Asghari Elahe, Faramarzi Mahbobeh, Mohammmadi Arsalan Khan
Student, Department of Psychology, Ayatollah Amoli Branch, Islamic Azad University , Amol, Mazadreran, Iran .
Assistant Professor, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences , Babol, Iran .
J Clin Diagn Res. 2016 Nov;10(11):QC04-QC07. doi: 10.7860/JCDR/2016/21245.8879. Epub 2016 Nov 1.
Stress induced by preeclampsia in pregnancy may have a detrimental effect on both the mother and child. Risk of anxiety, depression and stress during pregnancy is, therefore, commonly associated with preeclampsia.
To determine the effect of Cognitive Behavioural Therapy (CBT) on anxiety, depression and stress in pregnant women with preeclampsia.
In a clinical trial, 60 women with preeclampsia were selected by the convenience sampling method from the Imam-Ali Hospital of Amol city (North of Iran). The subjects were randomly divided into two groups; the study group (n=30) and the control (n=30). All participants completed the Hospital Anxiety and Depression Scale (HADS) and a Pregnancy Distress Questionnaire (PDQ) at the beginning and end of the study. The intervention group received 12 CBT sessions lasting for 90 minutes over 4 weeks (3 sessions in a week) and the control group received no treatment.
A MANCOVA test showed that CBT significantly reduced the mean scores of anxiety (5.5 ± 3.2 vs. 9.7 ± 3.8) and depression (6.4±2.6 vs 9.3±4.0) in preeclamptic women (F: 19.933, p-value <0.01). In addition, ANCOVA also revealed that CBT significantly improved the mean scores of specific-stress pregnancy (15.9 ± 6.3 vs 22.2 ± 6.8) in women with preeclampsia (F: 10.214, p-value <0.01).
Psychotherapy was effective in reducing anxiety, depression and specific-stress pregnancy in pregnant women with preeclampsia.
妊娠期子痫前期所引发的压力可能会对母亲和孩子都产生不利影响。因此，孕期焦虑、抑郁和压力风险通常与子痫前期相关。
确定认知行为疗法（CBT）对患有子痫前期的孕妇的焦虑、抑郁和压力的影响。
在一项临床试验中，采用便利抽样法从伊朗北部阿莫勒市的伊玛目阿里医院选取了60名患有子痫前期的女性。受试者被随机分为两组；研究组（n = 30）和对照组（n = 30）。所有参与者在研究开始和结束时均完成了医院焦虑抑郁量表（HADS）和妊娠困扰问卷（PDQ）。干预组在4周内接受了12次时长为90分钟的CBT治疗（每周3次），对照组未接受任何治疗。
多变量协方差分析（MANCOVA）测试表明，CBT显著降低了子痫前期女性的焦虑平均得分（5.5±3.2对9.7±3.8）和抑郁平均得分（6.4±2.6对9.3±4.0）（F：19.933，p值<0.01）。此外，协方差分析（ANCOVA）还显示，CBT显著改善了子痫前期女性的特定孕期压力平均得分（15.9±6.3对22.2±6.8）（F：10.214，p值<0.01）。
心理治疗对降低患有子痫前期的孕妇的焦虑、抑郁和特定孕期压力有效。
