The Effect of Dialectical Behavior Therapy Techniques Training with lavender Aromatherapy on Depression and Maternal Competenceof Nulliparous Women with Insecure Attachment to Spouse.

Introduction: Pregnancy is one of the most stressful stages in the Women's life. The purpose was to determine the effectiveness of Dialectical Behavior Therapy Techniques Training lavender aromatherapy  on depression and maternal competence of Primiparous women with Insecure Attachment to Spouse. Methods: This clinical trial study was performed in 2021 on 60 pregnant women in Birjand. Insecure attachment pregnant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy), intervention group 2 (aromatherapy with lavender) and control group. Dialectical behavioral therapy techniques were performed in the last three months of pregnancy, aromatherapy in the active phase of labor, and the follow-up period one month after the birth of the baby. The was used attachment to spouse Questionnaire, depression Beck, postpartum depression and maternal competency. Data were analyzed in SPSS25 statistical software. Results: The results of repeated analysis of variance showed that teaching dialectical behavioral therapy techniques was effective in reducing depression over time (p <0.001). Covariance analysis showed that depression during pregnancy was decreased significantly after the Dialectical Behavior Therapy Techniques Training (p <0.001). The multivariate analysis of variance also showed both components of maternal competence were increase significantly in the intervention groups 1 (P <0.05). Conclusion: Dialectical behavioral therapy techniques with aromatherapy as an effective intervention to reduce depression and increase maternal competence can be use in the health centers in pregnant women with insecure attachment to the husband.