Zhang Xuan, Lin Pingzhen, Sun Jiwei, Sun Yaoyao, Shao Di, Cao Danfeng, Cao Fenglin
School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China.
The First Hospital of Quanzhou, Quanzhou, Fujian Province, China.
J Ment Health. 2023 Feb;32(1):206-215. doi: 10.1080/09638237.2021.1952947. Epub 2021 Jul 15.
Prenatal stress is a pressing issue. However, there is a lack of robust evidence for psychosocial interventions to manage this problem.
This study aimed to examine the effectiveness of a mindfulness-based intervention on reducing prenatal stress compared to participation in health education groups.
A randomized controlled trial was conducted in a prenatal clinic of comprehensive tertiary care from April to October 2017. A total of 108 pregnant women were randomly assigned to an intervention or a control group. Participants completed self-report measures of depression, anxiety, perceived stress, fatigue, positive and negative affect, and mindfulness before, immediately after, and 15weeks after the 4-week intervention period. Generalized estimating equations were used to analyze the intervention outcomes.
The results supported greater improvement in terms of perceived stress (=26.94, 0.001), fatigue (=17.61, 0.001), positive affect (=9.03, = 0.011), negative affect (=11.37, = 0.003), and mindfulness (=24.97, 0.001) in the intervention group than in the control group.
The self-help mindfulness intervention decreased prenatal stress and negative affect and improved positive affect and mindfulness.
产前压力是一个紧迫的问题。然而，缺乏有力证据支持心理社会干预措施可解决这一问题。
本研究旨在探讨与参加健康教育小组相比，基于正念的干预措施在减轻产前压力方面的有效性。
2017年4月至10月在一家综合三级护理的产前诊所进行了一项随机对照试验。总共108名孕妇被随机分配到干预组或对照组。参与者在为期4周的干预期之前、之后立即以及之后15周完成了关于抑郁、焦虑、感知压力、疲劳、积极和消极情绪以及正念的自我报告测量。使用广义估计方程分析干预结果。
结果表明，干预组在感知压力（=26.94，0.001）、疲劳（=17.61，0.001）、积极情绪（=9.03，=0.011）、消极情绪（=11.37，=0.003）和正念（=24.97，0.001）方面的改善程度高于对照组。
自助式正念干预降低了产前压力和消极情绪，改善了积极情绪和正念。
