Effects of Mindfulness-Based Cognitive Therapy in Pregnancy on Psychological Distress and Gestational Age: Outcomes of a Randomized Controlled Trial

MacKinnon, Anna; Madsen, Joshua W.; Giesbrecht, Gerald F.; Campbell, Tavis S.; Carlson, Linda E.; Dimidjian, Sona; Létourneau, Nicole; Tough, Suzanne; Tomfohr‐Madsen, Lianne

doi:10.1007/s12671-020-01585-2

Cited by 23 publications

(37 citation statements)

References 80 publications

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“…The advantage of these techniques is that they can be performed in group settings in hospital as well as through online telemedicine. The main goal of the MBSR is grounding the attention in the present moment and work with the way of breathing, which results in reduction of stress and symptoms of anxiety and depression 39 . It would be also desirable to have a crisis plan for the care of pregnant women available.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depressive symptoms in pregnant women during the COVID‐19 pandemic in the Czech Republic—Broader sociodemographic causes, connections and implications

Krámská

Slabá

Hrešková³

et al. 2023

Acta Obstet Gynecol Scand

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Introduction Our study (part of multicentric “MindCOVID”) investigates risk factors for anxiety and depression among pregnant women during the COVID‐19 pandemic in the Czech Republic. Material and methods The study used a prospective cross‐sectional design. Data was collected using an online self‐administered questionnaire. Standardized scales, general anxiety disorder (GAD)‐7 and patient health questionnaire (PHQ)‐9 were administered online. Multivariate regression analysis was employed to evaluate the relationship between sociodemographic, medical and psychological variables. Results The Czech sample included 1830 pregnant women. An increase of depressive and anxiety symptoms measured by PHQ‐9 and GAD‐7 in pregnant women during the COVID‐19 pandemic was associated with unfavorable financial situation, low social and family support, psychological and medical problems before and during pregnancy and infertility treatment. Fear of being infected and adverse effect of COVID‐19, feeling of burden related to restrictions during delivery and organization of delivery and feeling of burden related to finances were associated with worse anxiety and depressive symptoms. Conclusions Social and emotional support and lack of financial worries are protective factors against mood disorders in pregnant women in relation to COVID‐19 pandemic. In addition, adequate information about organization of delivery and additional support from healthcare professionals during the delivery are needed. Our findings can be used for preventive interventions, given that repeated pandemics in the future are anticipated.

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Section: Discussionmentioning

confidence: 99%

Anxiety and depressive symptoms in pregnant women during the COVID‐19 pandemic in the Czech Republic—Broader sociodemographic causes, connections and implications

Krámská

Slabá

Hrešková³

et al. 2023

Acta Obstet Gynecol Scand

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“…One example is the use of sleep actigraphy as a secondary outcome measure for an intervention based on mindfulness therapy in pregnancy. As high levels of psychological distress are associated with poorer maternal and child health and the development of postnatal mood disorders, early assessment and intervention are particularly important in this group [ 50 , 51 ]. A similar approach was taken for the LIFE-ON project, which is both an observational and interventional study of sleep disturbance as a prospective factor for the development of perinatal depression, employing sleep actigraphy assessment [ 52 ].…”

Section: The Opportunity: Digital Health Technologiesmentioning

confidence: 99%

The Case for the Patient-Centric Development of Novel Digital Sleep Assessment Tools in Major Depressive Disorder

Peerenboom,

Aryal,

Blankenship

et al. 2023

Digit Biomark

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Background: Depression imposes a major burden on public health as the leading cause of disability worldwide. Sleep disturbance is a core symptom of depression that affects the vast majority of patients. Nonetheless, it is frequently not resolved by depression treatment and may even be worsened through some pharmaceutical interventions. Disturbed sleep negatively impact patients’ quality of life, and persistent sleep disturbance increases the risk of recurrence, relapse, and even suicide. However, the development of novel treatments that might improve sleep problems is hindered by the lack of reliable low-burden objective measures that can adequately assess disturbed sleep in this population. Summary: Developing improved digital measurement tools that are fit for use in clinical trials for major depressive disorder could promote the inclusion of sleep as a focus for treatment, clinical drug development, and research. This perspective piece explores the path toward the development of novel digital measures, reviews the existing evidence on the meaningfulness of sleep in depression, and summarizes existing methods of sleep assessments, including the use of digital health technologies. Key Messages: Our objective was to make a clear call to action and path forward for the qualification of new digital outcome measures which would enable assessment of sleep disturbance as an aspect of health that truly matters to patients, promoting sleep as an important outcome for clinical development, and ultimately ensure that disturbed sleep will not remain the forgotten symptom of depression.

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“…Recently, Lianne Tomfohr-Madsen at the University of Calgary and her colleagues conducted an RCT comparing MBCT-PD ( n = 28) to TAU ( n = 32; MacKinnon-et al, 2021). Modifications to the original MBCT-PD protocol were made to include a greater emphasis on managing stress and anxiety (Tomfohr-Madsen et al, 2016).…”

Section: Part 2: Extensions Of Mindfulness By Other Canadian Researchersmentioning

confidence: 99%

Mindfulness meditation in the long-term management of mood disorders: Contributions by Canadian researchers.

Shamblaw¹,

Segal²

2022

Canadian Journal of Behavioural Science / Revue canadienne des

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Effects of Mindfulness-Based Cognitive Therapy in Pregnancy on Psychological Distress and Gestational Age: Outcomes of a Randomized Controlled Trial

Cited by 23 publications

References 80 publications

Anxiety and depressive symptoms in pregnant women during the COVID‐19 pandemic in the Czech Republic—Broader sociodemographic causes, connections and implications

Anxiety and depressive symptoms in pregnant women during the COVID‐19 pandemic in the Czech Republic—Broader sociodemographic causes, connections and implications

The Case for the Patient-Centric Development of Novel Digital Sleep Assessment Tools in Major Depressive Disorder

Mindfulness meditation in the long-term management of mood disorders: Contributions by Canadian researchers.

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