Mariana Vaz Marques1,2,3,*, Julieta Azevedo1,2, Sandra Xavier1,2, Frederica Carvalho1, António Macedo1,3,4, Ana Telma Pereira1,4
1Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, Portugal
2Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), University of Coimbra, Portugal
3Coimbra Hospital and University Centre (CHUC), Coimbra, Portugal
4CIBIT Coimbra Institute for Biomedical Imaging and Translational Research
*Corresponding author: Mariana Vaz Marques Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, Rua Larga, 3004-504, Coimbra, Portugal. Email: [email protected]
Received: November 29, 2022
Published: December 09, 2022
Citation: Vaz Marques M, et al. (2022). Mother in Me (MiM): A Prevention and Early Intervention Program in Perinatal Depression – A Pilot Trial. Cases. 1(1):5.
Copyright: Vaz Marques M, et al. © (2022).
Cognitive behavioral therapies and mindfulness training during pregnancy have already been recognized as important tools in improving perinatal mental health . Nevertheless, further randomized controlled trials (RCTs) are needed . This study aimed to test the efficacy of Mother in Me (MiM), a prevention/ early intervention program for perinatal depression in a pilot RCT.
32 women with depressive symptomatology and/or risk factors for perinatal depression were randomly assigned to two experimental groups (EG - MiM 8-sessions) or equivalent control groups (Treatment as Usual-TAU), filling a set of self-report questionnaires to assess psychological distress, self-compassion and mindfulness at baseline (T0 - during pregnancy), at post-intervention (T1) and at 5-weeks postpartum (T2).
Pre/post-intervention scores showed a decrease in depressive symptoms, negative affect and antenatal anxiety, as well as an increase in self-compassion (EG). In the postpartum, we found that 50% of the participants improved from the depressive symptoms and that 40% experienced a decrease in negative affect. Qualitative results supported the perceived benefits of mindfulness and self-compassion.
Even though our results were not as expressive as we might expect, there was a clinically reliable improvement in depressive symptoms in half of the experimental group. This encourages the team to improve the MiM, which is our next step, conducting a new RCT with the improved program. Keywords: perinatal depression; prevention; early intervention; pilot randomized controlled study.
Keywords: perinatal depression; prevention; early intervention; pilot randomized controlled study