Poor Sleep Quality, Psychological Distress, and the Buffering Effect of Mindfulness Training During Pregnancy.
Poor Sleep Quality, Psychological Distress, and the Buffering Effect of Mindfulness Training During Pregnancy.
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DOI：
10.1080/15402002.2016.1266488
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发表时间：
2018-11
影响因子：
3.1
通讯作者：
Prather AA
中科院分区：
文献类型：
--
作者：
Felder JN;Laraia B;Coleman-Phox K;Bush N;Suresh M;Thomas M;Adler N;Epel E;Prather AA
睡眠质量差在怀孕期间很常见，并与增加的心理痛苦有关，这对家庭造成不利后果。新出现的理论表明，基于正念的干预可能有助于降低对压力事件的认知和情绪反应。目前的研究考察了基于正念的干预对睡眠质量差与怀孕期间抑郁症状严重程度和感觉到的压力增加之间的关系的影响。此外，我们在这个独特的样本中探索了睡眠质量差的发生率以及干预对睡眠质量的影响。参与者是215名不同种族、超重和肥胖的孕妇，她们主要是低收入孕妇，来自一项研究，该研究考察了一项为期8周的正念计划(正念妈妈培训；MMT)的影响，该计划旨在与常规治疗(TAU)相比，减少过度的妊娠体重增加、压力和抑郁。参与者报告了基线和干预后的整体睡眠质量、抑郁症状和感觉到的压力。大多数参与者(63%)在基线时被归类为睡眠不佳者。与TAU参与者相比，MMT参与者在睡眠质量方面没有显著改善。基线全球睡眠质量差预示着所有参与者的抑郁症状严重程度都会增加。基线较差的整体睡眠质量只预示TAU组感觉到的压力增加；这种关联在MMT组中并不明显。睡眠质量差在超重和肥胖(主要是低收入孕妇)中很普遍。睡眠质量差与不断恶化的心理困扰有关，但正念训练显著减弱了睡眠质量差对感知到的压力的影响。
Poor sleep quality is common in pregnancy and associated with increased psychological distress, which has adverse consequences for families. Emerging theory suggests that mindfulness-based interventions may help reduce cognitive and emotional reactivity to stressful events. The current study examines the effects of a mindfulness-based intervention on the relationship between poor sleep quality and increased depression symptom severity and perceived stress during pregnancy. Additionally, we explored the prevalence of poor sleep quality in this unique sample and the impact of intervention on sleep quality. Participants were 215 ethnically diverse, overweight and obese, predominantly low-income pregnant women drawn from a study examining the impact of an 8-week mindfulness-based program (Mindful Moms Training; MMT) to reduce excessive gestational weight gain, stress, and depression compared to treatment as usual (TAU). Participants reported global sleep quality, depressive symptoms, and perceived stress at baseline and post-intervention. Most participants (63%) were categorized as poor sleepers at baseline. MMT participants did not experience significantly greater improvement in sleep quality compared to TAU participants. Baseline poor global sleep quality predicted increased depression symptom severity for all participants. Baseline poor global sleep quality predicted increased perceived stress for the TAU group only; this association was not evident in the MMT group. Poor sleep quality is prevalent in overweight and obese predominantly low-income pregnant women. Poor sleep quality was associated with worsening psychological distress, but mindfulness training significantly attenuated the influence of poor sleep on perceived stress.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
--
作者：
Grote, Nancy K.;Bridge, Jeffrey A.;Gavin, Amelia R.;Melville, Jennifer L.;Iyengar, Satish;Katon, Wayne J.
通讯作者：
Katon, Wayne J.
影响因子：
5.6
作者：
Hall, Martica H.;Casement, Melynda D.;Buysse, Daniel J.
通讯作者：
Buysse, Daniel J.
影响因子：
3.3
作者：
Kristeller, Jean L;Wolever, Ruth Q
通讯作者：
Wolever, Ruth Q
影响因子：
4.2
作者：
Czajkowski, Susan M.;Powell, Lynda H.;Charlson, Mary E.
通讯作者：
Charlson, Mary E.