Cited by 223Maternal Mental Health During Pregnancy and PostpartumMindfulness and Compassion InterventionsPersonality Disorders and Psychopathology

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Staying well during pregnancy and the postpartum: a pilot randomized trial of mindfulness-based cognitive therapy for the prevention of depressive relapse/recurrence

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Dimidjian, Sona, Goodman, Sherryl H., Felder, Jennifer N., Gallop, Robert, Brown, Amanda P., Beck, Arne·2016·Journal of Consulting and Clinical Psychology

DOI 10.1037/ccp0000068PMC PMC5718345

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Abstract

OBJECTIVE: Clinical decision-making regarding the prevention of depression is complex for pregnant women with histories of depression and their health care providers. Pregnant women with histories of depression report preference for nonpharmacological care, but few evidence-based options exist. Mindfulness-based cognitive therapy has strong evidence in the prevention of depressive relapse/recurrence among general populations and indications of promise as adapted for perinatal depression (MBCT-PD). With a pilot randomized clinical trial, our aim was to evaluate treatment acceptability and efficacy of MBCT-PD relative to treatment as usual (TAU). METHOD: Pregnant adult women with depression histories were recruited from obstetric clinics at 2 sites and randomized to MBCT-PD (N = 43) or TAU (N = 43). Treatment acceptability was measured by assessing completion of sessions, at-home practice, and satisfaction. Clinical outcomes were interview-based depression relapse/recurrence status and self-reported depressive symptoms through 6 months postpartum. RESULTS: Consistent with predictions, MBCT-PD for at-risk pregnant women was acceptable based on rates of completion of sessions and at-home practice assignments, and satisfaction with services was significantly higher for MBCT-PD than TAU. Moreover, at-risk women randomly assigned to MBCT-PD reported significantly improved depressive outcomes compared with participants receiving TAU, including significantly lower rates of depressive relapse/recurrence and lower depressive symptom severity during the course of the study. CONCLUSIONS: MBCT-PD is an acceptable and clinically beneficial program for pregnant women with histories of depression; teaching the skills and practices of mindfulness meditation and cognitive-behavioral therapy during pregnancy may help to reduce the risk of depression during an important transition in many women's lives.

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“MBSR and similar mindfulness-based interventions (MBIs) have been shown efficacious at reducing depressive and anxiety symptoms in pregnancy and postpartum, but sleep quality was not a key outcome in these studies [12, 13].”
Background
A Randomized Control Trial of Meditation for Mothers Pumping Breastmilk for Preterm Infants
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Authors: Dimidjian, S., Goodman, S. H., Felder, J. N., Gallop, R., Brown, A. P., & Beck, A.
Affiliations: University of Colorado Boulder (US)
Emory University (US)
West Chester University (US)
Kaiser Permanente (US)
ORCID: Dimidjian, Sona
Goodman, Sherryl H.
Felder, Jennifer N.
Gallop, Robert
Beck, Arne
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2016-02
Volume: 84
Issue: 2
Pages: 134-145
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/ccp0000068
PMC: PMC5718345
OpenAlex: W2383797722
Cited by: 223
References: 61
Citations by year: 2026: 18 · 2025: 21 · 2024: 14 · 2023: 32 · 2022: 26 · 2021: 23 · 2020: 26 · 2019: 20 · 2018: 14 · 2017: 20 · 2016: 8
FWCI: 14.98
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
www.apa.org/pubs/journals/resources/open-access.aspx (am, 316 d)
Locations: Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R34MH083866)
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
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: mindfulness-based cognitive therapy, perinatal depression, depression relapse prevention, postpartum depression, pregnancy, treatment acceptability, usual care, non-pharmacological treatment, mindfulness meditation, cognitive behavioral therapy, maternal mental health
MeSH terms: Adult, Depression, Female, Humans, Pilot Projects, Pregnancy, Recurrence, Cognitive Behavioral Therapy, Treatment Outcome, Depression, Postpartum, Mindfulness

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Staying well during pregnancy and the postpartum: a pilot randomized trial of mindfulness-based cognitive therapy for the prevention of depressive relapse/recurrence

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