Top

Mindfulness

Gepubliceerd in:

02-06-2021 | ORIGINAL PAPER

The Indirect Effect of Parental Intolerance of Uncertainty on Perinatal Mental Health via Mindfulness During COVID-19

Auteurs: Marissa D. Sbrilli, Katherine Haigler, Heidemarie K. Laurent

Gepubliceerd in: Mindfulness | Uitgave 8/2021

Abstract

Objectives

The COVID-19 pandemic is associated with mental health difficulties, especially during pregnancy and early postpartum. Intolerance of uncertainty (IU) and reduced capacity for mindfulness—a protective factor for child-bearers—may be particularly relevant factors driving mental health problems given the unpredictable nature of the pandemic. The current study aims to shed light on modifiable paths to perinatal psychological distress by testing whether there is an indirect effect of IU on psychological symptoms through a perceived reduction in mindfulness during the pandemic.

Methods

Pregnant individuals (67%, n = 133) and new mothers within 6 months postpartum (33%, n = 66) participated in a cross-sectional online survey assessing IU, current and retrospective pre-pandemic mindfulness (FFMQ), and psychological symptoms (anxiety, depression, somatization; BSI). Perceived change in mindfulness was captured by including retrospective mindfulness as a covariate in the PROCESS macro used for analyses.

Results

Tests of the direct association between mindfulness, IU, and psychological symptoms showed significant effects of IU (b = 0.46, SE = 0.064; p < .001) and perceived decrease in mindfulness during the pandemic (b = − 0.72, SE = 0.08, p < .001) on psychological symptoms (R² = .21–.34; F[2, 197] = 51.13–52.81, p < .001). The indirect effect of IU on symptoms via perceived decrease in mindfulness during the pandemic (b = 0.13, SE = 0.043, 95%CI [.060, .226]) was significant (R² = .41, F[3, 195] = 45.08, p < .001).

Conclusions

Results suggest that mothers who are less able to tolerate uncertainty experience more psychological symptoms, in part due to perceived reduction in mindfulness during the pandemic. Future research should examine whether IU is a screening risk marker and target for mindfulness-based interventions to improve maternal well-being and family outcomes.

vorige artikel How Self-Compassion Moderates the Links Between Fitspiration Use and Body Concerns in Young Women

volgende artikel Exploring the Effects of Mindfulness-Based Childbirth and Parenting on Infant Social-Emotional Development

Aktar, E., Nikolić, M., & Bögels, S. M. (2017). Environmental transmission of generalized anxiety disorder from parents to children Worries experiential avoidance and intolerance of uncertainty. Dialogues in Clinical Neuroscience, 19(2), 137–147. https://doi.org/10.31887/DCNS.2017.19.2/eaktarCrossRefPubMedPubMedCentral

American Psychological Association. (2020). Stress in America^TM 2020: Stress in the Time of COVID-19 (Vol. 1). https://www.apa.org/news/press/releases/stress/2020/stress-in-america-covid.pdf

Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. Journal of Marital and Family Therapy, 33(4), 482–500. https://doi.org/10.1111/j.1752-0606.2007.00033.xCrossRefPubMed

Baumrind, D. (1989). Rearing competent children. In W. Damon (Ed.), Child development today and tomorrow (pp. 349–378). Jossey-Bass.

Beck, C. T. (1999). Postpartum depression: Stopping the thief that steals motherhood. AWHONN Lifelines, 3(4), 41–44. https://doi.org/10.1111/j.1552-6356.1999.tb01115.xCrossRefPubMed

Belen, H. (2021). Fear of COVID-19 and mental health: The role of mindfulness in during times of crisis. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00470-2

Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment, 18(3), 308–320. https://doi.org/10.1177/1073191111408231CrossRefPubMed

Boswell, J. F., Thompson-Hollands, J., Farchione, T. J., & Barlow, D. H. (2013). Intolerance of uncertainty: A common factor in the treatment of emotional disorders. Journal of Clinical Psychology, 69(6), 630–645. https://doi.org/10.1002/jclp.21965CrossRefPubMed

Braeken, M. A. K. A., Jones, A., Otte, R. A., Nyklíček, I., & Van den Bergh, B. R. H. (2017). Potential benefits of mindfulness during pregnancy on maternal autonomic nervous system function and infant development. Psychophysiology, 54(2), 279–288. https://doi.org/10.1111/psyp.12782CrossRefPubMed

Brand, S. R., & Brennan, P. A. (2009). Impact of antenatal and postpartum maternal mental illness: How are the children? Clinical Obstetrics & Gynecology, 52(3), 441–455. https://doi.org/10.1097/GRF.0b013e3181b52930CrossRef

Brooks, S. K., Weston, D., & Greenberg, N. (2020). Psychological impact of infectious disease outbreaks on pregnant women: Rapid evidence review. Public Health, 189, 26–36. https://doi.org/10.1016/j.puhe.2020.09.006CrossRefPubMed

Brown, D. B., Bravo, A. J., Roos, C. R., & Pearson, M. R. (2015). Five facets of mindfulness and psychological health: Evaluating a psychological model of the mechanisms of mindfulness. Mindfulness, 6(5), 1021–1032. https://doi.org/10.1007/s12671-014-0349-4CrossRefPubMed

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. https://doi.org/10.1037/0022-3514.84.4.822CrossRefPubMed

Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour Research and Therapy, 40(8), 931–945. https://doi.org/10.1016/S0005-7967(01)00092-4CrossRefPubMed

Campbell, D. T., & Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin, 56(2), 81–105. https://doi.org/10.1037/h0046016CrossRefPubMed

Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12(8), 937–947. https://doi.org/10.1586/ern.12.82CrossRefPubMed

Carleton, R. N. (2016). Into the unknown: A review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders, 39, 30–43. https://doi.org/10.1016/j.janxdis.2016.02.007CrossRefPubMed

Carleton, R. N., Norton, M. A. P. J., & Asmundson, G. J. G. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21(1), 105–117. https://doi.org/10.1016/j.janxdis.2006.03.014CrossRefPubMed

Center for Translational Neuroscience at the University of Oregon. (2020, August 12). How long can the levee hold?: The role of caregiver emotional support in buffering children from the stress of material hardship Medium. https://medium.com/rapid-ec-project/how-long-can-the-levee-hold-2a2cd0779914

Ceulemans, M., Hompes, T., & Foulon, V. (2020). Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic: A call for action. International Journal of Gynecology & Obstetrics, 151(1), 146–147. https://doi.org/10.1002/ijgo.13295CrossRef

Chen, H., Selix, N., & Nosek, M. (2021). Perinatal anxiety and depression during COVID-19. The Journal for Nurse Practitioners, 17(1), 26–31. https://doi.org/10.1016/j.nurpra.2020.09.014CrossRefPubMed

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155CrossRefPubMed

Cullen, W., Gulati, G., & Kelly, B. D. (2020). Mental health in the COVID-19 pandemic. QJM An International Journal of Medicine, 113(5), 311–312. https://doi.org/10.1093/qjmed/hcaa110CrossRefPubMed

Davenport, M. H., Meyer, S., Meah, V. L., Strynadka, M. C., & Khurana, R. (2020). Moms are not OK: COVID-19 and maternal mental health. Frontiers in Global Women’s Health, 1.https://doi.org/10.3389/fgwh.2020.00001

Deyo, M., Wilson, K. A., Ong, J., & Koopman, C. (2009). Mindfulness and rumination: Does mindfulness training lead to reductions in the ruminative thinking associated with depression? EXPLORE, 5(5), 265–271. https://doi.org/10.1016/j.explore.2009.06.005CrossRefPubMed

Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour Research and Therapy, 36(2), 215–226. https://doi.org/10.1016/S0005-7967(97)00070-3CrossRefPubMed

Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25(5), 551–558. https://doi.org/10.1023/A:1005553414688CrossRef

Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009). A model of mindful parenting: Implications for parent–child relationships and prevention research. Clinical Child and Family Psychology Review, 12(3), 255–270. https://doi.org/10.1007/s10567-009-0046-3CrossRefPubMedPubMedCentral

Einstein, D. A. (2014). Extension of the transdiagnostic model to focus on intolerance of uncertainty: A review of the literature and implications for treatment. Clinical Psychology: Science and Practice, 21(3), 280–300. https://doi.org/10.1111/cpsp.12077CrossRef

Ellington, S., Strid, P., Tong, V. T., Woodworth, K., Galang, R. R., Zambrano, L. D., Nahabedian, J., Anderson, K., & Gilboa, S. M. (2020). Characteristics of women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status—United States, January 22–June 7, 2020. Morbidity and Mortality Weekly Report, 69(25), 769–775. https://doi.org/10.15585/mmwr.mm6925a1CrossRefPubMedPubMedCentral

Fairbrother, N., Young, A. H., Janssen, P., Antony, M. M., & Tucker, E. (2015). Depression and anxiety during the perinatal period. BMC Psychiatry, 15(1), 206. https://doi.org/10.1186/s12888-015-0526-6CrossRefPubMedPubMedCentral

Fernandes, D. V., Canavarro, M. C., & Moreira, H. (2021). The mediating role of parenting stress in the relationship between anxious and depressive symptomatology, mothers’ perception of infant temperament, and mindful parenting during the postpartum period. Mindfulness, 12, 275–290. https://doi.org/10.1007/s12671-020-01327-4CrossRef

Freeston, M., Tiplady, A., Mawn, L., Bottesi, G., & Thwaites, S. (2020). Towards a model of uncertainty distress in the context of Coronavirus (COVID-19). The Cognitive Behaviour Therapist. https://doi.org/10.1017/S1754470X2000029XCrossRefPubMed

Furtado, M., Van Lieshout, R. J., Van Ameringen, M., Green, S. M., & Frey, B. N. (2019). Biological and psychosocial predictors of anxiety worsening in the postpartum period: A longitudinal study. Journal of Affective Disorders, 250, 218–225. https://doi.org/10.1016/j.jad.2019.02.064CrossRefPubMed

Gambrel, L. E., & Piercy, F. P. (2015). Mindfulness-based relationship education for couples expecting their first child—Part 1: A randomized mixed-methods program evaluation. Journal of Marital and Family Therapy, 41(1), 5–24. https://doi.org/10.1111/jmft.12066CrossRefPubMed

Gentes, E. L., & Ruscio, A. M. (2011). A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive disorder. Clinical Psychology Review, 31(6), 923–933. https://doi.org/10.1016/j.cpr.2011.05.001CrossRefPubMed

Grose, J. (2020, September 9). The pandemic is a ‘mental health crisis’ for parents. The New York Times. https://www.nytimes.com/2020/09/09/parenting/mental-health-parents-coronavirus.html

Hamill, T. S., Pickett, S. M., Amsbaugh, H. M., & Aho, K. M. (2015). Mindfulness and acceptance in relation to behavioral inhibition system sensitivity and psychological distress. Personality and Individual Differences, 72, 24–29. https://doi.org/10.1016/j.paid.2014.08.007CrossRef

Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. https://doi.org/10.1016/j.jbi.2008.08.010CrossRefPubMed

Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420. https://doi.org/10.1080/03637750903310360CrossRef

Hicks, L. M., Dayton, C. J., Brown, S., Muzik, M., & Raveau, H. (2018). Mindfulness moderates depression and quality of prenatal attachment in expectant parents. Mindfulness, 9(5), 1604–1614. https://doi.org/10.1007/s12671-018-0907-2CrossRef

Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Silver, R. C., Everall, I., Ford, T., John, A., Kabir, T., King, K., Madan, I., Michie, S., Przybylski, A. K., Shafran, R., Sweeney, A., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. https://doi.org/10.1016/S2215-0366(20)30168-1CrossRefPubMedPubMedCentral

Howard, L. M., Molyneaux, E., Dennis, C.-L., Rochat, T., Stein, A., & Milgrom, J. (2014). Non-psychotic mental disorders in the perinatal period. The Lancet, 384(9956), 1775–1788. https://doi.org/10.1016/S0140-6736(14)61276-9CrossRef

Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019). Efficacy of the mindfulness meditation mobile app “Calm” to reduce stress among college students Randomized controlled trial. JMIR MHealth and UHealth, 7, 6. https://doi.org/10.2196/14273CrossRef

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016CrossRef

Kenny, D. A. (2017). MedPower: An interactive tool for the estimation of power in tests of mediation. https://davidakenny.shinyapps.io/MedPower/

Kingston, D., Tough, S., & Whitfield, H. (2012). Prenatal and postpartum maternal psychological distress and infant development: A systematic review. Child Psychiatry & Human Development, 43(5), 683–714. https://doi.org/10.1007/s10578-012-0291-4CrossRef

Kraemer, K. M., O’Bryan, E. M., & McLeish, A. C. (2016). Intolerance of uncertainty as a mediator of the relationship between mindfulness and health anxiety. Mindfulness, 7(4), 859–865. https://doi.org/10.1007/s12671-016-0524-xCrossRef

Kumar, S., Feldman, G., & Hayes, A. (2008). Changes in mindfulness and emotion regulation in an exposure-based cognitive therapy for depression. Cognitive Therapy and Research, 32(6), 734–744. https://doi.org/10.1007/s10608-008-9190-1CrossRef

Laurent, H. K. (2014). Clarifying the contours of emotion regulation: Insights from parent–child stress research. Child Development Perspectives, 8(1), 30–35. https://doi.org/10.1111/cdep.12058CrossRef

Laurent, H. K., Duncan, L. G., Lightcap, A., & Khan, F. (2017). Mindful parenting predicts mothers’ and infants’ hypothalamic-pituitary-adrenal activity during a dyadic stressor. Developmental Psychology, 53(3), 417–424. https://doi.org/10.1037/dev0000258CrossRefPubMed

Laurent, H. K., Sbrilli, M. D., Haigler, K., Danyelle, D. N., & Finnegan, M. (2021, March 4). EPiC (Early Parenthood in COVID-19) Study. Retrieved from osf.io/5khws

Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L., & Giesbrecht, G. (2020). Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders, 277, 5–13. https://doi.org/10.1016/j.jad.2020.07.126CrossRefPubMedPubMedCentral

Letourneau, N., Salmani, M., & Duffett-Leger, L. (2010). Maternal depressive symptoms and parenting of children from birth to 12 years. Western Journal of Nursing Research, 32(5), 662–685. https://doi.org/10.1177/0193945909359409CrossRefPubMed

Liao, K.Y.-H., & Wei, M. (2011). Intolerance of uncertainty, depression, and anxiety: The moderating and mediating roles of rumination. Journal of Clinical Psychology, 67(12), 1220–1239. https://doi.org/10.1002/jclp.20846CrossRefPubMed

Lindsay, E. K., Chin, B., Greco, C. M., Young, S., Brown, K. W., Wright, A. G. C., Smyth, J. M., Burkett, D., & Creswell, J. D. (2018). How mindfulness training promotes positive emotions: Dismantling acceptance skills training in two randomized controlled trials. Journal of Personality and Social Psychology, 115(6), 944–973. https://doi.org/10.1037/pspa0000134

Lindsay, E. K., Young, S., Smyth, J. M., Brown, K. W., & Creswell, J. D. (2018). Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial. Psychoneuroendocrinology, 87, 63–73. https://doi.org/10.1016/j.psyneuen.2017.09.015

López-Morales, H., del Valle, M. V., Canet-Juric, L., Andrés, M. L., Galli, J. I., Poó, F., & Urquijo, S. (2021). Mental health of pregnant women during the COVID-19 pandemic: A longitudinal study. Psychiatry Research, 295, 113567. https://doi.org/10.1016/j.psychres.2020.113567

Lotan, G., Tanay, G., & Bernstein, A. (2013). Mindfulness and distress tolerance: Relations in a mindfulness preventive intervention. International Journal of Cognitive Therapy, 6(4), 371–385. https://doi.org/10.1521/ijct.2013.6.4.371CrossRef

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. https://doi.org/10.1037/0022-006X.72.1.31CrossRefPubMed

Madigan, S., Oatley, H., Racine, N., Fearon, R. M. P., Schumacher, L., Akbari, E., Cooke, J. E., & Tarabulsy, G. M. (2018). A meta-analysis of maternal prenatal depression and anxiety on child socioemotional development. Journal of the American Academy of Child & Adolescent Psychiatry, 57(9), 645-657.e8. https://doi.org/10.1016/j.jaac.2018.06.012CrossRef

McEvoy, P. M., Hyett, M. P., Shihata, S., Price, J. E., & Strachan, L. (2019). The impact of methodological and measurement factors on transdiagnostic associations with intolerance of uncertainty: A meta-analysis. Clinical Psychology Review, 73, 101778. https://doi.org/10.1016/j.cpr.2019.101778CrossRefPubMed

McEvoy, P. M., & Mahoney, A. E. J. (2012). To be sure, to be sure: Intolerance of uncertainty mediates symptoms of various anxiety disorders and depression. Behavior Therapy, 43(3), 533–545. https://doi.org/10.1016/j.beth.2011.02.007CrossRefPubMed

Meltzer-Brody, S., Howard, L. M., Bergink, V., Vigod, S., Jones, I., Munk-Olsen, T., Honikman, S., & Milgrom, J. (2018). Postpartum psychiatric disorders. Nature Reviews Disease Primers, 4(1), 18022. https://doi.org/10.1038/nrdp.2018.22CrossRefPubMed

Miller, R. L., Pallant, J. F., & Negri, L. M. (2006). Anxiety and stress in the postpartum: Is there more to postnatal distress than depression? BMC Psychiatry, 6(1), 12. https://doi.org/10.1186/1471-244X-6-12CrossRefPubMedPubMedCentral

Mughal, M. K., Giallo, R., Arnold, P. D., Kehler, H., Bright, K., Benzies, K., Wajid, A., & Kingston, D. (2019). Trajectories of maternal distress and risk of child developmental delays: Findings from the All Our Families (AOF) pregnancy cohort. Journal of Affective Disorders, 248, 1–12. https://doi.org/10.1016/j.jad.2018.12.132CrossRefPubMed

Nekić, M., & Mamić, S. (2019). Intolerance of uncertainty and mindfulness as determinants of anxiety and depression in female students. Behavioral Sciences, 9(12), 135. https://doi.org/10.3390/bs9120135CrossRefPubMedCentral

O’Bryan, E. M., Luberto, C. M., Kraemer, K. M., & McLeish, A. C. (2018). An examination of mindfulness skills in terms of affect tolerance among individuals with elevated levels of health anxiety. Anxiety, Stress, & Coping, 31(6), 702–713. https://doi.org/10.1080/10615806.2018.1521515CrossRef

O’Connor, T. G., Heron, J., & Glover, V. (2002). Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. Journal of the American Academy of Child & Adolescent Psychiatry, 41(12), 1470–1477. https://doi.org/10.1097/00004583-200212000-00019CrossRef

O’Hara, M. W. (1995). Postpartum depression: Causes and consequences. Springer-Verlag.

Ouellet, C., Langlois, F., Provencher, M. D., & Gosselin, P. (2019). Intolerance of uncertainty and difficulties in emotion regulation: Proposal for an integrative model of generalized anxiety disorder. European Review of Applied Psychology, 69(1), 9–18. https://doi.org/10.1016/j.erap.2019.01.001CrossRef

Papenfuss, I., Lommen, M. J. J., Grillon, C., Balderston, N. L., & Ostafin, B. D. (2021). Responding to uncertain threat: A potential mediator for the effect of mindfulness on anxiety. Journal of Anxiety Disorders, 77, 102332. https://doi.org/10.1016/j.janxdis.2020.102332CrossRefPubMed

Paulus, D. J., Talkovsky, A. M., Heggeness, L. F., & Norton, P. J. (2015). Beyond negative affectivity: A hierarchical model of global and transdiagnostic vulnerabilities for emotional disorders. Cognitive Behaviour Therapy, 44(5), 389–405. https://doi.org/10.1080/16506073.2015.1017529CrossRefPubMed

Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879CrossRef

Prime, H., Wade, M., & Browne, D. T. (2020). Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist, 75(5), 631–643. https://doi.org/10.1037/amp0000660CrossRef

Rettie, H., & Daniels, J. (2020). Coping and tolerance of uncertainty: Predictors and mediators of mental health during the COVID-19 pandemic. American Psychologist. https://doi.org/10.1037/amp0000710CrossRef

Schimmenti, A., Billieux, J., & Starcevic, V. (2020). The four horsemen of fear: An integrated model of understanding fear experiences during the COVID-19 pandemic. Clinical Neuropsychiatry, 17(2), 41–45. https://doi.org/10.36131/CN20200202CrossRef

Shaddix, C. (2014). An interpretative phenomenological study of the experience of parents who attended a mindfulness-based childbirth and parenting program [Unpublished doctoral dissertation]. The Wright Institute.

Siegel, D. J., & Hartzell, M. (2003). Parenting from the inside out: How a deeper self-understanding can help you raise children who thrive. Penguin.

Sorenson, D. (1990). Uncertainty in pregnancy. Naacog’s Clinical Issues in Perinatal and Women’s Health Nursing, 1(3), 289–296.PubMed

Spijkerman, M. P. J., Pots, W. T. M., & Bohlmeijer, E. T. (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials. Clinical Psychology Review, 45, 102–114. https://doi.org/10.1016/j.cpr.2016.03.009CrossRefPubMed

Treleaven, C. (2020). Intolerance of Uncertainty and Emotion Regulation in Pregnant Women. [Doctoral dissertation, University of Exeter]. Open Research Exeter. https://ore.exeter.ac.uk/repository/bitstream/handle/10871/123891/TreleavenC.pdf?sequence=2&isAllowed=y

Tull, M. T., Edmonds, K. A., Scamaldo, K. M., Richmond, J. R., Rose, J. P., & Gratz, K. L. (2020). Psychological outcomes associated with stay-at-home orders and the perceived impact of COVID-19 on daily life. Psychiatry Research, 289, 113098. https://doi.org/10.1016/j.psychres.2020.113098CrossRefPubMedPubMedCentral

Van den Heuvel, M. I., Donkers, F. C. L., Winkler, I., Otte, R. A., & Van den Bergh, B. R. H. (2015). Maternal mindfulness and anxiety during pregnancy affect infants’ neural responses to sounds. Social Cognitive and Affective Neuroscience, 10(3), 453–460. https://doi.org/10.1093/scan/nsu075

Van den Heuvel, M. I., Johannes, M. A., Henrichs, J., & Van den Bergh, B. R. H. (2015). Maternal mindfulness during pregnancy and infant socio-emotional development and temperament: The mediating role of maternal anxiety. Early Human Development, 91(2), 103–108. https://doi.org/10.1016/j.earlhumdev.2014.12.003

VanTieghem, M., Thomason, M., Graham, A., Sullivan, E., Vatalaro, T., Espinoza-Heredia, C., Lenniger, C., & van den Heuvel, M. I. (2020, November 23). COVID-19 and Perinatal Experiences Study. Retrieved from osf.io/uqhcv

Yook, K., Kim, K.-H., Suh, S. Y., & Lee, K. S. (2010). Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. Journal of Anxiety Disorders, 24(6), 623–628. https://doi.org/10.1016/j.janxdis.2010.04.003CrossRefPubMed

Zabora, J., Brintzenhofeszoc, K., Jacobsen, P., Curbow, B., Piantadosi, S., Hooker, C., Owens, A., & Derogatis, L. (2001). A new psychosocial screening instrument for use with cancer patients. Psychosomatics, 42(3), 241–246. https://doi.org/10.1176/appi.psy.42.3.241CrossRefPubMed

Zacher, H., & Rudolph, C. W. (2021). Individual differences and changes in subjective wellbeing during the early stages of the COVID-19 pandemic. American Psychologist, 76(1), 50–62. https://doi.org/10.1037/amp0000702CrossRef

Titel: The Indirect Effect of Parental Intolerance of Uncertainty on Perinatal Mental Health via Mindfulness During COVID-19
Auteurs: Marissa D. Sbrilli
Katherine Haigler
Heidemarie K. Laurent
Publicatiedatum: 02-06-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 8/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01657-x

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 8/2021

How Self-Compassion Moderates the Links Between Fitspiration Use and Body Concerns in Young Women

Working with Silence in ALS Care: the Role of Mindfulness

Mindfulness-Based Cognitive Therapy vs. Psycho-education for Patients with Anxiety Disorders Who Did Not Achieve Remission Following Adequate Pharmacological Treatment

The Toronto Mindfulness Scale: Psychometric Properties of the Chinese Version

A Meta-Analysis of the Relation Between Self-Compassion and Self-Efficacy

Examining the Relationship Between Trait Rumination and Mindfulness Across Development and Risk Status