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Mediating roles of positive reappraisal and stigma resistance in the relationship between mindfulness and quality of life among stable schizophrenia patients

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Abstract

The link between psychiatric conditions, quality of life (QoL) and mindfulness has been well established. In populations with schizophrenia, however, this link has not been extensively explored, and the psychological mechanisms that mediate it have remained unknown. This study aimed to examine the relations between mindfulness and QoL among individuals with schizophrenia. Positive reappraisal and stigma resistance are further explored as mechanisms through which mindfulness exert its positive effects on QoL. We recruited 254 individuals with schizophrenia in the outpatient clinic of a Federal Neuro-psychiatric Hospital. Participants completed the relevant measures such as Cognitive and Affective Mindfulness Scale – Revised (CAMS-R), positive reappraisal subscale of Cognitive Emotion Regulation Questionnaire (CERQ, stigma resistance subscale of the Internalized Stigma of Mental Illness Scale, and Schizophrenia Quality of Life scale (SQLS). Hayes PROCESS macro for SPSS was employed for data analysis. Result supported the proposed hypothesis. Patients with greater mindfulness reported improved QoL. Positive reappraisal and stigma resistance independently mediated the relations between mindfulness and QoL. Such findings have shed light upon previous studies by emphasizing on the mediating role that positive reappraisal and stigma resistance play in transmitting the positive impact of mindfulness on QoL. Positive reappraisal and stigma resistance appears to be a core element in promoting the positive effect of mindfulness on QoL among people with schizophrenia and therefore should inform intervention targets.

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References

  • Aliche, C. J. (2022). The mediating role of positive reappraisal and self compassion on the relationship between mindfulness and posttraumatic growth in patients with cancer. South African Journal of Psychology 1–13. https://doi.org/10.1177/00812463221113445https://journals.sagepub.com/home/sap

  • Aliche, J. C., & Onyishi, I. E. (2020). Mindfulness and wellbeing in older adults' survivors of herdsmen attack. The mediating effect of positive reappraisal. Aging mental. Health, 24(7), 1132–1140. https://doi.org/10.1080/13607863.2019.1602592

    Article  Google Scholar 

  • Aliche, C. J., Ifeagwazi, C. M., & Ezenwa, M. O. (2022). Relationship between mindfulness, meaning in life and post-traumatic growth among Nigerian cancer patients. Psychology, Health and Medicine, 28(2), 475–485. https://doi.org/10.1080/13548506.2022.2095576

    Article  PubMed  Google Scholar 

  • Bergmann, N., Hahn, E., Hahne, I., Zierhut, M., Ta, T. M. T., Bajbouj, M., Pijnenborg, G. H. M., & Böge, K. (2021). The relationship between mindfulness, depression, anxiety, and quality of life in individuals with schizophrenia spectrum disorders. Frontiers in Psychology, 12, 708808. https://doi.org/10.3389/fpsyg.2021.708808

    Article  PubMed  PubMed Central  Google Scholar 

  • Bifftu, B. B., Dachew, B. A., & Tiruneh, B. T. (2014). Stigma resistance among people with schizophrenia at Amanuel mental specialized hospital Addis Ababa, Ethiopia: A cross-sectional institution based study. BMC Psychiatry, 14, 259.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bobes, J., & Garcia-Portilla, M. P. (2006). Quality of life in schizophrenia. In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders (2nd ed., pp. 153–168). John Wiley & Sons Ltd.

    Google Scholar 

  • Böge, K., Karadza, A., Fuchs, L. M., Ehlen, F., Ta, T. M. T., Thomas, N., Bajbouj, M., & Hahn, E. (2020). Mindfulness-based interventions for in-patients with schizophrenia Spectrum disorders-A qualitative approach. Frontiers in Psychiatry, 26(11), 600. https://doi.org/10.3389/fpsyt.2020.00600

    Article  Google Scholar 

  • Böge, K., Pollex, F., Bergmann, N., Hahne, I., Zierhut, M. M., Mavituna, S., Thomas, N., & Hahn, E. (2022). Mindfulness, cognitive fusion, and self-compassion in patients with schizophrenia spectrum disorders-A cross-sectional study. Frontiers in Psychiatry, 2(13), 959467. https://doi.org/10.3389/fpsyt.2022.959467

    Article  Google Scholar 

  • Bonticatto, S. C., Dew, M. A., Zaratiegui, R., Lorenzo, L., & Pecina, P. (2001). Adult outpatient with depression: Worse quality of life than in other chronic medical diseases in Argentina. Social Science and Medicine, 52(6), 911–919.

    Article  Google Scholar 

  • Chadwick, P., Taylor, K. N., & Abba, N. (2015). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33(3), 351–359.

    Article  Google Scholar 

  • Chan, K. K. S., & Mak, W. W. S. (2017). The content and process of self stigma in people with mental illness. American Journal of Orthopsychiatry, 87(1), 34–43.

    Article  PubMed  Google Scholar 

  • Chan, K. K. S., Lee, C. W. L., & Mak, W. W. S. (2018). Mindfulness model of stigma resistance among individuals with psychiatric disorders. Mindfulness, 9(5), 1433–1442. https://doi.org/10.1007/s12671-018-0887-2

    Article  Google Scholar 

  • Ciuluvicaa, C., Ameriob, P., & Fulcheria, M. (2014). Emotion regulation strategies and quality of life in dermatologic patients. Social and Behavioral Sciences, 127, 661–665.

    Google Scholar 

  • Da Silva, J. P., & Pereira, A. M. S. (2016). Perceived spirituality, mindfulness and quality of life in psychiatric patients. Journal of Region and Health, 56(1), 130–140. https://doi.org/10.1007/s10943-016-0186-y

    Article  Google Scholar 

  • Davis, L. W., Strasburger, A. M., & Brown, L. F. (2007). Mindfulness: An intervention for anxiety in schizophrenia. Journal of Psychosocial Nursing and Mental Health Services, 45(11), 23–29.

    PubMed  Google Scholar 

  • Desrosiers, A., Vine, V., Klemanski, D. H., & Nolen-Hoeksema, S. (2013). Mindfulness and emotion regulation in depression and anxiety: Common and distinct mechanisms of action. Depression and Anxiety, 30(7), 654–661.

    Article  PubMed  PubMed Central  Google Scholar 

  • Duker, A., Green, D. J., Onyeador, I. N., & Richeson, J. A. (2022). Managing emotions in the face of discrimination: The differential effects of self-immersion, self-distanced reappraisal, and positive reappraisal. Emotion, 22(7), 1435–1449. https://doi.org/10.1037/emo0001001

    Article  PubMed  Google Scholar 

  • Evans, S., Banerjee, S., Leese, M., & Huxley, P. (2007). The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Quality of Life Research, 16, 17–29.

    Article  PubMed  Google Scholar 

  • Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: The development and initial validation of the cognitive and affective mindfulness scale- revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177–190.

    Article  Google Scholar 

  • Firmin, R. L., Luther, L., Lysaker, P. H., Minor, K. S., & Salyers, M. P. (2016). Stigma resistance is positively associated with psychiatric and psychosocial outcomes: A meta-analysis. Schizophrenia Research, 175(1–3), 118–128. https://doi.org/10.1016/j.schres.2016.03.008

    Article  PubMed  Google Scholar 

  • Garland, E. L., Gaylord, S., & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore (New York, N.Y.), 5(1), 37–44.

    Article  PubMed  Google Scholar 

  • Garland, E. L., Gaylord, S. A., & Fredrickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: An upward spiral process. Mindfulness, 2(1), 59–67.

    Article  Google Scholar 

  • Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and depression. Personality and Individual Differences, 30(8), 1311–1327.

    Article  Google Scholar 

  • Haddad, P. M., & Correll, C. U. (2018). The acute efficacy of antipsychotics in schizophrenia: A review of recent meta-analyses. Therapeutic Advances in Psychopharmacology, 8(11), 303–318. https://doi.org/10.1177/2045125318781475

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.

    Google Scholar 

  • Hjorthøj, C., Stürup, A. E., McGrath, J. J., & Nordentoft, M. (2017). Years of potential life lost and life expectancy in schizophrenia: A systematic review and meta-analysis. Lancet Psychiatry, 4(4), 295–301. https://doi.org/10.1016/S2215-0366(17)30078-0

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. https://doi.org/10.1037/a0018555

    Article  PubMed  PubMed Central  Google Scholar 

  • Jacobsen, P., Choksi, T., Sawyer, K., Maximen, C., Harding, E., & Richardson, M. (2022). Home practice in mindfulness-based interventions for psychosis groups: A systematic review and qualitative study. BMC Psychology, 10(1), 9. https://doi.org/10.1186/s40359-021-00694-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Jansen, J. E., Gleeson, J., Bendall, S., Rice, S., & Alvarez-Jimenez, M. (2020). Acceptance- and mindfulness-based interventions for persons with psychosis: A systematic review and meta-analysis. Schizophrenia Research, 215, 25–37. https://doi.org/10.1016/j.schres.2019.11.016

    Article  PubMed  Google Scholar 

  • Jedel, S., Merriman, P., Hoffman, A., Swanson, B., Fogg, L. F., & Keshavarzian, A. (2013). Relationship of mindfulness, quality of life, and psychiatric symptoms among patients with ulcerative colitis. Mindfulness, 4, 296–300. https://doi.org/10.1007/s12671-012-0128-z

    Article  Google Scholar 

  • Jones, P., & Drummond, P. (2022). Construction and evaluation of a mindfulness-based quality of life and well-being program (mqw) in a randomized trial. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues. Advance online publication. https://doi.org/10.1007/s12144-021-02672-w

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion.

    Google Scholar 

  • Kao, Y., Lien, Y., Chang, H., Tzeng, N., Yeh, C., & Loh, C. (2017). Stigma resistance in stable schizophrenia: The relative contributions of stereotype endorsement, self-reflection, self-esteem, and coping styles. The Canadian Journal of Psychiatry, 62(10), 735–744. https://doi.org/10.1177/0706743717730827

    Article  PubMed  Google Scholar 

  • Kaviani, H., Javaheri, F., & Hatami, N. (2011). Mindfulness-based cognitive therapy (MBCT) reduces depression and anxiety induced by real stressful setting in non clinical population. International Journal of Psychology and Psychological Therapy, 11(2), 285–296.

    Google Scholar 

  • Kay, S. R., Fsizbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.

    Article  CAS  PubMed  Google Scholar 

  • Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M. A., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005

    Article  PubMed  Google Scholar 

  • Lam, A. H. Y., & Chien, W. T. (2016). The effectiveness of mindfulness-based intervention for people with schizophrenia: A systematic review. Neuropsychiatry (London), 6(5), 208–222.

    Google Scholar 

  • Langer, A. I., Schmidt, C., Mayol, R., Díaz, M., Lecaros, J., Krogh, E. ... & Gaspar, P. A. et al. (2017). The effect of a mindfulness-based intervention in cognitive functions and psychological well-being applied as an early intervention in schizophrenia and high-risk mental state in a Chilean sample: Study protocol for a randomized controlled trial. Trials, 18, 233. https://doi.org/10.1186/s13063-017-1967-7

  • Li, L., Zhu, X., Yang, Y., He, J., Yi, J., Wang, Y., & Zhang, J. (2015). Cognitive emotion regulation: Characteristics and effect on quality of life in women with breast cancer. Health and Quality of Life Outcomes, 13, 51. https://doi.org/10.1186/s12955-015-0242-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Lin, Y.-Y., Lin, M.-L., Huang, Y.-H., Ma, W.-F., Yen, W.-J., & Lee, S.-K. (2022). Effects of rehabilitation models on self-stigma among persons with mental illness. Healthcare, 10, 213. https://doi.org/10.3390/healthcare10020213

    Article  PubMed  PubMed Central  Google Scholar 

  • Lysaker, P. H., & Davis, L. W. (2004). Social function in schizophrenia and schizoaffective disorder: Associations with personality, symptoms and neurocognition. Health and Quality of Life Outcomes, 2(1), 15.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marcussen, K., Gallagher, M., & Ritter C. (2021). Stigma Resistance and Well-Being in the Context of the Mental Illness Identity. Journal of Health and Social Behaviour, 62(1), 19–36. https://doi.org/10.1177/0022146520976624

  • Marutani, T., Chhim, S., Nishio, A., Nosaki, A., & Fuse-Nagase, Y. (2020). Quality of life and its social determinants for patients with schizophrenia and family caregivers in Cambodia. PLoS One, 15(3), e0229643. https://doi.org/10.1371/journal.pone.0229643

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mashiach-Eizenberg, M., Hasson-Ohayon, I., Yanos, P. T., Lysaker, P. H., & Roe, D. (2013). Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope. Psychiatry Research, 208, 15–20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Morgades-Bamba, C. I., Fuster-Ruizdeapodaca, J., & Molero, F. (2019). Internalized stigma and its impact on schizophrenia quality of life. Psychology, Health & Medicine, 24(8), 992–1004. https://doi.org/10.1080/13548506.2019.1612076

    Article  Google Scholar 

  • Naomi, T., Tabaka, N. T., Horanb, W. P., & Green, M. F. (2015). Mindfulness in schizophrenia: Associations with self-reported motivation, emotion regulation, dysfunctional attitudes, and negative symptoms. Schizophrenic Research, 168(0), 537–542. https://doi.org/10.1016/j.schres.2015.07.030

    Article  Google Scholar 

  • Oliveira, S. E. H., Carvalho, H., & Esteves, F. (2016). Internalized stigma and quality of life domains among people with mental illness: The mediating role of self-esteem. Journal of Mental Health, 25(1), 55–61. https://doi.org/10.3109/09638237.2015.1124387

    Article  PubMed  Google Scholar 

  • Pagnini, F., Bercovitz, K. E., & Phillips, D. (2018). Langerian mindfulness, quality of life and psychological symptoms in a sample of Italian students. Health and Quality of Life Outcomes, 16(1), 29. https://doi.org/10.1186/s12955-018-0856-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Quinn, D. M., Williams, M. K., & Weisz, B. M. (2015). From discrimination to internalized mental illness stigma: The mediating roles of anticipated discrimination and anticipated stigma. Psychiatric Rehabilitation Journal, 38(2), 103–108.

    Article  PubMed  PubMed Central  Google Scholar 

  • Raij, T. T., Korkeila, J., Joutsenniemi, K., Saarni, S. I., & Riekki, T. J. (2014). Association of stigma resistance with emotion regulation - functional magnetic resonance imaging and neuropsychological findings. Comprehensive Psychiatry, 55(3), 727–735. https://doi.org/10.1016/j.comppsych.2013.10.010

    Article  PubMed  Google Scholar 

  • Raj, S., Ghosh, D., Verma, S. K., & Singh, T. (2020). The mindfulness trajectories of addressing suicidal behaviour: A systematic review. International Journal of Social Psychiatry, 1, 20764020960776. https://doi.org/10.1177/0020764020960776

    Article  Google Scholar 

  • Rayan, A., & Ahmad, M. (2016). Effectiveness of mindfulness-based interventions on quality of life and positive reappraisal coping among parents of children with autism spectrum disorder. Research in Developmental Disorders, 55, 185–196.

    Article  Google Scholar 

  • Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121(1), 31–49.

    Article  PubMed  Google Scholar 

  • Roth, B., & Robbins, D. (2004). Mindfulness-based stress reduction and health-related quality of life: Findings from a bilingual inner-city patient population. Psychosomatic Medicine, 66(1), 113–123. https://doi.org/10.1037/0022-3514.84.4.822

    Article  PubMed  Google Scholar 

  • Sagayadevan, V., Jeyagurunathan, A., Lau, Y.W., Shafie, S., Chang, S., Ong, H. L., … & Sabramaniam, M, et al. (2019). Cognitive insight and quality of life among psychiatric outpatients. BMC Psychiatry, 19, 201. https://doi.org/10.1186/s12888-019-2163-y

  • Shen, H., Zhang, L., Li, Y., Zheng, D., Du, L., Xu, F., Xu, C., Liu, Y., Shen, J., Li, Z., & Cui, D. (2021). Mindfulness-basedintervention improves residual negative symptoms and cognitive impairment in schizophrenia: a randomized controlled follow-upstudy. Psychological Medicine, 53(4), 1–10. https://doi.org/10.1017/S0033291721002944

    Article  Google Scholar 

  • Sibitz, I., Unger, A., Woppmann, A., Zidek, T., & Amering, M. (2011). Stigma resistance in patients with schizophrenia. Schizophrenia Bulletin, 37(2), 316–323.

    Article  PubMed  Google Scholar 

  • Strauss, C, Thomas N, & Hayward, M. (2015). Can we respond mindfully to distressing voices? A systematic review of evidence for engagement, acceptability, effectiveness and mechanisms of change for mindfulness-based interventions for people distressed by hearing voices. Frontiers in Psychology, 6, 1154. https://doi.org/10.3389/fpsyg.2015.01154. eCollection

  • Tabak, N. T., Horan, W. P., & Green, M. F. (2015). Mindfulness in schizophrenia: Associations with self-reported motivation, emotion regulation, dysfunctional attitudes, and negative symptoms. Schizophrenia Research, 168(1–2), 537–42. https://doi.org/10.1016/j.schres.2015.07.030

    Article  PubMed  Google Scholar 

  • Tang, Q., Yang, S., Liu, C., Li, L., Chen, X., Wu, F., & Huang, X. (2021). Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female PatientsWith Schizophrenia. Frontiers in psychiatry, 12,

  • Thoits, P. A. (2011). Resisting the stigma of mental illness. Social Psychology Quarterly, 74, 6–28.

    Article  Google Scholar 

  • Thoits, P. A., & Link, B. G. (2015). Stigma resistance and wellbeing among people in treatment for psychosis. Society and Mental Health, 20(10), 1–20.

    Google Scholar 

  • Wilkinson, G., Hesdon, B., Wild, D., Cookson, R. O. N., Farina, C., Sharma, V., & Jenkinson, C. (2000). Self-report quality of life measure for people with schizophrenia: The SQLS. The British Journal of Psychiatry, 177(1), 42–46.

    Article  CAS  PubMed  Google Scholar 

  • Yang, X., & Mak, W. W. S. (2017). The differential moderating roles of self compassion and mindfulness in self-stigma and well-being among people living with mental illness or HIV. Mindfulness, 8(3), 595–602.

    Article  Google Scholar 

  • Yang, L. H., Wong, L. Y., Grivel, M. M., & Hasin, D. S. (2017). Stigma and substance use disorders: an international phenomenon. Current opinion in psychiatry, 30(5), 378–388. https://doi.org/10.1097/YCO.0000000000000351

  • Ye, J., Chen, T. F., Paul, D., McCahon, R., Shankar, S., Rosen, A., & O’Reilly, C. L. (2016). Stigma and discrimination experienced by people living with severe and persistent mental illness in assertive community treatment settings. International Journal of Social Psychiatry, 62(6), 532–541.

    Article  PubMed  Google Scholar 

  • Yilmaz, E., & Kavak, F. (2018). Effects of mindfulness-based psychoeducation on the internalized stigmatization level of patients with schizophrenia. Clinical Nursing Research, 1–15. https://doi.org/10.1177/1054773818797871

  • York, M. A. (2007). Qualitative study into the experience of individuals involved in a mindfulness group within an acute inpatient mental health unit. Journal of Psychiatry and Mental Health Nursing, 14(6), 603–608.

    Article  CAS  Google Scholar 

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Acknowledgements

We are grateful to all the participants who volunteered to take part in this study. It would not have been possible to conduct this study without their co-operation. We thank all our research assistance for their assistance and cooperation all through the period of this study.

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Authors and Affiliations

  1. Department of Psychology, University of Nigeria, Nsukka, Nigeria

    Chinenye Joseph Aliche & Chuka Mike Ifeagwazi

  2. Department of Nutrition and Dietetics, University of Nigeria, Nsukka, Nigeria

    Joy Ugo Nwamarah

  3. Department of Home Science and Management, University of Nigeria, Nsukka, Nigeria

    Franca Obiageli Okechukwu

  4. Department of Political Science, University of Nigeria, Nsukka, Nigeria

    Elias Chukwuemeka Ngwu

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  1. Chinenye Joseph Aliche
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Correspondence to Chinenye Joseph Aliche.

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Aliche, C.J., Ifeagwazi, C.M., Nwamarah, J.U. et al. Mediating roles of positive reappraisal and stigma resistance in the relationship between mindfulness and quality of life among stable schizophrenia patients. Curr Psychol 43, 3124–3133 (2024). https://doi.org/10.1007/s12144-023-04563-8

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