Effectiveness and Mechanisms of a Digital Mindfulness-Based Intervention for Subthreshold to Clinical Insomnia Symptoms in Pregnant Women: Randomized Controlled Trial.
Journal of medical Internet research May 5, 2025 Juan Wang, Qiuhong Yang, Naixue Cui et al. 6 citations
A digital mindfulness-based intervention for prenatal insomnia reduced insomnia symptoms in pregnant women with subthreshold to clinical insomnia. In a randomized trial with 160 women, those receiving the six-week digital program plus standard care showed greater improvement in insomnia symptoms immediately after the intervention and in the third trimester compared to standard care alone, with a moderate effect size. Benefits were not sustained at 42 days postpartum. The intervention also increased the likelihood of insomnia remission by the third trimester. Changes in sleep-specific worry and presleep arousal mediated the effect. Most secondary outcomes, including sleep quality and mood, did not differ significantly between groups.