Effect of Mindfulness-Based Stress Reduction Program on Psychological Distress, Attachment, Coping and Caring Behavior of Mothers of Neonates with Congenital Anomalies

Document Type : Original Article

Authors

1 Lecturer of pediatric nursing, faculty of nursing, Tanta University, Egypt.

2 Assistant Professor of pediatric nursing, faculty of nursing, Tanta University, Egypt.

3 Assistant Professor of psychiatric & mental health nursing, Department of Nursing, College of Applied Medical Sciences, University of Jeddah, Jeddah, Saudi Arabia. Assistant Professor of psychiatric & mental health nursing, Faculty of Nursing, Mansoura University, Dakahlia Governorate, Egypt

4 Assistant Professor of psychiatric & mental health nursing, faculty of nursing, Tanta University, Egypt.

10.21608/menj.2025.447336

Abstract

Abstract: Background: For families, especially mothers, the birth of a newborn with congenital defects is frequently difficult and unexpected experience. Purpose: To identify the effect of mindfulness-based stress reduction program on psychological distress, attachment, coping and caring behavior of mothers of neonates with congenital anomalies. Setting: The study was conducted at neonatal intensive care unit and outpatient pediatric clinics of Tanta University Hospital. Design: quasi-experimental (single group pre, post and follow-up). Sampling: 60 mothers of neonates with congenital anomalies were chosen as a convenience sample. Instruments: Three instruments were used (Kessler Psychological Distress Scale., Maternal Postnatal Attachment Scale, Coping Health Inventory for Parents questionnaire and Caring behavior). Results: There was a reduction in the level of psychological distress among mothers (53.3% had mild distress posttest Vs 75%of them had moderate &sever distress before program). Also, there was an increase in mean score of coping behavior (73.3% helpful coping on posttest Vs 60% not helpful coping on pretest). Besides, there was an improvement in maternal attachment (57.74± 7.92 posttest Vs 24.32±2.53 pretest) and increase in caring behavior (95% good care posttest Vs 91.7% poor pretest) Conclusion: Mothers who attended mindfulness-based stress reduction program had lower level of psychological distress, higher level of maternal attachment, higher level of helpful coping and higher level of good caring behavior on post program than before. Recommendations: The current program should be involved as a usual routine intervention for all mothers having neonates with congenital anomalies.