{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:56:05Z","timestamp":1792169765520,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hospitalized women with high\u2010risk pregnancies are particularly vulnerable to psychological distress and relational strain. This randomized controlled trial aimed to evaluate the effectiveness of a brief inpatient mindfulness\u2010based stress reduction (MBSR) program in improving psychological distress and marital satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010seven pregnant women (24\u201328 weeks' gestation) hospitalized for premature rupture of membranes were randomized to either an 8\u2010week brief MBSR program or treatment\u2010as\u2010usual. Fifty\u2010three participants completed the study. Outcomes included psychological distress assessed by the distress subscale of the Mental Health Inventory (MHI\u201028), mindfulness measured by the Five Facet Mindfulness Questionnaire (FFMQ), and marital satisfaction assessed by the Kansas Marital Satisfaction Scale (KMSS), assessed at baseline, post\u2010intervention, and 4\u2010week postpartum follow\u2010up. Repeated\u2010measures ANOVA with Greenhouse\u2013Geisser correction was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant time \u00d7 group interactions were observed for mindfulness, anxiety, depression, and marital satisfaction (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Participants in the intervention group showed sustained improvements in mindfulness and marital satisfaction and significant reductions in anxiety and depressive symptoms compared with controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A brief inpatient MBSR program may reduce psychological distress and improve marital satisfaction among hospitalized women with high\u2010risk pregnancies. Larger multicenter trials with extended follow\u2010up are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73154","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:06:37Z","timestamp":1790154397000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a Brief Inpatient Mindfulness\u2010Based Stress Reduction Program on Psychological Distress and Marital Satisfaction in High\u2010Risk Pregnancy: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"9","author":[{"given":"Solmaz","family":"Heydarifard","sequence":"first","affiliation":[{"name":"Social Determinants of Health Research Center, Research, Institute for Prevention of Non\u2010Communicable Diseases Qazvin University of Medical Sciences Qazvin Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6570-4287","authenticated-orcid":false,"given":"Faezeh","family":"Safaralinezhad","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center, Research, Institute for Prevention of Non\u2010Communicable Diseases Qazvin University of Medical Sciences Qazvin Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2180-7466","authenticated-orcid":false,"given":"Atefeh","family":"Safaralinezhad","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center, Research, Institute for Prevention of Non\u2010Communicable Diseases Qazvin University of Medical Sciences Qazvin Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579420001121"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000131"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-21886-2"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.939577"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.53260\/EGO.257013"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0137304"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.19082\/3369"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028332"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12646-021-00620-z"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.16258"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2006.00086.x"},{"issue":"4","key":"e_1_2_14_13_1","first-page":"415","article-title":"Mediators for Effect of Mindfulness in Promoting Marital Satisfaction","volume":"16","author":"Forouzeh Yekta F.","year":"2021","journal-title":"Iranian Journal of Psychiatry"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10804-005-1281-6"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.11.1350"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(82)90026-3"},{"key":"e_1_2_14_17_1","volume-title":"Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness","author":"Kabat\u2010Zinn J.","year":"1990"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20602"},{"issue":"3","key":"e_1_2_14_19_1","first-page":"83","article-title":"Evaluation of the Effectiveness of Mindfulness\u2010Based Stress Reduction on Anxiety in Pregnant Women","volume":"5","author":"Shahoei R.","year":"2019","journal-title":"Scientific Journal of Nursing, Midwifery and Paramedical Faculty"},{"issue":"16","key":"e_1_2_14_20_1","first-page":"11","article-title":"Reliability and Validity of the Mental Health Inventory","volume":"13","author":"Besharat M. A.","year":"2006","journal-title":"Journal of Clinical Psychology"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1983.53.2.567"},{"issue":"2","key":"e_1_2_14_22_1","first-page":"158","article-title":"Reliability and Validity of the Persian Versions of the ENRICH Marital Satisfaction (Brief Version) and Kansas Marital Satisfaction Scales","volume":"4","author":"Arab Alidousti A.","year":"2015","journal-title":"Health and Development Journal"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191105283504"},{"issue":"47","key":"e_1_2_14_24_1","first-page":"321","article-title":"Psychometric Properties of the Five\u2010Factor Mindfulness Questionnaire","volume":"12","author":"Tamannaeifar S.","year":"2016","journal-title":"Iranian Journal of Developmental Psychology"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003205333"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00177"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ejihpe13090122"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.70019"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-017-0726-x"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.5114\/cipp.2021.111981"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/14681994.2012.748889"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.4236\/jss.2017.55005"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-018-0902-7"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73154","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73154","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:42:39Z","timestamp":1792168959000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":32,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/hsr2.73154"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73154","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]},"assertion":[{"value":"2026-06-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73154"}}