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Title: Be a Mom, a Web-Based Intervention to Promote Positive Mental Health Among Postpartum Women With Low Risk for Postpartum Depression: Exploring Psychological Mechanisms of Change
Authors: Monteiro, Fabiana 
Pereira, Marco 
Canavarro, Maria Cristina 
Fonseca, Ana 
Keywords: web-based intervention; randomized controlled trial; positive mental health; self-compassion; postpartum period; multilevel mediation
Issue Date: 2021
Publisher: Frontiers Media S.A.
Project: CENTRO-01-0145-FEDER-028699 
FCT/MCTES through national funds (PIDDAC) 
FCT - SFRH/BD/115585/2016 
Serial title, monograph or event: Frontiers in Psychiatry
Volume: 12
Abstract: Background: This study explored whether Be a Mom, a brief and unguided cognitive behavioral web-based intervention, was effective in promoting psychological processes (self-compassion, psychological flexibility, emotion regulation) among low-risk postpartum women. Effects of Be a Mom in psychological processes compared with a control group were examined at post-intervention and at 4-months follow-up. Additionally, this work explored whether changes in psychological processes mediated improvements in positive mental health at postintervention. Methods: In total, 367 postpartum women presenting low risk for postpartum depression were randomly assigned to the intervention group (n = 191) or to a waiting-list control group (n = 176). Results: Compared with the control group, the intervention group reported significantly greater baseline to postintervention increases in self-compassion. No significant effects were found at the 4-month follow-up. Multilevel mediation showed that self-compassion improvements significantly mediated improvements in positive mental health among the intervention group. No significant results were found for psychological flexibility or emotion regulation. Conclusions: This study suggests that Be a Mom has the potential to cultivate self-compassion among low-risk postpartum women and that this may be a key mechanism for promoting positive mental health in this context. Clinical Trial Registration:, identifier: NCT04055974.
ISSN: 1664-0640
DOI: 10.3389/fpsyt.2021.701107
Rights: openAccess
Appears in Collections:I&D CINEICC - Artigos em Revistas Internacionais

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