The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial

Abdollahpour, Sedigheh and Keramat, Afsaneh and Mousavi, Seyyed Abbas and Khosravi, Ahmad and motaghi, zahra (2018) The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial. Journal of Midwifery and Reproductive Health, 6 (1). pp. 1122-1131.

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Abstract

Background &amp; aim: Childbirth is a stressful event in women’s lives, and if a mother perceives it as an unpleasant event, it can influence her postpartum mental health. Depression is a common mental disorder, which can has serious consequences depending on its severity. Therefore, this study aimed to investigate the effect of debriefing and brief cognitive-behavioral therapy on postpartum depression in traumatic childbirth. Methods: This clinical trial was performed on 179 mothers who experienced a traumatic childbirth and were admitted in postnatal ward of Nohom Dey Hospital in Torbat-e Heydarieh, North East of Iran in 2016. The subjects were randomly allocated into three groups, including two intervention groups of debriefing and brief cognitive-behavioral counseling and a control group. The intervention groups received appropriate counseling for 40-60 minutes in the first 48 postpartum hours and the control group received the routine postpartum care. Edinburgh Postnatal Depression Scale was used to evaluate postpartum depression 4-6 weeks and also three months after the intervention. Post-traumatic stress symptoms in were compared in three groups using t-test, chi-square test, and repeated measures analysis of variance. Results: No significant differences were observed between the mean depression scores of the two intervention groups and that of the control group 4-6 weeks after childbirth. However, three months after delivery, the mean depression scores of the two intervention groups was lower than the control group (P<0.001); there was no significant difference between the mean depression scores of the two intervention groups. Conclusion: Both methods of debriefing and brief cognitive-behavioral therapy could significantly reduce mean postpartum depression score in high-risk mothers. Thus, these methods could be employed for early identification of depression, which in turn, lowers the rate of postpartum depression.

Item Type: Article
Subjects: WP Gynecology
WQ Obstetrics
Divisions: Journals > Midwifery&Reproductive Health J
Depositing User: jmrh jmrh
Date Deposited: 28 Dec 2017 12:55
Last Modified: 28 Dec 2017 12:55
URI: http://eprints.mums.ac.ir/id/eprint/8855

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