Introduction
depression, anxiety
Psychological distress during pregnancy is a common condition worldwide. The overall prevalence of depression and anxiety symptoms during pregnancy is 22.4% and 22.9%, respectively [Mindfulness-based interventions (MBIs) teach participants to recognize habitual patterns of response, to be more mindful in their daily lives, and to make changes in how they relate to their thoughts, feelings, bodily sensations, and external environments [The digital guided self-help (GSH) approach is an innovative approach that circumvents many barriers to disseminating face-to-face interventions. It allows patients to take home a standardized psychological intervention protocol (downloaded from the internet) that functions more or less independently [In recent years, we have developed 3 generations of a digital GSH-MBI that target psychological distress during pregnancy. The first generation [This study includes the third-generation digital GSH-MBI. On the basis of our prior research, we made further improvements. First, the intervention program was presented in video and audio formats, as past studies have shown that psychological education produces better intervention effects in a video format than in a text format [Although the impact of psychological distress during pregnancy on infant neurodevelopmental outcomes was discovered years ago, little progress has been made in addressing this problem [