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IRCT20210528051421N1 IRCT 2021-06-29 Mashhad University of Medical Sciences The Effectiveness of Emotional Disclosure on Depression, Anxiety and Stress and Quality of Life in Women after Abortion The Effectiveness of Emotional Disclosure on Depression, Anxiety and Stress and Quality of Life in Women after Abortion 2021-06-10 anticipated 70 Complete https://irct.ir/trial/56549 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization method is a simple individual randomization that using random sequence generated by www.randomization.com, individuals in the group are divided into two groups of intervention and control. In this way, the generated random sequence is written on small sheets and kept in a closed envelope, and when each person is selected, the envelope door is opened and she enters each group according to the code (A and B). N/A Condition 1: depression. Condition 2: anxiety. Condition 3: stress. Intervention 1: Intervention group: emotional disclosure. In this group, in addition to the usual medical care of the hospital, during an individual session, in an explanatory manner and face to face, emotional disclosure (written and spoken) is taught to women after spontaneous abortion. Then, they are asked to freely express their deepest negative feelings and emotions for 1 ±4 sessions, each time for 15-20 minutes for 2 consecutive weeks (2 ±1 sessions per week) in a secluded and completely quiet and comfortable place at home. And write fluently on reminder sheets. They are told to free their minds and focus entirely on the writing experience. When writing, do not worry about spelling words or structural rules of sentences and the spatial and temporal order of events, and continue writing until the end of time. At the end of each week, an oral disclosure session (two sessions in total) will be conducted by telephone with them for 15-20 minutes. Intervention 2: Control group: They receive medical education and care, including control of vital signs and vaginal bleeding until they stabilize after an abortion and receive medication. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Maleknaz Ghannadkafi
Mashhad Faculty of Nursing and Midwifery, Ibn-e Sina St., Chaharah Doktora Crossing, Mashhad
Mashhad Iran (Islamic Republic of) 9137913199 0098 51 3859 1511-3 nkafi@bums.ac.ir Mashhad University of Medical Sciences scientific Kobra Mirzakhani
Mashhad Faculty of Nursing and Midwifery, Ibn-e Sina St., Chaharah Doktora Crossing
Mashhad Iran (Islamic Republic of) 9137913199 0098 51 38591511-3 Mirzakhanik@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) 1-Women who have had a miscarriage within 48-24 hours. 2- Will be willing to participate in the study and complete the informed consent form. 3- Be a Muslim and an Iranian. 4- To be 18-45 years old. 5- Pregnancy is the desire of the couple. 6- Does not have chronic physical diseases. 7 - Do not have a disability. 8- Has no other psychological disorders. 9- Be literate. 10- Do not have major stressful events in the last 6 months. 11- Has not taken sedatives and psychotropic drugs in the last 6 months. 12- Not addicted to drugs, tobacco and alcohol. 13- Have a spouse and live with his. 14- Has no history of infertility. 15- Depression score between 10-20 (mild and moderate depression) has been obtained from the Depression, Anxiety and Stress Questionnaire 21-DASS. 16- Anxiety score higher than 7 (mild anxiety up) has been obtained from the Depression, Anxiety and Stress Questionnaire 21-DASS. 17- Stress score higher than 14 (mild stress upwards) has obtained from the Depression, Anxiety and Stress Questionnaire 21-DASS. 18 years 45 years Female Unable to write, speak or listen. Have severe physical complications from abortion. Do not have access to a mobile phone. Be pregnant with assisted reproductive techniques. F32.0 F41.1 F43.0 Major depressive disorder, single episode, mild Generalized anxiety disorder Acute stress reaction Rehabilitation N/A Intervention group: emotional disclosure. In this group, in addition to the usual medical care of the hospital, during an individual session, in an explanatory manner and face to face, emotional disclosure (written and spoken) is taught to women after spontaneous abortion. Then, they are asked to freely express their deepest negative feelings and emotions for 1 ±4 sessions, each time for 15-20 minutes for 2 consecutive weeks (2 ±1 sessions per week) in a secluded and completely quiet and comfortable place at home. And write fluently on reminder sheets. They are told to free their minds and focus entirely on the writing experience. When writing, do not worry about spelling words or structural rules of sentences and the spatial and temporal order of events, and continue writing until the end of time. At the end of each week, an oral disclosure session (two sessions in total) will be conducted by telephone with them for 15-20 minutes. Control group: They receive medical education and care, including control of vital signs and vaginal bleeding until they stabilize after an abortion and receive medication. Depression score in Anxiety, Stress, Depression Questionnaire (DASS -21). Timepoint: Before the intervention, end of the intervention and one month after the intervention. Method of measurement: Anxiety, stress, depression questionnaire ( DASS -21). Anxiety score in Anxiety, Stress, Depression Questionnaire (DASS -21). Timepoint: Before the intervention, end of the intervention and one month after the intervention. Method of measurement: Anxiety, stress, depression questionnaire ( DASS -21). Stress score in Anxiety, Stress, Depression Questionnaire (DASS -21). Timepoint: Before the intervention, end of the intervention and one month after the intervention. Method of measurement: Anxiety, stress, depression questionnaire ( DASS -21). Quality of life score in the World Health Organization quality of life questionnaire. Timepoint: Before the intervention, end of the intervention and one month after the intervention. Method of measurement: World Health Organization Quality of Life Questionnaire - Short Form. Mashhad University of Medical Sciences Approved 2021-02-09 Ethics committee of Mashhad University of Medical Sciences-School of Nursing and Midwifery Chaharah Doktora Crossing, Ibn-e Sina St, Mashhad Faculty of Nursing and Midwifery Mashhad Razavi Khorasan Iran (Islamic Republic of)