Vieten C, Astin J
California Pacific Medical Center Research Institute, San Francisco, California, USA.
Arch Womens Ment Health. 2008;11(1):67-74. doi: 10.1007/s00737-008-0214-3. Epub 2008 Mar 3.
Stress and negative mood during pregnancy increase risk for poor childbirth outcomes and postnatal mood problems and may interfere with mother-infant attachment and child development. However, relatively little research has focused on the efficacy of psychosocial interventions to reduce stress and negative mood during pregnancy. In this study, we developed and pilot tested an eight-week mindfulness-based intervention directed toward reducing stress and improving mood in pregnancy and early postpartum. We then conducted a small randomized trial (n=31) comparing women who received the intervention during the last half of their pregnancy to a wait-list control group. Measures of perceived stress, positive and negative affect, depressed and anxious mood, and affect regulation were collected prior to, immediately following, and three months after the intervention (postpartum). Mothers who received the intervention showed significantly reduced anxiety (effect size, 0.89; p<0.05) and negative affect (effect size, 0.83; p<0.05) during the third trimester in comparison to those who did not receive the intervention. The brief and nonpharmaceutical nature of this intervention makes it a promising candidate for use during pregnancy.
孕期的压力和负面情绪会增加分娩结局不佳和产后情绪问题的风险,还可能干扰母婴依恋关系和儿童发育。然而,相对较少的研究关注心理社会干预措施在减轻孕期压力和负面情绪方面的效果。在本研究中,我们开发并进行了一项为期八周的正念干预试验,旨在减轻孕期和产后早期的压力并改善情绪。然后,我们进行了一项小型随机试验(n = 31),将在孕期后半段接受干预的女性与等待名单对照组进行比较。在干预前、干预后立即以及干预后三个月(产后)收集了感知压力、积极和消极情绪、抑郁和焦虑情绪以及情绪调节的测量数据。与未接受干预的母亲相比,接受干预的母亲在孕晚期的焦虑(效应量,0.89;p<0.05)和消极情绪(效应量,0.83;p<0.05)显著降低。这种干预措施简短且非药物的性质使其成为孕期使用的一个有前景的选择。