598.

    Article  Google Scholar 

  • Uebelacker, L. A., Epstein-Lubow, G., Gaudiano, B. A., Tremont, G., Battle, C. L., & Miller, I. W. (2010). Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. Journal of Psychiatric Practice, 16(1), 22–33.

    Article  PubMed  Google Scholar 

  • Walach, H., Buchheld, N., Buttenmuller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness: the Freiberg mindfulness inventory (FMI). Personal and Individual Differences, 40(8), 1543–1555. doi:10.1016/j.paid.2005.11.025.

    Article  Google Scholar 

  • Williams, J. M. G., Duggan, D. S., Crane, C., & Fennell, M. J. (2006). Mindfulness-based cognitive therapy for prevention of recurrence of suicidal behavior. Journal of Clinical Psychology In Session, 62(2), 201–210. doi:10.1002/jclp.20223.

    Article  Google Scholar 

  • York, M. (2007). A qualitative study into the experience of individuals involved in a mindfulness group within an acute inpatient mental health unit. Journal of Psychiatric and Mental Health Nursing, 14, 603–608. doi:10.1111/j.1365–2850.2007.01148.x.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Knight.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Knight, M., Pultinas, D., Collins, S. et al. Teaching Mindfulness on an Inpatient Psychiatric Unit. Mindfulness 5, 259–267 (2014). https://doi.org/10.1007/s12671-012-0175-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-012-0175-5

Keywords

Navigation