Effects of perinatal meditation on pregnant Chinese women in Hong Kong: A randomized controlled trial

Chan, Ka Po

doi:10.5430/jnep.v5n1p1

Cited by 9 publications

(12 citation statements)

References 220 publications

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“…Labour worry was comparable to study norms. Pregnancy experience uplift scores were higher and hassles scores lower than previously found but intensity of experiences was comparable to previous samples (Chan 2014).…”

Section: Mothers-to-besupporting

confidence: 83%

An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS)

et al. 2018

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Section: Mothers-to-besupporting

confidence: 83%

An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS)

et al. 2018

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“…Matvienko-Sikar and Dockray (2017) emphasized that positive psychological intervention reduced the PSS of 46 Australian pregnant women. Chan (2015) improved pregnancy stress and pregnancy outcomes with six sessions of mindfulness mediation intervention in 123 Chinese pregnant women. Richter et al (2012) reported the early effect of cognitive behavioral group intervention on daily stress and cortisol in pregnant women with symptoms of stress, anxiety, and depression (Richter et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial

et al. 2020

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Introduction: The fear of childbirth (FOC) has an adverse effect on the physical and mental health of pregnant women and increases adverse maternal and fetal outcomes. Previous research reported the effect of psychological interventions such as cognitive behavioral therapy, relaxation therapies, and short-term psycho-educational intervention on FOC. We examined whether adding motivational interviewing (MI) psychotherapy to prenatal usual care (PUC) is superior to PUC alone to reduce the scores of FOC, pregnancy stress, and self-efficacy.Materials and Methods: An RCT with two-arm parallel groups and 1:1 allocation ratio assigned 70 pregnant women (aged 18-50) attending public health centers in an education hospital in Iran to receive five sessions of group MI psychotherapy plus PUC (N = 35) or to receive PUC alone (N = 35). The primary outcomes were the FOC scores (Wijma Delivery Expectancy/Experience Questionnaire, W-DEQ), pregnancy-specific stress (Prenatal Distress Questionnaire, NuPDQ), anxiety (Spielberger state anxiety), and Childbirth Self-Efficacy Index (CBSI) at 5 weeks post-randomization. Additional measures included subscales of the W-DEQ and the NuPDQ, patients' compliance, and satisfaction with psychotherapy intervention at 5 weeks post-randomization as secondary outcomes.Main Results: The post-trial results indicated that the outcome scores diminished more considerably in psychotherapy than in PUC for total FOC scale with a large effect size (B = −23.54, p = < 0.001, η 2 η 2 = 0.27), for total pregnancy stress with a large effect size (B = −4.51, p = < 0.001, η 2 = 19), and for state anxiety with a large effect size (B = −12.42, p = < 0.001, η 2 = 0.22). However, the score of self-efficacy and concern about physical symptoms did not differ between the psychotherapy and PUC groups (P < 0.05).

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“…In addition, the review focused exclusively on antenatal rather than postnatal populations and also did not include analysis of several recent randomised-controlled trials of MBIs (e.g. [ 32 , 33 , 34 , 35 , 36 , 37 ]). Therefore, it remains uncertain as to whether or not the evidence to date suggests that MBIs are effective for perinatal populations and this question would benefit from a meta-analysis which could comprehensively draw together and summarise this evidence.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Mindfulness-Based Interventions in the Perinatal Period: A Systematic Review and Meta-Analysis

2016

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Perinatal mental health difficulties are associated with adverse consequences for parents and infants. However, the potential risks associated with the use of psychotropic medication for pregnant and breastfeeding women and the preferences expressed by women for non-pharmacological interventions mean it is important to ensure that effective psychological interventions are available. It has been argued that mindfulness-based interventions may offer a novel approach to treating perinatal mental health difficulties, but relatively little is known about their effectiveness with perinatal populations. This paper therefore presents a systematic review and meta-analysis of the effectiveness of mindfulness-based interventions for reducing depression, anxiety and stress and improving mindfulness skills in the perinatal period. A systematic review identified seventeen studies of mindfulness-based interventions in the perinatal period, including both controlled trials (n = 9) and pre-post uncontrolled studies (n = 8). Eight of these studies also included qualitative data. Hedge’s g was used to assess uncontrolled and controlled effect sizes in separate meta-analyses, and a narrative synthesis of qualitative data was produced. Pre- to post-analyses showed significant reductions in depression, anxiety and stress and significant increases in mindfulness skills post intervention, each with small to medium effect sizes. Completion of the mindfulness-based interventions was reasonable with around three quarters of participants meeting study-defined criteria for engagement or completion where this was recorded. Qualitative data suggested that participants viewed mindfulness interventions positively. However, between-group analyses failed to find any significant post-intervention benefits for depression, anxiety or stress of mindfulness-based interventions in comparison to control conditions: effect sizes were negligible and it was conspicuous that intervention group participants did not appear to improve significantly more than controls in their mindfulness skills. The interventions offered often deviated from traditional mindfulness-based cognitive therapy or mindfulness-based stress reduction programmes, and there was also a tendency for studies to focus on healthy rather than clinical populations, and on antenatal rather than postnatal populations. It is argued that these and other limitations with the included studies and their interventions may have been partly responsible for the lack of significant between-group effects. The implications of the findings and recommendations for future research are discussed.

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Effects of perinatal meditation on pregnant Chinese women in Hong Kong: A randomized controlled trial

Cited by 9 publications

References 220 publications

An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS)

An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS)

Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial

The Effectiveness of Mindfulness-Based Interventions in the Perinatal Period: A Systematic Review and Meta-Analysis

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