Volume 18, Issue 12 (March 2021)                   Nursing and Midwifery Journal 2021, 18(12): 920-932 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

URL: http://unmf.umsu.ac.ir/article-1-4196-en.html
1- Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Department of midwifery, Maybod branch, Islamic Azad University, Maybod, Iran (Corresponding Author) , tshojaaldini@gmail.com
Abstract:   (1838 Views)
Background & Aim: Pregnancy is a critical period with physical and psychological changes. Educating women by emphasizing that they and their husbands know enough about the changes during pregnancy will increase their psychological support. Therefore, the purpose of this study was to investigate the effectiveness of group-counseling in the presence of spouse and client-oriented, using Cognitive - behavioral approach during pregnancy on promoting postpartum mental health. Materials & Methods: The present study is a clinical trial that was performed on 60 pregnant women (40 in the intervention groups, 20 in the control group) who were randomly assigned to the group counseling in the presence of spouses, client-oriented group therapy and the control group( each group: n=20) according to the inclusion criteria. Cognitive–behavioral group counseling was performed by the midwife and under the supervision of a psychologist. The counseling was performed for the intervention group in eight sessions, each session lasting 90 min, once a week and during the third trimester. The control group received routine care and a counseling session. Data collection tools were demographic information questionnaire and Depression–Anxiety–Stress Scale 21 which were completed before the intervention, immediately after the intervention, and on the 14th day after delivery in both groups. Data analysis was performed using statistical tests, independent t-test, paired T-test, and ANOVA. Results: The results of this study showed that the mean scores of stress, anxiety, and depression in the three groups in the post intervention stage in the intervention group were significantly reduced compared to the control group(p 0.05). Conclusion: According to the research findings, cognitive–behavioral group counseling can be effective as an approach in improving the symptoms of stress, anxiety, and postpartum depression. Early identification of women with risk factors, designing educational interventions and early counseling can be effective in increasing the mental health of mothers in the postpartum period.
Full-Text [PDF 609 kb]   (557 Downloads)    
Type of Study: Research | Subject: مامایی

1. O'Malley EG, Walsh MC, Reynolds CM, Kennelly M, Sheehan SR, Turner MJ. A cross-sectional study of maternal-fetal attachment and perceived stress at the first antenatal visit. J Reprod Infant Psychol2020;38(3):271-80. [DOI:10.1080/02646838.2019.1637516] [PMID]
2. KHodayari fard M, Parand A. Stress and confront method.Tehran university; 2011. (in Persian) [URL]
3. Garcia-Flores V, Romero R, Furcron A-E, Levenson D, Galaz J, Zou C, et al. Prenatal Maternal Stress Causes Preterm Birth and Affects Neonatal Adaptive Immunity in Mice. Front Immunol 2020;11:254. [DOI:10.3389/fimmu.2020.00254] [PMID] [PMCID]
4. Lim HA, Chua T-E, Malhotra R, Allen JC, Chern BS, Tan KH, et al. Trajectories of antenatal maternal psychological stress and their association with gestational age and neonatal anthropometry: A prospective cohort study of multi-ethnic Asian women in an urban setting. Asian J Psychiatr 2020;48:101923. [DOI:10.1016/j.ajp.2019.101923] [PMID]
5. Naraghizadeh A. problems of adolescents and young adult. Mehrandish; 2016. (in Persian) [URL]
6. Beşirli A, Alptekin JÖ, Kaymak D, Özer ÖA. The relationship between anxiety, depression, suicidal ideation and quality of life in patients with rheumatoid arthritis. Psychiatr Q 2020;91(1):53-64 [DOI:10.1007/s11126-019-09680-x] [PMID]
7. Vakilian K, Zarei F, Majidi A. Effect of acceptance and commitment therapy (ACT) on anxiety and quality of life during pregnancy: A mental health clinical trial study. Iran Red Crescent Med J 2019;21:8. [DOI:10.5812/ircmj.89489]
8. Fawcett EJ, Fairbrother N, Cox ML, White IR, Fawcett JM. The prevalence of anxiety disorders during pregnancy and the postpartum period: a multivariate Bayesian meta-analysis. J Clin Psychiatry 2019; 80(4):18r12527. [DOI:10.4088/JCP.18r12527] [PMID] [PMCID]
9. Lee AM, Lam SK, Lau SMSM, Chong CSY, Chui HW, Fong DYT. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol2007; 110(5): 1102-12. [DOI:10.1097/01.AOG.0000287065.59491.70] [PMID]
10. Akbarzadeh M, Toosi M, Zare N, Sharif F. Effect Of Relaxation And Attachment Behaviors Training On Anxiety In First-Time Mothers In Shiraz City, 2010: A Randomized Clinical Trial (Clinical Trial Article). Qom Univ Med Sci J 2013;6(4):14-23. [URL]
11. Jeffrey ML. Patient information: Depression in adults (Beyond the Basics) 2016 [updated 6.Jan]. Available from: http://www.uptodate.com [URL]
12. Redinger S, Pearson RM, Houle B, Norris SA, Rochat TJ. Antenatal depression and anxiety across pregnancy in urban South Africa. J Affect Disord 2020; 277: 296-305. [DOI:10.1016/j.jad.2020.08.010] [PMID]
13. Zarrabi Jourshari F, Zargham Hajebi M, Saravani S, Eghbali Z. The Effect of Antenatal Physiological Classes on Depression, Anxiety and Social Support in the Last Month of Pregnancy. Journal of Health and Care 2020;22(1):65-74. [DOI:10.29252/jhc.22.1.65]
14. Nezamnia M, Iravani M, Sayyah bargard M, Latifi M. Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT. Int J Reprod Biomed 2020;18(8):625-36. [DOI:10.18502/ijrm.v13i8.7504] [PMID] [PMCID]
15. Shaikh K, Sulaiman S. Antenatal Stress and Depression: A Neglected Area. i-Manager's Journal on Nursing 2012;2(1):1. [DOI:10.26634/jnur.2.1.1815]
16. Rahman A, Creed F. Outcome of prenatal depression and risk factors associated with persistence in the first postnatal year: Prospective study from Rawalpindi, Pakistan. J Affect Disord2007;100(1):115-21. [DOI:10.1016/j.jad.2006.10.004] [PMID] [PMCID]
17. Surkan PJ, Hamdani SU, Huma Z-e, Nazir H, Atif N, Rowther AA, et al. Cognitive-behavioral therapy-based intervention to treat symptoms of anxiety in pregnancy in a prenatal clinic using non-specialist providers in Pakistan: design of a randomised trial. BMJ open 2020;10(4):e037590. [DOI:10.1136/bmjopen-2020-037590] [PMID] [PMCID]
18. Ntow KO, Krzeczkowski JE, Amani B, Savoy CD, Schmidt LA, Van Lieshout RJ. Maternal and Infant Performance on the Face-to-Face Still-Face Task following Maternal Cognitive Behavioral Therapy for Postpartum Depression. J Affect Disord 2021: 278:583-91. [DOI:10.1016/j.jad.2020.09.101] [PMID]
19. Asarnow LD, Manber R. Cognitive behavioral therapy for insomnia in depression. Sleep Med Clin 2019;14(2):177-84. [DOI:10.1016/j.jsmc.2019.01.009] [PMID] [PMCID]
20. Reynolds GO, Saint-Hilaire M, Thomas CA, Barlow DH, Cronin-Golomb A. Cognitive-behavioral therapy for anxiety in Parkinson's disease. Behav Modif2020;44(4):552-79. [DOI:10.1177/0145445519838828] [PMID] [PMCID]
21. Turner R, Swearer SM. Cognitive Behavioral Therapy (CBT). Encyclopedia of Cross-Cultural School Psychology: Springer; 2010. P. 226-9. [DOI:10.1007/978-0-387-71799-9_75]
22. Zarghami F, Heidari Nl, Shaeiri Mr, Shahrivar Z. A study in the impact of coping-cat-based cognitive-behavior therapy (CBT) on reduced anxiety in the children aged 8 to 10 with anxiety disorder. Clinical Psychology Studies 2015: 5(19): 183-202. [URL]
23. Thimm JC, Antonsen L. Effectiveness of cognitive behavioral group therapy for depression in routine practice. BMC psychiatry 2014;14(1):292. [DOI:10.1186/s12888-014-0292-x] [PMID] [PMCID]
24. Li Z, Liu Y, Wang J, Liu J, Zhang C, Liu Y. Effectiveness of cognitive behavioural therapy for perinatal depression: A systematic review and meta‐analysis. J Clin Nurs 2020;29(17-18):3170-82 [DOI:10.1111/jocn.15378] [PMID]
25. Kashani Lotfabadi M, Aboozarian S S, Farnosh M, Mohammadi A, Hashemi B M, Salarhaji A. The Effectiveness of Cognitive-Behavioral Group Therapy on Symptoms of Depression and Anxiety in Women with Chronic Schizophrenia Admitted to Hejazi Hospital in Mashhad. Avicenna J Nurs Midwifery Care 2021; 29 (2) :146-59. [DOI:10.30699/ajnmc.29.2.146]
26. URL: http://nmj.umsha.ac.ir/article-1-2231-fa.html
27. Mohammadi M, Sheykh Hadi Siruii R, Garafar A, Zahrakar K, Shakarami M, Davarniya R. Effect of Group Cognitive Behavioral Couples Therapy on Couple Burnout and Divorce Tendency in Couples. Armaghane danesh 2017; 21 (11) :1069-86 [Google Scholar]
28. Dareshouri Mz, Bosaknejad S, Sarvghad S. A Survey On The Effectiveness Of Stress Management Training With Cognitive-Behavioral Group Therapy Approach On State/Trait Anxiety, Pregnancy Anxiety And Mental Health Of Primiparous Women. Jentashapir journal of cellular and molecular biology 2013; 4(9): 495-504. [Google Scholar]
29. Safaralinezhad A, Oveisi S, Jourabchi Z. Effect of cognitive-behavioral group therapy on gestational depression: A clinical trial. Iran J Obstet Gynecol Infertil 2018;21(2): 48-59. [Google Scholar]
30. Palas Karaca P, Oskay ÜY. Effect of supportive care on the psychosocial health status of women who had a miscarriage. Perspect Psychiatr Care2020; 57(1): 179-88. [DOI:10.1111/ppc.12540] [PMID]
31. Rezaei S, Bazarganiyan N, Jahangirpoor M, Tousy H. Effectiveness of group Cognitive Therapy (CT) in reducing depression, anxiety and perceived stress in men with HIV. Bimonthly Official publication Medical Daneshvar 2015;22(116):23-34. [URL]
32. Moradi Msanesh f, Ahadi h, Jomehri f, Rahgozar m. Relationship between Psychological Distress and Quality Of Life in Women with Breast Cancer. J Rostamineh Zabol Univ Med Sci 2012;4(2):51-9. [URL]
33. Safaralinezhad A, Oveisi S, Jourabchi Z. Effect of cognitive-behavioral group therapy on gestational depression: A clinical trial. Iran J Obstet Gynecol Infertil2018; 21(2): 48-59. [Google Scholar]
34. Cohen S, O'Leary KD, Foran HM, Kliem S. Mechanisms of change in brief couple therapy for depression. Behav Ther 2014;45(3):402-17. [DOI:10.1016/j.beth.2014.01.003] [PMID]
35. Karamoozian M, Askarizadeh G, Behroozi N. The study of psychometric properties of pregnancy related anxiety questionnaire. Journal of Clinical Nursing and Midwifery 2017; 5(4): 22-34. [Google Scholar]
36. Seyed Kaboli K, Mahmoodi Z, Mehdizadeh Tourzani Z, Tehranizadeh M, Kabir K, Dolatian M. The Effect of Group Counseling Based on Cognitive-Behavioral Approach on Pregnancy-Specific Stress and Anxiety. Shiraz E-Med J 2017; 18(5):e13183. [DOI:10.5812/semj.45231]
37. Ghorbani S, Jourabchi Z, Olfati F. The effect of group counseling based on cognitive behavioral therapy on anxiety of pregnant women with constipation: Clinical Trial. Avicenna Journal of Nursing and Midwifery Care 2020; 28(4): 32-44. [DOI:10.30699/ajnmc.28.4.32]
38. Le H-N, Perry DF, Stuart EA. Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas. J Consult Clin Psychol2011;79(2):135. [DOI:10.1037/a0022492] [PMID]
39. Thimm JC, Antonsen L. Effectiveness of cognitive behavioral group therapy for depression in routine practice. BMC psychiatry 2014;14(1):292. [DOI:10.1186/s12888-014-0292-x] [PMID] [PMCID]
40. Barbato A, D'Avanzo B. Efficacy of couple therapy as a treatment for depression: A meta-analysis. Psychiatr Q 2008;79(2):121-32. [DOI:10.1007/s11126-008-9068-0] [PMID]
41. Mahdavy M, Kheirabadi G. The Prevalence of Postpartum Depression and Its Related Factors among Women in Natanz City in 2018 (Iran). Qom Univ Med Sci J 2020; 14(2): 78-85. [DOI:10.29252/qums.14.2.78]
42. Noorbala A A, Malek Afzali H, Abedinia N, Akhbari M, Moravveji A, Vaseghi F, et al . Mental Health Status and Marital Satisfaction of Pregnant Women Referring to Health Centers in Kashan, Iran . J Sch Public Health Inst Public Health Res 2018; 16 (3) :279-94. [URL]
43. Khanzadeh A, Rostampour A, Nedaee N, Khosrojavid M. Effectiveness of cognitive-behavioral education on anxiety during pregnancy and delivery method in primiparous women. Journal of Nursing Education 2017; 5(6): 24-32. [DOI:10.21859/jne-05064]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb