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    MINT pilot study : a text message package as an adjunct to existing mindfulness-based cognitive therapy in an early intervention setting : a thesis presented in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology at Massey University, Albany, New Zealand
    (Massey University, 2018) Miller, Mary
    Background: Mindfulness-Based Cognitive Therapy (MBCT) is being used in an increasing number of settings including Early Intervention (EI) for psychosis services. People with psychotic symptoms face difficulties including compliance problems with home-based practice, which may affect the utility of MBCT. This study aimed to examine whether text message technology could be used as an adjunct to support home-based practice. Method: A single case multiple baseline design was used to assess the mindfulness text message intervention (MINT) in 11 participants. Results: There was a statistically significant increase of group mean total practice time per week of 7.1 minutes from the baseline to post-intervention phase, with a medium effect size. There were no statistically significant results for change in mindfulness skills or depression and anxiety symptoms. Discussion: Text messages can be used as an adjunct to support home-based practice in an EI setting. The amount of home-based practice required to produce an improvement in clinical outcomes is unclear. Future studies may explore the variation between participants found and the use of MINT in other settings.
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    Schizophrenia (and other psychotic disorders) cognitive-behaviour therapy research programme : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University
    (Massey University, 2006) Gillingham, Ruth
    The present study evaluated the effectiveness of a treatment that combined techniques from Cognitive-Behaviour Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to alleviate the psychological distress and symptom severity resultant from psychotic-type disorders. This treatment (EVoLVE Therapy: an acronym for Exposing Virtues of Living Valued Existences) was designed to primarily target the psychological distress associated with psychotic disorders and secondarily to facilitate improvement in psychotic-type symptoms. Participants in this study were selected based on previous diagnoses of schizophrenia, schizoaffective, and other psychiatric disorders with psychotic features. Seven participants, who had each been long-term consumers of mental health services, completed 10 weeks of therapy. Post-graduate students, in training to become professional psychologists, delivered supervised therapy using a structured treatment manual written by the researcher. Pre-treatment, post-treatment and 5-week follow-up data were collected, using a variety of measures to assess the effectiveness of treatment. Results were quite positive overall, with some clients making considerable improvements in a number of domains. All 7 participants showed a decrease in symptom severity after treatment. In addition, 6 out of the 7 participants reported an improved quality of life following treatment. Marked improvement in negative affect was also evident, with a slight improvement in positive affect noted.