The "Cooperative-Supportive’’ Intervention for Improving Mental Health Status among Pregnant Women

Abstract

Introduction: Maternal mental health during pregnancy has a major impact on fetal growth and consequently, child health. The objective of this study was to assess the effect of "Cooperative-Supportive" Intervention Program on Pregnancy. Methods: The present before and after interventional research was conducted on 114 pregnant women referring to Khoy health centers in 2014. Pregnant women were randomly divided into intervention (n=57) and control groups (n=57). The data collection tool in this research was the researcher-made questionnaire based on the Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation (PRECEDE) model which assessed the participants’ predisposing, enabling, and reinforcing factors. The educational interventions for enhancing pregnant women’s stress controlling skills were conducted and also practical pacifying lessons were held for the intervention group during five weeks with relaxation exercises. In order to assess health status among pregnant women, knowledge, attitude, depression, anxiety and self-efficacy were investigated by applying different scales and questioners. The questionnaires were completed before and after the interventional program. The data were analyzed, using suitable statistical tests. Results: After the intervention, the mean score of PRECEDE major components significantly increased and the total anxiety and depression scores decreased in the intervention group in comparison to those of the control group. Conclusion: The present study showed the positive impact of educational intervention programs based on PRECEED model and major components on reducing anxiety and depression, and finally mental health promotion in the studied population.

Universal and Selective Interventions to Prevent Poor Mental Health Outcomes in Young People: Systematic Review and Meta-analysis

“…Studies reported (in descending order of frequency) on anxiety features (87 articles; 29.5%), affective symptoms (65 articles; 22.0%), other emotional and behavioral problems (62 articles; 21.0%), conduct problems (59 articles; 20.0%), general psychological distress (52 articles; 17.6%), alcohol use (42 articles; 14.2%), externalizing behaviors, (31 articles; 10.5%), tobacco use (32 articles; 10.8%), internalizing behaviors (25 articles; 8.5%), cannabis use (23 articles; 7.8%), ADHD features (21 articles; 7.1%), interpersonal violence (14 articles; 4.7%), eating-related problems (13 articles; 4.4%), consequences of alcohol use (12 articles; 4.1%), PTSD features (6 articles; 2.0%), sleep-related problems (6 articles; 2.0%), and impaired functioning (5 articles; 1.7%) (Supplemental Table 3, http://links.lww.com/HRP/A158). 44–133, 134–231, 232–332 …”

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

“…Summarized within this review are educational interventions: psychoeducation (Bazrafshan et al, 2020;Boz et al, 2020;Hajmohamadi et al, 2018;Klabbers et al, 2019;Kordi et al, 2017;Uçar & Golbasi, 2019) and more general education (Abbasi et al, 2020;Aksoy Derya et al, 2021;Haapio et al, 2017;Karabulut et al, 2016;Munkhondya et al, 2020;Noorbala et al, 2019). Bazrafshan et al (2020), Boz et al (2020), Hajmohamadi et al (2018), Kordi et al (2017) and Uçar and Golbasi (2019) found a positive effect for psychoeducation, while the study of Klabbers (2019) did not validate this result. Taking the ratings of Uçar (2019) and Klabbers (2019) as weak ratings into account, the results could be interpreted as positive effects for psychoeducational interventions.…”

“…Some studies had "pregnancy related anxiety as an outcome" (Aksoy Derya et al, 2021;Bazrafshan et al, 2020;Goetz et al, 2020;Karamoozian & Askarizadeh, 2015;Khojasteh et al, 2016;Zarenejad et al, 2020) and others focused on "anxiety during pregnancy" (Akbarian et al, 2018;Alipour et al, 2020;Aslami et al, 2016;Beevi et al, 2016;Hajmohamadi et al, 2018;Heller et al, 2020;Mohammadi & Parandin, 2019;Montazeri et al, 2020;Sobhani et al, 2019;Sridhar et al, 2020;van der Zwan et al, 2019;Yazdanimehr et al, 2016;Zemestani, 2019).…”

The Effect of Narrative Writing on Depression, Anxiety, and Stress of Pregnant Women

“…romoting health and providing a sense of wellbeing in all stages of women's life improves their quality of life (Hajmohamadi et al, 2018). Puberty, pregnancy, and menopause are critical stages of a woman's life.…”

“…Puberty, pregnancy, and menopause are critical stages of a woman's life. Although pregnancy is known as a joyful period for most women, it could be accompanied by biological, emotional, and physical challenges (Hajmohamadi et al, 2018). The results of foreign studies suggest that depression, anxiety, and low to moderate stress affect approximately 10%-15%, 25%-45%, and 78% of women during pregnancy, respectively (Noonan et al, 2017;Fan et al,.…”