Akbarian Zahra, Kohan Shahnaz, Nasiri Hamid, Ehsanpour Soheila
Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2018 Mar-Apr;23(2):93-97. doi: 10.4103/ijnmr.IJNMR_207_16.
The process of becoming a mother is considered as an enjoyable and evolutionary event of women's life. However, due to physical and mental changes, it can be associated with some degree of stress and anxiety that may lead to mental health problems. This study aimed to compare the effects of mental health training during pregnancy on stress, anxiety, and depression between two groups of couples and pregnant women.
This randomized clinical trial was conducted on 120 pregnant women referring to health centers in Isfahan, Iran, from September to February 2016. The participants were randomly divided into three groups: couples (with the partner present), pregnant women (without the partner present), and control group (routine care). After completing the pretest, the intervention groups received four sessions of pregnancy mental health training. Data were collected using the Depression, Anxiety, and Stress Scales (DASS-42) and a demographic characteristics form. The collected data were analyzed using Statistical Package for the Social Sciences software.
Before the intervention, no statistical difference was observed among the three groups in the mean scores of stress, anxiety, and depression. The mean score of depression, anxiety, and stress decreased significantly in the intervention groups 2 weeks after the intervention respectively (F=5.84, =0.004), (F=14.76, < 0.001) and (F=11.98, < 0.001). No significant difference was observed between the couples and pregnant women groups in terms of depression ( = 0.140).
The results of this study showed that mental health training for pregnant women, especially with the presence of the partner, is a useful intervention in preventing stress, anxiety, and depression.
成为母亲的过程被视为女性生命中一段愉悦且具有进化意义的经历。然而，由于身心变化，这一过程可能伴随着一定程度的压力和焦虑，进而可能导致心理健康问题。本研究旨在比较孕期心理健康培训对两组夫妻及孕妇的压力、焦虑和抑郁的影响。
本随机临床试验于2016年9月至2016年2月在伊朗伊斯法罕的健康中心对120名孕妇进行。参与者被随机分为三组：夫妻组（伴侣在场）、孕妇组（伴侣不在场）和对照组（常规护理）。完成预测试后，干预组接受了四节孕期心理健康培训课程。使用抑郁、焦虑和压力量表（DASS - 42）及一份人口统计学特征表格收集数据。所收集的数据使用社会科学统计软件包进行分析。
干预前，三组在压力、焦虑和抑郁的平均得分上未观察到统计学差异。干预组在干预2周后抑郁、焦虑和压力的平均得分分别显著下降（F = 5.84，P = 0.004），（F = 14.76，P < 0.001）和（F = 11.98，P < 0.001）。夫妻组和孕妇组在抑郁方面未观察到显著差异（P = 0.140）。
本研究结果表明，对孕妇进行心理健康培训，尤其是伴侣在场的情况下，是预防压力、焦虑和抑郁的有效干预措施。
