Volume 34, Issue 2 (Spring 2026)
Avicenna J Nurs Midwifery Care 2026, 34(2): 120-130 |
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Ethics code: IR.AJUMS.REC.1400.322
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Koohbor Y, Bahmaei H, Molavi S, Ghanbari-chah anjiri S, Javadnoori M. Effect of Cognitive Behavioral Counseling on Anxiety in Pregnant Women with Abnormal Prenatal Screening Results: A Quasi-experimental Study. Avicenna J Nurs Midwifery Care 2026; 34 (2) :120-130
URL: http://nmj.umsha.ac.ir/article-1-3384-en.html
URL: http://nmj.umsha.ac.ir/article-1-3384-en.html
Yalda Koohbor1 
, Hadis Bahmaei2 , Shahla Molavi3 , Saeed Ghanbari-chah anjiri3 , Mojgan Javadnoori *4
, Hadis Bahmaei2 , Shahla Molavi3 , Saeed Ghanbari-chah anjiri3 , Mojgan Javadnoori *4
1- Reproductive Health, Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4- Reproductive Health Promotion Research Center, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,mojganjavadnoori@gmail.com
2- Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4- Reproductive Health Promotion Research Center, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,
Abstract: (494 Views)
Background and Objective: Pregnant women with abnormal prenatal screening results are at increased risk of severe anxiety and psychological distress. However, targeted counseling services to prepare them for receiving screening results are not routinely provided. The present study aimed to evaluate the effectiveness of cognitive behavioral counseling on anxiety levels in this group of women.
Materials and Methods: This randomized controlled interventional study was conducted on 98 pregnant women attending health care centers in Shiraz, Iran. Participants were randomly assigned to either the intervention group (n=49) or the control group (n=49). The intervention group participated in five sessions of cognitive behavioral counseling. Anxiety levels were measured before and after the intervention using a validated questionnaire, and the data were analyzed using SPSS software (version 22).
Results: The two groups were homogeneous in terms of demographic characteristics and baseline variables. Before the intervention, no significant difference in anxiety levels was observed (p=0.74). After the intervention, the intervention group showed a significant decrease in anxiety compared to the control group (p<0.001).
Conclusion: Cognitive behavioral counseling significantly reduced anxiety in pregnant women with abnormal prenatal screening results. It is recommended that health policymakers and midwifery service providers consider cognitive-behavioral counseling as part of the standard interventions for this high-risk group.
Materials and Methods: This randomized controlled interventional study was conducted on 98 pregnant women attending health care centers in Shiraz, Iran. Participants were randomly assigned to either the intervention group (n=49) or the control group (n=49). The intervention group participated in five sessions of cognitive behavioral counseling. Anxiety levels were measured before and after the intervention using a validated questionnaire, and the data were analyzed using SPSS software (version 22).
Results: The two groups were homogeneous in terms of demographic characteristics and baseline variables. Before the intervention, no significant difference in anxiety levels was observed (p=0.74). After the intervention, the intervention group showed a significant decrease in anxiety compared to the control group (p<0.001).
Conclusion: Cognitive behavioral counseling significantly reduced anxiety in pregnant women with abnormal prenatal screening results. It is recommended that health policymakers and midwifery service providers consider cognitive-behavioral counseling as part of the standard interventions for this high-risk group.
Type of Study: Original Research |
Subject:
Midwifery
Received: 2025/10/7 | Accepted: 2026/04/6 | Published: 2026/05/31
Received: 2025/10/7 | Accepted: 2026/04/6 | Published: 2026/05/31
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