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Randomized Controlled Trial
. 2023 May 12;23(1):346.
doi: 10.1186/s12884-023-05650-1.

Comparing the effectiveness of virtual and semi-attendance Stress Inoculation Training [SIT] techniques in improving the symptoms of anxiety, depression, and stress of pregnant women with psychological distress: a multicenter randomized controlled trial

Atefeh Fatemi  1 , Fatemeh Nasiri-Amiri  2 , Mahbobeh Faramarzi  3 , Mohammad Chehrazi  4 , Hajar Adib Rad  3 , Zeinab Pahlavan  5
Affiliations
Randomized Controlled Trial

Comparing the effectiveness of virtual and semi-attendance Stress Inoculation Training [SIT] techniques in improving the symptoms of anxiety, depression, and stress of pregnant women with psychological distress: a multicenter randomized controlled trial

Atefeh Fatemi et al. BMC Pregnancy Childbirth. .

Abstract

Background: Some studies indicate that more than 10% of pregnant women are affected by psychological problems. The current COVID-19 pandemic has increased mental health problems in more than half of pregnant women. The present study compared the effectiveness of virtual (VSIT) and semi-attendance Stress Inoculation Training (SIT) techniques on the improvement of the symptoms of anxiety, depression, and stress of pregnant women with psychological distress.

Methods: This study was conducted on 96 pregnant women with psychological distress in a 2-arm parallel-group, randomized control trial between November 2020 and January 2022. The semi-attendance SIT received treatment for six sessions, sessions 1, 3 and 5 as individual face-to-face and sessions 2, 4 and 6 as virtual once a week for 60 min continuously [n = 48], and the virtual SIT received six sessions simultaneously once a week for 60 min (n = 48) in pregnant women of 14-32 weeks' gestation referred to two selected hospitals. The primary outcome of this study was BSI-18 [Brief Symptom Inventory] and NuPDQ-17 [Prenatal Distress Questionnaire]. The secondary outcomes were the PSS-14 [Cohen's General Perceived Stress Scale]. Both groups completed questionnaires measuring anxiety, depression, pregnancy-specific stress, and generally perceived stress questionnaires before and after the treatment.

Results: The post-intervention results showed that the stress inoculation training technique in both VSIT and SIT interventions effectively reduced anxiety, depression, psychological distress, pregnancy-specific stress and general perceived stress [P < 0.01]. Also, the SIT interventions on decreasing anxiety [P < 0.001, η2 = 0.40], depression [P < 0.001, η2 = 0.52] and psychological distress [P < 0.001, η2 = 0.41] were more considerable than that of VSIT. However, There was no significant difference between SIT and VSIT intervention in terms of their effects on pregnancy-specific stress [P < 0.38, η2 = 0.01] and general stress [P < 0.42, η2 = 0.008].

Conclusion: The semi-attendance SIT group has been a more effective and practical model than the VSIT group, for reducing psychological distress. Therefore, semi-attendance SIT is recommended for pregnant women.

Keywords: Anxiety; Depression; Pregnant women; Psychological; Stress; Stress inoculation training.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flow-Chart of the Participants
See this image and copyright information in PMC

References

    1. Rezaeian SM, Abedian Z, LatifnejadRoudsari R, Mazloom SR, Dadgar S. The relationship of prenatal self-care behaviors with stress, anxiety and depression in women at risk of preterm delivery. Iranian J Obstet Gynecol Infertil. 2017;20(3):68–76. 10.22038/ijogi.2017.8874.
    1. Bjelanović V, Babić D, Oresković S, Tomić V, Martinac M, Juras J. Pathological pregnancy and psychological symptoms in women. Coll Antropol. 2012;36(3):847–852. - PubMed
    1. Hendrick V, Altshiler L, Cohen L, Stowe Z. Evaluation of mental health and depression during pregnancy: position paper. Psychopharmacol Bull. 1998;34(3):297. - PubMed
    1. Corbett GA, Milne SJ, Hehir MP, Lindow SW, O’connell MP. Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol. 2020;249:96. doi: 10.1016/j.ejogrb.2020.04.022. - DOI - PMC - PubMed
    1. Ahmad M, Vismara L. The psychological impact of COVID-19 pandemic on women’s mental health during pregnancy: A rapid evidence review. Int J Environ Res Public Health. 2021;18(13):7112. doi: 10.3390/ijerph18137112. - DOI - PMC - PubMed

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