scholarly journals Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT

2020 ◽  
Author(s):  
Mina Nezamnia ◽  
Mina Iravani ◽  
Mehdi Sayah Bargard ◽  
Mahmood Latify
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sexual Function ◽  
Pregnant Women ◽  
Self Efficacy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Groups ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Background: Cognitive-behavioral therapy (CBT) is one of the ways to improve an undesirable sexual function. Objective: The purpose of this study was to investigate the effect of CBT on the sexual function and sexual self-efficacy of pregnant women. Materials and Methods: In this randomized clinical trial, 36 pregnant women referred to five healthcare centers in Ahvaz, Iran, from December 2016 to January 2017 were enrolled through stratified random sampling in two groups. The case group received counseling based on cognitive behavioral therapy for eight consecutive weeks and the control group received the routine training provided by healthcare staff. Two and four weeks after the end of sessions, both groups completed the Female Sexual Function Index and self-efficacy questionnaires again. Results: The mean of sexual function and self-efficacy scores in pregnant women in the case and control groups before the intervention did not show a significant difference (p = 0.56). The mean of sexual function and self-efficacy scores of pregnant women in the case and control groups was statistically significant two and four weeks, respectively, after the intervention (p ≤ 0.0001). Conclusion: The results of this study showed that counseling based on CBT in comparison with the routine training during pregnancy improves the sexual performance and self-efficacy of pregnant women. Key words: Cognitive behavioral therapy, Pregnant women, Sexual dysfunction, Sexual self-efficacy, Sex counseling.

Reducing Anxiety of Pregnant Women with a History of Pregnancy Loss-A Randomize Clinical Trial

2020 ◽  
Vol 16 (2) ◽  
pp. 160-166
Author(s):  
Hoda Zaraj ◽  
Katayon Vakilian ◽  
Fatemeh Mehrabi Rezveh
Keyword(s):  
Clinical Trial ◽  
Cognitive Behavioral Therapy ◽  
Pregnant Women ◽  
Spontaneous Abortion ◽  
Behavioral Therapy ◽  
T Test ◽  
Cognitive Behavioral ◽  
Significant Difference ◽  
History Of ◽  
And Control

Background: Spontaneous abortion is the most common complication of pregnancy which is considered an unfavorable experience both physically and psychologically. Objective: This study was conducted to investigate the effect of group counseling through cognitive behavioral therapy (CBT) on the anxiety of pregnant women with a history of spontaneous abortion. Methods: This study was randomized clinical trial type, in which convenient sampling was performed to select 64 subjects from healthcare centers in Arak province. After receiving written consent from the participants, the sampling was performed and the subjects were categorized randomly into two 32-subject groups as intervention and control. The intervention was performed as six 60- min sessions through cognitive behavioral therapy (CBT). Control group, however, only routine cares of pregnancy were provided. For data collection, The Spielberger State-Trait Anxiety Inventory was utilized at the beginning and end of the study. Then, the collected information was analyzed by SPSS 21 through paired t-test, independent t-test. Results: The mean anxiety after the intervention in the intervention and control groups was 65.13±8.11 and 75.91±5.56, respectively, whereby a significant difference was observed between the two groups (p≤0.05). Conclusion: It seems that women with a previous history of abortion require psychological support during pregnancy. It is recommended that the skills of midwives also be improved to psychologically support these women.

scholarly journals Comparison of the Effectiveness of Cognitive Behavioral Therapy and Neurofeedback: Reducing Insomnia Symptoms

2017 ◽  
Vol 9 (7) ◽  
pp. 35 ◽  
Author(s):  
Nooshin Basiri ◽  
Zahra Khayyer ◽  
Habib Hadianfard ◽  
Amirhossein Ghaderi
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Independent Effect ◽  
Control Group ◽  
Significant Difference ◽  
Post Hoc ◽  
And Control ◽  
Insomnia Symptoms ◽  
Selection Of

INTRODUCTION: The term sleep disorder refers to difficulty in initiating sleep, maintaining it or a relaxing sleep despite having enough time to sleep. Cognitive behavioral therapy is a non-drug multi-dimensional treatment that targets behavioral and cognitive factors of this disorder. Some pieces of research have shown that psychiatric and neurological disorders can be distinguished from distinct EEG patterns and neuro-feedback can be used to make a change in these patterns. This study aimed to compare the cognitive behavioral therapy and neuro-feedback in the treatment of insomnia.METHODS: The sample included people, who had already been diagnosed insomnia by a psychiatrist in Isfahan, Iran. Random sampling was employed to choose the participants. Pittsburg sleep quality index (PSQI) was used for the selection of the participants, too. The sample included 40 patients who were randomly selected and interviewed and then diagnostic tests performed on the PSQI, and then they were divided into 3 groups. Data were analyzed using ANOVA. Following the implementation of the independent effect of the treatment was significant and one-way ANOVA with post hoc test L.S.D were carried out on CBT and controls (p = 0.001), CBT, neuro-feedback therapy (p = 0.003), neuro-feedback treatment and control (p = 0.001).RESULTS: It was shown that there was a significant difference between the groups. Based on the descriptive statistics of the 2 abovementioned treatments, neuro-feedback therapy in first position and cognitive-behavioral therapy were most effective in the second position, and the control group showed the lowest efficiency.CONCLUSIONS: Both treatments were significantly effective, and so we can use both neuro-feedback and CBT for the treatment of insomnia.

scholarly journals The effect of delivery ball and warm shower on the childbirth experience of nulliparous women: A randomized controlled clinical trial

2021 ◽  
Author(s):  
parvaneh sharifipour ◽  
Masoomeh Kheirkhah ◽  
Mojgan Rajati ◽  
hamid haghani
Keyword(s):  
Clinical Trial ◽  
Pregnant Women ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Control Groups ◽  
Childbirth Experience ◽  
Nulliparous Women ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Abstract Background Childbirth is a unique experience that affects women’s life. Therefore, this study was performed to determine the effect of delivery ball and warm shower on the childbirth experience of primiparous women. Methods This study is a clinical trial that was carried out on primiparous pregnant women referred to Motazedi Hospital in Kermanshah, Iran. Sampling was done by continuous method and pregnant women were divided into three groups of delivery ball-warm shower (n = 33), delivery ball (n = 33) and control (n = 33). Exercise with ball at the dilation of 4 cm was similar in the two groups of delivery ball-warm shower and delivery ball, but the first group also used warm shower at the dilatation of 7 cm. The control group only received the routine delivery care. Demographic information form consisting of pregnancy history and information about the mother and infant were completed and the childbirth experience questionnaire (CEQ) were completed by the women two hours after the childbirth. Results There was a statistically significant difference in the mean score of childbirth experience after the intervention between the two groups of delivery ball-warm shower and control (P = 0.001), and also between the delivery ball and control groups (P = 0.001). There was a statistically significant difference in the mean scores of professional support between the two groups of delivery ball-warm shower and control (P = 0.02) and also between the delivery ball and control groups (p = 0.02). There was a statistically significant difference in the mean scores of participation between the two groups of delivery ball-warm shower and control (P = 0.003) and also between the delivery ball and control groups (P = 0.01). There was also a statistically significant difference in the mean scores of sense of security between the two groups of delivery ball-warm shower and control (P = 0.01). Conclusion Delivery ball and warm shower were effective interventions to create a positive childbirth experience. This method was more effective than using delivery ball alone in childbirth experience. To achieve a positive experience of childbirth in mothers, the use of both intervention (delivery ball and warm shower) is recommended.

scholarly journals Effectiveness of Cognitive-behavioral Therapy in the Treatment of Iranian Male Drug Addicts at a State Rehabilitation Center

2016 ◽  
Vol 9 (1) ◽  
pp. 94 ◽  
Author(s):  
Aliakbar Parvizifard ◽  
Haji Jamaludin Bin Haji Ahmad ◽  
Tajularipin Sulaiman ◽  
Maznah Binti Baba ◽  
Kheirollah Sadeghi ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Self Efficacy ◽  
Group Intervention ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Drug Addicts ◽  
Rehabilitation Center ◽  
Post Test ◽  
Chi Square Analysis ◽  
And Control

INTRODUCTION: The present study aimed at examining the effectiveness of cognitive-behavioral therapy (CBT) group intervention on measures of self-efficacy and level of relapse for abstinence among Iranian male drug addicts.METHODS: An experimental research design was adopted in the current study in which the participants consisted of 75 male drug addicts who were consecutively admitted as outpatients at a state rehabilitation center. They were randomly allocated to experimental (N=37) and control (N=38) groups. They completed the Iranian version of Drug Taking Confidence Questionnaire (DTCQ-IV) and took urine test as pre-test and post-test. The CBT group intervention was conducted at 12 sessions, one session per week. It was hypothesized that there were significant differences between the experimental and control groups regarding self-efficacy and level of relapse.RESULT: The results of ANCOVA showed there were significant differences in pleasant emotion and testing control between the two groups on measures of self-efficacy. The results of McNemar test indicated level of relapse in the experimental group significantly declined from pre-test to post-test. Furthermore, using Chi-square analysis, a significant difference (with a moderate effect size) was found in the levels of relapse.CONCLUSION: The present study provides strong support for CBT group intervention as an effective treatment for Iranian male drug addicts. Therefore, CBT group intervention can be considered as a practical approach in the treatment of people with SUDs. 

scholarly journals The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial

2018 ◽  
Vol 7 (3) ◽  
pp. 372-379
Author(s):  
Zhila Shahbazi ◽  
Azizeh Farshbaf-Khalili ◽  
Niloofar Sattarzadeh ◽  
Mahin Kamalifard
Keyword(s):  
Sexual Function ◽  
Pregnant Women ◽  
Control Group ◽  
Female Sexual Function ◽  
Control Groups ◽  
Randomized Controlled ◽  
Sexual Counseling ◽  
Significant Difference ◽  
Plissit Model ◽  
And Control

Objectives: Several factors, including pregnancy which is associated with physical, psychological, and hormonal changes, affect females and their sexual partners’ relation and function. This study aimed to investigate the effect of "permission, limited information, specific suggestions, intensive therapy" (PLISSIT)-based sexual counseling on the sexual function of pregnant women. Materials and Methods: The present randomized controlled trial was performed on 70 pregnant women who had a sexual function score of less than the cut-off point within a gestation period of 16-20 weeks. The participants were randomly divided into intervention and control groups by the blocking method. The intervention group received individual counseling based on the PLISSIT model by a well-trained midwife while the control group only received the usual care for pregnancy. The primary outcome measures were the total score of female sexual function four weeks after the intervention. Finally, the data were collected using a questionnaire of personal and midwifery information, as well as the female sexual function index in previous stages and four weeks after the intervention. All analyses were based on the intention to treat the approach. Results: There was a significant difference between the mean total score of sexual function (adjusted mean difference: 9.07; 95% CI: 7.24 to 10.90) and all the sub-scales that intervention and control groups adjusted for baseline scores four weeks after the intervention (P<0.05). Consultation significantly reduced the frequency of sexual dysfunction and there was a significant difference between the 2 groups in this regard (P<0.001). Conclusions: Given the effect of sexual counseling on the improvement of sexual function of pregnant women based on the PLISSIT model, this approach is recommended during pregnancy.

scholarly journals Comparing Effectiveness of Cognitive Behavioral Training and Positive Psychology Training on Psychological Health of Pregnant Women with Pregnancy Anxiety

2021 ◽  
Author(s):  
Mahdieh Jafari ◽  
Sajjad Basharpour ◽  
Milad Bazazorde ◽  
Nader Hajloo
Keyword(s):  
Positive Psychology ◽  
Pregnant Women ◽  
Psychological Health ◽  
Cognitive Behavioral ◽  
Psychology Training ◽  
Behavioral Training ◽  
Control Groups ◽  
Pregnancy Anxiety ◽  
Significant Difference ◽  
And Control

This study compares effectiveness of cognitive behavioral training (CBT) and positive psychology training (PPT) on psychological health of pregnant women with pregnancy anxiety. We studied forty-five pregnant women with pregnancy anxiety in two experimental and control groups. All participants completed demographic questionnaire, PDQ, ASI, WHOQOL-BREF and CD-RISC in two stages and CBT and PPT were taught for experimental groups. The results showed a significant difference between experimental and control groups in total score of pregnancy anxiety, quality of life, anxiety sensitivity and resilience (F(8,70)=11.63, P &lt;.001, Wilks'Λ = .184, partial η2 = .571) but no meaningful difference between effectiveness of CBT and PPT on psychological health of pregnant women with pregnancy anxiety (P &gt; .001). According to the results, CBT and PPT both have substantial impacts on improving psychological health of pregnant women with pregnancy anxiety; however, there is no statistically significant difference between the efficiency of CBT and PPT.

scholarly journals The association between serum betahuman Chorionic gonadotropin and Preeclampsia

2015 ◽  
Vol 23 (1) ◽  
pp. 89-93 ◽  
Author(s):  
Zinat Begum ◽  
Iffat Ara ◽  
Shaorin Tanira ◽  
Kashfia Ahmed Keya
Keyword(s):  
Pregnant Women ◽  
Severe Preeclampsia ◽  
Control Group ◽  
Case Group ◽  
Control Groups ◽  
Medical College ◽  
Significant Difference ◽  
Blood Pressures ◽  
The Mean ◽  
And Control

Background: Exact aetiology of this potentially fatal disorder remains poorly understood. A number of theories have been put forward where different biochemical markers have been implicated in the causal association of preeclampsia. This study was intended to find the association between serum b-hCG level and preclampsia Methods: This cross-sectional, case-control study was conducted on 74 pregnant women with preeclampsia (cases) who were admitted in the Eclampsia ward of Dhaka Medical College Hospital, Dhaka between January and July of 2013. A total of 76 normotensive pregnant women were also taken from the Obstetrics & Gynaecology Out-patient Department of the same hospital as control. The study subjects were selected on the basis of predefined eligibility criteria. The serum levels of b-hCG were compared between case and control groups as well as between mild and severe preeclampsia. Result: The case and control groups were almost similar in terms of all the baseline demographic and obstetric characteristics except past history of PET which was significantly higher in the former group than that in the latter group. Majority (97.1%) of the cases had severe hypertension (74.3%) with mean systolic and diastolic blood pressures being 162.6 and 110.8 mmHg respectively. The mean serum ?-hCG was much higher in the case group than that in the control group (p<0.001). The mean serum ?-hCG was the highest in severe preeclampsia and the lowest in the control group, while that in mild preeclampsia lie in between the two (p<0.001). The serum ?-hCG exhibits a significantly linear correlation with systolic and diastolic blood pressures (p<0.001 respectively). Conclusion: There was a significant difference between the ?-hCG level in the preeclamptic women compared to the normotensive pregnant women and the severity of preeclamsia increases with further rise of ?-hCG level. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22701 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 89-93

The Effect of Cognitive-Behavioral Therapy (CBT) on Anxiety Reduction in Critical Care Unit (CCU) Patients During Hospitalization

2021 ◽  
Vol 9 (3) ◽  
pp. 304-310
Author(s):  
Fatemeh Ghiasi ◽  
◽  
Zohreh Hosseinzadeh ◽  
Fatemeh Nemati ◽  
Maryam Kheiry ◽  
...  
Keyword(s):  
Critical Care ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Intervention Group ◽  
Demographic Variables ◽  
Anxiety Reduction ◽  
Cognitive Behavioral ◽  
Control Group ◽  
The Mean ◽  
And Control

Patients admitted to Critical Care Units (CCU) face multiple stressors, and these stressors cause anxiety in patients. Anxiety increases heart function in heart patients. High levels of anxiety in cardiac patients increase in association with hospital complications. The purpose of this study was to determine the effect of Cognitive-Behavioral Therapy (CBT) on reducing the anxiety of patients in CCU during their hospitalization. The study design was quasi-experimental (pre-test and post-test). This study was performed on patients in CCU of Shahid Mostafa Khomeini hospital in 2019; for this purpose, 30 patients in CCU were randomly divided into intervention (n=15) and control (n=15) groups. Before the intervention, the demographic variables questionnaire and DASS-21 anxiety questionnaire were completed by both groups. Then, the intervention group received CBT for eight sessions according to the average number of hospital days (eight days) by the therapist (researcher). The control group did not receive any intervention. After the intervention, the demographic variables questionnaire and DASS-21 questionnaire were completed by the intervention and control groups again. Data analysis was done by SPSS-21 software and descriptive tests, ANOVA, and independent and pairwise t-test. There was no significant difference between the two groups in the mean score of anxiety before treatment, but the mean score of anxiety significantly decreased after treatment in the intervention group (9.63±2.773) compared to the control group (13.23±2.115; p<0.001). CBT can reduce the level of anxiety in patients admitted to CCU, and this method can be used as a simple and low-cost complementary non-pharmacological practice in these patients.

Investigation of the Association Between Carotid Artery Intima-Media Thickness (IMT) and Cardiac Risk Factors in Patients with Systemic Lupus Erythematosus

2020 ◽  
Vol 16 (2) ◽  
pp. 125-133
Author(s):  
Zahra Rezaieyazdi ◽  
Sima Sedighi ◽  
Masoumeh Salari ◽  
Mohammadreza H. Fard ◽  
Mahmoud R. Azarpazhooh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Insulin Resistance ◽  
Lupus Erythematosus ◽  
Serum Insulin ◽  
Venous Blood ◽  
Test Group ◽  
Control Groups ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Background: The relationship between SLE and traditional risk factors for cardiovascular events was evaluated. Methods: The data regarding sixty patients with SLE and 30 healthy controls (age and sex matched) were gathered using SLEDAI forms. Venous blood (10mL) from all the participants was examined for hs-CRP, homocysteine, VCAM1, CBC, anti-DNA antibody, C3, C4, low-density lipoprotein (LDL), cholesterol, FBS and triglyceride. : The IMT of carotid arteries was determined bilaterally by ultrasound. Other measurements included insulin levels via Elisa (Linco/Millipore Corp) and the HOMA-IR index for insulin resistance. Results: The mean age (in years) in the test and control groups was 28.8±10.3 (18-52) and 33.8±9.13 (18-48), respectively. Results: The mean age (in years) in the test and control groups was 28.8±10.3 (18-52) and 33.8±9.13 (18-48), respectively. : The average IMT in the test group was directly related to serum levels of VCAM1 (p<0.001), homocysteine (p<0.001), cholesterol (p<0.009), LDL (p<0.001), TG (p<0.001), and FPG (p=0.004). The association between other risk factors, insulin resistance, carotid IMT and SLEDAI, was nonexistent. Mean insulin and insulin resistance levels in all the participants were 0.43±2.06 µU/mL and 0.09±0.44, respectively. There was no significant difference between the test and control groups regarding serum insulin and insulin resistance levels (p=0.42 and p=0.9, respectively). None of the risk factors, such as hsCRP, VCAM1, or homocysteine, were shown to be related to insulin resistance (p=0.6, p=0.6, p=0.09, respectively). Conclusion:: Our findings did not show an increase in the prevalence of atherosclerosis in patients with SLE. There was no association between IMT and insulin resistance. However, the former was associated with FPG, total cholesterol, LDL, TG, homocystein and VCAM1.

The Baby Shark (Songs Heard Affecting Resuscitation Kinetics) study

2020 ◽  
pp. bmjstel-2020-000657
Author(s):  
Rebecca Singer ◽  
Grace Leo ◽  
Tessa Davis ◽  
Ben Lawton ◽  
Henry Goldstein ◽  
...  
Keyword(s):  
Control Group ◽  
Control Groups ◽  
Target Zone ◽  
Compression Depth ◽  
Significant Difference ◽  
Overall Performance ◽  
The Mean ◽  
Training Exercises ◽  
And Control ◽  
Musical Cues

Previous research has examined the utilisation of musical cues to improve the performance of cardiopulmonary resuscitation (CPR) delivered in training environments. We postulated a musical cue that is both contemporary and transcends cultures may improve CPR performance. Our aim was to establish whether chest compressions are performed with improved rate and depth if a song of a fixed beat (PinkFong’s ‘Baby Shark’ with a tempo of 115 beats per minute (bpm) and 15 beats in each verse) is played to a healthcare professional immediately before undertaking CPR compared to whale noises (a non-metronomic rhythm). 58 Participants of a paediatric conference (majority doctors) were randomly assigned to listen to a minute of Baby Shark (28) or whale song (30) and then undertake a minute of CPR. There was no significant difference in the mean compression rate between the Baby Shark and control groups, with the groups achieving 121 and 125 bpm, respectively (p=0.18). In relation to compression depth within the target zone, the Baby Shark group had more compressions completed within the target zone (55%) than the control group (39%) although this difference was not significant (p=0.08). Listening to Baby Shark prior to undertaking simulated CPR does not improve overall performance, but there is a potential tendency to improve adequate compression depth which may be beneficial in training exercises.

Sign in / Sign up

Export Citation Format

Share Document