The Effect of Group Counseling Based on Cognitive-Behavioral Approach on Pregnancy-Specific Stress and Anxiety

Kaboli, Khadije Seyed; Mahmoodi, Zohreh; Tourzani, Zahra Mehdizadeh; Tehranizadeh, Maryam; Kabir, Kourosh; Dolatian, Mahrokh

doi:10.5812/semj.45231

Cited by 9 publications

(6 citation statements)

References 22 publications

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“…The results of the study showed that CBT-based counseling reduced maternal stress and anxiety in the intervention group. However, the mean scores of stress and anxiety between the two groups were statistically significant (27). Their results are also consistent with those of the present study; however, the content and approach of counseling and the counseling method in their research were different from those of the present study.…”

Section: Discussionsupporting

confidence: 87%

“…In his study, women were screened in terms of PTSD before the study, but in our study, the women were not screened (26). Seyed Kaboli et al (27) conducted a randomized clinical trial to investigate the effect of group counseling based on CBT on pregnancyspecific anxiety and stress in 62 pregnant women in Karaj. The results of the study showed that CBT-based counseling reduced maternal stress and anxiety in the intervention group.…”

Section: Discussionmentioning

confidence: 95%

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The Effect of Cognitive-Behavioral Therapy on the Severity of Post-Traumatic Stress in Pregnant Women with a History of Traumatic Delivery

2021

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Background: Traumatic birth experiences may lead to serious psychological impairment. Recent studies show that a considerable number of women can develop post-traumatic stress disorder (PTSD). Objectives: The aim of this study was to investigate the effect of cognitive-behavioral therapy (CBT) on PTSD in pregnant women with a history of traumatic childbirth. Methods: This quasi-experimental study was conducted on 80 pregnant women with a history of traumatic childbirth, referring to health centers in Zahedan in 2020. The mothers were selected by a convenience sampling method and divided into two groups (40 mothers in each group) according to the random allocation method. The data were collected using the PTSD questionnaire administered before the intervention and five weeks after the final training session. The intervention group received four sessions of CBT during four weeks, and the control group received only routine pregnancy care. Data analysis was performed by SPSS 22 software using the independent t-test, chi-square test, and paired sample t-test at a significant level of < 0.05. Results: The results of the study showed that the mean post-traumatic stress score of pregnant women before CBT in the intervention and control groups was 27.90 ± 10.91 and 24.97 ± 14.85, respectively, and it changed to 15.25 ± 4.08 and 26.25 ± 11.56, respectively, after the intervention. Independent t-test showed that the mean scores of post-traumatic stress of pregnant women in the two groups were not significant before education (P = 0.31), but it was significant after it (P = 0.0001). Conclusions: CBT can have significant effects on reducing the severity of PTSD in pregnant women with a history of traumatic childbirth. Thus, it is recommended to include this type of educational intervention in the care program of pregnant women with a history of traumatic childbirth.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 95%

The Effect of Cognitive-Behavioral Therapy on the Severity of Post-Traumatic Stress in Pregnant Women with a History of Traumatic Delivery

2021

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“…Pregnancy and childbirth are events that change a woman's worldview and affect her health, emotions, and social roles [35]. Fear is a normal emotion that can be an appropriate response to danger or threat [36].…”

Section: Discussionmentioning

confidence: 99%

The relationships of spiritual health, pregnancy worries and stress and perceived social support with childbirth fear and experience: A path analysis

Hosaini,

Yazdkhasti,

Moafi Ghafari

et al. 2023

PLoS ONE

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Background Given maternal health is a major health indicator, the present research aimed at determining the causal relationships of spiritual health, worries, stress and perceived social support with the fear and experience of childbirth in pregnant women. Methods The present longitudinal prospective research recruited 352 pregnant women presenting to selected health centers in Qazvin, Iran in 2021. The data were collected using the Childbirth Experience Questionnaire-2 (CEQ-2), the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), the Multidimensional Scale of Perceived Social Support (MSPSS), the Persian version of the Pregnancy Worries and Stress Questionnaire (PWSQ), the Spiritual Health Questionnaire, the Socioeconomic Status (SES) questionnaire and a sociodemographic checklist, and were analyzed in SPSS-25 and Lisrel-8.8. Results The mean age of the participants was 28.1±6.8 years. According to the results of the path analysis, among the variables related to fear of childbirth, childbirth experience (B = -0.37, CI:-0.44;-0.22) in the direct path and perceived social support (B = -0.51, CI:-0.58;-0.43) in both direct and indirect paths demonstrated the most significant negative relationship. Among the variables related to childbirth experience, pregnancy worries and stress had a negative causal relationship (B = -0.06, CI:-0.079;-0.043) in the direct path, spiritual health showed the highest significant positive relationship (B = 0.01, CI: 0.008; 0.012) in the indirect path, and perceived social support (B = 0.112, CI: 0.092; 0.131) and the number of children (B = 0.32,CI: 0.30; 0.34) demonstrated the highest significant positive relationship in both direct and indirect paths. In other words, childbirth experience becomes more desirable as spiritual health, social support, and the number of children increases, and it becomes less desirable as pregnancy worries and stress rise. Conclusion According to the present findings, various psychological, social, and spiritual factors are associated with childbirth fear and experience. It is thus necessary to utilize appropriate methods and promote training and support to reduce the adverse outcomes of childbirth.

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“…According to the literature and clinical experience, psychological counseling should also focus on the exploration of ambivalent and negative emotions that can develop regarding pregnancy and which can be normal in these circumstances. The evaluation and empowerment of coping strategies can help women cope with difficult situations ( Florsheim et al, 2012 ; Kaboli et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Psychological issues in breast cancer survivors confronted with motherhood: Literature review and a call to action

et al. 2023

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Breast cancer is currently the most common cancer among women worldwide; in 15–25% of cases, patients are premenopausal at the time of diagnosis, and 50% of women desire pregnancy after cancer diagnosis. Motherhood after breast cancer involves complex psychological challenges with long-term consequences, though it is safely pursuable with adequate support. The purpose of this mini-review is to analyze the psychological implications surrounding pregnancy and motherhood after breast cancer and promote action in addressing the challenges that might affect women facing these life events.

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The Effect of Group Counseling Based on Cognitive-Behavioral Approach on Pregnancy-Specific Stress and Anxiety

Abstract: Background: Females encounter various stresses during life. Different courses of female's life, namely menstruation, pregnancy, and childbirth, cause particular physical and mental changes that make them more vulnerable.

Cited by 9 publications

References 22 publications

The Effect of Cognitive-Behavioral Therapy on the Severity of Post-Traumatic Stress in Pregnant Women with a History of Traumatic Delivery

The Effect of Cognitive-Behavioral Therapy on the Severity of Post-Traumatic Stress in Pregnant Women with a History of Traumatic Delivery

The relationships of spiritual health, pregnancy worries and stress and perceived social support with childbirth fear and experience: A path analysis

Psychological issues in breast cancer survivors confronted with motherhood: Literature review and a call to action

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