مقایسه اثربخشی مداخله مبتنی بر یوگا و مداخله مثبت¬نگر بر کیفیت خواب زنان باردار دارای تجربه سقط مکرر
الموضوعات :هدی ستاری 1 , مرضیه علیوندی وفا 2 , لعیا فرزدی 3 , امیر پناه علی 4
1 - دانشجوی دکتری تخصصی روانشناسی، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
2 - (نویسنده مسئول)، استادیار، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران. m.alivand@iaut.ac.ir Tel: 09148453325
3 - استادیار زنان و زایمان، گروه ناباروری، دانشکده علوم نوین پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
4 - استادیار، گروه مشاوره، دانشکدۀ علوم تربیتی و روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی ، تبریز، ایران
الکلمات المفتاحية: سقط مکرر, کیفیت خواب, مداخله مبتنی بر یوگا, مداخله مثبت¬نگر ,
ملخص المقالة :
چکیده مقدمه: با توجه به اینکه تجربه سقط جنین می¬تواند عامل استرس¬زایی برای زنان باردار باشد و منجر به این شود که این زنان دچار انواع مشکلات و اختلالات روانشناختی شوند، هدف از پژوهش حاضر مقایسه اثربخشی مداخله مبتنی بر یوگا و مداخله مثبت¬نگر بر کیفیت خواب زنان باردار دارای تجربه سقط مکرر بود. روش پژوهش: روش پژوهش نیمه¬آزمایشی با طرح پیش¬آزمون، پس¬آزمون با گروه کنترل همراه با مرحله پیگیری 2 ماهه بود. جامعه آماری کلیه زنان دارای تجربه سقط مکرر مراجعه کننده به مراکز بهداشت شهر قزوین در زمستان سال 1403 بود. در مرحله اول تعداد 45 زن با تجربه¬ بیش از 2 بار سقط انتخاب و سپس به شیوه تصادفی ساده در 2 گروه آزمایش (هر گروه 15 زن) و یک گروه کنترل (15 زن) جایگزین شدند. سپس زنان گروه¬های آزمایش تحت مداخله مبتنی بر یوگا و مداخله مثبت¬نگر قرار گرفتند؛ اما گروه کنترل هیچ‌گونه مداخلهای دریافت نکرد و در لیست انتظار باقی ماند. از پرسشنامه کیفیت خواب پیتزبورگ(PSQI) بویس و همکاران به منظور گردآوری اطلاعات استفاده شد. تحلیل دادهها از طریق نرمافزار SPSS نسخه 28 با استفاده از تحلیل واریانس با اندازه¬گیری مکرر انجام شد. یافته¬ها: نتایج نشان داد هر دو مداخله مذکور تاثیر معناداری بر بهبود کیفیت خواب داشته¬اند (05/0>P). نتایج آزمون تعقیبی بنفرونی نشان داد که مداخله مبتنی بر یوگا تاثیر بیشتری نسبت به مداخله مثبت¬نگر بر بهبود کیفیت خواب دارد (05/0>P). نتیجه¬گیری: می¬توان نتیجه¬گیری کرد که علاوه بر اثربخش بودن هر دو درمان، تقدم استفاده در بهبود کیفیت خواب زنان دارای تجربه سقط مکرر با مداخله مبتنی بر یوگا است.
1. Witt WP, Harlaar N, Palmer A. The impact of COVID-19 on pregnant women and children: recommendations for health promotion. American Journal of Health Promotion, 2023; 37(2): 282-288. https://doi.org/10.1177/08901171221140641e
2. Akhteh M, Alipor A, Sarifi Saki S. Effectiveness of Stress Management Training in Reducing Anxiety and Meta-worry of Women Who Had Abortion Several Times. Health Psychology, 2014; 3(11): 120-129. (In Persian) https://dorl.net/dor/20.1001.1.23221283.1393.3.11.7.8
3. Magnus MC, Wilcox AJ, Morken NH, Weinberg CR, Håberg SE. Role of maternal age and pregnancy history in risk of miscarriage: prospective register based study. The BMJ, 2019; 364(1): 1-10. https://doi.org/10.1136/bmj.l869
4. Wesselink AK, Kirwa K, Hystad P, Kaufman JD, Szpiro AA, Willis MD, Wise LA. Ambient air pollution and rate of spontaneous abortion. Environmental Research, 2024; 246(1): 1-10. https://doi.org/10.1016/j.envres.2023.118067
5. Büyükbayrak EE, Gündoğdu NE, Gürkan N, Kahraman FR, Akalın M, Akkoç T. Immunological effects of human decidual mesenchymal stem cells in spontaneous and recurrent abortions. Journal of Reproductive Immunology, 2024; 162(1): 1-10. https://doi.org/10.1016/j.jri.2024.104193
6. Babu P, Verma V, Khadanga SS, Yadav SK, Kumar DB, Gupta A. Exploring the association between air pollution and spontaneous abortion through systematic review and bibliometric analysis. Air Quality, Atmosphere & Health, 2024; 1(1): 1-27. http://dx.doi.org/10.1007/s11869-023-01491-1
7. Shaikhomar OA, Ali ST. A Comparative Analysis of Anticardiolipin, Anti-Β2-Glycoprotein-1, and Lupus Anticoagulants in Saudi Women with Recurrent Spontaneous Abortions. Journal of Personalized Medicine, 2018; 13(1): 1-10. https://doi.org/10.3390/jpm13010002
8. Jeph RB, Agarwal S, Jeph V, Tuli A, Mehta V. Correlation between Maternal Serum Vascular Endothelial Growth Factor Levels and Fetal Outcome in Females with Recurrent Abortions. International Journal of Scientific Study, 2022; 9(12): 1-10. https://www.researchgate.net/profile/
9. Banerjee S. Role of the Proper Nutrition for Indian Women with Recurrent Pregnancy Loss (RPL). Journal of Prevention, Diagnosis and Management of Human Diseases, 2023; 3(01): 1-9. https://doi.org/10.55529/jpdmhd.31.1.9
10. Abbaszadeh H, Tavoli A, Dehshiri G. The Mediating Role of Self-Compassion in the Relationship between Body Image and Severity of Anxiety and Depression in Pregnant Women. Women's Studies Sociological and Psychological, 2023; 20(4): 166-203. (In Persian) https://doi.org/10.22051/jwsps.2022.35958.2433
11. Yang J, Chu M, Gong C, Gong X, Han B, Chen L, Zhang Y. Ambient fine particulate matter exposures and oxidative protein damage in early pregnant women. Environmental Pollution, 2023; 316(1): 1-10. https://doi.org/10.1016/j.envpol.2022.120604
12. Slot A, Krog MC, Bliddal S, Olsen LR, Nielsen HS, Kolte AM. Feelings of guilt and loss of control dominate in stress and depression inventories from women with recurrent pregnancy loss. The European Journal of Contraception & Reproductive Health Care, 2022; 27(2): 153-158. https://doi.org/10.1080/13625187.2021.1943740
13. Gao R, Qin L, Bai P. Self-Reported Depression among Chinese Women with Recurrent Pregnancy Loss: Focusing on Associated Risk Factors. Journal of Clinical Medicine, 2022; 11(24): 1-10. https://doi.org/10.3390%2Fjcm11247474
14. Otani-Matsuura A, Sugiura-Ogasawara M, Ebara T, Matsuki T, Tamada H, Yamada Y, Kamijima M. Depression symptoms during pregnancy and postpartum in patients with recurrent pregnancy loss and infertility: The Japan environment and children’s study. Journal of Reproductive Immunology, 2022; 152(1): 1-10. https://doi.org/10.1016/j.jri.2022.103659
15. Qin L, Luo Y, Chang H, Zhang H, Zhu Z, Du Y, Wu H. The association between serum orexin-A levels and sleep quality in pregnant women. Sleep Medicine, 2023; 101(1): 93-98. https://doi.org/10.1016/j.sleep.2022.10.019
16. Damato TM, Tebar WR, Oliveira CB, Saraiva BT, Morelhao PK, Ritti-Dias RM, Christofaro DG. Relationship of sleep quality with screen-based sedentary time and physical activity in adolescents—the moderating effect of body mass index. Sleep and Breathing, 2022; 1(2): 1-8. https://doi.org/10.1007/s11325-021-02519-5
17. Di Muzio M, Diella G, Di Simone E, Novelli L, Alfonsi V, Scarpelli S, Annarumma L, Salfi F, Pazzaglia M, Giannini AM, De Gennaro L. Nurses and Night Shifts: Poor sleep quality exacerbates psychomotor performance. Frontiers in Neuroscience, 2020; 14(2): 10-21. https://doi.org/10.3389/fnins.2020.579938
18. Stocker LJ, Cagampang FR, Lu S, Ladyman T, Cheong YC. Is sleep deficit associated with infertility and recurrent pregnancy losses? Results from a prospective cohort study. Acta Obstetricia et Gynecologica Scandinavica, 2021; 100(2): 302-313. https://doi.org/10.1111/aogs.14008
19. Brown C, Beardslee J, Frick PJ, Steinberg LD, Cauffman E. Perceived sleep quality predicts aggressive offending in adolescence and young adulthood. Journal of Child Psychology and Psychiatry, 2022; 1(2): 1-10. https://doi.org/10.1111/jcpp.13646
20. Casagrande M, Forte G, Favieri F, Corbo I. Sleep Quality and Aging: A Systematic Review on Healthy Older People, Mild Cognitive Impairment and Alzheimer’s disease. International Journal of Environmental Research and Public Health, 2022; 19(14): 1-10. https://doi.org/10.3390%2Fijerph19148457
21. Gül DK, Ayça Ş. Relation of recurrent pregnancy loss and infertility on dream anxiety and insomnia. Cukurova Medical Journal, 2021; 46(1): 248-254. https://dergipark.org.tr/en/pub/cumj/issue/59504/839060
22. He L, Huang T, Deng Y, Zhou T. The Effects of Yoga Interventions on Sleep Quality in Adults People with Depression and Anxiety: A Meta-Analysis of Randomized Controlled Trials. Human Biology, 2024; 1(2): 433-444. https://humbiol.org/Home/article/view/24
23. Afshar M, Tabatabaee F. The Effectiveness Yoga-Based Mindfulness on Quality of Life in Pregnant Women. International Journal of Medical Science and Clinical Research Studies, 2023; 3(4): 788-791. https://doi.org/10.47191/ijmscrs/v3-i4-40
24. Villar-Alises O, Martinez-Miranda P, and Martinez-Calderon J. Prenatal yoga-based interventions may improve mental health during pregnancy: An overview of systematic reviews with meta-analysis. International Journal of Environmental Research and Public Health, 2023; 20(2): 1-10. https://doi.org/10.3390%2Fijerph20021556
25. Curtis K, Weinrib A, Katz J. Systematic review of yoga for pregnant women: current status and future directions. Evidence‐Based Complementary and Alternative Medicine, 2012; 1(1): 1-10. https://doi.org/10.1155/2012/715942
26. Ganjekar S, Harve VS, Bhargav H, Kukreti P, Dere S, Thukral U, Thamke P, Puri M, Krishnamurthy MN. The Pregnancy Tele-yoga Module to Combat Stress, Anxiety, and Depression Associated with Pregnancy: An Exploratory Open-label Multicentric Study. International Journal of Yoga, 2024; 17(1): 46-52. http://dx.doi.org/10.4103/ijoy.ijoy_1_24
27. Nurhidayah N, Gani, NF, Muthahharah M, Hasnah H. Combination of Prenatal Gentle Yoga with Dhikr to Reduce The Anxiety Level of Pregnant Women. Diversity: Disease Preventive of Research Integrity, 2024; 77-83. https://doi.org/10.24252/diversity.v4i2.45902
28. Atunisa AS, Siauta JA. The Effect of Prenatal Yoga on Pregnant Women's Anxiety in Facing Labour. Health and Technology Journal, 2024; 2(2): 161-166. https://doi.org/10.53713/htechj.v2i2
29. Jiang Q, Wu Z, Zhou L, Dunlop J, Chen P. Effects of yoga intervention during pregnancy: a review for current status. American journal of perinatology, 2015; 32(06): 503-514. https://doi.org/10.1055/s-0034-1396701
30. De Orleans Casagrande P, Coimbra DR, de Souza LC, Andrade A. Effects of yoga on depressive symptoms, anxiety, sleep quality, and mood in patients with rheumatic diseases: Systematic review and meta‐analysis. PM&R, 2023; 15(7): 899-915. https://doi.org/10.1002/pmrj.12867
31. Baklouti S, Fekih-Romdhane F, Guelmami N, Bonsaksen T, Baklouti H, Aloui A, Masmoudi L, Souissi N, Jarraya M. The effect of web-based Hatha yoga on psychological distress and sleep quality in older adults: A randomized controlled trial. Complementary Therapies in Clinical Practice, 2023; 50(1): 1-10. https://doi.org/10.1016/j.ctcp.2022.101715
32. Carr A, Cullen K, Keeney C, Canning C, Mooney O, Chinseallaigh E, O’Dowd A. Effectiveness of positive psychology interventions: A systematic review and meta-analysis. The Journal of Positive Psychology, 2021; 16(6): 749–769. https://doi.org/10.1080/17439760.2020.1818807
33. Facco FL, Wolsk J, Patel SR, Hubel C, Gallaher M, Cashmere JD, Wisniewski S. A trial of positive airway pressure for the treatment of sleep apnea in pregnancy. American Journal of Obstetrics & Gynecology MFM, 2023; 5(3): 1-10. https://doi.org/10.1016/j.ajogmf.2022.100840
34. Emadian SO. The Effectiveness of Positive Thinking Training on Childbirth Fear, and Childbirth Self-efficacy in Pregnant Women in Sari. Journal of Applied Family Therapy, 2022; 3(2): 482-495. (In Persian) https://doi.org/10.22034/aftj.2022.326439.1366
35. Seligman MEP, Csikszentmihalyi M. Positive psychology: An introduction. American Psychologist, 2000; 55(1): 5–14. https://doi.org/10.1037/0003-066X.55.1.5
36. Brakus JJ, Chen W, Schmitt B, Zarantonello L. Experiences and happiness: The role of gender. Psychology & Marketing, 2022; 1(2): 1-10. http://dx.doi.org/10.1002/mar.21677
37. Waters L, Algoe SB, Dutton J, Emmons R, Fredrickson BL, Heaphy E, Steger M. Positive psychology in a pandemic: Buffering, bolstering, and building mental health. The Journal of Positive Psychology, 2022; 17(3): 303-323. https://doi.org/10.1080/17439760.2021.1871945
38. Kotera Y, Green P, Sheffield D. Positive psychology for mental wellbeing of UK therapeutic students: relationships with engagement, motivation, resilience and self-compassion. International Journal of Mental Health and Addiction, 2022; 20(3): 1611-1626. https://doi.org/10.1007/s11469-020-00466-y
39. Passmore J, Oades, LG. Positive psychology coaching–a model for coaching practice. Coaching Practiced, 2022; 1(2): 447-455. http://dx.doi.org/10.1002/9781119835714.ch46
40. Michel A, Groß C, Hoppe A, González‐Morales MG, Steidle A, O’Shea D. Mindfulness and positive activities at work: Intervention effects on motivation‐related constructs, sleep quality, and fatigue. Journal of Occupational and Organizational Psychology, 2021; 94(2): 309-337. https://doi.org/10.1111/joop.12345
41. Abdolghaderi M, Narimani M, Atadokht, A, Abolghasemi, A, Kafie M, Hatamian H. The Effect of a Positive Treatment Approach on Improving Sleep and Reducing Pain in Patients with Multiple Sclerosis. Health Psychology, 2022; 11(42): 117-130. (In Persian) https://doi.org/10.30473/hpj.2022.59167.5234
42. Pimple J, Agrawal T. Efficacy of practicing positive psychological interventions, yoga, and mindfulness meditation in COVID-19 lockdown. Int J Indian Psychol, 2020; 8(2), 293-303. https://doi.org/10.25215/0802.239
43. Li J, Luo L, Diao, J Li Y, Zhang, S Chen L, Qin J. Male sperm quality and risk of recurrent spontaneous abortion in Chinese couples: A systematic review and meta-analysis. Medicine, 2021; 100(10): 1-10. https://doi.org/10.1097%2FMD.0000000000024828
44. Bi M, Meng L, Bai L. Effects of Comprehensive Nursing Based on Orem’s Self-Care Theory on Symptom Improvement and Pregnancy Outcome in Patients with Antiphospholipid Syndrome: A Retrospective Cohort Study. Computational and Mathematical Methods in Medicine, 2022; 1(2): 1-10. https://doi.org/10.1155%2F2022%2F4133812
45. Marchand G, Masoud, AT, Azadi A, Govindan M, Ware K, King A, Sainz K. Efficacy of laparoscopic and trans-abdominal cerclage (TAC) in patients with cervical insufficiency: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2022; 1(2): 1-10. https://doi.org/10.1016/j.ejogrb.2022.01.002
46. Pervaiz S, Naeem MA, Ali A, John A, Batool N. Frequency Of Uterine Anomalies Associated with Persistent Miscarriages in Pregnancy on Ultrasound: Uterine Anomalies Associated with Persistent Miscarriages. Pakistan Journal of Health Sciences, 2022; 1(2): 55-58. https://doi.org/10.54393/pjhs.v3i01.54
47. Gad MS, Ghonim SM, Abd EL-Hamid, ES. Prophylactic measure in women with early recurrent pregnancy loss, polycystic ovary syndrome, and hyperhomocysteinemia. Menoufia Medical Journal, 2022; 35(2): 1-10. https://doi.org/10.4103/mmj.mmj_147_21
48. Lan Z, He R, Long Y, Zhou S, Xia G, Jing F, Ouyang Y. Reproductive outcomes after uterine septum resection in patients with recurrent miscarriage or infertility: a retrospective study in Chinese women. Archives of Gynecology and Obstetrics, 2022; 1(2): 1-9. https://doi.org/10.1007/s00404-022-06794-9
49. Elsharkawy NB, Mohamed SM, Awad MH, Ouda MM. Effect of Happiness Counseling on Depression, Anxiety, and Stress in Women with Recurrent Miscarriage. International Journal of Women's Health, 2021; 13(1): 1-10. https://doi.org/10.2147%2FIJWH.S283946
50. Lin H, Xu C. Psychological Problems of Pregnant Women and Progress of Psychological Guidance in Recurrent Miscarriage. Health, 2021; 13(7): 729-735. http://dx.doi.org/10.4236/health.2021.137056
51. Gall MD, Gall JP, Borg WR. Educational research: an introduction (8. utg.). AE Burvikovs, Red.) USA: Pearson. 2007. https://www.scirp.org/reference/ReferencesPapers?ReferenceID=1035831
52. Buysse DJ, Reynolds III, CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 1989; 28(2): 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
53. Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep and Breathing, 2012; 16(1): 79-82. https://doi.org/10.1007/s11325-010-0478-5
54. Gholipour S, Memari E, Shojaedin S. Effects of 14 Weeks Yoga Training on Labor Pain and Pregnancy Outcomes in Primiparous Women. Sarem Journal of Medical Research, 2019; 4 (2): 93-98. (In Persian) http://dx.doi.org/10.29252/sjrm.4.2.93
55. Seligman EP, Steen TA, Park N, Peterson C. Positive Psychology Progress: Empirical Validation of Interventions. American Psychologist, 2005; 60(5): 410–421. https://doi.org/10.1037/0003-066X.60.5.410
56. Torabi A A, Afrooz, G A, Hassani, F, Golshani, F. Designing a Family-Centered Behavioral Management Program (FBMP) and Evaluating its Effectiveness in Marital Satisfaction of Parents of Children with ADHD. Quarterly Journal of Family and Research, 2021; 18 (3): 25-42. (In Persian) http://dorl.net/dor/20.1001.1.26766728.1400.18.3.2.5
57. Wang WL, Chen KH, Pan YC, Yang, SN, Chan YY. The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis. BMC psychiatry, 2020; 20(1): 1-19. https://doi.org/10.1186/s12888-020-02566-4
58. Bower JE, Garet D, Sternlieb B, Ganz PA, Irwin MR, Olmstead R, Greendale G. Yoga for persistent fatigue in breast cancer survivors: a randomized controlled trial. Cancer, 2012; 118(15): 3766-3775. https://doi.org/10.1002/cncr.26702
59. Zeichner SB, Zeichner RL, Gogineni K, Shatil S, Ioachimescu O. Cognitive behavioral therapy for insomnia, mindfulness, and yoga in patients with breast cancer with sleep disturbance: a literature review. Breast cancer: basic and clinical research, 2017; 11(1): 1-10. https://doi.org/10.1177/1178223417745564
60. Cramer H, Lauche R, Anheyer D, Pilkington K, de Manincor M, Dobos G, Ward L. Yoga for anxiety: A systematic review and meta‐analysis of randomized controlled trials. Depression and anxiety, 2018; 35(9): 830-843. https://doi.org/10.1002/da.22762
61. Turmel D, Carlier S, Bruyneel AV, Bruyneel M. Tailored individual Yoga practice improves sleep quality, fatigue, anxiety, and depression in chronic insomnia disorder. BMC psychiatry, 2022; 22(1): 267. https://doi.org/10.1186/s12888-022-03936-w
62. Azward H, Ramadhany S, Pelupessy N, Usman AN, Bara FT. Prenatal yoga exercise improves sleep quality in the third trimester of pregnant women. Gaceta Sanitaria, 2021; 35(1): 258-262. https://doi.org/10.1016/j.gaceta.2021.10.030
