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- W842633084 abstract "Many emotional experiences that parents and especially women have during pregnancy and after giving birth can gain momentum and become psychological/emotional problems that are difficult to deal with. When managing psychological problems in pregnancy, specialists must have three main goals: 1. to minimize fetal exposure, 2. to limit risk of maternal psychiatric illness, and 3. to reduce risk of relapse. In the case of psychological problems in postpartum, specialists are reticent on prescribing medication during pregnancy. Thus, promoting evidence-based psychotherapeutical programs remains a better alternative.In the literature we find many prepartum care guidelines, most of them focused mainly on: exercises (Wang & Apgar, 1998), rest (Naeye & Peters, 1982), smoking (Lumely, Chamberlain, Dowswell, Oliver, Oakley & Watson, 2009), drinking alcohol (Substance Abuse and Mental Health Services Administration, 2007), caffeine, medication, etc. As regards to mental health, there are several psychological dimensions that need to be taken into consideration when speaking about pregnancy symptoms of anxiety (Metz, Sichel, & Goff, 1998), depression (Josefsson, Angelsioo, Berg, Ekstrom, Gunnervik, Nordin, & Sydsjo, 2002), and postpartum blues (O'Hara, Schlechte, Lewis, & Varner, 1991). Thus, this period of time represents a major life event that affects not only the mother, but also her partner - studies show that 50% of couples report deterioration in relationship satisfaction after having a baby (Feeney & Hohaus, 2001).In a literature review, Misri & Kendrick (2007) outline all the important interventions that are offered for treating mood disorders and anxiety disorders during this period of time. They report that the interventions with the best efficiency are: cognitive behavioral therapy/CBT (Chabrol, Teissedre, Saint - Jean, Teisseyre, Roge, & Mullet, 2002) and interpersonal therapy (Spinelli, 2004; Spinelli & Endicott, 2003; O'Hara, Stuart, Gorman, & Wenzel, 2000). Regarding the prevention of postpartum depression, clinical trials failed to reveal a positive effect (Dennis, 2005). More than that, we presented a meta-analysis that tests the effectiveness of preventive programs regarding postpartum depression (Anton, 2012). The results show, in accord with Dennis's study (2005), that there is no significant effect size regarding the effectiveness of psychosocial interventions that are used for the prevention of postpartum depression. This suggests that, in a general sense, none of these preventive interventions are a powerful tool for addressing signs and symptoms of postpartum depression; indeed, psychosocial preventive interventions did not help the majority of women to reduce their symptoms. However, in a more detailed analysis we found that a psychological/ psychosocial intervention has better results if it targets general population, if it is lead by a psychologist, if it is done prepartum, if it is developed in a long format (more than four sessions), and if the sessions are more condensily organized (Anton, 2012).Taking all these into consideration, we have chosen to create and test in a clinical trial a rational emotive and behavioral therapy/REBT preventive intervention program for prepartum and postpartum emotional distress. REBT is the original form of CBT. According to Ellis (1995), compared with other CBT schools, REBT in its specific form targets core irrational beliefs related to both specific and general dysfunctional emotions.Our main objective for this randomized controlled trial was to test the effectiveness of a preventive REBT psychological program for prepartum and postpartum emotional distress, against community care as control group. We expect that REBT psychological program will lead to better results than current prevention programs that target specific pre or postpartum psychological problems.Therefore, we investigated the emotional distress conceptualized in three outcomes: negative emotionality, depression, and anxiety. …" @default.
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- W842633084 date "2015-03-01" @default.
- W842633084 modified "2023-09-27" @default.
- W842633084 title "A Randomized Clinical Trial of a New Preventive Rational Emotive and Behavioral Therapeutical Program of Prepartum and Postpartum Emotional Distress" @default.
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