Effect of a psycho-awareness-training program on women's attitude and psychosomatic status post-abortion in Jazan, Saudi Arabia

Rym Hassani, Hammad Fadlalmola, Thanaa Said, Badria AlZahrani, Abdalbasit Mariod


Abortion is a common medical procedure, and women who undergo it often experience negative psychological and physical effects. This study aimed to assess the effect of a psycho-awareness-training program on women's knowledge and psychosomatic status post-abortion in Jazan, Saudi Arabia. a one-group pre- and post-test quasi-experimental design was conducted among 135 eligible women post-abortion. Researchers used an Arabic questionnaire online survey containing items on women's characteristics, knowledge of abortion, and psychosomatic status post-abortion. The majority of the participants were married (95.6%) and had a university degree (58.5%). The total satisfactory knowledge increased significantly from 29.6% at baseline to 91% post-training (p =.000). The proportion of respondents exhibiting high scores on self-confidence and self-esteem decreased significantly, dropping from 47.4% at the baseline to 12.6% after the training. The program also decreased feelings of guilt, isolation, sleep disturbance, problems in married relationships, fear of society's view, and the absence of social support. The psycho-awareness-training program had a positive effect on women's knowledge of abortion and psychosomatic status post-abortion. The program improved selfconfidence and self-esteem while decreasing negative psychological effects. This study emphasizes the importance of providing psychological support and education to women who undergo abortion. (Afr J Reprod Health 2023; 27 [8]: 58-64).

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Moseson H, Herold S, Filippa S, Barr-Walker J, Baum SE

and Gerdts C. Self-managed abortion: A systematic

scoping review. Best Pract Res Clin Obstet Gynaecol

, 87-110 (2020).

Ganatra B, Gerdts C, Rossier C, Johnson BR Jr, Tuncalp O,

Assifi A, Sedgh G, Singh S, Bankole A, Popinchalk

A, Bearak J, Kang Z and Alkema L. Global, regional,

and subregional classification of abortions by safety,

-14: estimates from a Bayesian hierarchical

model. Lancet 390, 2372-2381 (2017).

Cresswell JA, Schroeder R, Dennis M, Owolabi O, Vwalika

B, Musheke M, Campbell O and Filippi V. Women's

knowledge and attitudes surrounding abortion in

Zambia: a cross-sectional survey across three

provinces. BMJ Open 6, e010076 (2016).

Zareba K, La Rosa VL, Ciebiera M, Makara-Studzińska M,

Commodari E and Gierus J. Psychological effects of

abortion. An updated narrative review. Eastern

Journal Of Medicine 25, 477-483 (2020).

Major B, Appelbaum M, Beckman L, Dutton MA, Russo

NF and West C. Abortion and mental health:

Evaluating the evidence. Am Psychol 64, 863-890


Mohamed ZM, Mohamed N and Mahmud G. Psychological

distress and social support among post abortion

women. Assiut Scientific Nursing Journal 6, 101-107


Guillaume A, Rossier C and Reeve P. Abortion around the

world. An overview of legislation, measures, trends,

and consequences. Population 73, 217-306 (2018).

Zakzouk S, El-Sayed Y and Bafaqeeh SA. Consanguinity

and hereditary hearing impairment among Saudi

population. Annals of Saudi medicine 13, 447-450


Sanitya R, Marshall AI, Saengruang N, Julchoo S, Sinam

P, Suphanchaimat R, Phaiyarom M,

Tangcharoensathien V, Boonthai N and

Chaturachinda K. Healthcare Providers' Knowledge

and Attitude Towards Abortions in Thailand: A PrePost Evaluation of Trainings on Safe Abortion. Int J

Environ Res Public Health 17, 3198 (2020).

Sharma UK, Basnyat A, Rijal K, Shrestha BK, Banskota B

and Banskota AK. CT evaluation of pelvic and hip

fractures. JNMA J Nepal Med Assoc 52, 586-590


Seger HR, Abbas IM and Hamad ITA. Effectiveness of

Post-Abortion Family Planning Counseling Program

on Nurses-Midwives' Knowledge in Middle

Euphrates Maternity Hospitals. Indian Journal of

Public Health Research & Development 9(2018).

Madziyire MG, Moore A, Riley T, Sully E and Chipato T.

Knowledge and attitudes towards abortion from

health care providers and abortion experts in

Zimbabwe: a cross sectional study. Pan Afr Med J

, 94 (2019).

Mollen D, Hargons C, Klann EM and Mosley DV. Abortion

knowledge and attitudes among psychologists and

graduate students. The Counseling Psychologist 46,

-760 (2018).

Turner KL, Pearson E, George A and Andersen KL. Values

clarification workshops to improve abortion

knowledge, attitudes and intentions: a pre-post

assessment in 12 countries. Reprod Health 15, 40


O'Donnell J, Holt K, Nobel K and Zurek M. Evaluation of

a Training for Health and Social Service Providers on

Abortion Referral-Making. Matern Child Health J

, 1369-1376 (2018).

Wilson SF, Gurney EP, Sammel MD and Schreiber CA.

Doulas for surgical management of miscarriage and

abortion: a randomized controlled trial. Am J Obstet

Gynecol 216, 44 e41-44 e46 (2017).

Gerdts C, Jayaweera RT, Kristianingrum IA, Khan Z and

Hudaya I. Effect of a smartphone intervention on

self‐managed medication abortion experiences

among safe‐abortion Hotline clients in Indonesia: a

randomized controlled trial. International Journal of

Gynecology & Obstetrics 149, 48-55 (2020).

Sonalkar S, Gurney EP, McAllister A and Schreiber CA. A

randomized pilot evaluation of individual-level

abortion stigma resulting from Pennsylvania

mandated abortion counseling. Contraception 96,

-232 (2017).

Zia Y, Mugo N, Ngure K, Odoyo J, Casmir E, Ayiera E,

Bukusi E and Heffron R. Psychosocial Experiences

of Adolescent Girls and Young Women Subsequent

to an Abortion in Sub-saharan Africa and Globally:

A Systematic Review. Front Reprod Health 3,


Bagheri L, Nazari AM, Chaman R, Ghiasi A and Motaghi

Z. The Effectiveness of Healing Interventions for

Post-Abortion Grief: A Systematic Review and

Meta-Analysis. Iranian Journal of Public Health 49,

-436 (2020).

Shereda HMA, Rashed ABAA and Shokr E. Effect

of psychological intervention on post-traumatic

stress symptoms and pregnancy outcomes among

women with previous recurrent abortion. Journal of

Nursing Education and Practice 8(2018).

Mohamed D, Diamond-Smith N and Njunguru J. Stigma

and agency: exploring young Kenyan women's

experiences with abortion stigma and individual

agency. Reprod Health Matters 26, 1492285 (2018)


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