Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial

BACKGROUND: The loss of a pregnancy can result in grief, guilt, self-doubt, anxiety, and post-traumatic stress disorder (PTSD). Considering the side effects mentioned for mental health and the fact that the symptoms will linger if left untreated and even adversely affect the subsequent pregnancies....

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Main Authors: Mahmonir Haghighi, Khatereh Oladbaniadam, Hamideh Mohaddesi, Javad Rasuli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=209;epage=209;aulast=
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author Mahmonir Haghighi
Khatereh Oladbaniadam
Hamideh Mohaddesi
Javad Rasuli
author_facet Mahmonir Haghighi
Khatereh Oladbaniadam
Hamideh Mohaddesi
Javad Rasuli
author_sort Mahmonir Haghighi
collection DOAJ
description BACKGROUND: The loss of a pregnancy can result in grief, guilt, self-doubt, anxiety, and post-traumatic stress disorder (PTSD). Considering the side effects mentioned for mental health and the fact that the symptoms will linger if left untreated and even adversely affect the subsequent pregnancies. The current study was designed to assess the impact of individual counseling on stress, anxiety, and depression in mothers with pregnancy loss. MATERIALS AND METHODS: The study commenced 100 women who experienced pregnancy loss (in Urmia/2018-2019); they were enrolled using convenience sampling and block randomization. The intervention group received four individual counseling sessions (weekly sessions with a duration of 1 h) based on Warden's principles. The control group received routine care. The Depression Anxiety Stress Scale (DASS-42) was filled out at baseline, the pre- and post-intervention. Analyses were performed using the Chi-square, paired, or individual t-tests, when necessary. P value < 0.05 was considered significant. RESULTS: There were no significant differences regarding socio-demographic characteristics and clinical features between groups at baseline. Intra-group analysis showed that all outcome measures in the intervention group were significantly improved. According to inter-groups analysis, a significant association was found between pre-test and post-test in the intervention group (P < 0.05). CONCLUSION: Results of this study can clarify the psychological effects of pregnancy loss in these mothers and help the officials and responsible parties to plan the treatment and rehabilitation of these women and include them in the healthcare system.
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spelling doaj.art-ea7883cb6913422a8b463ecdc7b380ed2022-12-22T00:42:51ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312022-01-0111120920910.4103/jehp.jehp_1765_21Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trialMahmonir HaghighiKhatereh OladbaniadamHamideh MohaddesiJavad RasuliBACKGROUND: The loss of a pregnancy can result in grief, guilt, self-doubt, anxiety, and post-traumatic stress disorder (PTSD). Considering the side effects mentioned for mental health and the fact that the symptoms will linger if left untreated and even adversely affect the subsequent pregnancies. The current study was designed to assess the impact of individual counseling on stress, anxiety, and depression in mothers with pregnancy loss. MATERIALS AND METHODS: The study commenced 100 women who experienced pregnancy loss (in Urmia/2018-2019); they were enrolled using convenience sampling and block randomization. The intervention group received four individual counseling sessions (weekly sessions with a duration of 1 h) based on Warden's principles. The control group received routine care. The Depression Anxiety Stress Scale (DASS-42) was filled out at baseline, the pre- and post-intervention. Analyses were performed using the Chi-square, paired, or individual t-tests, when necessary. P value < 0.05 was considered significant. RESULTS: There were no significant differences regarding socio-demographic characteristics and clinical features between groups at baseline. Intra-group analysis showed that all outcome measures in the intervention group were significantly improved. According to inter-groups analysis, a significant association was found between pre-test and post-test in the intervention group (P < 0.05). CONCLUSION: Results of this study can clarify the psychological effects of pregnancy loss in these mothers and help the officials and responsible parties to plan the treatment and rehabilitation of these women and include them in the healthcare system.http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=209;epage=209;aulast=anxietycounselingdepressionpregnancy
spellingShingle Mahmonir Haghighi
Khatereh Oladbaniadam
Hamideh Mohaddesi
Javad Rasuli
Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial
Journal of Education and Health Promotion
anxiety
counseling
depression
pregnancy
title Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial
title_full Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial
title_fullStr Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial
title_full_unstemmed Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial
title_short Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial
title_sort individual counseling in mothers bereaved by pregnancy loss a randomized clinical trial
topic anxiety
counseling
depression
pregnancy
url http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=209;epage=209;aulast=
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AT khatereholadbaniadam individualcounselinginmothersbereavedbypregnancylossarandomizedclinicaltrial
AT hamidehmohaddesi individualcounselinginmothersbereavedbypregnancylossarandomizedclinicaltrial
AT javadrasuli individualcounselinginmothersbereavedbypregnancylossarandomizedclinicaltrial