“正念妈妈”的可行性、可接受性和初步效果：针对患有抑郁症的孕妇的正念身体活动干预。
Feasibility, Acceptability, and Preliminary Effects of "Mindful Moms": A Mindful Physical Activity Intervention for Pregnant Women with Depression.
出版信息
Nurs Res. 2021;70(2):95-105. doi: 10.1097/NNR.0000000000000485.
BACKGROUND
Nonpharmacological and accessible therapies that engage individuals in self-management are needed to address depressive symptoms in pregnancy. The 12-week "Mindful Moms" intervention was designed to empower pregnant women with depressive symptomatology to create personal goals and engage in mindful physical activity using prenatal yoga.
OBJECTIVES
This longitudinal pilot study evaluated the feasibility, acceptability, and preliminary effects of the "Mindful Moms" intervention in pregnant women with depressive symptoms.
METHODS
We evaluated enrollment and retention data (feasibility) and conducted semistructured interviews (acceptability). We evaluated the intervention's effects over time on participants' depressive symptoms, anxiety, perceived stress, self-efficacy, and maternal-child attachment, and we compared findings to an archival comparison group, also assessed longitudinally.
RESULTS
Enrollment and retention rates and positive feedback from participants support the intervention's acceptability and feasibility. "Mindful Moms" participants experienced decreases in depressive symptoms, perceived stress, anxiety, ruminations, and maternal-child attachment and no change in physical activity self-efficacy from baseline to postintervention. Comparisons of the "Mindful Moms" intervention to the comparison groups over time indicated differences in depressive symptoms between all groups and a trend in differences in perceived stress.
DISCUSSION
Results support the feasibility and acceptability of "Mindful Moms" for pregnant women with depressive symptoms and suggest that further research is warranted to evaluate this intervention for reducing depressive and related symptoms. Lack of a concurrent control group, with equivalent attention from study staff, and no randomization limit the generalizability of this study; yet, these preliminary findings support future large-scale randomized controlled trials to further evaluate this promising intervention.
背景
需要非药物且易于获取的疗法，让个体参与自我管理，以解决妊娠期间的抑郁症状。为期 12 周的“正念妈妈”干预旨在赋予有抑郁症状的孕妇权力，让她们设定个人目标，并通过产前瑜伽进行正念身体活动。
目的
本纵向试点研究评估了“正念妈妈”干预对有抑郁症状的孕妇的可行性、可接受性和初步效果。
方法
我们评估了入组和保留数据（可行性），并进行了半结构化访谈（可接受性）。我们评估了该干预措施对参与者抑郁症状、焦虑、感知压力、自我效能和母婴依恋的随时间变化的影响，并将研究结果与纵向评估的档案比较组进行了比较。
结果
入组和保留率以及参与者的积极反馈支持该干预的可接受性和可行性。“正念妈妈”参与者的抑郁症状、感知压力、焦虑、沉思和母婴依恋减少，而从基线到干预后，身体活动自我效能没有变化。“正念妈妈”干预与比较组随时间的比较表明，所有组之间的抑郁症状存在差异，感知压力也存在差异趋势。
讨论
结果支持“正念妈妈”对有抑郁症状的孕妇的可行性和可接受性，并表明需要进一步研究来评估该干预措施对减轻抑郁和相关症状的效果。缺乏具有同等研究人员关注的同期对照组和随机分组限制了本研究的普遍性；然而，这些初步发现支持未来进行大规模随机对照试验，以进一步评估这一有前途的干预措施。
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