Volume 28, Issue 4 (Fall 2020)                   Avicenna J Nurs Midwifery Care 2020, 28(4): 32-44 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ghorbani S, Jourabchi Z, Sarichloo M E, Olfati F. The Effect of Group Counseling Based on Cognitive Behavioral Therapy on Anxiety of Pregnant Women with Constipation: Clinical Trial. Avicenna J Nurs Midwifery Care. 2020; 28 (4) :32-44
URL: http://nmj.umsha.ac.ir/article-1-2123-en.html
1- MSc. Master Student, Department of Midwifery Counseling, Student Research Committee of Qazvin University of Medical Sciences, Qazvin, Iran
2- Assistant Professor, Social Determinants of Health Research and Department of Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
3- PhD Student, Department of Psychiatry, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
4- Assistant Professor, Metabolic Diseases Research Center and Department of Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran , papoy6olfati@yahoo.com
Abstract:   (1165 Views)

Introduction: Anxiety during pregnancy is a special emotional state related with different concerns during pregnancy including infant health and parturition, which is associated with an increased risk of a range of negative consequences for both mother and child. Therefore, the aim of this study was to investigate the effect of cognitive and behavioral therapy on the anxiety of mothers with pregnancy constipation.
Methods: The present randomized clinical trial, which included 60 pregnant women with a gestational age of 10 to 20 weeks referred to two comprehensive urban health services in Takestan during 2019. Subjects were randomly divided into intervention (n=30) and control (n=30) groups. Study tools included the short form of pregnancy-related anxiety questionnaire (PRAQ-17) and a constipation assessment scale in pregnancy. Intervention included 6-week 90-minute consultation sessions (one session each week) for five groups of 6 persons. Follow-up included immediately and one and two months after session completion. Repeated measures and Chi-square analysis were used for data analysis. P-value<0.05 was considered significant.
Results: The mean of pregnancy anxiety scale, immediately, one month and two months after the intervention was significant (P<0.001). In terms of time and group interaction significant difference was observed (P<0.001; F=29.776), In other words, there was a significant difference between the two groups in terms of pregnancy anxiety over time.
Conclusion: The present study indicated the beneficial effect of cognitive and behavioral therapy model on the anxiety of pregnant women with constipation, and it is recommended as a non-pharmacological approach to reduce their anxiety.

Full-Text [PDF 575 kb]   (339 Downloads) |   |   Extended Abstract (HTML)  (77 Views)  

✅ The present study indicated the beneficial effect of cognitive and behavioral therapy model on the anxiety of pregnant women with constipation, and it is recommended as a non-pharmacological approach to reduce their anxiety.


Type of Study: Original Research | Subject: Midwifery
Received: 2020/01/7 | Accepted: 2020/04/26 | Published: 2020/10/1

References
1. Cunningham, Gary F. williams obestrics. Translator ?. Tehran: Golban; 2018.
2. Dadsetan P. Developmental psychology from childhood to adulthood. Tehran: Organization of Reading and Editing Books. 2010.
3. Kane HS, Schetter CD, Glynn LM, Hobel CJ, Sandman CA. Pregnancy anxiety and prenatal cortisol trajectories. Biol Psych. 2014; 100:13-9. [DOI:10.1016/j.biopsycho.2014.04.003] [PMID] [PMCID]
4. Spielberger CD. Anxiety and behavior. Berlin: Academic Press; 2013.
5. Arch JJ. Pregnancy-specific anxiety: which women are highest and what are the alcohol-related risks? Compr Psychi. 2013; 54(3):217-28. [DOI:10.1016/j.comppsych.2012.07.010] [PMID]
6. Simon GE. Social and economic burden of mood disorders. Bio Psychi. 2003; 54(3):208-15. [DOI:10.1016/S0006-3223(03)00420-7]
7. Deklava L, Lubina K, Circenis K, Sudraba V, Millere I. Causes of anxiety during pregnancy. Procedia-Soc Behav Sci. 2015; 205:623-6. [DOI:10.1016/j.sbspro.2015.09.097]
8. Ertekin Pinar S, Duran Aksoy O, Daglar G, Yurtsal ZB, Cesur B. Effect of stress management training on depression, stress and coping strategies in pregnant women: a randomised controlled trial. J Psychosom Obst Gynecol. 2017:1-8. [DOI:10.1080/0167482X.2017.1321632] [PMID]
9. Parsa P, Saeedzadeh N, Masoumi SZ, Roshanaei G. The effectiveness of counseling in reducing anxiety among nulliparous pregnant women. J Family Reproduc Health. 2016; 10(4):198.
10. Kammerer M, Adams D, Von Castelberg B, Glover V. Pregnant women become insensitive to cold stress. BMC Preg Childbirth. 2002; 2(1):8. [DOI:10.1186/1471-2393-2-8] [PMID] [PMCID]
11. Al'Absi M, Petersen KL, Wittmers LE. Adrenocortical and hemodynamic predictors of pain perception in men and women. Pain. 2002; 96(1-2):197-204. [DOI:10.1016/S0304-3959(01)00447-X]
12. Allolio B, Hoffmann J, Linton E, Winkelmann W, Kusche M, Schulte HM. Diurnal salivary cortisol patterns during pregnancy and after delivery: relationship to plasma corticotrophin‐releasing‐hormone. Clin Endocrinol. 1990; 33(2):279-89. [DOI:10.1111/j.1365-2265.1990.tb00492.x] [PMID]
13. Lenz HJ, Raedler A, Greten H, Vale WW, Rivier JE. Stress-induced gastrointestinal secretory and motor responses in rats are mediated by endogenous corticotropin-releasing factor. Gastroenterol. 1988; 95(6):1510-7. [DOI:10.1016/S0016-5085(88)80070-2]
14. Mazaheri M, Manshaee GR. Comparing the cognitive-behavioral aspects of pain and pain acceptance based on mindfulness level in patients with functional gastrointestinal disorders. Feyz J Kashan Uni Med Sci. 2016; 20(1):64-72.
15. Casper D. Harrison 's principles of internal medicine. Harvard: Harvard Medical School; 2015.
16. Derbyshire E, Davies J, Costarelli V, Dettmar P. Diet, physical inactivity and the prevalence of constipation throughout and after pregnancy. Matern Child Nutr. 2006; 2(3):127-34. [DOI:10.1111/j.1740-8709.2006.00061.x] [PMID] [PMCID]
17. Cullen G, O'Donoghue D. Constipation and pregnancy. Best Pract Res Clin Gastroenterol. 2007; 21(5):807-18. [DOI:10.1016/j.bpg.2007.05.005] [PMID]
18. Tadataka Y. Textbook of Gastroenterology. Washington D.C.: Wiley Blackwell; 2016.
19. ‭Hinkle JL. Brunner & Suddarth Textbook for medical surgical nursing. Philadelphia: Lippincott Williams & Wilkins; 2014. p. 136.‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬
20. Ghaffari F, Poor Ghaznain T, Shamsalinia A. Effect of sole reflex on pregnant women's constipation severity. Iran J Obstetric Gynecol Infertil. 2007; 10(2):27-38.
21. Trottier M, Erebara A, Bozzo P. Treating constipation during pregnancy. Canad Family Phys. 2012; 58(8):836-8.
22. Alipour M, Ghahremani L, Amooee S, Keshavarzi S. The effectiveness of relaxation techniques on depression, anxiety and stress in pregnant women: based on self-efficacy theory. Sci J Kurdistan Uni Med Sci. 2017; 22(3):20-30.
23. Kianifar H, Kiani M, Hosseini S, Jafari S, Ahanchian H, Khakshour A. Comparison of Life Quality and Psychiatric comorbidity in Healthy Children and Teens and the Ones with Constipation. J North Khorasan Uni Med Sci. 2016; 8(1):125-34. [DOI:10.29252/jnkums.8.1.125]
24. Larina K, Roh LD. Concise guides to mental health anxietydisorders. Tehran: Arjmand; 2016.
25. Kaboli KS, Mahmoodi Z, Tourzani ZM, Tehranizadeh M, Kabir K, Dolatian M. The effect of group counseling based on cognitive-behavioral approach on pregnancy-specific stress and anxiety. Shiraz Med J. 2017; 18(5):e13183. [DOI:10.5812/semj.45231]
26. Karamoozian M, Askarizadeh G, Behroozi N. The study of psychometric properties of pregnancy related anxiety questionnaire. J Clin Nurs Midwifery. 2017; 5(4):22-34.
27. Esfandiari M, Faramarzi M, Amiri FN, Parsian H, Chehrazi M, Pasha H, Omidvar S, GHolinia H. Effect of supportive counseling on pregnancy-specific stress, general stress, and prenatal health behaviors: A multicenter randomized controlled trial. Patient Education and Counseling. 2020 May 5. [DOI:10.1016/j.pec.2020.04.024] [PMID]
28. Jesse Wright B. learning Cognitive-Behavior Therapy. Translator ?. Tehran: Arjmand; 2017.
29. Karamoozian M, GhA. Effectiveness of cognitive-behavioral stress management intervention on anxiety and depression during pregnancy. J Kerman Uni Med Sci. 2014; 20(6):606-21.
30. Safaralinezhad A, Oveisi S, Jourabchi Z. Effect of cognitive-behavioral group therapy on gestational depression: A clinical trial. Iran J Obst Gynecol Infertil. 2018; 21(2):48-59.
31. Nazemian F, Ghafari F, Poorghaznein T. Evaluation of depression and anxiety in hemodialysis patients. medical J Mashhad Uni Med Sci. 2008; 51(3):171-6.
32. Lemon EL, Vanderkruik R, Dimidjian S. Treatment of anxiety during pregnancy: room to grow. Arch Women Ment Health. 2015; 18(3):569-70. [DOI:10.1007/s00737-015-0514-3] [PMID]
33. Goodman JH, Guarino A, Chenausky K, Klein L, Prager J, Petersen R, et al. CALM Pregnancy: results of a pilot study of mindfulness-based cognitive therapy for perinatal anxiety. Arch Women Ment Health. 2014; 17(5):373-87. [DOI:10.1007/s00737-013-0402-7] [PMID] [PMCID]
34. Arch JJ. Cognitive behavioral therapy and pharmacotherapy for anxiety: treatment preferences and credibility among pregnant and non-pregnant women. Behav Res Ther. 2014; 52:53-60. [DOI:10.1016/j.brat.2013.11.003] [PMID]
35. Brazzelli M, Griffiths P. Behavioural and cognitive interventions with or without other treatments for defaecation disorders in children. The Cochrane database of systematic reviews. 2001; (4):CD002240-CD. [DOI:10.1002/14651858.CD002240]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2021 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb