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

Abstract 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...

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Autores principales:	Fatemeh Raphi, Soheila Bani, Mahmoud Farvareshi, Shirin Hasanpour, Mojgan Mirghafourvand
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Hope therapy Abortion Psychological well-being Quality of life Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/968532e249ed4a718b2fab6c5bbb4677
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spelling	oai:doaj.org-article:968532e249ed4a718b2fab6c5bbb46772021-12-05T12:06:08ZEffect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial10.1186/s12888-021-03600-91471-244Xhttps://doaj.org/article/968532e249ed4a718b2fab6c5bbb46772021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03600-9https://doaj.org/toc/1471-244XAbstract 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.Fatemeh RaphiSoheila BaniMahmoud FarvareshiShirin HasanpourMojgan MirghafourvandBMCarticleHope therapyAbortionPsychological well-beingQuality of lifePsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hope therapy Abortion Psychological well-being Quality of life Psychiatry RC435-571
spellingShingle	Hope therapy Abortion Psychological well-being Quality of life Psychiatry RC435-571 Fatemeh Raphi Soheila Bani Mahmoud Farvareshi Shirin Hasanpour Mojgan Mirghafourvand Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
description	Abstract 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.
format	article
author	Fatemeh Raphi Soheila Bani Mahmoud Farvareshi Shirin Hasanpour Mojgan Mirghafourvand
author_facet	Fatemeh Raphi Soheila Bani Mahmoud Farvareshi Shirin Hasanpour Mojgan Mirghafourvand
author_sort	Fatemeh Raphi
title	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_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_sort	effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/968532e249ed4a718b2fab6c5bbb4677
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Effect of hope therapy on psychological well-being of women after abortion: a randomized controlled trial

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