Cognitive Behavioral Counseling and Sleep Quality in Pregnant Women: a Randomized Controlled Trial

Khatibi, Soheila; Kazemi, Morteza; Zenoozian, Saeedeh; Vakili, Mohammad Masoud; Kharaghani, Roghieh

doi:10.1007/s40675-021-00213-2

Cited by 4 publications

(11 citation statements)

References 32 publications

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“…Eight RCTs (Cain et al, 2020; Felder et al, 2020; Han et al, 2019; Jiang et al, 2021; Kalmbach et al, 2020; Khatibi et al, 2021; Manber et al, 2019; Moradi et al, 2022) were included, involving 743 pregnant women, 373 in experiment groups, and 370 in control groups. Among them, two RCTs were conducted in China (Han et al, 2019; Jiang et al, 2021), four in the USA (Cain et al, 2020; Felder et al, 2020; Kalmbach et al, 2020; Manber et al, 2019), and two in Iran (Khatibi et al, 2021; Moradi et al, 2022). CBT‐I was used in the experimental groups, and sleep education, or conventional obstetric care was used in the control groups.…”

Section: Resultsmentioning

confidence: 99%

“…The study included seven RCTs (Cain et al, 2020; Felder et al, 2020; Han et al, 2019; Jiang et al, 2021; Kalmbach et al, 2020; Khatibi et al, 2021; Moradi et al, 2022) with 262 pregnant women in the CBT‐I group and 262 pregnant women in the control group. The PSQI score of the experimental group was lower than that of the control group.…”

Section: Meta‐analysis Resultsmentioning

confidence: 99%

“…Four RCTs (Han et al, 2019; Jiang et al, 2021; Khatibi et al, 2021; Moradi et al, 2022), including 206 pregnant women reported sleep onset latency, and 103 were assigned to receive CBT‐I. The random‐effect model showed shorter sleep onset latency in CBT‐I group (SMD = −1.25, 95% CI (−2.01, −0.50), p = 0.001; I 2 = 83%, p < 0.001) (Figure 5).…”

Section: Meta‐analysis Resultsmentioning

confidence: 99%

“…The five RCTs (Han et al, 2019; Jiang et al, 2021; Kalmbach et al, 2020; Khatibi et al, 2021; Moradi et al, 2022) focussed on TST with 297 pregnant women, the heterogeneity was high ( I 2 = 92%, p < 0.001), so the random‐effect model was applied. CBT‐I had similar effects to that of the control interventions (SMD = 0.31, 95% CI (−0.54, 1.17), p = 0.47) (Figure 6).…”

Section: Meta‐analysis Resultsmentioning

confidence: 99%

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Efficacy of cognitive behavioural therapy for insomnia or sleep disturbance in pregnant women: A systematic review ad meta‐analysis

Zheng

Zhu

Chen

et al. 2022

Journal of Sleep Research

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Summary During pregnancy many women may experience negative emotions and sleep disturbances. This systematic review and meta‐analysis was conducted to assess the efficacy of cognitive behavioural therapy for insomnia (CBT‐I) or sleep disturbance in pregnant women. From the earliest available publications to 15 April 2022, seven electronic literature databases were searched: PubMed, Web of Science, Cochrane Library, Embase, Chinese National Knowledge Infrastructure, Wanfang Data, and VIP Database for Chinese Science and Technology Journal. Randomised controlled trials of CBT‐I in pregnant women with insomnia or sleep disorders were included. The methodological bias of the included studies was assessed using the Cochrane risk of bias tool. The meta‐analysis was performed using RevMan 5.4 software. Stata Statistical Software: Release 15 was used for sensitivity analysis and publication bias. We included eight randomised controlled trials involving 743 pregnant women. Meta‐analysis showed that, compared with the control group, CBT‐I significantly improved the Insomnia Severity Index (mean difference [MD] = −4.25, 95% confidence interval [CI, −6.32, −2.19], p < 0.001), The Pittsburgh Sleep Quality Index (MD = −3.30, 95% CI [−4.81, −1.79], p < 0.001), sleep onset latency (standardised mean difference [SMD] = −1.25, 95% CI [−2.01, −0.50], p = 0.001), anxiety (SMD = −0.99, 95% CI [−1.32, −0.67], p < 0.001), and depression (SMD = −0.40, 95% CI [−0.72, −0.07], p = 0.02). No significant differences were found in total sleep time (SMD = 0.31, 95% CI [−0.54, 1.17], p = 0.47) and sleep efficiency (SMD = 0.80, 95% CI [−0.53, 2.13], p = 0.24). CBT‐I significantly improved pregnant women's sleep quality, insomnia severity, depression, and anxiety. This meta‐analysis provides evidence that CBT‐I is valid for insomnia or sleep disturbances during pregnancy.

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Section: Resultsmentioning

confidence: 99%

Section: Meta‐analysis Resultsmentioning

confidence: 99%

Section: Meta‐analysis Resultsmentioning

confidence: 99%

Section: Meta‐analysis Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy of cognitive behavioural therapy for insomnia or sleep disturbance in pregnant women: A systematic review ad meta‐analysis

Zheng

Zhu

Chen

et al. 2022

Journal of Sleep Research

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“…It can be seen that cognitive behavioral therapy has greatly mobilized the enthusiasm of pregnant women to actively participate in the delivery process and actively deal with the delivery pain and uncertain delivery outcome. Some scholars have found that cognitive behavioral therapy can not only ease maternal anxiety and depression, but also improve the rate of spontaneous delivery and breast-feeding and reduce the incidence of neonatal asphyxia during delivery [ 19 ]. The results of this study showed that the participants in the cognitive behavioral intervention group had a much higher natural spontaneous labor rate and proportion of neonatal Apgar scores of 8~10 than the routine group, suggesting that cognitive behavioral therapy could improve the rate of spontaneous labor and reduce the risk of neonatal asphyxia.…”

Section: Discussionmentioning

confidence: 99%

Effects of Perinatal Cognitive Behavioral Therapy on Delivery Mode, Fetal Outcome, and Postpartum Depression and Anxiety in Women

Guo

Wang

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effects of perinatal cognitive-behavioral therapy on delivery mode, fetal outcome, and postpartum depression and anxiety in women. Methods. The clinical data of 88 perinatal pregnant women who came to our hospital from May 2020 to May 2021 were retrospectively analyzed and grouped into the routine group and the cognitive behavioral intervention group according to different perinatal nursing methods, with 44 cases in the cognitive behavioral intervention group received by cognitive behavioral therapy, and 44 cases in the routine group obtained by routine obstetric care during the perinatal period. The anxiety of pregnant women was evaluated by the Hamilton Anxiety Scale (HAMA). The positive cooperation and negative response of the perinatal pregnant women in two groups were recorded. The trial delivery rate, mode of delivery, amount of intrapartum bleeding, neonatal Apgar score, and visual pain simulation score (VAS) within 48 hours after delivery of the pregnant women in the two groups were also recorded and compared. The incidence of depression of pregnant and lying-in women in the two groups was recorded on the 5th and 42nd day after delivery. Results. After the intervention, the anxiety score of pregnant women in the cognitive behavioral intervention group was significantly lower than that in the routine group ( P < 0.05 ). Following the intervention, the positive cooperation score of pregnant women in the cognitive behavioral intervention group was prominently higher than that in the routine group, and the negative cooperation score was observably lower than that in the routine group ( P < 0.05 ). The rate of spontaneous delivery in the cognitive behavioral intervention group was significantly higher than that in the conventional group ( P < 0.05 ), while the VAS score and blood loss in the cognitive behavioral intervention group were notably lower than those in the routine group ( P < 0.05 ). The proportion of women with EPDS score <9 points, i.e., no postpartum depression both on the 5th and 42nd day after delivery, were significantly higher than those in the routine group ( P < 0.05 ), whereas the proportion of patients with postpartum depression symptoms scored 9–13 points were markedly lower than those of the routine group ( P < 0.05 ). Conclusion. The cognitive behavioral therapy can improve the adverse physiological and psychological reactions of pregnant women with perinatal anxiety disorder, enhance the natural delivery rate and postoperative recovery, reduce the risk of neonatal asphyxia, and ensure the safety of mothers and infants in the perinatal period. Compared with routine nursing, this intervention method is more targeted and scientific, and is worthy of clinical promotion.

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Is collaborative care a key component for treating pregnant women with psychiatric symptoms (and additional psychosocial problems)? A systematic review

Klatter

Ravesteyn

Stekelenburg

2022

Arch Womens Ment Health

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Mental disorders during pregnancy are common, with long-lasting negative effects on mother and child. Treatment of these women is challenging, because of the high incidence of additional psychosocial problems and barriers on population and healthcare level. Collaborative care, collaboration between mental health and obstetric care professionals, may help to overcome these problems. The aim of this review is to review antenatal mental health interventions and analyse the impact of collaborative care. Two independent reviewers searched for RCT’s in PubMed, Embase and PsycINFO. Trials studying the effect of psychological or pharmacological interventions on the mental health of pregnant women with psychiatric symptoms (and psychosocial problems) were eligible for inclusion. Two reviewers independently abstracted data and assessed study quality and risk of bias. Each study was scored on collaborative care criteria: multi-professional approach to patient care, structured management plan, scheduled patient follow-ups and enhanced interprofessional communication. Thirty-five studies were included. Most trials studied the effect of cognitive behavioural therapy and interpersonal psychotherapy on antenatal depression. Almost all interventions met at least one collaborative care criteria. Interventions were mostly provided by multiple professionals, but interprofessional communication rarely took place. Interventions that met more criteria did not more often show a positive effect on maternal mental health. There is lack of research on antenatal psychiatric disorders other than depressive and on long-term treatment outcomes. Collaborative care is partly implemented in most current interventions, but more trials (including interprofessional communication) are needed to be conclusive whether collaborative care is a key component in antenatal mental healthcare.

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Cognitive Behavioral Counseling and Sleep Quality in Pregnant Women: a Randomized Controlled Trial

Cited by 4 publications

References 32 publications

Efficacy of cognitive behavioural therapy for insomnia or sleep disturbance in pregnant women: A systematic review ad meta‐analysis

Efficacy of cognitive behavioural therapy for insomnia or sleep disturbance in pregnant women: A systematic review ad meta‐analysis

Effects of Perinatal Cognitive Behavioral Therapy on Delivery Mode, Fetal Outcome, and Postpartum Depression and Anxiety in Women

Is collaborative care a key component for treating pregnant women with psychiatric symptoms (and additional psychosocial problems)? A systematic review

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