{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T04:58:28Z","timestamp":1783573108487,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:00:00Z","timestamp":1694304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23HL138166"],"award-info":[{"award-number":["K23HL138166"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Treating insomnia during pregnancy improves sleep and depressed mood. However, given well\u2010established links between poor sleep and a broad spectrum of adverse maternal outcomes, the benefits of insomnia care may reach beyond sleep and depression. The present study evaluated the preliminary efficacy of \u2018Perinatal Understanding of Mindful Awareness for Sleep\u2019 (PUMAS)\u2014a mindfulness sleep programme tailored to pregnancy that combines behavioural sleep strategies and meditation\u2014for enhancing everyday mindfulness and maternal\u2013fetal attachment, as well as for alleviating anxiety, repetitive thinking, and sleep\u2010related daytime impairment. We conducted a secondary analysis of a single\u2010arm proof\u2010of\u2010concept trial of 11 pregnant women with fifth edition of the <jats:italic>Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic> diagnosed insomnia disorder who completed PUMAS (six sessions), which was delivered in an individual format via telemedicine video. Pre\u2010 and post\u2010treatment outcomes included the Cognitive and Affective Mindfulness Scale\u2010Revised (CAMS\u2010R), Maternal\u2013Fetal Attachment Scale (MFAS), Generalised Anxiety Disorder seven\u2010item survey (GAD\u20107), Perseverative Thinking Questionnaire (PTQ), Daytime Insomnia Symptoms Response Scale (DISRS), and the Patient\u2010Reported Outcomes Measurement Information System Sleep\u2010Related Impairment Scale (PROMIS\u2010SRI). Symptom changes were evaluated with paired\u2010samples <jats:italic>t<\/jats:italic> tests. Results showed PUMAS patients reported large increases in CAMS\u2010R (Cohen's <jats:italic>d<\/jats:italic><jats:sub><jats:italic>z<\/jats:italic><\/jats:sub>\u2009=\u20091.81) and medium\u2010large increases in MFAS scores (Cohen's <jats:italic>d<\/jats:italic><jats:sub><jats:italic>z<\/jats:italic><\/jats:sub>\u2009=\u20090.73). Moreover, PUMAS patients reported large reductions in scores on the GAD\u20107 (Cohen's <jats:italic>d<\/jats:italic><jats:sub><jats:italic>z<\/jats:italic><\/jats:sub>\u2009=\u20091.09), PTQ (Cohen's <jats:italic>d<\/jats:italic><jats:sub><jats:italic>z<\/jats:italic><\/jats:sub>\u2009=\u20091.26), DISRS (Cohen's <jats:italic>d<\/jats:italic><jats:sub><jats:italic>z<\/jats:italic><\/jats:sub>\u2009=\u20091.38), and PROMIS\u2010SRI (Cohen's <jats:italic>d<\/jats:italic><jats:sub><jats:italic>z<\/jats:italic><\/jats:sub>\u2009=\u20091.53). Preliminary evidence suggests that a mindfulness\u2010based perinatal sleep programme may benefit several domains of maternal wellbeing beyond sleep and depression. PUMAS substantially enhanced patient ratings of everyday mindfulness and maternal\u2013fetal attachment, while reporting alleviations in anxiety, perseverative thinking, insomnia\u2010focused rumination, and sleep\u2010related daytime impairment.<\/jats:p>","DOI":"10.1111\/jsr.14040","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T06:25:35Z","timestamp":1694413535000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Preliminary evidence of psychological improvements and increased maternal\u2013fetal attachment associated with a mindfulness sleep programme: secondary analysis of uncontrolled data in 11 pregnant women with insomnia disorder"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3107-0522","authenticated-orcid":false,"given":"David A.","family":"Kalmbach","sequence":"first","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"},{"name":"Perinatal Sleep Health Institute, Henry Ford Health  Detroit Michigan USA"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology Michigan State University College of Human Medicine  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2783-1678","authenticated-orcid":false,"given":"Anthony N.","family":"Reffi","sequence":"additional","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason C.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Neurology, Center for Circadian and Sleep Medicine Northwestern University Feinberg School of Medicine  Chicago Illinois USA"},{"name":"Behavioral Sleep Medicine, Nox Health  Suwanee Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Cheng","sequence":"additional","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Walch","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Michigan  Ann Arbor Michigan USA"},{"name":"Arascope Inc  Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D'Angela S.","family":"Pitts","sequence":"additional","affiliation":[{"name":"Perinatal Sleep Health Institute, Henry Ford Health  Detroit Michigan USA"},{"name":"Maternal Fetal Medicine, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace M.","family":"Seymour","sequence":"additional","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Hirata","sequence":"additional","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Roth","sequence":"additional","affiliation":[{"name":"Perinatal Sleep Health Institute, Henry Ford Health  Detroit Michigan USA"},{"name":"Thriving Minds  Livonia Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Roth","sequence":"additional","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L.","family":"Drake","sequence":"additional","affiliation":[{"name":"Sleep Disorders &amp; Research Center, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506070902980703"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2020.101378"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2752"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198109000-00008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsab091"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2010.12.003"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.4491"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2164957X221087655"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-006-9035-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.03.016"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.05.026"},{"key":"e_1_2_9_13_1","volume-title":"DSM\u20105 insomnia disorder in pregnancy: Associations with depression, suicidal ideation, and cognitive arousal, and identifying clinical cutoffs for detection","author":"Kalmbach D. 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