Effects of cognitive-behavioural therapy for stress management on stress and hair cortisol levels in pregnant women: A randomised controlled trial
To demonstrate the effectiveness of a cognitive behavioural therapy for stress management in pregnant women in the reduction of psychological stress and hair cortisol levels. The trial was controlled and randomised, with a total of 78 pregnant women: control group (n-39) and Cognitive Behavioural Th...
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| Veröffentlicht in: | Journal of psychosomatic research 2020-08, Vol.135, p.110162-110162, Article 110162 |
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| container_title | Journal of psychosomatic research |
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| creator | Romero-Gonzalez, Borja Puertas-Gonzalez, Jose A. Strivens-Vilchez, Helen Gonzalez-Perez, Raquel Peralta-Ramirez, M. Isabel |
| description | To demonstrate the effectiveness of a cognitive behavioural therapy for stress management in pregnant women in the reduction of psychological stress and hair cortisol levels.
The trial was controlled and randomised, with a total of 78 pregnant women: control group (n-39) and Cognitive Behavioural Therapy group (n-39). To test the therapy's efficacy, an evaluation of the primary outcome (hair cortisol levels) and secondary outcomes (psychological stress, psychopathological symptomatology and resilience) was conducted before and after the treatment. The therapy was conducted during 8 sessions (one per week) in a group setting. The study was registered as a Randomised Controlled Trial with the code NCT03404141.
The results showed a group time interaction between hair cortisol levels, psychological stress (perceived and pregnancy-specific), and in the exacerbation and severity of psychopathological symptoms. These variables presented reductions after treatment only in the Cognitive Behavioural Therapy group.
Using a novel way of assessing chronic stress (psychological and objective measures as hair cortisol levels), this is the first study that has shown a decrease in both the levels of cortisol in hair and in psychological stress. This decline could have implications for maternal and fetal health.
•Prenatal stress has serious consequences in maternal and foetal health.•Cognitive Behavioural Therapy could reduce cortisol levels in pregnant women.•CBT could also reduce psychological stress during pregnancy.•It could be possible to reduce negative outcomes of prenatal stress with a CBT. |
| doi_str_mv | 10.1016/j.jpsychores.2020.110162 |
| format | Article |
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The trial was controlled and randomised, with a total of 78 pregnant women: control group (n-39) and Cognitive Behavioural Therapy group (n-39). To test the therapy's efficacy, an evaluation of the primary outcome (hair cortisol levels) and secondary outcomes (psychological stress, psychopathological symptomatology and resilience) was conducted before and after the treatment. The therapy was conducted during 8 sessions (one per week) in a group setting. The study was registered as a Randomised Controlled Trial with the code NCT03404141.
The results showed a group time interaction between hair cortisol levels, psychological stress (perceived and pregnancy-specific), and in the exacerbation and severity of psychopathological symptoms. These variables presented reductions after treatment only in the Cognitive Behavioural Therapy group.
Using a novel way of assessing chronic stress (psychological and objective measures as hair cortisol levels), this is the first study that has shown a decrease in both the levels of cortisol in hair and in psychological stress. This decline could have implications for maternal and fetal health.
•Prenatal stress has serious consequences in maternal and foetal health.•Cognitive Behavioural Therapy could reduce cortisol levels in pregnant women.•CBT could also reduce psychological stress during pregnancy.•It could be possible to reduce negative outcomes of prenatal stress with a CBT.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2020.110162</identifier><identifier>PMID: 32485622</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Behavior modification ; Behavioural ; CBT ; Cognitive ; Cognitive ability ; Cognitive Behavioral Therapy ; Cognitive therapy ; Cognitive-behavioral factors ; Cortisol ; Counseling ; Efficacy ; Female ; Fetuses ; Group therapy ; Hair ; Hair - metabolism ; Health status ; Hormones ; Humans ; Hydrocortisone - metabolism ; Maternal & child health ; Maternal characteristics ; Pregnancy ; Pregnancy Complications - metabolism ; Pregnancy Complications - psychology ; Pregnancy Complications - therapy ; Prenatal Care ; Psychopathology ; Resilience ; Stress ; Stress management ; Stress, Psychological - metabolism ; Stress, Psychological - psychology ; Stress, Psychological - therapy</subject><ispartof>Journal of psychosomatic research, 2020-08, Vol.135, p.110162-110162, Article 110162</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Aug 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-fc08f809cc2ef3ffc00916cf02f3cdf167d48322b93d550357a8e1853f4f8dba3</citedby><cites>FETCH-LOGICAL-c402t-fc08f809cc2ef3ffc00916cf02f3cdf167d48322b93d550357a8e1853f4f8dba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022399920302543$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,30978,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32485622$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Romero-Gonzalez, Borja</creatorcontrib><creatorcontrib>Puertas-Gonzalez, Jose A.</creatorcontrib><creatorcontrib>Strivens-Vilchez, Helen</creatorcontrib><creatorcontrib>Gonzalez-Perez, Raquel</creatorcontrib><creatorcontrib>Peralta-Ramirez, M. Isabel</creatorcontrib><title>Effects of cognitive-behavioural therapy for stress management on stress and hair cortisol levels in pregnant women: A randomised controlled trial</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>To demonstrate the effectiveness of a cognitive behavioural therapy for stress management in pregnant women in the reduction of psychological stress and hair cortisol levels.
The trial was controlled and randomised, with a total of 78 pregnant women: control group (n-39) and Cognitive Behavioural Therapy group (n-39). To test the therapy's efficacy, an evaluation of the primary outcome (hair cortisol levels) and secondary outcomes (psychological stress, psychopathological symptomatology and resilience) was conducted before and after the treatment. The therapy was conducted during 8 sessions (one per week) in a group setting. The study was registered as a Randomised Controlled Trial with the code NCT03404141.
The results showed a group time interaction between hair cortisol levels, psychological stress (perceived and pregnancy-specific), and in the exacerbation and severity of psychopathological symptoms. These variables presented reductions after treatment only in the Cognitive Behavioural Therapy group.
Using a novel way of assessing chronic stress (psychological and objective measures as hair cortisol levels), this is the first study that has shown a decrease in both the levels of cortisol in hair and in psychological stress. This decline could have implications for maternal and fetal health.
•Prenatal stress has serious consequences in maternal and foetal health.•Cognitive Behavioural Therapy could reduce cortisol levels in pregnant women.•CBT could also reduce psychological stress during pregnancy.•It could be possible to reduce negative outcomes of prenatal stress with a CBT.</description><subject>Adult</subject><subject>Behavior modification</subject><subject>Behavioural</subject><subject>CBT</subject><subject>Cognitive</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy</subject><subject>Cognitive therapy</subject><subject>Cognitive-behavioral factors</subject><subject>Cortisol</subject><subject>Counseling</subject><subject>Efficacy</subject><subject>Female</subject><subject>Fetuses</subject><subject>Group therapy</subject><subject>Hair</subject><subject>Hair - metabolism</subject><subject>Health status</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hydrocortisone - metabolism</subject><subject>Maternal & child health</subject><subject>Maternal characteristics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - metabolism</subject><subject>Pregnancy Complications - psychology</subject><subject>Pregnancy Complications - therapy</subject><subject>Prenatal Care</subject><subject>Psychopathology</subject><subject>Resilience</subject><subject>Stress</subject><subject>Stress management</subject><subject>Stress, Psychological - metabolism</subject><subject>Stress, Psychological - psychology</subject><subject>Stress, Psychological - therapy</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkcuOEzEQRVsIxISBX0CW2LDp4Ed3x2Y3jIaHNBIbWFuOu5y45bYb2wnKb_DFVJQZkNiwcrl07q1S3aYhjK4ZZcO7aT0t5WT3KUNZc8qxfe7zJ82KyY1qmRjo02ZFKeetUEpdNS9KmSilg-L98-ZK8E72A-er5tedc2BrIckRm3bRV3-Edgt7c_TpkE0gdQ_ZLCfiUial4sBCZhPNDmaIlaT42DRxJHvjM9rk6ksKJMARQiE-kiXDLhrEfyZUvSc3JCOeZl9gRD7WnELAsmZvwsvmmTOhwKuH97r5_vHu2-3n9v7rpy-3N_et7SivrbNUOkmVtRyccPilig3WUe6EHR0bNmMnBedbJca-p6LfGAlM9sJ1To5bI66btxffJacfByhV4z4WQjAR0qFo3qGh6oZBIvrmH3TC40TcDqmuU0ootkFKXiibUykZnF6yn00-aUb1OR896b-56XNu-pIbSl8_DDhsZxj_CB-DQuDDBcCLwtFD1sV6iBZGnzE_PSb__ym_AQ6Ascg</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Romero-Gonzalez, Borja</creator><creator>Puertas-Gonzalez, Jose A.</creator><creator>Strivens-Vilchez, Helen</creator><creator>Gonzalez-Perez, Raquel</creator><creator>Peralta-Ramirez, M. Isabel</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>202008</creationdate><title>Effects of cognitive-behavioural therapy for stress management on stress and hair cortisol levels in pregnant women: A randomised controlled trial</title><author>Romero-Gonzalez, Borja ; Puertas-Gonzalez, Jose A. ; Strivens-Vilchez, Helen ; Gonzalez-Perez, Raquel ; Peralta-Ramirez, M. Isabel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-fc08f809cc2ef3ffc00916cf02f3cdf167d48322b93d550357a8e1853f4f8dba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Behavior modification</topic><topic>Behavioural</topic><topic>CBT</topic><topic>Cognitive</topic><topic>Cognitive ability</topic><topic>Cognitive Behavioral Therapy</topic><topic>Cognitive therapy</topic><topic>Cognitive-behavioral factors</topic><topic>Cortisol</topic><topic>Counseling</topic><topic>Efficacy</topic><topic>Female</topic><topic>Fetuses</topic><topic>Group therapy</topic><topic>Hair</topic><topic>Hair - metabolism</topic><topic>Health status</topic><topic>Hormones</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Maternal & child health</topic><topic>Maternal characteristics</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - metabolism</topic><topic>Pregnancy Complications - psychology</topic><topic>Pregnancy Complications - therapy</topic><topic>Prenatal Care</topic><topic>Psychopathology</topic><topic>Resilience</topic><topic>Stress</topic><topic>Stress management</topic><topic>Stress, Psychological - metabolism</topic><topic>Stress, Psychological - psychology</topic><topic>Stress, Psychological - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Romero-Gonzalez, Borja</creatorcontrib><creatorcontrib>Puertas-Gonzalez, Jose A.</creatorcontrib><creatorcontrib>Strivens-Vilchez, Helen</creatorcontrib><creatorcontrib>Gonzalez-Perez, Raquel</creatorcontrib><creatorcontrib>Peralta-Ramirez, M. Isabel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Romero-Gonzalez, Borja</au><au>Puertas-Gonzalez, Jose A.</au><au>Strivens-Vilchez, Helen</au><au>Gonzalez-Perez, Raquel</au><au>Peralta-Ramirez, M. Isabel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of cognitive-behavioural therapy for stress management on stress and hair cortisol levels in pregnant women: A randomised controlled trial</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2020-08</date><risdate>2020</risdate><volume>135</volume><spage>110162</spage><epage>110162</epage><pages>110162-110162</pages><artnum>110162</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>To demonstrate the effectiveness of a cognitive behavioural therapy for stress management in pregnant women in the reduction of psychological stress and hair cortisol levels.
The trial was controlled and randomised, with a total of 78 pregnant women: control group (n-39) and Cognitive Behavioural Therapy group (n-39). To test the therapy's efficacy, an evaluation of the primary outcome (hair cortisol levels) and secondary outcomes (psychological stress, psychopathological symptomatology and resilience) was conducted before and after the treatment. The therapy was conducted during 8 sessions (one per week) in a group setting. The study was registered as a Randomised Controlled Trial with the code NCT03404141.
The results showed a group time interaction between hair cortisol levels, psychological stress (perceived and pregnancy-specific), and in the exacerbation and severity of psychopathological symptoms. These variables presented reductions after treatment only in the Cognitive Behavioural Therapy group.
Using a novel way of assessing chronic stress (psychological and objective measures as hair cortisol levels), this is the first study that has shown a decrease in both the levels of cortisol in hair and in psychological stress. This decline could have implications for maternal and fetal health.
•Prenatal stress has serious consequences in maternal and foetal health.•Cognitive Behavioural Therapy could reduce cortisol levels in pregnant women.•CBT could also reduce psychological stress during pregnancy.•It could be possible to reduce negative outcomes of prenatal stress with a CBT.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>32485622</pmid><doi>10.1016/j.jpsychores.2020.110162</doi><tpages>1</tpages></addata></record> |
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| ispartof | Journal of psychosomatic research, 2020-08, Vol.135, p.110162-110162, Article 110162 |
| issn | 0022-3999 1879-1360 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Behavior modification Behavioural CBT Cognitive Cognitive ability Cognitive Behavioral Therapy Cognitive therapy Cognitive-behavioral factors Cortisol Counseling Efficacy Female Fetuses Group therapy Hair Hair - metabolism Health status Hormones Humans Hydrocortisone - metabolism Maternal & child health Maternal characteristics Pregnancy Pregnancy Complications - metabolism Pregnancy Complications - psychology Pregnancy Complications - therapy Prenatal Care Psychopathology Resilience Stress Stress management Stress, Psychological - metabolism Stress, Psychological - psychology Stress, Psychological - therapy |
| title | Effects of cognitive-behavioural therapy for stress management on stress and hair cortisol levels in pregnant women: A randomised controlled trial |
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