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Mika Hirata

3 papers in the library · 25 citations · publishing 2023-2026

Papers

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0476 Mindfulness Enhances Antidepressant Outcomes for Pregnant Women with Insomnia and Depression: A Comparative Effectiveness Randomized Controlled Trial

SLEEPJ May 8, 2026 Heba Afaneh, David Kalmbach, Philip Cheng et al.

Abstract Introduction Insomnia affects half of pregnant women and increases risk for depression. Identifying effective treatments for co-occurring insomnia and depression during pregnancy remains a critical priority. Cognitive-behavioral therapy for insomnia (CBTI) improves sleep quality but has limited impact on depression—an effect attributed to persistent cognitive arousal (worry and...

Preliminary evidence of psychological improvements and increased maternal-fetal attachment associated with a mindfulness sleep programme: secondary analysis of uncontrolled data in 11 pregnant women with insomnia disorder.

Journal of Sleep Research February 1, 2024 David A Kalmbach, Anthony N Reffi, Jason C Ong et al. 9 citations

Treating insomnia during pregnancy improves sleep and depressed mood. However, given well-established links between poor sleep and a broad spectrum of adverse maternal outcomes, the benefits of insomnia care may reach beyond sleep and depression. The present study evaluated the preliminary efficacy of 'Perinatal Understanding of Mindful Awareness for Sleep' (PUMAS)-a mindfulness sleep programme...

Reducing cognitive arousal and sleep effort alleviates insomnia and depression in pregnant women with DSM-5 insomnia disorder treated with a mindfulness sleep program.

Sleep advances : a journal of the Sleep Research Society 2023 David A Kalmbach, Philip Cheng, Anthony N Reffi et al. 16 citations

Combining mindfulness with behavioral sleep strategies has been found to alleviate symptoms of insomnia and depression during pregnancy, but mechanisms for this treatment approach remain unclear. The present study examined nocturnal cognitive arousal and sleep effort as potential treatment mechanisms for alleviating insomnia and depression via a mindfulness sleep program for pregnant women....