Mindfulness Based Intervention Program on Anxiety and Depressive Symptoms among Pregnant Women
American Journal of Nursing Science
Volume 6, Issue 3, June 2017, Pages: 232-239
Received: Mar. 27, 2017;
Accepted: Apr. 8, 2017;
Published: Apr. 27, 2017
Views 497 Downloads 39
Sayeda Mohamed Mohamed, Department of Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt
Nadia Bassuoni Elsharkawy, Department of Maternal and Newborn Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt
Mohamed Hammam Awad, Department of Obstetrics and Gynaecology Department, Faculty of Medicine, Cairo University, Cairo, Egypt
The aim of this study was to investigate the effect of mindfulness based intervention program on anxiety and depressive symptoms among pregnant women. A Quasi-experimental design was used for this study. This study was conducted at antenatal outpatient clinic at El-Manial Educational University Hospital-Cairo University. A purposive sample consisted of 30 pregnant women with high risk for anxiety and depressive symptoms as confirmed by senior obstetrician according to screening sheet for high risk pregnant women. The sample was divided randomly into two groups; study and control groups (15 each). Three tools were used to collect the data for the present study; a) Personal Data Sheet; b) Edinburgh Postnatal Depression Scale; and c) Perceived Stress Scale. The sample was divided into two groups, fifteen pregnant women as the study group and fifteen pregnant women as control group. Aconstructed mindfulness based intervention program was developed by the researchers and implemented to the study group in ten sessions that were held twice weekly, and each session ranged from 60 to 90 minutes. The main study findings revealed that, there was a statistically significant difference between study and control groups in the reduction of anxiety and depressive symptoms. The study concluded that mindfulness based intervention program was effective with pregnant women concerning the reduction of the anxiety and depression. The study recommended that, there is a great need for performing long-term follow-up in order to evaluate the effects of Mindfulness based intervention program on different pregnancy-related outcomes such as emotional well-being, postnatal depression, and mother-infant relationships.
Sayeda Mohamed Mohamed,
Nadia Bassuoni Elsharkawy,
Mohamed Hammam Awad,
Mindfulness Based Intervention Program on Anxiety and Depressive Symptoms among Pregnant Women, American Journal of Nursing Science.
Vol. 6, No. 3,
2017, pp. 232-239.
The American Congress of Obstetricians and Gynecologists (ACOG) (2017).
Bennett, H., Einarson, A., Taddio, A., Koren, G., and Einarson, T. (2004). Prevalence of Depression during Pregnancy: Systematic Review. ObstetGynecol 103: 698–709.
Field, T. (2011). Prenatal Depression Effects on Early Development: A Review. Infant Behav Dev 34:1-14.
Straub H, Adams M, Kim JJ, and Silver, R. K. (2012). Antenatal Depressive Symptoms Increase the likelihood of Preterm Birth. Am J Obstet Gynecol 207:329.e1-329.e4.
National Institute for Health and Care Excellence, (2015). Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance.
Teixeira, C., Figueiredo, F., Conde, A., Pacheco A., and Costa, R. (2009). Anxiety and Depression during Pregnancy in Women and Men. Journal of Affective Disorders Volume 119, Issues 1-3, Pages 142–148.
Sabri,Y., and Nabel, H. (2015). The Impact of Anxiety and Depression during Pregnancy on Fetal Growth and The Birth Outcome. Egypt J Psychiatry Volume: 36, Issue: 2 Page: 95-100.
Canadian Pharmaceutical Association, 2002.
Duncan, L., and Bardacke, N. (2010). Mindfulness- Based Childbirth and Parenting Education: Promoting Family Mindfulness during the Perinatal Period. Journal of Child and Family Studies, 19(2), 190–202.
Vieten, C., and Astin, J. (2008). Effects of a Mindfulness-Based Intervention during Pregnancy on Prenatal Stress and Mood: Results of a Pilot Study. Arch Women's Mental Health 11: 67–74.
Muzik, M., Hamilton, S., Rosenblum, K.,Waxler, E., and Hadi, Z. (2012). Mindfulness Yoga during Pregnancy for Psychiatrically At-Risk Women: Preliminary Results from a Pilot Feasibility Study. Complement Their Clin Pract.; 18(4): 235–240.
Dunn, C., Hanieh, E., Roberts, R., and Powrie, R. (2012). Mindful Pregnancy and Childbirth: Effects of A Mindfulness-Based Intervention on Women’s Psychological Distress and Well-Being in the Perinatal Period. Archives of Women's Mental Health, 15(2), 139–143.
Abdalhai, R., and Mosleh, H. (2015). Screening for Antepartum Anxiety and Depression and Their Association with Domestic Violence among Egyptian Pregnant Women. J Egypt Public Health Assoc.; 90 (3):101-8.
Cox, L., Holden, M., and Sagovsky, R.(1987). Detection of Postnatal Depression: Development of the 10-Item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 150:782-786.
Tabrizi M, and Lorestani KH. Effectiveness of the Eclectic Counselling in Decreasing Depression during Pregnancy and Preventing Postnatal Depression. AndishehVaRaftar 2010; 17 (5): 19-26.
Lobel M., DeVincent C. J., Kaminer A., and Meyer, B. A. (2000). The Impact of Prenatal Maternal Stress and Optimistic Disposition on Birth Outcomes in Medically High-Risk Women. Health Psychol 19: 544–553.
Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24, 385-396.
Roberti, W., Harrington, N., and Storch, A. (2006). Further psychometric support for the 10-item version of the Perceived Stress Scale. Journal of College Counseling, 9(2), 135–147.
Yazdanimehr, R., Omidi, A., Sadat, Z., and Akbari, H. (2016). The Effect of Mindfulness Integrated Cognitive Behavior Therapy on Depression and Anxiety among Pregnant Women: a Randomized Clinical Trial. J Caring Sci. 2016; 5(3):195–204.
Goodman, J., Guarino, A., Chenausky, K., Klein, L., Prager, J., Petersen, R., Forget, A., and Freeman, M. (2014). CALM Pregnancy: Results of a Pilot Study of Mindfulness-Based Cognitive Therapy for Perinatal Anxiety. Arch WomensMent Health (2014) 17:373–387.
Dimidjian, S., Goodman, S., Felder, J., Gallop, R., Brown, A., and Beck, A. (2016). Staying well during pregnancy and the postpartum: a pilot randomized trial of mindfulness-based cognitive therapy for the prevention of depressive relapse/recurrence. J Consult Clin Psychol. 84:134–45.
Narimani, M., and Musavi, S. (2014). Effectiveness of Mindfulness Based Cognitive Therapy on Anxiety, Stress and Depression Of Pregnant Youths: A Randomized Clinical Trial. Eur J Forensic Sci.; Vol 2, Issue 1.
Dayan, J., Creveuil C., Dreyfus, M., Herlicoviez, M, and Baleyte, J. M. (2010). Developmental Model of Depression Applied to Prenatal Depression: Role of Present and Past Life Events, Past Emotional Disorders and Pregnancy Stress. PloS One.; 5:1–8.
Abedian,Z., Soltani,N., Mokhber,N., and Esmaily, H. (2015). Depression and Anxiety in pregnancy and postpartum in women with mild and severe preeclampsia. Iran J Nurs Midwifery Res. 2015 Jul-Aug; 20(4): 454–459.
Podvornik,N., Elikonja, V., and Praper, P. (2015). Depression and Anxiety in Women during Pregnancy in Solvenia. ZdrVarst.; 54(1): 45–50.
Arch, J. (2013). Pregnancy-specific Anxiety: which Women are Highest and what are the Alcohol-related risks? Compr Psychiatry.; 54:217–28.
Rezaee, R., and Framarzi, M. (2014). Predictors of Mental Health during Pregnancy. Iranian Journal of Nursing and Midwifery Research; 19(7 Suppl1): S45–S50.