international journal of philosophy and social-psychological sciences
The Effectiveness of Mindfulness-Based Cognitive Therapy Counseling on Marital Satisfaction and Pregnancy Concern in Nulliparous Women
Maryam Dafei, Fatemeh Shabani Farashah, Farideh Khavari
Introduction: dimensions of marital satisfaction are influenced by pregnancy and poor marital relationship is the most stable predictor for pregnancy concern. Given the effects of concern on maternal and fetal health during this critical period, the present study was conducted to evaluate the effectiveness of mindfulness-based cognitive therapy on marital satisfaction and pregnancy concern in nulliparous women. Methodology: This two-group clinical trial study was conducted on pregnant women referring to medical centers of Yazd in 2018. Thirty nulliparous women (20-30 weeks) eligible for the study were randomly divided into control and test groups. Mindfulness-based cognitive therapy counseling was performed for eight test sessions, 2 hours weekly. Data were collected using demographic questionnaire, Enrich marital satisfaction questionnaire and pregnancy concern questionnaires in three stages of before, immediately and one month after the intervention in both groups. Descriptive statistics and parametric tests were used for data analysis by SPSS 16 software. Significance level was considered P <0.05. Results: The results revealed that the mean score of pregnancy concern in the two groups after the intervention and follow up was significantly lower than that of the control group (p = 0.009). Mean scores of marital satisfaction in the two stages after intervention and follow up were significantly higher than the control group (p<0.001). Conclusion: Based on the research results and the positive effect of mindfulness-based cognitive therapy counseling on increasing marital satisfaction and decreasing pregnancy concern, it is recommended to use this effective and useful method in health centers especially in labor preparation classes to improve the mental health of mothers.