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01-02-2018 | Original Paper

A Preliminary Study Investigating the Effectiveness of the Caring for Body and Mind in Pregnancy (CBMP) in Reducing Perinatal Depression, Anxiety and Stress

Auteurs: Kishani Townshend, Nerina J. Caltabiano, Rosalind Powrie, Helen O’Grady

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 5/2018

Abstract

Prenatal mental illness is a significant public health issue with intergenerational consequences. Caring for Body and Mind in Pregnancy (CBMP) is an Australian, 8-week mindful parenting program. The primary aim of this study was to investigate the effectiveness of CBMP in reducing pregnant women’s levels of depression, anxiety, perinatal depression, perinatal anxiety and stress. The sample consisted of 109 pregnant women at-risk for perinatal depression and anxiety. The mean age of the sample was 33.52 years (SD = 4.90), ranging from 21 to 45 years. A within group, pre-post research design was used to examine whether CBMP improves participants’ scores on outcome measures. Wilcoxon Signed Rank test results indicated that CBMP significantly reduced depression, anxiety, perinatal depression, perinatal anxiety and general stress scores, while significantly increasing self-compassion and mindfulness with moderate to strong effect sizes. The double mediation hypothesis was supported with self-compassion t (71) = −2.23, p < 03, b2 = −1.96, SE = 88, 95% CI = −3.71, −.20, having a stronger influence in reducing perinatal depression than mindfulness t (71) = −2.68, p < .01, b3 = −.07, SE = .03, 95% CI = −.13, −.02. Further research, using a randomized controlled design with appropriate control conditions, is needed to establish the effectiveness of CBMP in reducing psychological distress amongst pregnant women at risk of developing depression, anxiety or stress.

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Anthony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the depression anxeity stress scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181.CrossRef

Baer, R. A., Smith, G. T., 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(3), 329–342. https://doi.org/10.1177/1073191107313003.CrossRefPubMed

Beyondblue (2011). Clinical practice guidelines for depression and related disorders—anxiety, bipolar disorder and puerperal psychosis—in the perinatal period. A guideline for primary care health professionals. Melbourne: Beyondblue.

Boslaugh, S. (2007). Secondary data sources for public health: a practical guide. Cambridge: Cambridge University Press.CrossRef

Bowling, A. (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of Public Health, 27(3), 281–291.CrossRefPubMed

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.CrossRefPubMed

Byrne, J., Hauck, Y., Fisher, C., Bayes, S., & Schutze, R. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery and Women’s Health, 59(2), 192–197.CrossRefPubMed

Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33. https://doi.org/10.1007/s10865-007-9130-7.CrossRefPubMed

Coolican, H., & Kelly, O. (2015). Research methods in psychology. Don Mills: Oxford University Press Canada.

Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry, 150, 782–786.CrossRefPubMed

Dunkel Schetter, C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion in Psychiatry, 25(2), 141–148. https://doi.org/10.1097/YCO.0b013e3283503680.CrossRefPubMedPubMedCentral

Faul, F., Erdfelder, E., Buchner, A., & Lanf, A. G. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regressions analyses. Behaviour Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149.CrossRef

Gotink, R. A., Chu, P., Busschbach, J. J. V., Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015). Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. Plosad- ONE, 10(4), e0124344.CrossRef

Gu, J., Strauss, C., Crane, C., Barnhofer, T., Karl, A., Cavanagh, K., & Kuyken, W. (2016). Examining the factor structure of the 39-item and 15-item versions of the five facet mindfulness questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression. Psychological Assessment, 28(7), 791–802. https://doi.org/10.1037/pas0000263.CrossRefPubMedPubMedCentral

Hall, H. G., Beattie, J., Lau, R., East, C., & Biro, M. A. (2016). Mindfulness and perinatal mental health: a systematic review. Women Birth, 29(1), 62–71. https://doi.org/10.1016/j.wombi.2015.08.006.CrossRefPubMed

Hayes, A. F. (2009). Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420.CrossRef

Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of the body and the mind to face stress, pain and illness. New York: Bantam Books.

Kabat-Zinn, M., & Kabat-Zinn, J. (2014). Everyday blessings: the inner work of mindful parenting. London: Hachette Books.

Lever Taylor, B., Cavanagh, K., & Strauss, C. (2016). The effectiveness of mindfulness-based interventions in the perinatal period: a systematic review and meta-analysis. Plosad- ONE, 11(5), e0155720. https://doi.org/10.1371/journal.pone.0155720.CrossRef

Levinson, D. J. (1990). A theory of life structure development in adulthood. In C. N. Alexander, E. J. Langer (Eds.) Higher stages of human development: perspectives on adult growth (pp. 35–53). Oxford: Oxford University Press.

López, A., Sanderman, R., Smink, A., Zhang, Y., van Sonderen, E., Ranchor, A., & Schroevers, M. J. (2015). A reconsideration of the self-compassion scale’s total score: self-compassion versus self-criticism. PLoS ONE, 10(7), https://doi.org/10.1371/journal.pone.0132940.

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.

Mahmoud, J. S. R., Staten, R., Hall, L. A., & Lennie, T. A. (2012). The relationship among young adult college students’ depression, anxiety, stress, demographics, life satisfaction and coping styles. Issues in Mental Health Nursing, 33(3), 149–156. https://doi.org/10.3109/01612840.2011.632708.CrossRefPubMed

Matvienko-Sikar, K., Lee, L., Murphy, G., & Murphy, L. (2016). The effects of mindfulness interventions on prenatal well-being: a systematic review. Psychology & Health, 31, 1415–1434.CrossRef

McMahon, C. A., Boivin, J., Gibson, F. L., Hammarberg, K., Wynter, K., Saunders, D., & Fisher, J. (2011). Age at first birth, mode of conception and psychological wellbeing in pregnancy: findings from the parental age and transition to parenthood Australia (PATPA) study. Human Reproduction, 26(6), 1389–1398. https://doi.org/10.1093/humrep/der076.CrossRefPubMed

Napthali, S. (2003). Buddhism for mothers. Crows Nest: Allen & Unwin.

National Institute for Health and Care Excellence (NICE). (2016). Depression in adults: recognition and management. Clinical guideline [CG90]. https://www.nice.org.uk/guidance/cg90.

Neff, K. (2003). The development and validation of a scale to measure selfcompassion. Self and Identity, 2, 223–250.CrossRef

Neff, K., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44.CrossRefPubMed

Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017). Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behaviour Research and Therapy, 95, 29–41.CrossRefPubMedPubMedCentral

Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2014). The circle of security intervention: enhancing attachment in early parent-child relationships. New York: The Guildford Press.

PricewaterhouseCoopers (PwC). (2014). Valuing perinatal mental health: the consequences of not treating perinatal depression and anxiety. https://www.beyondblue.org.au/docs/default-source/8.-perinatal-documents/bw0079-report-valuing-perintal-health.pdf?sfvrsn=2.

Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. British Medical Journal, 340, https://doi.org/10.1136/bmj.c332.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: The Guilford Press.

Shi, Z., & MacBeth, A. (2017). The effectiveness of mindfulness-based interventions on maternal perinatal mental health outcomes: a systematic review. Mindfulness, 1–25. https://doi.org/10.1007/s12671-016-0673-y.

Shidhaye, P. R., & Giri, P. A. (2014). Maternal depression: a hidden burden in developing countries. Annals of Medical and Health Sciences Research, 4(4), 463–465. https://doi.org/10.4103/2141-9248.139268.CrossRefPubMedPubMedCentral

Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wettinger, M., Byrne, S., Coo, S., Doherty, D., & Page, A. C. (2014). The perinatal anxiety screening scale: development and preliminary validation. Archives of Womens Mental Health, 17(5), 443–454. https://doi.org/10.1007/s00737-014-0425-8.CrossRef

Spiliotopoulou, G. (2009). Reliability reconsidered: Cronbach’s alpha and paediatric assessment in occupational therapy. Australian Occupational Therapy Journal, 56(3), 150–155. https://doi.org/10.1111/j.1440-1630.2009.00785.x.CrossRefPubMed

Squires, J., & Bricker, D. (2009). Ages and stages questionnaires: a parent-completed child monitoring system (ASQ-3). (3rd ed.). Baltimore: Brooks Publishing.

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55.CrossRefPubMedPubMedCentral

Townshend, K., Jordan, Z., Stephenson, M., & Tsey, K. (2016). The effectiveness of mindful parenting programs in promoting parents’ and children’s wellbeing: a systematic review. Joanna Briggs Institute (JBI) Database Systematic Reviews and Implementation Reports, 14, 139–178.CrossRef

Van Dam, N. T., Earleywine, M., & Borders, A. (2010). Measuring mindfulness? An item response theory analysis of the mindful attention awareness scale. Personality and Individual Differences, 49(7), 805–810.CrossRef

Vieten, C. (2009). Mindful motherhood: practical tools for staying sane during pregnancy and your child’s first year. Oakland: New Harbinger Publications.

Vieten, C., & Astin, J. (2008). Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study. Archives of Womens Mental Health, 11(1), 67–74. https://doi.org/10.1007/s00737-008-0214-3.CrossRef

Walsh, J. P., Kiesler, S., Sproull, L. S., & Hesse, B. W. (1992). Self-selected and randomly selected respondents in a computer network survey. The Public Opinion Quarterly, 56(2), 241–244.CrossRef

Zumbo, B. D., & Chan, E. K. H. (2014). Validity and validation in social, behavioural and health sciences. New York: Springer International Publishing.

Titel: A Preliminary Study Investigating the Effectiveness of the Caring for Body and Mind in Pregnancy (CBMP) in Reducing Perinatal Depression, Anxiety and Stress
Auteurs: Kishani Townshend
Nerina J. Caltabiano
Rosalind Powrie
Helen O’Grady
Publicatiedatum: 01-02-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 5/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-017-0978-z

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