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已发表论文
理性情绪疗法对孕妇焦虑情绪及分娩结局的影响
Authors Xiao L , Zhang G, Liu G, Zhu S
Received 28 July 2025
Accepted for publication 12 December 2025
Published 30 December 2025 Volume 2025:17 Pages 5797—5806
DOI https://doi.org/10.2147/IJWH.S552114
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Vinay Kumar
Langhua Xiao, Guilian Zhang, Guirong Liu, Shuzhen Zhu
Department of Obstetrics, Ganzhou Maternal and Child Health Hospital, Ganzhou, Jiangxi Province, 341000, People’s Republic of China
Correspondence: Shuzhen Zhu, Department of Obstetrics, Ganzhou Maternal and Child Health Hospital, Ganzhou, Jiangxi Province, 341000, People’s Republic of China, Tel +86 13698063659, Email 15297767499@163.com
Purpose: To explore the impact of rational emotive behavior therapy on the anxiety state and delivery outcomes of anxious primiparous women.
Methods: A randomized controlled trial design was employed. Sixty anxious primiparous women admitted between October 2021 and September 2022 were randomly assigned to a study group (n = 30) and a control group (n = 30). The control group received routine prenatal care, while the study group received rational emotive behavior therapy once a week for 12 weeks in addition to routine care. Anxiety levels were assessed using the Hospital Anxiety and Depression Scale, and the duration of labor and mode of delivery were recorded.
Results: After the intervention, the anxiety levels (3.97 ± 0.72 vs 6.27 ± 0.94) and depression levels (3.87 ± 0.86 vs 6.03 ± 0.93) of the mothers in the study group were significantly lower than those in the control group (P < 0.05). Regarding the duration of labor, the first stage of labor (472.83 ± 35.29 min vs 716.17 ± 32.00 min) and the second stage of labor (79.03 ± 33.94 min vs 110.10 ± 31.03 min) in the study group were significantly shorter than those in the control group (P < 0.05), while there was no significant difference in the duration of the third stage of labor between the two groups (P > 0.05). Furthermore, the spontaneous delivery rate in the study group was significantly higher than that in the control group (80.00% vs 26.67%), while the cesarean section rate and forceps delivery rate were significantly lower (P < 0.05).
Conclusion: Rational emotive behavior therapy can effectively alleviate prenatal anxiety in primiparous women, shorten labor, and improve delivery outcomes. This intervention can serve as an effective supplement to prenatal psychological care.
Keywords: rational emotional therapy, pregnant woman, anxiety, delivery outcome
Department of Obstetrics, Ganzhou Maternal and Child Health Hospital, Ganzhou, Jiangxi Province, 341000, People’s Republic of China
Correspondence: Shuzhen Zhu, Department of Obstetrics, Ganzhou Maternal and Child Health Hospital, Ganzhou, Jiangxi Province, 341000, People’s Republic of China, Tel +86 13698063659, Email 15297767499@163.com
Purpose: To explore the impact of rational emotive behavior therapy on the anxiety state and delivery outcomes of anxious primiparous women.
Methods: A randomized controlled trial design was employed. Sixty anxious primiparous women admitted between October 2021 and September 2022 were randomly assigned to a study group (n = 30) and a control group (n = 30). The control group received routine prenatal care, while the study group received rational emotive behavior therapy once a week for 12 weeks in addition to routine care. Anxiety levels were assessed using the Hospital Anxiety and Depression Scale, and the duration of labor and mode of delivery were recorded.
Results: After the intervention, the anxiety levels (3.97 ± 0.72 vs 6.27 ± 0.94) and depression levels (3.87 ± 0.86 vs 6.03 ± 0.93) of the mothers in the study group were significantly lower than those in the control group (P < 0.05). Regarding the duration of labor, the first stage of labor (472.83 ± 35.29 min vs 716.17 ± 32.00 min) and the second stage of labor (79.03 ± 33.94 min vs 110.10 ± 31.03 min) in the study group were significantly shorter than those in the control group (P < 0.05), while there was no significant difference in the duration of the third stage of labor between the two groups (P > 0.05). Furthermore, the spontaneous delivery rate in the study group was significantly higher than that in the control group (80.00% vs 26.67%), while the cesarean section rate and forceps delivery rate were significantly lower (P < 0.05).
Conclusion: Rational emotive behavior therapy can effectively alleviate prenatal anxiety in primiparous women, shorten labor, and improve delivery outcomes. This intervention can serve as an effective supplement to prenatal psychological care.
Keywords: rational emotional therapy, pregnant woman, anxiety, delivery outcome