Abstract
The effectiveness of an Internet-based guided self-help cognitive-behavioral therapy (I-GSH-CBT) was assessed in alleviating childbirth fear (CBF), depression, anxiety, and stress of pregnant women during the first delivery. In a quasi-experimental study, pregnant women in the intervention group used the I-GSH-CBT program during pregnancy. The Wijma Delivery Expectancy/Experience Questionnaire, and the Depression, Anxiety, and Stress Scale 42-item (DASS-42) questionnaires were used to collect the psychometric data. Implementing the I-GSH-CBT significantly reduced CBF, DASS-42 scores, and cesarean section preference. The I-GSH-CBT program effectively decreases the adverse mood symptoms in nulliparous pregnant women.
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