Iranian Journal Of Health Sciences

en Comparing the effectiveness of two counseling interventions on postnatal post-traumatic stress disorder in single-child women with secondary tokophobia: a randomized controlled trial مامائی Midwifery پژوهشي Original Article <div style="text-align: justify;">post-traumatic stress disorder (P-PTSD), can result from a negative prior experience and lead to avoidance of childbearing. Given the importance of maintaining a young population in Iran, this study aimed to compare the effectiveness of commitment and acceptance-based counseling versus motivational counseling via telemedicine on P-PTSD in <a name="_Hlk200521180">single-child </a>women with tokophobia. Methods: This three-group randomized controlled trial, conducted from January 2024 to March 2025 in Mashhad health centers, involved 94 single-child women with secondary tokophobia. Following ethics committee approval, participants were randomly assigned using six blocks to either a commitment-acceptance counseling group, a motivation-based counseling group, or a control group. The two counseling groups received four telemedicine sessions, while the control group received routine care. Data were collected using the research unit selection form, demographic and obstetric characteristics questionnaire, Childbirth Attitudes Questionnaire and Impact of Event Scale. Research units completed these instruments at three time points: before the intervention, and one- and two-months post-intervention. Data were coded, entered into a computer, and analyzed using SPSS version 25 software. One-way analysis of variance and chi-square tests were performed with a significance level of 0.05. Results: Pre-intervention, mean scores were similar across, indicating a uniform initial state. Four weeks post-intervention, P-PTSD scores significantly decreased in the acceptance (24.36±4.07) and motivational (26.59±3.2) groups, while increasing in the control group (34.13±6.11). This difference between groups was statistically significant (p < 0.001), suggesting a positive effect of the interventions. At the eight-week follow-up, the improvement continued in the acceptance (22.36±3.30) and motivational (23.62±2.58) groups, while the control group remained high (33.65±5.84), with a significant difference between groups (p < 0.001). Conclusion: Telemedicine-based motivational and commitment-based counseling effectively and significantly reduces postnatal PTSD scores in single-child women with secondary tokophobia at two follow up time points.  </div> Secondary tokophobia, P-PTSD, commitment-acceptance counseling, motivational counseling, childbearing 0 0 http://jhs.mazums.ac.ir/browse.php?a_code=A-10-1248-1&slc_lang=en&sid=1 Maryam Ramezani ramezanim4012@mums.ac.ir 100319475328460015848 0009-0000-1390-9460 No MSc in counselling midwifery, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran Mohsen Dehghani dehghanimhs@mums.ac.ir 100319475328460015849 100319475328460015849 No Assistant Professor, Department of Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran Somaye Minaei Moghadam moghadam95@gmail.com 100319475328460015850 100319475328460015850 No MSC in Psychiatric Nursing, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Sedigheh Abdollahpour abdollahpourts2@yahoo.com 100319475328460015851 100319475328460015851 Yes Assistant Professor in reproductive health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran