The effect of solution-focused counseling on violence rate and quality of life of pregnant women at risk of domestic violence: a randomized controlled trial

Abstract

Background Domestic violence during pregnancy as one of the most common social problems and major challenges of health systems can affect the health of the mother and fetus. The study aimed to compare the two groups of intervention based on solution-focused counseling and control in terms of violence and quality of life amounts in women who had experienced domestic violence. Methods A randomized controlled trial on 90 pregnant women was blocked into two intervention groups (n = 45) and a control (n = 45). The intervention group received six counseling sessions with a solution-focused approach. Study tool included conflict tactics scale (CTS- 2) and short form health survey (SF-36). The tools were completed once before the intervention and again 6 weeks after the end of the counseling sessions by the participants of both groups. The P-value less than 0.05 was considered statistically significant. Results A total of 82/90 pregnant women were analyzed. The results showed that median and interquartile range (IQR) of physical, psychological and sexual violence significantly decreased in the intervention group than the control group (Ps = 0.001). Moreover, quality of life scores significantly improved in the intervention group compared to the control group (P = 0.001). Conclusion Solution-focused counseling could be an effective approach to reduce the amount of violence and increase the quality of life in women exposed to domestic violence. Trial registration Iranian Registry of Clinical Trials IRCT2017040628352N4. Date of registration: August 20th 2017.

Quality of Life During Pregnancy from 2011 to 2021: Systematic Review

“…The following factors were strongly associated with a better quality of life: Exercise, 70 moderate physical activity in water, 71 high exercise adherence, 70 adopting low-to-moderate intensity resistance training, 72 Higher Energy Expenditures, 73 clinical pilates exercises, 74 having a body mass index BMI ≥ 25, 75 better sleep quality, 76 increase of sexual satisfaction, 45 receiving a lifestyle advice, 22 social support 16 , 61 and receiving the solution-focused counselling in terms of violence. 77 …”

“…The following factors were strongly associated with a better quality of life: Exercise, 70 moderate physical activity in water, 71 high exercise adherence, 70 adopting low-to-moderate intensity resistance training, 72 Higher Energy Expenditures, 73 clinical pilates exercises, 74 having a body mass index BMI ≥ 25, 75 better sleep quality, 76 increase of sexual satisfaction, 45 receiving a lifestyle advice, 22 social support 16,61 and receiving the solution-focused counselling in terms of violence. 77 In contrast, planned pregnancies and history of depression were not associated with low mental or physical QoL, 78 and offering an exercise program during pregnancy does not seem to influence healthy pregnant women's psychological wellbeing and self-perceived general health. 79…”

Physical and sexual violence during pregnancy in the northeastern backlands of Brazil: a cross-sectional study

“…30 In this sense, counselling seems to be an efficient measure to reduce levels of aggression and improve the quality of life of women in situations of domestic violence, especially when practiced in the domestic sphere. 31,32 The limitations of the study are associated with the non-recognition of violence by pregnant women, and the instrument adopted did not allow further inference about the concepts of typology of violence, especially psychological, masking the real numbers of violence during pregnancy. In addition, it is worth noting the high refusal of the participants to reveal the identity of the aggressor in cases of sexual violence.…”

Clinical Study on Effect of Solution Focused Approach on the Complications, Pain, Sleep, and Quality of Life in Patients with Hepatocellular Carcinoma Undergoing TACE

“…And it can enhance the confidence in fighting the disease so that makes patients realize their self-worth, fully mobilize the enthusiasm for life, and reduce the idea of avoiding and succumbing so as to eliminating difficulties and problems and improve the standard of living. We found that the observation group had a higher quality of life scores, which suggests that SFA can improve the quality of life of patients undergoing TACE for hepatocellular carcinoma [ 25 ].…”