International Journal of Women's Health and Reproduction Sciences

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Jan 2022, Vol 10, Issue 1

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Original Article
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
IJWHR 2022; 10: 031-037 DOI: 10.15296/ijwhr.2022.07 Viewed : 1933 times Downloaded : 1817 times. Keywords : Natural childbirth, Education, Self-efficacy, Antenatal care, Fear of childbirth
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Abstract

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.