Effectiveness of Solution-Focused Group Counseling on the Mental Health of Midwifery Students

Abstract

Objective The present study was conducted with the objective of investigating the effectiveness of solution-focused group counseling (SFGC) on promoting the mental health of midwifery students.

Methods The present study is an intervention-based study with a pretest, a post-test, and a control group. The statistical population included all of the midwifery students studying in the midwifery department of the Bam University of Medical Sciences, Kerman, Iran, who filled out the General Health Questionnaire (GHQ) in the screening phase. In the second phase, 40 individuals, having a low level of mental health based on the cutoff score of 23, were selected and randomly divided into 2 groups (intervention and control), each group with 20 participants. The intervention group participated in 5 sessions of 75 minutes for SFGC. Then, the post-test was held in both groups and the data analysis was conducted using the Mann-Whitney and the Kruskal-Wallis test with IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp, Armonk, NY, USA). The significance level was considered as p < 0.05.

Results The findings showed that the mean of the post-test mental health scores of the intervention group (14.5 ± 50.35) and of the control group (23.6 ± 35.83) showed a statistically significant difference (p < 0.0001). Moreover, the comparison between the mean scores of the mental health subscales (physical symptoms, stress, social performance, and depression) showed a statistically significant difference in these groups, and SFGC improved physical symptoms, stress, social performance, and depression in the members of the intervention group.

Conclusion Solution-focused group counseling may improve all levels of mental health. This type of counseling is recommended to be used to solve the psychological problems and to improve the mental health of students, as well as of the staff of the health system.

Keywords

solution-focused group counseling - mental health - midwifery

Contributions

Javid N.: substantial contributions to the conception and the design and to the final approval of the version to be published. Ahmadi A.: management of counseling sessions. Atghaei M.: Data collection and analysis. Mirzaei M.: Interpretation of data and edition.

• References

• 1 Solaimanizadeh L, Solaimanizadeh F, Javadi M, Abasszadeh A. Association between mental health and educational stressful factors among students of Razi Nursing and Midwifery School in Kerman. Iran J Med Educ 2011; 11: 200-209
• 2 World Health Organization. mhGAP: Mental Health Gap Action Programme: Scaling Up Care For Mental, Neurological, and Substance Use Disorders. Geneva: WHO; 2008
• 3 Nematbakhsh F, Kordi M, Sahebi A, Esmaeili H. The effect of mother–infant skin to skin contact on mother's attachment. J Fundam Mental Health 2007; 9: 25-32
• 4 Brown S, Inskip H, Barraclough B. Causes of the excess mortality of schizophrenia. Br J Psychiatry 2000; 177: 212-217 . Doi: 10.1192/bjp.177.3.212
• 5 Foroutani M. Depression in some college students. Iran J Nurs 2005; 18: 123-130
• 6 Najafi Kalyani M, Pourjam E, Jamshidi N, Karimi S, Najafi Kalyani V. Survey of stress, anxiety, depression and self-concept of students of Fasa University of medical sciences, 2010. J Fasa Univ Med Sci 2013; 3: 235-240
• 7 Heshmati P, Gandhi S, Sadaat Razavi M. , Eds. The effects of mindfulness based group counseling on increased social functioning in secondary school students in the city of Kermanshah in the academic year 2015–2016.
• 8 Rafati F, Shamsi A, Pilevarzadeh M, Rafati S. Mental health and risk factors those in nursing students in -Jiroft medical students. Mod Care J 2012; 9: 137-145
• 9 Namazi A, Alizadeh S, Kouchakzadeh Talami S. General health in nursing and midwifery students and its relationship with academic achievement. J Nurs Educ 2015; 4: 11-18
• 10 Ghamari F, Mohammad Beygi AAF, Mohammad Salehi N. The association between mental health and demographic factors with educational success in the students of Arak Universities. Majallah-i Danishgah-i Ulum-i Pizishki-i Babul 2010; 12: 118-124
• 11 Abdi Masooleh F, Kaviani H, Khaghanizade M, Momeni Araghi A. The relationship between burnout and mental health among nurses. Tehran Univ Med J 2007; 65: 65-75
• 12 Nariman A, Akbarzadeh M, Hamzeh M. Evaluation of general health in medical students of AJA University of Medical Sciences, 2009. Ann Mil Health Sci Res 2010; 8: 49-55
• 13 Hashemi Nejad N, Moghadam SR, Mohammadian M, Amiri F. Survey of relationship between mental health and job stress midwives working in hospitals in Kerman, Iran, 2011. Iran Obstet Gynecol Infertil 2013; 16: 1-9
• 14 Knezevic B, Milosevic M, Golubic R, Belosevic L, Russo A, Mustajbegovic J. Work-related stress and work ability among Croatian university hospital midwives. Midwifery 2011; 27 (02) 146-153 . Doi: 10.1016/j.midw.2009.04.002
• 15 Adham D, Salem Safi P, Amiri M. , et al. The survey of mental health status in Ardabil University of Medical Sciences students in 2007–2008. J Ardabil Univ Med Sci 2008; 8: 229-234
• 16 World Health Organization. Mental Health Atlas: 2005. Geneva: World Health Organization; 2005
• 17 Amiri E, Kareshki H, Asghari M. The effectiveness of Solution Focused Group Counseling on general health of single parent boys. J Psychol Models Methods 2014; 4: 37-56
• 18 Dastbaz A, Younesi SJ, Moradi O, Ebrahimi M. The effect of “solution-focused” group counseling on adjustment and self-efficacy of high school male students in Shahriar City. Knowl Res Appl Psychol 2014; 15: 90-98
• 19 Spilsbury G. Solution-focused brief therapy for depression and alcohol dependence: a case study. Clin Case Stud 2012; 11: 263-275 . Doi: 10.1177/1534650112450506
• 20 Dahl R, Bathel D, Carreon C. The use of solution-focused therapy with an elderly population. J Syst Ther 2000; 19: 45-55 . Doi: 10.1521/jsyt.2000.19.4.45
• 21 Lethem J. Brief solution focused therapy. Child Adolesc Ment Health 2002; 7: 189-192 . Doi: 10.1111/1475-3588.00033
• 22 Nazari AM, Goli M. The effects of solution-focused psychotherapy on the marital satisfaction of dual career couples. Knowl Health 2008; 2: 33-37
• 23 Wand T. Mental health nursing from a solution focused perspective. Int J Ment Health Nurs 2010; 19 (03) 210-219 . Doi: 10.1111/j.1447-0349.2009.00659.x
• 24 Yaghubi N, Nasr M, Shahmohammadi D. Epidemiology of mental disorders in Urabn and rural areas of Sowmaesara-Gillan. Majallah-i Ravanpizishki va Ravanshinasi-i Balini-i Iran 1995; 1: 55-60
• 25 Keshavarz Akhlagh AA, Ghalebandi MF. Sleep quality and its correlation with general health in pre-university students of Karaj, Iran. Iran J Psychiatry Behav Sci 2009; 3: 44-49
• 26 Salama-Younes M, Montazeri A, Ismaïl A, Roncin C. Factor structure and internal consistency of the 12-item General Health Questionnaire (GHQ-12) and the Subjective Vitality Scale (VS), and the relationship between them: a study from France. Health Qual Life Outcomes 2009; 7: 22 . Doi: 10.1186/1477-7525-7-22
• 27 Lotfi A, Motamedi A. Studying the influence of Solution-Focused Brief Therapy on increasing resiliency of boy teenagers at risk in one of military counties. J Mil Psychol 2016; 7: 37-49
• 28 Namdar AH, Ebrahimi H, Sahebihagh MH, Arshadi BM. Mental health status and its relationship with academic achievement in students of Tabriz Nursing-Midwifery School. Iran J Med Educ 2013; 13: 146-152
• 29 Shahabinejad M, Sadeghi T, Salem Z. Assessment of the mental health of nursing. Iran J Psychiatr Nurs 2016; 4: 29-37
• 30 Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9 (01) 139-145
• 31 Mohammadi-Farrokhran E, Mokhayeri Y, Tavakkol Z, Mansouri A. Relationship between quality of sleep and mental health among students living in dormitories. Knowl Health 2012; 7: 112-117
• 32 Nagyova I, Krol B, Szilasiova A, Stewart RE, van Djik JP, van den Heuval WJA. General Health Questionnaire-28: psychometric evaluation of the Slovak version. Stud Pychol 2000; 42: 351-361
• 33 Ebrahimi AE, Moulavi H, Mousavi SG. BornaManesh AR, Yaghoubi M. Psychometric properties and factor structure of General Health Questionnaire 28 (GHQ-28) in Iranian psychiatric patients. J Res Behav Sci 2007; 5: 5-12
• 34 Corcoran J. A comparison group study of solution-focused therapy versus “treatment-as-usual” for behavior problems in children. J Soc Serv Res 2006; 33: 69-81 . Doi: 10.1300/J079v33n01_07
• 35 Seagram BC. The Efficacy of Solution-Focused Therapy with Young Offenders [dissertation]. York, United Kingdom: University North York; 1998
• 36 Rajabi GH, Karjo Kasmaei S. A study of the impact of rational-emotive-behavioral therapy (Ellis irrational beliefs) as group counselling methods on sub- scales general health recovery in male high school students. J Sch Psychol 2012; 1: 59-76
• 37 Ghanbari Zarandi Z, Goodarzi M. [The effectiveness of group consultation by meaning therapy on improving general health in earthquake injured women]. J Womens Res 2008; 2: 57-66
• 38 Fakhar F, Navayinezhad S, Foroughan M. The role of group counseling with logo-therapeutic approach on the mental health of older women. Salmand Iran J Ageing 2008; 3: 58-67
• 39 Ahghar GH. Effectiveness of group counseling with cognitive-behavioral approach on mental health of female students. Andisheh Va Raftar 2010; 4: 7-14
• 40 Maljanen T, Knekt P, Lindfors O, Virtala E, Tillman P, Härkänen T. ; Helsinki Psychotherapy Study Group. The cost-effectiveness of short-term and long-term psychotherapy in the treatment of depressive and anxiety disorders during a 5-year follow-up. J Affect Disord 2016; 190: 254-263 . Doi: 10.1016/j.jad.2015.09.065
• 41 Pomeroy EC, Green DL, Van Laningham L. Couples who care: the effectiveness of a psychoeducational group intervention for HIV serodiscordant couples. Res Soc Work Pract 2002; 12: 238-252 . Doi: 10.1177/104973150201200203
• 42 Mireau R, Inch R. Brief Solution-Focused Counseling: a practical effective strategy for dealing with wait lists in community-based mental health services. Soc Work 2009; 54 (01) 63-70
• 43 Estrada B, Beyebach M. Solution-focused therapy with depressed deaf persons. J Fam Psychother 2007; 18: 45-63 . Doi: 10.1300/J085v18n03_04
• 44 Javanmiri L, Kimiaee SA, Abadi BAGH. The study of Solution Focused Group Counseling in decreasing depression among teenage girls. Int J Psychol Stud 2013; 5: 105-111 . Doi: 10.5539/ijps.v5n1p105
• 45 Lee MY, Greene GJ, Mentzer RA, Pinnell S, Niles D. Solution-focused brief therapy and the treatment of depression: a pilot study. J Brief Ther 2001; 1: 33-49
• 46 Reddy PD, Thirumoorthy A, Vijayalakshmi P, Hamza MA. Effectiveness of solution-focused brief therapy for an adolescent girl with moderate depression. Indian J Psychol Med 2015; 37 (01) 87-89 . Doi: 10.4103/0253-7176.150849
• 47 Smock SA, Trepper TS, Wetchler JL, McCollum EE, Ray R, Pierce K. Solution-focused group therapy for level 1 substance abusers. J Marital Fam Ther 2008; 34 (01) 107-120 . Doi: 10.1111/j.1752-0606.2008.00056.x
• 48 Neilson-Clayton H, Brownlee K. Solution-focused brief therapy with cancer patients and their families. J Psychosoc Oncol 2002; 20: 1-13 . Doi: 10.1300/J077v20n01_01
• 49 Gingerich WJ, Peterson LT. Effectiveness of solution-focused brief therapy: a systematic qualitative review of controlled outcome studies. Res Soc Work Pract 2013; 23: 266-283 . Doi: 10.1177/1049731512470859
• 50 Beyebach M, Rodríguez-Sánchez M, Arribas de Miguel J, Herrero de Vega M, Hernández C, Rodríguez-Morejón A. Outcome of solution-focused therapy at a university family therapy center. J Syst Ther 2000; 19: 116-128 . Doi: 10.1521/jsyt.2000.19.1.116
• 51 Wettersten KB, Lichtenberg JW, Mallinckrodt B. Associations between working alliance and outcome in solution-focused brief therapy and brief interpersonal therapy. Psychother Res 2005; 15: 35-43 . Doi: 10.1080/10503300512331327029
• 52 Lambert MJ, Okiishi JC, Finch AE, Johnson LD. Outcome assessment: from conceptualization to implementation. Prof Psychol Res Pr 1998; 29: 63-70 . Doi: 10.1037/0735-7028.29.1.63
• 53 Barandeh N, Shafiabadi A, Ahqhar Q. The effect of collective counseling to the style of solution-focused on decrease of vocational stress in woman staffs of Qhalamchi scientific-educational institute. E-ducat Res 2010; 22: 2-20
• 54 Aslani A, Khosravi A, Farjamfar M, Poorheidari M. The effect of group training of solution-focused stress management on pregnant women's stress. J Fundam Ment Health 2017; 19: 454-458
• 55 Sadeghi Shermeh M, Amiri H, Karimi Zarchi A, Bahari F, Binesh A. Effectiveness of Solution-Focused Communication Training [SFCT] on nurses communication skill. J Mil Med 2013; 14: 269-275
• 56 Dashtizadeh N, Sajedi H, Nazari A, Davarniya R, Shakarami M. Effectiveness of Solution-Focused Brief Therapy (SFBT) on reducing symptoms of depression in women. J Clin Nurs Midwifery 2015; 4: 67-78
• 57 Ng KM, Parikh S, Guo L. Integrative solution-focused brief therapy with a Chinese female college student dealing with relationship loss. Int J Adv Couns 2012; 34: 211-230 . Doi: 10.1007/s10447-012-9152-x
• 58 Davarniya R, Zahrakar K, Nazari A. The effect of brief solution-focused couple therapy (BSFCT) approach on reducing couple burnout dimensions in women. J Urmia Nurs Midwifery Fac 2015; 13: 36-46
• 59 Sanai B, Davarniya R, Bakhtiari Said B, Shakarami M. The effectiveness of Solution-Focused Brief Therapy (SFBT) on reducing couple burnout and improvement of the quality of life of married women. Armaghane Danesh 2015; 20: 416-432
• 60 Salary Feyzabad H. Investigating the Effect of Solution-Focused Group Counselling to Reduce Psychological Distress and its and its Symptoms in High School Female Students of Andisheh City in 2007 [master's thesis]. Tehran, Iran: Shahid Beheshti University; 2007
• 61 Saffarpoor S, Farahbakhsh K, Shafiabadi A, Pashasharifi H. The effectiveness of solution- focused brief therapy on increasing social adjustment of female students residing in Tehran University dormitories. IJPC 2011; 3: 24-28
• 62 Alimohammadi F. Effectiveness of Consulting Group Therapy Based on the Solution-Focused Approach on Improving the Progress and Academic Performance of Female University Students of Imam Khomeini International University [master's thesis]. Tehran, Iran: Allameh Tabatabaii University; 2010
• 63 Sarvi Z, Ghazi ME. Effectiveness of group counseling with Solution Focused (Brief) Therapy (SFBT) on increasing self-efficacy of fifth grade primary school female students. Mod Appl Sci 2016; 10: 1-6