Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women

[Background] Recent evidence suggests that anxiety is more common than depression in the perinatal period, however there are few interventions available to treat perinatal anxiety. Targeting specific processes that maintain anxiety, such as worry, may be one potentially promising way to reduce anxie...

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Main Authors: Colette R. Hirsch, Frances Meeten, Jill M. Newby, Sophie O’Halloran, Calum Gordon, Hannah Krzyzanowski, Michelle L. Moulds
Format: Article
Language:English
Published: PsychOpen GOLD/ Leibniz Institute for Psychology 2021-06-01
Series:Clinical Psychology in Europe
Subjects:
Online Access:https://cpe.psychopen.eu/index.php/cpe/article/view/3781
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author Colette R. Hirsch
Frances Meeten
Jill M. Newby
Sophie O’Halloran
Calum Gordon
Hannah Krzyzanowski
Michelle L. Moulds
author_facet Colette R. Hirsch
Frances Meeten
Jill M. Newby
Sophie O’Halloran
Calum Gordon
Hannah Krzyzanowski
Michelle L. Moulds
author_sort Colette R. Hirsch
collection DOAJ
description [Background] Recent evidence suggests that anxiety is more common than depression in the perinatal period, however there are few interventions available to treat perinatal anxiety. Targeting specific processes that maintain anxiety, such as worry, may be one potentially promising way to reduce anxiety in this period. Given evidence that negative interpretation bias maintains worry, we tested whether interpretation bias could be modified, and whether this in turn would lead to less negative thought (i.e., worry) intrusions, in pregnant women with high levels of worry. [Method] Participants (N = 49, at least 16 weeks gestation) were randomly assigned to either an interpretation modification condition (CBM-I) which involved training in accessing positive meanings of emotionally ambiguous scenarios, or an active control condition in which the scenarios remained ambiguous and unresolved. [Results] Relative to the control condition, participants in the CBM-I condition generated significantly more positive interpretations and experienced significantly less negative thought intrusions. [Conclusions] Our findings indicate that worry is a modifiable risk factor during pregnancy, and that it is possible to induce a positive interpretation bias in pregnant women experiencing high levels of worry. Although preliminary, our findings speak to exciting clinical possibilities for the treatment of worry and the prevention of perinatal anxiety.
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spelling doaj.art-ac51994122234dda9446b4e1f5f941ed2023-01-02T17:12:26ZengPsychOpen GOLD/ Leibniz Institute for PsychologyClinical Psychology in Europe2625-34102021-06-013210.32872/cpe.3781cpe.3781Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant WomenColette R. Hirsch0https://orcid.org/0000-0003-3579-2418Frances Meeten1Jill M. Newby2Sophie O’Halloran3Calum Gordon4Hannah Krzyzanowski5Michelle L. Moulds6Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomSchool of Psychology, University of Sussex, Brighton, United KingdomSchool of Psychology, University of New South Wales, Sydney, AustraliaInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomSchool of Psychology, University of New South Wales, Sydney, Australia[Background] Recent evidence suggests that anxiety is more common than depression in the perinatal period, however there are few interventions available to treat perinatal anxiety. Targeting specific processes that maintain anxiety, such as worry, may be one potentially promising way to reduce anxiety in this period. Given evidence that negative interpretation bias maintains worry, we tested whether interpretation bias could be modified, and whether this in turn would lead to less negative thought (i.e., worry) intrusions, in pregnant women with high levels of worry. [Method] Participants (N = 49, at least 16 weeks gestation) were randomly assigned to either an interpretation modification condition (CBM-I) which involved training in accessing positive meanings of emotionally ambiguous scenarios, or an active control condition in which the scenarios remained ambiguous and unresolved. [Results] Relative to the control condition, participants in the CBM-I condition generated significantly more positive interpretations and experienced significantly less negative thought intrusions. [Conclusions] Our findings indicate that worry is a modifiable risk factor during pregnancy, and that it is possible to induce a positive interpretation bias in pregnant women experiencing high levels of worry. Although preliminary, our findings speak to exciting clinical possibilities for the treatment of worry and the prevention of perinatal anxiety.https://cpe.psychopen.eu/index.php/cpe/article/view/3781perinatal mental healthworryinterpretation biascognitive bias mediation (cbm)pregnancyanxiety
spellingShingle Colette R. Hirsch
Frances Meeten
Jill M. Newby
Sophie O’Halloran
Calum Gordon
Hannah Krzyzanowski
Michelle L. Moulds
Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women
Clinical Psychology in Europe
perinatal mental health
worry
interpretation bias
cognitive bias mediation (cbm)
pregnancy
anxiety
title Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women
title_full Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women
title_fullStr Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women
title_full_unstemmed Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women
title_short Looking on the Bright Side Reduces Worry in Pregnancy: Training Interpretations in Pregnant Women
title_sort looking on the bright side reduces worry in pregnancy training interpretations in pregnant women
topic perinatal mental health
worry
interpretation bias
cognitive bias mediation (cbm)
pregnancy
anxiety
url https://cpe.psychopen.eu/index.php/cpe/article/view/3781
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