. Mina Ghiasi Shahamabadi; . Tahmineh Farajkhoda; . Hassan Zareei Mahmoodabadi
Volume 12, Issue 7 , August 2022, , Pages 1-8
Abstract
BACKGROUND: In the COVID‑19 outbreak, women with a history of miscarriage need more mentalhealth. Anxiety and meta‑worry as consequences of miscarriage, besides concerns due to ...
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BACKGROUND: In the COVID‑19 outbreak, women with a history of miscarriage need more mentalhealth. Anxiety and meta‑worry as consequences of miscarriage, besides concerns due to pregnancyduring coronavirus, show the necessity of appropriate online and face‑to‑face educational counseling.This study aimed to evaluate the effectiveness of online metacognitive educational counseling versusface‑to‑face method on anxiety and meta‑worry in these women.MATERIALS AND METHODS: In this randomized clinical trial, 80 women with a history ofmiscarriage, anxiety, and meta‑worry referred to Imam Jafar Sadegh hospital (labor, women wardand women clinic), Meybod, Iran, were selected conveniently and randomly assigned into twogroups (n = 20/each). The participants received 8‑session metacognitive educational counselingpackage online or face‑to‑face. Data were collected by Beck Anxiety Inventory, Wellz meta‑worryquestionnaire at baseline, week eight, and follow up as primary outcomes and analyzed via SPSSsoftware (Anova and Repeated measure statistic tests).RESULTS: Anxiety in the 12th week (online group 13.75 ± 3.59 vs. face to face 18.25 ± 5.91,P = 0.04) was statistical significantly less than baseline (respectively 22.15 ± 5.67 vs. 22.35 ± 4.93,P = 0.56); with fewer anxiety scores in the online group. Meta‑worry in the 12th week (onlinegroup 11.90 ± 2.59 vs. face to face 15.70 ± 4.06, P = 0.03) was statistically significant compared tobaseline (respectively 17.15 ± 2.70 vs. 18.50 ± 3.47, P = 0.36); with fewer meta‑worry scores in theonline group. Belief about worry in 12th week (online group 66.50 ± 14.60 vs. face to face 78.45 ± 9.27,P = 0.01) was statistical significantly less than baseline (respectively 85.50 ± 8.87 vs. 86.05 ± 8.85,P = 0.96); with less score of belief about worry in the online group.CONCLUSION: Online and face‑to‑face metacognitive educational counseling methods decreasedanxiety, meta‑worry, and belief about worry in women with miscarriage. But online educationalcounseling was more effective. Distance online counseling in COVID‑19 can help the mental healthof women with miscarriage.