The Effects of a Prenatal Mindfulness Intervention on Infant Autonomic and Behavioral Reactivity and Regulation

Autor: Amanda N, Noroña-Zhou, Michael, Coccia, Elissa, Epel, Cassandra, Vieten, Nancy E, Adler, Barbara, Laraia, Karen, Jones-Mason, Abbey, Alkon, Nicole R, Bush
Rok vydání: 2022
Předmět:
mindfulness
6.6 Psychological and behavioural
Clinical Trials and Supportive Activities
OR = odds ratio
Mothers
stress reactivity
Reproductive health and childbirth
Autonomic Nervous System
Stress
Cardiovascular
Medical and Health Sciences
TAU = treatment-as-usual
Pregnancy
Clinical Research
Complementary and Integrative Health
Behavioral and Social Science
Humans
prenatal programming
Conditions Affecting the Embryonic and Fetal Periods
RSA = respiratory sinus arrhythmia
Child
ANS = autonomic nervous system
Applied Psychology
intervention
Pediatric
Psychiatry
PNS = parasympathetic nervous system
Prevention
Psychology and Cognitive Sciences
Infant
Evaluation of treatments and therapeutic interventions
Perinatal Period - Conditions Originating in Perinatal Period
Respiratory Sinus Arrhythmia
Psychiatry and Mental health
Mental Health
Good Health and Well Being
PEP = preejection period
Psychological
SNS = sympathetic nervous system
Female
Mindfulness
Mind and Body
Stress
Psychological
Zdroj: Psychosomatic medicine, vol 84, iss 5
Popis: ObjectiveMaternal health and wellness during pregnancy are associated with long-term health outcomes in children. The current study examined whether infants of women who participated in a mindfulness-based intervention during pregnancy that reduced levels of stress and depression, increased physical activity, and improved glucose tolerance differed on biobehavioral markers of psychopathological and physical health risk compared with infants of women who did not.MethodsParticipants were 135 mother-infant dyads drawn from a racially and ethnically diverse, low-income sample experiencing high stress. The women participated in an intervention trial during pregnancy that involved assignment to either mindfulness-based intervention or treatment-as-usual (TAU). Infants of women from both groups were assessed at 6 months of age on sympathetic (preejection period), parasympathetic (respiratory sinus arrhythmia), and observed behavioral (negativity and object engagement) reactivity and regulation during the still face paradigm. Linear mixed-effects and generalized linear mixed-effects models were used to examine treatment group differences in infant outcomes.ResultsRelative to those in the intervention group, infants in the TAU group showed a delay in sympathetic activation and subsequent recovery across the still face paradigm. In addition, infants in the intervention group engaged in higher proportions of self-regulatory behavior during the paradigm, compared with the TAU group. No significant effect of intervention was found for parasympathetic response or for behavioral negativity during the still face paradigm.ConclusionsFindings provide evidence that maternal participation in a short-term, group mindfulness-based intervention during pregnancy is associated with the early development of salutary profiles of biobehavioral reactivity and regulation in their infants. Because these systems are relevant for psychopathology and physical health, prenatal behavioral interventions may benefit two generations.
Databáze: OpenAIRE