Thesis:

The effectiveness of cognitive behavioral therapy on resilience and fear of childbirth in primiparous women in Sabzevar city in 2024

Abstract: This study aimed to investigate the effectiveness of cognitive behavioral therapy on resilience and fear of childbirth in primiparous women in Sabzevar in 1403. This study is a semi-experimental study using a pre-test-post-test design with a control group. The population of the present study consisted of all primiparous women in Sabzevar in 2025. According to the statistics of Mobini Hospital, there were 73 of these women. First, the researcher obtained the necessary permits from the relevant institutions. Then, he went to Mobini Hospital in Sabzevar and, with the help of the hospital consultant, selected his statistical population from among the files of primiparous women. After contacting them, those women who were willing to cooperate were invited to participate in an introductory and briefing session. After explaining the research steps, the Connor and Davidson (2003) resilience questionnaire and the Hartmann fear of childbirth questionnaire were distributed to them and they were asked to return the questionnaires after three days. After scoring the questionnaires, out of 73 people, 30 who scored low were randomly divided into two groups of 15 people. The 15 people who received lower scores were in the experimental group and the next 15 people in the control group, where the training protocol was implemented on 15 people, and the control group did not receive training. After the second session, both groups were invited to a joint session and the questionnaires were distributed among them again. Then, scoring and comparison were made between them. In this study, data were analyzed using SPSS 28 software. Inferential and descriptive statistics were used to analyze the data. Descriptive statistics were used to examine and compare the mean and standard deviation of variables in the control and experimental groups, and inferential statistics were used to analyze the research hypotheses, which included k-s tests to examine the normality of the research variables and covariance assumptions and multivariate covariance test. The results showed that there was a significant relationship between the pre-test auxiliary variable (as a moderating variable) and the dependent variable (resilience and fear of childbirth). This value increased for resilience after the post-test and decreased for fear of childbirth.

Keywords: Keywords: Cognitive-behavioral therapy, resilience, fear of childbirth.