Nursing and Midwifery Studies

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 1  |  Page : 6--11

Effect of problem-solving therapy and relaxation on the severity of postpartum depressive symptoms: A randomized controlled trial


Saeideh Nasiri1, Masoumeh Kordi1, Morteza Modares Gharavi2, Masoud Kashani Lotfabadi3 
1 Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Psychiatry, Research Center of Psychiatry and Behavioral Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
3 Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Correspondence Address:
Masoumeh Kordi
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad
Iran

Background: Postpartum depression with high prevalence and unpleasant complications needs to be identified and treated. Objective: This study aimed to compare the effect of problem-solving therapy (PST) and relaxation on the severity of postpartum depressive symptoms. Methods: This randomized controlled trial was performed in health-care centers of Mashhad city, Iran, in women on the 3rd postpartum week. A total of 120 women were selected conveniently and randomly assigned to three groups (i.e., PST, relaxation, and control groups). The women completed Edinburgh Depression Scale and Beck Depression Inventory (BDI). Problem-solving skills were educated during six weekly sessions. Progressive muscle relaxation exercises and guided imagery were performed daily and once a week during 6 weeks, respectively. In the control group, women received usual postpartum care. All groups completed a daily checklist for recording depression symptoms. The three groups completed the BDI once again a week after the end of the intervention. Data analysis was conducted using Chi-square, paired t-test, analysis of variance (ANOVA), and repeated measures ANOVA. Results: The mean difference of severity of depressive symptoms was significantly different between the three groups at 9 weeks after delivery (−14.86 ± 6.15 in PST group, −10.71 ± 5.23 in relaxation group, and −4.72 ± 4.51 in the control group, P < 0.001). The frequency of mild depression decreased from 57.1% to 3.8% in PST group, from 65.4% to 23.1% in the relaxation group, and from 60.7% to 33.3% in the control group. Conclusion: Both PST and relaxation can reduce the severity of depressive symptoms. However, the effects of PST were more than those of relaxation.


How to cite this article:
Nasiri S, Kordi M, Gharavi MM, Lotfabadi MK. Effect of problem-solving therapy and relaxation on the severity of postpartum depressive symptoms: A randomized controlled trial.Nurs Midwifery Stud 2018;7:6-11


How to cite this URL:
Nasiri S, Kordi M, Gharavi MM, Lotfabadi MK. Effect of problem-solving therapy and relaxation on the severity of postpartum depressive symptoms: A randomized controlled trial. Nurs Midwifery Stud [serial online] 2018 [cited 2021 Jun 14 ];7:6-11
Available from: https://www.nmsjournal.com/article.asp?issn=2322-1488;year=2018;volume=7;issue=1;spage=6;epage=11;aulast=Nasiri;type=0