Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial.

anxiety fear of childbirth motivational interviewing pregnancy-specific stress psychotherapy self-efficacy

Journal

Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902

Informations de publication

Date de publication:
2020
Historique:
received: 02 12 2019
accepted: 31 03 2020
entrez: 13 6 2020
pubmed: 13 6 2020
medline: 13 6 2020
Statut: epublish

Résumé

The fear of childbirth (FOC) has an adverse effect on the physical and mental health of pregnant women and increases adverse maternal and fetal outcomes. Previous research reported the effect of psychological interventions such as cognitive behavioral therapy, relaxation therapies, and short-term psycho-educational intervention on FOC. We examined whether adding motivational interviewing (MI) psychotherapy to prenatal usual care (PUC) is superior to PUC alone to reduce the scores of FOC, pregnancy stress, and self-efficacy. An RCT with two-arm parallel groups and 1:1 allocation ratio assigned 70 pregnant women (aged 18-50) attending public health centers in an education hospital in Iran to receive five sessions of group MI psychotherapy plus PUC ( The post-trial results indicated that the outcome scores diminished more considerably in psychotherapy than in PUC for total FOC scale with a large effect size ( Adding 5 weeks of group psychotherapy to PUC could be considered as an adjunctive care option for reducing FOC, pregnancy stress, and general anxiety in pregnant women in the third trimester. Future research may focus on sustaining the effects and evaluating the economic impacts of adding psychotherapy to PUC.

Identifiants

pubmed: 32528340
doi: 10.3389/fpsyg.2020.00787
pmc: PMC7265090
doi:

Types de publication

Journal Article

Langues

eng

Pagination

787

Informations de copyright

Copyright © 2020 Abdollahi, Faramarzi, Delavar, Bakouei, Chehrazi and Gholinia.

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Auteurs

Somayeh Abdollahi (S)

Counseling in Midwifery, Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

Mahbobeh Faramarzi (M)

Department of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran.

Mouloud Agajani Delavar (MA)

Community Health, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Fatemeh Bakouei (F)

Reproductive Health, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Mohammad Chehrazi (M)

Department of Epidemiology & Biostatics, Babol University of Medical Sciences, Babol, Iran.

Hemmat Gholinia (H)

Biostatistics, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Classifications MeSH