Community Mental Health Journal

, Volume 55, Issue 7, pp 1173–1178 | Cite as

Effect of Brief Cognitive Behavioral Counseling and Debriefing on the Prevention of Post-traumatic Stress Disorder in Traumatic Birth: A Randomized Clinical Trial

  • Sedigheh Abdollahpour
  • Ahmad Khosravi
  • Zahra Motaghi
  • Afsaneh Keramat
  • Seyed Abbas MousaviEmail author
Brief Report



Planning to promote the health of mothers in postpartum is important in all countries. This study aimed to determine the effectiveness of two counseling method on prevention of post-traumatic stress after childbirth.


In this clinical trial, 193 of mothers who had experienced a traumatic birth were randomly assigned to three groups. Participants were assessed using IES_R questionnaire at 4–6 weeks and 3 months after delivery.


Debriefing and brief cognitive behavioral counseling (CBC) significantly improved the symptoms of postpartum traumatic stress disorder. After 3 months, CBC had a significant effect on the symptoms.


Screening of traumatic childbirth, implementation of supportive care, and early counseling prior to the initiation of post-traumatic stress are recommended.

Trial Registration Number



Brief cognitive behavioral counseling Debriefing PTSD Traumatic birth 



This paper was extracted from a midwifery master’s thesis which was sponsored by Shahroud University of Medical Sciences. Researchers would like to express their thanks to the Research Deputy of Shahroud University of Medical Sciences, the personnel working in postpartum ward and all the women who participated in this project.

Author Contribution

SA developed and wrote the protocol and was responsible for the interventions, analysis, interpretation of the results, and writing the article. AKh edited the protocol and was responsible for the analysis, interpretation of results, and writing the manuscripts. AK edited the protocol and was responsible for the interpretation of results and writing the manuscript. ZM was responsible for the interpretation of the results. SAM was responsible for the supervision of interventions and edited the protocol.


This study was supported by the Shahroud University of Medical Sciences, Shahroud, Iran.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Approval for the study was obtained from the Ethics Committee of Shahroud University of Medical Sciences (Central Committee on Research Involving Human Subjects; IR-SHMU.REC.1394.42, Date approved: 2015-06-25).


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Sedigheh Abdollahpour
    • 1
  • Ahmad Khosravi
    • 2
  • Zahra Motaghi
    • 3
  • Afsaneh Keramat
    • 2
  • Seyed Abbas Mousavi
    • 4
    Email author
  1. 1.Midwifery Counseling, Department of Midwifery, School of Nursing and MidwiferyTorbat Heydariyeh University of Medical SciencesTorbat HeydariyehIran
  2. 2.Center for Health Related Social and Behavioral Sciences ResearchShahroud University of Medical SciencesShahroudIran
  3. 3.School of Nursing and MidwiferyShahroud University of Medical SciencesShahroudIran
  4. 4.Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Department of PsychiatryMazandaran University of Medical SciencesSariIran

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