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Study aim
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Comparison of the effectiveness of paired counseling with two cognitive-behavioral and decision-based approaches in the prevention of postpartum distress and postpartum depression in pregnant women. If counseling is effective in reducing postpartum depression, these sessions can be considered.
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Design
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Clinical practice is a non-randomized, cross-sectional one-blind clinical trial.
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Settings and conduct
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At first, grief questionnaires, postpartum depression, and DOS depression questionnaire by couples, which are needed for matching, are given to people who are referred to Mobinini Hospital in Sabzevar, and then eligible wives of their spouses in the counseling classes are present at the intervention sessions.
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Participants/Inclusion and exclusion criteria
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Minimal primary education ,No history of previous mental illnesses , Failure of the physician to rest absolutely , No illness Chronic ,Do not addict, Earn score below 15 in the DASS questionnaire by yourself and the spouse.
;The occurrence of any stressful incident for a patient or class members of a pregnant woman, diagnosis of mental illness and psychiatric disorders, dissatisfaction and lack of interest in continued cooperation, absence of more than 2 sessions in counseling sessions, abnormalities and deaths.Abnormalities and fetal death
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Intervention groups
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Includes two groups: 1. An intervention group that must participate in conjugal counseling classes in addition to attending birth-preparation classes. 2. The attending group attending prepayment classes. Ultimately this We compare the two groups together.
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Main outcome variables
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Cognitive-qualitative-nominal-independent-grouping-has or not.
Qualitative-nominal solution-Independent -group-Ordinary or not.
Distress after childbirth - a little bit of continuity - no doubt - and a questionnaire-an issue
Postpartum depression - Continuously-Nonspecific-Affected-Grouping-Neutral