Intervention for Back Pain & Stress in Pregnancy

背痛干预

• 批准号: 6886397
• 负责人: Amy E Beddoe
• 金额: $ 2.96万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-01-01 至 2007-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6886397
• 关键词: absenteeism; alternative medicine; anxiety; backache; behavioral /social science research tag; birth; body temperature; clinical research; cortisol; emotions; female; functional ability; human pregnant subject; human therapy evaluation; meditation; patient oriented research; postpartum; predoctoral investigator; pregnancy; prenatal care; psychological stressor; sleep; stress; stress management; women' s health

DESCRIPTION (provided by applicant): Low back pain (LBP) is a disabling and costly condition. At least 50% of all pregnant women experience LBP which may interfere with daily activities, work, and persist for years beyond pregnancy. Although mindfulness-based stress reduction (MBSR) has been effective in management of physical and psychological symptoms including pain, no published clinical trials address MBSR and pregnant women. The focus of this research training proposal is to compare and evaluate the effects of an MBSR treatment that includes a yoga component for pregnant women, to a control group who receive standard prenatal care and attend childbirth preparation class. Data will be gathered at baseline, weekly until delivery, and at 2 months postpartum. Components to be examined in participants include: a) LBP incidence, perceived intensity, frequency, and interference with daily living; b) impact of treatment on perceived pain, anxiety, stress, sleep, and salivary cortisol levels; c) bidirectional relationships between variables; and d) the role of the intervention on length of labor, type of delivery, and infant temperament. Through analysis of interrelationships of the data, a better understanding of the influence of MBSR on overall functioning of pregnant women is anticipated.

描述（由申请人提供）： 腰痛 (LBP) 是一种致残且昂贵的疾病。至少 50% 的孕妇患有腰痛，这可能会干扰日常活动、工作，并在怀孕后持续数年。尽管基于正念的减压 (MBSR) 在治疗包括疼痛在内的身体和心理症状方面一直有效，但尚未发表针对 MBSR 和孕妇的临床试验。这项研究培训计划的重点是比较和评估包含瑜伽成分的 MBSR 治疗对孕妇的效果，以及接受标准产前护理和参加分娩准备课程的对照组的效果。将在基线、分娩前每周以及产后 2 个月收集数据。对参与者进行的检查包括： a) LBP 发生率、感知强度、频率以及对日常生活的干扰； b) 治疗对感知疼痛、焦虑、压力、睡眠和唾液皮质醇水平的影响； c) 变量之间的双向关系； d) 干预对产程时长、分娩类型和婴儿气质的作用。通过分析数据之间的相互关系，预计可以更好地了解 MBSR 对孕妇整体功能的影响。