The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis
<i>Introduction</i>. Pregnancy is a unique time in a woman’s life that can be both exciting and challenging. It is also a period that can be associated with significant stress, anxiety, and depression, which can have negative consequences for both the mother and the baby. Mindfulness int...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | European Journal of Investigation in Health, Psychology and Education |
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| Online Access: | https://www.mdpi.com/2254-9625/13/9/122 |
| _version_ | 1827726455363076096 |
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| author | Monique L. Mefrouche Eva-Maria Siegmann Stephanie Böhme Matthias Berking Johannes Kornhuber |
| author_facet | Monique L. Mefrouche Eva-Maria Siegmann Stephanie Böhme Matthias Berking Johannes Kornhuber |
| author_sort | Monique L. Mefrouche |
| collection | DOAJ |
| description | <i>Introduction</i>. Pregnancy is a unique time in a woman’s life that can be both exciting and challenging. It is also a period that can be associated with significant stress, anxiety, and depression, which can have negative consequences for both the mother and the baby. Mindfulness interventions are known to be a well-suited treatment and prevention method for psychiatric symptoms in pregnancy, and web-based applications have been explored. We here present an up-to-date systematic review and meta-analysis of randomized–controlled trials to investigate the effect of digital-based mindfulness interventions on depressive, anxiety, and stress symptoms during pregnancy. <i>Methods</i>. The systematic literature search and data extraction was performed by two independent raters. It resulted in 13 eligible studies overall comprising 1373 participants. We conducted random-effects meta-analyses for depressive, anxiety, and stress symptoms after completion of a digital mindfulness intervention (compared to a control group). <i>Results</i>. Digital mindfulness intervention methods were significantly able to reduce depression (g = −0.47, 95% CI [−0.9; −0.09]) and anxiety symptoms (g = −0.41, 95% CI [−0.77; −0.05]), but not stress symptoms. These effects were moderated by the attrition rate (β<sub>Depression</sub> = 0.025, <i>p</i><sub>Depression</sub> < 0.01; β<sub>Anxiety</sub> = 0.022, <i>p</i><sub>Anxiety</sub> < 0.01; β<sub>Stress</sub> = 0.022, <i>p</i><sub>Stress</sub> < 0.01). Primiparity also had a significant influence on the intervention effect regarding depression symptoms (β = 0.033, <i>p</i> = 0.024). <i>Conclusions</i>. Digital mindfulness interventions are a promising method to reduce mental health symptoms in pregnant women. We identified certain parameters moderating this effect, for example, primiparity and the attrition rate. |
| first_indexed | 2024-03-10T22:51:12Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2174-8144 2254-9625 |
| language | English |
| last_indexed | 2024-03-10T22:51:12Z |
| publishDate | 2023-09-01 |
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| series | European Journal of Investigation in Health, Psychology and Education |
| spelling | doaj.art-6bc40dbff31c439488ffbb36dba8cd2b2023-11-19T10:20:13ZengMDPI AGEuropean Journal of Investigation in Health, Psychology and Education2174-81442254-96252023-09-011391694170610.3390/ejihpe13090122The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-AnalysisMonique L. Mefrouche0Eva-Maria Siegmann1Stephanie Böhme2Matthias Berking3Johannes Kornhuber4Department of Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyDepartment of Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyDepartment of Clinical Psychology, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyDepartment of Clinical Psychology, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyDepartment of Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany<i>Introduction</i>. Pregnancy is a unique time in a woman’s life that can be both exciting and challenging. It is also a period that can be associated with significant stress, anxiety, and depression, which can have negative consequences for both the mother and the baby. Mindfulness interventions are known to be a well-suited treatment and prevention method for psychiatric symptoms in pregnancy, and web-based applications have been explored. We here present an up-to-date systematic review and meta-analysis of randomized–controlled trials to investigate the effect of digital-based mindfulness interventions on depressive, anxiety, and stress symptoms during pregnancy. <i>Methods</i>. The systematic literature search and data extraction was performed by two independent raters. It resulted in 13 eligible studies overall comprising 1373 participants. We conducted random-effects meta-analyses for depressive, anxiety, and stress symptoms after completion of a digital mindfulness intervention (compared to a control group). <i>Results</i>. Digital mindfulness intervention methods were significantly able to reduce depression (g = −0.47, 95% CI [−0.9; −0.09]) and anxiety symptoms (g = −0.41, 95% CI [−0.77; −0.05]), but not stress symptoms. These effects were moderated by the attrition rate (β<sub>Depression</sub> = 0.025, <i>p</i><sub>Depression</sub> < 0.01; β<sub>Anxiety</sub> = 0.022, <i>p</i><sub>Anxiety</sub> < 0.01; β<sub>Stress</sub> = 0.022, <i>p</i><sub>Stress</sub> < 0.01). Primiparity also had a significant influence on the intervention effect regarding depression symptoms (β = 0.033, <i>p</i> = 0.024). <i>Conclusions</i>. Digital mindfulness interventions are a promising method to reduce mental health symptoms in pregnant women. We identified certain parameters moderating this effect, for example, primiparity and the attrition rate.https://www.mdpi.com/2254-9625/13/9/122mindfulnessdigitalpregnancydepressionanxietystress |
| spellingShingle | Monique L. Mefrouche Eva-Maria Siegmann Stephanie Böhme Matthias Berking Johannes Kornhuber The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis European Journal of Investigation in Health, Psychology and Education mindfulness digital pregnancy depression anxiety stress |
| title | The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis |
| title_full | The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis |
| title_fullStr | The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis |
| title_short | The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis |
| title_sort | effect of digital mindfulness interventions on depressive anxiety and stress symptoms in pregnant women a systematic review and meta analysis |
| topic | mindfulness digital pregnancy depression anxiety stress |
| url | https://www.mdpi.com/2254-9625/13/9/122 |
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