Effectiveness of applying problem‑solving training on depression in Iranian pregnant women: Randomized clinical trial
نویسندگان
1 department of Community Health
2 Departments of Community Health
3 Medicine, Quran and Hadith Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences
4 Medical Surgical, Faculty of Nursing, Baqiyatallah University of Medical Science, Tehran, Iran
5
doi
چکیده
BACKGROUND: Depression during pregnancy is one of the major concerns in mental health, henceusing interventional methods for the treatment or reducing the rate of depression is considereda priority for maternal and fetal health. The present study aimed to examine the effectiveness ofproblem‑solving training in reducing depression in pregnant women.MATERIALS AND METHODS: This randomized clinical trial was conducted on seventy pregnantwomen referring to Prenatal Care Clinics, Najmiyeh hospital in Tehran, Iran. The participants wererandomly allocated divided into experimental and control groups. The experimental group was givenroutine prenatal care training at the clinic along with problem‑solving skills training based on theIdentify, Define, Explore, Act, Look back model in five sessions, but the control group only receivedroutine prenatal care training. Data were collected using the Beck’s Depression Inventory at thebeginning of the study and at the immediately and 1 month after two groups. Data were analyzedusing descriptive and analytical statistical tests.RESULTS: In the experimental group, the mean depression score significantly reducedfrom 16.06 ± 4.73 before intervention to 12.83 ± 4.10 and 13 ± 4.24 after intervention and atfollow‑up (P < 0.05). While in the control group, the mean depression from 15.34 ± 2.94 beforeintervention to 14.80 ± 2.76 and 14.86 ± 2.924 after intervention and at follow‑up. It was not statisticallysignificant in the control group (P > 0.05).CONCLUSIONS: Problem‑solving training can be used as an optional method of reducing depressionin pregnant women, and it is recommended that should be implemented by the health‑care team.