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

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.

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

International Journal of Reproductive BioMedicine ◽

10.18502/ijrm.v13i8.7504 ◽

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.

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

Global Journal of Health Science ◽

10.5539/gjhs.v9n7p35 ◽

2017 ◽

Vol 9 (7) ◽

pp. 35 ◽

Cited By ~ 1

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.

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Efficacy of Mindfulness-Based Cognitive Therapy and Cognitive Behavioral Therapy for Anxiety, Depression, and Fatigue in Cancer Patients: A Randomized Clinical Trial

Iranian Journal of Psychiatry ◽

10.18502/ijps.v16i3.6252 ◽

2021 ◽

Author(s):

Masoume Sheikhzadeh ◽

Zahra Zanjani ◽

Alireza Baari

Keyword(s):

Clinical Trial ◽

Cognitive Behavioral Therapy ◽

Cognitive Therapy ◽

Randomized Clinical Trial ◽

Cancer Patients ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Anxiety And Depression ◽

Significant Difference ◽

Anxiety Depression

Objective: Cancer is associated with some psychological problems that play an important role in the severity and continuity of cancer. Cancer may lead to maladaptive psychological reactions such as anxiety, depression, and fatigue. Depression and anxiety are highly prevalent in cancer patients. This study aimed to compare the efficacy of mindfulness-based cognitive therapy (MBCT) and cognitive behavioral therapy (CBT) for anxiety, depression, and fatigue in cancer patients. Method: The present study was a randomized clinical trial (RCT). Of the 100 patients diagnosed with cancer, 60 patients were eligible to participate in this study according to the inclusion / exclusion criteria. They were randomly assigned into 3 groups: MBCT, CBT, and wait-list group (WLG). Afterward, the experimental groups received 8 weekly treatment sessions. All the participants fulfilled the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Cancer-Related Fatigue Scale (CFS) before and after the intervention. Data were analyzed using SPSS-16 software by Analysis of Covariance (ANCOVA). Results: The results indicated a significant reduction in depression, anxiety, and fatigue scores in CBT and MBCT groups. There was a significant difference between both treatment groups with WLG in the anxiety and depression, but no significant difference was found between MBCT and CBT groups. Additionally, there was only a significant difference between the CBT group and WLG in terms of fatigue (P = 0.01). Conclusion: CBT and MBCT performed equally well in decreasing anxiety and depression in cancer patients, and they were significantly better than WLG. It seems that MBCT is a good alternative to CBT for decreasing emotional symptoms in cancer patients. As a result, CBT and MBCT could be considered a good addition to pharmacological treatment of cancer patients with comorbid psychological symptoms. However, CBT was preferable to MBCT in decreasing fatigue. The study was registered at the irct.ir database under registration number IRCT20180503039509N1.

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The Effect of Cognitive-behavioral Therapy on the Severity of Post-Traumatic Stress in Pregnant Women with a History of Traumatic Delivery

Medical - Surgical Nursing Journal ◽

10.5812/msnj.111656 ◽

2021 ◽

Vol 9 (3) ◽

Author(s):

Narges Hoseinzadeh ◽

Zahra Pahlavani Sheikhi ◽

Farnoosh Khojasteh

Keyword(s):

Cognitive Behavioral Therapy ◽

Pregnant Women ◽

Traumatic Stress ◽

Behavioral Therapy ◽

T Test ◽

Post Traumatic Stress ◽

History Of ◽

Post Traumatic ◽

The Mean ◽

Traumatic Childbirth

Background: Traumatic birth experiences may lead to serious psychological impairment. Recent studies show that a considerable number of women can develop post-traumatic stress disorder (PTSD). Objectives: The aim of this study was to investigate the effect of cognitive-behavioral therapy (CBT) on PTSD in pregnant women with a history of traumatic childbirth. Methods: This quasi-experimental study was conducted on 80 pregnant women with a history of traumatic childbirth, referring to health centers in Zahedan in 2020. The mothers were selected by a convenience sampling method and divided into two groups (40 mothers in each group) according to the random allocation method. The data were collected using the PTSD questionnaire administered before the intervention and five weeks after the final training session. The intervention group received four sessions of CBT during four weeks, and the control group received only routine pregnancy care. Data analysis was performed by SPSS 22 software using the independent t-test, chi-square test, and paired sample t-test at a significant level of < 0.05. Results: The results of the study showed that the mean post-traumatic stress score of pregnant women before CBT in the intervention and control groups was 27.90 ± 10.91 and 24.97 ± 14.85, respectively, and it changed to 15.25 ± 4.08 and 26.25 ± 11.56, respectively, after the intervention. Independent t-test showed that the mean scores of post-traumatic stress of pregnant women in the two groups were not significant before education (P = 0.31), but it was significant after it (P = 0.0001). Conclusions: CBT can have significant effects on reducing the severity of PTSD in pregnant women with a history of traumatic childbirth. Thus, it is recommended to include this type of educational intervention in the care program of pregnant women with a history of traumatic childbirth.

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