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Key elements and practical logic of non-directive counselling intervention in perinatal women's depression: based on grounded theory analysis

Ling, Ya and Mohd Arifin, Siti Roshaidai and Lee, Siew Pien and Mohamed Zain, Siti Hajar (2025) Key elements and practical logic of non-directive counselling intervention in perinatal women's depression: based on grounded theory analysis. Journal of Psychosomatic Obstetrics & Gynecology, 46 (1). pp. 1-21. ISSN 0167-482X E-ISSN 1743-8942

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Abstract

Background: Perinatal female depression seriously endangers the health of mothers and infants, and effective intervention is the key to prevention and treatment. As a psychological intervention method that focuses on client-led treatment and emphasises emotional support, the role of non-directive counselling in depression intervention in perinatal women deserves in-depth discussion. Objective: To explore the application methods and mechanisms of non-directive counselling intervention in alleviating depression in perinatal women, and to construct its key elements and practical logic models. Methods: The key elements and logical models of non-directive counselling intervention are refined and constructed using the grounded theoretical research method to carry out open coding, axial coding and selective coding of data. Results: Selective coding-based results show that building a sense of security, attachment, and self-worth is the foundation of the intervention and helps promote trust and engagement. The counselling process promotes emotional expression and regulation by enhancing communication skills and creating a free and supportive emotional space. Through emotional support and structured companionship, women gradually shift from external dependence to self-regulation, forming autonomy and internal control. Continuous feedback mechanisms can further enhance self-awareness and regulation efficacy, ensuring that interventions are tailored to individual needs. Conclusion: This study proposes the key elements and practical logic model of nondirective counselling intervention for perinatal female depression, which provides clear operational guidelines for relevant professionals. These findings may facilitate the scientific and effective application of non-directive counselling strategies, thereby improving the specificity and effectiveness of interventions.

Item Type: Article (Journal)
Uncontrolled Keywords: Emotional support; grounded theory; nondirected counselling; perinatal depression; security
Subjects: R Medicine > RA Public aspects of medicine > RA790 Mental Health. Mental Illness Prevention
R Medicine > RG Gynecology and obstetrics
R Medicine > RG Gynecology and obstetrics > RG525 Pregnancy-Religious Aspects-Islam
R Medicine > RG Gynecology and obstetrics > RG560 Psychology of pregnancy
R Medicine > RG Gynecology and obstetrics > RG951 Maternity nursing. Obstetrical nursing
R Medicine > RG Gynecology and obstetrics > RG940 Maternal care. Prenatal care services
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Nursing > Department of Special Care Nursing
Kulliyyah of Nursing
Depositing User: Dr. Siti Roshaidai Mohd Arifin
Date Deposited: 27 Aug 2025 14:52
Last Modified: 27 Aug 2025 14:52
URI: http://irep.iium.edu.my/id/eprint/122969

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