Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review

Windt, Melissa van der; Zundert, Sofie Karolina Maria van; Schoenmakers, Sam; Jansen, Pauline W.; Rossem, Lenie van; Steegers‐Theunissen, R.P.M.

doi:10.1016/j.pmedr.2021.101631

Cited by 10 publications

(5 citation statements)

References 85 publications

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“…This enhancement in lifestyle aligns with the results of Farhoudi Moghadam's study in 2020 (36), where the implementation of cognitivebehavioral therapy led to higher lifestyle scores in the intervention group. Similarly, Van der Wiedent's study in 2012 (37) showcased signi cant improvements in lifestyle factors following psychological interventions with pregnant mothers.…”

Section: Discussionmentioning

confidence: 90%

Impact of the World Health Organization's Thinking Healthy Program (THP) on Maternal Depression, Lifestyle, and Delivery Method: An interventional Study in Iran

Botyar,

Moghaddam-Banaem,

Sadatmahalleh

et al. 2024

Preprint

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Background:Maternal depression during pregnancy and the postnatal period can have significant implications for both the mother and child. The Thinking Healthy Program (THP) has shown promise in addressing perinatal depression, but its impact on maternal well-being, delivery mode, and lifestyle in the Iranian context remains understudied. Methods: This interventional study included 80 pregnant women in Tehran, Iran, divided into intervention and control groups. Depression levels were assessed using the Edinburgh and Beck questionnaires, with the intervention group receiving THP from health liaisons and the control group receiving routine care. The THP intervention comprised four modules conducted from the second trimester of pregnancy to six months post-delivery. Depression scores were evaluated at various time points, and delivery mode and health-promoting lifestyle were documented. Results: At the end of pregnancy (first module), Edinburgh scores were 12.3±2.2 vs.15.81±2, and the Beck scores were 19±4 vs. 20±4 in the intervention and control groups respectively. At the end of the study, 6 months after birth, Beck scores were 9±4.3 vs. 10.6±3.3 in the intervention and control groups, respectively (all P-values<0.001). At all end points, depression scores were more improved in the intervention group. The lifestyle score at the end of the study was significantly higher in the intervention group (151±17 vs. 107±12) (P<0.001). Also, elective caesarean section was significantly lower in the intervention group (10% vs. 57.5%) (P-value: 0.001). Discution: The implementation of THP in this study led to improved maternal well-being, as evidenced by reduced depression symptoms, positive impacts on lifestyle, and a lower rate of elective caesarean sections. Conclusion: These findings suggest the feasibility and benefits of integrating THP into the Iranian healthcare system to support pregnant women with depression and enhance maternal and child health outcomes.

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Section: Discussionmentioning

confidence: 90%

Impact of the World Health Organization's Thinking Healthy Program (THP) on Maternal Depression, Lifestyle, and Delivery Method: An interventional Study in Iran

Botyar,

Moghaddam-Banaem,

Sadatmahalleh

et al. 2024

Preprint

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“…Addressing depression during mid-pregnancy may help to promote healthy GWG. Cognitive-behavioral intervention aimed at reducing depression during pregnancy was found to be effective and it could also help in improve lifestyle practices such as improved dietary intake and physical activity that translates to healthy gestational weight gain [ 32 , 33 ]. Healthcare professionals dealing with pregnant women should be aware about the link between depression and its role in gestational weight gain.…”

Section: Discussionmentioning

confidence: 99%

Exploring the relationship between sunlight exposure, psychological health, and gestational weight gain: a prospective observational study

Kaur,

Kok,

Jamil

et al. 2024

BMC Public Health

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Introduction Gestational weight gain (GWG) is influenced by various factors during pregnancy. This study attempts to explore the relationship between environmental factors i.e., sunlight exposure and psychological health i.e. psychological well-being and sleep quality during pregnancy with total gestational weight gain. Methods This was a prospective observational study conducted in government maternity clinics in Kuala Lumpur. Pregnant women aged 19–39 years without comorbidities were recruited during second trimester and followed up until birth. The participants were required to wear a UVB dosimeter for a total of three consecutive days (2 weekdays and 1 weekend) to determine sunlight exposure (SED) during their second trimester. The PSQI and DASS-21 were used to determine sleep quality and psychological wellbeing, respectively. GWG data were collected from clinic health records. The association of sun exposure and psychological health with total GWG was determined using multiple linear regression. Results A total of 73 pregnant women aged 27.9 ± 3.3 years were included in the analysis. The prevalence of pregnant women exhibiting stress, anxiety, and depression symptoms was 11%, 40%, and 16% respectively. The global PSQI median score was 5 (IQR = 3), with 59% having poor sleep quality. Median sleep duration was 7 h (IQR = 2) while median sleep efficiency was 92% (IQR = 14). The median SED was 0.04 (IQR = 0.09), with 51% of them being under the 50th percentile. The majority had adequate GWG (58%). Sleep parameters were not found to be correlated with total GWG except for sleep latency (ρ = -0.356, p = 0.002). Sunlight exposure was found to have no significant relationship with sleep and total GWG. Adjusted multiple linear regression showed that greater depression is associated with higher total GWG (β = 0.239, p = 0.039) while controlling for sleep quality. Conclusion Depression was associated with total GWG when sleep quality was controlled for while sunlight exposure had no significant association with GWG. Future studies should study the complex relationship between factors of mental health, sleep, and weight gain during pregnancy. Healthcare providers may be better equipped to develop interventions aimed to prevent negative maternal and fetal health outcomes.

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“…On the other hand, this insight could also contribute to prevention of neuro-developmental disorders, for example by introducing periconceptional lifestyle coaching focusing on the factors that influence growth and development. 82 , 83 , 84 , 85 , 86 , 87 Hence, introducing automatic methods to routine clinical practice, especially targeted at early pregnancy, may ultimately lead to better neuro-development of the fetus.…”

Section: Discussionmentioning

confidence: 99%

Computational methods for the analysis of early-pregnancy brain ultrasonography: a systematic review

Bastiaansen¹,

Klein²,

Koning³

et al. 2023

eBioMedicine

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Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review

Cited by 10 publications

References 85 publications

Impact of the World Health Organization's Thinking Healthy Program (THP) on Maternal Depression, Lifestyle, and Delivery Method: An interventional Study in Iran

Impact of the World Health Organization's Thinking Healthy Program (THP) on Maternal Depression, Lifestyle, and Delivery Method: An interventional Study in Iran

Exploring the relationship between sunlight exposure, psychological health, and gestational weight gain: a prospective observational study

Computational methods for the analysis of early-pregnancy brain ultrasonography: a systematic review

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