Mahapatro Meerambika, Roy Sudeshna, Nayar Poonam, Jadhav Ashwini, Panchkaran Suruchi, Srivastava Divyanshu, Prasad Sudha
National Institute of Health and Family Welfare, New Delhi, India.
Maulana Azad Medical College, University of Delhi, New Delhi, India.
Front Public Health. 2025 Jun 9;13:1541169. doi: 10.3389/fpubh.2025.1541169. eCollection 2025.
The intersection of domestic violence (DV) during pregnancy has multiple detrimental effects on the mother and family, resulting in mental health impairment. In a cognizant effort to empower pregnant women who have experienced DV, a Behavioral Intervention Package (BIP) was developed and used. The BIP incorporates yoga-based techniques for self-development, interpersonal skill development, and awareness sessions. The study aims to assess the effect of a BIP on the quality of life (QOL), DV, anxiety, depression, PTSD and coping mechanisms of Indian women experiencing violence during pregnancy.
This randomized controlled trial (RCT) involving pregnant women experiencing DV and attending antenatal care (ANC) was conducted at Lok Nayak (LN) Hospital in New Delhi. It is a tertiary care government hospital that provides free maternal healthcare services and primarily caters to individuals from low and middle socio-economic status. Based on the inclusion criteria, 921 participants were screened, and finally, 211 women were randomly assigned to either the intervention group ( = 105) or the control group ( = 106). The intervention consisted of two components: (A) a BIP and (B) standard care. The intervention group received both A and B, while the control group received only B. The BIP, delivered over 11 sessions, aimed to empower women to attain better physical and mental health. Over the seven-month period, each participant in both groups attended 11 sessions to receive the full intervention package.
The mean age of women in the intervention group was 25.3 years, and in the control group, it is 24.5 years. The intervention group showed significant improvements in QOL, with increases in physical (6.933 vs. -3.121) and mental health scores (7.802 vs. -3.623). Anxiety decreased (effect size 9.979), and there were significant reductions in depression scores (8.882), PTSD, and DV. Improvements in coping strategies (MD = 1.1, 95% CI = -1.47, -0.71) and social support (MD = 1.57) were also observed.
The BIP can positively impact the mental health of pregnant women experiencing DV and attending ANC in India. As no standardized intervention exists for this population attending ANC in a hospital in India, integrating the BIP as an intervention during ANC is recommended.
Identifier, CTRI/2019/01/017009. https://ctri.nic.in/Clinicaltrials/advsearch.php.
孕期遭遇家庭暴力对母亲和家庭有多种有害影响，会导致心理健康受损。为切实增强遭受家庭暴力的孕妇的能力，开发并采用了行为干预方案（BIP）。该方案纳入了基于瑜伽的自我发展技巧、人际交往技能发展及认知课程。本研究旨在评估行为干预方案对印度孕期遭受暴力的女性的生活质量（QOL）、家庭暴力、焦虑、抑郁、创伤后应激障碍（PTSD）及应对机制的影响。
这项随机对照试验（RCT）在新德里的洛克·纳亚克（LN）医院开展，研究对象为遭受家庭暴力且接受产前护理（ANC）的孕妇。这是一家三级护理政府医院，提供免费的孕产妇保健服务，主要服务于社会经济地位低和中等的人群。根据纳入标准，对921名参与者进行了筛查，最终，211名女性被随机分为干预组（ = 105）或对照组（ = 106）。干预包括两个部分：（A）行为干预方案和（B）标准护理。干预组同时接受A和B，而对照组仅接受B。行为干预方案共进行11次课程，旨在增强女性获得更好身心健康的能力。在七个月的时间里，两组的每位参与者都参加了11次课程以接受完整的干预方案。
干预组女性的平均年龄为25.3岁，对照组为24.5岁。干预组在生活质量方面有显著改善，身体（6.933比 -3.121）和心理健康得分（7.802比 -3.623）均有所提高。焦虑有所减轻（效应量9.979），抑郁得分（8.882）、创伤后应激障碍及家庭暴力均有显著降低。应对策略（MD = 1.1，95% CI = -1.47，-0.71）和社会支持（MD = 1.57）也有改善情况。
行为干预方案可对印度遭受家庭暴力且接受产前护理的孕妇的心理健康产生积极影响。由于在印度一家医院中，针对接受产前护理的这一人群不存在标准化干预措施，因此建议将行为干预方案作为产前护理期间的一种干预措施。
标识符，CTRI/2019/01/017009。https://ctri.nic.in/Clinicaltrials/advsearch.php。
