Department of Clinical Psychology, University of Kurdistan, Sanandaj, Iran.
Arch Womens Ment Health. 2020 Apr;23(2):207-214. doi: 10.1007/s00737-019-00962-8. Epub 2019 Apr 13.
Pregnant women are at high risk of mood and anxiety disorders, and options for non-pharmacological treatment are limited. Mindfulness-based cognitive therapy (MBCT) has strong evidence among people with mood and anxiety disorders, but limited studies reported the effectiveness of MBCT on perinatal comorbid conditions. This study aimed to examine the effects of an 8-week MBCT intervention on pregnant women with comorbid depression and anxiety. In this randomized controlled study, 38 pregnant women with a diagnosis of depression and varying levels of comorbid anxiety disorders were randomly assigned to either MBCT or a control group. Scores on the Beck Depression Inventory-II, Beck Anxiety Inventory, Emotion Regulation Questionnaire, and Scales of Psychological Wellbeing were used as outcome measures at baseline, after MBCT, and through 1-month follow-up. Intent to treat analyses provided preliminary evidence that MBCT can be effective in reducing depressive and anxiety symptoms and in enhancing the use of adaptive emotion regulation strategies and psychological well-being. Improvements in outcomes were maintained 1 month. Results provide cross-cultural support for MBCT as a treatment for depression and anxiety in pregnant women. This brief and non-pharmacological treatment can be used to improve maternal psychological health.
孕妇患情绪和焦虑障碍的风险很高，且可供选择的非药物治疗方法有限。基于正念的认知疗法（MBCT）在情绪和焦虑障碍患者中具有强有力的证据，但关于 MBCT 对围产期合并症的有效性的研究有限。本研究旨在探讨为期 8 周的 MBCT 干预对患有抑郁和焦虑合并症的孕妇的影响。在这项随机对照研究中，38 名被诊断患有抑郁症且伴有不同程度焦虑障碍的孕妇被随机分配到 MBCT 组或对照组。在基线、MBCT 后和 1 个月随访时，使用贝克抑郁量表-II、贝克焦虑量表、情绪调节问卷和心理幸福感量表来评估结果。意向治疗分析初步表明，MBCT 可有效减轻抑郁和焦虑症状，并增强适应性情绪调节策略和心理幸福感。结果在 1 个月时仍保持改善。结果为 MBCT 作为治疗孕妇抑郁和焦虑的方法提供了跨文化支持。这种简短的非药物治疗方法可用于改善产妇的心理健康。
