stress, anxiety, pain, childbirth, parenting, mindfulness Dutch: stress, angst baringspijn, geboorte, ouderschap, mindfulness
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pregnant women in the second trimester of gestation with at least moderate levels of stress and/or anxiety.
Exclusion criteria
Exclusion criteria: Pregnant women with (a) no mastery of the Dutch language, (b) high-risk obstetrical complications during the current pregnancy including, being admitted to the obstetrical unit, (c) an acute psychosis/psychotic disorder, suicidal risks, substance abuse and dependency, or borderline personality disorder, (d) receiving a mindfulness-based intervention on regular basis during last year.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - stress, anxiety and depression will be assessed by the Depression Anxiety & Stress Scales (DASS- 21; Lovibond & Lovibond, 1995), - stressful situations in one’s life will be assessed by the Perceived Stress Scale (PSS; Cohen, 1988) - prenatal stress will be assessed by the Pregnancy Experience Scale (PES; DiPietro et al., 2008) - anxiety trait will be assessed by the subscale T-anxiety derived from the State-Trait Anxiety Index (STAI; Spielberger et al., 1983), - anxieties related to pregnancy will be assessed by the Pregnancy Related Anxieties Questionnaire - Revised (PRAQ-R; Huizink et al., 2004), - childbirth fear-eliciting beliefs will be assessed by participant’s pre-defined beliefs about childbirth- related events that cause them fear (max. 3 beliefs) and assessing the probability of those events occurring during childbirth on the Visual Analogue Scale (VAS), (0-100%), (Voncken & Bögels, 2006) - current depression symptom levels will be assessed by the Edinburgh Postnatal Depression Scale (EPDS; Cox et al., 1987), - the anxiety disorders as well as additional commonly co-occurring disorders such as depression will be assessed by the Anxiety Disorders Interview Schedule for DSM-IV (ADIS- DSM IV), (Boden & Melick, 2002), a non self-report instrument. | — |
Secondary
| Measure | Time frame |
|---|---|
| - sleep quality during the previous months will be assessed by the Pittsburgh Sleep Quality Index (PSQI; Buysse et al., 1989), - preferences for obstetrical interventions will be assessed by the Willingness to Accept Obstetrical Interventions measure (WAOI; Green, 2007), - negative thoughts about the possible catastrophic consequences of labour pain will be assessed by the Catstrophizing Labour Pain (CLP) subscale derived from the Labour Pain Coping and Cognition List (Veringa et al., 2011), - anticipated acceptance of pain during labour will be assessed by the Labour Pain Acceptance Questionnaire (LPAQ) an adaptation of the Chronic Pain Acceptance Questionnaire (CPAQ ; McCracken et al., 2004), - elements of mindfulness: observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience will be assessed by the Five Facet Mindfulness Questionnaire (FFMQ; Baer et al.2006; Dutch validation de Bruin et al., 2012), - extending compassion to one’s self will be assessed by the Self-Compassion Scale-Sort Form (SCS-SF; Raes et al., 2011), - general quality of life/health status (required for economic evaluation) will be assessed by the Five- Dimensional EuroQol instrument (EQ-5D; (EuroQol group, 1990), - healthcare costs from a societal perspective will be assessed by the Cost Evaluation in Perinatal Care Questionnaire (CEPCQ; Steensels & Veringa 2013) based on healthcare consumption by Bodden (2008), a non self-report instrument, - breastfeeding intention and status quo will be assessed by two questions: 'Are you intending to breastfeed?' and 'Do you breastfeed your baby?', - model of childbirth, setting, obstetrical complications in pregnancy and birth, child-birth weight, Apgar score, a non self-report instrument. Other study parameters Background information will be gathered such as age, place of birth, ethnicity, education level, employment, civil status, duration of relation, family compos | — |
Contacts
Nieuwe Prinsengracht 130