Cited by 108Maternal Mental Health During Pregnancy and PostpartumMindfulness and Compassion InterventionsMaternal and Perinatal Health Interventions

Effects of a mindfulness based childbirth and parenting program on pregnant women's perceived stress and risk of perinatal depression–Results from a randomized controlled trial

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Lönnberg, Gunilla, Jonas, Wibke, Unternaehrer, Eva, Bränström, Richard, Nissen, Eva, Niemi, Maria·2020·Journal of Affective Disorders

Abstract

Objectives The aim of this study was to test the efficacy of a Mindfulness-Based Childbirth and Parenting Program (MBCP) in reducing pregnant women's perceived stress and preventing perinatal depression compared to an active control condition.Method First time pregnant women (n = 197) at risk of perinatal depression were randomized to MBCP or an active control treatment, which consisted of a Lamaze childbirth class. At baseline and post-intervention, participants filled out questionnaires on perceived stress, depressive symptoms, positive states of mind, and five facets of mindfulness.Results Compared to the active control treatment, MBCP significantly reduced perceived stress (p = 0.038, d = 0.30) and depressive symptoms (p = 0.004, d = 0.42), and increased positive states of mind (p = 0.005, d = 0.41) and self-reported mindfulness (p = 0.039, d = 0.30). Moreover, change in mindfulness possibly mediated the treatment effects of MBCP on stress, depression symptoms, and positive states of mind. The subscales "non-reactivity to inner experience" and "non-judging of experience" seemed to have the strongest mediating effects.Limitations The outcomes were self-report questionnaires, the participants were not blinded to treatment condition and the condition was confounded by number of sessions.Conclusions Our results suggest that MBCP is more effective in decreasing perceived stress and risk of perinatal depression compared to a Lamaze childbirth class. The results also contribute to our understanding of the underlying psychological mechanisms through which the reduction of stress and depression symptoms may operate. Thus, this study increases our knowledge about efficient intervention strategies to prevent perinatal depression and promote mental wellbeing among pregnant women.

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Crossref · 10.1016/j.jad.2019.10.048

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Authors
Lönnberg, G., Jonas, W., Unternaehrer, E., Bränström, R., Nissen, E., & Niemi, M.
Affiliations
Karolinska Institutet (SE)
Corresponding author
Lönnberg, Gunilla
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2020-02
Volume
262
Pages
133-142
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2982645643
Cited by
108
References
49
Citations by year
2026: 12 · 2025: 16 · 2024: 12 · 2023: 22 · 2022: 19 · 2021: 22 · 2020: 5
FWCI
10.52
Type
journal article
Language
en
Open access
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • edoc (University of Basel) (acceptedVersion)
  • edoc (University of Basel)
Funders
Vetenskapsrådet
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
mindfulness-based interventions, perinatal depression, perceived stress, pregnancy, parent training, mindfulness facets, mediation, primiparous women, maternal mental health
MeSH terms
Adult, Depression, Education, Nonprofessional, Female, Humans, Pregnancy, Pregnancy Complications, Prenatal Care, Surveys and Questionnaires, Stress, Psychological, Program Evaluation, Treatment Outcome, Parturition, Delivery, Obstetric, Pregnant People, Mindfulness

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