바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

Development of Mindfulness for Pregnant Women (MPW) Program and its Psychological Efficacy

The Korean Journal of Cognitive and Biological Psychology / The Korean Journal of Cognitive and Biological Psychology, (P)1226-9654; (E)2733-466X
2011, v.23 no.3, pp.321-337
https://doi.org/10.22172/cogbio.2011.23.3.002






  • Downloaded
  • Viewed

Abstract

In this study, we develop Mindfulness for Pregnant Women (MPW) Program which aims to enhance psychological and physical well-being of pregnant women who are vulnerable to stress, anxiety and negative affect but limited to pharmacist treatment. We present the result of a pilot study of n=22 pregnant women participating in MPW for 10 weeks. We compare and analyse the difference between the experimental group of 22 pregnant women who participate in MPW and the control group of 22 pregnant women who does not participate in MPW. We work out the difference between the two groups by using such measures as SCL-90-R, BDI, STAI, PANAS and K-MAAS, prior to and immediately after 10-week MPW program training. The results are as follows. First, the experimental group shows its significant decreases in obsessive symptoms and depressive symptoms in SCL-90-R(Symptom Checklist-90-Revised), while the control group does not. Second, the experimental group shows its significant decreases in depression in BDI(Beck Depression Inventory), while the control group does not. Third, in STAI(State-Trait Anxiety Inventory) there is not any significant difference between the two groups with regard to state anxiety, but trait anxiety is significantly decreased among the experimental group, not among the control group. Fourth, the experimental group, in comparison to the control group shows its significant decreases in negative affects in PANAS(the Positive and. Negative Affect Scale). Fifth, the experimental group, in comparison to the control group shows its significant increases in attentive self-awareness in K-MAAS(Korean Mindful Attention Awareness Scale). In short, MPW program helps pregnant women to lessen depression, trait anxiety, obsessive symptoms and negative affection, but, on the other hand, to promote attentive self-awareness. MPW could be utilized as a useful tool to promote psychological well-being of pregnant women and their attentive awareness. In the end, we suggest the future research will focus on MPW's effects on birth outcomes, child development outcomes.

keywords
임산부를 위한 한국형 마음챙김 명상 프로그램, 우울, 불안, 마음챙김 주의자각, Mindfulness for Pregnant Women (MPW), depression, anxiety, attentive awareness

Reference

1.

김광일, 김재환, 원호택 (1994). 간이정신진단검사 실시요강. 서울: 중악적성출판사.

2.

김정택 (1978). 특성불안과 사회성과의 관계, Spielberger의 STAI를 중심으로. 고려대학교 석사학위논문.

3.

김지연 (2011). 마음챙김과 긍정적 정서가 자아탄력성에 미치는 영향. 영남대학교 대학원, 문학박사학위논문.

4.

이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지: 임상. 10(1), 98-113.

5.

이현희, 김은정, 이민규 (2003). 한국판 정적 정서 및 부적 정서 척도의 타당화 연구. 한국심리학회지: 임상, 22(4), 935-946.

6.

장현갑 (2009). 마음 vs 뇌. 서울: 불광출판사.

7.

장현갑, 김정모, 배재홍 (2007). 한국형 마음챙김 명상에 기반한 스트레스 감소 프로그램의 개발과 SCL-90-R로 본 효과성 검증. 한국심리학회지: 건강, 12(4), 833-850.

8.

장현갑, 김교헌 (1998). 명상과 자기치유. 서울: 학지사.

9.

전종희, 이우경, 이수정, 이원혜 (2007). 한국판 마음챙김 주의 자각 척도의 신뢰도 및 타당도 예비 연구. 한국심리학회지: 임상, 26(1), 201-212.

10.

Altarac, M., & Strobino, D. (2002). Abuse during pregnancy and stress because of abuse during pregnancy and birthweight. J Am Med Womens Assoc, 57, 208 - 214.

11.

Alvarado, R., Medina, E., & Aranda, W. (2002). The effect of psychosocial variables during pregnancy and in birth weight and gestational age of the newborn. Rev Med Chil, 130, 561 -568.

12.

Astin, JA. (1997). Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychother Psychosom, 66, 97-106.

13.

Back, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventiry for measuring depression. Archives of General Psychiatry, 4, 561-606.

14.

Bastani, F., Hidamia, A., Montgomery, KS., Aguilar-Vafaei, ME., & Kazemnejad A. (2006). Does relaxation education in anxious primigravid Iranian women influence adverse pregnancy outcomes?: a randomized controlled trail. J Perinat Neonatal Nurs, 20, 138-146.

15.

Bastani, F., Hidamia, A., Kazemnejad A., Vafaei, M., & Kashanian, M. (2005). A randomized controlled trail of the effects of applied relaxation training on reducing anxiety and perceived stress in pregnant women. Journal of Midwifery Womens Health, 50, 36-40.

16.

Bennett, HA., Einarson, A., Taddio A., Koren, G., & Einarson, TR. (2004). Prevalence of depression during pregnancy: systematic review. Obstetrics & Gynecology, 103, 698-709.

17.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being Present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848.

18.

Bullock, L F., Wells, JE., Duff, GB., & Hornblow, AR. (1995). Telephone support for pregnant women: outcome in late pregnancy. N Z Med J, 108, 476-478.

19.

Carlson, LE., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001). The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer, 9, 112-123.

20.

Da Costa, D., Dritsa, M., Larouche, J., & Brender, W. (2000). Psychosocial predictors of labor/delivery complications and infant birth weight: a prospective multivariate study. J Psychosom Obstet Gynaecol, 21, 137-148.

21.

Davidson, R, J., Kabat-Zinn, J., Schmacher, et al. (2003) Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Med, 65, 564-570.

22.

Derogatis, L. R. (1997). SCL-90-R (Revised) Manual Ⅰ: Clinical Psychometrics Research Unit. Baltimore, Johns Hopkins University School of Medicine.

23.

Field, T. Diego, MA., Hernandez-Rief M., Schanberg S, Kuhn C. (2004). Massage therapy effects on depressed pregnant women. J Psychosom Obstet Gynaecol, 25, 115-122.

24.

Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal Depression: A Systematic Review of Prevalence and Incidence. Obstetrics & Gynecology, 106 (5), 1071-1083.

25.

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. J Psychosom Res, 57, 35-43.

26.

Gotlib, IH., Whiffen, VE., Mount, JH., Milne, K., & Cordy, NI. (1989). Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum. J Consult Clinical Psychology, 57, 269-274.

27.

Hayes, B. A., Muller, R. (2004). Prenatal depression: a randomized controlled trial in the emotional health of primiparous women. Res Theory Nurs Pract 18, 165-183.

28.

Hozel, B. K., Carmody, J., Vangel. M., Congleton, C., Yerramsetti, S. M., Gard, T., & Lazar, S. M. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging 191, 36-43.

29.

Kabat-Zinn, J. (1990). Full Cathastrope Living. New York: Bentam Doubbeday Dell.

30.

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry, 4, 33-47.

31.

Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., Mcgarvey, M., Quinn, B. T., Duseck, J. A., Benson, H., Rauch, S. L., Moore, C. L., & Fischl, B. (2005). Meditation experience is associate with increase cortical thickness. Neuroreport, 16, 1893-1897.

32.

Lutz, A., J. Brefczynski-Lewis, T. Johnston, & R. Davidson. (2008). Regulation of the neural circuitry of emotion by compassion mediation: Effects of meditative expertise. PLoS ONE 3(3):e1897.

33.

Ma, SH., & Teasdale, JD. (2004). Mindfulness- based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clinical Psychology, 72, 31 - 40.

34.

Midmer, D., Wilson, L., & Cummings, S. (1995). A randomized, controlled trail of the influence of prenatal parenting education on postpartum anxiety and marital adjustment. Fam Med, 27, 200-205.

35.

Narendran, S., Nagarathna, R., Narendran, V., Gunasheela, S., & Nagendra, HR. (2005). Efficacy of yoga on pregnancy outcome. J Altern Complement Med, 11, 237 - 244.

36.

Nelson, DB., Grisso, JA., Joffe, MM., Brensinger, C., Shaw, L., & Datner, E. (2003). Does stress influence early pregnancy loss? Ann Epidemiol, 13, 223-229.

37.

Ritter, C., Hobfoll, SE., Lavin, J., Cameron, RP., & Hulsizer, MR. (2000). Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychology, 19, 576-585.

38.

Rothberg, AD., & Lits, B. (1991). Psychosocial support for maternal stress during pregnancy: effect on birth weight. Am J Obstet Gynecol, 165, 403-407.

39.

Speca, M., Carlson, LE., Goodey, E., & Angen, M. (2000). A randomized, waitlist controlled clinical trail: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med, 62, 613-622.

40.

Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Pal. Alto, CA: Consulting Psychologist Press.

41.

Teasdale, JD., Segal, ZV., Williams, JM., Ridgeway, VA., Soulsby, JM., & Lau, MA. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol, 68, 615-623.

42.

Urizar, GG. Jr., Milazzo, M., Le, HN., Delucchi, K., Sotelo, R., & Munoz, RF. (2004). Impact of stress reduction instructions on stress and cortisol levels during pregnancy. Biol Psychol, 67, 275-282.

43.

Vieten, C., & Astin, J. (2008). Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study. Archives of Womens Mental Health, 11, 67-74.

44.

Wadhwa, P. D., Sandman C. A., Garite, T. J. (2001). The neurobiology of stress in human pregnancy: implications for prematurity and development of the fetal central nervous system. Prog Brain Res, 133, 131-142

45.

Watson, D., Clark, L. A., & Tellegan, A. (1988). Development and validation of brief measure of positive and negative affect: The PANAS scale. Journal of Personality and Social Psychology, 54, 1063-1070.

The Korean Journal of Cognitive and Biological Psychology