Skip to main content
Top
Gepubliceerd in: Mindfulness 3/2015

01-06-2015 | ORIGINAL PAPER

A Mindfulness-Based Intervention for Pregnant African-American Women

Auteurs: Huaiyu Zhang, Eugene K. Emory

Gepubliceerd in: Mindfulness | Uitgave 3/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Research has shown that prenatal maternal stress occurs commonly during pregnancy, and associated physical, psychological, and financial challenges are often compounded for African-American women from urban, low-income environments. The current study focused on a mindfulness-based intervention for a group of urban, low-income, pregnant African-American women. This randomized controlled pilot study involved a 2 × 3 mixed model design, comparing treatment as usual (TxAU) with the Mindful Motherhood intervention on several outcomes at pre-intervention, post-intervention, and one month post-intervention. A total of 65 adult participants (31 TxAU and 34 Mindful Motherhood) met the inclusion criteria and participated in the study. Due to significant attrition in both assessments and intervention participation, dose-effect analyses were employed to test treatment effects on outcome variables with multiple linear regressions. Preliminary findings support the efficacy of the Mindful Motherhood training in improving levels of mindfulness, reducing reactive cortisol response, and reducing pregnancy-related stress at post-intervention and improving pregnancy-related positive experience and reducing depressive symptoms at one month follow-up. However, none of these effects appeared to have lasting impact on the participants, and treatment did not appear to impact perceived stress or baseline salivary cortisol levels. This pilot study is believed to be the first empirical research on a mindfulness-based intervention with a group of urban, low-income, pregnant African-American women. These preliminary results support the efficacy of mindfulness-based interventions with this minority population and encourage efforts to optimize recruitment and retention of underprivileged participants.
Literatuur
go back to reference Alvidrez, J., Snowden, L. R., Rao, S. M., & Boccellari, A. (2009). Psychoeducation to address stigma in black adults referred for mental health treatment: a randomized pilot study. Community Mental Health Journal, 45(2), 127–136. doi:10.1007/s10597-008-9169-0.CrossRefPubMed Alvidrez, J., Snowden, L. R., Rao, S. M., & Boccellari, A. (2009). Psychoeducation to address stigma in black adults referred for mental health treatment: a randomized pilot study. Community Mental Health Journal, 45(2), 127–136. doi:10.​1007/​s10597-008-9169-0.CrossRefPubMed
go back to reference Alvidrez, J., Snowden, L. R., & Patel, S. G. (2010). The relationship between stigma and other treatment concerns and subsequent treatment engagement among black mental health clients. Issues in Mental Health Nursing, 31(4), 257–264. doi:10.3109/01612840903342266.CrossRefPubMed Alvidrez, J., Snowden, L. R., & Patel, S. G. (2010). The relationship between stigma and other treatment concerns and subsequent treatment engagement among black mental health clients. Issues in Mental Health Nursing, 31(4), 257–264. doi:10.​3109/​0161284090334226​6.CrossRefPubMed
go back to reference Baer, R. A., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 68(7), 755–765. doi:10.1002/jclp.21865.CrossRefPubMed Baer, R. A., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 68(7), 755–765. doi:10.​1002/​jclp.​21865.CrossRefPubMed
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory manual (2nd ed.). San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory manual (2nd ed.). San Antonio: Psychological Corporation.
go back to reference Bieling, P. J., Hawley, L. L., Bloch, R. T., Corcoran, K. M., Levitan, R. D., Young, L. T., et al. (2012). Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology, 80(3), 365–372. doi:10.1037/a0027483.CrossRefPubMedCentralPubMed Bieling, P. J., Hawley, L. L., Bloch, R. T., Corcoran, K. M., Levitan, R. D., Young, L. T., et al. (2012). Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology, 80(3), 365–372. doi:10.​1037/​a0027483.CrossRefPubMedCentralPubMed
go back to reference Brand, S., Holsboer-Trachsler, E., Naranjo, J. R., & Schmidt, S. (2012). Influence of mindfulness practice on cortisol and sleep in long-term and short-term meditators. Neuropsychobiology, 65(3), 109–118. doi:10.1159/000330362.CrossRefPubMed Brand, S., Holsboer-Trachsler, E., Naranjo, J. R., & Schmidt, S. (2012). Influence of mindfulness practice on cortisol and sleep in long-term and short-term meditators. Neuropsychobiology, 65(3), 109–118. doi:10.​1159/​000330362.CrossRefPubMed
go back to reference Coelho, H. F., Canter, P. H., & Ernst, E. (2013). Mindfulness-based cognitive therapy: evaluating current evidence and informing future research. Psychology of Consciousness: Theory, Research and Practice, 1(S), 97–107. doi:10.1037/2326-5523.1.S.97. Coelho, H. F., Canter, P. H., & Ernst, E. (2013). Mindfulness-based cognitive therapy: evaluating current evidence and informing future research. Psychology of Consciousness: Theory, Research and Practice, 1(S), 97–107. doi:10.​1037/​2326-5523.​1.​S.​97.
go back to reference Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefPubMed Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefPubMed
go back to reference Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment, 10(2), 83–89.CrossRef Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment, 10(2), 83–89.CrossRef
go back to reference Dunn, C., Hanieh, E., Roberts, R., & Powrie, R. (2012). Mindful pregnancy and childbirth: effects of a mindfulness-based intervention on women’s psychological distress and well-being in the perinatal period. Archives of Women's Mental Health, 15(2), 139–143. doi:10.1007/s00737-012-0264-4.CrossRefPubMed Dunn, C., Hanieh, E., Roberts, R., & Powrie, R. (2012). Mindful pregnancy and childbirth: effects of a mindfulness-based intervention on women’s psychological distress and well-being in the perinatal period. Archives of Women's Mental Health, 15(2), 139–143. doi:10.​1007/​s00737-012-0264-4.CrossRefPubMed
go back to reference Fisher, C., Hauck, Y., Bayes, S., & Byrne, J. (2012). Participant experiences of mindfulness-based childbirth education: a qualitative study. BMC Pregnancy and Childbirth, 12(1), 1–10. doi:10.1186/1471-2393-12-126.CrossRef Fisher, C., Hauck, Y., Bayes, S., & Byrne, J. (2012). Participant experiences of mindfulness-based childbirth education: a qualitative study. BMC Pregnancy and Childbirth, 12(1), 1–10. doi:10.​1186/​1471-2393-12-126.CrossRef
go back to reference Franz, C. E., York, T. P., Eaves, L. J., Mendoza, S. P., Hauger, R. L., Hellhammer, D. H., et al. (2010). Genetic and environmental influences on cortisol regulation across days and contexts in middle-aged men. Behavior Genetics, 40(4), 467–479.CrossRefPubMedCentralPubMed Franz, C. E., York, T. P., Eaves, L. J., Mendoza, S. P., Hauger, R. L., Hellhammer, D. H., et al. (2010). Genetic and environmental influences on cortisol regulation across days and contexts in middle-aged men. Behavior Genetics, 40(4), 467–479.CrossRefPubMedCentralPubMed
go back to reference Galante, J., Iribarren, S. J., & Pearce, P. F. (2013). Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials. Journal of Research in Nursing, 18(2), 133–155. doi:10.1177/1744987112466087.CrossRef Galante, J., Iribarren, S. J., & Pearce, P. F. (2013). Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials. Journal of Research in Nursing, 18(2), 133–155. doi:10.​1177/​1744987112466087​.CrossRef
go back to reference Galantino, M. L., Baime, M., Maguire, M., Szapary, P. O., & Farrar, J. T. (2005). Association of psychological and physiological measures of stress in health-care professionals during an 8-week mindfulness meditation program: mindfulness in practice. Stress and Health: Journal of the International Society for the Investigation of Stress, 21(4), 255–261. doi:10.1002/smi.1062.CrossRef Galantino, M. L., Baime, M., Maguire, M., Szapary, P. O., & Farrar, J. T. (2005). Association of psychological and physiological measures of stress in health-care professionals during an 8-week mindfulness meditation program: mindfulness in practice. Stress and Health: Journal of the International Society for the Investigation of Stress, 21(4), 255–261. doi:10.​1002/​smi.​1062.CrossRef
go back to reference Gayner, B., Esplen, M., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., et al. (2012). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 35(3), 272–285. doi:10.1007/s10865-011-9350-8.CrossRefPubMed Gayner, B., Esplen, M., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., et al. (2012). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 35(3), 272–285. doi:10.​1007/​s10865-011-9350-8.CrossRefPubMed
go back to reference Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012). Mindfulness training affects attention—Or is it attentional effort? Journal of Experimental Psychology: General, 141(1), 106–123. doi:10.1037/a0024931. Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012). Mindfulness training affects attention—Or is it attentional effort? Journal of Experimental Psychology: General, 141(1), 106–123. doi:10.​1037/​a0024931.
go back to reference Jung, C., Ho, J. T., Torpy, D. J., Rogers, A., Doogue, M., Lewis, J. G., et al. (2011). A longitudinal study of plasma and urinary cortisol in pregnancy and postpartum. Journal of Clinical Endocrinology and Metabolism, 96(5), 1533–1540. doi:10.1210/jc.2010-2395.CrossRefPubMed Jung, C., Ho, J. T., Torpy, D. J., Rogers, A., Doogue, M., Lewis, J. G., et al. (2011). A longitudinal study of plasma and urinary cortisol in pregnancy and postpartum. Journal of Clinical Endocrinology and Metabolism, 96(5), 1533–1540. doi:10.​1210/​jc.​2010-2395.CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte.
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.
go back to reference Kaslow, N. J., Leiner, A. S., Reviere, S., Jackson, E., Bethea, K., Bhaju, J., et al. (2010). Suicidal, abused African American women’s response to a culturally informed intervention. Journal of Consulting and Clinical Psychology, 78(4), 449–458. doi:10.1037/a0019692.CrossRefPubMed Kaslow, N. J., Leiner, A. S., Reviere, S., Jackson, E., Bethea, K., Bhaju, J., et al. (2010). Suicidal, abused African American women’s response to a culturally informed intervention. Journal of Consulting and Clinical Psychology, 78(4), 449–458. doi:10.​1037/​a0019692.CrossRefPubMed
go back to reference Klatt, M. D., Buckworth, J., & Malarkey, W. B. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education & Behavior, 36(3), 601–614. doi:10.1177/1090198108317627.CrossRef Klatt, M. D., Buckworth, J., & Malarkey, W. B. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education & Behavior, 36(3), 601–614. doi:10.​1177/​1090198108317627​.CrossRef
go back to reference Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., et al. (2006). The Toronto Mindfulness Scale: development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. doi:10.1002/jclp.20326.CrossRefPubMed Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., et al. (2006). The Toronto Mindfulness Scale: development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. doi:10.​1002/​jclp.​20326.CrossRefPubMed
go back to reference Mendelson, T., Greenberg, M., Dariotis, J., Gould, L., Rhoades, B., & Leaf, P. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38(7), 985–994. doi:10.1007/s10802-010-9418-x. Mendelson, T., Greenberg, M., Dariotis, J., Gould, L., Rhoades, B., & Leaf, P. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38(7), 985–994. doi:10.​1007/​s10802-010-9418-x.
go back to reference Nyklíček, I., Mommersteeg, P. M. C., Van Beugen, S., Ramakers, C., & Van Boxtel, G. J. (2013). Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health Psychology. doi:10.1037/a003220010.1037/a0032200.supp (Supplemental).PubMed Nyklíček, I., Mommersteeg, P. M. C., Van Beugen, S., Ramakers, C., & Van Boxtel, G. J. (2013). Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health Psychology. doi:10.​1037/​a003220010.​1037/​a0032200.​supp (Supplemental).PubMed
go back to reference Roberti, J. W., Harrington, L. N., & Storch, E. A. (2006). Further psychometric support for the 10-item version of the Perceived Stress Scale. Journal of College Counseling, 9(2), 135–147.CrossRef Roberti, J. W., Harrington, L. N., & Storch, E. A. (2006). Further psychometric support for the 10-item version of the Perceived Stress Scale. Journal of College Counseling, 9(2), 135–147.CrossRef
go back to reference Sachse, S., Keville, S., & Feigenbaum, J. (2011). A feasibility study of mindfulness-based cognitive therapy for individuals with borderline personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 84(2), 184–200. doi:10.1348/147608310X516387.CrossRef Sachse, S., Keville, S., & Feigenbaum, J. (2011). A feasibility study of mindfulness-based cognitive therapy for individuals with borderline personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 84(2), 184–200. doi:10.​1348/​147608310X516387​.CrossRef
go back to reference Salimetrics. (2011). High sensitivity salivary cortisol enzyme immunoassay kit: for research use only. Salimetrics. (2011). High sensitivity salivary cortisol enzyme immunoassay kit: for research use only.
go back to reference Sibinga, E. M. S., Kerrigan, D., Stewart, M., Johnson, K., Magyari, T., & Ellen, J. M. (2011). Mindfulness-based stress reduction for urban youth. The Journal of Alternative and Complementary Medicine, 17(3), 213–218. doi:10.1089/acm.2009.0605. Sibinga, E. M. S., Kerrigan, D., Stewart, M., Johnson, K., Magyari, T., & Ellen, J. M. (2011). Mindfulness-based stress reduction for urban youth. The Journal of Alternative and Complementary Medicine, 17(3), 213–218. doi:10.​1089/​acm.​2009.​0605.
go back to reference Tang, Y.-Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., et al. (2007). Short-term meditation training improves attention and self-regulation. PNAS Proceedings of the National Academy of Sciences of the United States of America, 104(43), 17152–17156. doi:10.1073/pnas.0707678104.CrossRef Tang, Y.-Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., et al. (2007). Short-term meditation training improves attention and self-regulation. PNAS Proceedings of the National Academy of Sciences of the United States of America, 104(43), 17152–17156. doi:10.​1073/​pnas.​0707678104.CrossRef
go back to reference Vieten, C. (2009). Mindful Motherhood: practical tools for staying sane during pregnancy and your child’s first year. Okland: New Harbinger Publications, INC. Vieten, C. (2009). Mindful Motherhood: practical tools for staying sane during pregnancy and your child’s first year. Okland: New Harbinger Publications, INC.
go back to reference Voegtline, K. M., Costigan, K. A., Kivlighan, K. T., Laudenslager, M. L., Henderson, J. L., & DiPietro, J. A. (2013). Concurrent levels of maternal salivary cortisol are unrelated to self-reported psychological measures in low-risk pregnant women. Archives of Women's Mental Health, 16(2), 101–108. doi:10.1007/s00737-012-0321-z.CrossRefPubMedCentralPubMed Voegtline, K. M., Costigan, K. A., Kivlighan, K. T., Laudenslager, M. L., Henderson, J. L., & DiPietro, J. A. (2013). Concurrent levels of maternal salivary cortisol are unrelated to self-reported psychological measures in low-risk pregnant women. Archives of Women's Mental Health, 16(2), 101–108. doi:10.​1007/​s00737-012-0321-z.CrossRefPubMedCentralPubMed
go back to reference Warren, J. R., Thomas, J. L., Okuyemi, K. S., Lindgren, B., & Ahluwalia, J. S. (2010). Development and validation of a multidimensional measure of stress among African American light smokers. Journal of the National Medical Association, 102(10), 890–897.PubMed Warren, J. R., Thomas, J. L., Okuyemi, K. S., Lindgren, B., & Ahluwalia, J. S. (2010). Development and validation of a multidimensional measure of stress among African American light smokers. Journal of the National Medical Association, 102(10), 890–897.PubMed
go back to reference Witek-Janusek, L., Albuquerque, K., Chroniak, K. R., Chroniak, C., Durazo-Arvizu, R., & Mathews, H. L. (2008). Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain, Behavior, and Immunity, 22(6), 969–981. doi:10.1016/j.bbi.2008.01.012.CrossRefPubMedCentralPubMed Witek-Janusek, L., Albuquerque, K., Chroniak, K. R., Chroniak, C., Durazo-Arvizu, R., & Mathews, H. L. (2008). Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain, Behavior, and Immunity, 22(6), 969–981. doi:10.​1016/​j.​bbi.​2008.​01.​012.CrossRefPubMedCentralPubMed
go back to reference Woods-Giscombé, C. L., & Black, A. R. (2010). Mind-body interventions to reduce risk for health disparities related to stress and strength among African American Women: The potential of mindfulness-based stress reduction, loving-kindness, and the NTU therapeutic framework. Complementary Health Practice Review, 15(3), 115–131. doi:10.1177/1533210110386776. Woods-Giscombé, C. L., & Black, A. R. (2010). Mind-body interventions to reduce risk for health disparities related to stress and strength among African American Women: The potential of mindfulness-based stress reduction, loving-kindness, and the NTU therapeutic framework. Complementary Health Practice Review, 15(3), 115–131. doi:10.​1177/​1533210110386776​.
Metagegevens
Titel
A Mindfulness-Based Intervention for Pregnant African-American Women
Auteurs
Huaiyu Zhang
Eugene K. Emory
Publicatiedatum
01-06-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-014-0304-4

Andere artikelen Uitgave 3/2015

Mindfulness 3/2015 Naar de uitgave