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Mika Hirata

5 papers in the library · 26 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 A Afaneh, David A 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...

Psilocybin for psychiatric disorders: History, clinical trials, neuroimaging, and regulations

Psychiatry and Clinical Neurosciences February 26, 2026 Kengo Yonezawa, Mika Hirata, Hiroaki Takano et al. 1 citation

Psilocybin, a classic psychedelic compound, has garnered renewed interest as a potential treatment for various psychiatric disorders. This review provides a comprehensive overview of psilocybin's history, recent clinical evidence, ongoing clinical trials, neuroimaging findings, and regulations. Historically used in spiritual and healing rituals, psilocybin was in the early 1970s subjected to...

0564 Trait Mindfulness Protects Against the Harmful Effects of Nocturnal Cognitive Arousal on Insomnia and Depression Symptoms in Pregnancy and Postpartum

Sleep May 1, 2025 Mika Hirata, Heba A Afaneh, Ishana Kapoor et al.

Perinatal women are highly vulnerable to insomnia and depression. High cognitive arousal (e.g., worry, rumination) at night is a key risk factor for developing insomnia and depression during this period. However, mindfulness skills have been proposed to reduce risk for negative health outcomes by protecting individuals against the harmful effects of cognitive arousal. This prospective study...

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 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....