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British Medical Journal Jun 1979
Topics: Education, Medical, Graduate; Family Practice; Marital Therapy; United Kingdom
PubMed: 466069
DOI: 10.1136/bmj.1.6176.1485-a -
PloS One 2023The transition of a pregnant woman's role often causes emotional changes that have an impact on marital satisfaction. We develop MIESRA mHealth and evaluate its impact...
The transition of a pregnant woman's role often causes emotional changes that have an impact on marital satisfaction. We develop MIESRA mHealth and evaluate its impact on satisfaction of husband-wife relationship during pregnancy. A quasi-experimental study was conducted on 82 couples of pregnant women and divided into control, single, and paired group. We implemented MIESRA mHealth for four weeks. In the couple group, the wife did mindfulness based on the information in the MIESRA mHealth together with her husband. In a single group, the wife sees the video as an initial guide to doing mindfulness. In the control group, respondents received programme interventions from hospitals which included education and consultation with obstetricians. Husband-wife relationship is evaluated using Compatibility of Husband-and-Wife Relationships / Kesesuaian Hubungan Suami Istri (KHSI) questionnaire and the generalised estimating equations (GEE) was used to analyse the data. The women's KHSI scores in the couple and single intervention groups (β = -7.46, p = 0.002; β = -9.11, p = 0.001) were better than the control group. The husbands' KHSI scores in the paired and individual intervention groups (β = -7.04, p<0.001; β = -3.74, p = 0.024) were better than the control group. Nursing interventions to build emotional bonds between parents and foetuses based on mHealth can be a promising intervention for marital harmony during the perinatal period. MIESRA m-Health is a promising intervention on marital satisfaction during pregnancy and can be implemented as a part of the antenatal care programme to increase marital satisfaction.
Topics: Female; Humans; Pregnancy; Marriage; Spouses; Behavior Therapy; Control Groups; Educational Status
PubMed: 37616290
DOI: 10.1371/journal.pone.0289061 -
Heliyon Jan 2024Marital infidelity is a highly distressing experience for those involved. Understanding the psychological factors related to infidelity can help develop targeted...
OBJECTIVES
Marital infidelity is a highly distressing experience for those involved. Understanding the psychological factors related to infidelity can help develop targeted interventions. The primary aim of this study was to assess the association between attachment styles and marital infidelity.
METHODS
Seventeen studies were included, sourced from electronic databases including PubMed, Scopus, Web of Science, and PsycInfo, with no time limitations, up to April 2023. The search employed terms like "attachment AND marital infidelity." Study quality was evaluated using the Risk of Bias Assessment Tool from RevMan version 5.3.
RESULTS
The meta-analysis involved a total of 13,666 participants, ranging from 208 to 4047 individuals. Findings showed that higher levels of anxiety and avoidance in attachment were significantly associated with increased marital infidelity ( = 0.18, 95 % CI = 0.14-0.22, p < 0.0001). Conversely, weaker attachment insecurity was linked to reduced rates of marital infidelity. Additionally, both dismissive and fearful attachment styles correlated with marital infidelity, with respective weighted effect sizes of = 0.07, p < 0.001 (95 % CI = 0.04-0.10) and = 0.19, p < 0.001 (95 % CI = 0.10-0.29). No association was found between preoccupied attachment and infidelity.
CONCLUSION
Individuals with insecure attachment styles, specifically those with high levels of anxiety or avoidance, are more likely to engage in marital infidelity. Attachment styles should be a focus in couples therapy, especially for treatment related to infidelity. Assessing and addressing these underlying attachment issues can better guide therapists in their work with couples facing infidelity.
PubMed: 38163207
DOI: 10.1016/j.heliyon.2023.e23261 -
Proceedings of the Royal Society of... Aug 1974
Topics: Adult; Affective Symptoms; Age Factors; Behavior Therapy; Classification; Coitus; Depression; Divorce; Ejaculation; Female; Homosexuality; Humans; Male; Marriage; Mental Disorders; Middle Aged; Parent-Child Relations; Personality Disorders; Sexual Dysfunctions, Psychological
PubMed: 4424425
DOI: No ID Found -
Clinical Practice and Epidemiology in... 2021Divorce rates have increased during the last decade, leading to a greater focus of marital scholars on the importance of understanding couple-maintaining strategies...
BACKGROUND
Divorce rates have increased during the last decade, leading to a greater focus of marital scholars on the importance of understanding couple-maintaining strategies within marital life. Distresses in couples are attributable to difficulties controlling felt, experienced, and expressed emotions; thus, emotion dysregulation is a core stressor in couples with maladaptive responses.
OBJECTIVE
The aim of the study was to evaluate the effect of Dialectical Behaviour Therapy (DBT) on outpatient couples to treat emotion dysregulation.
METHODS
We recruited 20 couples with marital distress in which partners presented emotion dysregulation. We offered the couples the opportunity to join a couple DBT group at their convenience and based on the immediate availability of treatment slots. We measured the treatment efficacy using psychometric tools (the Difficulties in Emotion Regulation Scale (DERS) and the Dyadic Adjustment Ccale (DAS) at baseline and after DBT therapy.
RESULTS
Both male and female partners presented significant improvements in marital adjustment DAS and emotion regulation scores. Female partners showed significantly greater amplitude changes in both scales. Female partners showed significant improvement in most DERS subscales (except the GOALS subscale); on the other hand, male partners showed significant improvements in impulse, awareness, strategies, and clarity subscales. We found significant improvements in most DAS subscales in both sexes; only affectional expression remained unchanged before and after therapy.
CONCLUSION
DBT for couples is an effective approach to treat emotion dysregulation.
PubMed: 34733351
DOI: 10.2174/1745017902117010121 -
Frontiers in Psychology 2020Studies of therapy influence on after-aphasia marital relations are lacking. Much needs to be learned about the range of factors associated with couples benefiting from...
BACKGROUND
Studies of therapy influence on after-aphasia marital relations are lacking. Much needs to be learned about the range of factors associated with couples benefiting from therapy. Understanding these issues is key to facilitating optimal post-aphasia outcomes from the perspective of the patient and his caretaking spouse. This paper reports an evaluation of a group therapy intervention conducted with aphasic people and their life partners.
METHODS
The intervention comprised of 10 sessions of approximately 90 min duration and included two groups of couples, with fluent and non-fluent aphasic partner. The therapy program consisted of basic communication activities within the group which encouraged sharing of personal experience but mostly relied on psychoeducation, gaining knowledge about after-stroke aphasia. The respondents were interviewed and completed neuropsychological assessment. Quality of marriage was determined using Dyadic Adjustment Scale. Marital adjustment was measured twice, before intervention and after 6 months. Long-time effects of therapy included a significant mean difference in quality of marriage between therapy attendants and controls. Marital relationship decline seems to be worse amongst control subjects, who were not involved in any kind of psychological support. In spite of initial non-distressed relationship they report deterioration of their bond in half a year's time. We also showed changes in dynamics of quality of marriage during this time in all investigated groups. The implications of these findings for counseling services are discussed.
PubMed: 32733342
DOI: 10.3389/fpsyg.2020.01574 -
Fertility and Sterility Nov 2015Conventional theories and therapies for premature ejaculation (PE) are based on assumptions not always supported by evidence. This review of the current literature on... (Review)
Review
Conventional theories and therapies for premature ejaculation (PE) are based on assumptions not always supported by evidence. This review of the current literature on the physiology of the ejaculatory control, pathogenesis of PE, and available therapies shows that PE is still far from being fully understood. However, several interesting hypotheses have been formulated, and solid, evidence-based clinical data are currently available for dapoxetine, the unique, first-line, officially approved pharmacotherapy for PE. Further growth in the field of PE will occur only when we shift from opinion-based classifications, definitions, and hypotheses to robust, noncontroversial data grounded on evidence.
Topics: Animals; Benzylamines; Ejaculation; Hormones; Humans; Infertility, Male; Male; Marital Therapy; Naphthalenes; Penis; Premature Ejaculation; Recovery of Function; Risk Factors; Serotonin; Selective Serotonin Reuptake Inhibitors; Sexual Behavior; Synaptic Transmission; Treatment Outcome
PubMed: 26409323
DOI: 10.1016/j.fertnstert.2015.08.035 -
Ginekologia Polska 2021Over the last few years, the impact of infertility on the psychological well-being of couples has been well recognised. Men and women with infertility experience stress,...
OBJECTIVES
Over the last few years, the impact of infertility on the psychological well-being of couples has been well recognised. Men and women with infertility experience stress, anxiety and depression and their relationship might be under pressure.
MATERIAL AND METHODS
We conducted a non-experimental correlational descriptive study where transversal analysis using questionnaires and quantitative data was performed for 76 couples with diagnosed infertility under the care of various reproductive medicine clinics in Romania between 2018 to 2019. Participants were asked to fill, via internet or in person, a set of tests including data on socio-demographic and infertility characteristics along with five psychological tests: The Fertility Problem Inventory (FPI), State-Trait Anxiety Inventory, Beck's Depression Inventory (BDI), Dyadic Adjustment Scale and Interpersonal Support Evaluation List-12. The aim of the study was to explore how couples with infertility respond and adapt to this diagnosis and to assess the relationship between emotional disorders, marital adjustment and social support.
RESULTS
Mean age of females was 34.2 and of males 36.7 and 38.2% of the couples were experiencing infertility for > 6 years. Women had worse scores on infertility-related distress (FPI) (t = -4.35, p = 0.01), on the BDI depression scale (t = -5.43, p = 0.01) and on anxiety scales (t = -5.48, p = 0.01). Participants with a longer duration of infertility scored significantly higher on infertility-related distress than those with more recent difficulties. Marital adjustment scores correlated negatively with emotional disorders. Both appraisal social support and belonging support moderated the relationship between state-anxiety and marital adjustment.
CONCLUSIONS
Infertility carries a significant psychological burden for the couple and the longer its duration, the higher the distress level. Women seem to be more vulnerable to its psychological consequences. Marital adjustment correlates negatively with the degree of emotional disorders. In couples with high levels of social support, the relationship between state-anxiety and marital adjustment was negatively correlated.
Topics: Adaptation, Psychological; Adult; Child; Depression; Emotional Adjustment; Female; Humans; Infertility; Male; Marriage; Middle Aged; Psychological Distress; Social Support
PubMed: 33448003
DOI: 10.5603/GP.a2020.0173 -
Sexuality and intimacy after head and neck cancer treatment: An explorative prospective pilot study.Dental and Medical Problems 2022While sexuality and intimacy are suggested to contribute to quality of life (QoL), it is striking that the sexual problems of head and neck cancer patients have not been...
BACKGROUND
While sexuality and intimacy are suggested to contribute to quality of life (QoL), it is striking that the sexual problems of head and neck cancer patients have not been adequately studied.
OBJECTIVES
Our aim was to prospectively assess the impact of head and neck cancer and its treatment on sexuality and intimacy.
MATERIAL AND METHODS
A questionnaire study with a 6-month follow-up period was conducted at the University Hospitals Leuven, Belgium, using the Maudsley marital questionnaire (MMQ), the sexual adjustment questionnaire (SAQ) and the short sexual functioning scale (SSFS) to prospectively assess the impact of head and neck cancer and its treatment on sexuality and intimacy.
RESULTS
Twelve patients (67%) reported a negative impact on their sexuality and/or intimacy. There were significant declines in marital, sexual and general life satisfaction (p < 0.000) at the 6-month follow-up as compared to baseline. There was a significant increase in frustration after sexual activity (p = 0.031). Sexual desire was also impacted, with a near doubling of patients reporting a decline. The perceived importance of discussing sexual issues with one's physician significantly increased from 7 to 16 patients (p = 0.004).
CONCLUSIONS
Sexual problems are common after head and neck cancer treatment. Using a screening instrument can help to identify patients that need intervention. Discussing sexuality and intimacy issues that patients may face before, during and after treatment can have a positive impact on QoL.
Topics: Head and Neck Neoplasms; Humans; Pilot Projects; Prospective Studies; Quality of Life; Sexual Behavior; Sexuality
PubMed: 36068944
DOI: 10.17219/dmp/148156 -
Journal of Cancer 2021Thyroid adenomas/adenocarcinomas are the most common type of thyroid cancer. The impact of socioeconomic factors on the prognosis of thyroid cancer is unclear....
Thyroid adenomas/adenocarcinomas are the most common type of thyroid cancer. The impact of socioeconomic factors on the prognosis of thyroid cancer is unclear. Clinical information and socioeconomic factors were obtained from the Surveillance, Epidemiology, and End Results Database (SEER) 18 Registries Custom Database. The association between thyroid adenomas/adenocarcinomas and socioeconomic factors including gender, race/ethnicity, insurance status, marital status, living area, and Yost index (including education, income, working, etc.) were fully evaluated. A total of 136,313 patients between 2010 and 2016 were finally included in the present study. Among them, 126,160 patients were diagnosed with the single malignancy. Median follow-up time was 64 months. In general, non-Hispanic Asian or Pacific Islander and Hispanic patients had significantly better survival than non-Hispanic White patients (All <0.05). Patients insured by Medicaid had significantly poorer cancer-specific survival (CSS, hazard ratio, HR=2.15, <0.001) and overall survival (OS, HR=2.42, P <0.001) than those insured by commercial insurance or Medicare. In addition, divorced or widowed status, rural living location and low Yost index were significantly associated with poor CSS and OS of thyroid adenomas/adenocarcinomas (All <0.05). Subgroup analyses showed similar results in patients who received surgical procedure, as well as in patients who received both surgical and radiation therapy. Multivariate analyses suggested that insurance status, marital status and Yost index remained significantly associated with CSS and OS (all <0.05). Socioeconomic factors, including insurance status, marital status, living area, and Yost index, were significant predictors for the survival of thyroid adenomas/adenocarcinomas.
PubMed: 33854612
DOI: 10.7150/jca.52329