The Effect of Beck's Cognitive Therapy On Anxiety and Fear of Childbirth: A Randomized Controlled Trial

سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 161

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شناسه ملی سند علمی:

JR_JMREH-10-2_008

تاریخ نمایه سازی: 15 فروردین 1401

چکیده مقاله:

Background & aim: The prevalence of anxiety and fear of childbirth (FOC) during pregnancy is high. This study aimed to measure the effect of group counseling with Beck′s cognitive therapy on anxiety and FOC in primiparous women.Methods: This randomized controlled trial was conducted on ۶۸ primiparous women who referred to the health centers of Ardabil, Iran. The participants were randomly assigned to the counseling and control groups. The intervention group participated in six, ۶۰-minute weekly sessions of cognitive group counseling. All women completed the Spielberger State-Trait Anxiety Inventory (STAI) before the intervention and during the active phase of labor. A questionnaire for the measurement of fear of childbirth (W-DEQ version A) was completed before the intervention, at the ۳۶th week, and also two hours after delivery (W-DEQ version B). Mackey Childbirth Satisfaction Rating (MCSR) and childbirth experience questionnaire were completed ۱۲ to ۲۴ hours after delivery. Data were analyzed using Chi-square, independent t-test, ANCOVA, and repeated measures ANOVA.Results: There was no statistically significant difference between the two groups in terms of mean scores of state (P=۰.۸۴۲) and trait (P=۰.۸۵۹) anxiety during labor, FOC after the intervention (P=۰.۵۶۶), childbirth experience (P=۰.۴۰۰), and childbirth satisfaction (P=۰.۸۲۸). Also, there was no statistically significant difference in the frequency of vaginal delivery between the two groups (P=۰.۸۵۶).Conclusion: The findings of the present study showed that Beck′s group cognitive therapy was not effective in reduction of anxiety and FOC. Therefore, it is recommended to do more research in this regard in the future.

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نویسندگان

Nasrin Tata

MSc of Counselling in Midwifery, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

Khalil Esmaeilpour

Associate Professor, Department of Psychology, Faculty of Education and Psychology, University of Tabriz, Tabriz, Iran

Nowruz Najafzadeh

a) Associate Professor of Anatomy, Research Laboratory of stem cells and Embryology, Ardabil University of Medical Sciences, Ardabil, Iran b) Department of Anatomy, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

Mehriar NaderMohammadi

Assistant professor, Department of Psychiatry, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

Mojgan Mirghafourvand

Professor, Social Determinants of Health Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran

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