جستجوی مقالات مرتبط با کلیدواژه « quality of marital relationship » در نشریات گروه « پزشکی »

Infertility is one of the most important life crises that lead to psychological problems, stressful experiences and reduced quality of marital relationship. So the aim of this study was to investigate the mediating role of spiritual experiences in the relationship between infertility stress and marital relationship quality of infertile women.

This was a descriptive-correlational study of structural equations type. From the statistical population of this study, which included all women referring to the Infertility Center of Birjand in 2020, a sample of 120 people was selected by convenience sampling method and they answered the infertility stress questionnaires of Newton et al, Underwood and Teresi spiritual experiences and the quality of the Rust et al.’s marital relationship. Structural modeling and partial least squares algorithm (PLS) were used for data analysis. All the ethical considerations were observed in the present study and the authors reported no conflict of interests.

The results showed that the relationship between infertility stress and spiritual experiences and the relationship between spiritual experiences and the quality of marital relationship was inverse and significant, but the relationship between infertility stress and the quality of marital relationship was direct and significant (P<0.01). The results further showed that spiritual experiences have a mediating role in the relationship between infertility stress and the quality of marital life in infertile women (P=0.01).

Considering the role of spiritual experiences in the relationship between infertility stress and the quality of infertile women's marital relationship, it is essential for health system officials and managers to pay attention to the role of effective factors in increasing the quality of infertile women's marital relationship.

One of the most common menstrual disorders is premenstrual syndrome. Premenstrual symptoms are recurrences of periods of physical, psychological, or behavioral symptoms that appear after ovulation and resolve within a few days of the onset of menstruation (the first week of the follicular phase). One of the significant problems with premenstrual symptoms is mood swings that affect women's feelings about themselves, the world in which they live, and those who interact with them. In this regard, depression is one of the major problems in women with premenstrual syndrome. The premenstrual syndrome includes a wide range of emotional, mood, and physical changes, leading to a decline in the quality of the marital relationship and, as a result, marital dissatisfaction among women with this syndrome. New non–pharmacological treatments include acceptance and commitment therapy (ACT). This study aimed to determine the effectiveness of treatment of acceptance and commitment on depression and the quality of the marital relationship of women with premenstrual syndrome.

The present research method was quasi–experimental with a pretest–posttest design with a control group. The statistical population included all women with premenstrual syndrome referred to the Obstetrics and Gynecology Clinic of Razavi Hospital in Mashhad City, Iran, from September 2018 to February 2019 for 6 months. Among them, 30 eligible candidates were selected by the available sampling method and randomly assigned to the experimental and control groups. The inclusion criteria were as follows: meeting the diagnostic criteria of premenstrual syndrome (PMS) based on the conditions mentioned in the Premenstrual Symptoms Screening Tool (Steiner et al., 2003), not receiving medical or psychological treatments, being married, being between 20 and 45 years old, having education more than junior high school, not suffering from physical and mental diseases, and having a regular menstrual cycle for the past six months. The exclusion criteria were non–cooperation during the research and absence from therapy sessions. The experimental group was trained in 8 one–hour ACT sessions, but the control group did not receive any training. The groups completed the Beck Depression Inventory–II (Beck et al., 1996) and Marital Relationship Quality Scale (Rust et al., 1990) in the pretest and posttest. Data analysis was done in SPSS version 24 using descriptive statistics (mean and standard deviation). Also, at the level of inferential statistics, univariate covariance analysis was used. The Chi–square test was used to compare the age distribution of the two groups. The significance level of the tests was considered 0.05.

The results showed that the depression scores of women with premenstrual symptoms after ACT significantly decreased in the experimental group compared to the control group (p<0.001). Also, ACT increased the quality of the marital relationship of women with premenstrual syndrome (p<0.001).

Based on the research results, counselors and therapists can use ACT as a complementary treatment to reduce depression and increase the quality of the marital relationship.

 Today, employees are constantly confronted with work-family conflict. These conflicts can affect family functioning including satisfaction, quality of marital relationship, and quality of parenting.  This descriptive-correlational survey aimed to investigate whether the family-self facilitating and Family-Friendly Work Environment can reduce the effect of work-family and family work conflicts on the aforementioned variables among nurses.

The participants of this study were 240married nurses with children who worked at governmental hospitals Ahvaz city. The sample selection was performed by multistage random sampling method. Data were collected using Carlson et al. (2000) Work-Family Conflict, Aryee et al. (1999) Family Satisfaction, Chonody et al. (2016) quality of marital relationship, Arnol et al. (1993) Parenting scale, Demerouti et al (2009) Family-Self Facilitation, Odle-Dusseau et al. (2013) Family-Friendly Work Environment Scale Questionnaires. The data was analyzed by Pearson correlation and multiple regression analysis with SPSS-22 software.

We found that work-family and family work conflict had a significant negative relationship with family satisfaction, quality of marital relationship and parenting quality (P <0.01). In addition, family-self facilitation and family-friendly work environment were able to moderate the relationship between these variables.

According to the results the negative effects of work family and family-work conflict can be eased by the family-self facilitation and family-friendly work environment.

Schema therapy is a psychological treatment available for divorcing women. The present research was carried out with the purpose of studying the effectiveness of schema therapy-based group counseling on the quality of marital relationships, differentiation and hardiness among divorced women of veteran families. This was a quasi-experimental study with a pre-test and post-test design that included a control group. The statistical population of the study consisted of all women seeking divorce whose fathers were war veterans and referred to the consulting center affiliated to the Foundation of Martyrs and Veterans Affairs in Neyshabur in the winter of 2018. Thirty women were enrolled using the available sampling method and then randomly assigned to either an experimental (n=15) or control (n=15) group. Counseling sessions were conducted for 11 sessions for the experimental group (2 hours, one weekly) and the control group did not received any intervention. The women then completed the quality of marriage questionnaire by Bassby, Cran, Larsson, and Kristensen (1995), self-differentiation Scouron and Friedlander (1999) and hardiness (1998). Women applicants for divorce were matched in terms of demographic variables, such as age and length of marriage. Group counseling based on schema therapy had significant effects on differentiation and hardiness of divorced women (P<0.05). However, group counseling with schema therapy had no effect on the marital quality of divorced women (P>0.05).  The effects of treatment were maintained after one month (p <0.05). Group counseling with the schema therapy procedure led to improved differentiation and hardiness of divorced women, and may be useful as a therapeutic intervention to improve the psychosocial situation of female applicants for divorce in relevant settings.

Myocardial infarction is a life threatening event and often reduces the quality of life of patients and their families’ particularly close and intimate persons such as spouses. The aim of study was to determine quality of marital relationship of spouses of patients with and without a history of myocardial infarction. This descriptive-comparative study has been done on 162 spouses of patients with myocardial infarction admitted in educational hospitals of Zahedan University of Medical Sciences by convenience sampling method and 162 spouses of healthy persons (324 married individuals). Data were collected by “Perceived Relationship Quality Components (PRQC) questionnaire with approved validity and reliability in Iran. Data was analyzed with SPSS/16. 42% of the samples were male and 58% female، with an overall mean age of 47. 89±5. 95، average length of common life 25. 32±7. 48. In addition، 56. 7% of the respondents had diploma or higher education. The results also illustrated that the mean score of quality of marital relationship on the dimensions of satisfaction، passion and love in patient’ spouses with a history of myocardial infarction was 13. 37±5. 03، 10. 67±4. 56، 19. 56± 2. 56 respectively and in healthy persons spouses was 18. 92±2. 85، 18±3. 14، 20. 37±1. 36. U-Mann Whitney test results determine that these differences are statistically significant (P<0. 001). MI disease has a negative impact on the overall quality of marital relationship، especially on the dimensions of satisfaction، passion and love between couples. Hence، the inclusion of family educational programs and couple therapy in heart disease rehabilitation program is important in order to improve the quality of marital relationship and subsequent quality of life patients and their family’s needs.