Long-term effects of a prenatal mindfulness intervention on depressive symptoms in a diverse sample of women.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2022-12-01 Epub Date: 2022-11-28 DOI:10.1037/ccp0000776

Danielle S Roubinov, Elissa S Epel, Michael Coccia, Kimberly Coleman-Phox, Cassandra Vieten, Nancy E Adler, Barbara Laraia, Nicole R Bush

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引用次数: 2

Abstract

Objective: Depression is a public health crisis, and scalable, affordable interventions are needed. Although many psychosocial interventions are effective, there is little research investigating their sustained, long-term influence on well-being. The purpose of this study was to examine whether a prenatal mindfulness intervention with demonstrated benefit for women's depressive symptoms during the early postpartum period would exert effects through 8 years.

Method: The sample of 162 lower income women was racially and ethnically diverse. Women were assigned to receive an 8-week mindfulness-based intervention during pregnancy (MIND) or treatment as usual (TAU). Repeated assessments of depressive symptoms were collected using the Patient Health Questionnaire-9 at baseline, postintervention, and following childbirth (1, 2, 3-4, 5, 6, and 8 years from baseline). The most recent assessment of depressive symptoms was collected during the COVID-19 pandemic.

Results: MIND and TAU women were equivalent on sociodemographic factors and depressive symptoms at baseline. Depressive symptoms at all follow-up assessments through 8 years were significantly lower among women in MIND compared to TAU. The odds of moderate or higher depressive symptoms were greater among TAU compared to MIND women at all time points except the 6-year assessment. By Year 8, 12% of women in MIND reported moderate or more severe depressive symptoms compared to 25% of women in TAU.

Conclusions: Results suggest the effects of a group-based psychosocial intervention during pregnancy may endure for years, well beyond the initial perinatal period. Investing in prevention and intervention efforts for mental health during pregnancy may have sustained benefits for the well-being of women. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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产前正念干预对不同女性抑郁症状的长期影响

目的:抑郁症是一种公共卫生危机，需要可扩展的、负担得起的干预措施。虽然许多社会心理干预措施是有效的，但很少有研究调查它们对福祉的持续、长期影响。本研究的目的是检验产前正念干预是否对产后早期妇女抑郁症状有益，并在8年内发挥作用。方法:162名低收入妇女的样本具有种族和民族多样性。妇女被分配在怀孕期间接受为期8周的正念干预(MIND)或正常治疗(TAU)。在基线、干预后和分娩后(距基线1、2、3-4、5、6和8年)，使用患者健康问卷-9收集抑郁症状的重复评估。最近的抑郁症状评估是在COVID-19大流行期间收集的。结果:MIND和TAU妇女在基线时的社会人口因素和抑郁症状相同。在8年的所有随访评估中，与TAU相比，MIND组女性的抑郁症状显著降低。在除6年评估外的所有时间点，TAU女性出现中度或更高程度抑郁症状的几率都高于MIND女性。到第8年，12%的MIND组女性报告了中度或更严重的抑郁症状，而TAU组女性的这一比例为25%。结论:结果表明，在怀孕期间以群体为基础的社会心理干预的效果可能持续数年，远远超过最初的围产期。对怀孕期间心理健康的预防和干预工作进行投资，可能会对妇女的福祉产生持续的好处。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.