|Effect of Cognitive-Behavioral Therapy Focused on Self-esteem on Fear of Childbirth: A Counseling Approach in Prenatal Care and a Randomized Clinical Trial|
|Maryam Poorjandaghi1, Katayon Vakilian2, Mahboobeh Khorsandi3, Mansour Abdi4|
|1Department of Midwifery, Arak University of Medical Sciences, Arak, Iran
2Department of Midwifery, Traditional and Complementary Research Center, Arak University of Medical Sciences, Arak, Iran
3Department of Health Promotion, Arak University of Medical Sciences, Arak, Iran
4Department of Clinical Psychology, Arak University of Sciences, Arak, Iran
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Keywords : Natural childbirth, Education, Self-efficacy, Antenatal care, Fear of childbirth
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Objectives: This study aimed to evaluate the effect of cognitive-behavioral therapy focused on self-esteem (CBT-S) on fear of childbirth in nulliparous women.
Materials and Methods: In this randomized clinical trial, 24 nulliparous women willing to cesarean section delivery referred to Milad hospital, Tehran, Iran, between July to August 2015 were enrolled with a convenient sampling method. Participants were assigned into two CBT-S and control groups (24 in each group) using randomized blocks of 4. Seven sessions were performed for the CBT-S group, but the control group received routine prenatal classes. FOC was assessed using Harman’s childbirth attitudes questionnaire. The Rosenberg self-esteem scale was used to assess self-esteem at the beginning of the study. Two weeks after the intervention, both groups filled out the FOC and self-esteem questionnaire.
Results: The mean score of fear at the end of the study in the CBT-S and control group was significantly different (P = 0.001). Also, self-esteem scores increased after intervention in the CBT-S counseling group (4.77 ± 4.07vs -1.79 ± 2.26; P = 0.001).
Conclusions: This study confirms the importance of the CBT-S approach focusing on self-esteem in reducing FOC.
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