State-trait anxiety levels during pregnancy and foetal parameters following intervention with music therapy

García-González, Jessica; Ventura-Miranda, María Isabel; Requena, Mar; Parrón-Carreño, Tesifón; Alarcón, Raquel

doi:10.1016/j.jad.2018.02.008

Cited by 46 publications

(37 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our pilot study without a comparison group, a significant reduction in the mean state anxiety levels was found after completing the 1-week eMBI ( P <.03). Recent studies including other MBIs during pregnancy found similar effects with significantly lower STAI scores ( P <.001) after interventions such as yoga, music therapy, or progressive muscle relaxation [ 50 , 59 ]. Compassion-focused therapy represents another promising approach for effectively treating depression and anxiety in perinatal populations [ 60 ].…”

Section: Discussionmentioning

confidence: 89%

Effects of a Brief Electronic Mindfulness-Based Intervention on Relieving Prenatal Depression and Anxiety in Hospitalized High-Risk Pregnant Women: Exploratory Pilot Study

Goetz¹,

Schiele²,

Müller³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background Peripartum depression and anxiety disorders are highly prevalent and are correlated with adverse maternal and neonatal outcomes. Antenatal care in Germany does not yet include structured screening and effective low-threshold treatment options for women facing peripartum depression and anxiety disorders. Mindfulness-based interventions (MBIs) are increasingly becoming a focus of interest for the management of such patients. Studies have shown a decrease in pregnancy-related stress and anxiety in expectant mothers following mindfulness programs. Objective The aim of this study was to explore the clinical effectiveness of a 1-week electronic course of mindfulness on prenatal depression and anxiety in hospitalized, high-risk pregnant women. We hypothesized that participating in a 1-week electronic MBI (eMBI) could alleviate symptoms of depression and anxiety during the hospital stay. Methods A prospective pilot study with an explorative study design was conducted from January to May 2019 in a sample of 68 women hospitalized due to high-risk pregnancies. After enrolling into the study, the participants were given access to an eMBI app on how to deal with stress, anxiety, and symptoms of depression. Psychometric parameters were assessed via electronic questionnaires comprising the Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI-S), and abridged version of the Pregnancy-Related Anxiety Questionnaire (PRAQ-R). Results We observed a high prevalence of peripartum depression and anxiety among hospitalized high-risk pregnant women: 39% (26/67) of the study participants in the first assessment and 41% (16/39) of the participants in the second assessment achieved EPDS scores above the cutoff value for minor/major depression. The number of participants with anxiety levels above the cutoff value (66% [45/68] of the participants in the first assessment and 67% [26/39] of the participants in the second assessment) was significantly more than that of the participants with anxiety levels below the cutoff value, as measured with the STAI-S. After completing the 1-week electronic course on mindfulness, the participants showed a significant reduction in the mean state anxiety levels (P<.03). Regarding pregnancy-related anxiety, participants who completed more than 50% of the 1-week course showed lower scores in PRAQ-R in the second assessment (P<.05). No significant changes in the EPDS scores were found after completing the intervention. Conclusions Peripartum anxiety and depression represent a relevant health issue in hospitalized pregnant patients. Short-term eMBIs could have the potential to reduce anxiety levels and pregnancy-related anxiety. However, we observed that compliance to eMBI seems to be related to lower symptoms of pregnancy-related stress among high-risk patients. eMBIs represent accessible mental health resources at reduced costs and can be adapted for hospitalized patients during pregnancy.

show abstract

Section: Discussionmentioning

confidence: 89%

Effects of a Brief Electronic Mindfulness-Based Intervention on Relieving Prenatal Depression and Anxiety in Hospitalized High-Risk Pregnant Women: Exploratory Pilot Study

Goetz¹,

Schiele²,

Müller³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Esse fato torna esse estudo especialmente importante, tendo em vista que a cardiotocografia é um e exame comumente utilizado na prática clínica e é um dos melhores preditores da vitalidade fetal (GARCIA-GONZALEZ et al, 2018). Esse ponto levanta uma dificuldade para esse tipo de pesquisa, tendo em vista que estudos como estes requerem que a paciente não tenha agravos em seus níveis de ansiedade, necessitando-se avaliar o basal.…”

Section: Musicoterapia No Pré-natalunclassified

“…É sabido que problemas como a ansiedade durante a gestação podem ter efeitos diretos no desenvolvimento do bebê, impactando inclusive em parâmetros como distúrbios hemodinâmicos, estatura, peso e número elevado de partos cesáreos (BETEGÓN et al, 2017). Esses números podem ser positivamente alterados quando as pacientes gestantes são submetidas as sessões de musicoterapia de forma regular e bem estabelecida (GARCIA-GONZALEZ et al, 2018).…”

unclassified

“…Um dos principais neurotransmissores relacionados a musicoterapia é a serotonina natural que cria um estado de relaxamento, já a acetilcolina que também tem sua liberação potencializada, tem efeito na redução da frequência cardíaca, redução da pressão arterial e aumento do fluxo sanguíneo para órgãos nobres (BETEGÓN et al, 2017). Não obstante, os glicocorticoides como o cortisol, que é fortemente relacionado ao estado de estresse, têm sua liberação reduzida, com consequente benefício no desenvolvimento do bebê, já que esse é capaz de atravessar a barreira placentária e interferir diretamente na fisiologia fetal (GARCIA-GONZALEZ et al, 2018).…”

unclassified

See 1 more Smart Citation

A Musicoterapia e a Música na Medicina como terapia adjuvante no âmbito da Obstetrícia: Uma Revisão Bibliográfica

Neto¹,

Melo²,

Neves³

et al. 2018

IDonline

View full text Add to dashboard Cite

Resumo: A gestação é um dos períodos mais importantes na vida de pai, mãe de filho. Este período é comumente doloroso e difícil, embora seja gratificante e recompensador. No entanto, o tratamento das patologias deste período é difícil, tendo em vista os riscos que os fármacos e as terapias intervencionistas podem causar a saúde dos envolvidos. Tendo isso em vista, esta análise de literatura vista avaliar os progressos recentes da musicoterapia na obstetrícia, esta que vem nos últimos anos sendo estudada em todos os âmbitos da medicina como terapia adjuvante e não seria diferente no processo do nascer. Os trabalhos foram analisados separadamente principalmente conforme o período gestacional na qual tinham abrangido. Optou-se por organizar da seguinte forma: musicoterapia na preconcepção, no pré-natal, no parto normal, no parto cesáreo, musicoterapia sobre o pai e por fim analisamos de uma forma geral a metodologia dos ensaios clínicos mais recentes.Palavras chave: musicoterapia, obstetrícia, saúde. Music Therapy and Music in Medicine as Auxiliary Therapy in Obstetrics: A Bibliographic ReviewAbstract: Gestation is one of the most important periods in the life of father, mother of child. This period is often painful and difficult, although rewarding and gratifying. However, the treatment of the pathologies of this period is difficult, given the risks that drugs and interventional therapies can cause to the health of those involved. With this in mind, this literature review evaluates the recent advances in music therapy in obstetrics, which has been studied in recent years in all areas of medicine as adjuvant therapy and would not be different in the process of birth. The studies were analyzed separately mainly according to the gestational period in which they had covered. It was decided to organize as follows: music therapy in preconception, prenatal, normal delivery, cesarean delivery, music therapy on the father and finally we analyze the methodology of the most recent clinical trials in general.Keywords: music therapy, obstetrics, health. IntroduçãoO ser humano é um ser que vive em equilíbrio, podendo esse ser rompido pelas mais diversas patologias, sejam elas de origem física ou emocional. Essas desordens tem a capacidade de romper ciclos fisiológicos e suas minuciosas reações químicas que ocorrem ____________________

show abstract

“…Epidemiological studies have shown that the mental health problems of pregnant women are mainly anxiety and depression (3,(14)(15). In addition, the incidence of anxiety during pregnancy was obviously higher than depression, and the occurrence of many postpartum depression is closely related to prenatal anxiety (16,17). Pregnant women are more prone to anxiety with the prevalence of gestational anxiety ranging from 15% to 23%, in comparison with the general population with 3 to 5% of anxiety symptoms (6).…”

Section: Introductionmentioning

confidence: 99%

Physical exercise and economic burden associated with anxiety symptoms in pregnant women during the COVID-19 pandemic

Deng

Ning

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: COVID-19 with high infectivity and high concealment has been widely spread around the world. This major public health event has caused anxiety among the public, including pregnant women. The aim of this study was to assess the incidence of anxiety symptoms in pregnant women during the COVID-19 pandemic and its influencing factors.Methods: Using an ongoing prospective pregnancy registry, we performed a single center cross-sectional analysis to investigate the overall prevalence of anxiety symptoms among pregnant women during the COVID-19 pandemic. Online questionnaires were used to collect information including sociodemographic data, physical activity and economic situations. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety symptoms. The univariate regression analysis was performed to detect factors potentially influencing anxiety symptoms among pregnant women. The multivariate regression analysis was also conducted to analyze the association of physical exercise and economic burden with anxiety symptoms by adjusting for other variables.Results: A total of 1,517 pregnant women entered the analysis. The study reported that 31.64% of the respondents had anxiety symptoms. Those with bank loans were at higher odds of suffering from anxiety symptoms compared to those without bank loans [(adjusted odds ratio (aOR) 1.494, 95% confidence interval (CI) 1.181~1.889]. Those who took 2,000~5,000 steps/day (aOR 0.825, 95% CI 0.603~0.875) and >5,000 steps/day (aOR 0.924, 95% CI 0.439~0.945) were at lower odds of suffering from anxiety symptoms compared to those who took <500 steps/day. Similarly, the adjusted odds ratios for anxiety symptoms was 0.750 (95% CI 0.663~0.790) and 0.800 (95% CI 0.226~0.889) lower in participants with exercise frequencies of 4-6, and ≥7 times/week, compared to those with a frequency of <2 times/week.Conclusions: Three in ten pregnant women experienced anxiety symptoms during the COVID-19 pandemic, and anxiety symptoms showed association with bank loans and physical exercise. To prevent anxiety of pregnant women, the promotion of healthy lifestyles, improvement of mental health services, and expansion of social support should be implemented during epidemics. In parallel, the integration of psycho-educational interventions with mental health services among public health centers is required to minimize anxiety symptoms in pregnancy women.

show abstract

State-trait anxiety levels during pregnancy and foetal parameters following intervention with music therapy

Cited by 46 publications

References 36 publications

Effects of a Brief Electronic Mindfulness-Based Intervention on Relieving Prenatal Depression and Anxiety in Hospitalized High-Risk Pregnant Women: Exploratory Pilot Study

Effects of a Brief Electronic Mindfulness-Based Intervention on Relieving Prenatal Depression and Anxiety in Hospitalized High-Risk Pregnant Women: Exploratory Pilot Study

A Musicoterapia e a Música na Medicina como terapia adjuvante no âmbito da Obstetrícia: Uma Revisão Bibliográfica

Physical exercise and economic burden associated with anxiety symptoms in pregnant women during the COVID-19 pandemic

Contact Info

Product

Resources

About