Background: Spontaneous abortion is the most common complication of pregnancy
which is considered an unfavorable experience both physically and psychologically.
Objective: This study was conducted to investigate the effect of group counseling through cognitive
behavioral therapy (CBT) on the anxiety of pregnant women with a history of spontaneous abortion.
Methods: This study was randomized clinical trial type, in which convenient sampling was performed
to select 64 subjects from healthcare centers in Arak province. After receiving written consent
from the participants, the sampling was performed and the subjects were categorized randomly
into two 32-subject groups as intervention and control. The intervention was performed as six 60-
min sessions through cognitive behavioral therapy (CBT). Control group, however, only routine
cares of pregnancy were provided. For data collection, The Spielberger State-Trait Anxiety Inventory
was utilized at the beginning and end of the study. Then, the collected information was analyzed
by SPSS 21 through paired t-test, independent t-test.
Results: The mean anxiety after the intervention in the intervention and control groups was
65.13±8.11 and 75.91±5.56, respectively, whereby a significant difference was observed between
the two groups (p≤0.05).
Conclusion: It seems that women with a previous history of abortion require psychological support
during pregnancy. It is recommended that the skills of midwives also be improved to psychologically
support these women.