Document Type : Original Article
Authors
1 Department of Counseling, School of Social Sciences, Razi University, Kermanshah, Iran
2 Department of Psychiatric Nursing, Substance Abuse Prevention Research Center, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
3 Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
4 Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
Abstract
BACKGROUND: Studies have shown that quality of life in women with unintended pregnancy is
significantly less than the ones with wanted gestation. Therefore, this study was aimed to determine
the effect of intervention based on the positive psychology interventions on women’s QoL with
unintended pregnancies in Kermanshah, Iran.
MATERIALS AND METHODS: In this randomized clinical trial, 40 women with unintended pregnancy
met the eligibility criteria and were randomized into experimental (n = 20) or control (n = 20) groups.
The Short‑form 36‑item Questionnaire (SF‑36) was administered at pretest, post‑test, and six weeks
after the intervention. Positive psychology interventions were performed in each session once
a week for 10 weeks, with a duration of 90 minutes. The Friedman test and Mann–Whitney U‑test
were used to analyze QoL and all eight domains for within‑group and between‑group comparisons,
respectively. The level of confidence was set at 0.05 significant.
RESULTS: Distribution of matched variables was not significantly different between the two trial
groups. Over the intervention period, the mean of total scores of QoL and seven dimensions showed
significant improvement among the experimental group, whereas in the control group, it decreased
significantly (P < 0.05). In addition, in the posttest and follow‑up stages, the mean score of six
dimensions of QoL was higher than the control group (P < 0.05).
CONCLUSION: According to the results of the present study, unintended pregnancy has side effects
on QoL in women. Positive counseling interventions can improve the quality of life in women with
unintended pregnancy.
Keywords
- Vollset S, Goren E, Yuan C, Cao J, Smith A, Hsiao T, et al. Fertility,
mortality, migration, and population scenarios for 195 countries and
territories from 2017 to 2100: A forecasting analysis for the Global
Burden of Disease Study. Lancet. 2020; 396 (10258):1285‑1306.
2. Ciritel A‑A, De Rose A, Arezzo MF. Childbearing intentions in a
low fertility context: The case of Romania. Genus 2019;75 (1):4‑9.
3. Kaboudi M, Karim H, Ramezankhani A, Kaboudi B,
Manouchehri H, Hajizadeh E. A survey on fertility trend of the
women born in Kermanshah in 1956‑95. J Clin Res Paramed Sci
2015;3:286‑93.
4. Everett BG, McCabe KF, Hughes TL. Sexual orientation disparities
in mistimed and unwanted pregnancy among adult women. Pers
Sex Reprod Health 2017;49 (3):157‑65.
5. Ali SA, Tikmani SS, Qidwai W. Prevalence and determinants
of unintended Pregnancy: Systematic review. World Family
Medicine Journal: Incorporating the Middle East J Fam Med
2016;99 (3671):1‑10.
6. Moosazadeh M, Nekoei-moghadam M, EmraniZ, Amiresmaili M.
Prevalence of unwanted pregnancy in Iran: A systematic review
and meta-analysis. Intl Jf Health Plann Manag 2014;29 (3):e277‑e90.
7. Azizi A, Amirian F, Amirian M. Prevalence of unwanted
pregnancy and its relationship with health‑related quality of life
for pregnant Women’s in Salas city, Kermanshah‑Iran. 2007. Iran
J Obs Gynecology Infert 2011;14 (5):24‑31.
8. Kaboudi M, Dehghan F, Ziapour A. The effect of acceptance and
commitment therapy on the mental health of women patients with
type II diabetes. Ann Trop Med Public Health 2017;10(6):1709.
9. Yazdkhasti M, Pourreza A, Pirak A, Abdi F. Unintended
pregnancy and its adverse social and economic consequences
on health system: A narrative review article. Iran J Public Health
2015;44 (1):12‑21.
10. Khanghahi ME, Azar FE. Direct observation of procedural skills
(DOPS) evaluation method: Systematic review of evidence. Med
J Islamic Repub Iran 2018;32:45.
11. Organization WH. WHO meeting on ethical, legal, human rights
and social accountability implications of self‑care interventions
for sexual and reproductive health, 12–14 March 2018, Brocher
Foundation, Hermance, Switzerland: Summary report. World
Health Organization; 2018.
12. Gariepy A, Lundsberg LS, Vilardo N, Stanwood N, Yonkers K,
Schwarz EB. Pregnancy context and women’s health‑related
quality of life. Contracept 2017;95 (5):491‑9.
13. Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J,
Robert S, et al. Factors influencing the quality of life of
pregnant women: A systematic review. BMC Pregnancy Child
2018;18 (1):455‑63.
14. Safari Y, Yoosefpour N, Darvishmotavalli M, Vasseghian Y,
Karimyan K, Gupta VK, et al. The dataset on rural women’s
awareness and attitudes about residential constructions
in accordance with the health standards A case study of
Gilan‑e‑Gharb, Iran. Data Brief 2018;20:715‑22.
15. KarimiM, BrazierJ. Health, health‑related quality of life, and quality
of life: What is the difference? Pharmacoeconom 2016;34 (7):645‑9.
16. Rezapour A, Azar FE, Aghdash SA, Tanoomand A, Shokouh SM,
Yousefzadeh N, et al. Measuring equity in household’s health care
payments (Tehran-Iran 2013): Technical points for health policy
decision makers. Med J Islamic Republic Iran 2015;29:246.
17. Ali A. Relationship between unwanted pregnancy and
health‑related quality of life in pregnant women. J College Physic
Surg—Pakistan 2016;26 (6):507‑16.
18. Maryam GA, Shohre GS, Javad K. Effectiveness of hardiness
training on anxiety and quality of life of pregnancy women.
Proc‑Soc Behav Sci 2013;84:1785‑9.
19. YazdanimehrR, OmidiA, Akbari H, SadatZ. Mindfulness training
and quality of life among pregnant women: A randomized clinical
trial. Nurs Mid Stud 2017;6 (2):e32570.
20. O’Connor PJ, Poudevigne MS, Johnson KE, de Araujo JB,
Ward‑Ritacco CL. Effects of resistance training on fatigue‑related
domains of quality of life and mood during pregnancy:
A randomized trial in pregnant women with back pain.
Psychosomat Med 2018;80 (3):327‑35.
21. Rakhshani A, Maharana S, Raghuram N, Nagendra HR,
Venkatram P. Effects of integrated yoga on quality of life and
interpersonal relationship of pregnant women. Q Life Res
2010;19 (10):1447‑55.
22. Mostafaei M, Khooshehchin TE, Dadashy M, Zanjani PM. Effect
of positive psychology group counseling on quality of life of
pregnant women. J Mazandaran Univ Med Sci 2020;30 (184):61‑72.
23. Shaghaghi F, Abedian Z, Forouhar M, Esmaily H, Eskandarnia E.
Effect of positive psychology interventions on psychological
well‑being of midwives: A randomized clinical trial. J Educ Health
Promot 2019;8:160‑8. - 24. Taebi M, Simbar M, Abdolahian S. Psychological empowerment
strategies in infertile women: A systematic review. J Educ Health
Promot 2018;7:68‑75.
25. Mohamadi J, Ghazanfari F, Drikvand FM. Comparison of the
effect of dialectical behavior therapy, mindfulness based cognitive
therapy and positive psychotherapy on perceived stress and
quality of life in patients with irritable bowel syndrome: A pilot
randomized controlled trial. Psychiatric Q 2019;90 (3):565‑78.
26. Seligman ME. Positive psychology: A personal history. Ann Rev
Clin Psychology 2019;15:1‑23.
27. Lianov LS, Fredrickson BL, Barron C, Krishnaswami J, Wallace A.
Positive psychology in lifestyle medicine and health care:
Strategies for implementation. A J lifestyle Med 2019;13 (5):480‑6.
28. Bandura A. A social cognitive perspective on positive psychology.
Revista de Psicología Soc 2011;26 (1):7‑20.
29. Lianov LS, Fredrickson BL, Barron C, Krishnaswami J, Wallace A.
Positive psychology in lifestyle medicine and health care: Strategies
for implementation. Am J Lifestyle Med 2019;13 (5):480‑6.
30. Ashrafi z, Ebrahimi H, Sarafha J. The relationship between
hemodialysis adequacy and quality of life and spiritual wellbeing
in hemodialysis patients. J Clin Nurs Mid 2014;3:44‑51.
31. Ware Jr JE, Sherbourne CD. The MOS 36‑item short‑form health
survey (SF‑36): I. Conceptual framework and item selection. Med
Care 1992;30:473‑83.
32. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short
Form Health Survey (SF‑36): Translation and validation study of
the Iranian version. Q life Res 2005;14 (3):875‑82.
33. Casellas‐Grau A, Font A, Vives J. Positive psychology
interventions in breast cancer. A systematic review. Psycho‐
Oncology 2014;23 (1):9‑19.
34. Seyedi AST, Sadeghi K, Bakhtiari M, Ahmadi SM, Anamagh AN,
Khayatan T. Effect of group positive psychotherapy on
improvement of life satisfaction and the quality of life in infertile
woman. Int J Fert Sterility 2016;10 (1):105.
35. Munch S, Korst L, Hernandez G, Romero R, Goodwin T.
Health‑related quality of life in women with nausea and
vomiting of pregnancy: The importance of psychosocial context.
J Perinatology 2011;31 (1):10‑20.
36. Rezaei E, Moghadam ZB, Saraylu K. Quality of life in
pregnant women with sleep disorder. J Fam Reproduct Health
2013;7 (2):87‑93.
37. Tendais I, Figueiredo B, Mota J, Conde A. Physical activity,
health‑related quality of life and depression during pregnancy.
Cadernos de Saude Publica 2011;27 (2):219‑28.
38. Park CL. Integrating positive psychology into health‑related
quality of life research. Q Life Res 2015;24 (7):1645‑51.
39. Seligman ME. Authentic happiness: Using the new positive
psychology to realize your potential for lasting fulfillment: Simon
and Schuster; 2004.
40. Rezapour A, Ebadifard Azar F, Azami Aghdash S,
Tanoomand A, Ahmadzadeh N, Sarabi Asiabar A. Inequity in
household’s capacity to pay and health payments in TehranIran-2013. Med J Islam Repub Iran 2015;29:245.
41. Proctor C, Maltby J, Linley PA. Strengths use as a predictor
of well‑being and health‑related quality of life. J Happin Stud
2011;12 (1):153‑69.
42. Gander F, Proyer RT, Ruch W. Positive psychology interventions
addressing pleasure, engagement, meaning, positive relationships,
and accomplishment increase well‑being and ameliorate
depressive symptoms: A randomized, placebo‑controlled online
study. Frontiers Psychology 2016;7:686‑95.
43. Louro AC, Fernández‑Castro J, Blasco T. Is there a relationship
between positive affect and quality of life in colorectal cancer
patients? An de Psic/Ann Psychology 2015;31 (2):404‑13.
44. Damásio BF, de Melo RLP, da Silva JP. Meaning in life,
psychological well‑being and quality of life in teachers. Paidéia
2013;23 (54):73‑82.
45. Trapp SK, Perrin PB, Aggarwal R, Peralta SV, Stolfi ME, Morelli E,
et al. Personal strengths and health related quality of life in dementia
caregivers from Latin America. Behav Neurology 2015;2015:15‑24.
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