Oregon Health and Science University
The goal of this study is to investigate inflammation as the biological mechanism by which mindfulness based cognitive therapy for perinatal depression (MBCT-PD) administered during pregnancy improves women's emotional well-being and whole person health index during pregnancy and the early postpartum period. Secondarily the investigative team will determine if MBCT-PD administered during pregnancy improves the physical health and emotional well-being of the developing child.
BACKGROUND: Perinatal psychological distress (depression, anxiety and stress) is highly prevalent, with 20-30% of individuals meeting diagnostic criteria during pregnancy and the early postpartum period. Elevated psychological distress during the perinatal period is associated with adverse maternal physical and mental health outcomes, including obstetric complications, as well as poor health outcomes in the early postpartum period such as increased risk of depression, anxiety, sleep disturbance, poorer breastfeeding outcomes, and less effective parenting behaviors. Maternal mental health diso…
Inclusion Criteria: * Pregnant women aged 18-50 in good health. * Individuals who do not expect to move over the next year. Exclusion Criteria: * Pregnancies deemed high risk due to multiple pregnancies, medical conditions such as type 1 or 2 diabetes, mellitus, cancer, hypertension, kidney disease, and epilepsy, the presence of infections (HIV, hepatitis C), history of three or more miscarriages, or if the fetus has been diagnosed with a genetic condition such as Down syndrome. * Smoking (\>5 cigarettes during pregnancy), * Drinking alcohol (\>10 drinks during pregnancy) * Marijuana use (l…
MBCT-PD has been tailored for pregnant women. Individuals randomized to MBCT-PD will complete 8 sequential, weekly, 2-hour sessions conducted by doctoral (e.g., psychologist) or master's level (e.g., LMFT) or equivalent therapists with specialized training in MBCT-PD. Up to 10 pregnant women will be enrolled in each group, with at least 3 pregnant women needed to constitute a group. MBCT-PD sessions will include learning about key mindfulness concepts and engagement in guided mindfulness practice, learning about cognitive therapy and practicing using cognitive therapy skills, building social support networks, receiving feedback from group leaders to normalize challenges and encourage participation, and reviewing assigned at-home practices and barriers to practice. The intervention is manualized and has been implemented at multiple sites including our own. Schedule. Prior research indicates efficacy of MBCT for pregnant women initiated during the second trimester.
Participants in the active control group will complete 8 sequential weekly, 2-hour sessions focused on pregnancy related health, nutrition, sleep and infant care (Pregnancy Health Group)
Arctuva estimate
Actual pay is set by the research site.
Verify or correct the compensation shown for this listing.