Cynthia A Leaver
Visiting again? Subjective well-being of children in elementary school and repeated visits to school health nurses
The Journal of school health
treating insomnia pregnancy improves sleep depressed mood however given wellestablished links poor sleep broad spectrum adverse maternal outcomes benefits insomnia care may reach beyond sleep depression present study evaluated preliminary efficacy perinatal understanding mindful awareness sleep pumasa mindfulness sleep programme tailored pregnancy combines behavioural sleep strategies meditationfor enhancing everyday mindfulness maternalfetal attachment well alleviating anxiety repetitive thinking sleeprelated daytime impairment conducted secondary analysis singlearm proofofconcept trial 11 pregnant women fifth edition diagnostic statistical manual mental disorders diagnosed insomnia disorder completed pumas six sessions delivered individual format via telemedicine video pre posttreatment outcomes included cognitive affective mindfulness scalerevised camsr maternalfetal attachment scale mfas generalised anxiety disorder sevenitem survey gad7 perseverative thinking questionnaire ptq daytime insomnia symptoms response scale disrs patientreported outcomes measurement information system sleeprelated impairment scale promissri symptom changes evaluated pairedsamples tests results showed pumas patients reported large increases camsr cohens dz 181 mediumlarge increases mfas scores cohens dz 073 moreover pumas patients reported large reductions scores gad7 cohens dz 109 ptq cohens dz 126 disrs cohens dz 138 promissri cohens dz 153 preliminary evidence suggests mindfulnessbased perinatal sleep programme may benefit several domains maternal wellbeing beyond sleep depression pumas substantially enhanced patient ratings everyday mindfulness maternalfetal attachment reporting alleviations anxiety perseverative thinking insomniafocused rumination sleeprelated daytime impairment