Relationship Between Mindfulness and Posttraumatic Stress in Women Who Experienced Stillbirth

Abstract

ObjectiveTo explore the potential factors that mediate the relationship between mindfulness and symptoms of posttraumatic stress (PTS) in women who experienced stillbirth. DesignA cross-sectional analysis of baseline data before women’s participation in an online mindfulness intervention (i.e., online yoga). SettingThis was a national study, and women participated in their own homes. ParticipantsWomen who experienced stillbirth (N = 74) within the past 2 years and resided in the United States. MethodsWomen were recruited nationally, primarily through social media. Participants (N = 74) completed baseline assessments (self-report mental and physical health surveys) via a Web-based survey tool. We conducted an exploratory factor analysis of the COPE Inventory subscales to reduce the number of variables before entry into a mediation model. We then tested the mediation effects of sleep quality, self-esteem, resilience, and maladaptive coping on the relationship between mindfulness and PTS symptoms. ResultsThrough the exploratory factor analysis we identified a two-factor solution. The first factor included nine subscales that represented adaptive coping strategies, and the second factor included five subscales that represented maladaptive coping strategies. Results from multiple mediation analysis suggested that mindfulness had a significant inverse relationship to PTS symptoms mediated by sleep quality. ConclusionMindfulness practices may have potential benefits for grieving women after stillbirth. Evidence-based approaches to improve sleep quality also may be important to reduce PTS symptoms in women after stillbirth.