简短认知行为咨询和事后讨论对创伤性分娩后创伤后应激障碍预防的效果：一项随机临床试验。
Effect of Brief Cognitive Behavioral Counseling and Debriefing on the Prevention of Post-traumatic Stress Disorder in Traumatic Birth: A Randomized Clinical Trial.
机构信息
Midwifery Counseling, Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
出版信息
Community Ment Health J. 2019 Oct;55(7):1173-1178. doi: 10.1007/s10597-019-00424-6. Epub 2019 Jun 8.
OBJECTIVE
Planning to promote the health of mothers in postpartum is important in all countries. This study aimed to determine the effectiveness of two counseling method on prevention of post-traumatic stress after childbirth.
METHODS
In this clinical trial, 193 of mothers who had experienced a traumatic birth were randomly assigned to three groups. Participants were assessed using IES_R questionnaire at 4-6 weeks and 3 months after delivery.
RESULTS
Debriefing and brief cognitive behavioral counseling (CBC) significantly improved the symptoms of postpartum traumatic stress disorder. After 3 months, CBC had a significant effect on the symptoms.
CONCLUSION
Screening of traumatic childbirth, implementation of supportive care, and early counseling prior to the initiation of post-traumatic stress are recommended.
TRIAL REGISTRATION NUMBER
IRCT2015072522396N2. http://en.search.irct.ir/view/24735 .
目的
计划促进产后母亲的健康在所有国家都很重要。本研究旨在确定两种咨询方法对预防产后创伤后应激的效果。
方法
在这项临床试验中，193 名经历过创伤性分娩的母亲被随机分为三组。参与者在产后 4-6 周和 3 个月时使用 IES_R 问卷进行评估。
结果
事后讨论和简短认知行为咨询（CBC）显著改善了产后创伤后应激障碍的症状。3 个月后，CBC 对症状有显著影响。
结论
建议对创伤性分娩进行筛查，实施支持性护理，并在创伤后应激开始前进行早期咨询。
注册号
IRCT2015072522396N2。http://en.search.irct.ir/view/24735。
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