Mindfulness-Based Childbirth and Parenting Education: Promoting Family Mindfulness During the Perinatal Period

被引:205
作者
Duncan, Larissa G. [1 ,2 ]
Bardacke, Nancy [2 ,3 ]
机构
[1] Univ Calif San Francisco, Dept Family & Community Med, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Osher Ctr Integrat Med, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Dept Family Healthcare Nursing, San Francisco, CA 94143 USA
关键词
Mindfulness; Meditation; Stress; Coping; Emotion; Pregnancy; Childbirth; Parenting; PRETERM DELIVERY; STRESS REDUCTION; PRENATAL STRESS; DECREASES AGGRESSION; INFANT OUTCOMES; SELF-REPORT; INTERVENTION; MEDITATION; PREVENTION; DEPRESSION;
D O I
10.1007/s10826-009-9313-7
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
We present the conceptual and empirical foundation and curriculum content of the Mindfulness-Based Childbirth and Parenting (MBCP) program and the results of a pilot study of n = 27 pregnant women participating in MBCP during their third trimester of pregnancy. MBCP is a formal adaptation of the Mindfulness-Based Stress Reduction program and was developed and refined over the course of 11 years of clinical practice with 59 groups of expectant couples. MBCP is designed to promote family health and well-being through the practice of mindfulness during pregnancy, childbirth, and early parenting. Quantitative results from the current study include statistically significant increases in mindfulness and positive affect, and decreases in pregnancy anxiety, depression, and negative affect from pre- to post-test (p < .05). Effect sizes for changes in key hypothesized intervention mediators were large (d > .70), suggesting that MBCP is achieving its intended effects on maternal well-being during pregnancy. Qualitative reports from participants expand upon the quantitative findings, with the majority of participants reporting perceived benefits of using mindfulness practices during the perinatal period and early parenting. Our future research will involve conducting a randomized controlled trial of MBCP to test effects on psychophysiological stress mechanisms and to examine effects on birth outcomes, family relationship quality, and child development outcomes.
引用
收藏
页码:190 / 202
页数:13
相关论文
共 70 条
[1]   Stress reduction through mindfulness meditation - Effects on psychological symptomatology, sense of control, and spiritual experiences [J].
Astin, JA .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 1997, 66 (02) :97-106
[2]   Maternal stress and obstetric and infant outcomes: epidemiological findings and neuroendocrine mechanisms [J].
Austin, MP ;
Leader, L .
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 2000, 40 (03) :331-337
[3]   Prenatal stress, the hypothalamic-pituitary-adrenal axis, and fetal and infant neurobehaviour [J].
Austin, MP ;
Leader, LR ;
Reilly, N .
EARLY HUMAN DEVELOPMENT, 2005, 81 (11) :917-926
[4]   Using self-report assessment methods to explore facets of mindfulness [J].
Baer, RA ;
Smith, GT ;
Hopkins, J ;
Krietemeyer, J ;
Toney, L .
ASSESSMENT, 2006, 13 (01) :27-45
[5]   Assessment of mindfulness by self-report - The Kentucky inventory of mindfulness skills [J].
Baer, RA ;
Smith, GT ;
Allen, KB .
ASSESSMENT, 2004, 11 (03) :191-206
[6]   Mindfulness training as a clinical intervention: A conceptual and empirical review [J].
Baer, RA .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2003, 10 (02) :125-143
[7]   Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples [J].
Baer, Ruth A. ;
Smith, Gregory T. ;
Lykins, Emily ;
Button, Daniel ;
Krietemeyer, Jennifer ;
Sauer, Shannon ;
Walsh, Erin ;
Duggan, Danielle ;
Williams, J. Mark G. .
ASSESSMENT, 2008, 15 (03) :329-342
[8]   Mind-body interventions during pregnancy [J].
Beddoe, Amy E. ;
Lee, Kathryn A. .
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2008, 37 (02) :165-175
[9]  
Benner P.E., 1994, Interpretive Phenomenology: Embodiment, Caring, and Ethics in Health and Illness, P99, DOI [10.4135/9781452204727, DOI 10.4135/9781452204727.N6]
[10]   Maternal stress during pregnancy predicts cognitive ability and fearfulness in infancy [J].
Bergman, Kristin ;
Sarkar, Pampa ;
O'Connor, Thomas G. ;
Modi, Neena ;
Glover, Vivette .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2007, 46 (11) :1454-1463