The Effect of Resiliency Training on Mental Health and Resilience of Pregnant Women with Unwanted Pregnancy: A Randomized Clinical Trial

Author:

Naderpour Marjan1,Moradi Maryam2,Moghani Sedigheh Shariat3,Kimiaei Seyed Ali4,Jamali Jamshid5,Hashemian Masoumeh6,Salarfard Mahla7

Affiliation:

1. Master of Midwifery Counseling, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2. Senior Research Fellow, Department of General Practice, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia

3. Faculty of Members, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

4. Associate Professor of Counseling, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

5. Associate Professor, Department of Biostatistics, School of Health, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

6. Assistant Professor of Health Education and Promotion, Department of Health Education, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

7. PhD Student in Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Abstract Background: Unwanted pregnancy has many negative consequences in terms of women’s physical and mental health. Resilience is a process of utilizing important resources to maintain mental health in the face of stress. In addition, resilience can be promoted through. This study was performed to evaluate the effect of resiliency training on the mental health and resilience of pregnant women with an unwanted pregnancy. Materials and Methods: This randomized clinical trial was conducted on 66 women in Sabzevar, Iran, in 2020 with unwanted pregnancies, mild or moderate mental health problems, and low resilience. The participants were randomly divided into two groups through a simple lottery. In the intervention group, resilience training was performed once a week in groups of 10-15 people in six training sessions, each lasting 60 to 90 minutes. Mental health and tolerability were measured using the 28-item General Health Questionnaire and the Connor-Davidson Resilience scale before the intervention, and immediately after and 1 month after the intervention. Results: The mean (SD) of mental health immediately 35.46 (5.59) and 1 month after the intervention 33.73 (3.85) in the intervention group (F = 91.23; p < 0.001) was reduced significantly compared to the control group (F = 94.02; p < 0.001). The results of the mean (SD) showed that the resilience training intervention significantly increased the resilience score in the intervention group 84.36 (8.49)(compared to the control group (49.13) 6.67)((p < 0.001). Conclusions: Resilience training was effective in promoting the mental health and resilience of pregnant women with unwanted pregnancies.

Publisher

Medknow

Reference25 articles.

1. Prevalence of unwanted pregnancy among Iranian women: an updated meta-analysis;Sayehmiri;BMC Pregnancy and Childbirth,2019

2. Experience of Unplanned Pregnancy in Women Attending to Health Centers of Mashhad, Iran: A Phenomenological Study;Bayrami;The Iranian Journal of Obstetrics, Gynecology and Infertility,2014

3. Mental health of pregnant women referred to Khorramabad health centers;Nazari;scientific magazine yafte,2014

4. Does abortion reduce the mental health risks of unwanted or unintended pregnancy? A re-appraisal of the evidence;Fergusson;Australian & New Zealand journal of psychiatry,2013

5. Prediction of depression through cognitive emotion regulation and resilience among infertile females;Basharpoor;Iranian Journal of Psychiatric Nursing,2017

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