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Community Mental Health Journal
Published in: Community Mental Health Journal 6/2019

01-08-2019 | Affective Disorder | Original Paper

The Effect of Counselling on Depression and Anxiety of Women with Unplanned Pregnancy: A Randomized Controlled Trial

Authors: Fatemeh Ekrami, Sakineh Mohammad-Alizadeh Charandabi, Jalil Babapour Kheiroddin, Mojgan Mirghafourvand

Published in: Community Mental Health Journal | Issue 6/2019

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Abstract

This randomized controlled trial was conducted on 80 Iranian pregnant women with unplanned pregnancy. The participants were randomly assigned to two groups of intervention and control. The intervention group received one to three sessions of individual counseling and six sessions of group counseling each week in six consecutive weeks, and the control group received routine care. The Edinburgh Postnatal Depression Scale and the Spielberger State-Trait Anxiety Inventory were completed by the participants before and 4 weeks after the intervention. There was no significant difference between groups in terms of socio-demographic characteristics, and the baseline depression and anxiety scores (P > 0.05). The depression and anxiety scales were completed before and 4 weeks after the intervention. The mean scores of depression, state anxiety, and trait anxiety were significantly lower in the counseling group than in the control group 4 weeks after the end of intervention. It is recommended that counseling should be provided for women with unplanned pregnancy.
Literature
Alder, J., Fink, N., Bitzer, J., Hösli, I., & Holzgreve, W. (2007). Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. The Journal of Maternal-Fetal & Neonatal Medicine, 20(3), 189–209.CrossRef
AmericanCollegeof Obstetricians and Gynecologists Committee on Health Care for Underserved Women. (2006). ACOG Committee Opinion No. 343: psychosocial risk factors: perinatal screening and intervention. Obstetrics and Gynecology, 108, 469–477.CrossRef
Antony, M. M., & Stein, M. B. (2008). Oxford handbook of anxiety and related disorders. New York: Oxford University Press.CrossRef
Austin, M. P. (2004). Antenatal screening and early intervention for “perinatal” distress, depression and anxiety: where to from here? Archives of Women’s Mental Health, 7(1), 1–6.CrossRefPubMed
Bastani, F., Hidarnia, A., Kazemnejad, A., Vafaei, M., & Kashanian, M. (2005). A randomized controlled trial of the effects of applied relaxation training on reducing anxiety and perceived stress in pregnant women. Journal of Midwifery & Women’s Health, 50(4), e36–e40.CrossRef
Baydar, N. (1995). Consequences for children of their birth planning status. Family Planning Perspectives, 27(6), 228–245.CrossRefPubMed
Bellieni, C., Ceccarelli, D., Rossi, F., Buonocore, G., Maffei, M., Perrone, S., et al. (2007). Is prenatal bonding enhanced by prenatal education courses? Minerva Ginecologica, 59(2), 125–129.PubMed
Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2004). Prevalence of depression during pregnancy: systematic review. Obstetrics and Gynecology, 103(4), 698–709.CrossRefPubMed
Bergman, K., Sarkar, P., Glover, V., & O’connor, T. (2008). Quality of child–parent attachment moderates the impact of antenatal stress on child fearfulness. Journal of Child Psychology and Psychiatry, 49(10), 1089–1098.CrossRefPubMed
Borrero, S., Callegari, L. S., Zhao, X., Mor, M. K., Sileanu, F. E., Switzer, G., et al. (2017). Unintended pregnancy and contraceptive use among women veterans: the ECUUN study. Journal of General Internal Medicine, 32(8), 900–908.CrossRefPubMedCentralPubMed
Brown, S. S., & Eisenberg, L. (1995). The best intentions: Unintended pregnancy and the well-being of children and families. Washington, DC: National Academies Press.
Cardwell, M. S. (2013). Stress: pregnancy considerations. Obstetrical & Gynecological Survey, 68(2), 119–129.CrossRef
Cheng, D., Schwarz, E. B., Douglas, E., & Horon, I. (2009). Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. Contraception, 79(3), 194–198.CrossRefPubMed
Copper, R. L., Goldenberg, R. L., Das, A., Elder, N., Swain, M., Norman, G., et al. (1996). The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks’ gestation. American Journal of Obstetrics and Gynecology, 175(5), 1286–1292.CrossRefPubMed
Corney, R., & Jenkins, R. (2005). Counselling in general practice (1st ed.). London: Routledge.CrossRef
Cushing, A., & Metcalfe, R. (2007). Optimizing medicines management: from compliance to concordance. Therapeutics and Clinical Risk Management, 3(6), 1047–1058.PubMedCentralPubMed
Delaram, M., & Soltanpour, F. (2012). The effect of counseling in third trimester on anxiety of nulliparous women at the time of admission for labor. Zahedan Journal of Research in Medical Sciences, 14(2), 61–65.
Dennis, C. L., & Hodnett, E. D. (2007). Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database of Systematic Review, 4, CD006116.
DuPont, R. L., Rice, D. P., Miller, L. S., Shiraki, S. S., Rowland, C. R., & Harwood, H. J. (1996). Economic costs of anxiety disorders. Anxiety, 2(4), 167–172.CrossRefPubMed
Dye, T. D., Wojtowycz, M. A., Aubry, R. H., Quade, J., & Kilburn, H. (1997). Unintended pregnancy and breast-feeding behavior. American Journal of Public Health, 87(10), 1709–1711.CrossRefPubMedCentralPubMed
Entringer, S., Epel, E. S., Lin, J., Buss, C., Shahbaba, B., Blackburn, E. H., et al. (2013). Maternal psychosocial stress during pregnancy is associated with newborn leukocyte telomere length. American Journal of Obstetrics and Gynecology, 208(2), e131–e137.CrossRef
Faisal-Cury, A., Menezes, P. R., Quayle, J., & Matijasevich, A. (2017). Unplanned pregnancy and risk of maternal depression: secondary data analysis from a prospective pregnancy cohort. Psychology, Health & Medicine, 22(1), 65–74.CrossRef
Figueiredo, B., & Costa, R. (2009). Mother’s stress, mood and emotional involvement with the infant: 3 months before and 3 months after childbirth. Archives of Women’s Mental Health, 12(3), 143–153.CrossRefPubMed
Figueiredo, B., Field, T., Diego, M., Hernandez-Reif, M., Deeds, O., & Ascencio, A. (2008). Partner relationships during the transition to parenthood. Journal of Reproductive and Infant Psychology, 26(2), 99–107.CrossRef
Gentile, S. (2017). Untreated depression during pregnancy: short-and long-term effects in offspring. A systematic review. Neuroscience, 342, 154–166.PubMed
Gipson, J. D., Koenig, M. A., & Hindin, M. J. (2008). The effects of unintended pregnancy on infant, child, and parental health: a review of the literature. Studies in Family Planning, 39(1), 18–38.CrossRefPubMed
Hellerstedt, W. L., Pirie, P. L., Lando, H. A., Curry, S. J., McBride, C. M., Grothaus, L. C., et al. (1998). Differences in preconceptional and prenatal behaviors in women with intended and unintended pregnancies. American Journal of Public Health, 88(4), 663–666.CrossRefPubMedCentralPubMed
Heron, J., O’Connor, T. G., Evans, J., Golding, J., & Glover, V. (2004). The course of anxiety and depression through pregnancy and the postpartum in a community sample. Journal of Affective Disorders, 80(1), 65–73.CrossRefPubMed
Iranfar, S., Shakeri, J., Ranjbar, M., Nazhad Jafar, P., & Razaie, M. (2005). Is unintended pregnancy a risk factor for depression in Iranian women? Eastern Mediterranean Health Journal, 11(4), 618–624.PubMed
Karmaliani, R., Asad, N., Bann, C. M., Moss, N., Mcclure, E. M., Pasha, O., et al. (2009). Prevalence of anxiety, depression and associated factors among pregnant women of Hyderabad, Pakistan. International Journal of Social Psychiatry, 55(5), 414–424.CrossRefPubMed
Kordi, M., Fasanghari, M., Asgharipour, N., & Esmaily, H. (2016). Effect of guided imagery on maternal fetal attachment in nulliparous women with unplanned pregnancy. Journal of Midwifery and Reproductive Health, 4(4), 723–731.
Lincoln, A., Feyerharm, R., Damron, P., DeVault, M., Lorenz, D., & Dooley, S. (2008). Maternal depression after delivery in Oklahoma. Journal of the Oklahoma State Medical Association, 101(12), 307–311.PubMed
Major, B., Appelbaum, M., Beckman, L., Dutton, M. A., Russo, N. F., & West, C. (2009). Abortion and mental health: evaluating the evidence. American Psychologist, 64(9), 863–890.CrossRefPubMed
Mazhari, S., & Nakhaee, N. (2007). Validation of the Edinburgh postnatal depression scale in an Iranian sample. Archives of Women’s Mental Health, 10(6), 293–297.CrossRefPubMed
Molarius, A., Berglund, K., Eriksson, C., Eriksson, H. G., Lindén-Boström, M., Nordström, E., et al. (2009). Mental health symptoms in relation to socio-economic conditions and lifestyle factors—a population-based study in Sweden. BMC Public Health, 9(1), 302.CrossRefPubMedCentralPubMed
Momeni, E., Alidostishahraki, K., Taebi, M., Hoseini, M., & Dahesh, T. (2018). Effectiveness of group psychological counseling on the pregnancy anxiety and fear of vaginal delivery in the pregnant women: a quasi-experimental study. Critical Care Nursing, 11(2), e74212.CrossRef
Montazeri, A., Torkan, B., & Omidvari, S. (2007). The edinburgh postnatal depression scale (EPDS): translation and validation study of the Iranian version. BMC Psychiatry, 7(1), 11.CrossRefPubMedCentralPubMed
Moosazadeh, M., Nekoei-moghadam, M., Emrani, Z., & Amiresmaili, M. (2014). Prevalence of unwanted pregnancy in Iran: a systematic review and meta-analysis. The International Journal of Health Planning and Management, 29(3), e277–e290.CrossRefPubMed
O’connor, T. G., Heron, J., Golding, J., Glover, V., & Team, A. S. S. (2003). Maternal antenatal anxiety and behavioural/emotional problems in children: a test of a programming hypothesis. Journal of Child Psychology and Psychiatry, 44(7), 1025–1036.CrossRefPubMed
Orr, S. T., Miller, C. A., James, S. A., & Babones, S. (2000). Unintended pregnancy and preterm birth. Paediatric and Perinatal Epidemiology, 14(4), 309–313.CrossRefPubMed
Panel, D. G. (1994). Depression in primary care: detection, diagnosis, and treatment. Journal of the American Association of Nurse Practitioners, 6(5), 224–238.CrossRef
Rubertsson, C., Hellström, J., Cross, M., & Sydsjö, G. (2014). Anxiety in early pregnancy: prevalence and contributing factors. Archives of Women’s Mental Health, 17(3), 221–228.CrossRefPubMed
Sadock, B. J., & Sadock, V. A. (2011). Kaplan and Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry (11th ed.). New York: Lippincott Williams & Wilkins.
Shahhosseini, Z., Abedian, K., & Azimi, H. (2008). Role of anxiety during pregnancy in preterm delivery. Zums Journal, 16(63), 85–92.
Spielberger, C. D. (1983). Manual for the state-trait anxiety inventory: STAI (form Y). Palo Alto: Counsulting Psycologists Press.
Spinelli, M. G., & Endicott, J. (2003). Controlled clinical trial of interpersonal psychotherapy versus parenting education program for depressed pregnant women. American Journal of Psychiatry, 160(3), 555–562.CrossRefPubMed
Taghavi, M., Najafi, M., Kianersi, F., & Aghayan, S. (2013). Comparing of alexithymia, defensive styles and state-trait anxiety among patients with generalized anxiety disorder major depression disorder and normal individuals. Journal of Clinical Psychology, 5(2), 67–76.
Van den Bergh, B. R., & Marcoen, A. (2004). High antenatal maternal anxiety is related to ADHD symptoms, externalizing problems, and anxiety in 8-and 9-year-olds. Child Development, 75(4), 1085–1097.CrossRefPubMed
Wagner, L. K. (2004). Diagnosis and management of preeclampsia. American Family Physician, 70(12), 2317–2324.PubMed
Watkins, E. L. (1968). Low-income negro mothers—their decision to seek prenatal care. American Journal of Public Health and the Nations Health, 58(4), 655–667.CrossRefPubMedCentral
Wellings, K., Jones, K. G., Mercer, C. H., Tanton, C., Clifton, S., Datta, J., et al. (2013). The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). The Lancet, 382(9907), 1807–1816.CrossRef
Metadata
Title
The Effect of Counselling on Depression and Anxiety of Women with Unplanned Pregnancy: A Randomized Controlled Trial
Authors
Fatemeh Ekrami
Sakineh Mohammad-Alizadeh Charandabi
Jalil Babapour Kheiroddin
Mojgan Mirghafourvand
Publication date
01-08-2019
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 6/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00428-2

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