Self-Compassion and Mindfulness: Modeling Change Processes Associated with the Reduction of Perinatal Depression

Townshend, Kishani; Caltabiano, Nerina Jane

doi:10.1007/s10826-019-01371-2

Cited by 6 publications

(6 citation statements)

References 42 publications

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“…The positive effect of the mindfulness intervention on stress levels is consistent with research by Potharst et al ( 2017 ) showing 8 weeks of mindfulness classes resulted in significant reductions on levels of postnatal stress. The postnatal period has been found to be characterised by increased levels of stress (Anniverno et al, 2013 ; Beck et al, 2011 ; Miller et al, 2006 ); however, depression and anxiety have received much more attention in the literature on interventions in the postnatal period (Felder et al, 2016 ; Fontein-Kuipers et al, 2014 ; Khan & Laurent, 2019 ; Townshend & Caltabiano, 2019 ; Townshend et al, 2018 ). This neglect of stress measurements results in the paucity of information around the effect of interventions on subjective stress.…”

Section: Discussionmentioning

confidence: 99%

“…In perinatal research on the effects of mindfulness, levels of stress, depression and anxiety are often studied separately, but rarely together (Felder et al, 2016 ; Fontein-Kuipers et al, 2014 ; Khan & Laurent, 2019 ; Townshend & Caltabiano, 2019 ; Townshend et al, 2018 ). It has been argued that research within the perinatal period frequently labels coexisting symptoms of postpartum depression and anxiety as PND without differentiating between these experiences (Miller et al, 2006 ).…”

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confidence: 99%

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The Impact of a Mindfulness App on Postnatal Distress

2022

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Objectives The present study investigated the effectiveness of an 8-week mindfulness mobile phone app on women’s depression, anxiety, stress and mindful attention/awareness in the postnatal period. Methods The study enrolled 99 mothers of a child under 1 year old, and randomly assigned them to intervention (n = 49, mean age = 31.11, SD = 4.30, years) and control (n = 50, mean age = 31.35, SD = 5.29, years) groups. Multiple regression examined intervention effects on depression, anxiety, stress and mindful attention/awareness measured post-intervention and at 4-week follow-up, controlling for the baseline and post-intervention measurement of the specific outcome, respectively. Results The intervention group showed significant decreases in depression, anxiety and stress levels and an increase of mindful attention/awareness post-intervention compared to the control group, with medium to large effect sizes after controlling for effects of corresponding variables at baseline. The intervention group showed further decrease in depression and stress levels and an increase in mindful attention/awareness at 4 weeks post-intervention compared to the control group, with small to medium effect sizes, after controlling for effects of corresponding variables at post-intervention. Conclusions The outcomes of the study suggest that delivery of mindfulness via smartphones could be a viable and affordable resource for reducing postnatal depression, anxiety and stress.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

The Impact of a Mindfulness App on Postnatal Distress

2022

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“…Self-compassion was also identified as key theme related to behavioral control; participants in this sample acknowledged that giving themselves grace translated to more positive perceptions of control. Many MBIs in the perinatal period promote self-compassion [83], which may support sustained practice and has been inversely correlated with depression and anxiety in the perinatal period [87][88][89].…”

Section: Discussionmentioning

confidence: 99%

A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period

Walls¹,

Farewell²,

Traikoff³

et al. 2022

OBM ICM

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Many women experience depression and/or anxiety during pregnancy and/or the postpartum period. Mind-Body Interventions (MBIs) have shown great efficacy in the mitigation of these symptoms; however, there is limited research spanning the postpartum period and exploring long-term sustainability of mindfulness practice. Furthermore, little is known about specific facilitators that contribute to sustainability. The primary objective of this mixed-methods study is to use the Theory of Planned Behavior (TPB) framework to inform multi-level factors associated with the sustainability of mindfulness practices and associated mental health outcomes in the postpartum period after participating in a prenatal MBI to inform and improve future interventions. Measures of mental health including depression, anxiety, and perceived stress were evaluated via quantitative assessments at three time points (n = 24) across the prenatal and postpartum periods prior to and following the prenatal MBI. Interviews were conducted post-intervention (n = 10) and 5-12-months postpartum (n = 8) to identify sustainability facilitators. Measures of depression, anxiety, and perceived stress were significantly lower post-intervention than pre-intervention, and decreased levels of depression were sustained over three months postpartum. After participation, all interview participants reported intention to continue practice postpartum. In the postpartum period, 73% of participants reported weekly sustained practice. Qualitative interviews revealed significant facilitators to be informal practice (attitudes and beliefs), family and peer support (social norms), life-integration and self-compassion (perceived control) and benefits to child (intentions/ behaviors). These findings suggest that future interventions should focus on ease of integrating informal practice into daily routines, communication with support systems, self-compassion, and benefits of mindfulness practices for the child to promote sustainability.

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“…Although initial evidence demonstrates associations among maternal self-compassion, well-being, and adjustment [49][50][51], there are only very few studies assessing CBIs in the perinatal period. Those that are available have reported encouraging results.…”

Section: Mbis and Cbis In Pregnancymentioning

confidence: 99%

Comparing Web-Based Mindfulness With Loving-Kindness and Compassion Training for Promoting Well-Being in Pregnancy: Protocol for a Three-Arm Pilot Randomized Controlled Trial (Preprint)

Finlay‐Jones¹,

Davis²,

O'Donovan³

et al. 2020

Preprint

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BACKGROUND Promoting psychological wellbeing and preventing distress among pregnant women is an important public health goal. In addition to adversely impacting the mother’s health and wellbeing, psychological distress in pregnancy increases the risk of poor pregnancy outcomes, compromises infant socioemotional development and bonding, and heightens maternal and child vulnerability in the postpartum period. Mindfulness and compassion-based interventions show potential for prevention and early intervention for perinatal distress. As there is an established need for accessible, scalable, flexible, and low-cost interventions, there is increased interest in the delivery of these programs online. This project aims to pilot a three-arm randomized controlled trial (RCT) to determine the feasibility of a full-scale RCT comparing two online interventions (mindfulness versus loving-kindness/compassion) with an online active control condition (progressive muscle relaxation). OBJECTIVE The primary objective is to assess the feasibility of an RCT protocol comparing the three conditions delivered online as a series of instructional material and brief daily practices, over a course of eight weeks. The second objective is to explore the experiences of women in the different intervention conditions. The third objective is to estimate standard deviation values for the outcome measures, to inform the design of an adequately powered trial to determine the comparative efficacy of the different conditions. METHODS Pregnant women (n = 75) participating in a longitudinal birth cohort study (The ORIGINS Project) will be recruited to this study from 18 weeks gestational age. We will assess the acceptability and feasibility of recruitment and retention strategies, and the participants’ engagement and adherence to the interventions. We will also assess the experiences of women in each of the three intervention conditions by measuring weekly changes in their wellbeing and engagement with the program, as well as conducting qualitative analysis of post-program interviews. RESULTS Enrollment to the study will commence in May 2020. Feasibility for a full-scale RCT will be assessed using A Process for Decision-making after Pilot and feasibility trials (ADEPT) criteria. CONCLUSIONS If the study is shown to be feasible, results will be used to inform a future full RCT. Evidence for flexible, scalable, and low-cost interventions could inform population health strategies to promote wellbeing and reduce psychological distress among pregnant women. CLINICALTRIAL ANZCTR registration pending (Request 379262).

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Self-Compassion and Mindfulness: Modeling Change Processes Associated with the Reduction of Perinatal Depression

Cited by 6 publications

References 42 publications

The Impact of a Mindfulness App on Postnatal Distress

The Impact of a Mindfulness App on Postnatal Distress

A Mixed-Methods Pilot Study to Identify Facilitators Leading to Sustained Mindfulness Practice across the Perinatal Period

Comparing Web-Based Mindfulness With Loving-Kindness and Compassion Training for Promoting Well-Being in Pregnancy: Protocol for a Three-Arm Pilot Randomized Controlled Trial (Preprint)

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