abolfazl karami; Roghayeh Omrani; Navid Danaei
Abstract
Postpartum anxiety and depression are harmful conditions that negatively affects not only mothers but also their infants. Therefore, this study aimed to determine and compare the effectiveness of psychological treatments in reducing the above-mentioned problems in mothers at risk. This is a randomized ...
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Postpartum anxiety and depression are harmful conditions that negatively affects not only mothers but also their infants. Therefore, this study aimed to determine and compare the effectiveness of psychological treatments in reducing the above-mentioned problems in mothers at risk. This is a randomized clinical trial with control group. After assessing 75 mothers who were admitted to infants' care unit, 45 mothers who had anxiety and depression levels above the cut-off point and conditions of participation in the design were identified and then randomly divided into three groups of 15, two intervention groups And a control group. For the first intervention group, the CBT program and the intervention group of the ACT program were administered in 8 sessions and the control group received the usual training. To determine the effect of the intervention program, a pre-test and post-test were conducted using the Zung anxiety test and Edinburgh post-partum depression test. The scores of intervention groups were significantly different in the post-test group compared to the control group in the anxiety and depression scale. The rate of depression and anxiety decreased after intervention, and the size of this decrease was higher in the ACT group. ACT treatment has a greater effect on the anxiety and depression of mothers than CBT treatment. According to the results, the use of the ACT approach and the need for nurses and doctors to cooperate with psychologists to intervene is necessary.
Firouzeh zarghami; Leila Heidari Nasab; Mohammad Reza Shaeiri; Zahra Shahrivar
Volume 5, Issue 19 , October 2015, , Pages 183-202
Abstract
This study investigates the effect of CBT based on Coping Cat on reduced anxiety symptoms in the Iranian children within the age range of 8 to 10 suffering from anxiety. It was conducted based on a quasi-experimental design with pretest and posttest and control group. 20 children within the preceding ...
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This study investigates the effect of CBT based on Coping Cat on reduced anxiety symptoms in the Iranian children within the age range of 8 to 10 suffering from anxiety. It was conducted based on a quasi-experimental design with pretest and posttest and control group. 20 children within the preceding age range suffering from generalized anxiety disorder, separation anxiety disorder, and social anxiety were selected using the goal-directed convenience sampling method after they underwent clinical interviews arranged by the child and adolescent psychiatrist, assessment with a semi-structured diagnostic interview of mood disorders and schizophrenia for children and adolescents (K-SADS) and placement at the clinical level according to the DSM-based anxiety scale and Child Behavior Checklist (CBCL), and placed into two groups of 10 (treatment and waiting list groups). Intervention therapy based on Coping Cat individual cognitive-behavior program was provided to the members of the treatment group for 16 sessions. The research data were gathered by means of DSM-based anxiety scale and CBCL and Spence Scale (Parent and Child version), and further analyzed using Mann-Whitney test, Friedman test, and significant clinical changes. The results suggest that Coping-cat-based CBT significantly reduces anxiety symptoms of the treatment group members vis-à-vis the waiting group both statistically (p<0.001, Z=3.335) and clinically, which continued in one-and-a-half and three-month follow-ups. Confirming the results of previous studies, the research findings indicate that Coping-cat CBT affects reduced anxiety symptoms in the Iranian children falling within the age range of 8 to 10 and that such an impact persists during follow-ups. Therefore, its basic application in psychological therapy centers could be feasible.
