Document Type : Original Article
Authors
Ahvaz Jundishapur University of Medical Sciences is a medical school in Khuzestan Province of Iran
Abstract
Introduction: Most adolescents are not physically or psychologically prepared for pregnancy and childbirth, which may lead to serious health complications. Therefore, this study aimed to determine The Effect of Cognitive-Behavioral Therapy Based on Mindfulness on Concerns of Nulliparous Adolescent Pregnant Women
Materials and Methods: This clinical trial was conducted on 61 adolescent pregnant mothers attending Kian Abad health centers in Ahvaz. Participants were selected using random numbers and block randomization with blocks of six and a 1:1 allocation ratio into intervention (31) and control (30) groups. The intervention group received eight in person MBCT based cognitive behavioral counseling sessions. Data collection tools included a demographic information questionnaire and the Pregnancy Related Anxiety Questionnaire (PDQ). Data were analyzed using Kolmogorov–Smirnov, Mann–Whitney, Chi square, Fisher’s exact test, independent t test, and repeated measures tests. Analyses were performed using SPSS version 26, and the significance level was set at 0.05.
Results: The results showed that the mean total score of pregnancy-related worries in the intervention group significantly decreased compared to the control group after the implementation of mindfulness-based cognitive behavioral counseling (P<0.001).
Conclusion: Considering the effectiveness of MBCT based cognitive behavioral counseling in reducing pregnancy related concerns among Nulliparous adolescents, the use of this method by midwives in healthcare centers is recommended.
Keywords: Counseling, anxiety, Nulliparous adolescent, pregnancy, mindfulness
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