Tehran University Medical Journal (Oct 2016)
Effectiveness of stress-management training in the first trimester of pregnancy on improvement of stress reduction in General Moheb Yas Women Hospital
Abstract
Background: There is evidence that suggests the impact of stress on pregnancy outcome. The majority of the available researches have focused on stress related to pregnancy. The aim of this study was to determine the role of stress-management training in the first trimester of pregnancy on stress reduction in pregnant women. Method: This randomized clinical trial study was performed on 75 pregnant women in their first trimester of pregnancy. These women were referred to the hospital for regular prenatal care. They were assessed by standard anxiety questioner, using Hamilton anxiety scale. The validity and reliability of questioner were approved by experts in this field. Based on Hamilton Scale, the pregnant women were divided to three groups. Pregnant women with low, moderate and sever level anxiety, had18-25, 25-35, and more than 35 scales respectively. According to the level of their anxiety, women in moderate and sever anxiety, as clinical groups, were arranged for stress management workshop based on mindfulness technique in 60 minutes in 5 session per week. For this experimental group were made available compact disk (CD) training for practicing lessons during the week. Mindfulness technique was including: Body scan, setting meditation and passing thought technique. Low anxiety level group, as control group, had regular pregnancy care. The groups didn’t need to medical treatment according to the psychiatrist interview. In the ending of therapy, clinical and control groups were assessed by anxiety scale again. Data were analyzed using the statistical software SPSS version 18, T- test analysis was performed. The IRCT code was IRCT2013081814174N2. ) Results: In this study, it was demonstrated, the level of anxiety and stress was decreased significantly between women in clinical groups, 27.5 to 14.1 for moderated level stress (p=0.001) and 40.1 to16.6 for high level of stress (p=0.001) respectively.. Conclusion: Based on our findings, psychological intervention has beneficial effect on stress reduction during pregnancy. It have direct influence on maternal health status.
