Felder Jennifer N, Mirchandaney Riya, Harrison Jessica, Manber Rachel, Cuneo Judith, Krystal Andrew, Epel Elissa, Hecht Frederick
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA.
Osher Center for Integrative Health, University of California, San Francisco, CA, USA.
Glob Adv Health Med. 2022 Mar 26;11:2164957X221087655. doi: 10.1177/2164957X221087655. eCollection 2022.
Poor sleep is common during pregnancy and is associated with increased risk of negative health outcomes. Research indicates that physical discomfort and having an active mind are primary factors for prenatal sleep disturbances. Mindfulness-based interventions have the potential for addressing these factors, but have yet to be optimized for this purpose in this population.
The objective of this study was to gather input from pregnant and postpartum individuals about the value of a mindfulness-based program for improving prenatal sleep and their preferred content and delivery format.
We conducted 2 focus groups with 12 pregnant people experiencing poor sleep quality and 3 individual interviews with postpartum people. Interviews were thematically analyzed.
The majority of participants expressed strong interest in a mindfulness program for improving prenatal sleep. Participants reported that pregnancy-specific physical discomfort and worry (both general and pregnancy-specific) affected their sleep. Participants wanted sleep education, and strategies for calming the mind, reducing physical discomfort, reducing impact of bedtime partners on sleep, and tips for improving sleep schedule and quality. Participants recognized the convenience of an online intervention and the social benefits of an in-person intervention and favored a hybrid delivery model.
Addressing prenatal sleep problems is an unmet need. Given the challenges and discomfort women face during pregnancy, and the importance of adequate sleep for promoting mental and physical health during pregnancy, sleep difficulties are critical to address. A mindfulness-based intervention for improving prenatal sleep was deemed of high interest to this perinatal population.
孕期睡眠不佳很常见，且与负面健康结果风险增加有关。研究表明，身体不适和思绪活跃是产前睡眠障碍的主要因素。基于正念的干预措施有可能解决这些因素，但尚未针对该人群进行优化。
本研究的目的是收集孕妇和产后人群对于基于正念的项目改善产前睡眠的价值以及他们偏好的内容和交付形式的意见。
我们对12名睡眠质量差的孕妇进行了2次焦点小组讨论，并对产后人群进行了3次个人访谈。对访谈进行了主题分析。
大多数参与者对改善产前睡眠的正念项目表达了浓厚兴趣。参与者报告说，特定于孕期的身体不适和担忧（包括一般担忧和特定于孕期的担忧）影响了他们的睡眠。参与者希望获得睡眠教育，以及让思绪平静、减轻身体不适、减少就寝伙伴对睡眠的影响的策略，还有改善睡眠时间表和质量的小贴士。参与者认识到在线干预的便利性和面对面干预的社交益处，并倾向于混合交付模式。
解决产前睡眠问题是一项未得到满足的需求。鉴于女性在孕期面临的挑战和不适，以及充足睡眠对孕期促进身心健康的重要性，睡眠困难至关重要，需要加以解决。基于正念的改善产前睡眠的干预措施被认为对这一围产期人群具有很高的吸引力。
