{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T21:02:35Z","timestamp":1770411755030,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004160","name":"Mazandaran University of Medical Sciences","doi-asserted-by":"publisher","award":["3181"],"award-info":[{"award-number":["3181"]}],"id":[{"id":"10.13039\/501100004160","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pregnancy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Pregnancy is one of the primary sources of stress, and unplanned pregnancy is a crisis in women\u2032s lives. In this study, we sought to determine the effect of crisis counseling on women\u2032s anxiety with an unplanned pregnancy. This semi\u2010experimental study was conducted using the convenience sampling method. Sixty married pregnant women aged 15\u201349 years with unplanned pregnancies were randomly assigned to the two groups of intervention and control (\n                      <jats:italic>n<\/jats:italic>\n                      = 30 per group), of whom five were excluded from the intervention group, and three were excluded from the control group. The data collection tools included a medical\u2013mental health checklist, the 28\u2010item General Health Questionnaire\u201028 (GHQ\u201028), Winfield and Taigman\u2032s Social Support Scale, and Spielberg\u2032s State\u2013Trait Anxiety Inventory (STAI). Three individual counseling sessions were held according to Roberts\u2032 seven\u2010stage model. The participants\u2032 state and trait anxiety scores were assessed before and one month after the counseling sessions. There was no significant difference between the two groups regarding demographic characteristics, general health score, level of social support, and the mean score of general anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      &gt; 0.05). The mean scores of state anxiety before and after the intervention in the interventional group were 45.92 \u00b1 6.8 and 42.8 \u00b1 4.14, respectively, and the mean of trait anxiety scores were 46.84 \u00b1 6.82 and 44.48 \u00b1 5.46, respectively. In the control group, the mean of state anxiety scores before and after the intervention were 46.78 \u00b1 6.09 and 46.63 \u00b1 7.1, respectively, and the mean of trait anxiety scores were 46.41 \u00b1 4.54 and 46.89 \u00b1 5.09, respectively. Crisis counseling significantly impacted both state (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004) and trait (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.047) anxiety. Crisis counseling reduces trait and state anxiety in women with an unplanned pregnancy. Therefore, establishing high\u2010risk pregnancy clinics and employing midwifery consultants to assess and reduce anxiety levels in women with unplanned pregnancies will be beneficial.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Iranian Registry of Clinical Trials:IRCT2017100231117N5<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jp\/6682179","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:25:45Z","timestamp":1770373545000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Crisis Counselling on the Anxiety of Women With an Unplanned Pregnancy"],"prefix":"10.1155","volume":"2026","author":[{"given":"Sabura","family":"Faqhani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2045-8452","authenticated-orcid":false,"given":"Forouzan","family":"Elyasi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2095-6694","authenticated-orcid":false,"given":"Seyed Abolhassan","family":"Naqibi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0631-4233","authenticated-orcid":false,"given":"Seyed Nouroldin Mousavi","family":"Nasab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Geran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6958-8234","authenticated-orcid":false,"given":"Soghra","family":"Khani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.22038\/ijogi.2022.20096"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62071-1"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40695-017-0027-5"},{"key":"e_1_2_14_4_2","first-page":"574","article-title":"Counseling Patients With Unintended Pregnancy","volume":"91","author":"Moss D. 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Research Findings on Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases. National Campaign to Prevent Teen and Unplanned Pregnancy 2007 https:\/\/www.schoolhealthcenters.org\/wp-content\/uploads\/2011\/07\/Repro-health-emerging.pdf."},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0005-z"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69737-7"},{"key":"e_1_2_14_13_2","first-page":"15","article-title":"Experience of Unplanned Pregnancy in Women Attending to Health Centers of Mashhad, Iran: A Phenomenological Study","volume":"16","author":"Bayrami R.","year":"2014","journal-title":"Iranian Journal of Obstetrics, Gynecology and Infertility"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2004.01.002"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-016-1274-8"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2011.01296.x"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/brief-treatment\/mhi030"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.32.1.52"},{"key":"e_1_2_14_19_2","article-title":"Supporting Women in Pregnancy Crisis","volume":"20","author":"Hassan C.","year":"2014","journal-title":"Kai Tiaki: Nursing New Zealand"},{"key":"e_1_2_14_20_2","volume-title":"An Introduction to Applying Social Work Theories and Methods 3e","author":"Teater B.","year":"2019"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2021.1979197"},{"key":"e_1_2_14_22_2","volume-title":"Crisis Pregnancy\u2026 a Time of Decision-Making\u2026 a Call to Ministry: Lancaster Theological Seminary","author":"Moyer D. 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