Mindfulness and mood symptomatology in schizophrenia: The mediating roles of rumination

H. Y. Lam, K.H. Wong, Y. T. Cheung, Sau Fong Leung, W. T. Chien

Research output: Chapter in book / Conference proceedingConference article published in proceeding or bookAcademic researchpeer-review


Introduction: Previous studies showed that rumination plays a significant mediating role between mindfulness and symptoms of depression and anxiety in the general and clinical population. However, no studies have examined this pathway in people with schizophrenia. 
Method: A cross-sectional study was conducted to examine the relations among mindfulness, rumination, mood and psychotic symptoms in people with schizophrenia (n=52) using Five Facet Mindfulness Questionnaire– Short form (FFMQ-SF), Short Ruminative Response Scale (SRRS), Depression Anxiety Stress Scale (DASS-21) and the Psychotic Symptom Rating Scales (PSYRATS). Regression analyses and mediation analysis were performed to examine the relationships and the role of rumination as a mediator.

Results: Mindfulness was negatively associated with mood symptoms (β = − 0.524, P = 0.002) while rumination was positively associated with mood (β = 1.672, P < 0.001). Awareness facet affected mood symptoms both directly (β = −0.924, 95% CI: − 1.4360 to −0.4123, p < 0.001), and indirectly mediated by rumination (β = -0.438, 95% CI: -0.765 to -0.172, p <0.003). Nonjudgement facet affected mood symptoms indirectly (β = -0.882, 95% CI: -1.375 to -0.443, p < 0.001), but the direct effect was not significantly detected. Besides, mood symptoms and rumination were positively correlated to hallucination (β = 0.371, P = 0.010; and β = 0.826, P = 0.035), but the mediation effect was not detected.

Conclusion: Rumination plays a significant mediating role between mindfulness and mood symptoms in schizophrenia. Interventions focusing on mindfulness and rumination may be useful in reducing mood disturbance and psychotic symptoms.
Original languageEnglish
Title of host publicationAsian Conference on Psychology & the Behavioral Sciences
Publication statusPublished - 29 Mar 2021


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