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- Golboni, Farzaneh, et al.
(författare)
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A Qualitative Analysis of Personal Health Care Challenges Experienced by Iranian Divorcees
- 2022
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Ingår i: Qualitative Report. - : NOVA SOUTHEASTERN UNIVERSITY. - 1052-0147 .- 2160-3715. ; 27:12, s. 2783-2800
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Tidskriftsartikel (refereegranskat)abstract
- Divorce, nowadays an increasingly more prevalent life event in Iran, can create poor general health among Iranian women, possibly due to bigger challenges for health-related behaviors. The aim was to explore challenges to achieve health-related behaviors as experienced by divorced Iranian women acting as household-heads. An inductive exploratory design based on qualitative content analysis was utilized. Twenty strategically selected divorced women acting as household-heads in Tehran were interviewed between September 2019 and January 2020. The divorced women experienced individual-centered and social and environmental-centered challenges concerning their health-related behaviors. Lack of competence, lack of personal control, and lack of emotional support were described as individual -centered barriers. Lack of community-based support, lack of financial support, and lack of labor market support were described as social and environmental challenges to health-related behaviors. A wide range of individual, social, and environmental-centered factors hindered divorced women acting as household -heads to engage in health-related behaviors. Therefore, person-centered interventions are necessary alongside efforts to develop appropriate policies and amend protection laws to increase the welfare and health of divorced women acting as household-heads.
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| 2. |
- Golboni, Farzaneh, et al.
(författare)
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The efficacy of an online family-based cognitive behavioral therapy on psychological distress, family cohesion, and adaptability of divorced head-of-household women in Iran : A randomized controlled trial
- 2023
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Ingår i: ASIAN JOURNAL OF SOCIAL HEALTH AND BEHAVIOR. - : Wolters Kluwer. - 2772-4204. ; 6:3, s. 133-140
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The family may be negatively impacted by divorce and its adverse outcomes including psychological problems and disturbances in the structure and functioning of families. The present study aimed to determine the efficacy of an online family-based cognitive behavioral therapy (CBT) intervention on psychological distress, family cohesion, and adaptability of divorced head-of-household women. Methods: In this randomized controlled trial, 100 divorced head-of-household women supported by the state welfare organization of Iran participated and were randomly divided into intervention group (n = 50) and active control group (n = 50). Participants in the intervention group received six educational app-based online sessions on family-based CBT. Participants in the control group received an online family-based CBT session and an online information on breast self-examination using the same app. Anxiety, depression, family adaptability, and cohesion were assessed before, immediately after, and 3 months after the intervention. Linear mixed-effects modeling with random intercepts and slopes was used to analyze the data. Results: The mean and standard deviation of measures of anxiety, depression, cohesion, and adaptability scores immediately after the intervention (9.42 +/- 1.78, 9.58 +/- 2.21, 36.36 +/- 3.78, and 36.30 +/- 3.97, respectively) and 3 months after the intervention (9.90 +/- 1.84, 9.40 +/- 1.53, 36.38 +/- 4.30, and 36.42 +/- 4.38, respectively) in the intervention group differed significantly from those before the intervention (11.30 +/- 1.77, 11.56 +/- 1.31, 23.82 +/- 3.78, and 23.80 +/- 3.85, respectively). Changes in the mean scores of anxiety, depression, cohesion, and adaptability variables differed significantly before and immediately after the intervention and before and 3 months after the intervention. Conclusion: Online family-based CBT appears efficacious in improving the psychological status of divorced head-of-household women and the cohesion and adaptability of their families.
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