Citation

Sapkota D, Baird K, Anderson D, Saito A, Seib C. Nurs. Health Sci. 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, John Wiley and Sons)

DOI

10.1111/nhs.12943

PMID

35420245

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 effect 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 for the indirect effects were generated using bootstrapping. The post-intervention 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 at post-intervention. The positive effects on outcomes were seen at follow-up as well, though at 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. This article is protected by copyright. All rights reserved.

Language: en

Keywords

Pregnancy; Social Support; Domestic Violence; Mediation Analysis; Mental Health; Self-efficacy