Helen G Hall1, Jill Beattie2, Rosalind Lau3, Christine East4, Mary Anne Biro5. 1. School of Nursing & Midwifery, Monash University, Peninsula Campus, P.O. Box 527, Frankston, Victoria 3199, Australia; Australian Research Centre in Complementary and Integrative Medicine, University of Technology Sydney, Australia. Electronic address: Helen.Hall@monash.edu. 2. School of Nursing & Midwifery, Monash University, Peninsula Campus, P.O. Box 527, Frankston, Victoria 3199, Australia. Electronic address: Jill.Beattie@monash.edu. 3. School of Nursing & Midwifery, Monash University, Clayton Campus, Wellington Rd, Clayton, Victoria 3800, Australia. 4. Monash University/Monash Health, c/- Birth Suite, Monash Medical Centre, 246 Clayton Rd, Clayton, VIC 3168, Australia. 5. P.O. Box 527, Frankston, Victoria 3199, Australia. Electronic address: MarAnne.Biro@monash.edu.
Abstract
BACKGROUND: Perinatal stress is associated with adverse maternal and infant outcomes. Mindfulness training may offer a safe and acceptable strategy to support perinatal mental health. AIM: To critically appraise and synthesise the best available evidence regarding the effectiveness of mindfulness training during pregnancy to support perinatal mental health. METHODS: The search for relevant studies was conducted in six electronic databases and in the grey literature. Eligible studies were assessed for methodological quality according to standardised critical appraisal instruments. Data were extracted and recorded on a pre-designed form and then entered into Review Manager. FINDINGS: Nine studies were included in the data synthesis. It was not appropriate to combine the study results because of the variation in methodologies and the interventions tested. Statistically significant improvements were found in small studies of women undertaking mindfulness awareness training in one study for stress (mean difference (MD) -5.28, 95% confidence intervals (CI) -10.4 to -0.42, n=22), two for depression (for example MD -5.48, 95% CI -8.96 to -2.0, n=46) and four for anxiety (for example, MD -6.50, 95% CI -10.95 to -2.05, n=32). However the findings of this review are limited by significant methodological issues within the current research studies. CONCLUSION: There is insufficient evidence from high quality research on which to base recommendations about the effectiveness of mindfulness to promote perinatal mental health. The limited positive findings support the design and conduct of adequately powered, longitudinal randomised controlled trials, with active controls.
BACKGROUND: Perinatal stress is associated with adverse maternal and infant outcomes. Mindfulness training may offer a safe and acceptable strategy to support perinatal mental health. AIM: To critically appraise and synthesise the best available evidence regarding the effectiveness of mindfulness training during pregnancy to support perinatal mental health. METHODS: The search for relevant studies was conducted in six electronic databases and in the grey literature. Eligible studies were assessed for methodological quality according to standardised critical appraisal instruments. Data were extracted and recorded on a pre-designed form and then entered into Review Manager. FINDINGS: Nine studies were included in the data synthesis. It was not appropriate to combine the study results because of the variation in methodologies and the interventions tested. Statistically significant improvements were found in small studies of women undertaking mindfulness awareness training in one study for stress (mean difference (MD) -5.28, 95% confidence intervals (CI) -10.4 to -0.42, n=22), two for depression (for example MD -5.48, 95% CI -8.96 to -2.0, n=46) and four for anxiety (for example, MD -6.50, 95% CI -10.95 to -2.05, n=32). However the findings of this review are limited by significant methodological issues within the current research studies. CONCLUSION: There is insufficient evidence from high quality research on which to base recommendations about the effectiveness of mindfulness to promote perinatal mental health. The limited positive findings support the design and conduct of adequately powered, longitudinal randomised controlled trials, with active controls.
Authors: Alice M Graham; Olivia Doyle; Ellen L Tilden; Elinor L Sullivan; Hanna C Gustafsson; Mollie Marr; Madeleine Allen; Kristen L Mackiewicz Seghete Journal: Biol Psychiatry Cogn Neurosci Neuroimaging Date: 2021-10-27
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Authors: Lianne M Tomfohr-Madsen; Tavis S Campbell; Gerald F Giesbrecht; Nicole L Letourneau; Linda E Carlson; Joshua W Madsen; Sona Dimidjian Journal: Trials Date: 2016-10-13 Impact factor: 2.279
Authors: E Epel; B Laraia; K Coleman-Phox; C Leung; C Vieten; L Mellin; J L Kristeller; M Thomas; N Stotland; N Bush; R H Lustig; M Dallman; F M Hecht; N Adler Journal: Int J Behav Med Date: 2019-10
Authors: Lianne P Hulsbosch; Ivan Nyklíček; Eva S Potharst; Margreet Meems; Myrthe G B M Boekhorst; Victor J M Pop Journal: BMC Pregnancy Childbirth Date: 2020-03-13 Impact factor: 3.007