Volume 20, Issue 4 (Vol.20, No.4, Winter 2025)                   irje 2025, 20(4): 274-287 | Back to browse issues page


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Forghanifar M, Omid Garkaz O, Paryab S, Farjamfar M, Talebi S, Pourheidari M. Effectiveness of Sexual Counseling Based on the BETTER Model on Depression Score during Pregnancy: A Randomized Clinical Trial. irje 2025; 20 (4) :274-287
URL: http://irje.tums.ac.ir/article-1-7471-en.html
1- Master of Midwifery Counseling, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
2- Master of Epidemiology, Research Center, Shahroud University of Medical Sciences, Shahroud, Iran
3- Master of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
4- Assistant Professor of Psychiatry, School of Medicine, Shahroud University of Medical Sciences, Shahroud,
5- Assistant Professor of Biostatistics, School of Health, Shahroud University of Medical Sciences, Shahroud, Iran
6- Master of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran , poorheidari@shmu.ac.ir
Abstract:   (1246 Views)
Background and Objectives: Pregnancy is considered a pleasurable event in women's lives, which is accompanied by numerous biological, psychological, and social changes. Among the common consequences of these changes is increased depression. Sexual counseling with pregnant mothers has been suggested as one of the interventions to improve the quality of sexual life and depression by several studies, and this study aimed to evaluate the effectiveness of sexual counseling based on the BETTER model on depression scores during pregnancy.
Methods: This randomized clinical trial involved 144 participants who referred to the health centers of Bahmai, Kohgiluyeh and Boyer-Ahmad province, Iran. Participants were randomly assigned to two equal groups of 72, including intervention and control. The intervention group participated in two sessions of 45-60 minutes of sexual counseling based on the BETTER model, and the control group received usual prenatal care. Depression scores were measured using the Edinburgh Depression Questionnaire before, after, and one month after the last counseling session. After collection, the data were entered into SPSS-18 and analyzed using descriptive and analytical statistics.
Results: The results showed no significant difference between depression scores in the control and intervention groups before the test. In contrast, a significant difference was observed in pregnancy depression scores between the intervention and control groups immediately after the intervention and one month later. In the intervention group, the mean depression decreased after counseling (6.54±1.32) and maintained the same effect at a later time (5.59±1.47).
Conclusion: Considering the effectiveness of the BETTER model, it is recommended that training in this model and using it to reduce depression during pregnancy be planned.
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Type of Study: Research | Subject: General

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