Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review

Poor lifestyle behaviors impact (pre)pregnant women by affecting pregnancy outcomes and offspring health. This systematic review provides an overview of psychological therapies to support lifestyle behavior changes among (pre)pregnant women.Scientific databases were searched from their inception to...

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Autores principales:	M. van der Windt, S.K.M. van Zundert, S. Schoenmakers, P.W. Jansen, L. van Rossem, R.P.M. Steegers-Theunissen
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Pregnancy Lifestyle behavior Psychological therapy Nutrition Substance use Medicine R
Acceso en línea:	https://doaj.org/article/dc4293fec9f544a088e3d066b13a5a64
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spelling	oai:doaj.org-article:dc4293fec9f544a088e3d066b13a5a642021-11-12T04:31:46ZEffective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review2211-335510.1016/j.pmedr.2021.101631https://doaj.org/article/dc4293fec9f544a088e3d066b13a5a642021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003223https://doaj.org/toc/2211-3355Poor lifestyle behaviors impact (pre)pregnant women by affecting pregnancy outcomes and offspring health. This systematic review provides an overview of psychological therapies to support lifestyle behavior changes among (pre)pregnant women.Scientific databases were searched from their inception to 20 December 2020 for studies investigating the effects of psychological therapies on improvements in lifestyle behaviors.Studies were eligible if they included (pre)pregnant women, examined the effects of a psychological therapy on at least one lifestyle behavior and used a control group receiving usual pregnancy care or a non-psychological intervention. Lifestyle behaviors of interest were dietary intake, physical activity, smoking, alcohol consumption, drug use, body weight loss and body weight gain during pregnancy. Pregnancy complications were included as outcome measures.Motivational interviewing (MI) (n = 21), cognitive behavioral therapy (CBT) (n = 8), incentive-based contingency management (IBCM) (n = 9), mindfulness (n = 1) and hypnosis (n = 1) were investigated as lifestyle behavior interventions. The findings revealed that MI was effective in reducing (self-reported) smoking and alcohol consumption and restricting gestational weight gain (GWG). CBT was only studied as an intervention to restrict GWG and the results predominantly confirmed its effectiveness. IBCM showed the strongest effect on reducing smoking and substance use. The studies using hypnosis or mindfulness to reduce smoking or restrict GWG, respectively, showed no associations.The use of psychological therapies to improve lifestyle behaviors among (pre)pregnant women is new and the scientific proof is promising. Before wide implementation is legitimated, more evidence is needed on the consequences of lifestyle change for pregnancy outcomes.M. van der WindtS.K.M. van ZundertS. SchoenmakersP.W. JansenL. van RossemR.P.M. Steegers-TheunissenElsevierarticlePregnancyLifestyle behaviorPsychological therapyNutritionSubstance useMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101631- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pregnancy Lifestyle behavior Psychological therapy Nutrition Substance use Medicine R
spellingShingle	Pregnancy Lifestyle behavior Psychological therapy Nutrition Substance use Medicine R M. van der Windt S.K.M. van Zundert S. Schoenmakers P.W. Jansen L. van Rossem R.P.M. Steegers-Theunissen Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review
description	Poor lifestyle behaviors impact (pre)pregnant women by affecting pregnancy outcomes and offspring health. This systematic review provides an overview of psychological therapies to support lifestyle behavior changes among (pre)pregnant women.Scientific databases were searched from their inception to 20 December 2020 for studies investigating the effects of psychological therapies on improvements in lifestyle behaviors.Studies were eligible if they included (pre)pregnant women, examined the effects of a psychological therapy on at least one lifestyle behavior and used a control group receiving usual pregnancy care or a non-psychological intervention. Lifestyle behaviors of interest were dietary intake, physical activity, smoking, alcohol consumption, drug use, body weight loss and body weight gain during pregnancy. Pregnancy complications were included as outcome measures.Motivational interviewing (MI) (n = 21), cognitive behavioral therapy (CBT) (n = 8), incentive-based contingency management (IBCM) (n = 9), mindfulness (n = 1) and hypnosis (n = 1) were investigated as lifestyle behavior interventions. The findings revealed that MI was effective in reducing (self-reported) smoking and alcohol consumption and restricting gestational weight gain (GWG). CBT was only studied as an intervention to restrict GWG and the results predominantly confirmed its effectiveness. IBCM showed the strongest effect on reducing smoking and substance use. The studies using hypnosis or mindfulness to reduce smoking or restrict GWG, respectively, showed no associations.The use of psychological therapies to improve lifestyle behaviors among (pre)pregnant women is new and the scientific proof is promising. Before wide implementation is legitimated, more evidence is needed on the consequences of lifestyle change for pregnancy outcomes.
format	article
author	M. van der Windt S.K.M. van Zundert S. Schoenmakers P.W. Jansen L. van Rossem R.P.M. Steegers-Theunissen
author_facet	M. van der Windt S.K.M. van Zundert S. Schoenmakers P.W. Jansen L. van Rossem R.P.M. Steegers-Theunissen
author_sort	M. van der Windt
title	Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review
title_short	Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review
title_full	Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review
title_fullStr	Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review
title_full_unstemmed	Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review
title_sort	effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: a systematic review
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/dc4293fec9f544a088e3d066b13a5a64
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Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review

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