For Whom and for How Long Does the "Be a Mom" Intervention Work? A Secondary Analysis of Data From a Randomized Controlled Trial Exploring the Mid-Term Efficacy and Moderators of Treatment Response.

This study explored clinical and sociodemographic moderators of treatment response to "Be a Mom", an internet-based cognitive behavioral therapy (iCBT) intervention, from baseline to postintervention, in women at high risk for postpartum depression (PPD). The study also assessed the stability of women's treatment gains from baseline to 4-months postintervention (follow-up). This open-label randomized controlled trial (RCT) involved a sample of 1,053 postpartum Portuguese women identified as being at high risk for PPD (i.e., having a score of 5.5 or higher on the Postpartum Depression Predictors Inventory-Revised); participants were allocated to "Be a Mom" intervention group or a waiting-list control group, and completed self-report measures at baseline, postintervention, and a 4-month follow-up (554 women completed follow-up assessments). Depressive and anxiety symptoms were measured using the Edinburgh Postnatal Depression Scale and the anxiety subscale of the Hospital Anxiety and Depression Scale, and flourishing/positive mental health was assessed with the Mental Health Continuum. Regression models and linear mixed models were used to examine moderators of treatment and the mid-term efficacy of the "Be a Mom" intervention, respectively. The results revealed that treatment completion, higher depression scores at baseline, and higher income levels were linked to greater symptom reduction and positive mental health enhancement. Moreover, the efficacy of the "Be a Mom" intervention was supported at the 4-month follow-up. The "Be a Mom" intervention appears to be an effective iCBT tool for reducing psychological distress and enhancing positive mental health in women at risk for PPD, with therapeutic improvements maintained over a 4-month period.

Mindful Parenting is Associated with Adolescents' Difficulties in Emotion Regulation Through Adolescents' Psychological Inflexibility and Self-Compassion.

The acquisition and mastery of emotion regulation is one of the most important developmental tasks of adolescence. Difficulties in regulating emotions are one of the most robust risk factors for the development of difficulties and psychopathology. This study investigates whether a mindful parenting style is associated with adolescent's difficulties in emotion regulation and whether adolescents' self-compassion and psychological inflexibility mediate this association. This study also explores gender and age differences in study variables and the moderating role of adolescents' gender and stage of adolescence in the mediation model. A total of 375 mother-adolescent dyads participated in the study. The adolescents had a mean age of 14.19 years (SD = 1.67; range = 12-19 years) and 59.5% were girls. The mindful parenting dimensions of compassion for the child and nonjudgmental acceptance of parental functioning were indirectly associated with difficulties in emotion regulation through self-compassion, whereas the mindful parenting dimension of listening with full attention was indirectly associated with difficulties in emotion regulation through psychological inflexibility. Some associations were only significant for girls. These findings suggest that mindful parenting is a possible vehicle to foster adaptive emotion regulation in adolescents by facilitating their self-compassion and psychological flexibility.