Self‐efficacy and social support as mediators of mental health among abused women

Abstract

Supportive counseling and facilitated referrals to support organizations have shown positive effects on mental health and coping with domestic and family violence. However, the reasons why and how such effects are significant remain unknown. The current paper used data from a randomized controlled trial of a psychosocial intervention implemented in Nepal among 140 abused pregnant women. The hypothesized mediating effects of self‐efficacy and social support on mental health and quality of life of abused pregnant women were tested using serial mediation analyses. Significance of parameter estimates and bias‐corrected 95% confidence intervals (CIs) for the indirect effects were generated using bootstrapping. The postintervention changes in self‐efficacy and social support were found to have significant mediating effects on the relationship between the intervention and changes in both mental health and quality of life of participants post intervention. The positive effects on outcomes were seen at follow‐up as well, though to a lesser extent. Further interventions should focus on enhancing abused women's self‐efficacy and social support to ensure their positive mental health and better lives.

Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis

“…After removal of duplicates ( n = 2,298), a total of 4,884 titles and abstracts were assessed for eligibility, 296 of which fulfilled the eligibility criteria. After inspection of full-texts, a total of 23 studies (Abhari et al, 2021; Asnani et al, 2021; Baumgartner et al, 2021; Chaharrahifard et al, 2021; Dayhimi et al, 2020; Gao et al, 2010, 2015; George et al, 2020; Guo et al, 2021; Koçak et al, 2021; Li et al, 2019; Mao et al, 2012; Ozcan & Eryilmaz, 2021; Özçoban et al, 2022; Rajeswari & SanjeevaReddy, 2020; Ramezani et al, 2017; Rong et al, 2021; Rotheram-Borus, Richter et al, 2014; Rotheram-Borus, Tomlinson et al, 2014; Sanfilippo et al, 2020; Sapkota et al, 2022; Tripathy et al, 2010; Vargas-Porras et al, 2021) from 28 publications (Supplemental Appendix D) with 24,442 participants were included in the systematic review. Of these, 22 provided data suitable for the meta-analysis (Figure 1 and Supplemental Appendix D, E).…”

“…Psychosocial interventions were provided by primary-level health care workers (e.g. midwives, nurses, obstetricians) in 16 studies (Abhari et al, 2021; Asnani et al, 2021; Chaharrahifard et al, 2021; Dayhimi et al, 2020; Gao et al, 2010, 2015; Guo et al, 2021; Koçak et al, 2021; Li et al, 2019; Mao et al, 2012; Ozcan & Eryilmaz, 2021; Özçoban et al, 2022; Rajeswari & SanjeevaReddy, 2020; Ramezani et al, 2017; Sapkota et al, 2022). Community workers (e.g.…”

“…lay health workers, facilitators, women groups leaders) were responsible for the delivery of the intervention in five trials (Baumgartner et al, 2021; George et al, 2020; Rotheram-Borus, Richter et al, 2014; Rotheram-Borus, Tomlinson et al, 2014; Sanfilippo et al, 2020; Tripathy et al, 2010), and one study employed a yoga instructor (Rong et al, 2021) (Table 1). In terms of active ingredients, most interventions ( n = 7) included techniques derived from cognitive behavior therapy (CBT)(Abhari et al, 2021; Baumgartner et al, 2021; Koçak et al, 2021; Li et al, 2019; Mao et al, 2012; Ramezani et al, 2017; Sanfilippo et al, 2020), followed by problem-solving techniques in four studies (Asnani et al, 2021; George et al, 2020; Sapkota et al, 2022; Tripathy et al, 2010), and interpersonal theory techniques in two trials (Gao et al, 2010, 2015). Psychoeducation was implemented in four RCTs (Chaharrahifard et al, 2021; Özçoban et al, 2022; Rotheram-Borus, Tomlinson et al, 2014; Vargas-Porras et al, 2021).…”

Maternal health disparities linked to stressful life events: A cross-sectional study of industrialized Italian cities

“…33,34 While these factors may not manifest statistically in a sample of this size, availability of such support is known to enhance health outcomes and coping skills in response to external stress. 35,36 As such, unmeasured factors may have lessened the in uence of Brescia mothers' health on their stress perceptions, or vice-versa. Such interregional differences are meaningful because they allow for the creation of public health interventions adapted to regional contexts of belonging.…”

Analysis of Causes of Mental Health Disorders in Pregnant Mothers in Developing Countries : Scoping Review

“…When family relationships are stable and supportive, someone who has mental health problems or disorders is more responsive to treatment, however, the Australian Department of Health reveals, negative family relationships can cause stress, affect mental health, and cause symptoms of physical disorders. An unsupportive family can reduce a person's mental health and or cause mental illness to worsen [24]. From the results of the analysis conducted, found 3 articles that discuss the role of family support as a cause of perinatal health disorders (4,8,14).…”