Mindfulness-based cognitive therapy for psychological distress in pregnancy: study protocol for a randomized controlled trial

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

doi:10.1186/s13063-016-1601-0

Cited by 38 publications

(25 citation statements)

References 97 publications

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“…Some of these behavior changes may be a direct result of increased stress and anxiety due to the pandemic. In general, up to one quarter (25 %) of women experience psychological distress during pregnancy which can lead to poor birth outcomes [ 22 , 23 ]. Stressful events also have significant deleterious effects on birth outcomes [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic

Ahlers-Schmidt

Hervey

Neil

et al. 2020

Patient Education and Counseling

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Highlights Pregnant and recently delivered women reported behavior changes due to COVID-19. Preventive measures (e.g. social distancing) were used by respondents. Negative changes in mental health, such as increased stress, were also reported. Employment and fiscal security decreased; postpartum alcohol consumption increased. Healthcare access remained stable for most.

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Section: Discussionmentioning

confidence: 99%

Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic

Ahlers-Schmidt

Hervey

Neil

et al. 2020

Patient Education and Counseling

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“…Mental and physical discomfort may disrupt or even alter an individual's ability of awareness and nonjudgment [11,33]. Braeken et al reported pregnant women with lower emotional disorders have higher mindfulness during prenatal and postpartum periods [10].…”

Section: Discussionmentioning

confidence: 99%

The factors Related to Maternal-Fetal Attachment: Examining the Effect of Mindfulness, Stress and Symptoms during Pregnancy

S¹

2019

Arch Nursing Pract Care

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Background:The development of a successful relationship between a mother and her developing fetus to foster maternal behavior attainment. Diverse factors such as psychophysiological elements infl uence the maternal-fetal relationship. Mindfulness, a psychological process, increasingly apples to the research of pregnant women's wellbeing. However, most studies focus solely on physiological outcomes; few consider the maternal-fetal bonding.Purpose: This research aims to investigate whether factors of stress, symptoms during pregnancy and mindfulness systematically related to maternal-fetal attachment.Methods: Data were collected from 339 pregnant women, which were recruited from two hospitals in Taiwan, using the following questionnaires: the mindfulness scale, the symptom scale, the pregnancy stress scale during pregnancy, and the maternal fetal attachment scale. A path analysis approach was used to test the relationship.Results: Pregnancy stress is the most robust factor of maternal-fetal attachment. The mindfulness and stress during pregnancy both have signifi cant direct effects on maternal-fetal attachment, ß = .46, and ß = 22, all p < 0.00, respectively. The mindfulness has a signifi cant inverse, direct effect (ß = -.13, p < 0.05) on stress during pregnancy. But the variable of symptoms during pregnancy is no signifi cant effect on maternal-fetal attachment. The model proposed in this study accounts for 22.5% (R2) variance in the relational model of maternal-fetal attachment. Conclusions:Given that the maternal mindfulness direct and indirect effect through stress variable on mother developing a closer connection with her babies, screenings of the relational elements should be incorporated into prenatal education programs.

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“…Anxiety and depression are the most common symptoms in the complex psychological changes during pregnancy [ 5 – 7 ]. Physical, pathological, and social changes, that leading to anxiety and depression will continue from the prenatal period to puerperium [ 8 , 9 ]. Thus, the most common female mental disorder, that is postpartum depression, refers to depression occurring during puerperium.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the most common female mental disorder, that is postpartum depression, refers to depression occurring during puerperium. Postpartum depression usually occurs 2 weeks after childbirth, and the symptoms are typical at 4–6 weeks [ 8 , 9 ]. Postnatal depression (PND) is often referred to a condition occurring after childbirth [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…CBT is one of the non-pharmacological therapies that has been applied in clinical practive in recent years [ 19 , 23 ]. Several studies have reported that CBT exerts significant therapeutic effects on PND [ 2 , 8 , 11 , 23 , 24 ]. Whether CBT and which type of CBT is superior in reducing risk and relieving symptoms of PND is still required to be elucidated.…”

Section: Introductionmentioning

confidence: 99%

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Is cognitive behavioral therapy a better choice for women with postnatal depression? A systematic review and meta-analysis

et al. 2018

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The present study evaluated the combined effectiveness of cognitive behavioral therapy (CBT) for postnatal depression. A systematic search was conducted across databases including PubMed, Embase, and the Cochrane library to identify the randomized controlled trials (RCTs) that assessing CBT versus control for postnatal depression until March 2017. Data was extracted by two reviewers, independently. The Review Manager 5.3 and Stata 11.0 were used to calculate the synthesized effect of CBT on depression, and anxiety. A total of 20 RCTs involving 3623 participants were included. The results of meta-analysis showed that CBT was associated with a better Edinburgh Postnatal Depression Scale (EPDS) than control in short-term (mean difference = -2.86, 95% CI: -4.41–-1.31; P<0.05) and long-term (mean difference = -1.68, 95% CI: -1.81–1.56; P<0.05). CBT also improved short-term (mean difference = -6.30, 95% CI: -11.32–-1.28; P<0.05) and long-term (mean difference = -4.31, 95% CI: -6.92–-1.70; P<0.05) Beck Depression Inventory (BDI). Subgroup analysis based on intervention types showed that in-home and telephone-based therapy exhibited significant reductions in EPDS scores (P<0.05 for all). CBT significantly improved the short-term [odds ratio (OR) = 6.57, 95% CI: 1.84–23.48; P<0.05] and long-term (OR = 2.00, 95% CI: 1.61–2.48; P<0.05) depressive symptomatology as compared to control. CBT also reduced the score of Depression Anxiety Stress Scales (DASS), though without significance. In conclusion, CBT effectively improved the symptoms and progression of postnatal depression.

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Mindfulness-based cognitive therapy for psychological distress in pregnancy: study protocol for a randomized controlled trial

Cited by 38 publications

References 97 publications

Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic

Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic

The factors Related to Maternal-Fetal Attachment: Examining the Effect of Mindfulness, Stress and Symptoms during Pregnancy

Is cognitive behavioral therapy a better choice for women with postnatal depression? A systematic review and meta-analysis

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