Journal of Education and Health Promotion

Effectiveness of applying problem‑solving training on depression in Iranian pregnant women: Randomized clinical trial

Document Type : Original Article

Authors

. Feryal Khamseh
. Akram Parandeh 1
. Zahra Hajiamini 2
. Seyyed Davood Tadrissi 3
. Mehri Najjar 4

1 Medicine, Quran and Hadith Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences

2 department of Community Health

3 Medical Surgical, Faculty of Nursing, Baqiyatallah University of Medical Science, Tehran, Iran

4 Departments of Community Health

Abstract
BACKGROUND: Depression during pregnancy is one of the major concerns in mental health, hence
using interventional methods for the treatment or reducing the rate of depression is considered
a priority for maternal and fetal health. The present study aimed to examine the effectiveness of
problem‑solving training in reducing depression in pregnant women.
MATERIALS AND METHODS: This randomized clinical trial was conducted on seventy pregnant
women referring to Prenatal Care Clinics, Najmiyeh hospital in Tehran, Iran. The participants were
randomly allocated divided into experimental and control groups. The experimental group was given
routine prenatal care training at the clinic along with problem‑solving skills training based on the
Identify, Define, Explore, Act, Look back model in five sessions, but the control group only received
routine prenatal care training. Data were collected using the Beck’s Depression Inventory at the
beginning of the study and at the immediately and 1 month after two groups. Data were analyzed
using descriptive and analytical statistical tests.
RESULTS: In the experimental group, the mean depression score significantly reduced
from 16.06 ± 4.73 before intervention to 12.83 ± 4.10 and 13 ± 4.24 after intervention and at
follow‑up (P < 0.05). While in the control group, the mean depression from 15.34 ± 2.94 before
intervention to 14.80 ± 2.76 and 14.86 ± 2.924 after intervention and at follow‑up. It was not statistically
significant in the control group (P > 0.05).
CONCLUSIONS: Problem‑solving training can be used as an optional method of reducing depression
in pregnant women, and it is recommended that should be implemented by the health‑care team.

Keywords

Depression
pregnant women
problem‑solving
randomized clinical trial
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Journal of Education and Health Promotion
Volume 9, Issue 4
April 2019
Pages 1-8

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