Journal of Health And Care
Volume 25, Issue 1 (Spring 2023)
JHC 2023, 25(1): 7-18 |
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Ethics code: IR.IAU.URMIA.REC.1401.061
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Ghazanfari N, Khademi A, Mahmoud Alilou M, Etemadinia M, Dousti R. The Effectiveness of a One-day Workshop Based on Cognitive Behavioral Therapy on Rumination and Interactive Quality of Women with Postpartum Depressive Disorder. JHC 2023; 25 (1) :7-18
URL: http://hcjournal.arums.ac.ir/article-1-1420-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1420-en.html
Department of Psychology, Urmia Branch, Islamic Azad University, Urmia, Iran
Abstract: (1034 Views)
Background & aim: Rumination and poor interactive quality are among the most common psychological problems of women suffering from postpartum depression. Therefore, the purpose of this research was to determine the effectiveness of a one-day workshop based on cognitive behavioral therapy on rumination and interactive quality of women suffering from postpartum depression.
Methods: It was a semi-experimental research design of pre-test-post-test type with a control group and a follow-up stage. The statistical population of this research included all women suffering from postpartum depression in Salmas city who were referred to health centers in 2022 to receive psychological services. The sample size includes 50 subjects (25 in the experimental group and 25 in the control group) from the statistical population selected by available sampling method and they were randomly divided into two groups, the control group and the experimental group. For the experimental group, a one-day workshop based on cognitive behavioral therapy was implemented, while the control group did not receive training. Two weeks after the end of the training sessions, the scale of rumination responses and the relationship quality scale were completed as a post-test and follow-up after two months. The data were analyzed using the analysis of variance test with repeated measurements and SPSS-26 software.
Results: The average rumination scores in the pre, post and follow-up stages were 42.16, 36.60 and 36.96, respectively in the experimental group and 40.12, 41.36 and 41.44 in the control group, respectively. Also, the average interactive quality scores in the pre, post and follow-up stages in the experimental group were 20.40, 28.28 and 29.40, respectively and in the control group were 21.28, 20.72 and 20.32, respectively. The results of analysis of variance with repeated measures showed that the one-day workshop based on cognitive behavioral therapy had a significant effect on rumination and interactive quality in the post-test and follow-up stages (p<0.001).
Conclusion: Findings of this study provide useful information about one-day workshop based on cognitive behavioral therapy and counselors and psychologists can use this intervention to improve rumination and interactive quality of women with postpartum depressive disorder.
Methods: It was a semi-experimental research design of pre-test-post-test type with a control group and a follow-up stage. The statistical population of this research included all women suffering from postpartum depression in Salmas city who were referred to health centers in 2022 to receive psychological services. The sample size includes 50 subjects (25 in the experimental group and 25 in the control group) from the statistical population selected by available sampling method and they were randomly divided into two groups, the control group and the experimental group. For the experimental group, a one-day workshop based on cognitive behavioral therapy was implemented, while the control group did not receive training. Two weeks after the end of the training sessions, the scale of rumination responses and the relationship quality scale were completed as a post-test and follow-up after two months. The data were analyzed using the analysis of variance test with repeated measurements and SPSS-26 software.
Results: The average rumination scores in the pre, post and follow-up stages were 42.16, 36.60 and 36.96, respectively in the experimental group and 40.12, 41.36 and 41.44 in the control group, respectively. Also, the average interactive quality scores in the pre, post and follow-up stages in the experimental group were 20.40, 28.28 and 29.40, respectively and in the control group were 21.28, 20.72 and 20.32, respectively. The results of analysis of variance with repeated measures showed that the one-day workshop based on cognitive behavioral therapy had a significant effect on rumination and interactive quality in the post-test and follow-up stages (p<0.001).
Conclusion: Findings of this study provide useful information about one-day workshop based on cognitive behavioral therapy and counselors and psychologists can use this intervention to improve rumination and interactive quality of women with postpartum depressive disorder.
Keywords: Cognitive Behavioral Therapy, Interactive Quality of Couples, Workshop, Postpartum Depression Disorder, Rumination
Type of Study: quasi-experimental |
Subject:
Pregnancy and childbirth
Received: 2022/11/10 | Accepted: 2023/05/31 | Published: 2023/05/31
Received: 2022/11/10 | Accepted: 2023/05/31 | Published: 2023/05/31
References
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2. Citu C, Gorun F, Motoc A, Sas I, Burlea B, Citu IM, et al. Prevalence and risk factors of postpartum depression in Romanian women during two periods of COVID-19 pandemic. Journal of Clinical Medicine. 2022; 11(6):1628.
3. Hutchens BF, Kearney J. Risk factors for postpartum depression: an umbrella review. Journal of Midwifery & Women's Health. 2020; 65(1):96-108.
4. Coca KP, Chien LY, Lee EY, Souza AC, Hong SA, Chang YS. Factors associated with postpartum depression symptoms among postpartum women in five countries during the COVID-19 pandemic: an online cross-sectional study. BMC Psychiatry. 2023; 23(1):1-0.
5. Sadeghirad S, Peyvandi P, Mohammadi Shirmahale F, Hosseinzadeh Taghvai M, Borjali A. Comparison of cognitive behavioral therapy and acceptance and commitment therapy on paranoid thoughts in women with postpartum depression. Journal of Applied Psychological Research. 2022; 13(1):271-86.
6. Azad R, Fahmi R, Shrestha S, Joshi H, Hasan M, Khan AN, et al. Prevalence and risk factors of postpartum depression within one year after birth in urban slums of Dhaka, Bangladesh. PloS One. 2019; 14(5):1-15.
7. Abadiga M. Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: a community-based study. PloS One. 2019; 14(11):1-15.
8. Holm DM, Wohlfahrt J, Rasmussen ML, Corn G, Melbye M. A quantitative comparison of two measures of postpartum depression. BMC Psychiatry. 2022; 22(1):1-8.
9. DeJong H, Fox E, Stein A. Rumination and postnatal depression: a systematic review and a cognitive model. Behavior Research and Therapy. 2016; 82:38-49.
10. Huang LJ, Wu C, Yeh HH, Huang PS, Yang YH, Fang YC, et al. Higher rumination tendency is associated with reduced positive effects of daily activity participation in people with depressive disorder. Occupational Therapy International. 2022; 1:1-9.
11. Ehring T. Thinking too much: rumination and psychopathology. World Psychiatry. 2021; 20(3):441-442.
12. Perestelo-Perez L, Barraca J, Penate W, Rivero-Santana A, Alvarez-Perez Y. Mindfulness-based interventions for the treatment of depressive rumination: systematic review and meta-analysis. International Journal of Clinical and Health Psychology. 2017; 17(3):282-295.
13. O'Mahen HA, Karl A, Moberly N, Fedock G. The association between childhood maltreatment and emotion regulation: two different mechanisms contributing to depression? Journal of Affective Disorders. 2015; 174(5):287-295.
14. Fu CW, Liu JT, Tu WJ, Yang JQ, Cao Y. Association between serum 25‐hydroxyvitamin D levels measured 24 hours after delivery and postpartum depression. BJOG: An International Journal of Obstetrics & Gynaecology. 2015; 122(12):1688-1694.
15. Qi W, Liu Y, Lv H, Ge J, Meng Y, Zhao N, et al. Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy and Childbirth. 2022; 22(1):1-10.
16. Nunes C, Martins C, Leal A, Pechorro P, Ferreira LI, Ayala-Nunes L. The ENRICH Marital Satisfaction (EMS) Scale: a psychometric study in a sample of Portuguese parents. Social Sciences. 2022; 11(3):1-11.
17. Patoo M, Haghighat F, Hassanabadi H. A study of the role of marital relationship quality in predicting subjective well-being and happiness of university students. Journal of Woman and Family Studies. 2014; 2(1):7-24 [Persian].
18. Sanford K. Communication during marital conflict: when couples alter their appraisal, they change their behavior. Journal of Family Psychology. 2006; 20(2):256-65.
19. Farajnia S, Hosseinian S, Shahidi SH, Sadeghi MA. Predicting the marital commitment in couples: the role of sexual function and quality of relationship. Journal of Counseling Research. 2013; 12(48):122-42 [Persian].
20. Małus A, Szyluk J, Galińska-Skok B, Konarzewska B. Incidence of postpartum depression and couple relationship quality. Psychiatria Polska. 2016; 50(6):1135-46.
21. Gremigni P, Mariani L, Marracino V, Tranquilli AL, Turi A. Partner support and postpartum depressive symptoms. Journal of Psychosomatic Obstetrics & Gynecology. 2011; 32(3):135-40.
22. Wang F, Zhu H, Yang X, Liao F. Effects of internet-based cognitive behavioral therapy on postpartum depression: a protocol for systematic review and meta-analysis. Medicine. 2022; 101(9):1-5.
23. Dein S. Cognitive behavioral therapy in the palliative care setting. European Journal of Palliative Care. 2005; 12(4):174-76.
24. Moayedfar H, Yaghubi H, Hassan Abadi H, Mahdavian A. Comparing the effects of rumination-focused cognitive-behavioral therapy and classic cognitive behavioral therapy on rumination and depression symptoms. Middle Eastern Journal of Disability Studies. 2020; 10(18):27-35 [Persian].
25. Zadhoosh S, Neshat Doust HT, Kalantari M, Rasolzade Tabatabaee SK. Comparison of the efficacy of cognitive-behavior group therapy with religious advice and classic cognitive- behavior group therapy on the quality of marital relationship of women. Journal of Family Research. 2011; 7(1):55-68 [Persian].
26. Durães RS, Khafif TC, Lotufo-Neto F, Serafim AD. Effectiveness of cognitive behavioral couple therapy on reducing depression and anxiety symptoms and increasing dyadic adjustment and marital social skills: an exploratory study. The Family Journal. 2020; 28(4):344-55.
27. Watkins PL, Clum GA, editors. Handbook of Self-Help Therapies. Taylor & Francis; 2007.
28. Buhrman M, Skoglund A, Husell J, Bergström K, Gordh T, Hursti T, et al. Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial. Behavior Research and Therapy. 2013;51(6):307-15.
29. Van Lieshout RJ, Layton H, Savoy CD, Xie F, Brown JS, Huh K, et al. In-person 1-day cognitive behavioral therapy-based workshops for postpartum depression: a randomized controlled trial. Psychological Medicine. 2023; 53(4):1-11.
30. Hill C, Creswell C, Vigerland S, Nauta MH, March S, Donovan C, et al. Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: a consensus statement with recommendations from the iCBT Lorentz workshop group. Internet Interventions. 2018; 12(2):1-10.
31. Horrell L, Goldsmith KA, Tylee AT, Schmidt UH, Murphy CL, Bonin EM, et al. One-day cognitive-behavioral therapy self-confidence workshops for people with depression: randomized controlled trial. The British Journal of Psychiatry. 2014; 204(3):222-33.
32. Rosenberg K. One-day workshop beneficial for postpartum depression. The American Journal of Nursing. 2022; 122(2):49-50.
33. Van Lieshout RJ, Layton H, Savoy CD, Brown JS, Ferro MA, Streiner DL, et al. Effect of online 1-day cognitive behavioral therapy-based workshops plus usual care vs usual care alone for postpartum depression: a randomized clinical trial. JAMA Psychiatry. 2021;78(11):1200-207.
34. Oystein Berle J, Spigset O. Antidepressant use during breastfeeding. Current Women's Health Reviews. 2011; 7(1):28-34.
35. Park SH, Kim JI. Predictive validity of the Edinburgh postnatal depression scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta-analysis. Archives of Gynecology and Obstetrics. 2023;307(5):1331-45.
36. Ahmadi kani Golzar A, Golizadeh Z. Validation of Edinburgh Postpartum Depression Scale (EPDS) for screening postpartum depression in Iran. Iranian Journal of Psychiatric Nursing. 2015; 3(3):1-10 [Persian].
37. Valencia PD, Paredes-Angeles R. Revisiting the factor structure of the ruminative response scale: a bifactor Approach. Trends in Psychology. 2022; 30(2):1-18.
38. Bagherinezhad M, Salehi Fadardi J, Tabatabayi S. The relationship between rumination and depression in a sample of Iranian student. Research in Clinical Psychology and Counseling. 2010; 11(1):21-38 [Persian].
39. Chonody JM, Gabb J, Killian M, Dunk-West P. Measuring relationship quality in an international study: exploratory and confirmatory factor validity. Research on Social Work Practice. 2018; 28(8):920-30.
40. Taghizadeh Firouzjaei I, Sadat Z, Taghadosi M, Habibabadi BT. Psychometric properties of the relationship quality scale (RQ). Payesh. 2018; 17(1):85-94 [Persian].
41. Moharami J, Sobhi Ghramaleki N, Abolghasemi, AA. Investigating the effectiveness of cognitive-behavioral therapy on guilt and rumination in depressed students. The Knowledge Studies in The Islamic University. 2017; 20(69):487-502 [Persian].
42. Nikan A, Lotfi Kashani F, Vaziri S, Mojtabaie M. Comparison of paradoxical timetable and cognitive behavioral therapy on worry and rumination of individuals with social anxiety. Rooyesh. 2021; 10(1):1-14 [Persian].
43. Rimes KA, Watkins E. The effects of self-focused rumination on global negative self-judgements in depression. Behavior Research and Therapy. 2005; 43(12):1673-81.
44. Bagher Kajbaf M, Faramarzi S, Hosseini F. A study of the efficacy of cognitive-behavioral therapy on female frigidity and couple's intimacy in frigid married women in Bandar Abbas city. Family Counseling and Psychotherapy. 2012; 2(3):307-21 [Persian].
45. Babapour J, Nazari M, Rashidzadeh L. The effect of cognitive-behavior therapy on marital satisfaction and intimacy of chemical patient couples. Journal of Modern Psychological Researches. 2012; 6(24):1-18 [Persian].
46. Tolossa T, Fetensa G, Yilma MT, Abadiga M, Wakuma B, Besho M, et al. Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020. Public Health Reviews. 2020; 41(1):1-20.
47. Citu C, Gorun F, Motoc A, Sas I, Burlea B, Citu IM, et al. Prevalence and risk factors of postpartum depression in Romanian women during two periods of COVID-19 pandemic. Journal of Clinical Medicine. 2022; 11(6):1628.
48. Hutchens BF, Kearney J. Risk factors for postpartum depression: an umbrella review. Journal of Midwifery & Women's Health. 2020; 65(1):96-108.
49. Coca KP, Chien LY, Lee EY, Souza AC, Hong SA, Chang YS. Factors associated with postpartum depression symptoms among postpartum women in five countries during the COVID-19 pandemic: an online cross-sectional study. BMC Psychiatry. 2023; 23(1):1-0.
50. Sadeghirad S, Peyvandi P, Mohammadi Shirmahale F, Hosseinzadeh Taghvai M, Borjali A. Comparison of cognitive behavioral therapy and acceptance and commitment therapy on paranoid thoughts in women with postpartum depression. Journal of Applied Psychological Research. 2022; 13(1):271-86.
51. Azad R, Fahmi R, Shrestha S, Joshi H, Hasan M, Khan AN, et al. Prevalence and risk factors of postpartum depression within one year after birth in urban slums of Dhaka, Bangladesh. PloS One. 2019; 14(5):1-15.
52. Abadiga M. Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: a community-based study. PloS One. 2019; 14(11):1-15.
53. Holm DM, Wohlfahrt J, Rasmussen ML, Corn G, Melbye M. A quantitative comparison of two measures of postpartum depression. BMC Psychiatry. 2022; 22(1):1-8.
54. DeJong H, Fox E, Stein A. Rumination and postnatal depression: a systematic review and a cognitive model. Behavior Research and Therapy. 2016; 82:38-49.
55. Huang LJ, Wu C, Yeh HH, Huang PS, Yang YH, Fang YC, et al. Higher rumination tendency is associated with reduced positive effects of daily activity participation in people with depressive disorder. Occupational Therapy International. 2022; 1:1-9.
56. Ehring T. Thinking too much: rumination and psychopathology. World Psychiatry. 2021; 20(3):441-442.
57. Perestelo-Perez L, Barraca J, Penate W, Rivero-Santana A, Alvarez-Perez Y. Mindfulness-based interventions for the treatment of depressive rumination: systematic review and meta-analysis. International Journal of Clinical and Health Psychology. 2017; 17(3):282-295.
58. O'Mahen HA, Karl A, Moberly N, Fedock G. The association between childhood maltreatment and emotion regulation: two different mechanisms contributing to depression? Journal of Affective Disorders. 2015; 174(5):287-295.
59. Fu CW, Liu JT, Tu WJ, Yang JQ, Cao Y. Association between serum 25‐hydroxyvitamin D levels measured 24 hours after delivery and postpartum depression. BJOG: An International Journal of Obstetrics & Gynaecology. 2015; 122(12):1688-1694.
60. Qi W, Liu Y, Lv H, Ge J, Meng Y, Zhao N, et al. Effects of family relationship and social support on the mental health of Chinese postpartum women. BMC Pregnancy and Childbirth. 2022; 22(1):1-10.
61. Nunes C, Martins C, Leal A, Pechorro P, Ferreira LI, Ayala-Nunes L. The ENRICH Marital Satisfaction (EMS) Scale: a psychometric study in a sample of Portuguese parents. Social Sciences. 2022; 11(3):1-11.
62. Patoo M, Haghighat F, Hassanabadi H. A study of the role of marital relationship quality in predicting subjective well-being and happiness of university students. Journal of Woman and Family Studies. 2014; 2(1):7-24 [Persian].
63. Sanford K. Communication during marital conflict: when couples alter their appraisal, they change their behavior. Journal of Family Psychology. 2006; 20(2):256-65.
64. Farajnia S, Hosseinian S, Shahidi SH, Sadeghi MA. Predicting the marital commitment in couples: the role of sexual function and quality of relationship. Journal of Counseling Research. 2013; 12(48):122-42 [Persian].
65. Małus A, Szyluk J, Galińska-Skok B, Konarzewska B. Incidence of postpartum depression and couple relationship quality. Psychiatria Polska. 2016; 50(6):1135-46.
66. Gremigni P, Mariani L, Marracino V, Tranquilli AL, Turi A. Partner support and postpartum depressive symptoms. Journal of Psychosomatic Obstetrics & Gynecology. 2011; 32(3):135-40.
67. Wang F, Zhu H, Yang X, Liao F. Effects of internet-based cognitive behavioral therapy on postpartum depression: a protocol for systematic review and meta-analysis. Medicine. 2022; 101(9):1-5.
68. Dein S. Cognitive behavioral therapy in the palliative care setting. European Journal of Palliative Care. 2005; 12(4):174-76.
69. Moayedfar H, Yaghubi H, Hassan Abadi H, Mahdavian A. Comparing the effects of rumination-focused cognitive-behavioral therapy and classic cognitive behavioral therapy on rumination and depression symptoms. Middle Eastern Journal of Disability Studies. 2020; 10(18):27-35 [Persian].
70. Zadhoosh S, Neshat Doust HT, Kalantari M, Rasolzade Tabatabaee SK. Comparison of the efficacy of cognitive-behavior group therapy with religious advice and classic cognitive- behavior group therapy on the quality of marital relationship of women. Journal of Family Research. 2011; 7(1):55-68 [Persian].
71. Durães RS, Khafif TC, Lotufo-Neto F, Serafim AD. Effectiveness of cognitive behavioral couple therapy on reducing depression and anxiety symptoms and increasing dyadic adjustment and marital social skills: an exploratory study. The Family Journal. 2020; 28(4):344-55.
72. Watkins PL, Clum GA, editors. Handbook of Self-Help Therapies. Taylor & Francis; 2007.
73. Buhrman M, Skoglund A, Husell J, Bergström K, Gordh T, Hursti T, et al. Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial. Behavior Research and Therapy. 2013;51(6):307-15.
74. Van Lieshout RJ, Layton H, Savoy CD, Xie F, Brown JS, Huh K, et al. In-person 1-day cognitive behavioral therapy-based workshops for postpartum depression: a randomized controlled trial. Psychological Medicine. 2023; 53(4):1-11.
75. Hill C, Creswell C, Vigerland S, Nauta MH, March S, Donovan C, et al. Navigating the development and dissemination of internet cognitive behavioral therapy (iCBT) for anxiety disorders in children and young people: a consensus statement with recommendations from the iCBT Lorentz workshop group. Internet Interventions. 2018; 12(2):1-10.
76. Horrell L, Goldsmith KA, Tylee AT, Schmidt UH, Murphy CL, Bonin EM, et al. One-day cognitive-behavioral therapy self-confidence workshops for people with depression: randomized controlled trial. The British Journal of Psychiatry. 2014; 204(3):222-33.
77. Rosenberg K. One-day workshop beneficial for postpartum depression. The American Journal of Nursing. 2022; 122(2):49-50.
78. Van Lieshout RJ, Layton H, Savoy CD, Brown JS, Ferro MA, Streiner DL, et al. Effect of online 1-day cognitive behavioral therapy-based workshops plus usual care vs usual care alone for postpartum depression: a randomized clinical trial. JAMA Psychiatry. 2021;78(11):1200-207.
79. Oystein Berle J, Spigset O. Antidepressant use during breastfeeding. Current Women's Health Reviews. 2011; 7(1):28-34.
80. Park SH, Kim JI. Predictive validity of the Edinburgh postnatal depression scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta-analysis. Archives of Gynecology and Obstetrics. 2023;307(5):1331-45.
81. Ahmadi kani Golzar A, Golizadeh Z. Validation of Edinburgh Postpartum Depression Scale (EPDS) for screening postpartum depression in Iran. Iranian Journal of Psychiatric Nursing. 2015; 3(3):1-10 [Persian].
82. Valencia PD, Paredes-Angeles R. Revisiting the factor structure of the ruminative response scale: a bifactor Approach. Trends in Psychology. 2022; 30(2):1-18.
83. Bagherinezhad M, Salehi Fadardi J, Tabatabayi S. The relationship between rumination and depression in a sample of Iranian student. Research in Clinical Psychology and Counseling. 2010; 11(1):21-38 [Persian].
84. Chonody JM, Gabb J, Killian M, Dunk-West P. Measuring relationship quality in an international study: exploratory and confirmatory factor validity. Research on Social Work Practice. 2018; 28(8):920-30.
85. Taghizadeh Firouzjaei I, Sadat Z, Taghadosi M, Habibabadi BT. Psychometric properties of the relationship quality scale (RQ). Payesh. 2018; 17(1):85-94 [Persian].
86. Moharami J, Sobhi Ghramaleki N, Abolghasemi, AA. Investigating the effectiveness of cognitive-behavioral therapy on guilt and rumination in depressed students. The Knowledge Studies in The Islamic University. 2017; 20(69):487-502 [Persian].
87. Nikan A, Lotfi Kashani F, Vaziri S, Mojtabaie M. Comparison of paradoxical timetable and cognitive behavioral therapy on worry and rumination of individuals with social anxiety. Rooyesh. 2021; 10(1):1-14 [Persian].
88. Rimes KA, Watkins E. The effects of self-focused rumination on global negative self-judgements in depression. Behavior Research and Therapy. 2005; 43(12):1673-81.
89. Bagher Kajbaf M, Faramarzi S, Hosseini F. A study of the efficacy of cognitive-behavioral therapy on female frigidity and couple's intimacy in frigid married women in Bandar Abbas city. Family Counseling and Psychotherapy. 2012; 2(3):307-21 [Persian].
90. Babapour J, Nazari M, Rashidzadeh L. The effect of cognitive-behavior therapy on marital satisfaction and intimacy of chemical patient couples. Journal of Modern Psychological Researches. 2012; 6(24):1-18 [Persian].
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