妊娠期数字化引导自助式正念训练对产妇心理困扰和婴儿神经心理发育的效果：随机对照试验。
Effectiveness of Digital Guided Self-help Mindfulness Training During Pregnancy on Maternal Psychological Distress and Infant Neuropsychological Development: Randomized Controlled Trial.
机构信息
School of Nursing and Rehabilitation, Shandong University, Jinan, China.
Austin School of Nursing, The University of Texas, Texas, TX, United States.
出版信息
J Med Internet Res. 2023 Feb 10;25:e41298. doi: 10.2196/41298.
BACKGROUND
Maternal psychological distress during pregnancy is associated with unfavorable outcomes in infants. Mindfulness-based interventions (MBIs) can effectively alleviate psychological distress, but there are often barriers to the access of face-to-face interventions.
OBJECTIVE
This study aimed to investigate the effectiveness of a digital guided self-help (GSH) MBI (GSH-MBI) in reducing maternal psychological distress and improving infant neuropsychological performance.
METHODS
This was a randomized controlled trial. We recruited 160 women who were 12 to 20 weeks pregnant and exhibited psychological distress. We randomized them into a digital GSH-MBI group and a control group (usual perinatal care). The digital GSH-MBI consisted of a 6-week intervention through a WeChat mini program, with a daily reminder sent to the participants by a research assistant via WeChat. The primary outcomes consisted of maternal psychological distress, including depression, anxiety, and pregnancy-related anxiety symptoms, which were assessed at 6 time points from baseline to 6 months post partum (only pregnancy-related anxiety symptoms were assessed 3 times during pregnancy). The secondary outcomes were infant neuropsychological outcomes, including temperament and developmental behaviors, which were assessed at 6 weeks and 6 months post partum.
RESULTS
Compared with the control group, the digital GSH-MBI group showed a significant reduction in depression, anxiety, and pregnancy-related anxiety symptoms. In addition, the scores of the digital GSH-MBI group were lower than those of the control group for the 3 types of infant temperament at 6 weeks post partum, including quality of mood, distractibility, and adaptability.
CONCLUSIONS
Digital GSH-MBIs are effective in alleviating psychological distress among pregnant women and protecting infant outcomes.
TRIAL REGISTRATION
Chinese Clinical Trial Register ChiCTR2000040717; https://www.chictr.org.cn/showproj.aspx?proj=65376.
背景
孕妇怀孕期间的心理困扰与婴儿的不良结局有关。基于正念的干预（MBIs）可以有效缓解心理困扰，但面对面干预往往存在障碍。
目的
本研究旨在探讨数字引导自助（GSH）MBI（GSH-MBI）在降低产妇心理困扰和改善婴儿神经心理表现方面的有效性。
方法
这是一项随机对照试验。我们招募了 160 名怀孕 12 至 20 周且表现出心理困扰的孕妇。我们将她们随机分为数字 GSH-MBI 组和对照组（常规围产期护理）。数字 GSH-MBI 包括通过微信小程序进行 6 周的干预，研究助理每天通过微信向参与者发送提醒。主要结局包括产妇心理困扰，包括抑郁、焦虑和妊娠相关焦虑症状，在基线至产后 6 个月的 6 个时间点进行评估（仅在妊娠期间评估妊娠相关焦虑症状 3 次）。次要结局是婴儿神经心理结局，包括气质和发育行为，在产后 6 周和 6 个月时进行评估。
结果
与对照组相比，数字 GSH-MBI 组的抑郁、焦虑和妊娠相关焦虑症状显著减轻。此外，与对照组相比，数字 GSH-MBI 组的婴儿气质在产后 6 周时的 3 种类型的得分更低，包括情绪质量、注意力分散和适应性。
结论
数字 GSH-MBI 可有效缓解孕妇的心理困扰，保护婴儿的结局。
试验注册
中国临床试验注册中心 ChiCTR2000040717；https://www.chictr.org.cn/showproj.aspx?proj=65376.
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