Effectiveness of Combination of Cognitive-Behavioral Therapy and Resilience Training Based on Islamic Spirituality and Cognitive Flexibility on Postpartum Depression, Fear of Labor Pain and Quality of Life

Abstract

Background: High-risk pregnancy, as a traumatic event, could cause postpartum disorders; thus, these women need psychological therapy. Objectives: This study aimed to determine the efficacy of combination of cognitive-behavioral therapy and resiliency training based on Islamic spirituality instructions and cognitive flexibility on postpartum depression, fear of labor pain, and quality of life. Methods: This was a semi-experimental study with a pretest-posttest design and a control group. It was performed among 40 pregnant women who had visited Bandar Abbas health centers. The participants were placed in two groups of control and experimental. Data collection was carried out using quality of life: SF12, postpartum depression by Edinburg, and fear of labor pain (FPQ-111) in the three stages of before, after and two months after the intervention. Data were analyzed using descriptive statistics and analysis of variance test. Results: We found that the effect of combination of cognitive-behavioral therapy and resiliency training based on Islamic spirituality instructions and cognitive flexibility on postpartum depression (P < 0.01), fear of labor pain (P < 0.01), and the quality of life (P < 0.01) was significant, and the difference between the two groups was significant (P < 0.01). Conclusions: Trainings based on Islamic instructions were effective on reducing postpartum traumatic symptoms.

The effect of spiritual counseling on improving of the quality of life among pregnant women: a randomized control trials

“…Limited information is available on the effectiveness of spiritual counseling for improving the QoL of the rst time pregnant women. However, our results were consistent with some studies that conducted on multiparous or high-risk pregnancy samples (15)(16)(17)(18). Our results were also consistent with the studies that used different procedures for intervention, for example, Bashirpour et al (2018) showed that the mindfulness-based approach (24), Liu et al (2019) suggested that yoga or physical activity could be improved the QoL and well-being of pregnant women(25).…”

“…Participant Given the indicator of a similar study, with considering , power of 80%, and attrition rate of 15% (17), the sample size of the present study was calculated 30 rst time pregnant women in each group.…”

“…In Iran, spiritual care has not routinely included in prenatal care program, while in recent years, valuable results from the implementation of interventions based on religion and spirituality in improving anxiety, depression and coping with stress has been reported (13,14). The use of spiritual counseling alone or in combination with cognitive-behavioral therapy can help with improving QoL in women with high risk pregnancy, postpartum depression, and fear of labor pain (15)(16)(17)(18). However, there is a gap in the effectiveness of spiritual-based interventions in the culture and context of Iran on health-related QoL in women with the rst pregnancy.…”

The Effect of Integrating Midwifery Counseling with A Spiritual content on Improving the Antenatal Quality of Life: A Randomized Controlled Trials

“…With considering the 95% con dence level (Z1-α = 1.96), the test power of 80% (Z1-β = 0.85) and based on QOL variable in Zamani's study with the mean and standard deviation in the intervention group (M1=32,10 and S1=2.63), control group (M2=25/90 and S2=2/33), an attrition rate of 15% the sample size of was calculated for 30 pregnant women in each group. (Zamani et al, 2019).…”

“…In Iran, spiritual care has not been routinely included in prenatal care programs, while in recent years, valuable results from the implementation of interventions based on religion and spirituality in improving anxiety, depression and coping with stress have been reported (Jabbari et al, 2020). The use of spiritual counselling alone or in combination with cognitive-behaviour therapy can help with improving QoL in women with a high-risk pregnancy, postpartum depression, and fear of labor pain (Moazedi et al, 2018;Niaz Azari et al, 2017;Zamani et al, 2019). However, there is a gap in the effectiveness of spiritual-based interventions in the culture and context of Iran on health-related QoL in women with the rst pregnancy.…”