Table 1 The structure of internet-based cognitive behavioral therapy sessions for women and their husbands
Sessions | Women’s sessions | Men’s sessions |
|---|---|---|
1 | Introducing emotion-focused cognitive-behavioral therapy (familiarity with thoughts, feelings, behavior) Psychoeducation about Fetus growth steps | Knowledge growth: investigating the adaptive processes of couples, investigating the consequences of relationship (commitment and separation) Psychoeducation about Fetus growth steps |
2 | Identifying private automatic thoughts, changing negative thoughts, and recognizing emotions Psychoeducation about women’s bodies during pregnancy | Marital intimacy: Effective communication style of mature cooperation Psychoeducation about women’s bodies during pregnancy |
3 | Identifying cognitive errors and their role in depression and anxiety Observing and changing errors in thinking Psychoeducation about prenatal care (part 1) | Practical communication skills: Active listening, feedback, and empathy Psychoeducation about prenatal care (part 1) |
4 | Modifying automatic thoughts, creating a healthy logical thinking style, and replacing it Psychoeducation about prenatal care (part 2) | Empathic skill: Summarizing important concerns and disturbances of couples Psychoeducation about prenatal care (part 2) |
5 | Learning principles of emotional functions, the connection between thoughts, behavior, and emotion Psychoeducation about important care during pregnancy | Conflict resolution skills: Types of conflict control strategies Psychoeducation about important care during pregnancy |
6 | Changing behavior with a step-by-step approach and organizing them, Acting against strong emotional desires Psychoeducation about planning for delivery | Reciprocal reinforcement of behavior: Clients’ sincere conflict with their husbands, making a happy story of the relationship Psychoeducation about planning for delivery |
7 | Schema (central belief): the relationship between main belief and identification of compelling belief Psychoeducation about the postpartum recovery period | Preparing for the father role: acceptance of new situations, creation of secure attachment Psychoeducation about the postpartum recovery period |
8 | Strengthening skills of emotion-focused cognitive behavioral therapy Psychoeducation about infant care | Physical relaxation: massage during pregnancy Psychoeducation about infant care |