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

Abstract

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 minutes twice a week. The psychological well-being and WHO Quality of Life (WHOQOL) questionnaires were completed before the intervention and immediately and four 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. Therefore, counseling with hope therapy approach is recommended for all women after abortion. Trial registration: Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N60. Date of registration: 17/12/2020.