Effect of Brief Cognitive Behavioral Counseling and Debriefing on the Prevention of Post-traumatic Stress Disorder in Traumatic Birth: A Randomized Clinical Trial
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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
KeywordsBrief 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.
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.
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).
- Abdollahpour, S., Bolbolhaghighi, N., & Khosravi, A. (2017a). The effect of early skin-to-skin contact on the mental health of mothers in traumatic childbirths. International Journal of Health Studies, 2(4), 1301–1306.Google Scholar
- Dyregrov, A. (1989). Caring for helpers in disaster situations: Psychological debriefing. Disaster Management, 2(1), 25–30.Google Scholar
- Panaghi, L., & Mogadam, J. A. (2006). Persian version validation in impact of event scale-revised. Tehran University Medical Journal (TUMJ), 64(3), 52–60.Google Scholar
- Priest, S. R., Henderson, J., Evans, S. F., & Hagan, R. (2003). Stress debriefing after childbirth: A randomised controlled trial. The Medical Journal of Australia, 178(11), 542–545.Google Scholar
- Schwab, W., Marth, C., & Bergant, A. M. (2012). Post-traumatic stress disorder post partum: The impact of birth on the prevalence of post-traumatic stress disorder (PTSD) in multiparous women. Geburtshilfe und Frauenheilkunde, 72(1), 56–63. https://doi.org/10.1055/s-0031-1280408.CrossRefGoogle Scholar
- Taghizadeh, Z., Jafarbegloo, M., Arbabi, M., & Faghihzadeh, S. (2007). The effect of counseling on post traumatic stress disorder after a traumatic childbirth. Hayat, 13(4), 23–31.Google Scholar
- Weiss, D. S., & Marmar, C. R. (2004). The impact of event scale-revised. In J. P. Wilson & M. K. Terence (Eds.), Assessing psychological trauma and PTSD. New York: Guilford Press.Google Scholar