The Effect of Group Counseling Based on Friesh Theory on Depression in Mothers with High Risk Pregnancy

Background & Aim: Pregnancy is stressful even in the best of circumstances for a periodic mother, and when stress is associated with pre-existing medical problems or pregnancy complications, stress and anxiety increase. Therefore, the present study aimed to determine the effectiveness of group counseling based on the Friesh theory (quality of life model) on mothers depression in high risk pregnancy.Methods: A randomized clinical trial was conducted on 104 high-risk pregnant women aged of 14 to 22 weeks and depression score of 10 to 24 in 97 at Shahrood University of Medical Sciences. The intervention groups received 8 sessions of group counseling based on the Friesh theory (quality of life) and the control group received only routine care in the health center. One month after the intervention group counseling was completed. Data were analyzed by SPSS software version 22 using t-test, chi-square, repeated measure ANOVA. A P value less than 0.05 was considered statically significant.Results: The mean score of depression before the study was in intervention group (17/89) and in control group (14/10). These values after intervention in intervention group (5.96) and control group (14.56), respectively. One month after intervention in the intervention group (6.65) and in the control group (13.02). Analysis of variance with repeated measures showed that depression was significantly different in the intervention group after intervention and one month follow up (P <0.05). Conclusion: Group counseling based on the Friesh theory (quality of life) is an effective way to improve depression in mothers with high risk pregnancy. Referral of these mothers to midwifery counselors is recommended for conducting and holding group counseling sessions based on the Frey Theory with the aim of promoting mental health and improving the mental and psychological status of this group of mothers.

Keywords:

Depression , High Risk Hospital , Quality of life Model , Friesh Theory , Group counseling