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A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression

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This study investigated an adapted Mindfulness-Based Childbirth and Parenting (MBCP) program to reduce perinatal depression. Findings suggest this mindfulness and compassion program is a beneficial, low-cost option for expectant mothers.

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Area of Science:

  • Perinatal mental health
  • Mindfulness-based interventions
  • Public health

Background:

  • Perinatal depression affects 10-20% of women, posing risks with psychopharmacological treatments.
  • Mindfulness and compassion programs offer potential cost-effective alternatives for prevention and treatment.
  • This study focuses on an adapted Mindfulness-Based Childbirth and Parenting (MBCP) program in Spanish primary care settings.

Purpose of the Study:

  • To assess the efficacy of an adapted MBCP program with compassion training for pregnant women.
  • To decrease symptoms of perinatal depression in a primary care setting within the Spanish National Health System.
  • To evaluate the impact on perceived stress, affects, mindfulness, self-compassion, and maternal self-efficacy.

Main Methods:

  • A multicenter randomized controlled trial (RCT) involving 122 pregnant women and their partners.
  • Participants were randomized to either the adapted MBCP program + treatment as usual (TAU) or TAU alone.
  • Depression was the primary outcome (Edinburgh Postnatal Depression Scale), with secondary outcomes assessed at baseline, post-treatment, and 3- and 6-month follow-ups.

Main Results:

  • The study is designed to evaluate the effectiveness of the adapted MBCP program in reducing perinatal depression.
  • Secondary outcomes will provide insights into the program's impact on maternal well-being and service utilization.
  • Analyses will include intention-to-treat and per-protocol approaches using linear regression mixed models.

Conclusions:

  • Perinatal depression is a significant public health concern.
  • An adapted MBCP program incorporating mindfulness and compassion may serve as an effective, low-cost complementary healthcare strategy.
  • This research represents the first multicenter RCT in Spanish primary care settings to evaluate this adapted MBCP program for perinatal mood disorders.