The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial

Background & aim: Childbirth is a stressful event in women’s lives, and if a mother perceives it as an unpleasant event, it can influence her postpartum mental health. Depression is a common mental disorder, which can has serious consequences depending on its severity. Therefore, this study aime...

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Main Authors: Sedigheh Abdollahpour, Afsaneh Keramat, Seyyed Abbas Mousavi, Ahmad Khosravi, zahra motaghi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2018-01-01
Series:Journal of Midwifery & Reproductive Health
Subjects:
Online Access:http://jmrh.mums.ac.ir/article_10000_98285b4060b0cc15aff3ea01b77e7c03.pdf
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author Sedigheh Abdollahpour
Afsaneh Keramat
Seyyed Abbas Mousavi
Ahmad Khosravi
zahra motaghi
author_facet Sedigheh Abdollahpour
Afsaneh Keramat
Seyyed Abbas Mousavi
Ahmad Khosravi
zahra motaghi
author_sort Sedigheh Abdollahpour
collection DOAJ
description Background & aim: Childbirth is a stressful event in women’s lives, and if a mother perceives it as an unpleasant event, it can influence her postpartum mental health. Depression is a common mental disorder, which can has serious consequences depending on its severity. Therefore, this study aimed to investigate the effect of debriefing and brief cognitive-behavioral therapy on postpartum depression in traumatic childbirth. Methods: This clinical trial was performed on 179 mothers who experienced a traumatic childbirth and were admitted in postnatal ward of Nohom Dey Hospital in Torbat-e Heydarieh, North East of Iran in 2016. The subjects were randomly allocated into three groups, including two intervention groups of debriefing and brief cognitive-behavioral counseling and a control group. The intervention groups received appropriate counseling for 40-60 minutes in the first 48 postpartum hours and the control group received the routine postpartum care. Edinburgh Postnatal Depression Scale was used to evaluate postpartum depression 4-6 weeks and also three months after the intervention. Post-traumatic stress symptoms in were compared in three groups using t-test, chi-square test, and repeated measures analysis of variance. Results: No significant differences were observed between the mean depression scores of the two intervention groups and that of the control group 4-6 weeks after childbirth. However, three months after delivery, the mean depression scores of the two intervention groups was lower than the control group (P
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spelling doaj.art-6528c9b857f14b96a4436d7120a7b1a62022-12-21T19:59:06ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922018-01-01611122113110.22038/jmrh.2017.1000010000The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical TrialSedigheh Abdollahpour0Afsaneh Keramat1Seyyed Abbas Mousavi2Ahmad Khosravi3zahra motaghi4PhD Student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, IranAssociate Professor, Reproductive Studies and Women'S Health Research Center, Shahroud University of Medical Sciences, Shahroud, IranAssociate Professor of Psychiatry, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, IranCenter for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud IranAssistant Professor, Reproductive Studies and Women'S Health Research Center, Shahroud University of Medical Sciences, Shahroud, IranBackground & aim: Childbirth is a stressful event in women’s lives, and if a mother perceives it as an unpleasant event, it can influence her postpartum mental health. Depression is a common mental disorder, which can has serious consequences depending on its severity. Therefore, this study aimed to investigate the effect of debriefing and brief cognitive-behavioral therapy on postpartum depression in traumatic childbirth. Methods: This clinical trial was performed on 179 mothers who experienced a traumatic childbirth and were admitted in postnatal ward of Nohom Dey Hospital in Torbat-e Heydarieh, North East of Iran in 2016. The subjects were randomly allocated into three groups, including two intervention groups of debriefing and brief cognitive-behavioral counseling and a control group. The intervention groups received appropriate counseling for 40-60 minutes in the first 48 postpartum hours and the control group received the routine postpartum care. Edinburgh Postnatal Depression Scale was used to evaluate postpartum depression 4-6 weeks and also three months after the intervention. Post-traumatic stress symptoms in were compared in three groups using t-test, chi-square test, and repeated measures analysis of variance. Results: No significant differences were observed between the mean depression scores of the two intervention groups and that of the control group 4-6 weeks after childbirth. However, three months after delivery, the mean depression scores of the two intervention groups was lower than the control group (Phttp://jmrh.mums.ac.ir/article_10000_98285b4060b0cc15aff3ea01b77e7c03.pdfCognitive behavioral therapyDebriefingPostpartum depressionPost-traumatic stress disorderTraumatic childbirth
spellingShingle Sedigheh Abdollahpour
Afsaneh Keramat
Seyyed Abbas Mousavi
Ahmad Khosravi
zahra motaghi
The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial
Journal of Midwifery & Reproductive Health
Cognitive behavioral therapy
Debriefing
Postpartum depression
Post-traumatic stress disorder
Traumatic childbirth
title The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial
title_full The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial
title_fullStr The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial
title_full_unstemmed The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial
title_short The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial
title_sort effect of debriefing and brief cognitive behavioral therapy on postpartum depression in traumatic childbirth a randomized clinical trial
topic Cognitive behavioral therapy
Debriefing
Postpartum depression
Post-traumatic stress disorder
Traumatic childbirth
url http://jmrh.mums.ac.ir/article_10000_98285b4060b0cc15aff3ea01b77e7c03.pdf
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