Effect of Cognitive Behavioral Therapy on Anxiety, Stress, Depression, and Coping Pattern among Pregnant Women with Preeclampsia

Samia I Hassan¹, Ahlam Mohammed Ibrahim Gouda^1, , Ahmed El-Monshed² and Hanan Abderahman Mostafa Kandeel³

¹Woman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, Egypt

²Psychiatric and Mental health Nursing Department, Faculty of Nursing, Mansoura University, Egypt

³Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt

Cite this paper:
Samia I Hassan, Ahlam Mohammed Ibrahim Gouda, Ahmed El-Monshed and Hanan Abderahman Mostafa Kandeel. Effect of Cognitive Behavioral Therapy on Anxiety, Stress, Depression, and Coping Pattern among Pregnant Women with Preeclampsia. American Journal of Nursing Research. 2020; 8(2):269-277. doi: 10.12691/ajnr-8-2-16

Abstract

Aim: Investigate the effect cognitive behavioral therapy on anxiety, stress, depression, and coping pattern among pregnant with pre- eclampsia. Method: Design: Quazi experimental (pre and posttest) design. Setting: Antenatal outpatient clinic and high-risk inpatient department in Mansoura University Hospital. Subjects: Eighty eix pre- eclamptic women who attending antenatal outpatient clinic, and high risk inpatient department, Mansoura University Hospital, subjects were divided randomly into two equal groups. Tools: Five tools were used for data collection, structured interview schedule, Beck Anxiety Inventory, Perceived stress scale (PSS), Beck depression inventory-II (BDI-II) and Coping Patterns Scale: Adopted from Genedy. Results: The study findings revealed that there was a statistical significant difference in scores of depression, anxiety, and stress pre and post the cognitive behavioral therapy among the intervention group (P≤0.001) with large effect size (η2=0.7). Conversely, in the control group, there was no statistical difference in scores of depression, anxiety, and stress pre and post the routine care (P>0.05).Conclusion: Cognitive-behavioral therapy can be used as a treatment option for reducing pregnancy-specific anxiety, stress and depression in preeclamptic women. Recommendations: Educational programs are important for improving mental health for mothers and reduce the common maternal mood disorders post-pregnancy.

Keywords:
anxiety cognitive behavioral therapy coping pattern depression preeclampsia and stress

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