اثربخشی شفقت‌درمانی بر خودکارآمدی زایمان، اضطراب و رضایت جنسی زنان باردار دارای اضطراب بارداری

پژوهش های روان شناسی بالینی و مشاوره

مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 17 آبان 1404

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2025.93403.1783

نویسندگان

فاطمه عسکری دولت‌آبادی¹؛ آزاده چوب فروش زاده^{* 2}؛ محمدحسین برخورداری دشتخاکی³

¹دانشجوی کارشناسی ارشد روان‌شناسی عمومی، دانشگاه اردکان، اردکان، ایران

²دانشیار گروه روانشناسی، دانشکده علوم انسانی و اجتماعی، دانشگاه اردکان، اردکان، ایران.

³دانشجوی کارشناسی ارشد مشاوره توانبخشی، دانشگاه اردکان، اردکان، ایران

چکیده

هدف: هدف این پژوهش، بررسی اثربخشی شفقت‌درمانی بر خودکارآمدی زایمان، اضطراب و رضایت جنسی زنان باردار مضطرب بود.
روش: این مطالعه به روش آزمایشی با طرح پیش‌آزمون-پس‌آزمون و گروه کنترل انجام شد. نمونه پژوهش شامل ۴۰ زن باردار دارای اضطراب بارداری بود که در پاییز ۱۴۰۳ به مراکز بهداشت مراجعه کرده بودند. شرکت‌کنندگان به شیوه نمونه‌گیری تصادفی خوشه‌ای چندمرحله‌ای از میان ۱۲ مرکز بهداشت انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه ۲۰ نفر) گمارده شدند. برای گردآوری داده‌ها از پرسش‌نامه‌های اضطراب بارداری، رضایت جنسی و خودکارآمدی زایمان استفاده شد. ابتدا، این پرسش‌نامه‌ها در شرایط یکسان برای هر دو گروه اجرا شد. سپس گروه آزمایش در یک برنامه آموزش شفقت‌درمانی 8 ‌جلسه‌ای شرکت کرد، درحالی‌که گروه کنترل هیچ آموزشی دریافت نکرد و در لیست انتظار قرار گرفت. پس از پایان جلسات، از هر دو گروه پس‌آزمون به عمل آمد. داده‌ها با استفاده از آزمون تحلیل کوواریانس تحلیل شد.
یافته‌ها: نتایج نشان داده که شفقت‌درمانی در گروه آزمایش موجب کاهش اضطراب بارداری و بهبود رضایت جنسی و خودکارآمدی زایمان شده است.
نتیجه: براین‌اساس، می‌توان نتیجه گرفت که آموزش شفقت‌درمانی در مراکز مراقبتی زنان باردار می‌تواند به کاهش مشکلات مرتبط با بارداری، از جمله اضطراب بارداری، کاهش استرس‌زایمان و بهبود رضایت جنسی منجر شود.

کلیدواژه‌ها

اضطراب بارداری؛ بارداری؛ خودکارآمدی زایمان؛ رضایت جنسی؛ شفقت‌درمانی

مراجع

Abbaszadeh, H., Tavoli, A., & Dehshiri, G. (2023). The Mediating Role of Self-Compassion in the Relationship between Body Image and Severity of Anxiety and Depression in Pregnant Women. Women's Studies Sociological and Psychological, 20(4), 166–203.

Aghalar, S., & Akrami, L. (2022). The effectiveness of Compassion-Based Therapy for Depressive Symptoms, Rumination, and Self-Compassion in Mothers with Mild Intellectual Disability Child. Clinical Psychology and Personality, 20(1), 45–57.

Amirirad, M., Aslami, E., & Mousavi, S. (2020). The effectiveness of Self-Compassion focused Therapy on Finding Meaning in Life and sexual Satisfaction of Women With addicted husband in Mashhad city. Clinical Psychology Studies, 11(40), 77–102.

Askarizadeh, G., & Behroozy, N. (2017). The study of psychometric properties of pregnancy related anxiety questionnaire. Journal of Clinical Nursing and Midwifery, 5(4), 22–34.

Becker, M., Mayo, J. A., Phogat, N. K., Quaintance, C. C., Laborde, A., King, L., Gotlib, I. H., Gaudilliere, B., Angst, M. S., & Shaw, G. M. (2023). Deleterious and protective psychosocial and stress-related factors predict risk of spontaneous preterm birth. American journal of perinatology, 40(01), 074–088.

Bjelica, A., Cetkovic, N., Trninic-Pjevic, A., & Mladenovic-Segedi, L. (2018). The phenomenon of pregnancy—A psychological view. Ginekologia polska, 89(2), 102–106.

Branecka-Woźniak, D., Wójcik, A., Błażejewska-Jaśkowiak, J., & Kurzawa, R. (2020). Sexual and life satisfaction of pregnant women. International Journal of Environmental Research and Public Health, 17(16), 5894.

Callanan, F., Tuohy, T., Bright, A.-M., & Grealish, A. (2022). The effectiveness of psychological interventions for pregnant women with anxiety in the antenatal period: A systematic review. Midwifery, 104, 103169.

Chandra, P. S., & Nanjundaswamy, M. H. (2020). Pregnancy specific anxiety: an under‐recognized problem. World Psychiatry, 19(3), 336.

Craig, C., Hiskey, S., & Spector, A. (2020). Compassion focused therapy: A systematic review of its effectiveness and acceptability in clinical populations. Expert review of neurotherapeutics, 20(4), 385–400.

Dennis, C.-L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. The British Journal of Psychiatry, 210(5), 315–323.

Domínguez-Solís, E., Lima-Serrano, M., & Lima-Rodriguez, J. S. (2021). Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery, 102, 103126.

Ebrahimifar, M., Hosseinian, S., Saffariyan Tosi, M. R., & Abedi, M. R. (2019). To compare of the effectiveness of training based on “Acceptance and Commitment Therapy” and “Compassion Focused Therapy” on self-efficacy, quality of relations and meaning in life in infertile women. Journal of Health Promotion Management, 8(3), 10–18.

Erbil, N. (2022). Relationship of self-compassion and fear of childbirth among pregnant women. International Journal of Caring Sciences, 15(1), 255–262.

Evans, K., Donelan, J., Rennick-Egglestone, S., Cox, S., & Kuipers, Y. (2022). Review of mobile apps for women with anxiety in pregnancy: maternity care professionals’ guide to locating and assessing anxiety apps. Journal of Medical Internet Research, 24(3), e31831.

Fan, D., Li, S., Wang, W., Tian, G., Liu, L., Wu, S., Guo, X., & Liu, Z. (2017). Sexual dysfunction and mode of delivery in Chinese primiparous women: a systematic review and meta-analysis. BMC pregnancy and childbirth, 17(1), 408.

Felder, J. N., Lemon, E., Shea, K., Kripke, K., & Dimidjian, S. (2016). Role of self-compassion in psychological well-being among perinatal women. Archives of women's mental health, 19(4), 687–690.

Fitzpatrick, E. T., Kolbuszewska, M. T., & Dawson, S. J. (2021). Perinatal sexual dysfunction: The importance of the interpersonal context. Current Sexual Health Reports, 13(3), 55–65.

Fuchs, A., Czech, I., Sikora, J., Fuchs, P., Lorek, M., Skrzypulec-Plinta, V., & Drosdzol-Cop, A. (2019). Sexual functioning in pregnant women. International Journal of Environmental Research and Public Health, 16(21), 4216.

Gagné, A.-L., Brassard, A., Bécotte, K., Lessard, I., Lafontaine, M.-F., & Péloquin, K. (2021). Associations between romantic attachment and sexual satisfaction through intimacy and couple support among pregnant couples. European Review of Applied Psychology, 71(3), 100622.

Gemeda Gudeta, T., Benti Terefe, A., Muhamed, A. N., Mengistu, G. T., & Abebe Sori, S. (2023). Perceived childbirth self-efficacy and its associated factors among pregnant women in south-central Ethiopia. International Journal of Women's Health, 1431–1442.

ghazaei, m., Davoudi, I., Neysi, A., Mehrabizadeh Honarmand, M., & BasakNejad, S. (2018). Effectiveness of cognitive-behavioural therapy and psycho-education on fear of natural childbirth and its related variables. Applied Psychology, 12(1), 103–125.

Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment, 15(3), 199–208.

Gilbert, P. (2020). Compassion: From its evolution to a psychotherapy. Frontiers in psychology, 11, 586161.

Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self‐criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 13(6), 353–379.

Green, S. M., Donegan, E., McCabe, R. E., Streiner, D. L., Agako, A., & Frey, B. N. (2020). Cognitive behavioral therapy for perinatal anxiety: A randomized controlled trial. Australian & New Zealand Journal of Psychiatry, 54(4), 423–432.

Grigoriadis, S., Graves, L., Peer, M., Mamisashvili, L., Tomlinson, G., Vigod, S. N., Dennis, C.-L., Steiner, M., Brown, C., & Cheung, A. (2018). Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. J Clin Psychiatry, 79(5), 17r12011.

Hadfield, K., Akyirem, S., Sartori, L., Abdul-Latif, A.-M., Akaateba, D., Bayrampour, H., Daly, A., Hadfield, K., & Abiiro, G. A. (2022). Measurement of pregnancy-related anxiety worldwide: a systematic review. BMC pregnancy and childbirth, 22(1), 331.

Hadi Ghanavat, S. (2019). The effect of compassion-focused therapy on anxiety in cardiovascular patients: A case study of patients in Golestan Hospital, Ahvaz. Psychological and Educational Sciences Studies, 14(5), 104–109.

Hasani, F., Rezazadeh, M., Ghanbaripanah, A., & Khoshkabar, A. (2021). The effectiveness of compassion-focused therapy on sexual satisfaction, emotional regulation, and resilience in nurses with burnt marriage syndrome. IJRN, 7(3), 52–64.

Heydari, F., Ahadi, H., & Tajeri, B. (2023). Comparing Effectiveness Compassion Focused Therapy & Mindfulness-Based cognitive therapy on Ambiguity Tolerance in Infertile Women. Journal of Modern Psychological Researches, 18(70), 59–66.

Hosseinimehr, N., Khezri Moghadam, N., & Pourehsan, S. (2021). The effectiveness of compassion focused training (cft) on social self-efficacy, distress tolerance and self-criticism in adolesent girls under welfare organization care. Positive Psychology Research, 7(2), 33–48.

Howarth, A. M., & Swain, N. R. (2019). Skills-based childbirth preparation increases childbirth self-efficacy for first time mothers. Midwifery, 70, 100–105.

Huang, Y., Zhong, Y., Deng, Y., Zheng, J., Zou, H., & Chen, Q. (2022). Correlation between fear of childbirth and childbirth self-efficacy during labor. Clinical and Experimental Obstetrics & Gynecology, 49(11), 258.

Hudson, W. W., Harrison, D. F., & Crosscup, P. C. (1981). A short‐form scale to measure sexual discord in dyadic relationships. Journal of Sex Research, 17(2), 157–174.

Jafari, N., Noferesti, A., & Moradi, H. (2024). The mediating role of rumination and worry in the relationship of self-compassion with symptoms of depression and anxiety. Journal of Applied Psychological Research, 15(1), 239–253.

Kartal, Y. A., & Oskay, U. Y. (2017). Anxiety, depression and coping with stress styles of pregnant women with preterm labor risk. International Journal of Caring Sciences, 10(2), 716.

Khoraminejad, P., & Khalatbari, J. (2022). Effectiveness of Compassion-focused Therapy on the Quality of Life of Women with Gestational Diabetes.

Kolts, R. L., Bell, T., Bennett-Levy, J., & Irons, C. (2018). Experiencing compassion-focused therapy from the inside out: A self-practice/self-reflection workbook for therapists. Guilford Publications.

Krieger, T., Berger, T., & grosse Holtforth, M. (2016). The relationship of self-compassion and depression: Cross-lagged panel analyses in depressed patients after outpatient therapy. Journal of affective disorders, 202, 39–45.

Liao, K. Y.-H., Stead, G. B., & Liao, C.-Y. (2021). A meta-analysis of the relation between self-compassion and self-efficacy. Mindfulness, 12(8), 1878–1891.

Loew, N., Mackin, M. L., & Ayres, L. (2018). Concept analysis of responsible sexual behavior in adult women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(3), 385–395.

Lowe, N. K. (1993). Maternal confidence for labor: Development of the childbirth self‐efficacy inventory. Research in nursing & health, 16(2), 141–149.

Maleki, N., Najar Mohi Abadi, M., & Seddighi, S. (2023). The effect of companion training based on Bandura's theory on maternal self-efficacy during childbirth in Mashhad, 2018. Journal of Ilam University of Medical Sciences, 31(5), 14–23.

Millard, L., Wan, M. W., Smith, D., & Wittkowski, A. (2023). The effectiveness of compassion focused therapy with clinical populations: A systematic review and meta-analysis. Journal of affective disorders, 326, 168–192.

Millard, L. A., & Wittkowski, A. (2023). Compassion focused therapy for women in the perinatal period: a summary of the current literature. Frontiers in Psychiatry, 14, 1288797.

Monteiro, F., Fonseca, A., Pereira, M., Alves, S., & Canavarro, M. C. (2019). What protects at-risk postpartum women from developing depressive and anxiety symptoms? The role of acceptance-focused processes and self-compassion. Journal of affective disorders, 246, 522–529.

Neff, K. D. (2023). Self-compassion: Theory, method, research, and intervention. Annual review of psychology, 74(1), 193–218.

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of clinical psychology, 69(1), 28–44.

Peixoto, M. M., & Lopes, J. (2023). Solitary and dyadic sexual desire and sexual satisfaction in women with and without sexual concerns. Journal of sex & marital therapy, 49(1), 77–87.

Penlington, C. (2019). Exploring a compassion-focused intervention for persistent pain in a group setting. British journal of pain, 13(1), 59–66.

Rahmani., Merghati Khoei. E., Sadeghi. N., & Allahgholi. L. (2011). Relationship between Sexual pleasure and Marital Satisfaction [Research]. Iran Journal of Nursing, 24(70), 82–90.

Ramos, I. F., Guardino, C. M., Mansolf, M., Glynn, L. M., Sandman, C. A., Hobel, C. J., & Schetter, C. D. (2019). Pregnancy anxiety predicts shorter gestation in Latina and non-Latina white women: The role of placental corticotrophin-releasing hormone. Psychoneuroendocrinology, 99, 166–173.

Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., & Glover, D. (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Clinical Neuropsychiatry: Journal of Treatment Evaluation.

Saffarinia, M., Mortezaei, Z., & Alipour, A. (2021). Effectiveness of positive psychotherapy in improving sexual anxiety, satisfaction, and depression in female infertile patients. J Appl Fam Ther, 2(4), 464–482.

Samios, C., Townsend, M., & Newton, T. (2021). Self-compassion predicts less fear of childbirth in childless women: the mediating role of birth beliefs. Psychology & Health, 36(11), 1336–1351.

Santerre-Baillargeon, M., Rosen, N. O., Steben, M., Pâquet, M., Perez, R. M., & Bergeron, S. (2018). Does self-compassion benefit couples coping with vulvodynia? Associations with psychological, sexual, and relationship adjustment. The Clinical journal of pain, 34(7), 629–637.

Sauer, E. L. (2023). Anxiety, psychological flexibility, and self-compassion as predictors of quality of life in pregnant women Kean University].

Shoja, R., Firoozi, M., SHAKERI, M. T., & AMIRI, M. (2020). Investigating the impact of counseling with an approach based on acceptance and commitment therapy on self-efficacy of choosing vaginal delivery in primigravid women.

Soh, Y. X., Razak, N. K. B. A., Cheng, L. J., & Lau, Y. (2020). Determinants of childbirth self-efficacy among multi-ethnic pregnant women in Singapore: a structural equation modelling approach. Midwifery, 87, 102716.

Van den Bergh, B. R. H. (1990). The influence of maternal emotions during pregnancy on fetal and neonatal behavior. Journal of Prenatal & Perinatal Psychology and Health, 5(2), 119–130.

Viswasam, K., Eslick, G. D., & Starcevic, V. (2019). Prevalence, onset and course of anxiety disorders during pregnancy: A systematic review and meta analysis. Journal of affective disorders, 255, 27–40.

Wicks, S. (2019). Compassion-focused therapy for individuals with antenatal mental health difficulties: a hermeneutic single-case efficacy design (HSCED) series University of Lincoln].