The effect of mindfulness-based interventions during pregnancy on postpartum mental health: A meta-analysis

Min, Wenjiao; Jiang, Cheng; Li, Zhengyu; Wang, Zuxing

doi:10.1016/j.jad.2023.03.053

Cited by 12 publications

(5 citation statements)

References 38 publications

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“…5 Mindfulness-based interventions, which teach nonjudgmental focus on the present moment and center self-acceptance, have been used in prevention and treatment of anxiety and mood disorders, and evidence is emerging for their efficacy in decreasing symptoms of depression in perinatal individuals. 6 It also important to reflect on other determinants of postpartum mental health. Because there is no federally mandated parental leave in the US, many postpartum individuals either have to return to the work soon after delivery or risk facing housing and food insecurity.…”

Section: Screening Recommendations and Treatments For Postpartum Depr...mentioning

confidence: 99%

Screening Recommendations and Treatments for Postpartum Depression

Nitzan,

Philips,

White

2024

JAMA

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2. Sarepta Therapeutics announces topline results from EMBARK, a global pivotal study of ELEVIDYS gene therapy for Duchenne muscular dystrophy. Press release. Sarepta Therapeutics. October 30, 2023. Accessed February 5, 2024. https://investorrelations.sarepta.com/news-releases/news-releasedetails/sarepta-therapeutics-announces-topline-results-embark-global-0 3. National Institutes of Health. Duchenne muscular dystrophy. Accessed January 16, 2024. https://rarediseases.info.nih.gov/diseases/6291/duchennemuscular-dystrophy 4.

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Section: Screening Recommendations and Treatments For Postpartum Depr...mentioning

confidence: 99%

Screening Recommendations and Treatments for Postpartum Depression

Nitzan,

Philips,

White

2024

JAMA

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“…Consistent evidence has been identified for mindfulness [ 20 – 23 ] and to some degree for self-compassion [ 20 , 22 , 23 ] as possible mediators of the effect of training the mind. Systematic reviews and meta-analyses on the effectiveness of MBIs on depression, anxiety and stress during pregnancy in both clinical and non-clinical populations have also increased rapidly in recent years [ 24 – 28 ]. One systematic review and meta-analysis examined the effect of MBIs on clinical and subthreshold perinatal depression and anxiety [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…The authors argued that continuing the intervention into the early postpartum period may be necessary to help sustain the effect. A meta-analysis examined the effect of MBIs delivered during pregnancy on mental health and in particular on postpartum depression three months after childbirth [ 28 ]. This meta-analysis differed from the above in that both Chinese and English literature were included.…”

Section: Introductionmentioning

confidence: 99%

“…This meta-analysis differed from the above in that both Chinese and English literature were included. Significant effects on postpartum depressive symptoms in pregnant women with no history of mental disorders were shown, whereas no clear effects were shown for women with a history of mental disorders or symptoms of anxiety and depression during pregnancy [ 28 ]. A systematic review and meta-analysis evaluated the effect of psychological interventions including MBIs on perinatal anxiety, and while MBIs demonstrated promising effects on perinatal anxiety and comorbid anxiety and depression, the evidence is preliminary [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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The effect of an adapted Mindfulness-Based Stress Reduction program on mental health, maternal bonding and birth outcomes in psychosocially vulnerable pregnant women: a study protocol for a randomized controlled trial in a Danish hospital-based outpatient setting

Skovbjerg,

Sumbundu,

Kolls

et al. 2023

BMC Complement Med Ther

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Background Stress and mental disorders in pregnancy can adversely affect the developing fetus. Women with a preconception history of mental disorders or of psychosocial vulnerabilities are at increased risk of experiencing perinatal stress or mental health problems. Mindfulness-Based-Stress-Reduction (MBSR) is an acceptable intervention for pregnant women and has a growing evidence-base with meta-analyses consistently pointing to reductions in symptoms of stress, anxiety and depression. This study protocol aim to address the need for a wider array of evidence-based and non-pharmacological options during pregnancy to reduce stress and improve mental health in a psychosocially highly vulnerable group of women. Methods Pregnant women with a preconception history of mental disorders or psychosocial vulnerabilities (n = 240) will be recruited from an obstetric ambulatory clinic at Copenhagen University Hospital, Hvidovre, Denmark. Recruitment for the study began in March 2022 and will continue until the desired number of participants is reached. Consenting pregnant women will be randomized to one of two study arms, an adapted MBSR program as add on to usual care or usual care alone. The primary outcome is mental wellbeing at nine months post-randomization. Secondary and exploratory outcomes include stress, anxiety, depression, and maternal antenatal attachment, experience of childbirth, delivery and mode of delivery. Mindfulness and self-compassion are examined as possible mediators of the effect on outcomes. Discussion Teaching the skills of mindfulness meditation to a psychosocially vulnerable group of pregnant women could prove a viable and non-pharmacological approach to improve mental health and wellbeing during pregnancy, reduce stress and support the transition to parenthood. Mindfulness-Based Stress Reduction does not target a particular group, and results from the study is thus of potential relevance for pregnant women in general as a means of reducing stress and improving perinatal mental health and wellbeing. Trial registration ClinicalTrials.gov: NCT05300646. Registered March 29, 2022.

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“…Low-intensity physical activities including yoga and walking have also been associated with lower depression severity in randomized clinical trials of perinatal individuals compared with no activity . Mindfulness-based interventions, which teach nonjudgmental focus on the present moment and center self-acceptance, have been used in prevention and treatment of anxiety and mood disorders, and evidence is emerging for their efficacy in decreasing symptoms of depression in perinatal individuals …”

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confidence: 99%