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A comparative study of the effects of problem-solving skills training and relaxation on the score of self-esteem in women with postpartum depression.

Nasiri S, Kordi M, Gharavi MM - Iran J Nurs Midwifery Res (2015 Jan-Feb)

Bottom Line: Aim of this study is to compare the effects of problem-solving skills and relaxation on the score of self-esteem in women with postpartum depression.The findings showed that the mean of self-esteem scale scores was 117.9 ± 9.7 after intervention in the problem-solving group, 117.0 ± 11.8 in the relaxation group, and 113.5 ± 10.4 in the control group and there was significant difference between the groups of relaxation and problem solving, and also between intervention groups and control group.According to the results, problem-solving skills and relaxation can be used to prevent and recover from postpartum depression.

View Article: PubMed Central - PubMed

Affiliation: Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran and Instructor of Midwifery of Kashan University of Medical Sciences, Iran.

ABSTRACT

Background: Self-esteem is a determinant factor of mental health. Individuals with low self-esteem have depression, and low self-esteem is one of main symptoms of depression. Aim of this study is to compare the effects of problem-solving skills and relaxation on the score of self-esteem in women with postpartum depression.

Materials and methods: This clinical trial was performed on 80 women. Sampling was done in Mashhad healthy centers from December 2009 to June 2010. Women were randomly divided and assigned to problem-solving skills (n = 26), relaxation (n = 26), and control groups (n = 28). Interventions were implemented for 6 weeks and the subjects again completed Eysenck self-esteem scale 9 weeks after delivery. Data analysis was done by descriptive statistics, Kruskal-Wallis test, and analysis of variance (ANOVA) test by SPSS software.

Results: The findings showed that the mean of self-esteem scale scores was 117.9 ± 9.7 after intervention in the problem-solving group, 117.0 ± 11.8 in the relaxation group, and 113.5 ± 10.4 in the control group and there was significant difference between the groups of relaxation and problem solving, and also between intervention groups and control group.

Conclusions: According to the results, problem-solving skills and relaxation can be used to prevent and recover from postpartum depression.

No MeSH data available.


Related in: MedlinePlus

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Mentions: This was a clinical trial with a control group in 3–9 weeks in postpartum period and was conducted after getting permission from the ethics committee of Mashhad University of Medical Science. All women on days 15–20 after delivery who referred to Mashhad health centers from December 2009 to June 2010 participated in the study after completing the consent form. The researcher designed a socio-demographic questionnaire for women. The inclusion criteria were: Literate women, 18–35 years old, with the term neonate, singleton, healthy infant, the history of lack of chronic medical illness, without history of previous depression, and no smoking. At first, Edinburgh postnatal depression scale (EPDS) was completed by the subjects. Women whose get score 10 or above, completed Beck depression inventory (BDI). Those who obtained a score of 14–28 and confirmed to be depressed by a clinical interview conducted by a psychologist (based on DSM-IV criteria) in the health centers were divided into three groups randomly: Problem-solving training (n = 26), relaxation (n = 26), and control group (n = 28) [Figure 1]. Eysenck self-esteem scale which has seven items and a score of 140 was completed by the women at the onset of research.[29] Interventions in the two groups of problem solving and relaxation were performed by a researcher (midwife). The researcher had been taught by a clinical psychologist and after gaining the skills, she received a certificate of performance of relaxation and problem solving skills. A pilot study had been done on depressed women in Ebne-sina hospital in Mashhad before conducting the main study. Interventi ons in two groups of intervention were performed individual.


A comparative study of the effects of problem-solving skills training and relaxation on the score of self-esteem in women with postpartum depression.

Nasiri S, Kordi M, Gharavi MM - Iran J Nurs Midwifery Res (2015 Jan-Feb)

Chart of sampling process
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325401&req=5

Figure 1: Chart of sampling process
Mentions: This was a clinical trial with a control group in 3–9 weeks in postpartum period and was conducted after getting permission from the ethics committee of Mashhad University of Medical Science. All women on days 15–20 after delivery who referred to Mashhad health centers from December 2009 to June 2010 participated in the study after completing the consent form. The researcher designed a socio-demographic questionnaire for women. The inclusion criteria were: Literate women, 18–35 years old, with the term neonate, singleton, healthy infant, the history of lack of chronic medical illness, without history of previous depression, and no smoking. At first, Edinburgh postnatal depression scale (EPDS) was completed by the subjects. Women whose get score 10 or above, completed Beck depression inventory (BDI). Those who obtained a score of 14–28 and confirmed to be depressed by a clinical interview conducted by a psychologist (based on DSM-IV criteria) in the health centers were divided into three groups randomly: Problem-solving training (n = 26), relaxation (n = 26), and control group (n = 28) [Figure 1]. Eysenck self-esteem scale which has seven items and a score of 140 was completed by the women at the onset of research.[29] Interventions in the two groups of problem solving and relaxation were performed by a researcher (midwife). The researcher had been taught by a clinical psychologist and after gaining the skills, she received a certificate of performance of relaxation and problem solving skills. A pilot study had been done on depressed women in Ebne-sina hospital in Mashhad before conducting the main study. Interventi ons in two groups of intervention were performed individual.

Bottom Line: Aim of this study is to compare the effects of problem-solving skills and relaxation on the score of self-esteem in women with postpartum depression.The findings showed that the mean of self-esteem scale scores was 117.9 ± 9.7 after intervention in the problem-solving group, 117.0 ± 11.8 in the relaxation group, and 113.5 ± 10.4 in the control group and there was significant difference between the groups of relaxation and problem solving, and also between intervention groups and control group.According to the results, problem-solving skills and relaxation can be used to prevent and recover from postpartum depression.

View Article: PubMed Central - PubMed

Affiliation: Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran and Instructor of Midwifery of Kashan University of Medical Sciences, Iran.

ABSTRACT

Background: Self-esteem is a determinant factor of mental health. Individuals with low self-esteem have depression, and low self-esteem is one of main symptoms of depression. Aim of this study is to compare the effects of problem-solving skills and relaxation on the score of self-esteem in women with postpartum depression.

Materials and methods: This clinical trial was performed on 80 women. Sampling was done in Mashhad healthy centers from December 2009 to June 2010. Women were randomly divided and assigned to problem-solving skills (n = 26), relaxation (n = 26), and control groups (n = 28). Interventions were implemented for 6 weeks and the subjects again completed Eysenck self-esteem scale 9 weeks after delivery. Data analysis was done by descriptive statistics, Kruskal-Wallis test, and analysis of variance (ANOVA) test by SPSS software.

Results: The findings showed that the mean of self-esteem scale scores was 117.9 ± 9.7 after intervention in the problem-solving group, 117.0 ± 11.8 in the relaxation group, and 113.5 ± 10.4 in the control group and there was significant difference between the groups of relaxation and problem solving, and also between intervention groups and control group.

Conclusions: According to the results, problem-solving skills and relaxation can be used to prevent and recover from postpartum depression.

No MeSH data available.


Related in: MedlinePlus