针对有孕期困扰女性的在线正念干预：一项随机对照试验。

Online mindfulness-based intervention for women with pregnancy distress: A randomized controlled trial.

作者信息

Hulsbosch Lianne P, Potharst Eva S, Schwabe Inga, Boekhorst Myrthe G B M, Pop Victor J M, Nyklíček Ivan

机构信息

Center of Research in Psychological and Somatic disorders (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, Warandelaan 2, Tilburg, the Netherlands.

UvA minds, academic outpatient (child and adolescent) treatment center of the University of Amsterdam, Amsterdam, the Netherlands; Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, Amsterdam, the Netherlands.

出版信息

J Affect Disord. 2023 Jul 1;332:262-272. doi: 10.1016/j.jad.2023.04.009. Epub 2023 Apr 12.

DOI:10.1016/j.jad.2023.04.009

PMID:37054897

Abstract

BACKGROUND

Pregnancy distress among childbearing women is common and can negatively affect both mother and infant. Mindfulness-based interventions (MBIs) may have a positive effect on pregnancy distress but randomized controlled trials with sufficient power are lacking. The current study examined the effectiveness of an online self-guided MBI in pregnant women with pregnancy distress.

METHODS

Pregnant women with elevated pregnancy distress levels at 12 weeks of pregnancy, measured with the Edinburgh Depression Scale (EDS) and Tilburg Pregnancy Distress Scale negative affect (TPDS-NA), were randomized into an intervention group (online MBI, N = 109) or control group (care as usual, N = 110). The primary outcome was the change in pregnancy distress post-intervention and at eight-weeks-follow-up. Secondary outcomes were mindfulness skills (Three Facet Mindfulness Questionnaire-Short Form), rumination (Rumination-Reflection Questionnaire), and self-compassion (Self-Compassion Scale-Short Form) at post-intervention and follow-up in the intervention group.

RESULTS

Significant improvements were found in pregnancy distress scores, but no significant differences between intervention and control group appeared. The MBI group showed improvements in mindfulness skills, rumination, and self-compassion.

LIMITATIONS

Low adherence to the intervention and assessment of secondary outcome measures in the intervention group only.

CONCLUSIONS

An intervention trial with one of the largest samples (N = 219) provided no evidence of a significant effect of an online self-guided MBI in distressed pregnant women. An online MBI may be associated with an improvement in mindfulness skills, rumination, and self-compassion. Future research should address the effectiveness of MBI's with different formats (online and group-based combined) and examine a possible delayed effect.

TRIAL REGISTRATION

ClinicalTrials.gov: NCT03917745, registered on 4 March 2019.

摘要

背景

育龄妇女孕期困扰很常见，且会对母婴产生负面影响。基于正念的干预措施（MBIs）可能对孕期困扰有积极作用，但缺乏足够效力的随机对照试验。本研究探讨了在线自我引导式MBI对有孕期困扰的孕妇的有效性。

方法

在妊娠12周时使用爱丁堡抑郁量表（EDS）和蒂尔堡孕期困扰量表消极情绪分量表（TPDS - NA）测量，孕期困扰水平升高的孕妇被随机分为干预组（在线MBI，N = 109）或对照组（常规护理，N = 110）。主要结局是干预后及随访8周时孕期困扰的变化。次要结局是干预组干预后及随访时的正念技能（三因素正念问卷简版）、沉思（沉思 - 反思问卷）和自我同情（自我同情量表简版）。