Yoga online: Inter-conception care to prevent PTSD symptoms after stillbirth

项目摘要/摘要 失去亲人的死产母亲(怀孕20周死亡)患POST的风险是后者的6倍以上 创伤应激障碍(PTSD)与母亲在活产后的比较。创伤后应激障碍的下降速度较慢 与其他丧失亲人的人口相比，丧亲母亲的情况往往会在随后的怀孕中升级。 由于超过85%的女性将在18个月内怀孕，因此怀孕间期是一个关键时期。 是时候改善死产母亲的身心健康了。非药理作用 瑜伽等方法可能是失去亲人的死产妇女的另一种选择。瑜伽一直是 作为一种有效、安全、可接受和具有成本效益的方法来改善心理健康 各种人群，包括孕妇和产后妇女，作为应对创伤后应激障碍的一种手段 与从创伤性事件中幸存下来有关。我们不知道有任何研究探索瑜伽可以减少 死产丧亲母亲的创伤后应激障碍。此外，在线流媒体瑜伽(在 家庭)最近变得越来越受欢迎，并可能解决死产妇女可能 有。 该项目的主要目标是确定为期12周的以家庭为基础的 在线流媒体瑜伽(www.Udaya.com)为失去亲人的死产母亲提供干预。我们还将使 并确定可用于未来更大规模试验的控制组的可接受性。最后，我们 我将探索一种基于家庭、在线流媒体的瑜伽的初步效果(不是为了功效) 不同剂量(低剂量和中剂量)对创伤后应激障碍症状及其并存情况的干预(即， 焦虑、抑郁)和潜在的机制(即自我同情、情绪调节和睡眠 干扰)，瑜伽可以改善创伤后应激障碍症状。这是一项三组随机可行性试验。 研究包括基线、干预后(距基线12周)和随访(距基线20周) 评估。妇女将被随机分为三组(干预低剂量=60分钟/周 瑜伽；干预中等剂量(MD)=150分钟/周瑜伽)；或伸展和张力对照组(STC)。 这项研究对我们理解瑜伽和创伤后应激障碍的相关结果起到了重要作用。 有死产的母亲。这项研究将指导设计一项更大规模的研究，以测试在线瑜伽的有效性 作为一种低成本、非药理学的经期护理策略，以改善母婴结局 对于失去亲人的死产母亲来说。

PROJECT SUMMARY/ABSTRACT Bereaved mothers with stillbirth (death at >20 weeks of gestation) have more than a 6-fold higher risk for Post Traumatic Stress Disorder (PTSD) compared to mothers after live birth. PTSD declines at a slower rate among bereaved mothers compared to other bereaved populations and often escalates in subsequent pregnancies. Because more than 85% of women will get pregnant within 18-months, the inter-conception period is a critical time to improve the mental and physical health of bereaved mothers with stillbirth. Non-pharmacological approaches, such as yoga, may be an alternative option for bereaved women with stillbirth. Yoga has been established as an effective, safe, acceptable, and a cost effective approach to improving mental health in a variety of populations, including, pregnant and post-partum women and as a means to cope with PTSD associated with surviving a traumatic event. We are unaware of any studies that have explored yoga to reduce PTSD in bereaved mothers with stillbirth. Furthermore, online-streamed yoga (on-demand videos played in the home) has recently grown in popularity and may address the unique barriers that women with stillbirth may have. The primary goal of this project is to determine the feasibility and acceptability of a 12-week, home-based, online-streamed yoga (www.Udaya.com) intervention for bereaved mothers with stillbirth. We will also make adaptations and determine acceptability of a control group that can be used for a future, larger trial. Finally, we will explore the preliminary effects (not powered for efficacy) of a home-based, online-streamed, yoga intervention with differing doses (low and moderate) on symptoms of PTSD and its comorbid conditions (i.e., anxiety, depression) and the potential mechanisms (i.e., self-compassion, emotional regulation, and sleep disturbance) by which yoga may improve PTSD symptoms. This is a three-group randomized feasibility pilot study with baseline, post-intervention (12 weeks from baseline), and follow-up (20 weeks from baseline) assessments. Women will be randomized into one of three arms (intervention low dose (LD) = 60 mins/wk yoga; intervention moderate dose (MD) = 150 mins/wk yoga); or a stretch and tone control group (STC). This study plays an important role in our understanding about yoga and PTSD related outcomes in bereaved mothers with stillbirth. This study will inform the design of a larger study to test the effectiveness of online yoga as a low-cost, non-pharmacological strategy for inter-conception care to improve maternal and fetal outcomes for bereaved mothers with stillbirth.