Anxiety, Stress, and Coping Strategies. Supervision of high risk pregnancy
Conditions
Interventions
Intervention 1: Intervention Group:High-risk pregnant women will receive group counseling through eight group sessions (six sessions on stress management training and two sessions on narrative writing
Sponsors
Zanjan University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant women are considered high-risk based on medical criteria such as: bleeding, high blood pressure, gestational diabetes, cervical insufficiency, placenta previa, multiple pregnancy , fetal growth restriction, and threatened preterm labor. Gestational age between 18 and 28 weeks. Absence of severe mental illness or a history of severe psychiatric disorders (such as schizophrenia or bipolar disorder). Willingness and ability to participate in integrated stress management and narrative writing counseling sessions. Having an education level of at least lower secondary school (middle school) or higher in order to complete the narrative writing exercises. Not having received similar interventions in the past three months. No use of anti-anxiety or antidepressant medications during the study period. Obtaining an anxiety score = 8 (mild severity or higher) and a stress score = 15 (mild severity or higher) on the DASS-21 questionnaire, and obtaining higher scores on the emotion-focused or avoidance subscales of the Endler and Parker questionnaire.
Exclusion criteria
Exclusion criteria: Termination of pregnancy (abortion, stillbirth, or preterm birth before completion of the intervention sessions). Development of acute medical or psychological conditions that, in the judgment of a physician or psychologist, require immediate therapeutic intervention (such as emergency hospitalization, onset of serious illness, or worsening of severe depressive symptoms). Failure to attend more than two consecutive sessions or frequent absenteeism that disrupts the training process. Willingness to withdraw from participation at any stage of the study (in accordance with the principle of informed consent and the right to freely withdraw). Occurrence of major changes in medication or treatment during the study that may affect the variables under investigation. Concurrent participation in other similar psychological or counseling courses or workshops that may interfere with the research intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety, Stress, and Coping Strategies. Timepoint: Before, immediately and one month after the intervention. Method of measurement: The Depression, Anxiety, and Stress Scale-21 (DASS-21) and the Coping Inventory for Stressful Situations (CISS) developed by Endler and Parker. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMojghan Mokhtari Zanjani
Zanjan University of Medical Sciences
Outcome results
None listed