title: The effect of lifestyle-based education to women and their husbands on the anxiety and depression during pregnancy: a randomized controlled trial.
abstract: OBJECTIVE
  The aim of this study was to determine the effect of lifestyle-based education to women and their husbands on anxiety and depression during pregnancy.
  
  
  METHODS
  This controlled trial was conducted on 189 pregnant women. Participants were allocated into three groups through block randomization. In the first intervention group, both women and their husbands, and in the second one, only women received the lifestyle-based education. In the control group, women received only the routine care. Edinburgh depression and Spielberger anxiety questionnaires were completed at baseline and 8 weeks after it.
  
  
  RESULTS
  Compared to the control group, significant reductions were observed in the scores of depression (adjusted difference: -4.7; 95% CI: -5.9 to -3.4), state anxiety (-8.1; -11.3 to -4.9) and trait anxiety (-8.3; -11.9 to -5.0) in the first intervention group, and in the scores of depression (-2.9; -4.1 to -1.6), state anxiety (-4.3; -7.5 to -1.1) and trait anxiety (-5.5; 95% CI: -8.7 to -2.3) in the second intervention group. Comparing the two intervention groups, mean scores of depression and state anxiety were significantly lower in the first group.
  
  
  CONCLUSIONS
  Results suggested the positive effect of lifestyle education to women and their husbands on depression and anxiety during pregnancy.
authors.affiliation: a Department of Midwifery , Students' Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences , Tabriz , Iran.
authors.forename: Fovzieh
authors.initials: F
authors.lastname: Sanaati
authors.affiliation: b Department of Midwifery Group , Social Determinants of Health Research Center, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences , Tabriz , Iran.
authors.forename: Sakineh
authors.initials: S
authors.lastname: Mohammad-Alizadeh Charandabi
authors.affiliation: c Research Center of Health, Urmia University of Medical Sciences , Urmia , Iran , and.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Farrokh Eslamlo
authors.affiliation: d Department of Midwifery Group , Nursing and Midwifery Faculty, Tabriz University of Medical Sciences , Tabriz , Iran.
authors.forename: Mojgan
authors.initials: M
authors.lastname: Mirghafourvand
authors.affiliation: a Department of Midwifery , Students' Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences , Tabriz , Iran.
authors.forename: Fariba
authors.initials: F
authors.lastname: Alizadeh Sharajabad
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology* / Q000209:etiology; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D008019:Life Style; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000523:psychology; D037841:Pregnant People / Q000523:psychology; D040242:Risk Reduction Behavior; D018454:Spouses / Q000193:education* / Q000523:psychology; D055815:Young Adult
keywords: Anxiety; depression; lifestyle; pregnancy