Abstract
Aim: Wives of patients with bipolar disorder as informal caregivers are at high risk for spouse abuse and need to learn coping strategies such as problem-solving skills to manage problematic situations. The purpose of this study was to assess the effectiveness of the psychoeducation group training based on problem-solving skills for women experiencing bipolar spouse abuse.Methods: A randomized clinical trial design was used for this study. In intervention group, women experiencing bipolar spouse abuse participated in four problem-solving skills training sessions and women in two groups (intervention = 30 and control = 30) completed the Index of Spouse Abuse at baseline and after 2 months.Results: The results indicated that changes in abuse scores (physical, non-physical and total of Index of Spouse Abuse) after the intervention were significantly different among the two groups (p < 0.0001). Although abuse scores decreased in both the intervention and the control groups, but lower abuse scores in the intervention than control group were statistically significant.Conclusion: Our findings support that the problem-solving skills training intervention can help to decrease the women experience of bipolar spouse abuse.
Highlights
Based on the results of systematic review in 2020, the prevalence of mental disorders in Iran’s general population was reported 25.42−31.03% [1]
The results indicated that changes in abuse scores after the intervention were significantly different among the two groups (p < 0.0001)
Because the hospitalized spouses in control group too received the common medical treatment for bipolar disorder, we have a decrease in abuse scores rather than baseline time reported by women in this group
Summary
Based on the results of systematic review in 2020, the prevalence of mental disorders in Iran’s general population was reported 25.42−31.03% [1]. Predomination of depressive features in women and manic features in men, difference in regards to psychiatric and medical comorbidities (more endocrine/metabolic disorders in women and more neurological and cancer disorders in men) are mentioned as some of these differences [7]. These patients have problems and challenges in their family function and relationship and the result of review suggests that patients with BD experience multiple negative marital and sexual consequences in their life [5]. Members of the BD patient relatively experience many difficulties, stress and pressures during the episode of the illness, treatment, rehabilitation, and recovery and there is a fear of new relapses, even when the illness is stabilized [2, 4]
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