{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T09:55:06Z","timestamp":1793699706261,"version":"4.5.1"},"reference-count":47,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Psychosocial well-being during pregnancy influences maternal health and adjustment to motherhood. Targeted interventions may enhance emotional resilience and occupational functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the effectiveness of Maternal Role Preparation Training (MRPT) and Awareness-Centered Occupational Therapy (ACOT) on anxiety, depression, coping styles, emotion regulation, and quality of life (QoL) in pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Three-arm randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Hospital obstetrics and gynecology clinics in T\u00fcrkiye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>\n                      Healthy pregnant women in their second trimester (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 74) who met inclusion criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>\n                      Participants were assigned to MRPT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 23), ACOT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 23), or the control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 28). Group sessions occurred 2\u00d7\/wk for 8 wk. Assessments were conducted at pretest (second trimester), posttest (third trimester), and 12-wk postpartum follow-up. Kruskal\u2013Wallis (KW) and Friedman tests were used. MRPT targeted maternal role development, and ACOT emphasized self-awareness in daily occupations; both followed manualized protocols.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>The Hospital Anxiety and Depression Scale, Styles of Coping With Stress Scale, Cognitive Emotion Regulation Questionnaire, and Nottingham Health Profile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      ACOT significantly reduced anxiety (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 31.97,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .01), improved emotion regulation, and enhanced QoL (KW = 43.55;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001). MRPT was more effective in reducing depression (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 17.73,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .01) and promoting adaptive coping. Both interventions reduced maladaptive strategies. Pain and sleep gains lessened at follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>ACOT is superior for anxiety, emotion regulation, and QoL; MRPT more effectively supports depression and coping. Occupational therapists may select approaches on the basis of individual psychosocial profiles during pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051415","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T13:25:53Z","timestamp":1770211553000},"page":"324-342","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Effects of Maternal Role Preparation Training and Awareness-Centered Occupational Therapy Interventions on Psychosocial Parameters and Quality of Life in Pregnant Women: A Randomized Controlled Trial With Postpartum Follow-Up"],"prefix":"10.1177","volume":"80","author":[{"given":"Aysenur","family":"Karakus","sequence":"first","affiliation":[{"name":"Aysenur Karakus, PhD, is Lecturer, Occupational Therapy, Cankiri Karatekin University, Cankiri, T\u00fcrkiye;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gokcen","family":"Akyurek","sequence":"additional","affiliation":[{"name":"Gokcen Akyurek, PhD, is Associate Professor, Occupational Therapy, Hacettepe University, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0278432"},{"issue":"1","key":"e_1_3_1_3_1","article-title":"The role of coping strategies in predicting quality of life of pregnant women","volume":"23","author":"Ahmad A.","year":"2024","unstructured":"Ahmad A., , & Mushtaq R. 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