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    Mindful meditation for epidural catheter placement during labor: a single-center randomized controlled trial
    (Oxford University Press (OUP), 2025-06-16)
    Lumbreras-Márquez, Mario Isaac  
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    Lazaridou, Asimina
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    Villela-Franyutti, Diego
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    Fields, Kara G.
    ;
    Farber, Michaela K.
    Importance: Labor epidural placement can cause significant procedural anxiety for patients. Behavioral interventions, such as mindful meditation, can effectively reduce anxiety, including during pregnancy. Objective: This study aimed to assess the impact of a 10-minute mindful meditation session on anxiety and pain during labor epidural placement. Design, Setting, Participants, Intervention, and Outcome Measures: Pregnant women were recruited and randomized into 2 groups: A 10-minute guided mindful meditation, or a neutral content recording, both delivered via headphones before the epidural procedure as a recording. After the procedure, participants reported their levels of anxiety, pain, and satisfaction. Linear regression analyses were used to evaluate the main effects of the intervention on anxiety, pain, and satisfaction. Additionally, an exploratory post hoc moderation analysis assessed the role of baseline pain catastrophizing and its interaction with the intervention. Results: A total of 100 participants were included (50 per group). There were no overall main effect of mindful meditation on primary outcomes of anxiety and pain, or secondary outcome of procedural satisfaction, compared to the neutral content recording (P’s > .05). Exploratory post hoc analysis indicated a moderation of treatment effect, such that participants with higher baseline pain catastrophizing experienced greater benefits from mindful meditation compared to neutral content on anxiety (b = −0.18, P = .01) and pain (b = −0.14, P = .03). Conclusions and Relevance: While no overall group-level effects of mindful meditation were found, exploratory analysis suggested that the intervention may be more beneficial for participants with high baseline pain catastrophizing. Future studies enrolling a larger sample, or enriching for patients with these characteristics are needed to confirm these results. ©The authors ©Oxford University Press.
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    Mediation of anxiety and coping strategies between severe discipline and interparental conflict with parenting stress
    (Elsevier, 2025)
    Docal-Millán, María del Carmen
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    Riveros-Munévar, Fernando
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    Acuña-Arango, Lina María
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    Campos-García, Ángela Ximena
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    Cabrera-García, Victoria Eugenia
    Parenting stress is a complex process for parents who feel that the demands of their children upbringing overwhelm their roles. Parenting stress can be associated with anxiety, parental conflict and harsh discipline practices, and the use of coping strategies that positively buffer the effect of these variables on parents. Although the factors associated with parenting stress are well documented, the literature offers few models to explain the stress and the mediation of certain variables on Colombian families. The aim of this quantitative cross-sectional study was to analyze the mediation of anxiety and coping strategies in the relationship between 1) severe discipline and parenting stress, and 2) interparental conflict and parenting stress. A total of 1.373 fathers and mothers of Colombian children participated (Age M = 40.57; SD = 12.65). Questionnaires on parenting stress, severe discipline, perception of interparental conflict, anxiety and family functioning in crisis situations were applied. Severe discipline and interparental conflict accounted for 30 % of parenting stress. Anxiety mediated the relationship between severe discipline and parenting stress. Anxiety and cognitive restructuring mediated the relationship between interparental conflict and parenting stress. The findings show that parenting stress interventions are important in reducing severe discipline and interparental conflict by managing anxiety and using coping strategies such as cognitive restructuring. Thus, these measures contribute to the well-being of families, favoring the integral development of children. ©The authors ©Elsevier.
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