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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
Open accessAbstract
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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“The results of the study showed that MBCP significantly reduced perceived stress and depressive symptoms when compared to an active control group [20].”
In the citing paper
“A recent randomized controlled trial (RCT) examined the effect of a Mindfulness-Based Childbirth and Parenting Program (MBCP), which is adapted from MBSR [20], in pregnant women at risk of perinatal depression.”
In the citing paper
“Two studies reported a participant abandoning the MBP because s/he felt it was being counterproductive [52,186].”
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Sorted by citations
Galante, J., Friedrich, C., Dawson, A. F., Modrego-Alarcón, M., Gebbing, P., Delgado-Suárez, I., Gupta, R., Dean, L., Dalgleish, T., White, I. R., et al. (2021) · PLOS Medicine · doi:10.1371/journal.pmed.1003481 · Cited by 319
“Year, Country N Participants (category) Mean Age (SD) Women Outcomes Intervention (category) Control/s (category) Outcome Time Points Xu 2015 [277], China 90 Adults (1) 31 (8) 56% Dis, Mindf Mindfulness training (2) Waitlist (1) Post–int Yazdanimehr 2016 [278,279], Iran 80 Pregnant women (2) 26 (5.2) 100% Anx, Dep, Di…”
InfluentialMindfulness-Based Programs: Why, When, and How to Adapt?
Loucks, E. B., Crane, R. S., Sanghvi, M. A., Montero‐Marín, J., Proulx, J. A., Brewer, J. A., & Kuyken, W. (2022) · Global Advances in Health and Medicine · doi:10.1177/21649561211068805 · Cited by 116
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“This includes mindfulness-based childbirth and parenting programs that has significant effects in reducing perceived stress and depressive symptoms [48], internet-delivered cognitive behavioral therapy and internet-delivered behavioral activation interventions that can significantly improve perinatal depression and an…”
BackgroundInterventions for fear of childbirth including tocophobia
O’Connell, M. A., Khashan, A. S., Leahy‐Warren, P., Stewart, F. J., & O’Neill, S. M. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013321.pub2 · Cited by 77
Akselsson, A., Lindgren, H. E., Georgsson, S., Pettersson, K., Steineck, G., Skokic, V., & Rådestad, I. J. (2020) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.16104 · Cited by 67
“Mindfulness-based programmes have positive effects during pregnancy, 30–32 reduce perceived stress, increase positive state of mind, 33 and reduce the biomarker cortisol, 34 but we do not know to what extent these benefits can be linked to the sponta-neous onset of childbirth.”
Background
Metadata
- 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
- green
- doi.org
- 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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