Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Department of Psychology, Zanjan University of Medical Sciences, Zanjan, Iran.
BMC Pregnancy Childbirth. 2023 Sep 1;23(1):630. doi: 10.1186/s12884-023-05857-2.
Anxiety related to prenatal screening programs negatively affects maternal and child health.
The study aimed to determine the effect of Cognitive Behavioral Counseling on the anxiety and worry levels of women with intermediate risk during first-trimester screening for Down Syndrome.
The study was a randomized controlled trial conducted on 52 pregnant women with intermediate risk (1: 51 - 1:1500) during first-trimester screening for Down Syndrome and without additional structural anomalies that referred to three cities of Zanjan province in 2021. The eligible women were randomly assigned to intervention and control groups, with a block size of four. The intervention group received CBC in four sessions of 120 min two times a week by phone. Data were collected using Vandenberg Anxiety Questionnaire, and Cambridge Worry Questionnaire in three phases baseline, after the intervention, and 6 weeks follow-ups. Data were analyzed using independent t-test, chi-square, and repeated measures ANOVA at a 95% confidence level. (P < 0.05).
In the counselling group, the mean (SD) of a total score of anxiety before the intervention was 67.11 (20.68) which decreased to 32.50 (13.58) in six weeks after the intervention. Furthermore, the mean (SD) of a total score of worry before the intervention was 56.19 (16.76) which decreased to 32.96 (8.89) six weeks after the intervention. Based on the repeated measures ANOVA test, the mean total score of anxiety and worry were statistically significant 6 weeks after the intervention compared with the control group(p < 0.001).
Based on the study results, CBC can reduce the anxiety and worry levels of women with intermediate risk during first trimester screening for Down Syndrome.
The study was registered at the Iranian Registry of Clinical Trials website under the code IRCT20160608028352N8, ( https://en.irct.ir/trial/49998 ). The first trial registration date was (29/08/2020).
与产前筛查项目相关的焦虑会对母婴健康产生负面影响。
本研究旨在确定认知行为咨询对唐氏综合征早期筛查中具有中等风险的女性的焦虑和担忧水平的影响。
这是一项随机对照试验，于 2021 年在赞詹省的三个城市对唐氏综合征早期筛查中具有中等风险（1:51-1:1500）且无其他结构异常的 52 名孕妇进行，符合条件的孕妇被随机分为干预组和对照组，每组 26 人。干预组每周两次通过电话接受 CBC 四次，每次 120 分钟。使用范登堡焦虑问卷和剑桥担忧问卷在三个阶段收集数据：基线、干预后和 6 周随访。使用独立 t 检验、卡方检验和重复测量方差分析在 95%置信水平下分析数据。（P<0.05）。
在咨询组中，干预前焦虑总分的平均值（标准差）为 67.11（20.68），干预后 6 周降至 32.50（13.58）。此外，干预前担忧总分的平均值（标准差）为 56.19（16.76），干预后 6 周降至 32.96（8.89）。基于重复测量方差分析检验，干预后 6 周焦虑和担忧的总分均具有统计学意义与对照组相比（p<0.001）。
根据研究结果，CBC 可以降低唐氏综合征早期筛查中具有中等风险的女性的焦虑和担忧水平。
该研究在伊朗临床试验注册网站上注册，注册号为 IRCT20160608028352N8（https://en.irct.ir/trial/49998）。首次试验注册日期为（2020 年 8 月 29 日）。
