000087622 001__ 87622 000087622 005__ 20231215090950.0 000087622 0247_ $$2doi$$a10.1186/s13063-019-3739-z 000087622 0248_ $$2sideral$$a115847 000087622 037__ $$aART-2019-115847 000087622 041__ $$aeng 000087622 100__ $$aSacristan-Martin, Olga 000087622 245__ $$aA mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: Study protocol for a randomized controlled trial 000087622 260__ $$c2019 000087622 5060_ $$aAccess copy available to the general public$$fUnrestricted 000087622 5203_ $$aBackground: Pregnancy and the postpartum period are times of great change for women and their partners, often bringing substantial challenges and stress. Approximately 10%-20% of women suffer from mood disorders such as depression in the perinatal period. There are risks involved in using psychopharmacological interventions to treat perinatal depression. Mindfulness and compassion-based educational programs could be efficacious and cost-effective options for the prevention and treatment of perinatal mood disorders. The aim of this study is to assess the efficacy of an adapted Mindfulness-Based Childbirth and Parenting (MBCP) program that includes compassion training for pregnant women in primary care (PC) settings in the Spanish National Health System to decrease perinatal depression. Methods: A multicenter randomized controlled trial (RCT) will be conducted. Participants will be pregnant women (n = 122) and their partners who wish to participate. They will be enrolled and assessed in PC settings and randomly assigned to either: (1) an adapted MBCP educational program tailored to the Spanish National Health System + treatment as usual (TAU); or (2) TAU only. The main outcome to be assessed will be depression, evaluated with the Edinburgh Postnatal Depression Scale (EPDS). Secondary outcomes will include self-reported measures of perceived stress, affects, mindfulness, self-compassion, maternal self-efficacy, and use of health and social services. Patients will be assessed at four timepoints: baseline; post-treatment; and at three and six months after childbirth. Intention-to-treat and per-protocol analyses will be carried out using linear regression mixed models. Effect sizes will be estimated using Cohen''s d. Discussion: Perinatal depression is a significant health problem. An effective and low-cost childbirth education program that incorporates mindfulness and compassion practices may be a beneficial preventive complementary healthcare modality for expectant women and their partners. This study will be the first multicenter RCT in Spanish PC settings using adapted MBCP and compassion practices to reduce symptoms of depression during pregnancy and the postpartum period. 000087622 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B17-17R$$9info:eu-repo/grantAgreement/ES/ISCIII/RD16-0007-0005 000087622 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000087622 590__ $$a1.883$$b2019 000087622 591__ $$aMEDICINE, RESEARCH & EXPERIMENTAL$$b102 / 138 = 0.739$$c2019$$dQ3$$eT3 000087622 592__ $$a0.98$$b2019 000087622 593__ $$aPharmacology (medical)$$c2019$$dQ1 000087622 593__ $$aMedicine (miscellaneous)$$c2019$$dQ1 000087622 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000087622 700__ $$aSanted, Miguel A. 000087622 700__ $$0(orcid)0000-0002-3797-4218$$aGarcia-Campayo, Javier$$uUniversidad de Zaragoza 000087622 700__ $$aDuncan, Larissa G. 000087622 700__ $$aBardacke, Nancy 000087622 700__ $$aFernandez-Alonso, Carmen 000087622 700__ $$aGarcia-Sacristan, Gloria 000087622 700__ $$aGarcia-Sacristan, Diana 000087622 700__ $$0(orcid)0000-0002-2116-9257$$aBarcelo-Soler, Alberto 000087622 700__ $$0(orcid)0000-0001-5677-1662$$aMontero-Marin, Jesús 000087622 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría 000087622 773__ $$g20 (2019), 654 [15 pp.]$$pTrials$$tTrials$$x1745-6215 000087622 8564_ $$s670082$$uhttps://zaguan.unizar.es/record/87622/files/texto_completo.pdf$$yVersión publicada 000087622 8564_ $$s85418$$uhttps://zaguan.unizar.es/record/87622/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000087622 909CO $$ooai:zaguan.unizar.es:87622$$particulos$$pdriver 000087622 951__ $$a2023-12-15-08:57:54 000087622 980__ $$aARTICLE