The effect of counseling with cognitive behavior approach on self-esteem and body image in lactating mothers: randomized clinical trial

Autor: Nasrin Zamiri-Miandoab, Mojgan Mirghafourvand, Fatemeh Nemati, Mahin Kamalifard
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Psychology, Vol 11, Iss 1, Pp 1-11 (2023)
Druh dokumentu: article
ISSN: 2050-7283
DOI: 10.1186/s40359-023-01363-4
Popis: Abstract Background Some of the women experience low self-esteem and negative body image in pregnancy and postpartum. These two factors along with other factors can reduce the rate of exclusive breastfeeding among women. Cognitive-behavior therapy (CBT) is one of the psychological approaches that is effective on the betterment of many of the psychological and personality disorders such as body image disorders as well as improvement of self-esteem. The aim of this randomized control trial is to recognize the effects of CBT during pregnancy period on self-esteem, body image (primary outcome) and exclusive breastfeeding (secondary outcome). Method In this randomized controlled trial, 70 eligible pregnant women referring to health centers of Tabriz- Iran were assigned to two groups of 35 as intervention and control groups using randomized blocking method. For intervention group, 8 sessions of CBT based on Cash and Strachan’s body image protocol and Michael Freeʼs for self-esteem were performed. Control group was received routine pregnancy care by their health provider. Rosenberg self-esteem scale and multidimensional body self-relation questionnaire (MBSRQ) were completed before intervention, immediately after intervention and 4 weeks after delivery. Likewise, exclusive breastfeeding questionnaire was completed 4 weeks after childbirth. Independent t-test, chi square and repeated measures ANOVA tests were used to analyze the data. Results According to repeated measures ANOVA test and with controlling baseline score, the mean scores on self-esteem (AMD): 7.18; 95%confidence interval (CI): 4.43 to 9.94; p
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