Volume 29, Issue 4 (Fall 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(4): 314-327 | Back to browse issues page

Ethics code: IR.BUMS.REC.1399.115
Clinical trials code: IRCT20200604047655N1

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Zameni E, Shahabizadeh F, Jarahi Feriz J, Ghanbarzadeh N. The Effect of Dialectical Behavior Therapy Techniques Training with lavender Aromatherapy on Depression and Maternal Competence of Nulliparous Women with Insecure Attachment to Spouse. Avicenna J Nurs Midwifery Care 2021; 29 (4) :314-327
URL: http://nmj.umsha.ac.ir/article-1-2338-en.html
1- PhD Student in Psychology, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran
2- Associate Professor, Department of Psychology, Birjand Branch, Islamic Azad University Birjand, Iran , F_shahabizadeh@yahoo.com
3- Assistant Professor, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran
Abstract:   (2208 Views)

Background and Objective: Pregnancy is one of the most stressful stages in Women's life. The purpose was to determine the effectiveness of Dialectical Behavior Therapy Techniques Training lavender aromatherapy on depression and maternal competence of Primiparous women with Insecure Attachment to Spouse.
Material and Methods: This clinical trial study was performed in 2021 on 60 pregnant women in Birjand, Iran. Insecure attached expectant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy), intervention group 2 (aromatherapy with lavender), and control group. Dialectical behavioral therapy techniques were performed in the last three months of pregnancy, aromatherapy in the active phase of labor, and the follow-up period one month after the baby's birth. The attachment to spouse Questionnaire, depression Beck, postpartum depression, and maternal competency were used. Data were analyzed in SPSS 25.

Results: The results of repeated analysis of variance showed that teaching dialectical behavioral therapy techniques was effective in reducing depression over time (P<0.001). Covariance analysis showed that depression during pregnancy was decreased significantly after the Dialectical Behavior Therapy Techniques Training (P<0.001). The multivariate analysis of variance also showed both components of maternal competence increased significantly in intervention groups 1 (P<0.05).
Conclusion: Dialectical behavioral therapy techniques and aromatherapy are effective interventions to reduce depression and increase maternal competence. They can be used for pregnant women with insecure attachment to their husbands in health centers.

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✅ Dialectical behavioral therapy techniques and aromatherapy are effective interventions to reduce depression and increase maternal competence. They can be used for pregnant women with insecure attachment to their husbands in health centers.

Type of Study: Original Research | Subject: Mental health
Received: 2021/05/29 | Accepted: 2021/08/21 | Published: 2021/12/21

1. Cunningham F, Leveno K, Bloom S, Dashe J, Hoffman, BL Spong CY Translated by Valdan M, Mohammadi Z. Williams obstetrics. 25 th ed; Arjmand publications; 2018:432-434.
2. Bianciardi E, Vito C, Betrò S, De Stefano A, Siracusano A, Niolu C. The anxious aspects of insecure attachment styles are associated with depression either in pregnancy or in the postpartum period. Annu Gen Psychiatry. 2020;19(1):1-9. [DOI:10.1186/s12991-020-00301-7]
3. Sanchez-Vidana DI, Ngai SP, He W, Chow JK, Lau BW, Tsang HW. The effectiveness of aromatherapy for depressive symptoms: A Systematic Review. Evid Based Complement Alternat Med. 2017; 4:1-21:e5869315. [DOI:10.1155/2017/5869315] [PMID] [PMCID]
4. Prelog PR, Makovec MR, Šimic MV, Sršen TP, Perat M. Individual and contextual factors of nulliparas' levels of depression, anxiety and fear of childbirth in the last trimester of pregnancy: intimate partner attachment a key factor? Zdr Varst. 2019;58(3):112-9. [DOI:10.2478/sjph-2019-0015] [PMID] [PMCID]
5. Bright KS, Mughal MK, Wajid A, Lane-Smith M, Murray L, Roy N, et al. Internet-based interpersonal psychotherapy for stress, anxiety, and depression in prenatal women: study protocol for a pilot randomized controlled trial. Trials. 2019;20(1):1-11 [DOI:10.1186/s13063-019-3897-z] [PMID] [PMCID]
6. Tokumitsu K, Sugawara N, Maruo K, Suzuki T, Shimoda K, Yasui-Furukori N. Prevalence of perinatal depression among Japanese women: a meta-analysis. Ann Gen Psychiatry. 2020; 19(1):1-18. [DOI:10.1186/s12991-020-00316-0] [PMID] [PMCID]
7. Manavipour D, Heidari S. Effectiveness of education on stress relief based on conscientiousness on resiliency, emotional regulation and attachment styles in men. J Analitical-Cogn Psychol. 2018; 9(34):55-67.
8. Sutton TE. Review of attachment theory: Familial predictors, continuity and change, and intrapersonal and relational outcomes. Marriage Fam Rev. 2019;55(1):1-22 [DOI:10.1080/01494929.2018.1458001]
9. Nilforooshan P, Navidian A. Composition of spouses' attachment dimensions on marital satisfaction. J Fund Ment Health. 2014;16(63):200-12.
10. Falgares G, Lo Gioco A, Verrocchio MC, Marchetti D. Anxiety and depression among adult amputees: the role of attachment insecurity, coping strategies and social support. Psychol Health Med. 2019;24(3):281-93. [DOI:10.1080/13548506.2018.1529324] [PMID]
11. Chae J-Y. The influence of pregnant couples' attachment representation for parents of origin on their psychological symptoms. Fam Environ Res. 2019;57(1):41-50. [DOI:10.6115/fer.2019.004]
12. Røhder K, Væver MS, Aarestrup AK, Jacobsen RK, Smith-Nielsen J, Schiøtz ML. Maternal-fetal bonding among pregnant women at psychosocial risk: The roles of adult attachment style, prenatal parental reflective functioning, and depressive symptoms. PloS one. 2020;15(9):e0239208. [DOI:10.1371/journal.pone.0239208] [PMID] [PMCID]
13. Knoche LL, Givens JE, Sheridan SM. Risk and protective factors for children of adolescents: Maternal depression and parental sense of competence. J Child Fam Stud. 2007 Oct 1;16(5):684-95. [DOI:10.1007/s10826-006-9116-z]
14. Gao L-l, Chan SW-c, Sun K. Effects of an interpersonal-psychotherapy-oriented childbirth education programme for Chinese first-time childbearing women at 3-month follow up: randomised controlled trial. Int J Nurs Stud. 2012;49(3):274-81. [DOI:10.1016/j.ijnurstu.2011.09.010] [PMID]
15. Jahdi F, Kaheh A, Haghani H. Effect of attachment behaviors training on maternal competence attainment in nulliparous adolescent women. J Babol Univ Med Sci. 2019;21(1):78-84.
16. Vakilian K, Karamat A, Mousavi A, Shariati M, Ajami E, Atarha M. The effect of Lavender essence via inhalation method on labor pain. J Shahrekord Univ Med Sci. 2012; 14:34-40. []
17. Łyczko J, Jałoszyński K, Surma M, García-Garví JM, Carbonell-Barrachina ÁA, Szumny A. Determination of various drying methods' impact on odour quality of true lavender (lavandula angustifolia Mill. Flowers. Molecules. 2019; 24(16):1-15.290. [DOI:10.3390/molecules24162900] [PMID] [PMCID]
18. Mohammadi MM, Parandin S. Effect of the combination of Benson's relaxation technique and brief psychoeducational intervention on multidimensional pain and negative psychological symptoms of pregnant women: A randomized controlled trial. J Educ Health Promot. 2019;8(1):1-7.
19. Zamanifar S, Bagheri-Saveh MI, Nezakati A, Mohammadi R, Seidi J. The effect of music therapy and aromatherapy with chamomile-lavender essential oil on the anxiety of clinical nurses: A randomized and double-blind clinical trial. J Med Life. 2020; 13(1):87-93.
20. Jafari-Koulaee A, Khenarinezhad F, Sharifi Razavi A, Bagheri-Nesami M. The effect of aromatherapy with lavender essence on depression and headache disability in migraine patients: A randomized clinical trial. J Med Plants. 2019; 18(70):162-72. [http://jmp.ir/article-1-2571-en.html] [DOI:10.29252/jmp.2.70.162]
21. Xiong M, Li Y, Tang P, Zhang Y, Cao M, Ni J, et al. Effectiveness of aromatherapy massage and inhalation on symptoms of depression in Chinese community-dwelling older adults. J Altern Complement Med. 2018; 24(7):717-24. [DOI:10.1089/acm.2017.0320] [PMID]
22. Evin A, Khojasteh F, Ansari H. The Effect of Hatha Yoga on Anxiety and Self-Efficacy of Primiparous Women in Labor. Open Complement Med J. 2019;9(1):3546-59.
23. Cannon JL, Umstead LK. Applying dialectical behavior therapy to self‐harm in college‐age men: A case study. J Coll Couns 2018; 21(1):87-96. [magiran.com/p1995119] [DOI:10.1002/jocc.12089]
24. DeCou CR, Comtois KA, Landes SJ. Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behav Ther. 2019; 50(1):60-72. [DOI:10.1016/j.beth.2018.03.009] [PMID]
25. Eisner L, Eddie D, Harley R, Jacobo M, Nierenberg AA, Deckersbach T. Dialectical behavior therapy group skills training for bipolar disorder. Behav Ther. 2017; 48(4):557-66. [DOI:10.1016/j.beth.2016.12.006] [PMID] [PMCID]
26. Huang J-W, Zhou X-Y, Lu S-J, Xu Y, Hu J-B, Huang M-L, et al. Dialectical behavior therapy-based psychological intervention for woman in late pregnancy and early postpartum suffering from COVID-19: a case report. J Zhejiang Univ Sci B. 2020; 21(5):394-9. [DOI:10.1631/jzus.B2010012] [PMID] [PMCID]
27. Miri N, Nayyeri M. Comparison the effectiveness of dialectical behavior therapy, drug therapy and their combination methods on depression and Irrational Beliefs in women with postpartum depression. Iran J Psy Nurs. 2019;7(2):1-9.
28. Bahrami M, Bakhtiari N, Haji Z, Fathi Z. The effectiveness of dialectical behavioral therapy on GAD incidence and Substance Abuse. J Motor Behav Sci 2018;1(3):203-10. [http://www.jmbs.ir/article_87591_en.html?lang=fa]
29. Sarmad Z, Bazargan A, Hejazi E. Research methods in behavioral sciences. Tehran. Agah publications; 2007.
30. Safaralinezhad A, Oveisi S, Sarichlu Me, Jourabchi Z. Effect of cognitive-behavioral group therapy on gestational depression: A clinical trial. Iran J Obstet Gynecol Infertilit. 2018; 21(2):48-59. [http://ijogi.mums.ac.ir/article_10712.html]
31. Kordi M, Fasanghari M, Asgharipour N, Esmaily H. The effect of maternal role training program on role attainment and maternal role satisfaction in nulliparous women with unplanned pregnancy. J Educ Health Promot. 2017;6. 113-115. [DOI:10.4103%2Fjehp.jehp_113_15]
32. Ghanbarzadeh N, Mehrani Z, Sharifzadeh G, Nadjafi-Semnani A, Nadjafi-Semnani M. Investigation the relationship between moral intelligence, social adjustment, and postpartum depression in women referring to Birjand health centers. EBNESINA 2020; 21(4):100-4.
33. Robinson S, Lang JE, Hernandez AM, Holz T, Cameron M, Brannon B. Outcomes of dialectical behavior therapy administered by an interdisciplinary team. Arch Psychiatr Nurs 2018; 32(4):512-516. [DOI:10.1016/j.apnu.2018.02.009] [PMID]
34. Muchanga SMJ, Yasumitsu-Lovell K, Eitoku M, Mbelambela EP, Ninomiya H, Komori K, et al. Preconception gynecological risk factors of postpartum depression among Japanese women: The Japan Environment and Children's Study (JECS). J Affect Disord. 2017;217:34-41. [DOI:10.1016/j.jad.2017.03.049] [PMID]
35. Kordi M, Bakhshi M, Masoudi S, Esmaily H. Effect of prenatal psychological trainings on satisfaction with childbirth and maternal role competence in primiparous women. J Maz Uni Med Sci. 2018; 28(165):98-108.
36. Kazeminia M, Abdi A, Vaisi-Raygani A, Jalali R, Shohaimi S, Daneshkhah A, et al. The effect of lavender (Lavandula stoechas L.) on reducing labor pain: A systematic review and meta-analysis. Evid Based Complement Alternat Med. 2020;1-11:e4384350. [DOI:10.1155/2020/4384350] [PMID] [PMCID]
37. Chung F-F, Wan G-H, Kuo S-C, Lin K-C, Liu H-E. Mother-infant interaction quality and sense of parenting competence at six months postpartum for first-time mothers in Taiwan: a multiple time series design. BMC Pregnancy Childbirth. 2018; 18(1):1-13. [DOI:10.1186/s12884-018-1979-7] [PMID] [PMCID]
38. Abdollahpour N, Seyedfatemi N, HakimShooshtari M, Mehran A. The effect of education on sense of competence of mothers of children with hyperactivity disorder. J Nurs Educ 2017; 5(4):19-26. [DOI:10.21859/ijpn-05043]

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