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CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(04): 275-282
DOI: 10.1055/s-0041-1728780
Original Article
Obstetrics

The Effect of Dialectic Behavioral Counseling on Depression, Anxiety, and Postpartum Hematocrit Level

Nasrin Pour Amiri 
1   Kerman Nursing Research Center, Razi School of Nursing and Midwifery, Faculty of Kerman, University of Medical Sciences, Kerman, Iran
,
Atefeh Ahmadi 
1   Kerman Nursing Research Center, Razi School of Nursing and Midwifery, Faculty of Kerman, University of Medical Sciences, Kerman, Iran
,
Firoozeh Mirzaee 
1   Kerman Nursing Research Center, Razi School of Nursing and Midwifery, Faculty of Kerman, University of Medical Sciences, Kerman, Iran
,
Moghadameh Mirzai 
1   Kerman Nursing Research Center, Razi School of Nursing and Midwifery, Faculty of Kerman, University of Medical Sciences, Kerman, Iran
,
Nader Shahrokhi 
1   Kerman Nursing Research Center, Razi School of Nursing and Midwifery, Faculty of Kerman, University of Medical Sciences, Kerman, Iran
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Abstract

Objective Childbirth is a biological, psychological, and sociological event that can be a positive or negative experience, and, without support, this period may be potentially damaging. Parturition may distort maternal emotions and lead to short- or long-term disorders such as postpartum depression and anxiety. The present research aims to study the effects of dialectic behavioral therapy-based counseling on depression, anxiety symptoms, and postpartum hematocrit level.

Methods The current research is a clinical trial study, and the sample was selected using parturients who were referred to the Health General Center with a diagnosis of postpartum depression and anxiety. The sample size consisted of 116 subjects who agreed to participate in the study. The patients in intervention group underwent group dialectic behavioral counseling (10 sessions/one session per week) and the control group did not receive any type of intervention. The patients were assessed in the first and last sessions as well as 2 months after the end of the sessions, using the Beck depression scale and Spielberg anxiety scale as well as the results of hematocrit tests. Data were analyzed using the IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp., Armonk, NY, USA)

Results The results implied the effectiveness of dialectic behavioral therapy on reduction of the depression score, anxiety symptoms (p-value ≤ 0.0001), and hematocrit level (p-value = 0.04). The participants' depression, anxiety, and hematocrit levels decreased in the experiment group compared to the control group, and this decrease has remained until the 2-month follow-up.

Conclusion It seems that dialectic behavioral counseling reduces the levels of postpartum depression, anxiety, and hematocrits.

Keywords

postpartum depression - postpartum anxiety - hematocrit - dialectic behavioral therapy

Contributions

Nasrin PourAmiri and Firoozeh Mirzaee contributed to the conception and design; Moghaddameh Mirzaee contributed with data analysis; Atefeh Ahmadi and Nader Shahrokhi contributed to interpretation of the data; and all of the authors contributed with the writing of the article.




Publication History

Received: 08 July 2020

Accepted: 08 December 2020

Article published online:
12 May 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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