Introduction: Pregnancy is one of the most stressful stages in Women's life. The purpose was to determine the effectiveness of Dialectical Behavior Therapy Techniques Training lavender aromatherapy on depression and maternal competence of Primiparous women with Insecure Attachment to Spouse.Methods: This clinical trial study was performed in 2021 on 60 pregnant women in Birjand, Iran. Insecure attached expectant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy), intervention group 2 (aromatherapy with lavender), and control group. Dialectical behavioral therapy techniques were performed in the last three months of pregnancy, aromatherapy in the active phase of labor, and the follow-up period one month after the baby's birth. The attachment to spouse Questionnaire, depression Beck, postpartum depression, and maternal competency were used. Data were analyzed in SPSS 25. Results:The results of repeated analysis of variance showed that teaching dialectical behavioral therapy techniques was effective in reducing depression over time (P<0.001). Covariance analysis showed that depression during pregnancy was decreased significantly after the Dialectical Behavior Therapy Techniques Training (P<0.001). The multivariate analysis of variance also showed both components of maternal competence increased significantly in intervention groups 1 (P<0.05). Conclusion:Dialectical behavioral therapy techniques and aromatherapy are effective interventions to reduce depression and increase maternal competence. They can be used for pregnant women with insecure attachment to their husbands in health centers.
Background and Objectives: Delivery is a painful event, and the management fear of childbirth is of utmost importance. Therefore, the aim of this study was to determine the effectiveness of dialectical behavior therapy techniques training on fear of childbirth in nulliparous women with insecure attachment to spouse. Methods: This clinical trial study was performed in 2021 on 60 pregnant women in Birjand in the third trimester of pregnancy. Insecure attachment pregnant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and Lavender aromatherapy), intervention group 2 aromatherapy with lavender and control group (aromatherapy with water). In order to collect data, demographic questionnaires, attachment to spouse and Harman fear of childbirth were used. Data were analyzed in SPSS statistical software version 25. Results: Intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy) In comparison with aromatherapy with lavender and control group showed significant effect on reducing fear of childbirth (P<0.01). Conclusion: Dialectical behavioral therapy techniques combined with aromatherapy as an effective intervention to reduce fear of childbirth can be use in the health centers in pregnant women with insecure attachment to the husband.
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