The effectiveness of mindfulness-based art therapy (MBAT) on stress and lifestyle among pregnant women referred to Neyshabur health centers

Authors
zeinab jalambadani 1
Abasalt Borji 2
Mehdy Bakaeean 3
1 Department of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran
2 Department of Basic Medical Sciences, Neyshabur University of Medical Sciences, Neyshabur, Ira
3 Department of Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran
Abstract
Introduction

Pregnant women experience more stress during pregnancy and this stress affects their lifestyle. The aim of this study was to evaluate the effectiveness of art therapy based on mindfulness as a new group intervention in psychotherapy on reducing stress and improving the lifestyle of pregnant women referred to Neyshabur urban health centers in 2018.

Materials and Methods

In a pre-test-post-test intervention with a control group, 84 pregnant women aged 15 to 45 years were randomly divided into experimental and control groups. They replied a short version of the Orly and Girdano stress scale and the Walker Health Promotion Lifestyle Questionnaire. The experimental group received 10 weeks of mindfulness-based art therapy and one month after the intervention, both groups were evaluated again with the same tools, and the data were analyzed with SPSS 20 software and statistical tests including chi-square and covariance analysis.

Results

The difference between the two experimental groups mindfulness‐based art therapy (MBAT) and the control group in terms of subscales of Physical activity, nutrition, stress management, spiritual growth, interpersonal relationships, responsibility, haste, competitiveness, greed, doing things without proper planning in the post-test phase was significant (P <0.001, P = 78.89 P).

Conclusion

Due to the usefulness of mindfulness-based art therapy on reducing stress and improving lifestyle, the use of this new method in other age groups and populations is recommended
Keywords
Stress
lifestyle
Pregnant Women
mindfulness-based art therapy
1. Ahluwalia IB, Merritt R, Beck LF, Rogers MJO, Gynecology. Multiple lifestyle and psychosocial risks and delivery of small for gestational age infants. 2001;97(5):649-56.
2. Kaiser LL, Allen LJJotADA. Position of the American Dietetic Association: nutrition and lifestyle for a healthy pregnancy outcome. 2002;102(10):1479-90.
3. Kobau R, Seligman ME, Peterson C, Diener E, Zack MM, Chapman D, et al. Mental health promotion in public health: Perspectives and strategies from positive psychology. 2011;101(8):e1-e9.
4. Sehati Shasaei F, Sheibaei FJTIJoO, Gynecology, Infertility. Lifestyle and its relation with pregnancy outcomes in pregnant women referred to Tabriz Teaching hospitals. 2015;17(131):13-9.
5. Cunningham FJWo. Maternal physiology. 2005:121-50.
6. Sword W, Heaman MI, Brooks S, Tough S, Janssen PA, Young D, et al. Women's and care providers' perspectives of quality prenatal care: a qualitative descriptive study. 2012;12(1):1-18.
7. Carlson LE, Speca M, Patel KD, Goodey EJP. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. 2004;29(4):448-74.
8. Carlson LE, Ursuliak Z, Goodey E, Angen M, Speca MJSciC. The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. 2001;9(2):112-23.
9. Carlson LE, Speca M, Patel KD, Goodey EJPm. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. 2003;65(4):571-81.
10. Brown KW, Ryan RMJJop, psychology s. The benefits of being present: mindfulness and its role in psychological well-being. 2003;84(4):822.
11. Rappaport JJVupP. Ein Plädoyer für die Widersprüchlichkeit: Ein sozialpolitisches Konzept des „empowerment “anstelle präventiver Ansätze. 1985;2(1985):257-78.
12. Monti DA, Peterson C, Kunkel EJS, Hauck WW, Pequignot E, Rhodes L, et al. A randomized, controlled trial of mindfulness‐based art therapy (MBAT) for women with cancer. 2006;15(5):363-73.
13. Holt E, Kaiser DHJTaip. The First Step Series: Art therapy for early substance abuse treatment. 2009;36(4):245-50.
14. Kabat-Zinn J, Lipworth L, Burney RJJobm. The clinical use of mindfulness meditation for the self-regulation of chronic pain. 1985;8(2):163-90.
15. Kabat‐Zinn JJCpS, practice. Mindfulness‐based interventions in context: past, present, and future. 2003;10(2):144-56.
16. Smeijsters H, Cleven GJTaip. The treatment of aggression using arts therapies in forensic psychiatry: Results of a qualitative inquiry. 2006;33(1):37-58.
17. Zahedzadeh F, Joohari Fard RJIJoPN. The Effect of Mindfulness-Based Art Therapy on Metacognitive Beliefs and Mindfulness in Women with Depression. 2018;6(5):42-9.
18. I MZ. Validity and Reliability of the Persian Version of the Health Promotion Lifestyle Life Questionnaire. Mazandaran University of Medical Sciences. 2011;21(1):103-13.
19. M H. The Effect of Cognitive-Behavioral Stress Management Training on Reducing Academic Stress due to Personal Expectations and Parents' Expectations in Students. School Psychology Magazine. 2015;4(2):22-38.
20. Mosher CE, Danoff-Burg SJJopo. A review of age differences in psychological adjustment to breast cancer. 2006;23(2-3):101-14.
21. Teasdale JD, Moore RG, Hayhurst H, Pope M, Williams S, Segal ZVJJoc, et al. Metacognitive awareness and prevention of relapse in depression: empirical evidence. 2002;70(2):275.
22. Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MAJJoc, et al. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. 2000;68(4):615.
23. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales: Psychology Foundation of Australia; 1996.
24. Rabinowitz BJO, America gcoN. Psychosocial issues in breast cancer. 2002;29(1):233.
25. Toscano ALJTUIR. Efficacy of mindfulness based cognitive therapy in the treatment of symptoms of active depression: a meta-analysis. 2015.
26. Gharaibeh M, Al‐Ma’aitah R, Al Jada NJINR. Lifestyle practices of Jordanian pregnant women. 2005;52(2):92-100.
27. Pender NJ, Walker SN, Sechrist KR, Frank-Stromborg MJNr. Predicting health-promoting lifestyles in the workplace. 1990.
28. Gokyildiz S, Alan S, Elmas E, Bostanci A, Kucuk EJIjonp. Health‐promoting lifestyle behaviours in pregnant women in T urkey. 2014;20(4):390-7.
29. Kavlak O, Atan SU, Sirin A, Sen E, Guneri SE, Dag HYJIJoNP. Pregnant T urkish women with low income: Their anxiety, health‐promoting lifestyles, and related factors. 2013;19(5):507-15.
30. Yadollahi P, Davazdahemami S, Bromandfar K, Fathizadeh NJIJoN, Research M. The relationship between life style and individual reproductively characteristics of pregnant woman. 2008;12(3).
31. Onat G, Aba YAJTJoPH. Health-promoting lifestyles and related factors among pregnant women. 2014;12(2):69.
32. Thaewpia S, Howland LC, Clark MJ, James KSJPRIJoNR. Relationships among health promoting behaviors and maternal and infant birth outcomes in older pregnant Thais. 2013;17(1):28-38.
33. Kuyken W, Watkins E, Holden E, White K, Taylor RS, Byford S, et al. How does mindfulness-based cognitive therapy work? 2010;48(11):1105-12.
34. Nyklíček I, Kuijpers KFJAoBM. Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: is increased mindfulness indeed the mechanism? 2008;35(3):331-40.
35. Pezzella G, Moslinger-Gehmayr R, Contu AJBcr, treatment. Treatment of depression in patients with breast cancer: a comparison between paroxetine and amitriptyline. 2001;70(1):1-10.
36. Monti DA, Mago R, Kunkel EJSJPS. Practical geriatrics: Depression, cognition, and anxiety among postmenopausal women with breast cancer. 2005;56(11):1353-5.