The Impact of mindfulness-based counseling on stress and anxiety before surgery in pregnant women with a history of cesarean section: A Controlled Interventional Study
Niloufar Ansari, Shabnam Omidvar, Alireza Azizi, Hoda Shirafkan, Farideh Mohsenzadeh-Ledari
Research Square September 18, 2023 preprint DOI: 10.21203/rs.3.rs-3321385/v1 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental pre-test and post-test design |
|---|---|
| Sample size | 134 |
| Population | Pregnant women with a history of cesarean section |
| Intervention | Mindfulness-based counseling |
| Duration | Five 45-minute weekly sessions over five weeks |
| Measures | Spielberger anxiety questionnaire, Cohen's perceived stress questionnaire |
| Topics | Anxiety Meditation |
| Key findings | Mindfulness-based counseling delivered via WhatsApp was associated with smaller increases in latent anxiety, manifest anxiety, and perceived stress compared with a control group. The authors conclude this approach can be used in preoperative care to reduce stress and anxiety. |
Abstract
Abstract Background Stress and anxiety are difficult concepts in the preoperative care of pregnant women with a history of cesarean section and are associated with maternal complications.
Objectives: This study aimed to determine the impact of mindfulness-based counseling on the stress and anxiety of women with a history of cesarean section.
Methods: Using convenience sampling, the present study was a quasi-experimental pre-test and post-test design conducted on 134 women with a history of cesarean section. The women were randomly assigned to intervention (mindfulness-based counseling) and control groups. The intervention group received five 45-minute weekly mindfulness-based counseling over five weeks, led by the researcher via WhatsApp. Data were collected using a demographic information and the Spielberger anxiety, and Cohen's perceived stress Questionnaire before and after the intervention, completed by both groups. Data were analyzed using SPSS 22 statistical software.
Results: The mean latent anxiety scores the beginning and end of the study were(49.85 ± 7.47 vs 62.76 ± 5.14)in the control and (47.65 ± 10.35vs53.35 ± 5.92)in the intervention groups(P ≤ 0.001,MD=-31.41, %95CI:-32.80_-29.97 ,η2 = 0.93).The mean manifest anxiety scores the beginning and end of the study were (40.10 ± 7.67vs61.65 ± 4.82)in the control and(30.37 ± 3.81vs38.49 ± 6.79),in the intervention groups(P ≤ 0.001,MD=-31.79, %95CI:-34.23_ -29.35,η2 = 0.92). The mean stress scores the beginning and end of the study were(28.61 ± 6.20vs36.07 ± 4.83) in the control and (21.31 ± 7.67vs 27.85 ± 5.21) in the intervention groups (P ≤ 0.001, MD=-24.14, %95CI: -25.45_ -22.83, η2 = 0.91).
Conclusions: Considering the positive impact of mindfulness-based counseling on stress and anxiety, this approach can be used in preoperative care to reduce perceived stress and anxiety. Clinical
Trial Registration: Not applicable we were not allowed to register according to the law of our country.
Comparable studies
Other experimental studies on anxiety, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| A PILOT STUDY OF GROUP MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) FOR COMBAT VETERANS WITH POSTTRAUMATIC STRESS DISORDER (PTSD) Veterans with chronic combat posttraumatic stress disorder seeking treatment at a VA... | 2013 | Quasi-experimental with treatment-as-usual comparison group | n = 37 |
| Being present in the face of existential threat: The role of trait mindfulness in reducing defensive responses to mortality salience. | 2010 | Experimental study | |
| Neural correlates of mindfulness meditation-related anxiety relief Healthy adults with no prior meditation experience | 2013 | Within-subjects experimental study | n = 15 |
| Intensive mindfulness training-related changes in cognitive and emotional experience Community adults | 2009 | Quasi-experimental and longitudinal | n = 69 |
| Prospective examination of synthetic 5-methoxy-N,N-dimethyltryptamine inhalation: effects on salivary IL-6, cortisol levels, affect, and non-judgment Volunteers | 2019 | Within-subjects experimental study | n = 11 |