Shahrokhi Shirin, Basirat Zahra, Barat Shahnaz, Kheirkhah Farzan, Adib-Rad Hajar, Mirtabar Seyyedeh M, Faramazi Mahbobeh
Psychology Department, Behshahr Azad University, Behshahr, Iran.
Department of Obstetrics and Gynecology, School of Medicine, Infertility and Reproductive Health Research Center, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):510-516. doi: 10.4103/ijnmr.ijnmr_345_23. eCollection 2025 Jul-Aug.
In recent years, internet-based treatments have been considered reliable alternatives to face-to-face therapies. However, the advantages and disadvantages of using internet-based treatment in pregnant women require further study. The study investigated the challenges, advantages, and barriers of internet-based psychotherapy in the treatment of depression among Iranian pregnant women.
In a content analysis, semi-structured interviews were conducted with a total of 20 participants from September 2022 to March 2023. The study included depressed pregnant women who had sought care at the midwifery centers of Babol University of Medical Sciences or specialized offices of gynecologists and midwives in Iran. The statistical population included 14 depressed pregnant women and six psychotherapists who were selected purposefully. Audio-recorded interviews were transcribed verbatim and analyzed using framework analysis.
A total of 294 codes were extracted. The results showed three main themes and their associated 13 subthemes. The first main theme, "Barriers to Internet-based Therapy," consists of various barriers faced by the participants. The second main theme, "Suggestions to Overcome Barriers," examines participants' suggested strategies for dealing with challenges. The third main theme, "Advantages of Online Therapy," highlights the perceived benefits of internet-based therapy.
To increase the effectiveness of online treatment in pregnant women, attention should be paid to improving technology, designing appropriate platforms, providing more education to patients, and implementing integrated approaches that combine face-to-face sessions with online treatment. Although online psychotherapies have their challenges, they have important benefits for pregnant women.
近年来，基于互联网的治疗方法被认为是面对面治疗的可靠替代方案。然而，在孕妇中使用基于互联网的治疗方法的优缺点仍需进一步研究。本研究调查了基于互联网的心理治疗在治疗伊朗孕妇抑郁症中的挑战、优势和障碍。
在一项内容分析中，于2022年9月至2023年3月对总共20名参与者进行了半结构化访谈。该研究纳入了在伊朗巴博尔医科大学助产中心或妇产科医生及助产士专科诊所寻求护理的抑郁症孕妇。统计总体包括14名抑郁症孕妇和6名经过有目的选择的心理治疗师。对录音访谈进行逐字转录，并使用框架分析法进行分析。
共提取了294个编码。结果显示了三个主要主题及其相关的13个子主题。第一个主要主题“基于互联网治疗的障碍”包括参与者面临的各种障碍。第二个主要主题“克服障碍的建议”探讨了参与者提出的应对挑战的策略。第三个主要主题“在线治疗的优势”突出了基于互联网治疗的感知益处。
为提高在线治疗对孕妇的有效性，应注重改进技术、设计合适的平台、为患者提供更多教育，并实施将面对面治疗与在线治疗相结合的综合方法。尽管在线心理治疗存在挑战，但它们对孕妇具有重要益处。
