Condition 1: Postpartum depression. Condition 2: Postpartum anxiety. Puerperal psychosis Other anxiety disorders
Conditions
Interventions
Intervention 1: Intervention group: For the intervention group, 6 sessions (once a week) of psychodrama-based intervention will be held in groups of 4-5 people for 45-60 minutes in a group and in pers
Session objectives: Explaining the concept of psychodrama and the goals of group therapy and the effect of group activity on solving problems by the therapist
Introducing members and talking about their current discomfort and experiences related to traumatic childbirth
creating a sense of psychological safety
Session techniques: Warm-up games such as introducing yourself with a positive characteristic
Sociometry technique
free discussion about shared feelings after childbirth
explaining the framework of the sessions and group rules. Session 2: Session overview: Recognizing feelings and experiences of childbirth
Session objectives: Expressing the personal experience of childbirth
Identifying repressed feelings such as sa
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Term delivery Singleton birth Living in Tabriz city or its suburbs Having experienced traumatic vaginal birth based on the Childbirth Experiences Questionnaire version 2.0 (CEQ 2.0) and a mean score lower than 2.5 Obtaining an anxiety score higher than 28 based on a specific postpartum anxiety questionnaire Having a smart phone Internet access Education level: Elementary school completion and above
Exclusion criteria
Exclusion criteria: Having post-traumatic stress syndrome (PTSD) based on the Post-Traumatic Stress Symptom Scale (PSS_1) questionnaire History of depression or postpartum depression based on maternal self-report or medical record review or score of 13 or higher on the Edinburgh Depression Questionnaire or mental illness based on self-report or medical record review Participating in two studies simultaneously Use of antidepressants based on medical record review The occurrence of a stressful life event, such as divorce, death of a close family member, and diagnosis of a terminal or incurable disease for a family member within three months prior to data collection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postpartum anxiety. Timepoint: Before the start of the intervention, 4 weeks after the end of the intervention. Method of measurement: Postpartum Specific Anxiety Scale-Research Short-Form (PSAS-RSF). | — |
Secondary
| Measure | Time frame |
|---|---|
| Postpartum depression. Timepoint: Before the intervention, 4 weeks after the end of the intervention, controlling for the effect of the baseline score. Method of measurement: Edinburgh Postpartum Depression Scale (EPDS).;Maternal function. Timepoint: Before the intervention, 4 weeks after the end of the intervention, controlling for the effect of the baseline score. Method of measurement: Barkin Index of Maternal Functioning (BIMF). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSolmaz Ghanbari Homaie
Tabriz University of Medical Sciences
Outcome results
None listed