Combining Cognitive- Behavioral therapy and Rogersi s Approach on Reducing Depression and Anxiety after Abortion in Women Referred to Therapeutic Centers in Tehran

Legal abortion is one of the negative events of pregnancy that affects the individual and social aspects of one s life leading to a decrease in quality of life, depression and anxiety. The purpose of this study was to investigate the effect of a combination of Rogersian and cognitive behavioral counseling on post-abortion depression and anxiety. In this quasi-experimental study, 120 pregnant women with legal abortion referral to counseling centers in Tehran during 139-13 years participated. Samples were divided into two groups of control (observation and data recording) and intervention group (face to face counseling before abortion and weekly telephone follow-up for up to 8 weeks). The control group and the control group were randomly assigned to the intervention group. After obtaining consent, demographic and pregnancy information questionnaires were completed for both groups. Then the samples were evaluated by Beck Depression and Anxiety Inventory before and 2 months after abortion and finally the two groups were compared. Data were analyzed by SPSS 16 software using chi-square, Fisher exact test, paired t-test and independent t-test. Significance level was considered p <0.05. The findings showed that the mean score of anxiety before intervention in the intervention and control groups were 24.7 ± 11.0, 22.76 12 12.67 and p = 0.412, respectively, and two months after the intervention the mean score Anxiety in the intervention group was 1.10 /1 1.70 (p <0.0001) and in the control group it was also 11.66 7 7.7 (p <0.001). So p = 0.028. The difference between the decrease in depression score was calculated in the intervention and control groups and the results were significant (12.56 9 9.64, 4.42 6 6.89 and p = 0.0001, respectively). It seems that providing integrated Rogers and Cognitive Behavioral Counseling services after abortion can reduce anxiety and depression and performing integrated Rogers and Cognitive Behavioral Counseling can be effective in promoting women s health.

کلیدواژه ها:

Cognitive Behavioral Counseling ، Depression ، Anxiety ، Legal Abortion