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1.
Brain Behav ; : e2371, 2021 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-34555261

RESUMO

INTRODUCTION: Although the relationship between personality traits and sexual self-efficacy has received theoretical and empirical support, there is little information on how personality affects the sexual self-efficacy of diabetic women. This study aimed to investigate the mediating role of marital satisfaction and sexual function in the relationship between personality traits and sexual self-efficacy in diabetic women. METHODS: Using a two-stage sampling method, 410 reproductive-aged Iranian women with type 2 diabetes were recruited in this descriptive-analytical study. The participants completed self-administered questionnaires, including the Vaziri Sexual Self-Efficacy Questionnaire, the Female Sexual Function Index, ENRICH Marital Satisfaction Scale, and the Goldberg's Big Five Questionnaire. To analyze the data, structural equation modeling was employed in Amos software version 24. RESULTS: Results indicated an acceptable fit of the model to the data. Personality trait of openness to experience was associated with sexual self-efficacy directly (ß = .02, p = .030) and indirectly through the mediators of marital satisfaction (ß = .06, p = .009) and sexual function (ß = .18, p = .014). Furthermore, sexual function was associated with sexual self-efficacy directly (ß = .50, p = .025) and indirectly through the mediator of marital satisfaction (ß = .36, p = .012). CONCLUSION: Due to the mediating role of marital satisfaction and sexual function, this study has some practical implications for improving the sexual self-efficacy of diabetic women with different personality traits.

2.
Nurs Open ; 8(3): 1175-1182, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482650

RESUMO

AIM: To investigate the predictive role of meaning in life on the general health among medical sciences students. DESIGN: A cross-sectional study. METHODS: Four-hundred medical sciences students were selected by proportional to size sampling. The general health questionnaire and the personal meaning profile were administrated to identify the predictive role of meaning in life on the student's general health. Descriptive statistics and linear regression were administrated. RESULTS: The mean ± SD of the total score of general health and meaning in life among students was 16.34 ± 6.73 and 71.50 ± 9.78, respectively. In the multiple linear regression model, factors such as father's educational level, and meaning in life can predict a 20% variance of general health among university students. As meaning in life thus emerges as a variable worth further in the health of university students, implementing interventional studies to assess the effect of meaning in life on students' general health is recommended.


Assuntos
Estudantes de Medicina , Estudos Transversais , Humanos , Inquéritos e Questionários
3.
Nurs Open ; 8(3): 1157-1167, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482657

RESUMO

AIM: To investigate the effect of a supportive program on coping strategies and stress in women with breast cancer. DESIGN: A randomized, two-armed, controlled trial. METHODS: Sixty women were randomly allocated to intervention group (N = 30) and control group (N = 30). The interventions were held in six sessions, weekly from August 2018-March 2019 It was consisting of education regarding breast cancer; progressive muscle relaxation; stress management; emotional coping; and problem-solving strategies. RESULTS: At baseline, there was no difference between the two groups regarding the mean score of coping strategies and stress. Supportive program group participants experienced a significantly higher increase on their problem-oriented coping strategies score in comparison with the control group. At the same time, scores in emotion-oriented coping strategies and stress decreased significantly in the intervention group compared with the control group. Result of this study can be used to develop relevant interventions targeting coping strategies to reduce stress among women with breast cancer.


Assuntos
Neoplasias da Mama , Adaptação Psicológica , Treinamento Autógeno , Neoplasias da Mama/terapia , Feminino , Humanos , Resolução de Problemas , Estresse Psicológico
4.
J Clin Psychol Med Settings ; 28(3): 503-517, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34216335

RESUMO

Fibromyalgia refers to a painful type of rheumatological clinical syndrome, and its prevalence varies from 0.7% to 6.6%. This syndrome is associated with different physical and psychological symptoms, which ultimately leads to a decline in women's quality of life. A wide range of pharmacological and non-pharmacological interventions are conducted to mitigate these symptoms and improve the quality of life. Therefore, the present study aims to investigate the effect of psychological interventions on the quality of life in women with fibromyalgia. This systematic review with comprehensive search was carried out on Google Scholar, Scopus, PubMed, Web of Science, Science Direct, Cochrane Library, PsycINFO, and Scientific Information Database (SID), databases using the suitable keywords, and a total of 3125 articles from 2000 to 2019 were retrieved. Finally, the quality of 16 experimental and semi-experimental clinical trials was evaluated using the Jadad scale. The psychological interventions affecting the quality of life in women with fibromialgia included cognitive-behavioral therapy and behavioral therapy, coping strategies training, mindfulness, acceptance and commitment treatment, hypnosis, meditation, music therapy, short-term psychodynamic psychotherapy and writing emotions. The results of the study showed that except four studies, the studies generally improved the quality of life and reduced the symptoms in women with fibromyalgia. The results of the study suggest that most psychological interventions affect the quality of life in women with fibromyalgia. Therefore, besides pharmacological therapy, psychological interventions can be used by health-care providers to reduce the symptoms of fibromyalgia and improve the quality of their life.

5.
Nurs Open ; 8(4): 1527-1537, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34102022

RESUMO

AIM: To investigate clinical trials affecting anxiety, stress and fear of childbirth in fathers. DESIGN: A systematic literature search was conducted based on Cochrane Collaboration statement recommendation and Preferred Reporting Items for Systematic reviews and Meta-Analyses checklist. METHODS: With assistance of Medical Subject Headings, keywords were employed to search for relevant trials. Articles published between November 2000-November 2019 were searched in five electronic databases including PubMed, Web of Science, Google Scholar, Scopus and Cochrane as well as Iranian databases. The risk of bias was assessed by Cochrane Risk of Bias Scale. RESULTS: A total of eight studies met the inclusion criteria. Interventions were classified into four categories including pre-natal education, music therapy, massage therapy and relaxation training. The results showed that there is no evidence of a best intervention, but it showed that non-pharmacological interventions can decrease anxiety, stress and fear of childbirth and increase the positive experience of childbirth in the expectant fathers.


Assuntos
Pai , Parto , Ansiedade/terapia , Medo , Feminino , Humanos , Irã (Geográfico) , Masculino , Gravidez
6.
Nurs Open ; 8(5): 2901-2908, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33715300

RESUMO

AIM: To compare the effect of school-based education programs, by peer group versus health practitioner on Premenstrual Syndrome (PMS) in adolescent girls. DESIGN: Non-masked three-armed clinical trial. METHODS: Ninety 11th-grade students with moderate to severe PMS will be allocated to Intervention Group 1 (IG1), Intervention Group 2 (IG2) and Comparison Group (CG). Three weeks (six online sessions) of parallel education will be implemented in IG1 by trained peer educators and in IG2 by a health practitioner. The primary outcome will be changes in PMS severity score between three groups over time (measured by Daily Record of Severity of Problems). Secondary outcomes include changes in Premenstrual Dysphoric Disorder and General Health. Data collection will be conducted in two-time points, at baseline, and at the end of the intervention. RESULTS: Our study will explore the effect of school-based education programs, by peer group versus health practitioner on PMS. This will add to the evidence-based interventions to PMS management and the effectiveness of peer education in health promotion of adolescents girls.


Assuntos
Transtorno Disfórico Pré-Menstrual , Síndrome Pré-Menstrual , Adolescente , Feminino , Humanos , Grupo Associado , Síndrome Pré-Menstrual/terapia , Instituições Acadêmicas , Estudantes
7.
BMC Pregnancy Childbirth ; 21(1): 222, 2021 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-33743619

RESUMO

BACKGROUND: Fear of childbirth is reported in 13% of fathers, and it may have adverse consequences for the fathers' health as well as their families. To reduce the fear of childbirth in the expectant fathers, an appropriate screening tool is needed. Due to the lack of a valid and reliable questionnaire to measure fathers' fear of childbirth, this study was conducted to develop the Fathers' Fear of Childbirth Scale and evaluate its psychometric properties. METHODS: This mixed method study was conducted in two phases. In the qualitative phase (or item generation), semi-structured interviews were conducted with 20 expectant fathers, and a literature review was performed to generate the Fathers' Fear of Childbirth Scale items pool. In the quantitative phase (or psychometric evaluation), reliability as well as face, content, and construct validity of this scale were evaluated. To establish construct validity, exploratory and confirmatory factor analyses were performed. Reliability was evaluated through internal consistency and composite reliability measures. RESULTS: The primary version of Fathers' Fear of Childbirth Scale contained 32 items, which were reduced to 17 items while establishing construct validity. Exploratory factor analysis extracted two factors, namely fear of childbirth process (12 items) and fear of hospital (5 items). These factors explained 50.82% of the total variance. Goodness of fit indices within the confirmatory factor analysis was acceptable. Internal consistency and composite reliability indices of all the factors were greater than 0.70. CONCLUSION: The Fathers' Fear of Childbirth Scale has a suitable validity and reliability for assessing fear of childbirth in fathers. It is a simple report instrument that can be easily implemented by health care professionals.


Assuntos
Pai/psicologia , Medo/psicologia , Parto/psicologia , Psicometria/métodos , Adulto , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Masculino , Gravidez , Cuidado Pré-Natal/métodos , Pesquisa Qualitativa , Reprodutibilidade dos Testes , Inquéritos e Questionários
8.
Nurs Open ; 8(3): 1360-1368, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33378116

RESUMO

AIM: This study aimed to develop and psychometrics a questionnaire for assessing childbirth experience in Iranian women. DESIGN: Cross-sectional study. METHODS: This cross-sectional study was done in women who experienced childbirth within the last 12 hr to 2 months from May to December 2018. Questionnaire items were extracted from a comprehensive review of the available studies and questionnaires on childbirth experiences and definitions implied by qualitative interviews. The designed questionnaire was validated in three stages: face, content and construct. Cronbach's alpha was used to determine the reliability of the instrument. RESULT: Iranian women childbirth experience questionnaire contained seven factors with 52 items which were called professional support, husband's and other important support, baby, preparation, fear, positive perception and control were extracted. The Cronbach's alpha coefficient after factor analysis was 0.62-0.92 and for the whole instrument was 0.91. The findings showed that Iranian women childbirth experience questionnaire was valid and reliable.


Assuntos
Psicometria , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Gravidez , Reprodutibilidade dos Testes , Inquéritos e Questionários
9.
Nurs Open ; 7(6): 1840-1845, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33072369

RESUMO

Aim: The aim of this study was to investigate the predictive role of marital satisfaction on similarities in parenting styles. Design: The present cross-sectional study was conducted on 617 Iranian father-mother dyads in 2018. Methods: During a systematic sampling method, Afrooz Marital Satisfaction Scale and Parenting Styles and Dimensions Questionnaire were administered. The data were analysed using a t test, a chi-square test, one-way ANOVA and logistic regression. Results: Results showed that 71.47% of the couples exhibited agreement in parenting styles and that 82.50% reared their children in an authoritative manner. The logistic regression indicated that increased marital satisfaction among fathers (AOR: 3.19; CI: 2.06, 4.92) and mothers (AOR: 2.74; CI: 1.76, 4.25) could elevate the odds of correspondence in parenting styles. The findings suggest that agreement on parenting styles should be considered when evaluating marital satisfaction in couples. Intervention targeting marital satisfaction to improve parental agreement is recommended.


Assuntos
Poder Familiar , Satisfação Pessoal , Criança , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Masculino , Pais
10.
Nurs Open ; 7(6): 2009-2018, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33072386

RESUMO

Aim: The need to cope with life concerns may drive an individual to resort to high-risk behaviours. This study aimed to determine the relationship between health concerns and high-risk behaviours. Design: A cross-sectional study. Methods: We sampled 926 Medical Sciences' students from the North of Iran from September-December 2017 using the stratified sampling method. Results: The most and less common high-risk behaviour was physical inactivity (97.5%) and high-risk sexual behaviour (15.7%), respectively. In multivariate logistic regression analysis, participants' concerns about human sexuality (AOR: 1.39; CI: 1.22, 1.57), injury prevention and control (AOR: 1.12; CI: 1.01, 1.20), nutrition (AOR: 1.13; CI: 1.02, 1.26) and emotional health (AOR: 1.08; CI: 1.02, 1.15) increased the odds of risky behaviours. Among Medical Sciences' students, health concerns are linked with risky behaviours. The result of this study can be used to develop relevant interventions targeting mental health to reduce risky behaviour among youth.


Assuntos
Assunção de Riscos , Comportamento Sexual , Adolescente , Estudos Transversais , Humanos , Irã (Geográfico)/epidemiologia , Sexualidade
11.
Nurs Open ; 7(4): 1233-1238, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32587743

RESUMO

Aim: This study aimed to explore the meaning of a positive childbirth experience expressed by women who had given birth in Iran. Design: Qualitative exploratory study. Methods: This is a qualitative study conducted on 10 women aged 20-38 years with positive childbirth experience. Data were collected using semi-structured interviews from 72 hr-2 months after childbirth. Results: Data analysis led to into two themes and five subthemes. The themes include control and empowerment. Control theme consisted of three subthemes of preparation, coping and support; and empowerment theme consisted of two subthemes of self-efficacy and self-esteem. Women's sense of empowerment to childbirth can be the result of a positive childbirth experience. Therefore, it seems that providing positive experience factors of childbirth plays an important role in women's self-efficacy and self-esteem, which requires cooperation and effort at the level of the individual, family, education system and healthcare system.


Assuntos
Mães , Parto , Parto Obstétrico , Feminino , Humanos , Irã (Geográfico) , Gravidez , Inquéritos e Questionários
12.
Artigo em Inglês | MEDLINE | ID: mdl-31665117

RESUMO

Aim Adolescence is characterized by dynamic brain development in which the interaction with the social environment shapes the capabilities an individual takes forward into adult life. Improvement of adolescent psychological health depends on the recognition of their needs during this critical transition period. This study aimed to explain the concept of psychological health needs from the perspectives of male adolescents to improve the health of both adolescents and society. Method In this qualitative study with a content analysis approach, 52 male adolescents aged 13-18 years participated in 10 semi-structured individual interviews and seven focus group discussions. They expressed their experiences and opinions regarding psychological health needs. Purposive sampling was performed to recruit the adolescents in different areas of Tehran in 2017. Collected data was analyzed using the conventional content analysis method. Results The findings were divided into two main themes and five sub-themes including 'self-esteem (self-cognition and Suitable relationship between teen and family)', 'Well-being and calmness (Intellectual affinity, Rich leisure time, Religious beliefs)'. Conclusion To promote emotional health in adolescents, it is necessary to plan for the empowerment of community, family, schools by health authorities and devise appropriate health policies.

13.
Taiwan J Obstet Gynecol ; 57(5): 644-649, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30342643

RESUMO

Various studies have investigated the role that psychological factors play in the etiology of nausea and vomiting during pregnancy. The current research was aimed at reviewing the psychological interventions that are implemented to treat the aforementioned conditions. Vocabulary from the Medical Subject Headings database was used as basis for identifying search keywords, which were then employed to search for relevant articles in PubMed, Web of Science, Google Scholar, PsycINFO, Scopus, the Scientific Information Database, IranMedex, Magiran, and IranDoc. A total of 174,270 articles published in the period between 1985 and 2017 were obtained. After the elimination of repetitive and unrelated articles, six clinical trials were evaluated using the Oxford quality scoring system or Jadad scale. Psychological interventions for nausea and vomiting during pregnancy fall into four categories, namely, behavioral therapy, mindfulness-based cognitive therapy, hypnosis, and progressive muscle relaxation. On the basis of the Jadad scale, all the reviewed studies were evaluated as being of poor methodological quality. Further studies are needed to obtain strong evidence on the effectiveness of psychological interventions for the treatment of women suffering from nausea and vomiting during pregnancy.


Assuntos
Terapia Comportamental/métodos , Náusea/psicologia , Complicações na Gravidez/psicologia , Complicações na Gravidez/terapia , Vômito/psicologia , Terapia Cognitivo-Comportamental , Feminino , Humanos , Hipnose , Musicoterapia , Náusea/etiologia , Náusea/terapia , Gravidez , Terapia de Relaxamento , Resultado do Tratamento , Vômito/etiologia , Vômito/terapia
14.
Electron Physician ; 9(9): 5172-5178, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29038693

RESUMO

BACKGROUND: Nowadays, it is believed that mental and emotional aspects of sexual well-being are the important aspects of sexual health. Sexual self-concept is a major component of sexual health and the core of sexuality. It is defined as the cognitive perspective concerning the sexual aspects of 'self' and refers to the individual's self-perception as a sexual creature. OBJECTIVE: The aim of this study was to assess the different factors affecting sexual self-concept. METHODS: English electronic databases including PubMed, Scopus, Web of Science and Google Scholar as well as two Iranian databases including Scientific Information Database and Iranmedex were searched for English and Persian-language articles published between 1996 and 2016. Of 281 retrieved articles, 37 articles were finally included for writing this review article. RESULTS: Factors affecting sexual self-concept were categorized to biological, psychological and social factors. In the category of biological factors, age gender, marital status, race, disability and sexual transmitted infections are described. In the psychological category, the impact of body image, sexual abuse in childhood and mental health history are present. Lastly, in the social category, the roles of parents, peers and the media are discussed. CONCLUSION: As the development of sexual self-concept is influenced by multiple events in individuals' lives, to promotion of sexual self-concept, an integrated implementation of health policies is recommended.

15.
Int J Adolesc Med Health ; 31(2)2017 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-28599383

RESUMO

Background Adolescence is the period of accepting self-care responsibility. Many severe diseases that cause early mortality are rooted in adolescence. Hence, adolescence is the definitive time for preventive interventions such as self-care behaviors. In addition to the benefits of self-care behaviors, evidence shows that adolescents face barriers in performing self-care behaviors. Objective The aim of the current study to review the self-care challenges for adolescents. Methods Databases such as Google Scholar, ScienceDirect, PubMed, Web of Science, Scientific Information Database and Scopus were searched to extract papers published from 1994 to 2016 based on the inclusion criterion. The inclusion criterion was English language papers from famous authors on self-care behaviors in adolescents. Results The results of the current study showed that adolescents face cultural (two subcategories, beliefs and convictions, knowledge), socio-economic (five subcategories, family, healthcare providers, peers, social support, economic status) and personal (three subcategories, mental health, gender, ethnicity) challenges. Conclusions Self-care behaviors in adolescents are influenced by biological, psychological, economic and social factors. As this is a multifactorial process, people who deal with adolescents should have enough knowledge regarding adolescent health status and also learn how to perceive the role of culture in self-care behaviors of the adolescents.

16.
Int J Adolesc Med Health ; 31(3)2017 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-28598802

RESUMO

Background Intentional injuries refer to injuries resulting from purposeful human action, whether directed at oneself or others. This study was performed to assess intentional injuries in Iranian university students. Methods This cross-sectional study was carried out with 430 female and male university in three higher education institutions located in the northern part of Iran in the year 2015. Samples were chosen through the stratified cluster random sampling method. They were requested to fill out the demographic data form and the Persian version of the Youth Risk Behavior Survey Questionnaire. Descriptive and inferential statistics were used for data analysis via the SPSS v.13 software. Findings Intentional injuries were more frequent in the male university students than female (p < 0.05). Also, 9.1% and 6.7% of the university students were physically injured or sexually assaulted by a boy/girl friend. No statistically significant difference was reported in dating violence between the male and female university students. The logistic regression test showed that the history of stealing money from parents without their permission, son's preferences in the family and gender are the most important predisposing factors for the university students' intentional injury. Conclusion It is suggested that health policy makers consider the role of family in programs that have been designed for improving the health of young people.

17.
Am J Mens Health ; 11(4): 1255-1259, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28421852

RESUMO

Health in the adolescence period guarantees the next generation's health. The assessment of health needs is the first stage for the implementation of health promotion interventions. This study aimed to assess the priorities of male adolescent's health needs in Tehran, Iran, in year 2015. This cross-sectional correlational study was conducted with 1,200 male adolescents aged between 13 and 18 years. Single male adolescents studying in public guidance and high schools in Tehran, Iran, in year 2015 were chosen using a random multistage sampling method. Data were collected using the male adolescent health need assessment scale. The data were analyzed using descriptive and inferential statistics. It was found that while the lowest score was for the domain of sexual health, other domains had average or higher than average scores. More attention should be paid to the sexual health needs of male adolescents. Policy makers need to design strategies that help meet the health needs of male adolescents.


Assuntos
Prioridades em Saúde , Necessidades e Demandas de Serviços de Saúde , Adolescente , Estudos Transversais , Humanos , Irã (Geográfico) , Masculino , Determinação de Necessidades de Cuidados de Saúde
18.
Int J Adolesc Med Health ; 31(2)2017 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-28422704

RESUMO

Background In recent years, high-risk sexual behaviors due to their negative consequences both for the individual and society have received more attention than other high-risk behaviors. Objective The aim of this study was to review the influencing factors of high-risk sexual behaviors among young people from an ecological point of view. Methods This review was conducted through searching databases including PubMed, Web of Science, Scopus, Google Scholar and the Cochrane Library with keywords such as sexual risk-taking behavior, high-risk sex, unprotected sex and unsafe sex. The relevant papers published between 1995 and 2016 were extracted. After reviewing the abstract and full text of the articles, 45 papers were used to write this article. Results From an ecological theory approach, factors which influence high-risk sexual behaviors are divided into three categories - the microsystem, the mesosystem and the macrosystem. The microsystem includes factors such as age, gender, race, marital status, place of residence, religion, level of education, personality traits, psychological problems, childhood experiences, body image and coincidence of high-risk behaviors; the mesosystem includes factors such as family structure, peers and sex education; in the macrosystem, the impact of culture and traditions of the society, economic status and the media are presented. Conclusion Given that high-risk sexual behaviors often have multiple causes, it seems that health policymakers must consider multi-dimensional interventions to influence high-risk sexual behaviors based on the ecological approach.

19.
Int J Community Based Nurs Midwifery ; 4(4): 297-308, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27713893

RESUMO

BACKGROUND: Given the importance of adolescents' health in establishing health in the newly thriving generation of every society, the first step for adolescents' health promotion is health needs assessment. The present study was, therefore, conducted to design a valid and reliable scale for health needs assessment of male adolescents. METHODS: This is an exploratory sequential mixed method study (2014-2015). The qualitative part was performed using content analysis approach and aimed to generate items pool. Data collection was performed by 7 focus group discussions with 51 male adolescents, and 10 semi-structured in-depth interviews with 10 other adolescents. Nine further in-depth interviews were also performed with 9 key informants. Purposive sampling was used and continued until data saturation. In the quantitative part, the designed scale was psychometrically assessed through the examination of the face and content validities using qualitative and quantitative methods and also the construct validity using the exploratory factor analysis along with the tool's internal consistency and stability. RESULTS: The content analysis of the data from the qualitative part led to the extraction of 4 main themes and 103 items, which moved to the quantitative stage. The mean content validity index of the scale was estimated 0.91 and content validity ratio was 0.89. The exploratory factor analysis showed 4 factors for the designed scale (49 items), including physical, psychological, social and sexual health needs. The internal consistency and the stability assessment of the scale showed 0.79 and 0.89, respectively. (P<0.001). CONCLUSION: According to the psychometric assessment, MAHNAS is a valid and reliable scale compatible with the Iranian culture that can be used in the health needs assessment of male adolescents.

20.
Medicine (Baltimore) ; 95(43): e5224, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27787386

RESUMO

BACKGROUND: Anxiety during pregnancy and its adverse effects on mother and baby is a health concern worldwide. This study aimed to investigate the effects of group cognitive behavioral therapy (GCBT) compared with interactive lectures (IL) on anxiety during pregnancy. METHODS: This quasi experimental trial was conducted in Sari city, in north Iran, from March to July 2015. Participants were 91 obstetrically and medically low-risk nulliparous women with a mild to moderate anxiety level, as assessed by Spielberger's State-Trait Anxiety Inventory. Participants were selected from the general population by cluster sampling and assigned to 3 groups: a cognitive behavioral therapy (CBT) group (n = 31), an IL group (n = 30), and a control group (n = 30). All participants completed a demographic characteristics form and the Speilberger State-Trait Anxiety Inventory. The inventory was completed again by the CBT and IL groups 4 weeks after the interventions, and 4 weeks after the initial questionnaire by the control group. Data were analyzed with chi-squared tests, independent t-tests, paired t-tests, ANOVA, and Dunnett post hoc test. RESULTS: A significant decline in state and trait anxiety was found in the CBT and IL groups at 4 weeks (P < 0.001). GCBT was more effective than IL in reducing participants' anxiety, but the difference was not significant (P > 0.05). CONCLUSION: GCBT and IL had beneficial effects in reducing anxiety in pregnancy. The psychological status of pregnant women in prenatal care services should be investigated and either of these methods used to manage maternal anxiety, depending on the available healthcare service resources.


Assuntos
Transtornos de Ansiedade/terapia , Cognição/fisiologia , Terapia Cognitivo-Comportamental/métodos , Inventário de Personalidade , Complicações na Gravidez/terapia , Adolescente , Adulto , Transtornos de Ansiedade/psicologia , Feminino , Seguimentos , Idade Gestacional , Humanos , Gravidez , Complicações na Gravidez/psicologia , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
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