Self-efficacy and social support as mediators of mental health among abused women

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Sapkota, Diksha
Baird, Kathleen
Anderson, Debra
Saito, Amornrat
Seib, Charrlotte
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2022
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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 effects 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 (CIs) for the indirect effects were generated using bootstrapping. The postintervention 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 post intervention. The positive effects on outcomes were seen at follow-up as well, though to 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.

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Nursing & Health Sciences

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24

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2

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© 2022 The Authors. Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Nursing

Public health

Science & Technology

Life Sciences & Biomedicine

Nursing

domestic violence

mediation analysis

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Sapkota, D; Baird, K; Anderson, D; Saito, A; Seib, C, Self-efficacy and social support as mediators of mental health among abused women, Nursing & Health Sciences, 2022, 24 (2), pp. 458-468

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