Volume 22, Issue 3 (June 2024)                   Nursing and Midwifery Journal 2024, 22(3): 212-223 | Back to browse issues page

Research code: E.A.01.03.08.01
Ethics code: E.A.01.03.08.01
Clinical trials code: E.A.01.03.08.01


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Sheikh Jebeli E, Askarizadeh G, Bagheri M. EFFECTIVENESS OF POSITIVE THINKING TRAINING ON HEALTH ANXIETY AND FEAR OF CHILDBIRTH IN PRIMIPAROUS PREGNANT WOMEN: A SEMI-EXPERIMENTAL STUDY. Nursing and Midwifery Journal 2024; 22 (3) :212-223
URL: http://unmf.umsu.ac.ir/article-1-5148-en.html
1- Master's student in General Psychology, Department of Psychology, Shahid Bahonar University of Kerman, Kerman, Iran
2- Associate Professor, Department of Psychology, Shahid Bahonar University of Kerman, Kerman, Iran (Corresponding Author) , gh.askarizade.2000@gmail.com
Abstract:   (782 Views)
Background & Aim: Primiparous pregnant women experience high levels of health anxiety and fear of childbirth. It is crucial to implement interventions aimed at reducing health anxiety and fear of childbirth in these women. Therefore, this study was conducted with the aim of determining the effectiveness of positive thinking training on health anxiety and fear of childbirth in primiparous pregnant women.
Materials & Methods: This study was a semi-experimental research with a pre-test and post-test design, including a control group. The study population consisted of all pregnant women referred to medical centers in Qom for pregnancy care between March 2022 and May 2023. Forty women were selected through convenience sampling and then randomly divided into two groups: experimental and control, each consisting of 20 individuals. The experimental group underwent eight 90-minute sessions of Serini and Sayadi's positive thinking training package, while the control group did not receive any training during this time. Salkovskis and Warwick's health anxiety questionnaires and Harman's childbirth attitudes questionnaire were used for data collection. The data was analyzed using the covariance analysis test in SPSS software version 26.
Results: The study results demonstrated that positive thinking training had a significant impact on health anxiety (F=58.94; P<0.001) and fear of childbirth (F=96.9; P<0/003) in primiparous pregnant women. The mean scores of health anxiety and fear of childbirth among primiparous pregnant women who received positive thinking training significantly decreased in the post-test compared to the pre-test (P<0.001).
Discussion & conclusion: The research results show that training in positive thinking has been effective in reducing health anxiety and fear of childbirth in first-time pregnant women. Therefore, it is essential to implement positive thinking training interventions to decrease psychological issues in pregnant women, particularly those who are expecting their first child and dealing with fear of childbirth and health anxiety.

 
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References
1. Emami Alni Z, Soltani E, Mohammadbeigi A, Gharlipour Z. Designing and Assessing the Validity and Reliability of a Tool for Assessing Stress Management in Primigravida Pregnant Women in Iran Based on the Theory of Planned Behavior. Qom Univ Med Sci J 2023;17(1):2-14. (Persian) http://dx.doi.org/10.32598/qums.17.2868.1 [DOI]
2. Hajipour L, Hosseini Tabaghdehi M. Investigating the Effects of Prenatal Education on the Quality of Life (QoL) of Nulliparous Women. Curr Psychosomatic Res 2023; 1(2): 244-61. (Persian) http://dx.doi.org/10.32598/cpr.1.2.91.1 [DOI:10.32598/cpr.1.2.91.1]
3. Samavati S, Kazemi F, Aghababaei S, Soltani F. The effect of yoga on fear of childbirth and childbirth self-efficacy in primigravid women: a randomized controlled trial. The Iranian Journal of Obstetrics, Gynecol Infert 2022;25(3):75-85. (Persian) [DOI:10.22038/ijogi.2022.20428]
4. Rahimi F, Rabiepor E, Alinejad V. A comparative study of the fear of childbirth and childbirth experience of pregnant women with primiparous pregnancies in turkish and kurdish ethnicities referring to comprehensive health centers in naqdeh city in 2021. Nurs Midwifery J 2023;21(1):25-36. (Persian) http://dx.doi.org/10.61186/unmf.21.1.25 [DOI:10.61186/unmf.21.1.25]
5. Javadi Z, Bayrami R, Najarzade M. The relationship of medicalized birth care with fear of childbirth and childbirth experience in nulliparous women with natural births in fatimeh zahra hospital of miandoab in 2022: a cross-sectional study. Nurs Midwifery J 2024;21(11):868-79. (Persian) http://dx.doi.org/10.61186/unmf.21.11.868 [DOI:10.61186/unmf.21.11.868]
6. Shahtaheri E, Jomehri F, Niknam M, Rafieipour A. Effectiveness of Mindfulness-Based Stress Reduction Program on Anxiety, and Psychological Well-Being of Nulliparous Pregnant Women. J Health Res Commun 2021;7(1):46-56. (Persian) http://dorl.net/dor/20.1001.1.24236772.1400.7.1.5.1 [URL]
7. Boswell JF, Iles BR, Gallagher MW, Farchione TJ. Behavioral activation strategies in cognitive-behavioral therapy for anxiety disorders. Psychotherapy 2023;54(3): 231-36. [DOI:10.1037/pst0000119] [PMID]
8. Law KH, Jackson B, Guelfi K, Nguyen T, Dimmock JA. Understanding and alleviating maternal postpartum distress: Perspectives from first-time mothers in Australia. Soc Sci Med 2018;204:59-66. [DOI:10.1016/j.socscimed.2018.03.022] [PMID]
9. Nikbakht Moghadam F, Sadeghi avalshahr H, Amini L, Haghani S. The study of relationship between childbirth self-efficacy and attitude toward normal delivery with pregnancy anxiety in primigravida women referred to selected health care centers of shahriar city in 2018. Nurs Midwifery J 2020;18(3):210-22. (Persian) http://unmf.umsu.ac.ir/article-1-3997-fa.html [URL]
10. Modanloo M, Bagherzadeh Ledari R. Health anxiety: A narrative review of psychological interventions. Clin Exc 2023;13(2):91-100. (Persian) http://ce.mazums.ac.ir/article-1-789-fa.html [URL]
11. Tyrer P, Tyrer H. Health anxiety: detection and treatment. BJPsych Advance 2018;24(1):66-72.‏ [DOI:10.1192/bja.2017.5]
12. Mohammadi M, Basharpoor S. The Relationship Between Basic Psychological Needs and Health Promoting Behaviors with Health Anxiety in Older Women: The Mediating Role of Resilience. Aging Psychology 2024;9(4):377-97. (Persian) [DOI:10.22126/jap.2024.9766.1740]
13. Nejadhoseinian Z, Bakhtiarpour S, Zangeneh Motlagh F. Predictive Model of Life Quality Based on Psychological Resilience and Couple Intimacy, Mediated by Pregnancy Anxiety in Pregnant Women. J Appl Psychol Res 2024;14(4):203-22. (Persian) [DOI:10.22059/japr.2024.334237.644095]
14. Nasrabadi T, Akhavan Amjadi M, Hoseinzadeh N. Relationship of gestational anxiety with sleep quality and gestational diabetes. Hayat 2022; 28(3): 272-83. (Persian) http://dorl.net/dor/20.1001.1.17352215.1401.28.3.4.6 [URL]
15. Shourgashti Z, jafari B, hosseini H, Emami Moghadam Z. Investigating the Relationship between Stress, Anxiety and Depression with Nausea and Vomiting during Pregnancy (Descriptive study). Navid No 2022;25(83):39-48. (Persian) [DOI:10.22038/nnj.2023.61855.1323]
16. Karimi B, Ghahremani L, Karimi M, Kazemi S. The effect of positive thinking skill training on the resilience of nurses in Abadeh and Eqlid hospitals in the covid-19 pandemic - application of the theory of planned behavior. Toloo-E-Behdasht 2023;22(4):41-58. (Persian) http://dx.doi.org/10.18502/tbj.v22i4.14143 [DOI:10.18502/tbj.v22i4.14143]
17. Padervand H, Ghadampour E, Safare G, Zolfaghari S, Ghobadiyan M. Effectiveness of Group Positive Thinking Training on Reducing the Impulsivity and Bullying of Male Students with Behavioral Disorders. J Exceptional Children 2023;23(1):35-46. (Persian) http://dx.doi.org/10.52547/joec.23.1.35 [URL]
18. Azami, M., Safi, M. H., behjati ardakani, F. effectiveness of group training of positive thinking skills on the stress, flexibility and mental strength of mothers with children with learning disorders. J Learn Disabilities 2023;12(3):37-22. (Persian) [DOI:10.22098/jld.2023.12196.2062]
19. Khoshravesh V, Alimohammadi H, Vasei S, Rezaei R. Investigating the effect of positive thinking in the last trimester of pregnancy on postpartum depression of mothers (a case study of Chalus city). N Dev Psychol Educ Sci 2019;2(13):7-18. (Persian) http://noo.rs/kXFiz [URL]
20. Boochani V, Pouraboli B, Hasanpour M, Ranjbar H. The effect of a group positive thinking program on anxiety and attachment in mothers with premature infants hospitalized in the Neonatal Intensive Care Unit. Hayat 2023; 28(4):363-75. (Persian) http://dorl.net/dor/20.1001.1.17352215.1401.28.4.3.7 [URL]
21. Emadian SO. The Effectiveness of Positive Thinking Training on Childbirth Fear, and Childbirth Self-efficacy in Pregnant Women in Sari. J Appl Fam Therap 2022;3(2):482-95. (Persian) https://doi.org/10.61838/kman.aftj.3.2.25 [DOI:10.22034/aftj.2022.326439.1366]
22. MahmodiTabar M, Safarzadeh S. Comparison of the Effectiveness of Integrated Meta-Diagnostic Treatment and Positive Thinking Skills Training on Adherence to Treatment and Coronavirus Anxiety in Patients with Type 2 Diabetes. Iran J Psychiatric Nurs 2021; 9(5):87-98. (Persian) http://ijpn.ir/article-1-1846-fa.html [URL]
23. Mirzaei P. Effectiveness of Positive Thinking Training on Self-Efficacy and Reduction of Depression and Anxiety of Recovered Students with Coronavirus. Iran J Health Psychol 2022;5(4):81-95. (Persian) [DOI:10.30473/ijohp.2024.68244.1316]
24. Nakhaei S, Okati A, Ranjbar Noori H, Mir A. Evaluating the effect of emotion control on students' positivethinking about social anxiety. J Psychol New Ideas 2022;13(17):1-10. (Persian) https://jnip.ir/article-1-736-fa.html [URL]
25. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med 2002;32(5):843-53. https://doi.org/10.1017/S0033291702005822 [DOI:10.1017/s0033291702005822] [PMID]
26. Harman P. Fear of Childbirth and Related Incidence of Complications in Labor and Delivery. The 33rd Annual Meeting of the American College Nurse-Midwives; 1988; Detroit, MI. [URL]
27. Seligman MEP, Rashid T, Parks AC. Positive psychotherapy. Am Psychol 2006; 61(8): 774-88. https://doi.org/10.1037/0003-066X.61.8.774 [DOI:10.1037/0003-066x.61.8.774] [PMID]
28. Sayadi Sarini M, Hojatkhah SM, Rashidi A. The Effectiveness of Positive Thinking Skills on Enhancement of Psychological Well-being and Decreased of Loneliness in Elderly Women. Aging Psychology 2016;2(1):61-71. (Persian) https://jap.razi.ac.ir/article_499.html?lang=en [URL]
29. Mohammadinia N, Nasehi A, Niusha B. The Effect of Health Literacy on Health Anxiety with the Mediation of Cyberchondria and Cognitive Flexibility in Breast Cancer Patients. Iran J Psychiatric Nurs 2024;11(6):129-40. (Persian) http://dx.doi.org/10.22034/IJPN.11.6.4 [URL]
30. Shishkova I, Pervichko E. Validation of the "short health anxiety inventory" on a sample of school-age children. Eur Psychiatry 2021; 64(29): s511. [DOI:10.1192/j.eurpsy.2021.1367] []
31. Aminolroyaee M, Aghaei A. The Effectiveness of Cognitive Therapy Based on Mindfulness on Fear of Delivery in Primiparous Women. Knowl Res Appl Psychol 2018;19(4):56-65. (Persian) [DOI:10.30486/jsrp.2018.545637]
32. Salarvand S, Mousavi MS, Esmaeilbeigy D, Changaee F, Almasian M. The Perceived Health Needs of Primiparous Mothers Referring to Primary Health Care Centers: A Qualitative Study. Int J Womens Health 2020;12:745-53. (Persian) [DOI:10.2147/IJWH.S258446] [PMID] []
33. Kılıç S, Yılmaz S. The Relationship Between the Psychosocial Health Status of Primiparous Pregnant Women and Fear of Childbirth. Turk J Fam Med Prim Care 2022;16(2):412-21. [DOI:10.21763/tjfmpc.1063671]
34. Shokrpour N, Sheidaie S, Amirkhani M, Bazrafkan L, Modreki A. Effect of positive thinking training on stress, anxiety, depression, and quality of life among hemodialysis patients: A randomized controlled clinical trial. J Edu Health Promot 2021;10(1):225-34. (Persian) [DOI:10.4103/jehp.jehp_1120_20] [PMID] []
35. Barjoee LK, Amini N, Keykhosrovani M, Shafiabadi A. Effectiveness of positive thinking training on perceived stress, metacognitive beliefs, and death anxiety in women with breast cancer: perceived stress in women with breast cancer. Arch Breast Cancer 2022; 9(2):195-203.‏ (Persian) [DOI:10.32768/abc.202292195-203]
36. Younesi Bahar S, Matinnia N, Yazdi-Ravandi S. Effect of cognitive therapy based on positive thinking on depression, stress, and anxiety of mothers after recovering from COVID-19. Adv Cognitive Sci 2023;25(3):95-107. (Persian) http://dx.doi.org/10.30514/icss.25.3.95 [URL]
37. Barati Sade F. The Effectiveness of Positive Psychological Interventions to Increase vitality, life satisfaction, meaningfulness in life, and reduce depression: Develop a model for action [Thesis for Ph.D.]. [Tehran, Iran]: Alamee Tabatabaie University; 2009. (Persian) [URL]
38. Malek Mohammadi N, Heydar Z, Fallahi S, Bragh N. Effects of Positive Thinking on Psychological Hardiness and Psychological Well-being in Depressed Women. Middle East J Disabil Stud 2020;10:207-14. (Persian) http://dorl.net/dor/20.1001.1.23222840.1399.10.0.126.5 [URL]
39. Seyed Ebrahimi SA, Yazdkhasti A. The Effect of Positive Group training on Psychological Well-Being and Marital Satisfaction in Women. Positive Psychol Res 2022;8(2):33-50. (Persian) https://dorl.net/dor/20.1001.1.24764248.1401.8.2.4.9 [URL]
40. Heidari N, Saedi S. The effectiveness of positive psychotherapy on marital satisfaction, lovemaking style and couple happiness. Soc Health Q 2020;7(2):191-200. (Persian) http://doi.org/10.22037/ch.v7i2.25259 [DOI:10.22037/ch.v7i2.25259]
41. Assarzadegan M, Raeisi Z. Effectiveness of Positive Psychology Training on Psychological Well-being and Its Dimensions Among Patients with Type II Diabetes. J Diabetes Nurs 2019;7(2):793-808. (Persian) http://dorl.net/dor/20.1001.1.23455020.1398.7.2.4.4 [URL]
42. Hosseinalizadeh M, Dadashloo F, Atashinjabin M. The Effectiveness of Positive Thinking Education on the Cognitive Flexibility and Resilience of Mothers with Hyperactivity Disorder. Rooyesh 2020;9(2):135-42. (Persian) http://dorl.net/dor/20.1001.1.2383353.1399.9.2.9.4 [URL]
43. Seligman MEP, Csikszentmihalyi M. Positive psychology: an introduction. In: Csikszentmihalyi M, editor. Flow and the foundations of positive psychology: the collected works of Mihaly Csikszentmihalyi. Dordrecht: Springer Netherlands; 2014. [DOI:10.1007/978-94-017-9088-8]

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