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09-01-2023 | Original Paper

Exploring the Influence of a Mindfulness Intervention on the Experiences of Mothers with Infants in Neonatal Intensive Care Units

Auteurs: Suzanne M. Grieb, Hannah McAtee, Erica Sibinga, Tamar Mendelson

Gepubliceerd in: Mindfulness | Uitgave 1/2023

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Abstract

Objectives

Mothers with infants in the neonatal intensive care unit (NICU) are at increased risk of psychological distress, which can have lasting negative impacts on both mother and infant. However, few interventions are available to promote these mothers’ mental health and wellbeing. In the context of a pilot randomized controlled trial testing a mindfulness intervention for mothers with infants in the NICU, we explore the experiences of the mothers participating in the mindfulness-based intervention, with mothers in the control group as comparison, and the ways they felt it influenced their time in the NICU.

Method

Twenty-six participants (15 participants in the intervention arm and 11 participants in the control arm) recruited from two NICUs in an urban center in Eastern United States completed semi-structured interviews. Interviews explored the mothers’ NICU experience as well as experience with the mindfulness and health education (control) programs. Data was analyzed using an iterative, thematic constant comparison process informed by grounded theory.

Results

Mothers reported that participation in the mindfulness intervention helped them to calm the chaos through recentering and fostering connections, find comfort through non-judgmental acceptance, gain perspective on the situation, and facilitate self-care. These were experienced only among the mothers in the intervention arm. These themes did not vary based on demographics of the mothers in the mindfulness study arm or their pre-study awareness of mindfulness.

Conclusions

Mindfulness interventions may foster new practices and perspectives for mothers with infants in the NICU, potentially leading to improved mental health wellbeing.
Literatuur
go back to reference Bernard, H. R., & Ryan, G. W. (2010). Analyzing qualitative data: Systematic approaches. Sage. Bernard, H. R., & Ryan, G. W. (2010). Analyzing qualitative data: Systematic approaches. Sage.
go back to reference Bernard, R. S., Williams, S. E., Storfer-Isser, A., Rhine, W., Horwitz, S. M., Koopman, C., & Shaw, R. J. (2011). Brief cognitive–behavioral intervention for maternal depression and trauma in the neonatal intensive care unit: A pilot study. Journal of Traumatic Stress, 24(2), 230–234. https://doi.org/10.1002/jts.20626CrossRef Bernard, R. S., Williams, S. E., Storfer-Isser, A., Rhine, W., Horwitz, S. M., Koopman, C., & Shaw, R. J. (2011). Brief cognitive–behavioral intervention for maternal depression and trauma in the neonatal intensive care unit: A pilot study. Journal of Traumatic Stress, 24(2), 230–234. https://​doi.​org/​10.​1002/​jts.​20626CrossRef
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077CrossRef Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://​doi.​org/​10.​1093/​clipsy.​bph077CrossRef
go back to reference Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care. Developmental Psychology, 46(5), 1159–1175. https://doi.org/10.1037/a0020659CrossRef Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care. Developmental Psychology, 46(5), 1159–1175. https://​doi.​org/​10.​1037/​a0020659CrossRef
go back to reference Gerstein, E. D., Njoroge, W. F., Paul, R. A., Smyser, C. D., & Rogers, C. E. (2019). Maternal depression and stress in the neonatal intensive care unit: Associations with mother− child interactions at age 5 years. Journal of the American Academy of Child & Adolescent Psychiatry, 58(3), 350–358. https://doi.org/10.1016/j.jaac.2018.08.016CrossRef Gerstein, E. D., Njoroge, W. F., Paul, R. A., Smyser, C. D., & Rogers, C. E. (2019). Maternal depression and stress in the neonatal intensive care unit: Associations with mother− child interactions at age 5 years. Journal of the American Academy of Child & Adolescent Psychiatry, 58(3), 350–358. https://​doi.​org/​10.​1016/​j.​jaac.​2018.​08.​016CrossRef
go back to reference Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Aldine Transactions. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Aldine Transactions.
go back to reference Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., Berger, Z., Sleicher, D., Maron, D. D., Shihab, H. M., Ranasinghe, P. D., Linn, S., Saha, S., Bass, E. B., & Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368. https://doi.org/10.1016/j.dza.2014.07.007CrossRef Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., Berger, Z., Sleicher, D., Maron, D. D., Shihab, H. M., Ranasinghe, P. D., Linn, S., Saha, S., Bass, E. B., & Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357–368. https://​doi.​org/​10.​1016/​j.​dza.​2014.​07.​007CrossRef
go back to reference Hagen, I. H., Iversen, V. C., & Svindseth, M. F. (2016). Differences and similarities between mothers and fathers of premature children: A qualitative study of parents’ coping experiences in a neonatal intensive care unit. BMC Pediatrics, 16, 92. https://doi.org/10.1186/s12887-016-0631-9 Hagen, I. H., Iversen, V. C., & Svindseth, M. F. (2016). Differences and similarities between mothers and fathers of premature children: A qualitative study of parents’ coping experiences in a neonatal intensive care unit. BMC Pediatrics, 16, 92. https://​doi.​org/​10.​1186/​s12887-016-0631-9
go back to reference Hasanpour, S., Ouladsahebmadarek, E., Hosseini, M. B., Mirghafourvand, M., Heidarabadi, S., & Asghari Jafarabadi, M. (2018). Mother-infant attachment at the age of 1 year in recipients of developmental care after preterm birth. International Journal of Women’s Health and Reproduction Sciences, 6(1), 90–96.CrossRef Hasanpour, S., Ouladsahebmadarek, E., Hosseini, M. B., Mirghafourvand, M., Heidarabadi, S., & Asghari Jafarabadi, M. (2018). Mother-infant attachment at the age of 1 year in recipients of developmental care after preterm birth. International Journal of Women’s Health and Reproduction Sciences, 6(1), 90–96.CrossRef
go back to reference Hassed, C., & Chambers, R. (2014) Mindful Learning: Reduce stress and improve brain performance for effective learning. (Vol. 3). Exisle Publishing. Hassed, C., & Chambers, R. (2014) Mindful Learning: Reduce stress and improve brain performance for effective learning. (Vol. 3). Exisle Publishing.
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion.
go back to reference Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press. Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.
go back to reference Matchim, Y., Armer, J. M., & Stewart, B. R. (2008). A qualitative study of participants’ perceptions of the effect of mindfulness meditation practice on self-care and overall well-being. The Official Journal of the International Orem Society, 16(2), 46–53. Matchim, Y., Armer, J. M., & Stewart, B. R. (2008). A qualitative study of participants’ perceptions of the effect of mindfulness meditation practice on self-care and overall well-being. The Official Journal of the International Orem Society, 16(2), 46–53.
go back to reference Melnyk, B. M., Feinstein, N. F., Alpert-Gillis, L., Fairbanks, E., Crean, H. F., Sinkin, R. A., Stone, P. W., Small, L., Tu, X., & Gross, S. J. (2006). Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics, 118(5), e1414–e1427. https://doi.org/10.1542/peds.2005-2580CrossRef Melnyk, B. M., Feinstein, N. F., Alpert-Gillis, L., Fairbanks, E., Crean, H. F., Sinkin, R. A., Stone, P. W., Small, L., Tu, X., & Gross, S. J. (2006). Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics, 118(5), e1414–e1427. https://​doi.​org/​10.​1542/​peds.​2005-2580CrossRef
go back to reference Preyde, M., & Ardal, F. (2003). Effectiveness of a parent “buddy” program for mothers of very preterm infants in a neonatal intensive care unit. Canadian Medical Association Journal, 168(8), 969–973. Preyde, M., & Ardal, F. (2003). Effectiveness of a parent “buddy” program for mothers of very preterm infants in a neonatal intensive care unit. Canadian Medical Association Journal, 168(8), 969–973.
go back to reference Rihan, S. H., Mohamadeen, L. M., Zayadneh, S. A., Hilal, F. M., Rashid, H. A., Azzam, N. M., Khalaf, D. J., Badran, E. F., & Safadi, R. R. (2021). Parents’ experience of having an infant in the neonatal intensive care unit: A qualitative study. Cureus, 13(7), e16747. https://doi.org/10.7759/cureus.16747CrossRef Rihan, S. H., Mohamadeen, L. M., Zayadneh, S. A., Hilal, F. M., Rashid, H. A., Azzam, N. M., Khalaf, D. J., Badran, E. F., & Safadi, R. R. (2021). Parents’ experience of having an infant in the neonatal intensive care unit: A qualitative study. Cureus, 13(7), e16747. https://​doi.​org/​10.​7759/​cureus.​16747CrossRef
go back to reference Silverstein, M., Feinberg, E., Cabral, H., Sauder, S., Egbert, L., Schainker, E., Kamholz, K., Hegel, M., & Beardslee, W. (2011). Problem-solving education to prevent depression among low-income mothers of preterm infants: A randomized controlled pilot trial. Archives of Women’s Mental Health, 14(4), 317–324. https://doi.org/10.1007/s00737-011-0222-6CrossRef Silverstein, M., Feinberg, E., Cabral, H., Sauder, S., Egbert, L., Schainker, E., Kamholz, K., Hegel, M., & Beardslee, W. (2011). Problem-solving education to prevent depression among low-income mothers of preterm infants: A randomized controlled pilot trial. Archives of Women’s Mental Health, 14(4), 317–324. https://​doi.​org/​10.​1007/​s00737-011-0222-6CrossRef
go back to reference Welch, M. G., Halperin, M. S., Austin, J., Stark, R. I., Hofer, M. A., Hane, A. A., & Myers, M. M. (2016). Depression and anxiety symptoms of mothers of preterm infants are decreased at 4 months corrected age with Family Nurture Intervention in the NICU. Archives of Women’s Mental Health, 19(1), 51–61. https://doi.org/10.1007/s00737-015-0502-7CrossRef Welch, M. G., Halperin, M. S., Austin, J., Stark, R. I., Hofer, M. A., Hane, A. A., & Myers, M. M. (2016). Depression and anxiety symptoms of mothers of preterm infants are decreased at 4 months corrected age with Family Nurture Intervention in the NICU. Archives of Women’s Mental Health, 19(1), 51–61. https://​doi.​org/​10.​1007/​s00737-015-0502-7CrossRef
go back to reference Zelkowitz, P., Feeley, N., Shrier, I., Stremler, R., Westreich, R., Dunkley, D., Steele, R., Rosberger, Z., Lefebvre, F., & Papageorgiou, A. (2011). The cues and care randomized controlled trial of a neonatal intensive care unit intervention: Effects on maternal psychological distress and mother-infant interaction. Journal of Developmental & Behavioral Pediatrics, 32(8), 591–599. https://doi.org/10.1097/DBP.0b013e318227b3dcCrossRef Zelkowitz, P., Feeley, N., Shrier, I., Stremler, R., Westreich, R., Dunkley, D., Steele, R., Rosberger, Z., Lefebvre, F., & Papageorgiou, A. (2011). The cues and care randomized controlled trial of a neonatal intensive care unit intervention: Effects on maternal psychological distress and mother-infant interaction. Journal of Developmental & Behavioral Pediatrics, 32(8), 591–599. https://​doi.​org/​10.​1097/​DBP.​0b013e318227b3dc​CrossRef
Metagegevens
Titel
Exploring the Influence of a Mindfulness Intervention on the Experiences of Mothers with Infants in Neonatal Intensive Care Units
Auteurs
Suzanne M. Grieb
Hannah McAtee
Erica Sibinga
Tamar Mendelson
Publicatiedatum
09-01-2023
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 1/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-022-02060-w

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