The Effects of the Solution-Focused Therapy on Postpartum Depression and Anxiety in Nulliparous Pregnant Women
Solution-focused therapy on postpartum depression and anxiety
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Background: In solution-focused models (SFMs), patients are mobilized to achieve better outcomes through their initiative and potential. In this study, the effect of solution-focused therapy on anxiety and postpartum depression (PPD) of nulliparous pregnant women was investigated.
Methods: The study was quasi-experimental, with a pre-test, post-test, and control group. The statistical population of this study was all pregnant women who were referred to be under routine care in the Isfahan Vahid Health Center, Isfahan, Iran, from August to November 2022. In this study, 30 eligible pregnant women were selected and invited to participate purposefully. Then the participants were randomly (tossing) divided into two groups, a solution-focused therapy group (15 people) and a control group (15 people). The solution-focused group received eight 1.5-hour counseling sessions, which were held weekly. The control group received no counseling and only routine healthcare services. Data were analyzed by multivariate analysis of covariance (MANCOVA) and SPSS software.
Results: Solution-focused therapy was effective on PPD (F = 19.66, P < 0.001) and anxiety (F = 22.37, P < 0.001) in nulliparous pregnant women.
Conclusion: SFM is a useful tool that can help reduce anxiety and PPD in nulliparous pregnant women. This approach can help nulliparous pregnant women learn skills to reduce PPD symptoms.
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Adedinsewo, D. A., Fleming, A. S., Steiner, M., Meaney, M. J., & Girard, A. W. (2014). Maternal anxiety and breastfeeding: findings from the MAVAN (Maternal Adversity, Vulnerability and Neurodevelopment) Study. J Hum.Lact., 30(1), 102-109. doi:0890334413504244 [pii];10.1177/0890334413504244 [doi]. Retrieved from PM:24065719
Afshari, P., Tadayon, M., Abedi, P., & Yazdizadeh, S. (2020). Prevalence and related factors of postpartum depression among reproductive aged women in Ahvaz, Iran. Health.Care Women.Int., 41(3), 255-265. doi:10.1080/07399332.2019.1578779 [doi]. Retrieved from PM:30924721
Agrawal, I., Mehendale, A. M., & Malhotra, R. (2022). Risk factors of postpartum depression. Cureus., 14(10), e30898. doi:10.7759/cureus.30898 [doi]. Retrieved from PM:36465774
Alimi, R., Azmoude, E., Moradi, M., & Zamani, M. (2022). The association of breastfeeding with a reduced risk of postpartum depression: A systematic review and meta-analysis. Breastfeed.Med., 17(4), 290-296. doi:10.1089/bfm.2021.0183 [doi]. Retrieved from PM:34964664
Beato, A. F., Albuquerque, S., Komurcu, A. B., da Costa, L. P., & Salvador, A. (2022). Do Maternal self-criticism and symptoms of postpartum depression and anxiety mediate the effect of history of depression and anxiety symptoms on mother-infant bonding? Parallel-Serial mediation models. Front.Psychol., 13, 858356. doi:10.3389/fpsyg.2022.858356 [doi]. Retrieved from PM:35693484
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br.J Psychiatry., 150, 782-786. doi:S0007125000214712 [pii];10.1192/bjp.150.6.782 [doi]. Retrieved from PM:3651732
Fathi-Ashtiani, A., Ahmadi, A., Ghobari-Bonab, B., Azizi, M. P., & Saheb-Alzamani, S. M. (2015). Randomized trial of psychological interventions to preventing postpartum depression among Iranian first-time mothers. Int.J Prev Med., 6, 109. doi:IJPVM-6-109 [pii];10.4103/2008-7802.169078 [doi]. Retrieved from PM:26682030
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). A Calorimetric investigation of the liquid bi-ni alloys. Behavior Research Methods, 39(2), 175-191.
Gan, C. (2020). Solution-Focused Brief Therapy (SFBT) with individuals with brain injury and their families. NeuroRehabilitation., 46(2), 143-155. doi:NRE192967 [pii];10.3233/NRE-192967 [doi]. Retrieved from PM:32083598
Gharisaadati, L., Ghorban Shiroudi, S., & Khalatbari, J. (2022). Comparison of the effectiveness of "Solution-Focused Brief Therapy" and "Compassion-Focused Therapy" on ruminative responses of couples with depression. J Health Promot Manag, 11(5), 16-28.
Habibi, M. (2015). Solution-oriented therapy for depression: A theoretical orientation and introduction to therapeutic approach. J Res Behav Sci, 13(2), 166-175.
Hamilton, M. (1959). The assessment of anxiety states by rating. Br.J Med.Psychol., 32(1), 50-55. doi:10.1111/j.2044-8341.1959.tb00467.x [doi]. Retrieved from PM:13638508
Huang, C., Han, W., & Hu, S. (2022). The effects of the solution-focused model on anxiety and postpartum depression in nulliparous pregnant women. Front.Psychol., 13, 814892. doi:10.3389/fpsyg.2022.814892 [doi]. Retrieved from PM:35444587
Jahdi, F., Mehrabadi, M., Mortazavi, F., & Haghani, H. (2016). The effect of slow-stroke back massage on the anxiety levels of iranian women on the first postpartum day. Iran.Red.Crescent.Med.J, 18(8), e34270. doi:10.5812/ircmj.34270 [doi]. Retrieved from PM:27781122
Karrabi, R., Farjamfar, M., Mortazavi, F., Nazari, A. M., & Goli, S. (2019). The effect of solution-focused group counseling on pregnant women's worries: A randomized clinical trial. Hayat, 25(1), 81-94.
Kasamatsu, H., Tsuchida, A., Matsumura, K., Shimao, M., Hamazaki, K., & Inadera, H. (2020). Understanding the relationship between postpartum depression one month and six months after delivery and mother-infant bonding failure one-year after birth: results from the Japan Environment and Children's study (JECS). Psychol.Med., 50(1), 161-169. doi:S0033291719002101 [pii];00210 [pii];10.1017/S0033291719002101 [doi]. Retrieved from PM:31474232
Kheirabadi, G. R., Maracy, M. R., Akbaripour, S., & Masaeli, N. (2012). Psychometric properties and diagnostic accuracy of the Edinburgh Postnatal Depression Scale in a sample of Iranian women. Iran.J Med.Sci, 37(1), 32-38. doi:IJMS-37-32 [pii]. Retrieved from PM:23115428
Kiviruusu, O., Pietikainen, J. T., Kylliainen, A., Polkki, P., Saarenpaa-Heikkila, O., Marttunen, M. et al. (2020). Trajectories of mothers' and fathers' depressive symptoms from pregnancy to 24 months postpartum. J Affect.Disord., 260, 629-637. doi:S0165-0327(19)30826-2 [pii];10.1016/j.jad.2019.09.038 [doi]. Retrieved from PM:31542556
Martini, J., Petzoldt, J., Einsle, F., Beesdo-Baum, K., Hofler, M., & Wittchen, H. U. (2015). Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: A prospective-longitudinal study. J Affect.Disord., 175, 385-395. doi: S0165-0327(15)00016-6 [pii];10.1016/j.jad.2015.01.012 [doi]. Retrieved from PM:25678171
Mohiti, M., Salehin, S., Nazari, A. M., Goli, S., & Zamani, M. (2022). Effect of Single-session Solution-focused Brief Therapy on the Anxiety of Labor Pain: A Randomized Clinical Trial. Evidence Based Care, 12(1), 48-55. doi: 10.22038/EBCJ.2022.61606.2603 [doi].
Mousavi, S. A., Ramezani, S., & Khosravi, A. (2021). Solution-focused counseling and its use in postpartum depression. In C.R. Martin, L. A. Hunter, V. B. Patel, V. R. Preedy, & R. Rajendram (Eds.), The neuroscience of depression (pp. 443-446). Academic Press.
Mughal, S., Azhar, Y., & Siddiqui, W. (2023). Postpartum depression. In, StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing.
Ponti, L., Smorti, M., Ghinassi, S., Mannella, P., & Simoncini, T. (2022). Can a traumatic
childbirth experience affect maternal psychopathology and postnatal attachment bond? Curr Psychol, 41(3), 1237-1242. doi: 10.1007/s12144-020-00650-2 [doi].
Pourkhaleghi, N., Askarizadeh, G., & Fazilat-Pour, M. (2017). The role of maternal emotional cognitive strategies and newborn gender satisfaction in the postpartum depression in the primiparous women. Preventive Care in Nursing and Midwifery Journal, 7(2), 15-24.
Ramezani, S., Khosravi, A., Motaghi, Z., Hamidzadeh, A., & Mousavi, S. A. (2017). The effect of cognitive-behavioural and solution-focused counselling on prevention of postpartum depression in nulliparous pregnant women. J Reprod.Infant.Psychol, 35(2), 172-182. doi:10.1080/02646838.2016.1266470 [doi]. Retrieved from PM:29517361
Rezaie-Keikhaie, K., Arbabshastan, M. E., Rafiemanesh, H., Amirshahi, M., Ostadkelayeh, S. M., & Arbabisarjou, A. (2020). Systematic review and meta-analysis of the prevalence of the maternity blues in the postpartum period. J Obstet Gynecol.Neonatal.Nurs., 49(2), 127-136. doi:S0884-2175(20)30004-6 [pii];10.1016/j.jogn.2020.01.001 [doi]. Retrieved from PM:32035973
Risal, A., Shikhrakar, S., Mishra, S., Kunwar, D., Karki, E., Shrestha, B. et al. (2020). Anxiety and depression during COVID-19 pandemic among medical students in Nepal. Kathmandu.Univ.Med.J (KUMJ.), 18(72), 333-339. Retrieved from PM:34165087
Sadeghi, N., Azizi, S., & Molaeinezhad, M. (2014). Anxiety status in pregnant mothers at third trimester of pregnancy and its related factors in referrals to Bandar Abbas Hospitals in 2012. Iran J Obstet Gynecol Infertil, 17(122), 8-15. doi: 10.22038/IJOGI.2014.3574 [doi].
Stams, G., Dekovi-ç, M., Buist, K., & Vries, L. (2006). Efficacy of solution-focused brief therapy: A meta-analysis. Gedragstherapie, 39(2), 81-94.
Stewart, D. E., & Vigod, S. N. (2019). Postpartum depression: Pathophysiology, treatment, and emerging therapeutics. Annu.Rev.Med., 70, 183-196. doi:10.1146/annurev-med-041217-011106 [doi]. Retrieved from PM:30691372
Uvnas, M. K., Ekstrom-Bergstrom, A., Buckley, S., Massarotti, C., Pajalic, Z., Luegmair, K. et al. (2020). Maternal plasma levels of oxytocin during breastfeeding-A systematic review. PLoS.One., 15(8), e0235806. doi:PONE-D-19-15924 [pii];10.1371/journal.pone.0235806 [doi]. Retrieved from PM:32756565
Wang, Q., Zhang, Y., Li, X., Ye, Z., Huang, L., Zhang, Y. et al. (2021). Exploring maternal self-efficacy of first-time mothers among rural-to-urban floating women: A quantitative longitudinal study in China. Int.J Environ.Res Public.Health, 18(6). doi:ijerph18062793 [pii];ijerph-18-02793 [pii];10.3390/ijerph18062793 [doi]. Retrieved from PM:33801851
Wang, Y., Guo, X., Lau, Y., Chan, K. S., Yin, L., & Chen, J. (2009). Psychometric evaluation of the Mainland Chinese version of the Edinburgh Postnatal Depression Scale. Int.J Nurs.Stud., 46(6), 813-823. doi:S0020-7489(09)00011-X [pii];10.1016/j.ijnurstu.2009.01.010 [doi]. Retrieved from PM:19217107
Woodger, K., Bray, D., Welsh, C., & Ng, S. M. (2022). A solution focused approach of delivering virtual paediatric diabetes consultations during the COVID-19 pandemic. Clin Child.Psychol Psychiatry., 27(1), 177-184. doi:10.1177_13591045211058336 [pii];10.1177/13591045211058336 [doi]. Retrieved from PM:34939885
Xiong, J., Fang, Q., Huang, L., Yan, X., & Zheng, X. (2022). Group-based trajectory analysis for postpartum depression symptoms among Chinese primiparous women. J Clin Med., 11(21). doi:jcm11216249 [pii];jcm-11-06249 [pii];10.3390/jcm11216249 [doi]. Retrieved from PM:36362479
Zareipour, M. (2017). , Sadeghianifar, A., Amirzehni, J., Parsnezhad, M., & Ayuoghi Rahnema, V. Exploring of depression, anxiety and stress in pregnant women referred to health centers of Urmia. Rahavard Salamat, 3(2), 19-30
Zhu, J., Jin, J., & Tang, J. (2022). Inflammatory pathophysiological mechanisms implicated in postpartum depression. Front Pharmacol, 13, 955672. doi: 10.3389/fphar.2022.955672 [doi].
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