Abstract

Introduction

Research on mindfulness has extended to the prevention of psychopathology and physical conditions during pregnancy. The purpose of this study was to investigate the relationship between trait mindfulness assessed in the first or early second trimester to health outcomes throughout pregnancy.

Methods

A total of 510 women were recruited at McGill University-affiliated obstetrics clinics (average gestational age: 13.43 weeks, sd = 1.2). The Mindful Awareness and Attention Scale (MAAS) was administered at baseline. At three timepoints during pregnancy, participants completed the Perceived Stress Scale (PSS-10), the Edinburgh Postnatal Depression Scale (EPDS), the Prenatal Distress Questionnaire-revised (PDQR) and a measure of pregnancy symptom intensity and indicated whether they had been diagnosed with gestational diabetes or high blood pressure.

Results

Higher MAAS scores predicted lower PSS, EPDS and PDQR scores and less severe physical discomforts throughout pregnancy. MAAS scores were a stronger predictor of PSS scores earlier in pregnancy. Logistic regressions found that trait mindfulness did not predict the presence of physical discomforts, diabetes or high blood pressure.

Conclusions

These results indicate that trait mindfulness is an important predictor of subjective stress, depression, anxiety and the severity of physical discomforts during pregnancy. These findings suggest that interventions earlier in pregnancy may increase the impact of mindfulness on maternal health.

中文翻译：

---

特质正念与孕期身心健康的关系

摘要

介绍

对正念的研究已扩展到预防怀孕期间的精神病理学和身体状况。本研究的目的是调查在孕早期或中期早期评估的特质正念与整个孕期健康结果之间的关系。

方法

麦吉尔大学附属产科诊所共招募了 510 名女性（平均胎龄：13.43 周，sd = 1.2）。正念意识和注意力量表（MAAS）在基线时进行管理。在怀孕期间的三个时间点，参与者完成了感知压力量表 (PSS-10)、爱丁堡产后抑郁量表 (EPDS)、修订版产前窘迫问卷 (PDQR) 和妊娠症状强度测量，并表明他们是否已被诊断出患有妊娠糖尿病或高血压。

结果

较高的 MAAS 分数预示着较低的 PSS、EPDS 和 PDQR 分数以及整个怀孕期间不太严重的身体不适。MAAS 评分是妊娠早期 PSS 评分的更强预测指标。逻辑回归发现，特质正念并不能预测身体不适、糖尿病或高血压的存在。

结论

这些结果表明，特质正念是主观压力、抑郁、焦虑和怀孕期间身体不适严重程度的重要预测因素。这些发现表明，怀孕早期的干预可能会增加正念对孕产妇健康的影响。