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Internet-delivered mindfulness-based interventions for mental health outcomes among perinatal women: A systematic review.

Asian journal of psychiatry
February 1, 2023
Fangxiang Mao et al. (5 authors)
Systematic ReviewJournal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of internet-delivered mindfulness-based interventions (iMBIs) for improving maternal mental health during pregnancy or within one year after delivery.

Results Summary

iMBIs were found effective in improving maternal depression, mindfulness, and self-compassion, but the overall risk of bias was high, and effect sizes could not be estimated due to the limited number of studies.

Population

Women during pregnancy or within one year after delivery.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
internet-delivered mindfulness-based interventions (iMBIs)
decrease
maternal depression
women during pregnancy or within one year after delivery
-
effective in improving
#1
internet-delivered mindfulness-based interventions (iMBIs)
increase
mindfulness
women during pregnancy or within one year after delivery
-
effective in improving
#2
internet-delivered mindfulness-based interventions (iMBIs)
increase
self-compassion
women during pregnancy or within one year after delivery
-
effective in improving
#3
Abstract

BACKGROUNDS: Mindfulness-based interventions (MBIs) delivered via the Internet become increasingly popular for improving maternal mental health, but the effectiveness of internet-delivered MBIs (iMBIs) is still unclear. METHODS: PubMed, PsycINFO, Embase, Scopus, CINAHL, and Cochrane Central Register of Controlled Trials were searched. We included studies that were randomized controlled trials (RCTs), quasi-experimental study design, and pre-post test design and contained information on the population of interest (women during pregnancy or within one year after delivery), intervention contents (mindfulness components), and intervention delivery formats (internet-based). ROBINS-I and RoB 2 were used to rate the risk of bias in non-RCTs and RCTs, respectively. RESULTS: Eleven studies composed of six RCTs and five non-RCTs were included. The overall risk of bias was high. IMBIs are effective in improving maternal depression and mindfulness and self-compassion. However, limited by the small number of studies included in the review, effect sizes of iMBIs cannot be estimated. Characteristics of iMBIs (delivery formats, duration, et al.) and studies (study design, measures et al.) were described. CONCLUSION: iMBIs are still in the initial stage. Studies with rigorous study design and larger sample size, and determining the optimal delivery formats and duration and intensity of interventions are necessary.

Medical Subject Headings (MeSH)
PregnancyFemaleHumansMindfulnessMental HealthInternet-Based InterventionInternetOutcome Assessment, Health CareRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality60/10
Citation Metrics
Total Citations14
Citations/Year7.0
Relative Citation Ratio5.32
NIH Percentile93.7%
Research Impact Scores
APT Score0.75
Weight Score2.45
Normalized Score0.60
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