The Effectiveness of Cognitive Therapy Based on Mindfulness on Fear of Delivery in Primiparous Women

Subject Areas : Educational

maryam aminolroayaee ¹ , Asghar Aghaei ²

1 - Department of Phsycology, Isfahan(Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
2 - Department of Phsycology, Isfahan(Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

Received: 2017-12-19 Accepted : 2018-10-22 Published : 2018-12-22

Keywords: Primiparous women, fear of childbirth, mindfulness-based cognitive therapy,

Abstract :

The objective of this research was to study the effectiveness of mindfulness-based cognitive therapy on fear of childbirth in primiparous women. This was a semi-experimental research, having a pretest-posttest design, a control group and one-month follow up period. The statistical population of this research was including all of primiparous pregnant women in spring 2017 in Isfahan city (Amin hospital). Of this statistical population, 40 individuals were selected using convenience sampling method and placed in two control (20 individuals) and test (20 individuals) groups. The tool used in this research was an Attitude Towards Childbirth Questionnaire (Harmen, 1998. Before performing the interventions, pre-tests were done for both of the groups. After ending the sessions, post-test and one-month follow-up period were done. Results analysis using covariance analysis test showed that mindfulness-based cognitive therapy was effective on fear of childbirth in primiparous women (P<0. 05). Moreover, the results of follow-up period showed that the training of mindfulness-based cognitive therapy has a lifetime effect.

References:

جلالی، د.، آقایی، آ. (1394). مدیریت شناختی - رفتاری استرس مبتنی بر ذهن‌آگاهی با تأکید بر استرس و مشکلات روان‌شناختی محیط کار و زندگی، تهران: انتشارات ابن‌سینا.

خوارزمی، ع.، مبارکی، ر. (1395). بررسی و مقایسه آمار سزارین در بیمارستان‌های دولتی و غیردولتی شهر شیراز قبل و بعد از اجرای طرح تحول نظام سلامت. پایان‌نامة کارشناسی ارشد.  دانشگاه آزاد اسلامی واحد مرودشت، پژوهشکدة علوم.

دلاورقوام، س؛ و علیزاده، ج. (1393). نقش باورهای فراشناختی و عاطفة مثبت و منفی در ترس از زایمان زنان باردار نخست‌زا. مجلة پژوهش پرستاری، 9 (34)، 18-10.

صحتی، ف.، کاظمی، س؛ و قوجازاده، م. (1391). مقایسة پیامدهای مادری در زنان نخست‌زا در دو گروه زایمان فیزیولوژیک و مرسوم. مجلة دانشگاه علوم پزشکی مازندران، 22 (97)، 131-122.

صدیق‌منش علیرضا. (1394). اضطراب مادر چه تأثیری روی جنین دارد؟. مجلة اینترنتی.http://www.jadidtarin.com

عباسپور، ز.، مقدم‌بنا، ل.، احمدی، ف.، کاظم‌نژاد، آ. (1393). ترس زنان از زایمان و تأثیر آن بر انتخاب روش زایمان. مجلة پایش، 13 (2)، 587-575.

Baer, RA., Fischer, S., Huss, DB. (2005). Mindfulness-based cognitive therapy applied to binge eating: A case study. Cognitive and Behavioral Practice, 12, 351–358.

Davey, CL., Wells, A. (2006). Worry and its psychological disorder, theory, assessment and treatment. New York: Johon Willy and sons. 259-263p.

Duncan, I., Clark, BL., Paynter, J., Lewis, GH. (2014). The effect of a collaborative pharmacist-hospital care transition program on the likelihood of 30-day readmission; journal of Am J Health Syst Pharm; 1,71 (9), 739-45.

Emma, M., Helga G., Helga, Z., Mechthild MG., Kathrin, S. (2017). Opting for natural birth: A survey of birth intentions among young Icelandic women; Sexual & Reproductive Healthcare; 11, 41-46.

Fisher, C., Hauck, Y., Bayes, S., Byrne, J. (2012). Participant experiences of mindfulness-based childbirth education: a qualitative study. BMC Pregnancy and Childbirth; 12, 126.

Harman, M. (1998). Achievement motivation, Performance Structre And Adaptive Hybertext Learning. In Mpivec (Ed. ). Affective And Emotional Aspects Of Human Computer Interachion. Grame-Based And Innovative Lerning Approaches. Amesterdam: Iospress.

Jean, B., Hauck, Y., Fisher, C., Sara, B., Schutze, R. (2017) Effectiveness of a Mindfulness-Based Childbirth Education Pilot Study on Maternal Self-Efficacy and Fear of Childbirth; Journal of Midwifery & Women’s Health, 59, 192–197.

Kabat- Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Dell, 245p.

Karin, D., Matija, S., Ivan, V., Natasa, Tul., Isaac, B. (2017). Tokophobia (fear of childbirth): prevalence

 

and risk factors; Journal of Perinatal Medicine; ISSN (Online), 1619-3997.

Lowe, N.K. (2000). Self efficacy for labour and childbirth fears in nulliparous pregnant women. J psychosom obstet Gynecol; 21, 219 -224.

Ryding, EL., Lukasse, M., Parys, AS., Wangel, AM., Karro, H., Kristjansdottir, H., Schroll, AM., Schei, B. (2015). Fear of childbirth and risk of cesarean delivery: a cohort study in six European countries; Journal of Medicine National Institutes Health; 42 (1), 48-55.

Saisto, T., Maria, E. (2013). Obstetric, psychosocial and pain-related background and treatment of fear of childbirth [Academic Dissertation]: University of Helsinki.

Speca, M., Carlson, LE., Goodey, E., Angen, M. (2012). A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med. 62 (5), 613-22.