Condition 1: Pregnancy-related anxiety. Condition 2: Pregnancy adoptation. Condition 3: Prenatal Depression. Condition 4: Quality of life during pregnancy.
Conditions
Interventions
Intervention 1: Intervention group: The intervention group will receive six group counseling sessions based on a narrative therapy approach, each lasting 45–60 minutes. The first session will be condu
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
10 Years to 19 Years
Inclusion criteria
Inclusion criteria: Residence in Tabriz or the surrounding areas Maternal age between 10 and 19 years Gestational age between 20 and 26 weeks A score higher than 22 based on the Pregnancy Anxiety Questionnaire (63) Having elementary education Possession of a smartphone
Exclusion criteria
Exclusion criteria: Presence of a known fetal anomaly based on ultrasound report Pregnancy complicated by conditions such as a history of recurrent miscarriage, multiple pregnancy, gestational diabetes, hypertension, maternal cardiac disease, renal disease, antepartum hemorrhage, history of preterm delivery, placenta previa, intrauterine growth restriction (IUGR), infections such as HIV and hepatitis, pregnancy resulting from IVF, or Rh incompatibility History of depression based on maternal self-report or medical record review A score of 13 or higher on the Edinburgh Postnatal Depression Scale (EPDS) or a positive response to the suicide item Hearing impairment or inability to speak Use of antidepressant medications during pregnancy Experience of a major stressful life event, such as the death or diagnosis of a life-threatening illness in a first-degree relative, within three months prior to data collection Presence of severe anxiety according to the Anxiety Questionnaire (scores above 40) and confirmed by clinical psychologist interview
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pregnancy-related anxiety. Timepoint: Assessment of pregnancy-related anxiety before the intervention and four weeks after the completion of the intervention sessions. Method of measurement: Pregnancy-related anxiety will be assessed using the Revised Pregnancy-Related Anxiety Questionnaire (R-PRAQ) short form. | — |
Secondary
| Measure | Time frame |
|---|---|
| Adaptation to Pregnancy. Timepoint: Adaptation to pregnancy will be assessed before the start of the intervention and four weeks after the completion of the intervention sessions. Method of measurement: Adaptation to pregnancy will be measured using the revised version of the Pregnancy Coping Inventory (PCI).;Prenatal Depression. Timepoint: Prenatal Depression will be assessed before the start of the intervention and four weeks after the completion of the intervention sessions. Method of measurement: Prenatal Depression will be measured using the (EPDS=Edinburgh Postpartum Depression Scale).;Quality of life in pregnancy. Timepoint: Quality of life in pregnancy will be assessed before the start of the intervention and four weeks after the completion of the intervention sessions. Method of measurement: Quality of life in pregnancy will be measured using the (Quality of life-Gravity=QOL-GRAV). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSolmaz Ghanbari Homaie
Tabriz University of Medical Sciences
Outcome results
None listed