Effects of a mindfulness based childbirth and parenting program on pregnant women's perceived stress and risk of perinatal depression-Results from a randomized controlled trial

JOURNAL OF AFFECTIVE DISORDERS

卷:262

Article

Lonnberg, Gunilla¹  Jonas, Wibke¹  Unternaehrer, Eva²  Branstrom, Richard³  Nissen, Eva¹  Niemi, Maria^4,5 

[1] Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,Plan 8, S-17177 Stockholm, Sweden

[2] Univ Constance, Dept Psychol, Constance, Germany

[3] Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden

[4] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden

[5] Karolinska Inst, Ctr Social Sustainabil, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden

关键词: Antenatal;    Depression;    Mindfulness;    Parenting;    Pregnant;    Stress;   

DOI  :  10.1016/j.jad.2019.10.048

来源: Elsevier

【 摘 要 】

Objectives: The aim of this study was to test the efficacy of a Mindfulness-Based Childbirth and Parenting Program (MBCP) in reducing pregnant women's perceived stress and preventing perinatal depression compared to an active control condition. Method: First time pregnant women (n = 197) at risk of perinatal depression were randomized to MBCP or an active control treatment, which consisted of a Lamaze childbirth class. At baseline and post-intervention, participants filled out questionnaires on perceived stress, depressive symptoms, positive states of mind, and five facets of mindfulness. Results: Compared to the active control treatment, MBCP significantly reduced perceived stress (p = 0.038, d = 0.30) and depressive symptoms (p = 0.004, d = 0.42), and increased positive states of mind (p = 0.005, d = 0.41) and self-reported mindfulness (p = 0.039, d = 0.30). Moreover, change in mindfulness possibly mediated the treatment effects of MBCP on stress, depression symptoms, and positive states of mind. The subscales non-reactivity to inner experience and non-judging of experience seemed to have the strongest mediating effects. Limitations: The outcomes were self-report questionnaires, the participants were not blinded to treatment condition and the condition was confounded by number of sessions. Conclusions: Our results suggest that MBCP is more effective in decreasing perceived stress and risk of perinatal depression compared to a Lamaze childbirth class. The results also contribute to our understanding of the underlying psychological mechanisms through which the reduction of stress and depression symptoms may operate. Thus, this study increases our knowledge about efficient intervention strategies to prevent perinatal depression and promote mental wellbeing among pregnant women.

【 授权许可】

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