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

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 <.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 > .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.

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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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Effect of Diabetes Education Program on Gestational Diabetes Mellitus Knowledge Among Diabetic Pregnant Women: An Experimental Study

10.21203/rs.3.rs-112894/v1 ◽

2020 ◽

Author(s):

Uchenna Cosmas Ugwu ◽

Osmond Chukwuemeka Ene

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Education Program ◽

Diabetes Education ◽

Control Groups ◽

Significant Difference ◽

And Control ◽

Experimental Group

Abstract Background: Gestational diabetes mellitus (GDM) is a disease condition present during pregnancy and if not properly managed would have severe effect on the maternal and neonatal health. This research determined the effect of diabetes education program (DEP) on gestational diabetes mellitus knowledge (GDMK) among diabetic pregnant women (DPW) and significant differences within groups.Methods: This study was based on a pretest – posttest measures of experimental research design involving experimental (n=110) and control (n=110) groups. A total of 220 DPW were purposively recruited from public hospitals in Nigeria between October and December 2019. The DEP was delivered to DPW in experimental group. The Gestational Diabetes Mellitus Knowledge Questionnaire (GDMKQ) of 0.774 was used for data collection. The statistical analysis was completed using IBM SPSS version 22. Results: The results revealed that no statistically significant difference existed on GDM history (P=0.801>0.05), smoking habit (P=0.0615>0.05), parity status (P=0.503>0.05), and level of education (P=0.720>0.05), while difference was observed on alcohol status (P=0.011<0.05), and age by birth (P=0.009<0.05). Also, while no significant difference existed between the DPW in the treatment and control groups on GDMK pretest measures (P=0.901>0.05), difference existed between the DPW in the intervention and control groups on GDMK posttest scores (P=0.026<0.05). Also, the higher percentage score (78%) of DPW in the experimental group in the posttest GDMK measures which is higher than the score in the pretest measures (55%) of the same group were indications that DEP has significant effect on GDMK among DPW.Conclusion: This demonstrates that reliable interventions are effective in combating pregnancy-related complications. This requires collaborative efforts by concerned bodies to combat notable complications during pregnancy using reliable intervention.Trial Registration: In retrospect, the Pan African Clinical Trial Registry documented the study with registration trial code (Trial No.: PACTR201903003187005)

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Investigating the Effect of Positive, Intermediate and Negative Enabling and Training Factors Affecting Physical Activity in Pregnant Women

10.21203/rs.3.rs-151184/v1 ◽

2021 ◽

Author(s):

Leila Kianfard ◽

Farkhonde Amin SHokravi ◽

Sakineh Rakhshanderou ◽

Shamsaddin Niknami

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Control Group ◽

Control Groups ◽

Enabling Factors ◽

Factors Affecting ◽

Significant Difference ◽

E Learning ◽

And Control ◽

Experimental Group

Abstract BackgroundPhysical activity during pregnancy period is one of the issues with priority during pregnancy period. Researches show that women reduce their physical activity during this period and are unaware of the benefits on the health of the mother and embryology. Although researchers regarding physical activity during pregnancy have prepared many guidelines; it is not however clear why pregnant women do not perform physical activity and the effectiveness factors that facilitate the desired behavior. MethodsThe research population included all pregnant women aged 18 to 40 years with gestational age of 12-38 weeks referring to the healthcare centers in District 5 of Tehran Municipality, from 22 districts of the city who had eliminated their physical activity during pregnancy. Questionnaires of physical activity assessment questionnaire after educational intervention in pregnant women (PPAQ) and a questionnaire designed based on the results of the needs assessment and the dimensions of the PEN-3 model were used for assessment. This study is a Research Clinical Trial (RCT). Due to the nature, a quasi-experimental research design (pre-test, post-test) with the control group was used in this research. ResultsBased on the obtained results, the intervention based on E-learning has a significant effect of enabling factors to increase physical activity in pregnant women in the experimental group. In addition, the intervention based on E-learning has a significant effect on the training factors in order to increase physical activity in pregnant women in the experimental group. ConclusionBased on the research results, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from training factors in the pretest and the experimental group. Furthermore, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from the enabling factors in the pre-test and the experimental group.

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A Comparative Study of Relationship between Micronutrients and Gestational Diabetes

ISRN Obstetrics and Gynecology ◽

10.5402/2012/470419 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 14

Author(s):

Farideh Akhlaghi ◽

Seyyed Majid Bagheri ◽

Omid Rajabi

Keyword(s):

Gestational Diabetes ◽

Pregnant Women ◽

Gestational Age ◽

Control Group ◽

Study Group ◽

Inclusion Criteria ◽

Control Groups ◽

Significant Difference ◽

Micronutrient Concentration ◽

And Control

In this paper, we studied the relation between the micronutrient and gestational diabetes. Therefore, we measured micronutrient concentration including Ni, Al, Cr, Mg, Fe, Zn, Cu, and Se in serum of women with gestational diabetes between 24 and 28 weeks of gestational age (study group) who had inclusion criteria and comparison with micronutrient levels in normal pregnant women with same gestational age (control group). Results showed that there was no significant difference between the serum micronutrient level (Ni, Al, Cr, Mg, Zn, Cu, Se) in study and control groups except serum level of iron which in serum of gestational diabetic women was lower than normal pregnant women and difference was significant.

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The Effect of Cognitive- Behavioral Counseling on the Sexual Compatibility of New Married Couples: A Clinical Trial Study

10.21203/rs.3.rs-78870/v1 ◽

2020 ◽

Author(s):

Parvin Allahyari ◽

Mitra Kolivand ◽

Arash Namdari ◽

Khaled Rahmani

Keyword(s):

Intervention Group ◽

Married Couples ◽

Cognitive Behavioral ◽

Control Group ◽

Counseling Centers ◽

Control Groups ◽

Behavioral Counseling ◽

Sexual Compatibility ◽

Significant Difference ◽

And Control

Abstract Objective: sexual desire is an integral part of an identity and character of a human being, that affect how to behave with spouse. This study aimed to study the effect of cognitive-behavioral counseling (CBT) on sexual compatibility of new married couples in Sanandaj City in 2018. Method: This was a randomized clinical trial study and participants were 80 new married couples whose information was recorded at the premarital counseling centers that were randomly divided into intervention and control groups. Intervention group received 8 weekly 120-minute sessions of group consultation with cognitive-behavioral approach. Data were collected before the intervention, after 8 weeks of counseling, and two months after the last counseling session using the National Sexual Compatibility Scale. Data were analyzed using chi-square inferential statistics and independent t-test or nonparametric Mann-Whitney test. analysis of covariance was used to control of potential confounders. Results: The mean values of sexual compatibility in two intervention and control groups before counseling were 94.20±3.30 and 93.41±6.84 respectively. These scores reached to 100.11±2.96 in the intervention group and 98.83±3.66 in the control group immediately after the intervention. Also two months after the end of counseling, this rate was 101.98±4.03 in the intervention group and 98.83±3.66 in the control group. The intra-group comparison of sexual adjustment scores before and after counseling and two months after the intervention, showed a statistically significant difference (P <0.001). The trend of changes in the control group was not significant (P >0.05). There was a significant difference between two groups in level of scores two months after the intervention (P <0.001). Conclusion: CBT was effective in improving the level of sexual compatibility between new married couples. It is recommended to use this method of counseling, along with other services provided at pre-marriage counseling centers, to continue and improve the quality of sex and vitality of couples.

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

10.21203/rs.3.rs-903099/v1 ◽

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.

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The Influence of Giving Fe Tablets along with Guava Juice on The Increasing of Hb Levels in Pregnant Women in South Tangerang Region Health Center

Health Notions ◽

10.33846/hn40601 ◽

2020 ◽

Vol 4 (6) ◽

pp. 166-172

Author(s):

Siti Rahmadani ◽

Nurhayati Nurhayati ◽

Erlin Puspita ◽

Hesti Wulandari

Keyword(s):

Pregnant Women ◽

Health Center ◽

Linear Regression Analysis ◽

Sampling Technique ◽

The Body ◽

Coefficient Of Determination ◽

P Value ◽

Control Groups ◽

Significant Difference ◽

And Control

Giving iron tablets (Fe) is one of the efforts to prevent anemia. Guava is a fruit that rich in vitamin C that can increase the absorption of Fe in the body. The purpose of this study is to analyze the influence of giving Fe tablets along with guava juice on the increasing of Hb levels in pregnant women in South Tangerang Region Health Center. This study used quasi experimental two group pre-post design. The sample consisted of 30 third trimester pregnant women with anemia which were divided into two treatment and control groups. The sampling technique used purposive sampling. Data analysis using Independent T-test, correlation and linear regression analysis. The results showed there was a significant difference between the increase in Hb levels resulting from the giving of Fe tablets along with guava juice compared with only the giving of Fe tablets with a p-value of 0.000. Multivariate analysis between treatment and control groups obtained p-value = 0.00, with the coefficient of determination (R square) = 0.748. The conclusion is giving Fe tablets along with guava juice has influence on the increasing of Hb levels in pregnant women, so it is recommended for anemic pregnant women to take Fe tablets along with guava juice Keywords: haemoglobin; anemia, Fe tablets; guava juice

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Improvement of Psychological Health Aspect of Tuberculosis Client Through Psychoeducation

Babali Nursing Research ◽

10.37363/bnr.2020.1224 ◽

2020 ◽

Vol 1 (2) ◽

pp. 91-96

Author(s):

Nurul Khoirun Nisa

Keyword(s):

Psychological Health ◽

Sampling Technique ◽

Simple Random Sampling ◽

Psychological Aspects ◽

Control Group ◽

Control Groups ◽

Significant Difference ◽

Post Test ◽

Equivalent Control ◽

And Control

Introduction: Tuberculosis is well known as an infectious disease on lungs system caused by Mycobacterium tuberculosis in physical, social and mental health conditions. Methods: This research applied quasi-experiment and consisted of pre and post-test on non-equivalent control group. The subjects were divided into two groups, control group (35) and treatment group (35) by using simple random sampling technique based on inclusion criteria. The research was conducted at Health Center, Jombang. The variables involved in this research were psycho-education psychological aspects. Results: The results of the research showed that physical and psychological aspects on both treatment and control groups is with p = 0.000 (<0.05) which means that there is significant difference on psychological aspect between treatment and control groups. Psycho-education significantly influenced psychological among the patients with tuberculosis. Conclusion: This change occurred due to the increase of health on the patient with tuberculosis in psychological aspects and also it followed by the decrease of symptoms on the patient.

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

Current Women s Health Reviews ◽

10.2174/1573404816666200206105120 ◽

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.

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Frequency and Risk Factors Associated with Mortality in Pregnant Women in Tehran-Iran

Global Journal of Health Science ◽

10.5539/gjhs.v9n3p138 ◽

2016 ◽

Vol 9 (3) ◽

pp. 138

Author(s):

Fereshteh Farzianpour ◽

Khatere Ramezani ◽

Najmeh Bahmanziari ◽

Omolbanin Atashbahar

Keyword(s):

Risk Factors ◽

Prenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Control Group ◽

Control Groups ◽

Maternal Deaths ◽

Factors Associated ◽

Significant Difference ◽

And Control

BACKGROUND & OBJECTIVES: Ending mortality in pregnant women is not just a health challenge, but a development challenge. The purpose of this study was to access the frequency and risk factors associated with maternal mortality in Tehran from 2008 to 2011.METHODS: The present study was a case-control study with a population group which consists of all the women who have died since the beginning of pregnancy up to 42 days after delivery from the year 2008 to 2011 and a control group which consists of all delivered pregnant women with a perfect record in the hospitals (n=16) in Tehran from 2008 to 2011. In the case group, sampling was done through census (n = 113) and random sampling was used in the control group and 327 people were selected. Data collection tool was a record sheet consisting of two parts: demographic and risk factors associated with pregnancy which was completed using the data in the case and control groups. Finally, SPSS 22, descriptive statistics and statistical tests such as Chi-square, t-test and Fisher were used to analyze the data.RESULTS: Maternal deaths were reported in Tehran from 2008 to 2011 and the ratio was 15.8 in 100 thousand of live births during the period. Among the mothers who died, 73.5% of them were 18 to 34 years old, 1.22% were 35 years old or above and only 4.4% were less than 18 years of age. Of these mothers that died, 83.2% lived in the city and 16.8% lived in rural areas, but there were significant relationship between age, place of residence and maternal deaths. In combination with other risk factors, such as pregnancy age, pregnancy number, number of abortions, underlying medical condition, access to appropriate prenatal care, methods of delivery, factors of delivery, and the time may be between two last pregnancy, a significant difference was observed between the case and control groups, except for the distance between the two last pregnancy.CONCLUSION: Maternal mortality has been declining over the years; due to the identified factors associated with maternal death, proposed strategies, such as improving the quality of hospital services in the field of obstetric emergencies, improving the quality and coverage of prenatal care, avoidance of selective cesarean sections, identifying high risk pregnancies and referrals to specialized centers.

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