Long-term effects of a prenatal mindfulness intervention on depressive symptoms in a diverse sample of women.
Long-term effects of a prenatal mindfulness intervention on depressive symptoms in a diverse sample of women.
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DOI：
10.1037/ccp0000776
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发表时间：
2022-12
影响因子：
5.9
通讯作者：
Bush, Nicole R
中科院分区：
文献类型：
--
作者：
Roubinov, Danielle S;Epel, Elissa S;Coccia, Michael;Coleman-Phox, Kimberly;Vieten, Cassandra;Adler, Nancy E;Laraia, Barbara;Bush, Nicole R
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。虽然许多心理社会干预措施是有效的，但很少有研究调查其对福祉的持续，长期影响。本研究的目的是检查是否产前正念干预与证明妇女的抑郁症状在产后早期的好处将通过8年发挥作用。162名低收入妇女的样本是种族和民族多样化的。女性被分配接受为期8周的怀孕期间正念干预（MIND）或照常治疗（TAU）。使用PHQ-9在基线、干预后和分娩后（从基线起1年、2年、3-4年、5年、6年和8年）收集抑郁症状的重复评估。最新的抑郁症状评估是在COVID-19大流行期间收集的。MIND和TAU女性在社会人口学因素和基线抑郁症状方面相当。与TAU相比，在8年的所有随访评估中，MIND组女性的抑郁症状明显较低。除6年评估外，在所有时间点上，TAU组中度或重度抑郁症状的几率均高于MIND组。到第8年，MIND中12%的女性报告中度或更严重的抑郁症状，而TAU中25%的女性报告中度或更严重的抑郁症状。结果表明，在怀孕期间，基于群体的心理社会干预的影响可能会持续多年，远远超出了最初的围产期。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。
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. 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 PHQ-9 at baseline, post-intervention, 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. 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 timepoints 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. 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.