1
|
Mikaeili N, Eyni S, Mousavi SE, Ebadi M. Mediating role of relational aggression in the association between infertility stigma and marital relationship distress in infertile women. Women Health 2023; 63:756-765. [PMID: 37822291 DOI: 10.1080/03630242.2023.2265497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 09/24/2023] [Indexed: 10/13/2023]
Abstract
Infertility is a multifaceted problem that can cause significant impairments with emotional, social, and psychological consequences, including problems in the marital relationship. This study aimed to mediate the role of relational aggression in the association between infertility stigma and marital relationship distress in infertile women. The research method was descriptive and path analysis. The statistical population of the study consisted of all infertile women who were referred to infertility centers and obstetrics and gynecology medical centers in Tehran in 2021 (July to October), and due to lack of full access to them, 300 people were selected by available sampling method who participated in the research through an online questionnaire. Data were collected using the Marital Self-Reporting Questionnaire, Infertility Stigma, and Relational Aggression Questionnaire. Data analysis was performed using structural equation modeling. The results showed that the causal model of the relationship between infertility stigma, relational aggression, and marital relationship distress in infertile women was confirmed based on different fitting indices. Infertility stigma and associated aggression directly affect the marital turmoil of infertile women. On the other hand, infertility stigma indirectly affects infertile women's marital distress through relational aggression (P < .05). Therefore, the infertility stigma and relational aggression play an important role in marital distress in infertile women, and targeting these two components in psychological therapies can effectively reduce marital chaos.
Collapse
Affiliation(s)
- Niloofar Mikaeili
- Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
| | - Sanaz Eyni
- Department of Psychology, University of Kurdistan, Sanandaj, Iran
| | - Seyede Elham Mousavi
- Department of Educational Science, Psychological Counseling and Guidance Branch, Ataturk University, Erzurum, Turkey
| | - Matine Ebadi
- Department of Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
| |
Collapse
|
4
|
Poorolajal J, Ebrahimi B, Rezapur-Shahkolai F, Doosti-Irani A, Alizadeh M, Ahmadpoor J, Moradi L, Biderafsh A, Nikbakht F, Golmohammadi Z, Sarbazi E, Bahadivand S, Jahani Sayad Noveiri M, Rezaei M, Ghorbani Gholiabad S, Heidari S, Bagheri H, Ghalandari M, Kiani FZ, Fakhranirad N, Ghavi S, Seydkhani P. The Epidemiology of Aggression and Associated Factors among Iranian Adult Population: A National Survey. J Res Health Sci 2020; 20:e00499. [PMID: 33424008 PMCID: PMC8695783 DOI: 10.34172/jrhs.2020.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 11/22/2020] [Indexed: 12/01/2022] Open
Abstract
Background: This survey was conducted to determine the level of aggression among the Iranian adult population and underlying predisposing factors.
Study design: A cross-sectional study.
Methods: This cross-sectional study included 10,957 participants, involving 23 out of the 31 provinces of Iran in 2019. The outcome of interest was aggression, evaluated by the Buss & Perry aggression questionnaire. The association between aggression and 34 demographic, behavioral, social, and cultural characteristics was assessed using simple and multiple linear regression.
Results: The overall mean (SD) score of aggression was 77.10 (22.53). Based on the severity of aggression, the participants were categorized into four groups as follows: 2,464 (23.1%) nonaggressive, 4,692 (43.9%) mild, 3,071 (28.8%) moderate, and 454 (4.2%) severe aggressive. Aggression was more likely to occur in people with the following characteristics: younger ages, having several siblings, lower ranks of birth, having an intimate friend of the opposite sex, having an aggressive father/mother, history of parental divorce, interest in watching action/porn movies, listening to music, history of escape from home/school, using neuropsychiatric drugs, using illicit drugs, history of suicidal thoughts/attempt, and family conflict and hostility. Aggression was less likely to occur with the following characteristics: reading, regular physical exercise, the ability to control anger, regular prayer, adherence to avoid lying, respect to other people's rights, sexual satisfaction, and attachment to parents.
Conclusions: A majority of the population has some degree of aggression. Aggression is a multifactorial behavior corresponding with several demographical, social, cultural, and religious factors, some of which back to early childhood events.
Collapse
Affiliation(s)
- Jalal Poorolajal
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.,Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Bahram Ebrahimi
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
| | - Forouzan Rezapur-Shahkolai
- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.,Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Amin Doosti-Irani
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.,Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mahnaz Alizadeh
- Department of Medical Library and Information Sciences, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Jamal Ahmadpoor
- Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Leila Moradi
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Azam Biderafsh
- Epidemiology and Biostatistics Department, Health Faculty, Tehran University of Medical Science, Tehran, Iran
| | - Fateme Nikbakht
- Department of Epidemiology, School of Health, Mashhad University of Medical Sciences, Khorasan Razavi, Mashhad , Iran
| | - Zakie Golmohammadi
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad Iran
| | - Ehsan Sarbazi
- Road Traffic Injury Research Center, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Samira Bahadivand
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | | | - Maryam Rezaei
- Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Somayeh Ghorbani Gholiabad
- Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Saber Heidari
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Hadi Bagheri
- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mojtaba Ghalandari
- Department of Epidemiology, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Fatemeh Zeynab Kiani
- Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Narges Fakhranirad
- Department of Public Health, School of Public Health, Bojnurd University of Medical Sciences, Bojnurd, Iran
| | - Saeed Ghavi
- Departments of Epidemiology and Biostatistics, School of Public Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Parivash Seydkhani
- Department of Public Health, School of Public Health, Ilam University of Medical Sciences, Ilam, Iran
| |
Collapse
|