The effect of cognitive-behavioral therapy on stress and anxiety of women with premature ovarian insufficiency: A randomized controlled trial

Abstract

The aim of this study was to determine the effect of cognitive-behavioral therapy (CBT) on stress and anxiety (primary outcomes) and self-esteem and depression (secondary outcomes) in women with premature ovarian insufficiency (POI). This randomized controlled trial was performed on 50 women known with POI in Tabriz, Iran, in 2021. Participants were randomly assigned to CBT and control groups. CBT was provided in eight sessions of 45–60 min once a week with five to seven people. The Spielberger State-Trait Anxiety Inventory, Cohen Perceived Stress Scale, Beck Depression Inventory, and Rosenberg Self-Esteem Scale were used to collect data. After intervention, based on ANCOVA test by adjusting the baseline values, mean scores of stress (AMD: −10.97; 95% CI: −11.64 to −10.29), state anxiety (AMD: −14.76; 95% CI: −15.77 to −13.74), trait anxiety (AMD: −14.41; 95% CI: −15.47 to −13.74), and depression (AMD: −7.44; 95% CI: −8.41 to −6.46) were significantly lower in the CBT group compared to the control group. Also, mean score of self-esteem (AMD: 1.49; 95% CI: 1.06–1.92) was significantly higher in the CBT group compared to the control group. Regarding the effectiveness of CBT in promoting of mental health, it is suggested that healthcare providers use this method to improve mental health of women with POI. Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N64. Date of registration: 14/02/2021. URL: https://en.irct.ir/user/trial/52024/view; date of first registration: 17/02/2021.

The effect of cognitive behavioral therapy on stress and anxiety of mothers of girls with precocious puberty symptoms: a randomized controlled trial

“…The meetings were provided in eight sessions of 45–60 min once a week. Using PSS, they concluded that CBT can contribute to a reduction in stress [ 23 ]. The results of both studies are in line with the present one.…”

“…Inclusion criteria: mothers were required to have a daughter aged 8–9 with precocious puberty symptoms [ 22 ], a minimum of secondary school literacy, having a smart phone, having stress and anxiety due to their daughters’ precocious puberty, and a score of 35–65 (moderate and relatively severe) on STAI (State-Trait Anxiety Inventory) and above 21.8 on PSS (Perceived Stress Scale) [ 23 ]. Exclusion criteria: having a history of mental disorders according to the person’s statement, experiencing a severe mental health crisis in the last three months, such as the death of a relative, taking neuropsychiatric medications, other physical or mental problems, and participating in similar studies.…”