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04-01-2023 | ORIGINAL PAPER

Effects of the Mindfulness-Based Childbirth and Parenting (MBCP) Program Among Pregnant Women: A Randomized Controlled Trial

Auteurs: Dexing Zhang, Katrina W. K. Tsang, Larissa G. Duncan, Benjamin H. K. Yip, Dicken C. C. Chan, Eric K. P. Lee, Tiffany T. Gao, Wing Hung Tam, Kit Yee Lam, Wing Hung Tong, Nancy Bardacke, Samuel Y. S. Wong

Gepubliceerd in: Mindfulness | Uitgave 1/2023

Abstract

Objectives

To evaluate the efficacy of the Mindfulness-Based Childbirth and Parenting (MBCP) program in improving the mental well-being of pregnant women as compared to an attention-matched active control group (i.e., an Antenatal Childbirth Education and Support program).

Method

This was a two-arm 1:1 randomized controlled trial with 183 pregnant women in Hong Kong. Assessments were conducted at baseline (T1), at the last prenatal session (T2), 6–8 weeks postpartum (T3), and 6 months postpartum (T4). The primary outcome was the Mental Component Score (MCS) of the 12-item Short Form Survey (SF-12) at T4. Secondary outcomes included depressive and anxiety symptoms, stress, catastrophizing thoughts about pain, disordered mother–infant relationships, mindfulness, and clinical outcomes related to childbirth. Analysis of covariance (ANCOVA) was used as the primary analysis based on the intention-to-treat (ITT) principle.

Results

MBCP demonstrated superiority over the control at T4 in improving mental health–related quality of life (increased MCS score), reducing depression symptoms and state anxiety, and increasing mindfulness levels at T2, T3, and T4. No significant differences were shown in other outcomes. No serious adverse events were reported.

Conclusions

MBCP showed positive mental health effects and was perceived as a safe intervention for pregnant women in Hong Kong. Future studies may look into its mechanisms and cost-effectiveness.

Pre registration

Chinese Clinical Trial Registry ChiCTR-TRC-13004070.

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Titel: Effects of the Mindfulness-Based Childbirth and Parenting (MBCP) Program Among Pregnant Women: A Randomized Controlled Trial
Auteurs: Dexing Zhang
Katrina W. K. Tsang
Larissa G. Duncan
Benjamin H. K. Yip
Dicken C. C. Chan
Eric K. P. Lee
Tiffany T. Gao
Wing Hung Tam
Kit Yee Lam
Wing Hung Tong
Nancy Bardacke
Samuel Y. S. Wong
Publicatiedatum: 04-01-2023
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 1/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-02046-8

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