Mindfulness and perinatal mental health: A systematic review

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

doi:10.1016/j.wombi.2015.08.006

Cited by 88 publications

(68 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Vieten and Astin 2008, Woolhouse et al 2014) and similar preliminary evidence regarding the effectiveness of yoga on reducing distress in pregnancy (Beddoe et al 2010). There have been meta-analyses of mindfulness interventions in pregnancy (Hall et al 2016; Taylor et al 2016), focused on outcomes in common mental health symptoms, with both reviews highlighting issues with the quality of the data. However, these reviews varied in their approach to study designs, assessment of risk of bias and definitions of MBIs (including MBSR, MBCT and mindfulness-informed yoga).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Mindfulness-Based Interventions on Maternal Perinatal Mental Health Outcomes: a Systematic Review

2017

View full text Add to dashboard Cite

Presenting with common mental health difficulties, particularly depression and anxiety, there is also preliminary evidence that mindfulness-based interventions (MBIs) including mindfulness-based cognitive therapy (MBCT), mindfulness-based stress reduction (MBSR) and integrated mindfulness yoga practices may also be effective in reducing common mental health difficulties during pregnancy. We systematically reviewed and synthesized the current literature on the effectiveness of MBIs in reducing severity of perinatal anxiety and depression. Databases including PubMed, Cochrane Library, IndMED and PsychoInfo were searched for relevant studies. Manual searches were conducted in relevant articles and Google Scholar. Seventeen cohorts representing 18 studies were included. Pre-post effect sizes were reported for both treatment and control groups. Seven randomized controlled trials (RCTs), two non-randomized controlled trials and nine treatment evaluations were included. Maternal participation in an MBI was associated with reductions in perinatal anxiety of moderate to large magnitude. Results for the effect of MBIs on depression were less consistent, with pre-post treatment reductions of moderate magnitude, but no significant differences in depression scores when MBI was compared with a control group. There was some evidence that MBIs were associated with increased mindfulness. Risk of bias in studies was variable. Our review offers preliminary evidence for the effectiveness of MBIs in reducing perinatal anxiety, with more equivocal findings with regard to perinatal depressive symptoms. Further methodologically rigorous evaluation using RCTs and longer follow-up periods are recommended.

show abstract

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Mindfulness-Based Interventions on Maternal Perinatal Mental Health Outcomes: a Systematic Review

2017

View full text Add to dashboard Cite

show abstract

“…Women affected by mental illness may be more prone to take part in this type of research in ating overall estimates of rates of (or risk for) mental illness (43).…”

Section: Discussionmentioning

confidence: 99%

Rural-urban differences in the mental health of perinatal women: a UK-based cross-sectional study

Ginja

Jackson

Newham

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: International data suggest that living in a rural area is associated with an increased risk of perinatal mental illness. This study tested the association between rurality and risk for two mental illnesses prevalent in perinatal women - depression and anxiety. Methods: Using a cross-sectional design, antenatal and postnatal women were approached by healthcare professionals and through other networks in a county in Northern England (UK). After providing informed consent, women completed a questionnaire where they indicated their postcode (used to determine rural-urban status) and completed three outcome measures: the Edinburgh Postnatal Depression Scale (EPDS), the Whooley (depression measure), and the Generalised Anxiety Disorder 2-item (GAD-2). Logistic regression models were developed, both unadjusted and adjusted for potential confounders, including socioeconomic status, social support and perinatal stage. Results: 295 participants provided valid data. Women in rural areas (n=130) were mostly comparable to their urban counterparts (n=165). Risk for depression and/or anxiety was found to be higher in the rural group across all models: unadjusted OR 1.67 95% CI 1.03 to 2.72, p=.038. This difference though indicative did not reach statistical significance after adjusting for socioeconomic status and perinatal stage (OR 1.57 (0.40), 95% CI 0.95 to 2.58, p=.078), and for social support (OR 1.65 (0.46), 95% CI 0.96 to 2.84, p=.070). Conclusions: Data suggested that women in rural areas were at higher risk of depression and anxiety than their urban counterparts. Further work should be undertaken to corroborate these findings and investigate the underlying factors. This will help inform future interventions and the allocation of perinatal services to where they are most needed.

show abstract

“…Yet these symptoms can have a profound impact on woman's experience of pregnancy and some will turn to CM for assistance [26]. There is a growing body of evidence that specific CM therapies may be helpful for a number of pregnancy related conditions including back pain [27], nausea and vomiting [11], and anxiety [27], that may be overlooked in conventional care as a minor complaint. Until conventional care settings begin appropriately acknowledging and addressing these concerns, CM may be perceived as the only viable option for women suffering from these complaints.…”

Section: Discussionmentioning

confidence: 99%

Filling the gaps in contemporary maternity care: The perceptions of complementary medicine practitioners providing care to women during pregnancy

Steel

Hall

Diezel

et al. 2019

Complementary Therapies in Clinical Practice

View full text Add to dashboard Cite

Background and purpose: As many as one in two women consult with a complementary medicine (CM) practitioner for pregnancy-related health care, yet little is known about the reason for such a high rate of use. This paper presents the perceptions of CM practitioners regarding the role they play within the existing maternity care system. Materials and methods: Semi-structured interviews with 15 CM practitioners were conducted and the transcripts analysed, using a Framework approach. Results: Key themes pertaining to the perceived role of CM practitioners in maternity care emerged. (1) Becoming a maternity care provider: responding to a need and filling gaps in the system; (2) Characterising CM maternity care: Holistic, nurturing and addressing unmet health concerns and; (3) Treating health complaints neglected by conventional maternity care. Conclusion: CM practitioners often acknowledge their specialist roles as part of a multidisciplinary team of practitioners rather than attempting to offer comprehensive pregnancy care.

show abstract

Mindfulness and perinatal mental health: A systematic review

Cited by 88 publications

References 38 publications

The Effectiveness of Mindfulness-Based Interventions on Maternal Perinatal Mental Health Outcomes: a Systematic Review

The Effectiveness of Mindfulness-Based Interventions on Maternal Perinatal Mental Health Outcomes: a Systematic Review

Rural-urban differences in the mental health of perinatal women: a UK-based cross-sectional study

Filling the gaps in contemporary maternity care: The perceptions of complementary medicine practitioners providing care to women during pregnancy

Contact Info

Product

Resources

About