Skip to main content
Erschienen in: International Journal of Public Health 6/2018

21.04.2018 | Original Article

Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial

verfasst von: Saima S. Hirani, Colleen M. Norris, K. Jessica Van Vliet, Sander Veldhuyzen Van Zanten, Rozina Karmaliani, Gerri Lasiuk

Erschienen in: International Journal of Public Health | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Abstract

Objectives

This study tested the efficacy of a 6-week social support intervention for enhancing resilience and quality of life among women living in low socioeconomic areas of Karachi, Pakistan.

Methods

One hundred and twenty women were randomly allocated to the intervention (n = 60) or control group (n = 60). Women in the intervention group attended a 6-week social support program, while those in the control group attended a single mental health awareness session. Outcome variables were measured via the resilience scale-14 item (RS-14), the resilience scale for adults (RSA), and World Health Organization quality of life brief scale (WHOQOL-BREF).

Results

Compared to participants in the control group, women in the intervention group reported improvements in resilience measured by RS-14 (p = 0.022) and the structured style subscale of the RSA (p = 0.043). A medium effect size was also measured on the structured style subscale (d = 0.6, 95% CI = 0.62874, 2.57126). No significant findings were noted on QOL scores.

Conclusions

Community-based social support interventions are a gender-sensitive-, culturally appropriate-, and resource-sparing approach to promote women’s resilience and improve their mental health.
Literatur
Zurück zum Zitat Ali BS, Rahbar AL, Tareen A, Gui L, Samad L (2002) Prevalence of and factors associated with anxiety and depression among women in lower middle class semi-urban community of Karachi, Pakistan. J Pak Med Assoc 52:513–517PubMed Ali BS, Rahbar AL, Tareen A, Gui L, Samad L (2002) Prevalence of and factors associated with anxiety and depression among women in lower middle class semi-urban community of Karachi, Pakistan. J Pak Med Assoc 52:513–517PubMed
Zurück zum Zitat Cohen S, Underwood LG, Gottlieb BH (eds) (2000) Social support measurement and interventions: A guide for health and social scientists. Oxford University, New York Cohen S, Underwood LG, Gottlieb BH (eds) (2000) Social support measurement and interventions: A guide for health and social scientists. Oxford University, New York
Zurück zum Zitat Diener E, Suh E (1997) Measuring quality of life: economic, social, and subjective indicators. Soc Indic Res 40:189–216CrossRef Diener E, Suh E (1997) Measuring quality of life: economic, social, and subjective indicators. Soc Indic Res 40:189–216CrossRef
Zurück zum Zitat Economou M, Kokkosis M, Triantafillou E, Christodoulou G (2001) Quality of life and mental health: conceptual approaches and clinical and assessment issues. Arch Hell Med 18:239–253 Economou M, Kokkosis M, Triantafillou E, Christodoulou G (2001) Quality of life and mental health: conceptual approaches and clinical and assessment issues. Arch Hell Med 18:239–253
Zurück zum Zitat Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M (2003) A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res 12:65–76CrossRefPubMed Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M (2003) A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res 12:65–76CrossRefPubMed
Zurück zum Zitat Hinton A, Downey J, Lisovicz N, Mayfield-Johnson S, White-Johnson F (2004) The community health advisor program and the deep south network for cancer control: health promotion programs for volunteer community health advisors. Fam Community Health 22:20–27 Hinton A, Downey J, Lisovicz N, Mayfield-Johnson S, White-Johnson F (2004) The community health advisor program and the deep south network for cancer control: health promotion programs for volunteer community health advisors. Fam Community Health 22:20–27
Zurück zum Zitat Hussain N, Chaudary IB, Afridi MA, Tomenson B, Creed F (2007) Life stress and depression in a tribal area of Pakistan. Br J Psychiatry 190:36–41CrossRef Hussain N, Chaudary IB, Afridi MA, Tomenson B, Creed F (2007) Life stress and depression in a tribal area of Pakistan. Br J Psychiatry 190:36–41CrossRef
Zurück zum Zitat Jaeschke R, Singer J, Guyatt GH (1989) Ascertaining the minimal clinically important difference. Controll Clin Trials 10:407–415CrossRef Jaeschke R, Singer J, Guyatt GH (1989) Ascertaining the minimal clinically important difference. Controll Clin Trials 10:407–415CrossRef
Zurück zum Zitat Kessler RC, McLeod JD (1985) Social support and mental health in community samples. Academic Press, New York Kessler RC, McLeod JD (1985) Social support and mental health in community samples. Academic Press, New York
Zurück zum Zitat Lakey B, Cohen S (2000) Social support theory and selecting measures of social support. In: Cohen S, Gordon LU, Gottlieb BH (eds) Social support measurement and interventions: a guide for health and social scientists. Oxford University, New York Lakey B, Cohen S (2000) Social support theory and selecting measures of social support. In: Cohen S, Gordon LU, Gottlieb BH (eds) Social support measurement and interventions: a guide for health and social scientists. Oxford University, New York
Zurück zum Zitat Mujeeb A, Zubair A (2012) Resilience, stress, anxiety, depression among internally displaced persons affected by armed conflict. Pak J Soc Clin Psychol 10:20–26 Mujeeb A, Zubair A (2012) Resilience, stress, anxiety, depression among internally displaced persons affected by armed conflict. Pak J Soc Clin Psychol 10:20–26
Zurück zum Zitat Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S (2007) Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry 4:35–40PubMedPubMedCentral Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S (2007) Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry 4:35–40PubMedPubMedCentral
Zurück zum Zitat Patel V, Araya R, Chatterjee S (2007) Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet 370:991–1005CrossRefPubMed Patel V, Araya R, Chatterjee S (2007) Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet 370:991–1005CrossRefPubMed
Zurück zum Zitat Rabbani F, Qureshi F, Rizvi N (2008) Perspectives on domestic violence: case study from Karachi, Pakistan. East Mediterr Health J 14:415–426PubMed Rabbani F, Qureshi F, Rizvi N (2008) Perspectives on domestic violence: case study from Karachi, Pakistan. East Mediterr Health J 14:415–426PubMed
Zurück zum Zitat Rahman A, Malik A, Sikander S, Roberts C, Creed F (2008) Cognitive behavioral therapy- based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster randomized control trial. Lancet 372:902–909CrossRefPubMedPubMedCentral Rahman A, Malik A, Sikander S, Roberts C, Creed F (2008) Cognitive behavioral therapy- based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster randomized control trial. Lancet 372:902–909CrossRefPubMedPubMedCentral
Zurück zum Zitat Rahman A, Hamdani SU, Awan NR, Bryant RA, Dawson KS, Khan MF, Azeemi MM et al (2016) Effect of a multicomponent behavioral intervention in adults impaired by psychological distress in a conflict affected area of Pakistan: a randomized clinical trial. Journal of American Medical Association 316(24):2609–2617. https://doi.org/10.1001/jama.2016.17165 CrossRef Rahman A, Hamdani SU, Awan NR, Bryant RA, Dawson KS, Khan MF, Azeemi MM et al (2016) Effect of a multicomponent behavioral intervention in adults impaired by psychological distress in a conflict affected area of Pakistan: a randomized clinical trial. Journal of American Medical Association 316(24):2609–2617. https://​doi.​org/​10.​1001/​jama.​2016.​17165 CrossRef
Zurück zum Zitat Rutter M (2012) Resilience as a dynamic concept. Development of Psychopathology 24:335–344CrossRef Rutter M (2012) Resilience as a dynamic concept. Development of Psychopathology 24:335–344CrossRef
Zurück zum Zitat Skevington SM, Lotfy M, O’Connell KA (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial a report from the WHOQOL group. Qual Life Res 13:299–310CrossRefPubMed Skevington SM, Lotfy M, O’Connell KA (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial a report from the WHOQOL group. Qual Life Res 13:299–310CrossRefPubMed
Zurück zum Zitat Southwick SM, Vythilingam M, Charney DS (2005) The psychobiology of depression and resilience to stress: implications for prevention and treatment. Ann Rev Clin Psychol 1:255–291CrossRef Southwick SM, Vythilingam M, Charney DS (2005) The psychobiology of depression and resilience to stress: implications for prevention and treatment. Ann Rev Clin Psychol 1:255–291CrossRef
Zurück zum Zitat Stansfeld SA, Fuhrer R, Head J (1997) etal (1997) Work and psychiatric disorder in the whitehall II study. J Psychosom Res 43:73–81CrossRefPubMed Stansfeld SA, Fuhrer R, Head J (1997) etal (1997) Work and psychiatric disorder in the whitehall II study. J Psychosom Res 43:73–81CrossRefPubMed
Zurück zum Zitat Tamres L, Janicki D, Helgeson VS (2002) Sex differences in coping behavior: a meta-analytic review. Person Soc Psychol Rev 6:2–30CrossRef Tamres L, Janicki D, Helgeson VS (2002) Sex differences in coping behavior: a meta-analytic review. Person Soc Psychol Rev 6:2–30CrossRef
Zurück zum Zitat Taylor SE (2006) Tend and befriend: behavioral bases of affiliation under stress. Assoc Psychol Sci 15:273–277 Taylor SE (2006) Tend and befriend: behavioral bases of affiliation under stress. Assoc Psychol Sci 15:273–277
Zurück zum Zitat Taylor SE, Klein LC, Lewis BP, Gruenewald TL, Gurung RAR, Updegraff JA (2000) Biobehavioral responses to stress in females: tend-and-befriend, not fight-or- flight. Psychol Rev 107:411–429CrossRefPubMed Taylor SE, Klein LC, Lewis BP, Gruenewald TL, Gurung RAR, Updegraff JA (2000) Biobehavioral responses to stress in females: tend-and-befriend, not fight-or- flight. Psychol Rev 107:411–429CrossRefPubMed
Zurück zum Zitat Uchino BN, Cacioppo JT, KiecoltGlaser JK (1996) The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychol Bull 119:488–531CrossRefPubMed Uchino BN, Cacioppo JT, KiecoltGlaser JK (1996) The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychol Bull 119:488–531CrossRefPubMed
Zurück zum Zitat Wachs TD, Black MM, Engle PL (2009) Maternal depression: a global threat to children’s health, development, and behavior and to human rights. Child Dev Perspect 3:51–59CrossRef Wachs TD, Black MM, Engle PL (2009) Maternal depression: a global threat to children’s health, development, and behavior and to human rights. Child Dev Perspect 3:51–59CrossRef
Zurück zum Zitat Wagnild G, Young H (1993) Development and psychometric evaluation of the Resilience Scale. J Nurs Meas 1:165–178PubMed Wagnild G, Young H (1993) Development and psychometric evaluation of the Resilience Scale. J Nurs Meas 1:165–178PubMed
Zurück zum Zitat Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ et al (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. The Lancet 370:841–850CrossRef Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ et al (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. The Lancet 370:841–850CrossRef
Zurück zum Zitat Xu J, Ou L (2014) Resilience and quality of life among Wenchuan earthquake survivors: the mediating role of social support. Public Health 128:430–437CrossRefPubMed Xu J, Ou L (2014) Resilience and quality of life among Wenchuan earthquake survivors: the mediating role of social support. Public Health 128:430–437CrossRefPubMed
Metadaten
Titel
Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial
verfasst von
Saima S. Hirani
Colleen M. Norris
K. Jessica Van Vliet
Sander Veldhuyzen Van Zanten
Rozina Karmaliani
Gerri Lasiuk
Publikationsdatum
21.04.2018
Verlag
Springer International Publishing
Erschienen in
International Journal of Public Health / Ausgabe 6/2018
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-018-1101-y

Weitere Artikel der Ausgabe 6/2018

International Journal of Public Health 6/2018 Zur Ausgabe