Limitations of the study
depression, anxiety
SECONDARY
This study had strengths and limitations that should be noted. One of the main strengths is that the present study was the first randomized clinical trial to compare the effectiveness of Virtual with face-to-face Semi-Attendance SIT techniques in Pregnant Women with Psychological distress for improving the symptoms of anxiety, depression and stress. In addition, we used validated scales to assess primary and secondary outcomes. Another strength of the randomized clinical trial design was the blinding of the outcome assessor and statistician to the type of intervention.This study has some limitations, which demand caution for the generalization of the results. Firstly, to evaluate depression, anxiety and stress in pregnant women, Self-report scales were used. It is suggested that in future studies, a clinical interview be implemented by an expert since it can be a better indicator. Secondly, we did not measure the effect of SIT intervention on pregnancy outcome. It is recommended to measure the effect of this method on improving maternal and newborn outcomes. Also, the lack of a passive control group made the relative effectiveness of the intervention against the passive intervention not investigated.