Duncan Larissa G, Bardacke Nancy
J Child Fam Stud. 2010 Apr;19(2):190-202. doi: 10.1007/s10826-009-9313-7. Epub 2009 Oct 10.
We present the conceptual and empirical foundation and curriculum content of the Mindfulness-Based Childbirth and Parenting (MBCP) program and the results of a pilot study of n = 27 pregnant women participating in MBCP during their third trimester of pregnancy. MBCP is a formal adaptation of the Mindfulness-Based Stress Reduction program and was developed and refined over the course of 11 years of clinical practice with 59 groups of expectant couples. MBCP is designed to promote family health and well-being through the practice of mindfulness during pregnancy, childbirth, and early parenting. Quantitative results from the current study include statistically significant increases in mindfulness and positive affect, and decreases in pregnancy anxiety, depression, and negative affect from pre- to post-test (p < .05). Effect sizes for changes in key hypothesized intervention mediators were large (d > .70), suggesting that MBCP is achieving its intended effects on maternal well-being during pregnancy. Qualitative reports from participants expand upon the quantitative findings, with the majority of participants reporting perceived benefits of using mindfulness practices during the perinatal period and early parenting. Our future research will involve conducting a randomized controlled trial of MBCP to test effects on psychophysiological stress mechanisms and to examine effects on birth outcomes, family relationship quality, and child development outcomes.
我们介绍了基于正念的分娩与育儿(MBCP)项目的概念和实证基础、课程内容,以及一项针对27名在妊娠晚期参加MBCP的孕妇的试点研究结果。MBCP是基于正念减压项目的正式改编版,在对59组准父母长达11年的临床实践过程中得以开发和完善。MBCP旨在通过在孕期、分娩期及育儿早期进行正念练习来促进家庭健康和幸福。本研究的定量结果包括,从测试前到测试后,正念和积极情绪在统计学上显著增加,而孕期焦虑、抑郁和消极情绪则显著减少(p < 0.05)。关键假设干预中介变量变化的效应量很大(d > 0.70),这表明MBCP在孕期对母亲幸福感产生了预期效果。参与者的定性报告进一步拓展了定量研究结果,大多数参与者报告称在围产期和育儿早期使用正念练习有明显益处。我们未来的研究将包括对MBCP进行随机对照试验,以测试其对心理生理应激机制的影响,并考察其对分娩结局、家庭关系质量和儿童发育结局的影响。