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

M. van der Windt, S. K.M. van Zundert, S. Schoenmakers, P. W. Jansen, L. van Rossem, R. P.M. Steegers-Theunissen*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

6 Citations (Scopus)
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Abstract

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.

Original languageEnglish
Article number101631
JournalPreventive Medicine Reports
Volume24
DOIs
Publication statusPublished - Dec 2021

Bibliographical note

Funding Information:
We would like to thank Sabrina Meertens-Gunput, of the Medical Library Department of the Erasmus MC, Rotterdam, for her expertise and support in composing a search string and conducting the search in several databases. This research was funded by the department of Obstetrics and Gynecology of the Erasmus Medical Center, Rotterdam.

Funding Information:
This research was funded by the department of Obstetrics and Gynecology of the Erasmus Medical Center, Rotterdam.

Publisher Copyright:
© 2021

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