The aim of this study is to determine if a hospital-based antenatal yoga program (HB-AYP) is a feasible, acceptable and potentially efficacious intervention for women with antenatal anxiety and/or depression?
Anxiety and depression are the most common psychological symptoms reported in pregnant women and can result in adverse obstetric, neonatal and post-partum mental health outcomes. Although there is a range of effective first-line treatments for anxiety and depression, these treatments are not without limitations. Concerns about the safety of antidepressant medication during pregnancy, lack of access to affordable psychosocial treatments and reluctance to seek mental health care due to stigma may prevent pregnant women from receiving optimal care for their symptoms. Recently, there has been growing interest in alternative and complementary approaches to manage anxiety and depression. These approaches may offer women with antenatal anxiety and depression an alternative treatment option that may be more acceptable and perceived as more holistic and less stigmatizing than conventional mental health care. One way to optimize access to yoga therapy during prenatal care is to implement an antenatal yoga program within a public healthcare system. Accordingly, the overarching aim of this study is to evaluate the feasibility of a hospital-based antenatal yoga program (HB-AYP) plus treatment as usual for anxiety and depression, and obtain preliminary data on its potential efficacy relative to treatment as usual plus biweekly clinical monitoring(TAU) This pilot research will provide much needed preliminary data that will set the foundation for designing a fully-powered prospective randomized controlled trial (RCT) of a HB-AYP. In the long term, it is hoped that this line of research will influence evidence-based clinical guidelines for managing antenatal anxiety and depression and service delivery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
The yoga intervention consists of 8 weekly group sessions. The intervention is based on hatha yoga system. TAU is usual care participants receive from their health care provider
clinical monitoring includes bi-weekly 15-20 minute telephone contact with participants. TAU is usual care participants receive from their health care provider.
Edinburgh Postnatal Depression Scale
measure of depressive symptoms
Time frame: Baseline; week 4; week 8; bimonthly until 6 months postpartium
Perceived Stress Scale
measure of stress
Time frame: Baseline; Week 8; bimonthly until 6-months postpartum;
Interpersonal Relationships Inventory (interpersonal support subscale)
Measure of interpersonal support
Time frame: Baseline; Week 8; 6-months post-partum
Dyadic Adjustment Scale
Measure of marital adjustment
Time frame: Baseline; Week 8; 6-months post-partum
Five Facet Mindfulness Scale
Measure of facets of mindfulness
Time frame: Baseline; Week 8; 6-months post-partum
Self-Compassion Scale
Measure of self-compassion
Time frame: Baseline; Week 8; 6-months post-partum
Prenatal Attachment Inventory
Measure of prenatal attachment
Time frame: Baseline; Week 8
Post-partum bonding questionnaire
Measure of post-partum bonding
Time frame: 6-months postpartum
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