Aslami Elahe, Alipour Ahmad, Najib Fatemeh Sadat, Aghayosefi Alireza
Department of Psychology, Payame Noor Universtiy, Tehran, Iran.
Infertility Research Center, Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2017 Apr;5(2):144-152.
Anxiety and depression during the pregnancy period are among the factors affecting the pregnancy undesirable outcomes and delivery. One way of controlling anxiety and depression is mindfulness and cognitive behavioral therapy. The purpose of this study was to compare the efficiency of mindfulness based on the Islamic-spiritual schemas and group cognitive behavioral therapy on reduction of anxiety and depression in pregnant women.
The research design was semi-experimental in the form of pretest-posttest using a control group. Among the pregnant women in the 16th to 32nd weeks of pregnancy who referred to the health center, 30 pregnant women with high anxiety level and 30 pregnant women with high depression participated in the research. Randomly 15 participants with high depression and 15 participants with high anxiety were considered in the intervention group under the treatment of mindfulness based on Islamic-spiritual schemes. In addition, 15 participants with high scores regarding depression and 15 with high scores in anxiety were considered in the other group. .The control group consisted of 15 pregnant women with high anxiety and depression. Beck anxiety-depression questionnaire was used in two steps of pre-test and post-test. Data were analyzed using SPSS, version 20, and P≤0.05 was considered as significant.
The results of multivariate analysis of variance test and tracking Tokey test showed that there was a significant difference between the mean scores of anxiety and depression in the two groups of mindfulness based on spiritual- Islamic scheme (P<0.001) and the group of cognitive behavioral therapy with each other (P<0.001) and with the control group(P<0.001). The mean of anxiety and depression scores decreased in the intervention group, but it increased in the control group.
Both therapy methods were effective in reduction of anxiety and depression of pregnant women, but the effect of mindfulness based on spiritual- Islamic schemes was more.
孕期焦虑和抑郁是影响妊娠不良结局及分娩的因素之一。控制焦虑和抑郁的一种方法是正念和认知行为疗法。本研究的目的是比较基于伊斯兰精神模式的正念疗法和团体认知行为疗法在减轻孕妇焦虑和抑郁方面的效果。
采用对照组的前测-后测形式进行半实验性研究设计。在前往健康中心就诊的怀孕16至32周的孕妇中，30名焦虑水平高的孕妇和30名抑郁水平高的孕妇参与了研究。随机将15名抑郁水平高的参与者和15名焦虑水平高的参与者纳入基于伊斯兰精神模式的正念疗法治疗的干预组。此外，另一组中有15名抑郁得分高的参与者和15名焦虑得分高的参与者。对照组由15名焦虑和抑郁水平高的孕妇组成。在测试前和测试后两个阶段使用贝克焦虑-抑郁问卷。使用SPSS 20版对数据进行分析，P≤0.05被认为具有统计学意义。
多变量方差分析测试和追踪托基检验的结果表明，基于伊斯兰精神模式的正念疗法组（P<0.001）和认知行为疗法组之间（P<0.001）以及与对照组之间（P<0.001）的焦虑和抑郁平均得分存在显著差异。干预组的焦虑和抑郁得分均值下降，但对照组上升。
两种治疗方法在减轻孕妇焦虑和抑郁方面均有效，但基于伊斯兰精神模式的正念疗法效果更佳。
