Middle Eastern Journal of Disability Studies

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Amini M, Rezvani Zadeh A, Jelokhani Nakaraki R. Acceptance and Commitment Therapy on Depression and Marital Satisfaction in Pregnant Women. MEJDS 2018; 8 :98-98
URL: http://jdisabilstud.org/article-1-875-en.html

Background & Objective: Pregnancy is a common occurrence among women of reproductive age and is often considered a time of joy and happiness for pregnant mothers. The mental and psychological state of pregnant women has a direct effect on the well-being of the mother and the infant. However, training of this era is often based on physical changes during pregnancy, childbirth, and after the birth of the baby from the perspective of medical and midwifery. Marital satisfaction and depression in pregnancy, mainly from family counseling point of view have not been addressed. Lack of this attention from the perspective of family counseling has an adverse effect. Therefore, admission and commitment training (acceptance and commitment therapy) as a treatment method has effective criteria for treatment. Therefore, the main objective of this study was to determine the efficacy of acceptance and commitment therapy on depression and marital satisfaction of pregnant women.
Methods: This research was a semi-experimental design with a pretest-posttest design with the control group. The statistical population of this study was all pregnant women referred to the health center of Tehran (the capital city of Iran) second district in the second half of 2015. A total of 30 people were selected using the sampling method they randomly divided into two groups, experimental (n=15) and control (n=15). The instruments used in this study were the Beck Depression Inventory 21 and Enrique's Matrimonial Satisfaction Questions. These questionnaires approved in terms of validity and reliability. Acceptance and commitment treatment sessions conducted in 8 sessions and the health clinic for the experimental group, but no intervention applied to the control group; immediately after the intervention, a test for the experimental group, post-test depression and marital satisfaction performed for both groups Data were collected and analyzed using SPSS version 20 software. After using descriptive statistics (mean and standard deviation), a statistical analysis of covariance was used to compare the mean depression and marital satisfaction of pregnant women between the two groups due to pre-test. The reason for using this test was that in the present research, the researcher used it to control the effect of previous readiness and to modify the impact of this variable as a pre-test as a control variable.
Results: Posttest scores of the experimental group in the depression rate were significantly lower than the pre-test (mean pre-test was 29.936 ± 9.657 posttest, and the satisfaction rate was 20.036 ± 10.526). Marital status increased (mean pre-test: 111.462 ± 25.490 and posttest, 145.869 ± 33.526), but no significant change made in the control group. The result of covariance analysis also showed that the effectiveness of acceptance and commitment treatment on depression (p<0.001) and marital satisfaction (p<0.001) was significant.
Conclusion: In general, acceptance and commitment therapy, which is one of the non-medical therapeutic methods and based on reducing stress and psychotherapy, has been able to improve the depression of pregnant women by using behavioral and mind-awareness techniques, clarifying values and goals, disrupting and engaging in action. The method could increase the marital satisfaction of pregnant women. According to the findings of this study, it is suggested that during pregnancy, due to the vulnerability of women and the embryo to its drugs and its complications; psychological treatment and pregnancy training should be used to resolve depression problems. To improve the mental and physical health woman and fun and joyful period, training new adaptive skills to prevent the effects of anxiety and depression, this method is suggested.