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Cognitive behavioral counselling in post abortion grief: A randomized controlled trial
Leila Bagheri1, Reza Chaman2, Ashraf Ghiasi3
1Faculty of Nursing and Midwifery, Assistant Professor of Reproductive Health, Islamic Azad University of Larestan, Larestan, Iran.
Journal of Education and Health Promotion
|July 3, 2023
Summary
Cognitive behavioral counseling significantly reduced post-abortion grief in women. This intervention also helped prevent complicated grief, offering a therapeutic approach for psychological well-being.
Area of Science:
- Psychology
- Mental Health
- Clinical Intervention
Background:
- Abortion can lead to psychological distress, including decreased self-esteem, fertility concerns, grief, anxiety, depression, and post-traumatic stress.
- Understanding and mitigating the psychological impact of abortion is crucial for women's mental health.
- Cognitive behavioral counseling (CBC) is a potential therapeutic approach for addressing post-abortion psychological issues.
Purpose of the Study:
- To evaluate the effectiveness of cognitive behavioral counseling intervention on women experiencing post-abortion psychological distress.
- To assess the impact of CBC on reducing grief and other negative psychological consequences following abortion.
Main Methods:
- A randomized controlled trial involving 168 women in the post-abortion period.
- Data collected using the post-abortion grief questionnaire and perinatal grief scale at baseline, immediately post-intervention, and three months post-intervention.
- Statistical analysis using descriptive statistics and repeated measures analysis of variance (ANOVA) to compare grief scores between intervention and control groups over time.
Main Results:
- Repeated measures ANOVA revealed a significant decrease in grief scores over time in both groups, with lower scores in the intervention group.
- At the end of the intervention, the mean grief score was significantly lower in the CBC group (67.59 ± 13.21) compared to the control group (75.42 ± 12.7) (P < 0.001).
- Three months post-intervention, the mean grief score remained significantly lower in the CBC group (59.41 ± 13.71) versus the control group (69.32 ± 12.45) (P < 0.001).
Conclusions:
- Cognitive behavioral counseling is an effective method for reducing the intensity of post-abortion grief.
- CBC can serve as a preventive or therapeutic strategy to manage complicated grief and other psychological disorders after abortion.
- The findings support the integration of CBC into mental health services for women experiencing post-abortion distress.
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