%0 Journal Article %T The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial %J Journal of Midwifery and Reproductive Health %I Mashhad University of Medical Sciences %Z 2345-4792 %A Abdollahpour, Sedigheh %A Keramat, Afsaneh %A Mousavi, Seyyed Abbas %A Khosravi, Ahmad %A Motaghi, Zahra %D 2018 %\ 01/01/2018 %V 6 %N 1 %P 1122-1131 %! The Effect of Debriefing and Brief Cognitive-Behavioral Therapy on Postpartum Depression in Traumatic Childbirth: A Randomized Clinical Trial %K Cognitive behavioral therapy %K Debriefing %K Postpartum Depression %K Post-traumatic stress disorder %K Traumatic childbirth %R 10.22038/jmrh.2017.10000 %X Background & aim: Childbirth is a stressful event in women’s lives, and if a mother perceives it as an unpleasant event, it can influence her postpartum mental health. Depression is a common mental disorder, which can has serious consequences depending on its severity. Therefore, this study aimed to investigate the effect of debriefing and brief cognitive-behavioral therapy on postpartum depression in traumatic childbirth. Methods: This clinical trial was performed on 179 mothers who experienced a traumatic childbirth and were admitted in postnatal ward of Nohom Dey Hospital in Torbat-e Heydarieh, North East of Iran in 2016. The subjects were randomly allocated into three groups, including two intervention groups of debriefing and brief cognitive-behavioral counseling and a control group. The intervention groups received appropriate counseling for 40-60 minutes in the first 48 postpartum hours and the control group received the routine postpartum care. Edinburgh Postnatal Depression Scale was used to evaluate postpartum depression 4-6 weeks and also three months after the intervention. Post-traumatic stress symptoms in were compared in three groups using t-test, chi-square test, and repeated measures analysis of variance. Results: No significant differences were observed between the mean depression scores of the two intervention groups and that of the control group 4-6 weeks after childbirth. However, three months after delivery, the mean depression scores of the two intervention groups was lower than the control group (p <0.001); there was no significant difference between the mean depression scores of the two intervention groups. Conclusion: Both methods of debriefing and brief cognitive-behavioral therapy could significantly reduce mean postpartum depression score in high-risk mothers. Thus, these methods could be employed for early identification of depression, which in turn, lowers the rate of postpartum depression. %U https://jmrh.mums.ac.ir/article_10000_c6c2c796040c3c84a0b73ccd0454049b.pdf