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Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial

BACKGROUND: Giving a healthy birth plays a vital role in a person’s personality development, but giving unhealthy birth and abortion can increase the risk of a range of mental disorders and psychological harms including reduced well-being and quality of life. Psychological interventions can reduce t...

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Autores principales: Raphi, Fatemeh, Bani, Soheila, Farvareshi, Mahmoud, Hasanpour, Shirin, Mirghafourvand, Mojgan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8630414/
https://www.ncbi.nlm.nih.gov/pubmed/34847900
http://dx.doi.org/10.1186/s12888-021-03600-9
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author Raphi, Fatemeh
Bani, Soheila
Farvareshi, Mahmoud
Hasanpour, Shirin
Mirghafourvand, Mojgan
author_facet Raphi, Fatemeh
Bani, Soheila
Farvareshi, Mahmoud
Hasanpour, Shirin
Mirghafourvand, Mojgan
author_sort Raphi, Fatemeh
collection PubMed
description BACKGROUND: Giving a healthy birth plays a vital role in a person’s personality development, but giving unhealthy birth and abortion can increase the risk of a range of mental disorders and psychological harms including reduced well-being and quality of life. Psychological interventions can reduce the problems of individuals, so the present study was conducted to evaluate the effect of counseling with hope therapy on psychological well-being (primary outcome) and quality of life (secondary outcome) of women with an experience of abortion. METHOD: This randomized controlled trial was conducted in Alzahra and Taleghani educational and medical centers in Tabriz, Iran, on 52 women aged 16 years and above whose pregnancies led to abortion in 2020–21. Participants were assigned to intervention and control groups using random blocking method. The intervention group received counseling with hope therapy approach in 8 sessions of 45 min twice a week. The psychological well-being and WHO Quality of Life (WHOQOL) questionnaires were completed before the intervention and immediately and 4 weeks after the intervention. Independent t-test and repeated measures ANOVA were used to compare the outcomes in two groups. RESULTS: After the intervention based on the repeated measures ANOVA test and by adjusting the baseline score, the mean total score of psychological well-being in the counseling group was significantly higher than that in the control group (adjusted mean difference (AMD): 76.76; 95% confidence interval (95% CI): 63.81 to 89.70; P < 0.001). Also, the mean total score of quality of life in the counseling group was significantly higher than in the control group (AMD: 7.93; 95% CI: 6.38 to 9.46; P < 0.001). The mean score of all sub-domains of psychological well-being and quality of life in the counseling group was significantly higher than that in the control group (P < 0.05). CONCLUSION: Using hope therapy can improve the psychological well-being and quality of life of women after abortion. However, further clinical trials are required before making a definitive conclusion. TRIAL REGISTRATION: Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N60. Date of registration: 17 Dec 2020. Date of first registration: 20 Dec 2020.
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spelling pubmed-86304142021-11-30 Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial Raphi, Fatemeh Bani, Soheila Farvareshi, Mahmoud Hasanpour, Shirin Mirghafourvand, Mojgan BMC Psychiatry Research BACKGROUND: Giving a healthy birth plays a vital role in a person’s personality development, but giving unhealthy birth and abortion can increase the risk of a range of mental disorders and psychological harms including reduced well-being and quality of life. Psychological interventions can reduce the problems of individuals, so the present study was conducted to evaluate the effect of counseling with hope therapy on psychological well-being (primary outcome) and quality of life (secondary outcome) of women with an experience of abortion. METHOD: This randomized controlled trial was conducted in Alzahra and Taleghani educational and medical centers in Tabriz, Iran, on 52 women aged 16 years and above whose pregnancies led to abortion in 2020–21. Participants were assigned to intervention and control groups using random blocking method. The intervention group received counseling with hope therapy approach in 8 sessions of 45 min twice a week. The psychological well-being and WHO Quality of Life (WHOQOL) questionnaires were completed before the intervention and immediately and 4 weeks after the intervention. Independent t-test and repeated measures ANOVA were used to compare the outcomes in two groups. RESULTS: After the intervention based on the repeated measures ANOVA test and by adjusting the baseline score, the mean total score of psychological well-being in the counseling group was significantly higher than that in the control group (adjusted mean difference (AMD): 76.76; 95% confidence interval (95% CI): 63.81 to 89.70; P < 0.001). Also, the mean total score of quality of life in the counseling group was significantly higher than in the control group (AMD: 7.93; 95% CI: 6.38 to 9.46; P < 0.001). The mean score of all sub-domains of psychological well-being and quality of life in the counseling group was significantly higher than that in the control group (P < 0.05). CONCLUSION: Using hope therapy can improve the psychological well-being and quality of life of women after abortion. However, further clinical trials are required before making a definitive conclusion. TRIAL REGISTRATION: Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N60. Date of registration: 17 Dec 2020. Date of first registration: 20 Dec 2020. BioMed Central 2021-11-30 /pmc/articles/PMC8630414/ /pubmed/34847900 http://dx.doi.org/10.1186/s12888-021-03600-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Raphi, Fatemeh
Bani, Soheila
Farvareshi, Mahmoud
Hasanpour, Shirin
Mirghafourvand, Mojgan
Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
title Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
title_full Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
title_fullStr Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
title_full_unstemmed Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
title_short Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
title_sort effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8630414/
https://www.ncbi.nlm.nih.gov/pubmed/34847900
http://dx.doi.org/10.1186/s12888-021-03600-9
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