Bear Katie A, Barber Carol C, Medvedev Oleg N
School of Psychology, University of Waikato, Hillcrest, Private Bag 3105, 3240 Hamilton, New Zealand.
Mindfulness (N Y). 2022;13(11):2765-2776. doi: 10.1007/s12671-022-01992-7. Epub 2022 Sep 28.
The present study investigated the effectiveness of an 8-week mindfulness mobile phone app on women's depression, anxiety, stress and mindful attention/awareness in the postnatal period.
The study enrolled 99 mothers of a child under 1 year old, and randomly assigned them to intervention ( = 49, mean age = 31.11, = 4.30, years) and control ( = 50, mean age = 31.35, = 5.29, years) groups. Multiple regression examined intervention effects on depression, anxiety, stress and mindful attention/awareness measured post-intervention and at 4-week follow-up, controlling for the baseline and post-intervention measurement of the specific outcome, respectively.
The intervention group showed significant decreases in depression, anxiety and stress levels and an increase of mindful attention/awareness post-intervention compared to the control group, with medium to large effect sizes after controlling for effects of corresponding variables at baseline. The intervention group showed further decrease in depression and stress levels and an increase in mindful attention/awareness at 4 weeks post-intervention compared to the control group, with small to medium effect sizes, after controlling for effects of corresponding variables at post-intervention.
The outcomes of the study suggest that delivery of mindfulness via smartphones could be a viable and affordable resource for reducing postnatal depression, anxiety and stress.
本研究调查了一款为期8周的正念手机应用程序对产后女性抑郁、焦虑、压力及正念注意力/觉察力的效果。
该研究招募了99名1岁以下儿童的母亲,并将她们随机分为干预组(n = 49,平均年龄 = 31.11,标准差 = 4.30,岁)和对照组(n = 50,平均年龄 = 31.35,标准差 = 5.29,岁)。多元回归分析分别在干预后及4周随访时,在控制特定结局的基线和干预后测量值的情况下,检验干预对抑郁、焦虑、压力及正念注意力/觉察力的影响。
与对照组相比,干预组在干预后抑郁、焦虑和压力水平显著降低,正念注意力/觉察力增加,在控制基线相应变量的影响后,效应量为中等到大。与对照组相比,干预组在干预后4周时抑郁和压力水平进一步降低,正念注意力/觉察力增加,在控制干预后相应变量的影响后,效应量为小到中等。
研究结果表明,通过智能手机提供正念训练可能是一种可行且经济实惠的资源,可用于减轻产后抑郁、焦虑和压力。