数字化MBCT-PD预防产后抑郁和提高工作动机的疗效研究方案

Q2 Medicine

Mental Health and Prevention Pub Date : 2025-01-07 DOI:10.1016/j.mhp.2025.200392

Neda Ansaari , Sreenath Kuruveettissery , Aruna Muralidhar

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引用次数: 0

摘要

产后抑郁症（PPD）是女性重返工作岗位的一个重大挑战。虽然预防措施是必不可少的，但正念认知疗法（MBCT）在这种情况下的有效性仍未得到充分探讨。本研究将评估数字MBCT程序（MBCT- pd）在预防产后抑郁症、提高幸福感和促进产后恢复工作方面的功效。方法采用重复测量的随机对照试验（RCT）评估MBCT-PD，这是一种旨在促进正念和情绪恢复的数字交付干预措施。将招募80名年龄在18岁以上、妊娠16至32周、居住在印度城市的孕妇，并将其随机分配到MBCT-PD组或常规治疗（TAU）对照组，后者包括额外的产前健康资源。干预将持续8周，包括基线、干预后（T1）和产后6周（T2）的评估。主要结果是抑郁（爱丁堡产后抑郁量表），幸福（怀孕经历量表-简要）和工作动机（多维工作动机量表）。次要结果是正念水平（三方面正念问卷-简短形式）。描述性统计、重复测量方差分析和回归分析将确定MBCT-PD对这些结果的影响。预期结果：与对照组相比，我们预计MBCT-PD组将表现出PPD症状减轻，幸福感改善，恢复工作的动力更大，这与之前关于正念干预的研究结果一致。结论本研究结果有望支持MBCT-PD作为一种具有成本效益、可扩展的干预措施，改善产后心理健康和重返工作，在全球孕产妇心理健康实践和政策中具有潜在的应用前景。试验注册印度临床试验注册中心。CTRI / 2024/03/064,831

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Efficacy of digital MBCT-PD in preventing postpartum depression and enhancing work motivation: A study protocol

Background

Postpartum depression (PPD) is a significant challenge for women transitioning back to work. While preventive measures are essential, the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in this context remains underexplored. This study will assess the efficacy of a digital MBCT program (MBCT-PD) in preventing PPD, enhancing well-being, and motivating work resumption after childbirth.

Methods

A randomized controlled trial (RCT) with repeated measures will evaluate MBCT-PD, a digitally delivered intervention designed to promote mindfulness and emotional resilience. Eighty consenting pregnant women aged 18+, between 16 and 32 weeks gestation, residing in urban India will be recruited and randomized to either the MBCT-PD group or an enhanced treatment-as-usual (TAU) control group, which includes additional prenatal wellness resources. The intervention will span eight weeks, with assessments at baseline, post-intervention (T1), and six weeks postpartum (T2).

Primary outcomes are depression (Edinburgh Postnatal Depression Scale), well-being (Pregnancy Experience Scale-Brief), and work motivation (Multidimensional Work Motivation Scale). Secondary outcome is mindfulness level (Three Facet Mindfulness Questionnaire-Short Form). Descriptive statistics, repeated measures ANOVA, and regression analyses will determine the effect of MBCT-PD on these outcomes.

Expected Results

We anticipate that the MBCT-PD group will show reduced PPD symptoms, improved well-being, and greater motivation to resume work than the control group, consistent with previous findings on mindfulness-based interventions.

Conclusion

The findings from this study are expected to support the efficacy of MBCT-PD as a cost-effective, scalable intervention for enhancing postpartum mental health and work reintegration, with potential applications in maternal mental health practices and policies worldwide.