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MEJDS (2020) 10: 46 |
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Ghavami B, Ghanbari Hashem Abadi B, Saffarian M, Khakpour M. Cognitive-Behavioral Group Training on Marital Satisfaction and Ineffective Beliefs in Pregnant Women Unable to Control the Fear of First Delivery. MEJDS 2020; 10 :46-46
URL: http://jdisabilstud.org/article-1-1329-en.html
URL: http://jdisabilstud.org/article-1-1329-en.html
1- Department of Educational Sciences, Islamic Azad University, Mashhad Branch
2- Department of Psychology and Educational Sciences, Ferdowsi University of Mashhad
3- Department of Psychology, Hakim Nezami Institution and Higher Education
2- Department of Psychology and Educational Sciences, Ferdowsi University of Mashhad
3- Department of Psychology, Hakim Nezami Institution and Higher Education
Abstract: (1941 Views)
Background & Objectives: Marriage and pregnancy are vital events in women's lives and cause numerous changes in life, especially in the case of the first pregnancy. Fear of giving birth is among the major issues associated with pregnancy and postpartum. Irrational beliefs are exaggerated, inflexible, absolute, and unreal. Attitude toward life events and their interpretation could influence various aspects of life. Ineffective beliefs result in depression and mental health problems. Ineffective attitudes and beliefs lead to interpreting special situations negatively and decrease marital satisfaction. In women with the fear of first delivery, marital satisfaction and ineffective beliefs are considered as crucial in cognitive and behavioral training. The present study aimed to investigate the effect of Cognitive Behavioral Group Training (CBGT) on marital satisfaction and ineffective beliefs in pregnant women unable to control the fear of first delivery. CBGT focuses on identifying the problems of a mother during pregnancy, concerning motherhood, herself, and the world, and that she can cope with them.
Methods: This was a quasi-experimental study with a pretest-posttest and an unequal control group. The statistical population consisted of pregnant women with the fear of first delivery referring to a health center in Quchan City, Iran, in the last quarter of 2018. The study samples were selected using Delivery Fear Scale (DFS). Accordingly, 39 pregnant women with the fear of delivery were selected and randomly divided into two experimental (n=20) and control group (n=19). They participated in the study voluntarily. The experimental group participated in CBGT (ten 90-min sessions). Three instruments were applied to collect the required data; Childbirth Attitude Questionnaire (CAQ; revised by Lowe, 2000, Jonez Irrational Beliefs Questionnaire (1986), and Afrooz Marital Satisfaction Scale (AMSS; by Afrooz and Ghodrati, 2011). Multivariate Analysis of Covariance (MANCOVA) was used to analyze the obtained data at the significance level of (α=0.05) in SPSS.
Results: The results of the analysis of covariance showed that cognitive-behavioral group education had a significant effect on dysfunctional beliefs and marital satisfaction of women with fear of first childbirth (p=0.003) and 25.5% of the variance of dysfunctional marriages (p=0.007) and 37.5% of variance explains the marital satisfaction of a woman who is unable to control the fear of childbirth (p<0.001).
Conclusion: According to the present study findings, CBGT positively impacted ineffective beliefs and marital satisfaction in the studied pregnant women with the fear of first childbirth. It is recommended that this method be used to improve the relationship between pregnant women and their spouses during pregnancy.
Methods: This was a quasi-experimental study with a pretest-posttest and an unequal control group. The statistical population consisted of pregnant women with the fear of first delivery referring to a health center in Quchan City, Iran, in the last quarter of 2018. The study samples were selected using Delivery Fear Scale (DFS). Accordingly, 39 pregnant women with the fear of delivery were selected and randomly divided into two experimental (n=20) and control group (n=19). They participated in the study voluntarily. The experimental group participated in CBGT (ten 90-min sessions). Three instruments were applied to collect the required data; Childbirth Attitude Questionnaire (CAQ; revised by Lowe, 2000, Jonez Irrational Beliefs Questionnaire (1986), and Afrooz Marital Satisfaction Scale (AMSS; by Afrooz and Ghodrati, 2011). Multivariate Analysis of Covariance (MANCOVA) was used to analyze the obtained data at the significance level of (α=0.05) in SPSS.
Results: The results of the analysis of covariance showed that cognitive-behavioral group education had a significant effect on dysfunctional beliefs and marital satisfaction of women with fear of first childbirth (p=0.003) and 25.5% of the variance of dysfunctional marriages (p=0.007) and 37.5% of variance explains the marital satisfaction of a woman who is unable to control the fear of childbirth (p<0.001).
Conclusion: According to the present study findings, CBGT positively impacted ineffective beliefs and marital satisfaction in the studied pregnant women with the fear of first childbirth. It is recommended that this method be used to improve the relationship between pregnant women and their spouses during pregnancy.
Type of Study: Original Research Article |
Subject:
Psychology
References
1. Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: A prospective study. Iranian Journal of Nursing and Midwifery Research. 2011;16(2):169–73. [Persian] [Article]
2. Purnamdarian S, Birashk B, Asghar Nejad Farid AA. The clarification of contribution of meta-cognitive beliefs in explaining the symptoms of depression, anxiety and stress in nurses. Knowledge & Research in Applied Psychology. 2017;13(49):86–94. [Persian] [Article]
3. Ellis A, Dryden W. The practice of rational emotive behavior therapy. Nachdr. New York: Springer Pub; 2007.
4. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016;191:62–77. [DOI]
5. McEvoy PM, Moulds ML, Mahoney AEJ. Mechanisms driving pre- and post-stressor repetitive negative thinking: metacognitions, cognitive avoidance, and thought control. J Behav Ther Exp Psychiatry. 2013;44(1):84–93. [DOI]
6. Ramezani S, Keramat A, Motaghi Z, Mohabbat Pur Z, Khosravi A. The relationship of sexual satisfaction and marital satisfaction with domestic violence against pregnant women. International Journal of Pediatrics. 2015;3(5.2):951–8. [Persian] [DOI]
7. Uçar T, Golbasi Z. Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process. J Psychosom Obstet Gynaecol. 2019;40(2):146–55. [DOI]
8. Mahintorabi S, Mazaheri MA, Sahebi A, Musavi V. The effect of cognitive-behavioral training on modification of irrational expectation, emotional maturity and marital dissatisfaction in women. International Journal of Behavioral Sciences. 2011;5(2):127–34. [Persian]
9. Forsell E, Bendix M, Holländare F, Szymanska von Schultz B, Nasiell J, Blomdahl-Wetterholm M, et al. Internet delivered cognitive behavior therapy for antenatal depression: A randomised controlled trial. J Affect Disord. 2017;221:56–64. [DOI]
10. Dattilio F. The role of cognitive-behavioral interventions in couple and family therapy. Journal of Marital and Family Therapy. 2007;31:7–13. [DOI]
11. Rondung E, Thomtén J, Sundin Ö. Psychological perspectives on fear of childbirth. J Anxiety Disord. 2016;44:80–91. [DOI]
12. Rouhe H, Salmela-Aro K, Toivanen R, Tokola M, Halmesmäki E, Ryding E-L, et al. Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience--a randomised controlled trial. J Psychosom Obstet Gynaecol. 2015;36(1):1–9. [DOI]
13. Striebich S, Mattern E, Ayerle GM. Support for pregnant women identified with fear of childbirth (FOC)/tokophobia - A systematic review of approaches and interventions. Midwifery. 2018;61:97–115. [DOI]
14. Lowe NK. Self-efficacy for labor and childbirth fears in nulliparous pregnant women. J Psychosom Obstet Gynaecol. 2000;21(4):219–24. [DOI]
15. Khorsandi M, Ghofranipour F, Heydarnia A, FaghihZadeh S, Vafaei M, Rousta F, et al. The effect of childbirth preparation classes on childbirth fear and normal delivery among primiparous women. J Arak Uni Med Sci. 2008;11(3):29–36. [Persian] [Article]
16. Motamedin M, Badri R, Ebadi GH, Zamani N. Standardization of Irrational Beliefs Test (4IBT-A) in Tabriz. Journal of Psychological Models and Methods. 2012;2(8):73–87. [Persian] [Article]
17. Fazilati M, Afrooz GA, Alipour A, Hantooshzadeh S. Efficacy of family-based psychological interventions on marital satisfaction of pregnant mothers and their infants’ birth weight. Quarterly Journal of Health Psychology. 2017;6(23):118–35. [Persian] [Article]
18. Zare Z, Golmakani N, Shareh H, Shakeri MT, Khadem N. Factors Related to Marital Satisfaction in Primiparous Women during Postpartum Period. Journal of Midwifery and Reproductive Health. 2014;2(2):120–7. [Persian] [DOI]
19. Babakhani N, Taravati M, Masoumi Z, Garousian M, Faradmal J, Shayan A. The effect of cognitive-behavioral consultation on sexual function among women: A randomized clinical trial. J Caring Sci. 2018;7(2):83–8. [DOI]
20. Dobson KS. Handbook of Cognitive-Behavioral Therapies. Third Edition. Guilford Press; 2009, pp:411–44.
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