Abstract
Several pilot studies have provided evidence that mindfulness-based intervention is beneficial during pregnancy, yet its effects in mothers during the early parenting period are unknown. The purpose of the present pilot study was to examine the effectiveness of a mindfulness-based intervention in breast-feeding mothers. We developed and tested an 8-week mindfulness-based intervention aimed at improving maternal self-efficacy, mindfulness, self-compassion, satisfaction with life, and subjective happiness, and at reducing psychological distress. A randomized controlled, between-groups design was used with treatment and control groups (n = 26) and pretest and posttest measures. ANCOVA results indicated that, compared to the control group, mothers in the treatment group scored significantly higher on maternal self-efficacy, some dimensions of mindfulness (observing, acting with awareness, non-judging, and non-reactivity), and self-compassion (self-kindness, mindfulness, over-identification, and total self-compassion). In addition, mothers who received the treatment exhibited significantly less anxiety, stress, and psychological distress. The results supported previous research findings about the benefits of mindfulness-based intervention in women from the perinatal and postpartum periods through the early parenting period. Additional research is needed to validate our findings in non-breast-feeding mothers and to examine the intervention’s indirect benefits in terms of family relationships and child development.
Similar content being viewed by others
References
Atienza FL, Pons D, Balaguer I, García-Merita M (2000) Propiedades psicométricas de la escala Satisfacción con la vida en adolescentes. Psicothema 12:314–319
Austin MP, Leader L (2000) Maternal stress and obstetric and infant outcomes: epidemiological findings and neuroendocrine mechanisms. Aust N Z J Obstet Gynaecol 40:331–337
Austin MP, Leader LR, Reilly N (2005) Prenatal stress, the hypothalamic–pituitary–adrenal axis, and fetal and infant neurobehaviour. Early Hum Dev 81(9):17–926
Bados A, Solanas A, Andrés R (2005) Psychometric properties of the Spanish version of Depression, Anxiety and Stress Scales. Psicothema 17:679–683
Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L (2006) Using self-report assessment methods to explore facets of mindfulness. Assessment 13:27–45
Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S et al (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342
Belsky J (1984) The determinants of parenting: a process model. Child Dev 55:83–96
Bloomfield L, Kendall S (2012) Parenting self-efficacy, parenting stress and child behaviour before and after a parenting program. Prim Health Care Res Dev 13(4):364–372
Bögels SM, Lehtonen A, Restifo K (2010) Mindful parenting in mental health care. Mindfulness (N Y) 1:107–120
Bornstein MH, Sawyer J (2006) Family systems. In: McCartney K, Phillips D (eds) Handbook on early childhood development. Blackwell, Malden, pp 381–398
Bugental DB, Shennum WA (1984) “Difficult” children as elicitors and targets of adult communication patterns: an attributional–behavioral transactional analysis. Monogr Soc Res Child Dev 49:1–79
Cabañero MJ, Richart M, Cabrero J, Orts MI, Reig A, Tosal B (2004) Fiabilidad y validez de la escala de satisfacción con la vida de Diener en una muestra de mujeres embarazadas y puérperas. Psicothema 16:448–455
Cebolla A, Garcia-Palacios A, Soler J, Guillen V, Baños R, Botella C (2012) Psychometric properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire (FFMQ). Eur J Psychiat 26:118–126
Cohen J (1988) Statistical power analysis for the behavior sciences, 2nd edn. Routledge, London
Coleman PK, Hildebrant KH (2000) Parenting self-efficacy among mothers of school-age children: conceptualization, measurement, and correlates. Fam Relat 49:13–24
Cutrona CE, Troutman BR (1986) Social support, infant temperament, and parenting self-efficacy: a mediational model of postpartum depression. Child Dev 57:1507–1518
Deater-Deckard K (2004) Parenting stress. Yale University Press, New Haven
Dienner E, Emmons R, Larsen RJ, Griffin S (1985) The satisfaction with life scale. J Pers Assess 49:71–75
Donovan WL, Leavitt LA (1985) Simulating conditions of learned helplessness: the effects of interventions and attributions. Child Dev 56:594–603
Donovan WL, Leavitt LA, Walsh RO (1990) Maternal self-efficacy: illusory control and its effect on susceptibility to learned helplessness. Child Dev 61:1638–1647
Donovan WL, Leavitt LA, Walsh RO (1997) Cognitive set and coping strategy affect mother’s sensitivity to infant cries: a signal detection approach. Child Dev 68:760–772
Duncan LG, Bardacke N (2010) Mindfulness-based childbirth and parenting education: promoting family mindfulness during the perinatal period. J Child Fam Stud 19:190–202
Duncan LG, Coatsworth JD, Greenberg MT (2009) A model of mindful parenting: implications for parent–child relationships and prevention research. Clin Child Fam Psychol Rev 12:255–270
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. Arch Womens Ment Health 15:139–143. doi:10.1007/s00737-012-0264-4
Eberth J, Sedlmeier P (2012) The effects of mindfulness meditation: a meta-analysis. Mindfulness. doi:10.1007/s12671-012-0101-x
Farkas-klein C (2008) Escala de evaluación parental (EEP): desarrollo, propiedades psicométricas y aplicaciones. Universitas Psychologica 7:457–467
Germer C (2009) The mindful path to self-compassion. freeing yourself from destructive thoughts and emotions. Guilford, New York
Grossman P, Niemann L, Schmidt S, Walach H (2004) Mindfulness-based stress reduction and health benefits: a meta-analysis. J Psychosom Res 57:35–43
Halpern LF, Anders TF, Garcia-Coll C, Hua J (1994) Infant temperament: is there a relation to sleep–wake states and maternal night-time behavior? Infant Behav Dev 17:255–263
Hayes SC, Strosahl K, Wilson KG (1999) Acceptance and commitment therapy. Guilford, New York
Henry JD, Crawford JR (2005) The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 44:227–239
Hofmann SG, Sawyer T, Witt AW, Oh D (2010) The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol 78:169–183. doi:10.1037/a0018555
Huck SW, McLean RA (1975) Using a repeated measures ANOVA to analyze the data from a pretest–posttest design: a potentially confusing task. Psychol Bull 82:511–518
Johnston C, Mash EJ (1989) A measure of parenting satisfaction and efficacy. J Clin Child Psychol 18:167–175
Jones T, Prinz RJ (2005) Potential roles of parental self-efficacy in parent and child adjustment: a review. Clin Psychol Rev 25:341–363
Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Delacorte, New York
Kabat-Zinn J (2003) Mindfulness-based intervention in context: past, present and future. Clin Psychol (New York) 10:144–156
Kabat-Zinn M, Kabat-Zinn J (1997) Everyday blessings: the inner work of mindful parenting. Hyperion, New York
Kenny DA (1979) Correlation and causality. Wiley, New York
Leung S, Arthur DG, Martinson I (2005) Stress in women with postpartum depression: a phenomenological study. J Adv Nurs 51:353–360
Linehan MM (1993) Cognitive–behavioral treatment of borderline personality disorder. Guilford, New York
Lovibond SH, Lovibond PF (1995) Manual of the DASS, 2nd edn. Sydney Psychology Foundation, Sydney
Lyubomirsky S, Lepper HS (1999) A measure of subjective happiness: preliminary reliability and construct validation. Soc Indic Res 46:137–155
Mash EJ, Johnston C (1983) The prediction of mothers’ behavior with their hyperactive children during play and task situations. Child Fam Behav Ther 5:1–14
Miller RL, Pallant JF, Negri LM (2006) Anxiety and stress in the postpartum: is there more to postnatal distress than depression? BMC Psychiatry 6:12
Neff KD (2003) Development and validation of a scale to measure self-compassion. Self Identity 2:223–250
Neff KD (2011) Self-compassion. stop beating yourself up and leave insecurity behind. HarperCollins, New York
Rausch JR, Maxwell SE, Kelley K (2003) Analytic methods for questions pertaining to a pretest posttest follow-up design. J Clin Child Adolesc Psychol 32:467–486
Ruiz RJ, Avant KC (2005) Effects of maternal prenatal stress on infant outcomes: a synthesis of the literature. ANS Advanced Nursing Science 28:345–355
Segal ZV, Williams JMG, Teasdale JD (2002) Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Guilford, New York
Sevigny PR, Loutzenhiser L (2009) Predictors of parenting self-efficacy in mothers and fathers of toddlers. Child Care Health Dev 36:179–189
Siegel DJ, Hartzell M (2003) Parenting from the inside out: how a deeper understanding can help you raise children who thrive. Guilford, New York
Teasdale JD, Segal Z, Williams JM (1995) How does cognitive therapy prevent depressive relapse and why should attentional control training help? Behaviour therapy for depression: a new approach to preventing relapse. Guilford, New York
Teti DM, Gelfand DM (1991) Behavioural competence among mothers of infants in the first year: the mediational role of maternal self-efficacy. Child Dev 62:918–929
Unger DG, Wandersman LP (1985) Social support and adolescent mothers: action research contributions to theory and application. J Soc Issues 41:29–45
Vieten C, Astin J (2008) Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study. Arch Womens Ment Health 11:67–74
Webster-Stratton C (1999) Stress: a potential disruptor of parent perceptions and family interactions. J Clin Child Psychol 19:302–312
Wells-Parker E, Miller DI, Topping S (1990) Development of control of outcome scales and self-efficacy scales for women in four life roles. J Pers Assess 54:564–575
Acknowledgments
We would like to thank the Amamanta Association and the San Marcelino Health Center (Valencia, Spain) for their support in this study. We would also like to extend our gratitude to the mothers and babies who shared their experiences with us.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Perez-Blasco, J., Viguer, P. & Rodrigo, M.F. Effects of a mindfulness-based intervention on psychological distress, well-being, and maternal self-efficacy in breast-feeding mothers: results of a pilot study. Arch Womens Ment Health 16, 227–236 (2013). https://doi.org/10.1007/s00737-013-0337-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00737-013-0337-z