Comparison of group cognitive behavioral therapy and interactive lectures in reducing anxiety during pregnancy

Salehi, Fariba; Pourasghar, Mehdi; Khalilian, A R; Shahhosseini, Zohreh

doi:10.1097/md.0000000000005224

Cited by 21 publications

(12 citation statements)

References 36 publications

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“…Results showed a signi cant reduction in the state and trait anxiety in CBT and IL groups after four weeks (p < 0.001). In addition, group CBT was more effective than interactive lectures in reducing participants anxiety; however, this between-group difference was not signi cant (p > 0.05) (40). Results from the above study were consistent with the ndings of the present study; however, there was a difference between two studies in the number of counseling sessions and participants.…”

Section: Discussionsupporting

confidence: 88%

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Effect of Cognitive Behavioral Therapy-Based Counseling on Perceived Stress in Pregnant Women with History of Primary Infertility: A Controlled Randomized Clinical Trial

Golshani

Hasanpour

Mirghafourvand

et al. 2021

Preprint

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BackgroundGiven the prevalence of infertility and consequences of stress, anxiety, and depression during pregnancy and after childbirth, this study aimed to determine the effect of cognitive behavioral therapy (CBT)-based counseling on perceived stress (primary outcome), anxiety, depression, and quality of life (QoL) of pregnant women with a history of primary infertility (secondary outcome).Method:This controlled randomized clinical trial was conducted on 56 pregnant women with a history of primary infertility referred to Infertility Clinic of Al-Zahra Teaching Hospital of Tabriz. The participants were divided into the intervention (n = 28) and control (n = 28) groups using block randomization. The intervention group received group CBT-based counseling after the 14th week of the pregnancy: six in-person sessions and two telephone sessions once per week. The control group received routine care. The Perceived Stress Scale (PSS), Edinburgh Postnatal Depression Scale (EPDS), Van den Bergh’s Pregnancy-Related Anxiety Questionnaire (PRAQ), and Quality of Life in Pregnancy (Gravidarum) (QOL-GRAV) were completed through interviews before and four weeks after the intervention by the researcher.ResultsThere was not any between-group difference in socio-demographic characteristics, except the gestational age and husband educational level (p > 0.05). Both of these variables were adjusted in ANCOVA. After the intervention, the mean scores of perceived stress (mean difference: -7.3; confidence interval: 95%, from − 0.9 to -5.6; p < 0.001) and anxiety (mean difference:-14.7; confidence interval: 95%. from − 20.6 to − 8.8; p < 0.001) were significantly lower in the intervention group. The mean depression score in the intervention group was lower than the control; however, this between-group difference was not significant (mean difference: -1.95; confidence interval: 95% from − 3.9 to 0.2; p = 0.052). The mean score of quality of life in pregnancy was significantly higher in the intervention group than the control (mean difference: -5.4; confidence interval: 95% from 3.4 to 7.4; p < 0.001).ConclusionCBT counseling can affect the perceived stress, anxiety, and quality of life of pregnant women with a history of primary infertility. As a result, this counseling approach is recommended along with other counseling approaches to improve the mental health of pregnant women with a history of infertility.Trial RegistrationIRCT Registration Number: IRCT20111219008459N12, registered on 10/11/ 2018 (https://irct.ir/user/trial/34677)

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Section: Discussionsupporting

confidence: 88%

“…before getting positive pregnancy result. In a quasi-experimental study, Salehi (2016) compared the effectiveness of group CBT and interactive lecturing in reducing anxiety in pregnancy. Results showed a signi cant reduction in the state and trait anxiety in CBT and IL groups after four weeks (p < 0.001).…”

Section: Discussionmentioning

confidence: 99%

Effect of Cognitive Behavioral Therapy-Based Counseling on Perceived Stress in Pregnant Women with History of Primary Infertility: A Controlled Randomized Clinical Trial

Golshani

Hasanpour

Mirghafourvand

et al. 2021

Preprint

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“…Sample size: Considering α = 5% and β = 20%, and based on our previous study ( 32 ), the stress level intervention was 38.51 ± 10.03 and 32.25 ± 83.7 before and after the intervention, respectively. Therefore, the sample size was initially considered 22 women in each group, according to Formula 1.…”

Section: Methodsmentioning

confidence: 99%

A Shift Toward Childbearing In One-Child Families Through a Mindfulness-Based Stress Reduction Program: A Randomized Controlled Trial

Malekpoorafshar¹,

Salehinejad²,

Pouya³

et al. 2021

JFRH

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Objective: Fertility patterns are a key to the estimation of future population size, but they are restricted by serious indecision. One-child families are one of these patterns that is caused by a set of factors and one of these factors is the fear of re-pregnancy. In this regard, this study aimed to use a mindfulnessbased stress reduction (MBSR) program to reduce the fear of women who have been experiencing anxiety after their first pregnancy and delivery. Materials and methods: This interventional study was conducted on 67 one-child women, who at least 6 years have been passed since the birth of their child and according to the short form of the Pregnancy Related Anxiety Questionnaire (PRAQ-17), have been experienced anxiety. These women were randomly divided into control and intervention groups. For the intervention group, the MBSR program was conducted in 8 sessions, once every week, each session lasting 2.5 hours. At the end of the program, a second PRAQ-17 was completed by both groups. Results: The findings showed that the MBSR approach in the intervention group significantly decreased the anxiety score in total (p=0.001) and individually in all subcategories. Conclusion: The MBSR approach can reduce the anxiety of one-child women who have experienced anxiety after their pregnancy and childbirth. Thus, using this method in helping women with pregnancyrelated anxiety is recommended to increase the birth rate.

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“…Some studies focused on "state/trait anxiety during pregnancy" (Abbasi et al, 2020;Ekrami et al, 2019;Fontein-Kuipers et al, 2016;Goetz et al, 2020;Hamilton et al, 2020;Parsa et al, 2016;Rajeswari & SanjeevaReddy, 2020;Salehi et al, 2016;Sanaati et al, 2017;Toosi et al, 2017;J.-Y. Zhang et al, 2019), while others focused only on "state anxiety during pregnancy (Esfandiari et al, 2020;Legrand et al, 2017;Mirtabar et al, 2020;Sheikh-Azadi et al, 2016;Uçar & Golbasi, 2019).…”

Section: Outcome Variablesmentioning

confidence: 99%

Systematic Review on the Efficacy of Interventions for Fear of Childbirth, Anxiety and Fear in Pregnant Women

Birner¹,

Große²

2021

Preprint

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Background: Fears and anxieties during pregnancy and childbirth are a frequent phenomenon and can have negative consequences on wellbeing, psychological health and birth outcomes. Therefore, it is important to focus on the interventions to reduce those fears and anxieties during pregnancy and childbirth. A systematic review was conducted to examine the current literature on psychological interventions to reduce anxieties and fears during pregnancy and childbirth. Scopus and PubMed were searched from 2015 up until December 2020 for relevant studies. Included were pregnant women, with no restriction on age ranges or parity. Entered in the review were quantitative studies, including randomized controlled trials (RCTs), non-randomized controlled trials as well as treatment evaluations. After reviewing titles, abstracts and studies, 72 studies were included in this review as they met the inclusion criteria. Standard methodological procedures for systematic reviews were used. The quality assessment of included articles was done by using the Quality Assessment Tool for Quantitative Studies (EPHPP). Results: The main results of this review concern the fear and anxiety reducing effects of psychoeducation, relaxation techniques, guided imagery, supportive care through a midwife, group discussion, “lifestyle based education”, writing therapy, cognitive behavioral therapy groups and stress intervention, individual structured psychotherapy, communication skills training, counseling approaches (except distraction techniques), a motivational interviewing psychotherapy, emotional freedom techniques, breathing awareness and different hypnotherapeutic techniques on different fears and anxieties during pregnancy and childbirth. For mindfulness-based interventions mixed results are found. The effect of an acceptance and commitment therapy, biofeedback interventions, a mind body intervention, mental health training courses, the group intervention Nyytti® as well as cognitive analytic therapy is unclear, due to weak ratings. Antenatal class attendance reduced delivery fear significantly only in first time mothers. An internet-based problem-solving treatment did not reduce anxiety during pregnancy. Conclusion: A broad range of interventions show positive effects on fear of childbirth and fear and anxiety in pregnancy. Further research should address other acknowledged psychotherapeutic practices, like psycho-dynamic as well as systemic interventions, as they are underrepresented within this review. Furthermore , there is a need for manualized therapeutic interventions, with regards to a combination of effective intervention components.

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Comparison of group cognitive behavioral therapy and interactive lectures in reducing anxiety during pregnancy

Cited by 21 publications

References 36 publications

Effect of Cognitive Behavioral Therapy-Based Counseling on Perceived Stress in Pregnant Women with History of Primary Infertility: A Controlled Randomized Clinical Trial

Effect of Cognitive Behavioral Therapy-Based Counseling on Perceived Stress in Pregnant Women with History of Primary Infertility: A Controlled Randomized Clinical Trial

A Shift Toward Childbearing In One-Child Families Through a Mindfulness-Based Stress Reduction Program: A Randomized Controlled Trial

Systematic Review on the Efficacy of Interventions for Fear of Childbirth, Anxiety and Fear in Pregnant Women

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