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IRCT20130812014333N273 IRCT 2026-01-09 Kermanshah University of Medical Sciences Investigating the effectiveness of cognitive restructuring on fear of childbirth Investigating the effectiveness of cognitive restructuring based on therapeutic metaphor on fear of childbirth in primiparous women 2026-01-10 anticipated 82 Complete https://irct.ir/trial/88297 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Using a random block. These blocks are created by a computer using the https://www.sealedenvelope.com site, and each individual will be given a unique code to ensure careful concealment of the randomization process. The generation of blocks and assignment of codes will be done by a third party (the person in charge of the selected center) who has no role in the process of assigning individuals to groups. The allocation ratio between the control and intervention groups is considered to be 1:1, meaning that in each block of four, two individuals will be assigned to the control group and two individuals to the intervention group. N/A Fear of childbirth. Intervention 1: The intervention group, in addition to routine prenatal care, will receive 6 group sessions (one session per week), each session lasting 60-90 minutes, of cognitive restructuring intervention based on metaphor therapy. Summary of the intervention includes: awareness of the role of thoughts in creating fear of childbirth, replacing rational thoughts with thoughts that cause fear of childbirth, defining catastrophizing and hasty conclusions of a prophetic nature, and expressing an analogy related to catastrophizing. Intervention 2: The control group will receive routine prenatal care according to the national protocol. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information available.
public Zahra Zaeri
Faculty of Nursing and Midwifery Dolatabad Blvd, Isar Square
Kermanshah Iran (Islamic Republic of) 6715847141 +98 83 3826 6429 ZahraZaeri8486@gmail.com Kermanshah University of Medical Sciences scientific Dr. Mastaneh Kamravamanesh
Faculty of Nursing and Midwifery Dolatabad Blvd, Isar Square
Kermanshah Iran (Islamic Republic of) 6715847141 +98 83 3826 6429 kamravamanesh@yahoo.com Kermanshah University of Medical Sciences Iran (Islamic Republic of) Informed consent Gestational age between 28 and 32 weeks Obtaining a score of 66-84 on the fear of childbirth questionnaire Being a first-born Having a singleton pregnancy no limit no limit Female History of underlying disease or complications during pregnancy (preeclampsia, gestational diabetes) History of taking neuroleptic drugs History of smoking addiction History of alcohol and drug use History of recurrent miscarriages (3 or more consecutive miscarriages) History of infertility Indication for cesarean delivery F40 Phobic anxiety disorders Behavior Treatment - Other The intervention group, in addition to routine prenatal care, will receive 6 group sessions (one session per week), each session lasting 60-90 minutes, of cognitive restructuring intervention based on metaphor therapy. Summary of the intervention includes: awareness of the role of thoughts in creating fear of childbirth, replacing rational thoughts with thoughts that cause fear of childbirth, defining catastrophizing and hasty conclusions of a prophetic nature, and expressing an analogy related to catastrophizing. The control group will receive routine prenatal care according to the national protocol. Fear of childbirth. Timepoint: One week and four weeks after the intervention and during the first week after delivery. Method of measurement: Using the Fear of Childbirth Questionnaire. Kermanshah University of Medical Sciences Approved 2025-12-06 Ethics committee of Kermanshah University of Medical Sciences Vice Chancellor for Research Affairs, Kermanshah University of Medical Sciences, Building No.2, Shahid Beheshti Boulevard Kerrmanshah Kermanshah Iran (Islamic Republic of)