School of Nursing, National Taipei University of Nursing and Health Sciences, No.365, Ming-Te Road, Peitou District, Taipei, Taiwan.
Department of Nursing, HungKuang University, Taichung, Taiwan.
BMC Pregnancy Childbirth. 2023 Jul 31;23(1):547. doi: 10.1186/s12884-023-05873-2.
Stress is a risk factor for poor physical and mental health, affecting new mothers' ability, especially those with perinatal mood and anxiety disorders, to maintain their everyday lives. Over the past 50 years, global incidences of depression and anxiety disorders have increased, reaching pandemic levels. These incidences represent major public health issues that are challenging to detect and treat. Mindfulness programs are viable for reducing stress, anxiety, and depression. The present study evaluates mindfulness intervention effects on stress, anxiety, depression, and mother-infant bonding.
We collected data on 102 women participating in a prenatal mindfulness program between July 2021 and March 2022; they were parallel and randomly assigned to experimental or control groups. The intervention group received an 8-week course in a prenatal mindfulness program, and the control group received usual standard prenatal care. The self-reported stress, pregnancy-related anxiety, and depression were assessed before and after the intervention and at 36 weeks of gestation. At 2 and 4 months postpartum, all participants provided self-reported their levels of stress, depression, and quality of mother-infant bonding.
Compared to the control group, the experimental group that received the prenatal mindfulness intervention experienced reduced prenatal stress, anxiety, and depression and reduced postnatal stress and depression. Despite this, there was no significant difference between the groups in terms of the quality of mother-infant bonding.
Mindfulness prenatal programs are convenient and effective methods of decreasing stress, anxiety, and depression during the perinatal period. Based on our findings, prenatal mindfulness may play a role in mitigating mood and anxiety disorders and should be considered in future approaches to preventing psychological distress.
This trial has been prospectively registered at ClinicalTrials.gov (NCT04693130) and the first registration date was 12/24/2020.
压力是身心健康不良的一个风险因素，影响新妈妈的能力，尤其是那些患有围产期情绪和焦虑障碍的新妈妈，使其难以维持日常生活。在过去的 50 年中，全球抑郁症和焦虑症的发病率有所增加，达到了大流行的水平。这些发病率代表了重大的公共卫生问题，难以发现和治疗。正念计划是减少压力、焦虑和抑郁的可行方法。本研究评估了正念干预对压力、焦虑、抑郁和母婴联系的影响。
我们收集了 2021 年 7 月至 2022 年 3 月期间参加产前正念计划的 102 名女性的数据；她们被平行且随机分配到实验组或对照组。干预组接受了 8 周的产前正念课程，对照组接受了常规的标准产前护理。在干预前后和妊娠 36 周时，自我报告了压力、妊娠相关焦虑和抑郁。在产后 2 个月和 4 个月时，所有参与者都自我报告了压力、抑郁和母婴联系的质量。
与对照组相比，接受产前正念干预的实验组在产前压力、焦虑和抑郁方面有所减轻，产后压力和抑郁也有所减轻。尽管如此，两组在母婴联系质量方面没有显著差异。
产前正念计划是一种方便有效的方法，可以减少围产期的压力、焦虑和抑郁。基于我们的发现，产前正念可能在缓解情绪和焦虑障碍方面发挥作用，应在未来预防心理困扰的方法中考虑。
本试验已在 ClinicalTrials.gov（NCT04693130）前瞻性注册，首次注册日期为 2020 年 12 月 24 日。
