Griffith University, Meadowbrook, Queensland, Australia.
Menzies Health Institute Queensland, Gold Coast, Australia.
J Interpers Violence. 2022 Mar;37(5-6):NP3605-NP3627. doi: 10.1177/0886260520948151. Epub 2020 Aug 19.
Survivors of domestic and family violence (DFV) report poorer quality of life and worsening mental health. This study evaluated the effect of a counseling and education intervention on the mental health and help-seeking behaviors among pregnant women living with DFV. A parallel pilot randomized controlled trial was performed among 140 pregnant women attending an antenatal clinic of a tertiary hospital of Nepal. Using computer-generated random numbers, participants were randomized to the intervention group (a counseling session, an information booklet about DFV, and contact details of the counselor) or a control group (usual care plus a booklet containing contact details of local DFV support services). Outcome measures included mental health, quality of life (QOL), self-efficacy, social support, and safety planning behaviors. Analyses followed intention-to-treat, using the generalized estimating equation model. Intervention participants showed significant improvements in anxiety (β = -3.24, < .001) and depression (β = -3.16, < .001) at postintervention. Such improvements were also sustained at follow-up assessment ( < .001). Significant group and time interaction for QOL, social support, use of safety behaviors, and self-efficacy ( < .05) revealed a greater increase in these outcome measures among intervention participants at both follow-up assessments compared with the control group. This pilot integrated intervention showed promising outcomes in improving the mental health, social support, and the use of safety behaviors among women with DFV. This intervention could be incorporated into regular antenatal care as a strategy to identify and support victims of DFV. Larger controlled trials with longer follow-up are needed to support and expand on the current findings regarding the effectiveness of a psychosocial intervention targeting victims of DFV in resource-constrained settings.
家庭暴力幸存者报告生活质量较差和心理健康恶化。本研究评估了咨询和教育干预对生活在家庭暴力中的孕妇的心理健康和寻求帮助行为的影响。在尼泊尔一家三级医院的产前诊所进行了一项平行的试点随机对照试验。参与者使用计算机生成的随机数被随机分配到干预组（咨询会议、家庭暴力信息手册和顾问联系信息）或对照组（常规护理加包含当地家庭暴力支持服务联系信息的手册）。结果测量包括心理健康、生活质量 (QOL)、自我效能、社会支持和安全规划行为。分析遵循意向治疗，使用广义估计方程模型。干预组参与者在干预后焦虑（β = -3.24， <.001）和抑郁（β = -3.16， <.001）方面表现出显著改善。这种改善在随访评估时仍然持续（ <.001）。在 QOL、社会支持、安全行为的使用和自我效能方面，组间和时间的交互作用具有统计学意义（ <.05），这表明与对照组相比，干预组在两次随访评估中这些结果测量的增加更大。这项试点综合干预在改善生活在家庭暴力中的妇女的心理健康、社会支持和安全行为方面显示出了有希望的结果。这种干预可以纳入常规产前护理，作为一种识别和支持家庭暴力受害者的策略。需要进行更大规模、随访时间更长的对照试验，以支持和扩展目前关于在资源有限环境中针对家庭暴力受害者的心理社会干预有效性的发现。
