Objective

Maternal stress and depression in pregnancy and early parenting are associated with decreased maternal sensitivity and infant social-emotional development impairments. This randomized controlled trial explored if a Mindfulness-Based Childbirth and Parenting Program (MBCP) is more beneficial than a Lamaze program for infant’s social-emotional development. Infant social-emotional development was also explored in the light of maternal psychological states.

Methods

Pregnant women at risk of perinatal stress and depression were included and randomized to either MBCP or Lamaze. The Ages and Stages Questionnaire: Social-Emotional (ASQ:SE) regarding infant social-emotional development was filled out by the mothers (n = 88) 3 months postpartum. Data on mode of delivery, skin-to-skin care, and breastfeeding rates was collected from medical records and self-report questionnaires. The women also filled out self-report questionnaires: Perceived Stress Scale, Edinburgh Postpartum Depression Scale, Positive States of Mind, and Five Facets of Mindfulness Questionnaire, at baseline, postintervention, and 3 months postpartum.

Results

There was a significant difference in score on the infants’ social-emotional development, suggesting that infants in the MBCP-study arm showed better social-emotional development compared with infants in the Lamaze-study arm (p = .049 d = .407). At 3 months postpartum, 9% in the MBCP-arm compared with 29% in the Lamaze-arm (p = .02) scored above the EPDS cutoff 11/12. Furthermore, maternal positive states of mind at 3 months postpartum influenced the variance of ASQ:SE.

Conclusion

The study shows positive effects of MBCP influencing the mother-infant dyad, suggesting that the increase in maternal psychological well-being supports positive infant social-emotional development.

Trial Registration

NCT02441595

中文翻译：

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探索基于正念的分娩和育儿对婴儿社会情感发展的影响

客观的

孕期和早期育儿中的母亲压力和抑郁与母亲敏感性降低和婴儿社会情感发育障碍有关。这项随机对照试验探讨了基于正念的分娩和育儿计划 (MBCP) 是否比 Lamaze 计划更有益于婴儿的社会情感发展。还根据母亲的心理状态探索了婴儿的社会情感发展。

方法

包括有围产期压力和抑郁风险的孕妇，并随机分配到 MBCP 或 Lamaze。年龄和阶段问卷：关于婴儿社会情感发展的社会情感 (ASQ:SE) 由产后 3 个月的母亲 (n = 88) 填写。从医疗记录和自我报告问卷中收集有关分娩方式、皮肤对皮肤护理和母乳喂养率的数据。这些女性还填写了自我报告问卷：在基线、干预后和产后 3 个月时，感知压力量表、爱丁堡产后抑郁量表、积极心态和正念问卷的五个方面。

结果

婴儿的社交情绪发展得分存在显着差异，表明 MBCP 研究组的婴儿与 Lamaze 研究组的婴儿相比，表现出更好的社交情绪发展 ( p  = .049 d  = .407) . 产后 3 个月时，MBCP 组的 9% 与 Lamaze 组的 29% (p = .02) 得分高于 EPDS 截止值 11/12。此外，产后 3 个月母亲的积极心态影响 ASQ:SE 的方差。

结论

该研究表明 MBCP 对母婴二元对的影响具有积极作用，这表明母亲心理健康的增加支持婴儿积极的社会情感发展。

试用注册

NCT02441595