اثربخشی درمان تلفیقی یوگا و تمرینات ذهن‌آگاهی بر کاهش افسردگی در طول بارداری تا پس از زایمان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه روانشناسی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران.

2 دانشجوی دکتری ، گروه روان شناسی، واحد نیشابور، دانشگاه آزاد اسلامی، نیشابور، ایران

چکیده
پژوهش حاضر با هدف اثربخشی درمان تلفیقی یوگا و تمرینات ذهن‌آگاهی بر کاهش افسردگی در طول بارداری تا پس از زایمان اجرا شد. پژوهش حاضر از نوع شبه آزمایشی با پیش‌آزمون، پس‌آزمون و گروه کنترل بود. جامعه آماری پژوهش را زنان باردار شهر مشهد در سال 1403 تشکیل دادند. حجم نمونه معادل 40 نفر بود که در دو گروه آزمایش (20 نفر) و کنترل (20 نفر) قرار گرفتند. داده‌ها با استفاده از مقیاس افسردگی پس از زایمان (کاکس و همکاران، 1987) جمع‌آوری شدند و توسط نرم افزار SPSS (نسخه 26) و با استفاده از روش تحلیل کواریانس تجزیه و تحلیل شدند. نتایج تحقیق نشان دادند که افسردگی در مرحله پس آزمون در گروه آزمایش نسبت به گروه کنترل کاهش معنی داری داشته است (01/0>P). اندازه اثر برای این آزمون 474/0 به دست آمد. بنابراین، نتایج پژوهش حاضر گام مهمی جهت درمان افسردگی در طول بارداری تا پس از زایمان است.

واژه های کلیدی: یوگا، ذهن‌آگاهی، بارداری، افسردگی پس از زایمان.

کلیدواژه‌ها


عنوان مقاله English

The effectiveness of the combined treatment of yoga and mindfulness exercises on reducing depression during pregnancy and after delivery

نویسندگان English

Mehdi Akbarzadeh 1
Mahboubeh Afshar 2
1 Assistant Professor, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran.
2 PhD student,, Department of Psychology, Neyshabour Branch, Islamic Azad University, Neyshabor, Iran
چکیده English

The present study was conducted with the aim of the effectiveness of the combined treatment of yoga and mindfulness exercises on reducing depression during pregnancy and after delivery. The current research was of quasi-experimental type with pre-test, post-test and control group. The statistical population of the research was made up of pregnant women in Mashhad in 1403. The sample size was equal to 40 people who were placed in two experimental (20 people) and control (20 people) groups. The data were collected using the postpartum depression scale (Cox et al., 1987) and analyzed by SPSS software (version 26) using the analysis of covariance method. The results of the research showed that there was a significant decrease in depression in the post-test stage in the experimental group compared to the control group (P<0.01). The effect size for this test was 0.474. Therefore, The results of the present study are an important step towards the treatment of depression during pregnancy and after delivery.

Keywords: yoga, mindfulness, pregnancy, postpartum depression

کلیدواژه‌ها English

yoga
mindfulness
pregnancy
postpartum depression
احمدی کانی گلزار، ارسلان؛ قلی زاده، زلیخا(1394). اعتبار سنجی ایرانی آزمون افسردگی پس از زایمان ادینبرگ برای غربالگری افسردگی پس از زایمان. روان پرستاری، ۳ (۳)، ۱-۱۰.
صالحی کسائی، پروین(1373). مقایسه شیوع افسردگی پس از زایمان در هر دو گروه مادران دارای زایمان طبیعی و سزارین. [پایان نامه کارشناسی ارشد]. تهران، ایران: دانشگاه علوم پزشکی. دانشکده پرستاری و مامایی 1373.
بهبودی مقدم، زهرا(1386). شیوع افسردگی پس از زایمان و عوامل خطر در زنان مراجعه‌کننده به مراکز بهداشتی درمانی دانشگاه علوم پزشکی بهشتی. [پایان­نامه کارشناسی ارشد]. تهران، ایران: دانشکده پرستاری و مامایی.
صالحی مبارکه، فاطمه؛ یونسی سینکی، مهسا؛ زلقی، فاطمه؛ رمضانخانی، سمیرا و جعفریان، بنت الهدی(1403). مقایسه اثربخشی آموزش گروهی کاهش استرس مبتنی بر ذهن آگاهی با درمان گروهی برنامه زمانی پارادوکس بر ابعاد خستگی و کیفیت خواب در زنان مبتلا به اختلال بی‌خوابی. فصلنامه پژوهش‌های کاربردی در مشاوره.
صالحی، حانیه؛ مقدم کوشا، صدیقه؛ کاظمی دلیوند، فردوس و میرزایی، نگار(1400).  اضطراب بیماری در پرستاران بیمارستان : پیش بین‌های ذهن آگاهی و انعطافپذیری روان‌شناختی در دوران کووید. پژوهش‌های کاربردی در مشاوره، 4 (3)، 113-130.
 
Arieira G. (2017). Yoga That Leads to Fullness: The Yoga Sutras of Patañjali. Sextante; 2017.
Batt MM, Duffy KA, Novick AM, Metcalf CA, Epperson CN. (2020). Is Postpartum Depression Different From Depression Occurring Outside of the Perinatal Period? A Review of the Evidence. Focus (Am Psychiatr Publ), 18(2):106-19. https://doi.org/10.1176/appi.focus.20190045.
Benzo RP, Kirsch JL, Nelson C. (2017). Compassion, mindfulness, and the happiness of healthcare workers. Explore. 2017;13(3):201–6. https://doi.org/10.1016/j.explore.2017.02.001.
Besten, M. E., van Vugt, M., Riese, H., Bockting, C. L., Ostafin, B. D., Aleman, A., & van Tol, M. J. (2024). Understanding mechanisms of depression prevention: study protocol of a randomized cross-over trial to investigate mechanisms of mindfulness and positive fantasizing as intervention techniques for reducing perseverative cognition in remitted depressed individuals. BMC psychiatry, 24(1), 1-14.‏
Bodhi B. (2011). What does mindfulness really mean? a canonical perspective. Contemporary Buddhism, 12(1):19–39. https://doi.org/10.1080/14639947.2011.564813.
Bravo C, Skjaerven LH, Guitard Sein-Echaluce L, Catalan-Matamoros D. (2019). Effectiveness of movement and body awareness therapies in patients with fibromyalgia: a systematic review and meta-analysis. Eur J Phys Rehabil Med, 55(5): 646-657. doi:10.23736/S1973-9087.19.05291-2
Brinsley, J, Schuch, F, Lederman, O, Girard, D, Smout, M, Immink, MA, et al. (2021). Effects of yoga on depressive symptoms in people with mental disorders: A systematic review and meta-analysis. Br J Sports Med. 55:992–1000. doi: 10.1136/bjsports-2019-101242
Brown KW, Ryan RM. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. J Pers Soc Psychol, 84(4):822–48. https://doi.org/10.1037/0022-3514.84.4.822.
Cox, JL., Holden, JM., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782-786.
Cramer, H, Anheyer, D, Lauche, R, and Dobos, G. (2017). A systematic review of yoga for major depressive disorder. J Affect Disord, 213, 70–7. doi: 10.1016/j.jad.2017.02.006
Cramer, H, Lauche, R, Anheyer, D, Pilkington, K, de Manincor, M, Dobos, G, et al. (2018). Yoga for anxiety: A systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 35, 830–43. doi: 10.1002/da.22762Cramer, H, Lauche, R, Langhorst, J, and Dobos, G. Yoga for depression: A systematic review and meta-analysis. Depress Anxiety. (2013) 30:1068–83. doi: 10.1002/da.22166
Cramer, H, Lauche, R, Klose, P, Lange, S, Langhorst, J, and Dobos, GJ. (2017). Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev. 1:Cd010802. doi: 10.1002/14651858.CD010802.pub2
D'Alessio L, Korman GP, Sarudiansky M, Guelman LR, Scevola L, Pastore A, et al. (2020). Reducing Allostatic Load in Depression and Anxiety Disorders: Physical Activity and Yoga Practice as Add-On Therapies. Front Psychiatry, 11:501.
Davis K, Goodman SH, Leiferman J, Taylor M, Dimidjian S. (2015). A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety. Complement Ther Clin Pract, 21(3),166-72. https://doi.org/10.1016/j.ctcp.2015.06.005.
de Orleans Casagrande, P., Coimbra, D. R., de Souza, L. C., & Andrade, A. (2023). Effects of yoga on depressive symptoms, anxiety, sleep quality, and mood in patients with rheumatic diseases: Systematic review and meta‐analysis. PM&R, 15(7), 899-915.
Evanger, L. N., Flo-Groeneboom, E., Sørensen, L., & Schanche, E. (2024). Mindfulness-based cognitive therapy improves insomnia symptoms in individuals with recurrent depression: secondary analyses from a randomized controlled trial. Frontiers in Psychiatry, 14, 1231040.‏
Figueira, H. A., Figueira, O. A., Figueira, A. A., Figueira, J. A., Polo-Ledesma, R. E., Lyra da Silva, C. R., & Dantas, E. H. M. (2023). Impact of physical activity on anxiety, depression, stress and quality of life of the older people in Brazil. International Journal of Environmental Research and Public Health, 20(2), 1127.‏
Fort-Rocamora, C., Casañas, R., Torres-Torres, A., Mas-Expósito, L., González, M., & Carbonero-Judez, M. T. (2024). Evaluation of a group intervention based on Mindfulness in patients with anxiety and depression cared for in mental health community center: a quasy-experimental study. Enfermería Clínica (English Edition), 34(1), 14-22.‏
Hofmann SG, Gómez AF. (2017). Mindfulness-based interventions for anxiety and depression. Psychiatr Clin North Am, 40(4), 739–49. https://doi.org/10.1016/j.psc.2017.08.008.
Kabat-Zinn J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clin Psychol Sci Pract, 10(2), 144–56.
Kandola A, Ashdown-Franks G, Hendrikse J, Sabiston CM, Stubbs B. (2019). Physical activity and depression: towards understanding the antidepressant mechanisms of physical activity. Neurosci Biobehav Rev, 107, 525-539. doi:10.1016/‌j.neubiorev‌.2019.09.040
Ko, Y., Lin, P., Yang, C., Chen, C. and Shih, H. (2015) Pilot Study on an Integrated Pilates and Yoga Program for Decreasing Postpartum Depression in Women. Open Journal of Nursing, 5, 885-892. doi: 10.4236/ojn.2015.510093.
Ko, Y.L., Yang, C.L. and Chiang, L.C. (2008) Effects of Postpartum Exercise Program on Fatigue and Depression during Doing the Month Period. Journal of Nursing Research, 16, 177-186.
Liu, J., Duan, W., Xiao, Z., & Wu, Y. (2024). The effectiveness of online group mindfulness-based cognitive therapy for outpatients with depression in China. Journal of Affective Disorders, 351, 387-391.‏
Neches, S. K., Perez, K., Puia-Dumitrescu, M., Mayock, D. E., Umoren, R., & Juul, S. E. (2024). Yoga in the neonatal intensive care unit for parents (YIN): Evaluating the acceptability of an online intervention for parents of sick and preterm infants. Journal of Neonatal Nursing, 30(1), 57-62.
Newham JJ, Wittkowski A, Hurley J, Aplin JD, Westwood M. (2014). Effects of antenatal yoga on maternal anxiety and depression: a randomized controlled trial. Depress Anxiety, 31(8), 631-40. https://doi.org/10.1002/da.22268.
Potsch, L., & Rief, W. (2024). Effectiveness of behavioral activation and mindfulness in increasing reward sensitivity and reducing depressive symptoms-A randomized controlled trial. Behaviour Research and Therapy, 173, 104455.‏
Qubo Z. (2022). Exploring the effect of positive cognitive training on sleep problems and psychological state of college students in depressive state. Reflexology Rehabil Med, 3(14):164–7.
Reangsing, C., Punsuwun, S., & Oerther, S. (2024). Effects of mindfulness-based interventions (MBIs) on depression in pregnant women: A systematic review and meta-analysis. Journal of Affective Disorders.‏
Saeed, SA, Cunningham, K, and Bloch, RM. (2019). Depression and anxiety disorders: Benefits of exercise, yoga, and meditation. Am Fam Physician. 99:620–7.
Saharoy, R.; Potdukhe, A.; Wanjari, M.; Taksande, A. B. (2023). Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants. Cureus, 15 (7).
Shah, N., Bhavsar, V., Bhatiya, T., & Mulla, T. (2024). Navigating the Depths: Understanding Postpartum Depression.‏ Taufik Mulla, Int. J. of Pharm. Sci., 2, 3, 1143-1161.
Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., ... & Maher, C. (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. British journal of sports medicine, 57(18), 1203-1209.‏
Thornton, JS, Frémont, P, Khan, K, Poirier, P, Fowles, J, Wells, GD, et al. (2016). Physical activity prescription: A critical opportunity to address a modifiable risk factor for the prevention and Management of Chronic Disease: A position statement by the Canadian academy of sport and exercise medicine. Br J Sports Med, 50, 1109–14. doi: 10.1136/bjsports-2016-096291
Trapani, S., Caglioni, M., Villa, G., Manara, D. F., & Caruso, R. (2024). Mindfulness-based interventions during pregnancy and long-term effects on postpartum depression and maternal mental health: a systematic review and meta-analysis of randomized controlled trials. Journal of Integrative and Complementary Medicine, 30(2), 107-120.‏
Wieland, LS, Skoetz, N, Pilkington, K, Harbin, S, Vempati, R, and Berman, BM. (2022). Yoga for chronic non-specific low back pain. Cochrane Database Syst Rev. 11:Cd010671. doi: 10.1002/14651858.CD010671.pub3
Wu Y, Yan D and Yang J (2023) Effectiveness of yoga for major depressive disorder: A systematic review and meta-analysis. Front. Psychiatry. 14:1138205. doi: 10.3389/fpsyt.‌2023.1138205
Zhang, J., Zheng, S., Hu, Z. et al. (2024). Effects of mindfulness on depression in college students: mediating role of psychological resilience and moderating role of gender. BMC Psychol 12, 27 (2024). https://doi.org/10.1186/s40359-023-01468-w