Potharst Eva S, Aktar Evin, Rexwinkel Marja, Rigterink Margo, Bögels Susan M
UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Center, University of Amsterdam, Amsterdam, The Netherlands.
Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, WS 1018 Amsterdam, The Netherlands.
Mindfulness (N Y). 2017;8(5):1236-1250. doi: 10.1007/s12671-017-0699-9. Epub 2017 Apr 13.
Many mothers experience difficulties after the birth of a baby. Mindful parenting may have benefits for mothers and babies, because it can help mothers regulate stress, and be more attentive towards themselves and their babies, which may have positive effects on their responsivity. This study examined the effectiveness of , an 8-week mindful parenting group training for mothers with their babies. The presence of the babies provides on-the-spot practicing opportunities and facilitates generalization of what is learned. Forty-four mothers with their babies (0-18 months), who were referred to a mental health clinic because of elevated stress or mental health problems of the mother, infant (regulation) problems, or mother-infant interaction problems, participated in 10 groups, each comprising of three to six mother-baby dyads. Questionnaires were administered at pretest, posttest, 8-week follow-up, and 1-year follow-up. Dropout rate was 7%. At posttest, 8-week follow-up, and 1-year follow-up, a significant improvement was seen in mindfulness, self-compassion, mindful parenting, (medium to large effects), as well as in well-being, psychopathology, parental confidence, responsivity, and hostility (small to large effects). Parental stress and parental affection only improved at the first and second follow-ups, respectively (small to medium effects), and maternal attention and rejection did not change. The infants improved in their positive affectivity (medium effect) but not in other aspects of their temperament. Mindful with your baby is a promising intervention for mothers with babies who are referred to mental health care because of elevated stress or mental health problems, infant (regulation) problems, or mother-infant interaction problems.
许多母亲在宝宝出生后会经历各种困难。正念养育可能对母亲和宝宝都有益处，因为它能帮助母亲调节压力，更加关注自己和宝宝，这可能对她们的反应能力产生积极影响。本研究考察了一项为期8周的针对母婴的正念养育小组培训的效果。宝宝的在场提供了现场练习的机会，并有助于所学内容的推广。44对母婴（宝宝年龄在0至18个月）因母亲压力升高、心理健康问题、婴儿（调节）问题或母婴互动问题而被转介至一家心理健康诊所，她们参加了10个小组，每个小组由三到六对母婴组成。在预测试、后测试、8周随访和1年随访时进行问卷调查。脱落率为7%。在后测试、8周随访和1年随访时，正念、自我同情、正念养育（中等到较大效应）以及幸福感、精神病理学、父母信心、反应能力和敌意（小到较大效应）都有显著改善。父母压力仅在第一次随访时有所改善，父母情感仅在第二次随访时有所改善（小到中等效应），而母亲的注意力和排斥行为没有变化。婴儿的积极情感性有所改善（中等效应），但其气质的其他方面没有变化。对于因压力升高、心理健康问题、婴儿（调节）问题或母婴互动问题而被转介至心理健康护理机构的有宝宝的母亲来说，与宝宝一起进行正念练习是一种很有前景的干预措施。
