نشریه علمی پژوهشی طب انتظامی Journal of Police Medicine
Volume 11, Issue 1 (2022)
J Police Med 2022, 11(1) |
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pourdel M, Sodani M. The effectiveness of solution-based treatment on quality of life and psychological resilience of abused women with addiction readiness. J Police Med 2022; 11 (1) : e11
URL: http://jpmed.ir/article-1-1052-en.html
URL: http://jpmed.ir/article-1-1052-en.html
1- Department of Counseling, Faculty of Education & Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
2- Department of Counseling, Faculty of Education & Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran. , sodani_m@scu.ac.ir
2- Department of Counseling, Faculty of Education & Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran. , sodani_m@scu.ac.ir
English Extended Abstract: (1285 Views)
Introduction
... [1]. The concept of being maverick or abusive in most societies is defined as the absence of a father or husband in the family [2]. In recent years, the number of abusive women who are responsible for the family’s finances has increased significantly [3]. Prolonged pressures sometimes make it easier for women who feel they have little social support to commit a crime [4]. Research shows a tendency to addiction among homeless and abusive women [5]. ... [6, 7]. If women commit crimes, because of their role as mothers and raising children, they will cause many negative effects on the family and, consequently, on the future generation of society [8]. .... [9-12]. It has a great impact on their quality of life. The results of studies show that many areas of quality of life have a significant correlation with mental health [13-15]. The ability to adapt to environmental stimuli or psychological resilience has an effective role on increasing health and quality of life [16] and can be a factor in reducing the effects of drug temptation. ... [17-19]. Solution-focused therapy is one of the approaches that can be used to improve the quality of life and psychological resilience of abusive women [20]. ... [21-23]. The results of studies show that solution-focused therapy can affect resilience and well-being [24], anxiety and depression [25], vitality and resilience [26], self-efficacy and quality of life of women [27], self-control [28, 29], well-being and adjustment [30]. Educational interventions, considering the importance of quality of life and psychological flexibility, seem necessary and important in this field.
Aim(s)
The purpose of this study was to evaluate the effectiveness of solution-focused therapy on quality of life and psychological flexibility of abusive women with addiction readiness.
Research Type
This is an applied study with a quasi-experimental method and pre-test-post-test design with the control group.
Research Society, Place and Time
All abusive women who were referred to the welfare center of Khuzestan province in Shushtar city formed the statistical population of this study in 2021.
Sampling Method and Number
To screen abusive women with addiction readiness, the addiction readiness tool of Zargar et al. [31] was used. ... [30]. 30 people with a score higher than 54 in this questionnaire [31] were selected and randomly assigned to the experimental and control groups of 15 people.
Used Devices & Materials
The tools used in the study were the Psychological Flexibility Questionnaire and the World Health Organization Quality of Life Questionnaire-short form. …(Table1).
Ethical Permissions
This research was registered with the ethics ID EE / 99.3.02.24953 / SCU.ac.ir.
Statistical Analysis
Multivariate analysis of covariance was used to test the hypothesis regarding the quality of life and psychological flexibility.
Finding by Text
The mean age of participants in the experimental group was 32.7±2.8 years and in the control group was 33.4± 2.6 years, which ranged from 22 to 37 years (Table 2). The scores of quality of life and psychological flexibility of the experimental group in the post-test were higher than the scores of the control group (Table 3). All default of normality of data distribution by Kolmogorov-Smirnov test (p>0.05), homogeneity of variance-covariance matrices (F= 1.11; p>0.05;), homogeneity of error variances for quality of life variable (F = 1.92; p>0.05;) and for the psychological flexibility variable (F = 0.22; p >0.05;) were evaluated and approved. The results of multivariate analysis of covariance showed a significant difference in the scores of the two groups (p = 0.003; F=5.53; Pilay effect= 0.51). In other words, the results of multivariate analysis of covariance showed that solution-focused therapy was effective on the linear composition of dependent variables and there was a significant difference between the groups. Considering the F values obtained for the quality of life test (70.66) and psychological flexibility (55.16) and their significance level which was less than 0.05 (Table 4), it was observed that solution-focused therapy was effective and increase quality of life and psychological flexibility of abusive women with addiction readiness.
Main Comparison to the Similar Studies
The first finding of the study showed that solution-focused therapy could be effective on the quality of life of abusive women with readiness for addiction, this finding is consistent with the studies [27-30]. By explaining this finding, it can be said that the solution-focused therapy, by slowly discovering the exceptions in the clients' lives, can give them hope to see approaching a better future. The second finding of the study showed that solution-focused therapy could be effective on psychological flexibility of abusive women with addiction readiness. This finding is consistent with the findings of Nasirnejad et al [24, 26, 30]. One of the most important reasons for the effectiveness of the treatment on psychological flexibility was to change the level of avoidance through work on the personal experiences of members. So the researcher did not conduct the sessions based on a series of pre-designed examples; Instead, he tried to use all the experiences he had in the current group to convey the content. When assignments and metaphors were presented according to the personal problems of the members, they were understood and accepted, so the rate of avoidance of new group experiences dropped greatly, and finally psychological flexibility, ie the ability to experience the moment and think differently was experienced in the group. Through psychological flexibility, members were helped not to let their thoughts limit their choices. In general, it can be concluded that solution-focused therapy focuses on positive features and pragmatism. Each authority finds its way to a solution that is based on its definition of purpose, strategies, strengths, and resources. The emphasis of the solution-oriented approach on learning what works for each individual has made this approach an attractive option and can be effective on increasing the quality of life and psychological resilience of abusive women with addiction readiness.
Limitations
One of the limitations of this study was the use of non-native tools based on Western culture. Also, the lack of a follow-up stage due to time and space constraints and Corona pandemic conditions was another limitation of this study.
Suggestions
It is suggested that tools based on our country's culture be developed and standardized. Also, teaching this method of treatment should be included in the list of couple therapy and family therapy training programs so that counselors and therapists can treat the problems of couples and families according to these approaches.
Conclusions
Based on the findings of this study, it can be concluded that solution-focused intervention is an effective way to improve the quality of life and psychological flexibility of abusive women with addiction readiness.
Clinical & Practical Tips in Police Medicine
According to the results of this article, solution-focused interventions can be applied to abusive women in police headquarter counseling centers to improve their quality of life and their psychological flexibility.
Acknowledgments
The research group considers it necessary to express its gratitude and appreciation to all the participants who helped the research group in conducting this research.
Conflict of Interest
The authors state that there is no conflict of interest in the present study.
Funding Sources
All costs of this research are covered by the authors.
Table 2) The average age and duration of marriage of the subjects
Table 3) Average scores of research variables in pre-test and post-test
Table 4) Results of multivariate analysis of covariance to evaluate the effect of
... [1]. The concept of being maverick or abusive in most societies is defined as the absence of a father or husband in the family [2]. In recent years, the number of abusive women who are responsible for the family’s finances has increased significantly [3]. Prolonged pressures sometimes make it easier for women who feel they have little social support to commit a crime [4]. Research shows a tendency to addiction among homeless and abusive women [5]. ... [6, 7]. If women commit crimes, because of their role as mothers and raising children, they will cause many negative effects on the family and, consequently, on the future generation of society [8]. .... [9-12]. It has a great impact on their quality of life. The results of studies show that many areas of quality of life have a significant correlation with mental health [13-15]. The ability to adapt to environmental stimuli or psychological resilience has an effective role on increasing health and quality of life [16] and can be a factor in reducing the effects of drug temptation. ... [17-19]. Solution-focused therapy is one of the approaches that can be used to improve the quality of life and psychological resilience of abusive women [20]. ... [21-23]. The results of studies show that solution-focused therapy can affect resilience and well-being [24], anxiety and depression [25], vitality and resilience [26], self-efficacy and quality of life of women [27], self-control [28, 29], well-being and adjustment [30]. Educational interventions, considering the importance of quality of life and psychological flexibility, seem necessary and important in this field.
Aim(s)
The purpose of this study was to evaluate the effectiveness of solution-focused therapy on quality of life and psychological flexibility of abusive women with addiction readiness.
Research Type
This is an applied study with a quasi-experimental method and pre-test-post-test design with the control group.
Research Society, Place and Time
All abusive women who were referred to the welfare center of Khuzestan province in Shushtar city formed the statistical population of this study in 2021.
Sampling Method and Number
To screen abusive women with addiction readiness, the addiction readiness tool of Zargar et al. [31] was used. ... [30]. 30 people with a score higher than 54 in this questionnaire [31] were selected and randomly assigned to the experimental and control groups of 15 people.
Used Devices & Materials
The tools used in the study were the Psychological Flexibility Questionnaire and the World Health Organization Quality of Life Questionnaire-short form. …(Table1).
Ethical Permissions
This research was registered with the ethics ID EE / 99.3.02.24953 / SCU.ac.ir.
Statistical Analysis
Multivariate analysis of covariance was used to test the hypothesis regarding the quality of life and psychological flexibility.
Finding by Text
The mean age of participants in the experimental group was 32.7±2.8 years and in the control group was 33.4± 2.6 years, which ranged from 22 to 37 years (Table 2). The scores of quality of life and psychological flexibility of the experimental group in the post-test were higher than the scores of the control group (Table 3). All default of normality of data distribution by Kolmogorov-Smirnov test (p>0.05), homogeneity of variance-covariance matrices (F= 1.11; p>0.05;), homogeneity of error variances for quality of life variable (F = 1.92; p>0.05;) and for the psychological flexibility variable (F = 0.22; p >0.05;) were evaluated and approved. The results of multivariate analysis of covariance showed a significant difference in the scores of the two groups (p = 0.003; F=5.53; Pilay effect= 0.51). In other words, the results of multivariate analysis of covariance showed that solution-focused therapy was effective on the linear composition of dependent variables and there was a significant difference between the groups. Considering the F values obtained for the quality of life test (70.66) and psychological flexibility (55.16) and their significance level which was less than 0.05 (Table 4), it was observed that solution-focused therapy was effective and increase quality of life and psychological flexibility of abusive women with addiction readiness.
Main Comparison to the Similar Studies
The first finding of the study showed that solution-focused therapy could be effective on the quality of life of abusive women with readiness for addiction, this finding is consistent with the studies [27-30]. By explaining this finding, it can be said that the solution-focused therapy, by slowly discovering the exceptions in the clients' lives, can give them hope to see approaching a better future. The second finding of the study showed that solution-focused therapy could be effective on psychological flexibility of abusive women with addiction readiness. This finding is consistent with the findings of Nasirnejad et al [24, 26, 30]. One of the most important reasons for the effectiveness of the treatment on psychological flexibility was to change the level of avoidance through work on the personal experiences of members. So the researcher did not conduct the sessions based on a series of pre-designed examples; Instead, he tried to use all the experiences he had in the current group to convey the content. When assignments and metaphors were presented according to the personal problems of the members, they were understood and accepted, so the rate of avoidance of new group experiences dropped greatly, and finally psychological flexibility, ie the ability to experience the moment and think differently was experienced in the group. Through psychological flexibility, members were helped not to let their thoughts limit their choices. In general, it can be concluded that solution-focused therapy focuses on positive features and pragmatism. Each authority finds its way to a solution that is based on its definition of purpose, strategies, strengths, and resources. The emphasis of the solution-oriented approach on learning what works for each individual has made this approach an attractive option and can be effective on increasing the quality of life and psychological resilience of abusive women with addiction readiness.
Limitations
One of the limitations of this study was the use of non-native tools based on Western culture. Also, the lack of a follow-up stage due to time and space constraints and Corona pandemic conditions was another limitation of this study.
Suggestions
It is suggested that tools based on our country's culture be developed and standardized. Also, teaching this method of treatment should be included in the list of couple therapy and family therapy training programs so that counselors and therapists can treat the problems of couples and families according to these approaches.
Conclusions
Based on the findings of this study, it can be concluded that solution-focused intervention is an effective way to improve the quality of life and psychological flexibility of abusive women with addiction readiness.
Clinical & Practical Tips in Police Medicine
According to the results of this article, solution-focused interventions can be applied to abusive women in police headquarter counseling centers to improve their quality of life and their psychological flexibility.
Acknowledgments
The research group considers it necessary to express its gratitude and appreciation to all the participants who helped the research group in conducting this research.
Conflict of Interest
The authors state that there is no conflict of interest in the present study.
Funding Sources
All costs of this research are covered by the authors.
Table 1) Content of Solution-Based Consulting Sessions [36]
| Meeting | Aim | Meeting summary |
| First | Identify, curiosity and communicate the leader with the group. | Get to know the group members with each other and with the leader, introduce the group, state the basic framework of the work plan and objectives of the meeting, conduct a pre-test |
| Second | Creating common mental structures of issue and purpose by members and leader and identifying preferences for the future. | A brief overview of the topics of the previous session, asking scale questions, asking miraculous questions, giving homework |
| Third | Participate, create hope and highlight past situations and exceptions, find exceptions (past and present). | Overview of the topics of the previous session, reviewing assignments and providing encouragement, asking exceptional questions, presenting assignments |
| Fourth | Find Exceptions (continued). | Overview of the topics of the previous session, reviewing homework and giving encouragement, surprising homework, asking miraculous questions and crystal ball, homework presentation |
| Fifth | Discover solutions. | Review previous sessions, review assignments and provide reinforcement, ask questions that lead to solutions, ask adaptive questions, submit assignments |
| Sixth | Identify solutions (continued). | Overview of the topics of the previous session, reviewing assignments and providing encouragement, asking a confrontational question, asking a default technique, predictive assignment, assigning an assignment |
| Seventh | Strengthen exceptions. | An overview of the topics of the previous session, reviewing assignments and providing reinforcement and definition, asking questions such as (What improvement has been achieved?), More familiarity with the technique of doing the same work more, familiarity with the technique of doing the same work less , give homework |
| Eighth | The end | Review previous sessions, review assignments and provide positive reinforcement, get feedback from clients, ask scale questions, appreciate clients' efforts and activities, highlight changes that have taken place, conduct post-test |
Table 2) The average age and duration of marriage of the subjects
in the experimental and control groups
| Variable | group | Mean | Standard deviation |
| Age | the experiment | 32.7 | 2.8 |
| Control | 33.4 | 2.6 | |
| Duration of marriage | the experiment | 10.12 | 3.47 |
| Control | 10.25 | 3.17 |
Table 3) Average scores of research variables in pre-test and post-test
| Scale | group | M±SD | M±SD |
| Psychological flexibility | the experiment | 60.66±7.98 | 66.46±19.60 |
| Control | 62.53±7.80 | 54.53±10.16 | |
| Quality of Life | the experiment | 76.50±7.12 | 83.00±7.66 |
| Control | 73.33±8.57 | 74.66±8.93 |
Table 4) Results of multivariate analysis of covariance to evaluate the effect of
treatment on post-test of the main variables
| Source of changes | The dependent variables | Total squares | Degrees of freedom | Average squares | F | p | Effect size |
| Group | Quality of Life | 290.89 | 1 | 290.89 | 70.66 | 0.001 | 0.754 |
| Psychological flexibility | 282.86 | 1 | 282.86 | 55.16 | 0.001 | 0.706 | |
| Error | Quality of Life | 94.67 | 23 | 4.11 | - | - | - |
| Psychological flexibility | 117.94 | 23 | 5.12 | - | - | - | |
| Total | Quality of Life | 9637 | 30 | - | - | - | - |
| Psychological flexibility | 9133 | 30 | - | - | - | - |
Article number: e11
Article Type: Original Research |
Subject:
Addiction & Substance Abuse
Received: 2021/09/21 | Accepted: 2021/11/8 | Published: 2022/02/27
Received: 2021/09/21 | Accepted: 2021/11/8 | Published: 2022/02/27
Extended Abstract [HTM 44 KB] (25 Download)
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