Mindfulness Interventions in Managing Paranoia: A Scoping Review
DOI:
https://doi.org/10.59786/bmtj.312Keywords:
Mindfulness, Paranoia, Psychotherapy, Mental, Evidence-Based PracticeAbstract
Paranoia is a prevalent symptom in various psychiatric conditions, presenting a challenge for conventional treatment methods. Mindfulness-based interventions (MBIs) offer a promising alternative, yet their efficacy in treating paranoia needs thorough exploration. This study aimed to evaluate the effectiveness of MBIs in managing paranoia, assessing their impact on paranoia symptoms as well as associated cognitive and emotional disturbances. We conducted a comprehensive literature search in PubMed, Scopus, APA PsycINFO, CINAHL, Cochrane Library, and Web of Science databases from January 1, 1990, until July 31, 2024, identifying 13 relevant studies. These studies, ranging from randomized controlled trials to case studies, were analyzed for their methodology, efficacy, and clinical relevance in addressing paranoia. The review found that MBIs not only reduce symptoms of paranoia but also improve related cognitive and emotional issues. It discussed the mechanisms behind these effects, patient responsiveness, and the clinical application of MBIs in treating paranoia. Additionally, the review identified current research trends and suggested future directions. This review highlighted the potential of MBIs as an effective intervention for paranoia, offering insights into their mechanisms and clinical applicability. It underscores the need for more comprehensive, longitudinal studies to further understand and enhance the use of MBIs in treating paranoia in diverse patient populations.
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Hajdúk M, Sasson NJ, Park S, Pinkham AE. Paranoia: From Passive Social-Threat Perception to Misattunement in Social Interaction. Clinical Psychological Science. 2024;doi:10.1177/21677026231218639
Lepoutre T, Madeira ML, Guerin N. The Lacanian Concept of Paranoia: An Historical Perspective. Front Psychol. 2017;8:1564. doi:10.3389/fpsyg.2017.01564
Bebbington PE, McBride O, Steel C, et al. The structure of paranoia in the general population. The British Journal of Psychiatry. 2013;202(6):419-427. doi:10.1192/bjp.bp.112.119032
Green C, Freeman D, Kuipers E, et al. Measuring ideas of persecution and social reference: the Green et al. Paranoid Thought Scales (GPTS). Psychological medicine. 2008;38(1):101-111. doi:10.1017/S0033291707001638
Lincoln TM, Möbius C, Huber MT, Nagel M, Moritz S. Frequency and correlates of maladaptive responses to paranoid thoughts in patients with psychosis compared to a population sample. Cognitive Neuropsychiatry. 2014;19(6):509-526. doi:10.1080/13546805.2014.931220
Coid JW, Ullrich S, Kallis C, et al. The relationship between delusions and violence: findings from the East London first episode psychosis study. JAMA psychiatry. 2013;70(5):465-471. doi:10.1001/jamapsychiatry.2013.12
Naval MH, Guzmán RG, Pellón EH, Marcos PA, Rendoluna BS. Suicide in Schizophrenia: A literature review. European Psychiatry. 2023;66(S1):S1112-S1112. doi:10.1192/j.eurpsy.2023.2365
Aleman A, Kahn RS. Strange feelings: do amygdala abnormalities dysregulate the emotional brain in schizophrenia? Progress in neurobiology. 2005;77(5):283-298. doi:10.1016/j.pneurobio.2005.11.005
Osimo EF, Goujon MJ, Perez J, Murray GK. Can typical and atypical antipsychotics show differential effectiveness in treating paranoia and hallucinations in schizophrenia? BMJ Case Rep. Mar 31 2019;12(3)doi:10.1136/bcr-2018-228573
Van der Gaag M, Valmaggia LR, Smit F. The effects of individually tailored formulation-based cognitive behavioural therapy in auditory hallucinations and delusions: a meta-analysis. Schizophrenia research. 2014;156(1):30-37. doi:10.1016/j.schres.2014.03.016
Chadwick P. Person-based cognitive therapy for distressing psychosis. John Wiley & Sons; 2006.
Ellett L, Kingston J. Third-Wave CBT Interventions for Psychosis. A Clinical Introduction to Psychosis. Elsevier; 2020:379-393.
Moritz S, Klein JP, Lysaker PH, Mehl S. Metacognitive and cognitive-behavioral interventions for psychosis: new developments. Dialogues in clinical neuroscience. 2019;21(3):309-317. doi:10.31887/DCNS.2019.21.3/smoritz
Morrison A, Renton J, Dunn H, Williams S, Bentall R. Cognitive therapy for psychosis: A formulation-based approach. Routledge; 2004.
Baer RA, Huss DB. Mindfulness-and acceptance-based therapy. Twenty-first century psychotherapies: Contemporary approaches to theory and practice. 2008:123-166.
Snape C. Mindfulness for paranoia, loneliness and forgiveness. Royal Holloway, University of London; 2017.
Taylor KN, Abba N. Mindfulness meditation in cognitive-behavioral therapy for psychosis. Incorporating acceptance and mindfulness into the treatment of psychosis: Current trends and future directions. 2015;170doi:10.1093/med:psych/9780199997213.003.0008
Freeman D, Garety P. Advances in understanding and treating persecutory delusions: a review. Social psychiatry and psychiatric epidemiology. 2014;49:1179-1189. doi:10.1007/s00127-014-0928-7
Kingston J, Lassman F, Matias C, Ellett L. Mindfulness and Paranoia: A Cross-Sectional, Longitudinal and Experimental Analysis. Mindfulness. 2019:1-8. doi:10.1007/s12671-019-01162-2
Shore R. A randomised controlled trial of an online mindfulness-based intervention for paranoia in a non-clinical population. 2015:
Braehler C, Gumley A, Harper J, Wallace S, Norrie J, Gilbert P. Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology. 2013;52(2):199-214. doi:10.1111/bjc.12009
Josipovic Z. Freedom of the mind. Front Psychol. 2013;4:538. doi:10.3389/fpsyg.2013.00538
Sak WR. Daniel J. Siegel: Aware: The Science and Practice of Presence. TarcherPerigee, New York, 2018, 379 pp. Mindfulness. 2019;10:2206 - 2207. doi:10.1007/s12671-019-01205-8
Cameron N. The Paranoid Pseudo-Community Revisited. American Journal of Sociology. 1959;65:52 - 58. doi:10.1086/222626
Chaudhari P, Lodha P, Karia S, Shah NB, Sousa AED. Reciprocal Paranoid pseudo-community in a patient with schizophrenia - A phenomenological case study. Annals of Indian Psychiatry. 2020;4:230 - 232. doi:10.4103/aip.aip_10_20
Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International journal of social research methodology. 2005;8(1):19-32. doi:10.1080/1364557032000119616
Tricco A. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Angew Chemie Int Ed. 1967;6(11):951.
Collip D, Geschwind N, Peeters F, Myin-Germeys I, van Os J, Wichers M. Putting a hold on the downward spiral of paranoia in the social world: a randomized controlled trial of mindfulness-based cognitive therapy in individuals with a history of depression. PLoS One. 2013;8(6):e66747. doi:10.1371/journal.pone.0066747
Moritz S, Cludius B, Hottenrott B, et al. Mindfulness and relaxation treatment reduce depressive symptoms in individuals with psychosis. European Psychiatry. 2015;30(6):709-714. doi:10.1016/j.eurpsy.2015.05.002
Shore R, Strauss C, Cavanagh K, Hayward M, Ellett L. A randomised controlled trial of a brief online mindfulness-based intervention on paranoia in a non-clinical sample. Mindfulness. 2018;9:294-302. doi:10.1007/s12671-017-0774-2
Wang H, Dong P, Shi Z, Tao F, Li Y. Effect of Meditation Training on Hallucinatory Paranoia in Patients with Chronic Schizophrenia. ANALYTICAL AND QUANTITATIVE CYTOPATHOLOGY AND HISTOPATHOLOGY. 2021;43(6):981-989.
Henderson VP, Clemow L, Massion AO, Hurley TG, Druker S, Hébert JR. The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast cancer research and treatment. 2012;131:99-109. doi:10.1007/s10549-011-1738-1
Ellett L, Tarant E, Kouimtsidis C, et al. Group mindfulness-based therapy for persecutory delusions: a pilot randomised controlled trial. Schizophrenia Research. 2020;222:534-536.
Chadwick P, Hughes S, Russell D, Russell I, Dagnan D. Mindfulness groups for distressing voices and paranoia: a replication and randomized feasibility trial. Behavioural and Cognitive Psychotherapy. 2009;37(4):403-412. doi:10.1017/S1352465809990166
McKie A, Askew K, Dudley R. An experimental investigation into the role of ruminative and mindful self-focus in non-clinical paranoia. Journal of behavior therapy and experimental psychiatry. 2017;54:170-177. doi:10.1016/j.jbtep.2016.07.014
Kingston J, Lassman F, Matias C, Ellett L. Mindfulness and paranoia: A cross-sectional, longitudinal and experimental analysis. Mindfulness. 2019;10:2038-2045. doi:10.1007/s12671-019-01162-2
Thoroughgood CN, Sawyer KB, Webster JR. Finding calm in the storm: A daily investigation of how trait mindfulness buffers against paranoid cognition and emotional exhaustion following perceived discrimination at work. Organizational Behavior and Human Decision Processes. 2020;159:49-63. doi:10.1016/j.obhdp.2019.02.004
Chadwick P, Taylor KN, Abba N. Mindfulness groups for people with psychosis. Behavioural and cognitive psychotherapy. 2005;33(3):351-359.
Ellett L. Mindfulness for paranoid beliefs: Evidence from two case studies. Behavioural and Cognitive Psychotherapy. 2013;41(2):238-242.
Sheng JL, Yan Y, Yang XH, Yuan TF, Cui DH. The effects of Mindfulness Meditation on hallucination and delusion in severe schizophrenia patients with more than 20 years’ medical history. CNS Neuroscience & Therapeutics. 2019;25(1):147. doi:10.1111/cns.13067
Ellett L. Mindfulness for paranoid beliefs: evidence from two case studies. Behav Cogn Psychother. Mar 2013;41(2):238-42. doi:10.1017/S1352465812000586
Jankowski T, Holas P. Metacognitive model of mindfulness. Consciousness and cognition. 2014;28:64-80. doi:10.1016/j.concog.2014.06.005
Freeman D, Dunn G, Startup H, et al. Effects of cognitive behaviour therapy for worry on persecutory delusions in patients with psychosis (WIT): a parallel, single-blind, randomised controlled trial with a mediation analysis. The Lancet Psychiatry. 2015;2(4):305-313. doi:10.1016/S2215-0366(15)00039-5
Garland EL, Gaylord SA, Fredrickson BL. Positive reappraisal mediates the stress-reductive effects of mindfulness: An upward spiral process. Mindfulness. 2011;2:59-67. doi:10.1007/s12671-011-0043-8
Glomb TM, Duffy MK, Bono JE, Yang T. Mindfulness at work. Research in personnel and human resources management. Emerald Group Publishing Limited; 2011:115-157.
Leary MR, Tate EB. The Multi-Faceted Nature of Mindfulness. Psychological Inquiry. 2007;18:251 - 255. doi:10.1080/10478400701598355
Shore RM. A randomised controlled trial of an online mindfulness-based intervention for paranoia in a non-Clinical population. University of Surrey; 2015.
Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLOS one. 2014;9(4):e96110. doi:10.1371/journal.pone.0096110
Lam BY, Raine A, Lee TM. The relationship between neurocognition and symptomatology in people with schizophrenia: social cognition as the mediator. BMC psychiatry. 2014;14:1-10. doi:10.1186/1471-244X-14-138
Berli C, Inauen J, Stadler G, Scholz U, Shrout PE. Understanding Between-Person Interventions With Time-Intensive Longitudinal Outcome Data: Longitudinal Mediation Analyses. Ann Behav Med. May 6 2021;55(5):476-488. doi:10.1093/abm/kaaa066
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Copyright (c) 2025 Abdulmalik Fareeq Saber, Safin Hussein, Sirwan Khalid Ahmed, Arpi Manookian

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