Introduction
Pregnancy is a transitional life stage characterized by profound biological and psychosocial changes. While this period can foster positive anticipation, it is also associated with heightened vulnerability to anxiety and maladaptive cognitions that may adversely affect both maternal health and fetal development. Persistent worries, dysfunctional metacognitive beliefs, and difficulties in emotional regulation may undermine prenatal attachment and increase the risk of postpartum complications. Given these challenges, there is a growing need for evidence-based interventions targeting cognitive and emotional processes. Metacognitive-based group therapy (MBGT) has recently gained attention as a structured approach to changing our relationship with thoughts, reducing anxiety, and strengthening mother-infant bonding.
Purpose
This study aims to examine the associations among metacognitive beliefs, pregnancy-related anxiety, and prenatal attachment, and to evaluate the efficacy of MBGT in improving these psychological outcomes among first-time pregnant women.
Method
The study sample will consist of 40 nulliparous women between the 10th and 30th weeks of pregnancy. Participants will be randomly assigned into two experimental groups (n = 10 each) receiving six weekly MBGT sessions (60-90 minutes each) and two control groups (n = 10 each) receiving sessions incorporating breathing exercises, relaxation, and psychoeducation. All sessions will be conducted online.
Data will be collected pre- and post-intervention using the Sociodemographic Form, Metacognitions Questionnaire-30 (MCQ-30), Depression Anxiety Stress Scale-21 (DASS-21), Pregnancy-Related Anxiety Scale, and Prenatal Attachment Inventory. A mixed-design ANOVA will assess group differences in change over time.
Conclusion
This ongoing study is expected to provide empirical evidence regarding the role of metacognitive interventions in promoting maternal well-being and enhancing prenatal attachment. Findings will contribute to the development of preventive mental health strategies for pregnant women and inform clinical practice aimed at supporting both maternal and infant health. Results will be presented at the conference.