Effects of mindfulness on maternal stress, depressive symptoms and awareness of present moment experience: A pilot randomised trial

Beattie, Jill; Hall, Helen; Biró, Mary Anne; East, Christine; Lau, Rosalind

doi:10.1016/j.midw.2017.04.006

Cited by 43 publications

(69 citation statements)

References 32 publications

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“…Most participants reported learning to monitor internal and external experiences in an accepting way. A randomized mixed‐methods trial conducted in New Zealand also found that mindfulness training fostered an internalized locus of self‐acceptance that could help women reduce their dependency on others for well‐being …”

Section: Discussionmentioning

confidence: 99%

Effects of an Online Mindfulness Intervention Focusing on Attention Monitoring and Acceptance in Pregnant Women: A Randomized Controlled Trial

Yang¹,

Jia²,

Sun³

et al. 2019

J Midwife Womens Health

153

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Introduction Attention monitoring and acceptance underlie the effects of mindfulness meditation. This study tested the feasibility and acceptability of an online mindfulness intervention for pregnant women as an approach to reduce depressive and anxious symptoms. Method We developed an 8‐week mindfulness intervention program that trained participants to monitor their internal and external experiences in an accepting way. The mindfulness course was based on the Wechat platform. This study was conducted in a women's hospital in China. A total of 123 women with scores on the Generalized Anxiety Disorder Scale and Patient Health Questionnaire suggesting mild or moderate symptoms of depression and anxiety were recruited from the outpatient department between April and June 2018. The participants were randomized to receive the mindfulness intervention or routine prenatal care. The Generalized Anxiety Disorder Scale, the Patient Health Questionnaire, and the Five Facets of Mindfulness Questionnaire were used to evaluate the levels of anxiety, depression, and mindfulness, respectively, before and after the intervention. Results Of the 123 women enrolled in this study, 10 in the intervention group and 11 in the control group did not complete the intervention. The retention rate and feedback suggested that the mindfulness intervention was feasible and acceptable among pregnant women. Participants in the intervention group showed greater declines in depressive and anxious symptoms compared with those in the control group, as well a significant improvement in mindfulness skills (eg, attention monitoring and acceptance). Discussion These results suggest that an online mindfulness intervention may be a promising technique to help women use mindfulness skills to reduce depressive and anxious symptoms. The mindfulness intervention could constitute part of the psychological care provided to pregnant women.

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Section: Discussionmentioning

confidence: 99%

Effects of an Online Mindfulness Intervention Focusing on Attention Monitoring and Acceptance in Pregnant Women: A Randomized Controlled Trial

Yang¹,

Jia²,

Sun³

et al. 2019

J Midwife Womens Health

153

View full text Add to dashboard Cite

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“…In the included studies, 12 were randomized controlled trials (32,51-61), whereas five were controlled clinical trials (35,(62)(63)(64)(65). Significant reduction (P<0.05) in depression and anxiety was reported in 13 of the included studies which received midwife-supported psychotherapy (19,32,51,52,(54)(55)(56)(57)(58)(60)(61)(62)64). Two studies reported an insignificant reduction (P>0.05) (53,59), and two studies reported no effect (63,65), of midwife-supported psychotherapy on depression, anxiety and maternal health-status outcome during the antenatal stage of pregnancy.…”

Section: Resultsmentioning

confidence: 99%

“…The authors of that study reported that higher compliance, accessibility and confided emotional support offered by the midwives to be the main reasons behind these effects. Further work by Beattie et al (51) reported reduced depression and anxiety with midwife-supported behavioral therapy. Authors suggested that midwife-supported behavioral therapy could promote an enhanced state of acceptability during childbirth, which, in turn, could enhance the experience of labor (51,82).…”

Section: Confoundingmentioning

confidence: 97%

“…The average baseline, follow-up assessments for the included studies was performed at 19.8±2.3 and 35.7±2.3 weeks, respectively. However, from the included studies six did not report the initial baseline stage of assessment (19,54,55,60,63,64), whereas eleven did not report the stage at which the follow-up assessment was perfor med (19,32,51,(55)(56)(57)(58)60,(63)(64)(65).…”

Section: Risk Of Biasmentioning

confidence: 99%

“…In the included studies, midwife-supported psychoeducation counselling was administered by 12 studies (19,32,52,(57)(58)(59)(60)(61)(63)(64)(65)(66). Four studies used midwife-supported cognitive behavioral therapy (51,(54)(55)(56), and one study used midwife-supported self-regulation therapy (53), for managing depression and anxiety during the antenatal stage of pregnancy.…”

Section: Risk Of Biasmentioning

confidence: 99%

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Role of midwife‑supported psychotherapy on antenatal depression, anxiety and maternal health: A meta‑analysis and literature review

et al. 2020

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The onset of depression and anxiety during the antenatal stage of pregnancy is common. Despite the conception of numerous interventions in the past decades, studies show no signs of decline in the prevalence of antenatal depression and anxiety. Recently, the use of midwife-supported psychotherapy to treat these psychosomatic disorders has garnered a lot of attention. However, no attempt to date has been made to synthesize the evidence evaluating the influence of midwife-supported psychotherapy on antenatal depression, anxiety, and overall maternal health-status. The aim of the present meta-analysis was to demonstrate the effectiveness of midwife-supported psychotherapy on depression, anxiety, and maternal health-status outcome during the antenatal stage of pregnancy. A systematic identification of literature was performed according to PRISMA guidelines on four academic databases: MEDLINE, Scopus, EMBASE and CENTRAL. A meta-analysis evaluated the influence of midwife-supported psychotherapy on depression, anxiety, and maternal health-status outcome as compared to conventional obstetric care. Of the 1,011 records, 17 articles, including 6,193 pregnant women (mean age: 28.9±2.2 years) were included in this meta-analysis. Eleven studies compared the effects of midwife-supported therapy on depression, 14 compared its effects on anxiety and 2 compared its effects on maternal health-status outcome. The meta-analysis reveals the beneficial effects of midwife-supported psychotherapy for reducing depression (Hedge's g:-0.9), anxiety (-0.8) and enhancing maternal health-status outcome (0.1), as compared to conventional obstetric care. The current systematic review and meta-analysis recommend the use of midwife-supported psychotherapy for the reduction of depression, anxiety and enhancing maternal health-status during the antenatal stage of pregnancy.

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Counsellors' experiences of the use of mindfulness in the treatment of depression and anxiety: An interpretative phenomenological analysis

McCabe

Day

2021

Couns and Psychother Res

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Background The current study explores counsellors’ experiences of their integration of mindfulness into the treatment of their clients for depression and anxiety. Method Five counsellors participated in semi‐structured interviews, which were analysed using interpretative phenomenological analysis to identify how the use of mindfulness in therapy was experienced and understood by participants. Results The analysis produced six themes: the benefits of mindfulness for clients, the client's role in the success of mindfulness, the integrity of practice, using mindfulness in therapy, mindfulness techniques and the responsibility of a mindfulness practitioner. A description of these themes and related subordinate themes is presented, with analysis of the findings in relation to the literature. Recommendations Practice implications include that present‐moment awareness is the cornerstone of mindfulness and that this can be practised and taught; that a counsellor's establishment of a personal mindfulness practice significantly supports their effective integration of mindfulness interventions in the clinical space; and that a client's sustained practice of mindfulness beyond the clinical space is indicative of a reduction of the frequency and intensity of depressive and anxious symptomology. The level of a counsellor's training and experience in mindfulness is found to be an important factor in the effectiveness of the use of mindfulness as a clinical intervention. This supports a case at policy level for the uptake of a mindfulness competencies framework for counselling trainees—including minimum duration of personal practice—in the service of greater consistency and accountability in the delivery of mindfulness techniques in the clinical space.

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Effects of mindfulness on maternal stress, depressive symptoms and awareness of present moment experience: A pilot randomised trial

Cited by 43 publications

References 32 publications

Effects of an Online Mindfulness Intervention Focusing on Attention Monitoring and Acceptance in Pregnant Women: A Randomized Controlled Trial

Effects of an Online Mindfulness Intervention Focusing on Attention Monitoring and Acceptance in Pregnant Women: A Randomized Controlled Trial

Role of midwife‑supported psychotherapy on antenatal depression, anxiety and maternal health: A meta‑analysis and literature review

Counsellors' experiences of the use of mindfulness in the treatment of depression and anxiety: An interpretative phenomenological analysis

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