Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: a randomized controlled trial
Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: a randomized controlled trial
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DOI：
10.1186/s12884-020-2826-1
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发表时间：
2020-03-06
影响因子：
3.1
通讯作者：
Taremian, Farhad
中科院分区：
文献类型：
--
作者：
Asadzadeh, Leila;Jafari, Elham;Taremian, Farhad
本研究调查了基于Gamble及其同事方法的助产士主导的简短咨询在减少一组经历过创伤性分娩的妇女的创伤后应激障碍、抑郁和焦虑症状方面的有效性。方法从270例孕妇中筛选出90例有外伤分娩史的孕妇。随机分为干预组（n = 45）和对照组（n = 45）。干预组在产后72 h内进行面对面咨询，产后4 ~ 6周进行电话咨询。对照组仅接受产后常规护理。结果测量为创伤后应激障碍、抑郁和焦虑症状。结果在3个月的随访中，干预组在创伤后应激障碍、抑郁和焦虑症状方面的改善明显高于对照组。结论由助产士主导的短期心理咨询是减轻创伤性分娩产妇心理困扰的有效途径。
Background This study investigated the effectiveness of brief midwife-led counseling based on Gamble and colleagues' approach in decreasing post-traumatic stress disorder, depression, and anxiety symptoms among a group of women who had experienced a traumatic childbirth. Methods From among 270 pregnant women screened to participate in the study, 90 women experienced a traumatic childbirth. They were randomly assigned into two groups: intervention (n = 45) and control group (n = 45). We did a face-to-face counseling session within 72 h after giving birth and a telephone counseling session four to 6 weeks after giving birth for the intervention group. The control group only received the postnatal routine care. The outcome measures were post-traumatic stress disorder, depression, and anxiety symptoms. Results At the three-month follow-up, the intervention group showed significantly higher improvement on post-traumatic stress disorder, depression, and anxiety symptoms compared to the control group. Conclusions Gamble and colleagues' midwife-led brief counseling could be an effective approach to reduce psychological distress of women who have experienced a traumatic childbirth.