Relationship Between Mindfulness and Posttraumatic Stress in Women Who Experienced Stillbirth.
Jennifer Huberty, Jeni Green, Joanne Cacciatore, Matthew P Buman, Jenn Leiferman
Journal of Obstetric, Gynecologic, and Neonatal Nursing October 5, 2018 DOI: 10.1016/j.jogn.2018.09.002 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional study Peer reviewed |
|---|---|
| Sample size | 74 |
| Population | Women in the United States who experienced stillbirth within the past 2 years |
| Measures | COPE Inventory |
| Topics | Depression Meditation PTSD |
| Keywords | Humans Cross-sectional studies Adaptation, psychological Grief Stress disorders, post-traumatic Mental status schedule Pregnancy Adult Female Stillbirth Resilience, psychological Sleep hygiene Perinatal death |
| Key findings | Mindfulness had a significant inverse relationship with posttraumatic stress symptoms, mediated by sleep quality, in women who experienced stillbirth. The authors suggest mindfulness practices may have potential benefits for grieving women after stillbirth and that improving sleep quality may also be important for reducing PTS symptoms. |
Abstract
Objective: To explore the potential factors that mediate the relationship between mindfulness and symptoms of posttraumatic stress (PTS) in women who experienced stillbirth.
Design: A cross-sectional analysis of baseline data before women's participation in an online mindfulness intervention (i.e., online yoga).
Setting: This was a national study, and women participated in their own homes.
Participants: Women who experienced stillbirth (N = 74) within the past 2 years and resided in the United States.
Methods: Women were recruited nationally, primarily through social media.
Participants: (N = 74) completed baseline assessments (self-report mental and physical health surveys) via a Web-based survey tool. We conducted an exploratory factor analysis of the COPE Inventory subscales to reduce the number of variables before entry into a mediation model. We then tested the mediation effects of sleep quality, self-esteem, resilience, and maladaptive coping on the relationship between mindfulness and PTS symptoms.
Results: Through the exploratory factor analysis we identified a two-factor solution. The first factor included nine subscales that represented adaptive coping strategies, and the second factor included five subscales that represented maladaptive coping strategies. Results from multiple mediation analysis suggested that mindfulness had a significant inverse relationship to PTS symptoms mediated by sleep quality.
Conclusion: Mindfulness practices may have potential benefits for grieving women after stillbirth. Evidence-based approaches to improve sleep quality also may be important to reduce PTS symptoms in women after stillbirth.
Comparable studies
Other cross-sectional and survey studies on depression, most cited first.