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Poulter MML, Balsom AA, Gordon JL. Pilot trial of a new self-directed psychological intervention for infertility-related distress. Pilot Feasibility Stud 2024; 10:111. [PMID: 39152484 PMCID: PMC11328509 DOI: 10.1186/s40814-024-01535-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 08/05/2024] [Indexed: 08/19/2024] Open
Abstract
BACKGROUND Now affecting one in six couples in Canada, infertility is defined as a lack of conception after 12 or more months of regular, unprotected heterosexual intercourse. Infertility is associated with immense psychological burden, particularly for individuals assigned female at birth. Yet existing psychological interventions are not specialized to this population and have been shown to be only marginally effective at relieving distress related to infertility. Thus, a new online self-directed psychological intervention was co-created with a panel of women experiencing infertility, and ultimately consisted of six 10-min video modules addressing the cognitive, emotional, and interpersonal aspects of infertility-related distress. METHODS In the current study, 21 women experiencing reduced quality of life related to infertility were recruited to participate in a one-arm pre-post pilot testing the feasibility, acceptability, and preliminary efficacy of the program. Participant adherence and retention were monitored, and participants rated the credibility of the program and the helpfulness of each module as well as provided feedback on the content and format of the program. Pre-to-post changes in fertility quality of life, anxious symptoms, depressive symptoms, and relationship satisfaction were examined. RESULTS The program modules were highly rated by participants, with average helpfulness ratings ranging from 7.5 to 8.2/10. Two participants became pregnant and therefore stopped prematurely, 79% of the remaining participants completed all six modules, and participants reported completing 52.8 (SD = 82.0) min of homework per week. Participants perceived the intervention as highly credible and generally approved of the format, length, and speed; however, 68% of participants had recommendations for additional content to be included in the intervention. While relationship satisfaction did not change significantly over time, large pre-to-post improvements in fertility quality of life, depression, and anxiety were observed (p < .001; Cohen's ds = 0.9-1.3). CONCLUSIONS This self-directed intervention was well received and has the potential to be highly effective in reducing infertility-related distress, informing future development and optimization. TRIAL REGISTRATION ClinicalTrials.gov, NCT05103982.
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Affiliation(s)
| | - Ashley A Balsom
- Department of Psychology, University of Regina, Regina, SK, Canada
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Zolfaghary F, Agajani-Delavar M, Adib-Rad H, Bakouei F, Kazem-Aslani M. Child marriage and quality of marriage among young married women in a rural district, Lorestan Province, Iran. BMC Res Notes 2024; 17:218. [PMID: 39095831 PMCID: PMC11297568 DOI: 10.1186/s13104-024-06880-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 07/30/2024] [Indexed: 08/04/2024] Open
Abstract
PURPOSE Child marriage remains a significant socio-cultural phenomenon with profound implications for the quality of marital relationships, particularly among young women. This study investigates the association between child marriage and the quality of marriage among young married women in Iran. METHODS This study employed a population-based cross-sectional research design. A total of 70 young women, aged 18-20 years, who had married before reaching 18 years of age, were selected from four primary health care (PHC) centers in Papi District, Lorestan Province, Iran, employing a systematic random sampling approach. Subjects were categorized into women experiencing relationship distress and those without such distress using the Quality of Marriage Index (QMI). Concurrently, their level of sexual satisfaction was assessed utilizing the Hudson's Index of Sexual Satisfaction (ISS). Furthermore, Social Support was evaluated using the Social Support Questionnaire (SSQ). RESULTS The mean age (SD) of women was 18.9 (0.7) years, and their mean age (SD) of marriage was 15.2 (2.1) years. Women experiencing distress showed significant differences in age of menarche (P = 0.006), education levels (P = 0.039), spouses' education (P = 0.025), spouses' occupations (P = 0.004), household income satisfaction (P = 0.041), and household structure (P = 0.045). Pearson's correlation coefficient analysis revealed significant and positive correlations between sexual self-efficacy and social support with marital quality (r = 0.73, p < 0.001 and r = 0.55, p < 0.001, respectively). Conversely, there was a significant negative correlation between the score of indexes of sexual satisfaction and marital quality (r = -0.65, p < 0.001). CONCLUSION These findings emphasize the complex factors affecting marital quality and underscore the urgent need for interventions to support young women in early marriages. It is essential to reinforce policies aimed at reducing child marriage to improve the quality of marriage among young married women.
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Grants
- Student Research Committee, Master’s student in midwifery counseling, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
- Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- Sepiddasht Research Committee, Master’s student in midwifery counseling, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
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Affiliation(s)
- Fatemeh Zolfaghary
- Student Research Committee, Master's student in midwifery counseling, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
| | - Mouolud Agajani-Delavar
- Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Hajar Adib-Rad
- Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
| | - Fatemeh Bakouei
- Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Mahboobe Kazem-Aslani
- Sepiddasht Health and Treatment Network, Lorestan University of Medical Sciences, Sepiddasht, Iran
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3
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Timmons AC, Han SC, Chaspari T, Kim Y, Narayanan S, Duong JB, Fiallo NS, Margolin G. Relationship satisfaction, feelings of closeness and annoyance, and linkage in electrodermal activity. Emotion 2023; 23:1815-1828. [PMID: 36649159 PMCID: PMC10349898 DOI: 10.1037/emo0001201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Physiological linkage refers to moment-to-moment, time-linked coordination in physiological responses among people in close relationships. Although people in romantic relationships have been shown to evidence linkage in their physiological responses over time, it is still unclear how patterns of covariation relate to in-the-moment, as well as general levels of, relationship functioning. In the present study with data collected between 2014 and 2017, we capture linkage in electrodermal activity (EDA) in a diverse sample of young-adult couples, generally representative and generalizable to the Los Angeles community from which we sampled. We test how naturally occurring, shifting feelings of closeness with and annoyance toward one's partner relate to concurrent changes in levels of physiological linkage over the course of 1 day. Additionally, we examine how linkage relates to overall relationship satisfaction. Results showed that couples evidenced significant covariation in their levels of physiological arousal in daily life. Further, physiological linkage increased during hours that participants felt close to their romantic partners but not during hours that participants felt annoyed with their partners. Finally, those participants with overall higher levels of relationship satisfaction showed lower levels of linkage over the day of data collection. These findings highlight how individuals respond in sync with their romantic partners and how this process ebbs and flows in conjunction with the shifting emotional tone of their relationships. The discussion focuses on how linkage might enhance closeness or, alternatively, contribute to conflict escalation and the potential of linkage processes to promote positive interpersonal relationships. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Antequera-Jurado R, Moreno-Rosset C, Ramírez-Uclés I. The specific psychosocial modulator factors of emotional adjustment in infertile individuals compared to fertile people. CURRENT PSYCHOLOGY 2023. [DOI: 10.1007/s12144-023-04436-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
Abstract
Abstract
Certain psychological and social factors modulate emotional adjustment in infertility. The aims of this study were: analyse whether there are sex and group differences (infertile vs. fertile) in emotional adjustment, and personality, dispositional optimism, coping strategies, personal and interpersonal resources; observe the modulating role of these psychosocial variables in the emotional adjustment of infertile individuals compared to fertile ones; and determine if the modulator variables associated with emotional adjustment are specific to infertile people. Method: A cross-sectional study design was used with a sample of 139 heterosexual Spanish participants (84 infertile, 55 fertile). For the data analysis we performed correlations, multiple regression analysis, MANOVAS and ANOVAS. Results: The multivariate and univariate analyses showed that the infertile group exhibited greater emotional maladjustment, more personal resources, lesser degree of confrontive coping, social support seeking, positive reappraisal, and lower marital satisfaction than the fertile group. In addition, women (infertile and fertile) sought more social support seeking and the infertile ones made more use of self-controlling strategies. Multiple regression analyses showed that for all subjects the emotional adjustment was modulated by dispositional optimism and escape/avoidance. For infertile participants, the remaining significant modulating factors were personal resources and marital satisfaction, whereas, for the fertile group, they were openness and interpersonal resources. Conclusion: Infertile women and men showed no differences in emotional maladjustment, but levels were higher than in the fertile group. We found differences between infertile and fertile subjects in terms of modulating variables of emotional adjustment. For infertile participants, the development of personal resources and increased marital satisfaction are particularly important.
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Choi Y, Moon SH. Types and Characteristics of Stress Coping in Women Undergoing Infertility Treatment in Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2648. [PMID: 36768010 PMCID: PMC9915192 DOI: 10.3390/ijerph20032648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 01/28/2023] [Accepted: 01/30/2023] [Indexed: 06/18/2023]
Abstract
The purpose of this study was to identify the characteristics and predictors of types of stress coping in women undergoing infertility treatment. The cross-sectional study included 120 women who were receiving infertility treatment at infertility hospitals. Self-report questionnaires were used to measure. K-means cluster analysis and multinomial logistic regression were used to examine the characteristics and predictors of stress-coping types. Out of all the women undergoing infertility treatment who completed a self-report survey, 30.8% had a weak mixed coping type, 35.9% had a strong mixed coping type, and 33.3% had a passive coping type. The strong mixed treatment type was compared to weak mixed treatment type, with the following results: infertility adaptation (OR = 17.71, p < 0.000), spousal support (OR = 4.50, p = 0.021), infertility counseling experience (OR = 7.14, p = 0.010). Comparing the strong mixed coping type with the passive coping type, resilience (OR = 9.11, p < 0.000) was shown. It is necessary to strengthen resilience and provide a receptive attitude and spousal support to women undergoing infertility adaptation to help them relieve stress and develop functional coping.
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Affiliation(s)
- Yumi Choi
- College of Nursing, Chungnam National University, Munhwa-ro 266, Jung-gu, Daejeon 35015, Republic of Korea
| | - So-Hyun Moon
- Department of Nursing, College of Medicine, Chosun University, Pilmundae-ro 309, Dong-gu, Gwangju 61452, Republic of Korea
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Shin H, Gyeong S. Effects of supportive and conflicting interactions with partners and friends on emotions: Do the source and quality of relationships matter? Front Psychol 2022; 13:1020381. [PMID: 36643707 PMCID: PMC9838194 DOI: 10.3389/fpsyg.2022.1020381] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 12/02/2022] [Indexed: 01/01/2023] Open
Abstract
This study investigated the independent and interactive effects of supportive and conflicting interactions and overall relationship quality with partners and friends on positive and negative emotions. Data on social interactions and overall relationship quality with partners and friends, and emotions were collected from 717 South Korean adults (M age = 47.23; 50.6% male). The results showed that supportive interactions with friends and high relationship quality with partners and friends were associated with enhanced positive emotions, whereas conflicting interactions with partners and friends and low relationship quality with partners were associated with increased negative emotions. In addition, interactive effects of social interactions and overall relationship quality suggested the evidence of reverse buffering. The beneficial effect of friend support on positive emotions was present only when friend conflict was high, and the adverse effect of partner conflict on positive emotions was magnified when individuals perceived high overall relationship quality with their partners.
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Affiliation(s)
- Huiyoung Shin
- Department of Psychology, Jeonbuk National University, Jeonju, South Korea
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Okpo E, Othieno R, Eleje GU, Oragwu CI, Eke AC. Interventions to improve psychosexual function in women treated for gynaecological cancers. Hippokratia 2022. [DOI: 10.1002/14651858.cd014674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Emmanuel Okpo
- Regional Health Protection Team, North East England; UK Health Security Agency (UKHSA); Newcastle UK
| | - Richard Othieno
- NHS Lothian, Directorate of Public Health and Health Policy; Edinburgh UK
| | - George U Eleje
- Effective Care Research Unit, Department of Obstetrics and Gynaecology; Faculty of Medicine, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus; PMB 5001, Nnewi Nigeria
| | | | - Ahizechukwu C Eke
- Division of Maternal Fetal Medicine, Department of Gynecology and Obstetrics; Johns Hopkins University School of Medicine; Baltimore Maryland USA
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Dong M, Wu S, Zhang X, Zhao N, Tao Y, Tan J. Impact of infertility duration on male sexual function and mental health. J Assist Reprod Genet 2022; 39:1861-1872. [PMID: 35838818 PMCID: PMC9428096 DOI: 10.1007/s10815-022-02550-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 06/12/2022] [Indexed: 01/19/2023] Open
Abstract
PURPOSE This study aimed to explore whether infertility duration has an impact on the sexual function and mental health of men from infertile couples. METHODS We conducted a case-control study of 558 men from infertile couples, and the participants were divided into four groups based on their infertility duration: group I: ≤ 2 years; group II: 2-5 years; group III: 5-8 years; and group IV: > 8 years. Sexual function and mental disorders were measured using the International Index of Erectile Function-15 (IIEF-15), Premature Ejaculation Diagnostic Tool (PEDT), Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9) separately. RESULTS As the years of infertility duration increase, the total IIEF-15 score and four domains (sexual desire, orgasmic function, erectile function, and intercourse satisfaction) significantly decrease (p < 0.05). The PEDT score gradually increases significantly (p < 0.05). Increased infertility duration is an independent risk factor for erectile dysfunction and premature ejaculation (p < 0.05). However, increased infertility duration is not a risk factor for depression and anxiety (p > 0.05). CONCLUSIONS Our study is the first time to use the infertility duration as an independent variable and group this variable to analyze its impact on the sexual function and mental health of men from infertile couples comprehensively and systematically. The increased infertility duration is an independent risk factor for the occurrence of sexual dysfunction but not for mental disorders. In the process of infertility treatment, sexual health and mental health cannot be ignored, especially for patients with prolonged infertility.
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Affiliation(s)
- Meng Dong
- Center of Reproductive Medicine, Shengjing Hospital of China Medical University, No.39 Huaxiang Road, Tiexi District, Shenyang, 110072 Liaoning Province China
- Key Laboratory of Reproductive Dysfunction Diseases and Fertility Remodelling of Liaoning Province, Shenyang, 110072 China
- School of Life Sciences, China Medical University, Shenyang, 110122 China
| | - Shanshan Wu
- Center of Reproductive Medicine, Shengjing Hospital of China Medical University, No.39 Huaxiang Road, Tiexi District, Shenyang, 110072 Liaoning Province China
- Key Laboratory of Reproductive Dysfunction Diseases and Fertility Remodelling of Liaoning Province, Shenyang, 110072 China
| | - Xue Zhang
- School of Life Sciences, China Medical University, Shenyang, 110122 China
| | - Na Zhao
- Center of Reproductive Medicine, Shengjing Hospital of China Medical University, No.39 Huaxiang Road, Tiexi District, Shenyang, 110072 Liaoning Province China
- Key Laboratory of Reproductive Dysfunction Diseases and Fertility Remodelling of Liaoning Province, Shenyang, 110072 China
| | - Yanqiang Tao
- Faculty of Psychology, Beijing Key Laboratory of Applied Experimental Psychology, Beijing Normal University, No. 19 Xinjiekou Wai Street, Haidian District, Beijing, 10085 China
| | - Jichun Tan
- Center of Reproductive Medicine, Shengjing Hospital of China Medical University, No.39 Huaxiang Road, Tiexi District, Shenyang, 110072 Liaoning Province China
- Key Laboratory of Reproductive Dysfunction Diseases and Fertility Remodelling of Liaoning Province, Shenyang, 110072 China
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Changes in sexual behaviour, anxiety symptoms, and quality of couple relationship of patients with infertility during the COVID-19 lockdown. J Assist Reprod Genet 2022; 39:493-504. [PMID: 35094183 PMCID: PMC8800844 DOI: 10.1007/s10815-021-02361-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 11/16/2021] [Indexed: 12/23/2022] Open
Abstract
Purpose This study aimed to explore the perceived changes in sexual behaviour during COVID-19 lockdown, anxiety symptoms, and couple relationship of patients with infertility. Methods We performed an observational cross-sectional study between 20 November 2020 and 15 January 2021. We used stratified analysis of different stress levels and Quality of Marriage Index (QMI) scores to compare the perceived changes in sexual behaviour, anxiety symptoms, and couple relationship. The logistic regression model was performed to assess factors correlated with couples’ relationship quality during the lockdown. Furthermore, we performed pathway analyses to assess whether the changes in sexual behaviour, stress level, or psychological anxiety during the lockdown could predict the quality of couple relationship. Results A total of 940 patients with infertility were included in this study. When we conducted a stratified analysis of the participants, significant differences were found between the changes in their sexual behaviour, stress levels, and couple relationship quality. The logistic regression model showed that sex, anxiety symptoms, decreased sexual satisfaction, sexual activity frequency, and income levels were closely related to couple relationship quality. Pathway analyses indicated that changes in their sexual behaviour, anxiety symptoms, and stress levels could all predict the quality of couple relationship. Conclusions The perceived changes in sexual behaviour with different stress levels and couple relationship quality showed significant differences. Analysing the related factors that affect the quality of couple relationship, especially in times of crisis, is of great significance as this information can contribute to the improvement of treatment for patients with infertility. Supplementary Information The online version contains supplementary material available at 10.1007/s10815-021-02361-4.
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Zhu H, Xu S, Wang M, Shang Y, Wei C, Fu J. The effects of comprehensive nursing intervention on the negative emotions of patients with infertility. Am J Transl Res 2021; 13:7767-7774. [PMID: 34377253 PMCID: PMC8340179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 03/29/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To investigate the effects of comprehensive nursing intervention (CNI) on the negative emotions of patients with infertility. METHODS A total of 132 patients were recruited as the study cohort and randomly divided into an observation group (n=62) and a control group (n=70). The patients in both groups underwent routine treatment and nursing. In addition, the patients in the observation group were administered CNI. The quality of life (QOL) scores and depression levels of all the patients were evaluated after the intervention. RESULTS Before the CNI, the QOL scores and the anxiety and depression levels showed no significant differences between two the groups (P>0.05). After the intervention, the observation group showed much higher mild-depression and non-depression levels, higher mild-anxiety and non-anxiety levels and higher QOL and physiological function scores than the control group (all P<0.05). CONCLUSION CNI has an effect on the negative emotions of patients with infertility.
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Affiliation(s)
- Hailing Zhu
- Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
| | - Siyi Xu
- Department of Urology, The First Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
| | - Meihong Wang
- Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
| | - Ying Shang
- Department of Urology, The First Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
| | - Chan Wei
- Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
| | - Jinshan Fu
- Department of Urology, The First Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
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DI Altobrando A, Vara G, Filippi F, Sacchelli L, Patrizi A, Bardazzi F. The impact of psoriasis on marriage. Ital J Dermatol Venerol 2021; 157:235-239. [PMID: 34044508 DOI: 10.23736/s2784-8671.21.06974-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Psoriasis frequently affects partners and intimacy and sometimes leads to a break in relationships. The aim of this study was to evaluate the possible negative impact of psoriasis on married life through the use of the Quality Marriage Index (QMI), a score used to assess marital satisfaction. METHODS In this prospective case-control study married or divorced patients with moderate-to-severe plaque psoriasis were compared to a control group made up of married or divorced healthy patients without psoriasis. Each patient enrolled in the study was given the questionnaire to assess the QMI. RESULTS 201 patients were included in the study sample: 100 suffered from moderate-tosevere plaque psoriasis and the other 101 did not. A significantly higher number of psoriatic patients was divorced than patients without psoriasis. By analyzing the QMI questionnaire, patients with psoriasis scored lower than patients without psoriasis in all single questions and in the total QMI value. By assessing how much each question weighed in the QMI final score, a significant difference between the two groups of patients was found in questions 3 and 6: the first one regarding the strength of marriage weighed more in psoriatic patients, while the second one regarding the happiness of marriage weighed more in non-psoriasis patients. CONCLUSIONS Psoriasis can contribute to marriage breakdown in affected patients. The concept of happiness seems to be greatly affected by the repercussions of psoriasis, while the strength of marriage plays a fundamental role in these patients.
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Affiliation(s)
| | - Giulio Vara
- Radiology Unit, S.Orsola-Malpighi Bologna University Hospital, Bologna, Italy
| | - Federica Filippi
- Department of Experimental, Diagnostic and Specialty Medicine, Dermatology, IRCCS Policlinico di Sant'Orsola, University of Bologna, Bologna, Italy
| | - Lidia Sacchelli
- Department of Experimental, Diagnostic and Specialty Medicine, Dermatology, IRCCS Policlinico di Sant'Orsola, University of Bologna, Bologna, Italy
| | - Annalisa Patrizi
- Department of Experimental, Diagnostic and Specialty Medicine, Dermatology, IRCCS Policlinico di Sant'Orsola, University of Bologna, Bologna, Italy
| | - Federico Bardazzi
- Department of Experimental, Diagnostic and Specialty Medicine, Dermatology, IRCCS Policlinico di Sant'Orsola, University of Bologna, Bologna, Italy
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Zurlo MC, Cattaneo Della Volta MF, Vallone F. Re-examining the Role of Coping Strategies in the Associations Between Infertility-Related Stress Dimensions and State-Anxiety: Implications for Clinical Interventions With Infertile Couples. Front Psychol 2020; 11:614887. [PMID: 33414752 PMCID: PMC7782436 DOI: 10.3389/fpsyg.2020.614887] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 11/18/2020] [Indexed: 12/22/2022] Open
Abstract
Research has shown a direct relationship between infertility-related stress and anxiety in infertile patients. The present study goes into this relationship in depth, testing the moderating role of coping strategies (Seeking Social Support, Avoidant, Positive Attitude, Problem-Solving, Turning to Religion) in the associations between specific infertility-related stress dimensions (Social Concern, Need for Parenthood, Rejection of Childfree Lifestyle, Couple’s Relationship Concern) and State-Anxiety among male and female partners of infertile couples. Gender differences were also explored. Both members of 254 infertile couples completed a questionnaire consisting of Socio-demographics, Fertility Problem Inventory–Short Form (FPI-SF), Coping Orientation to Problem Experienced–New Italian Version (COPE-NIV), and State-Trait Anxiety Inventory-Y (STAI-Y). The results revealed that Social Concern and Couple’s Relationship Concern, in both partners, and Need for Parenthood, in female partners, had positive correlations with State-Anxiety. Seeking Social Support and Avoidant coping were related to increasing levels of State-Anxiety in both partners, whereas Positive Attitude coping strategies were related to lower levels of State-Anxiety in female partners. Problem-Solving and Avoidant coping played moderating roles between specific infertility-related stress dimensions and State-Anxiety in unexpected directions. Problem-Solving exacerbated the negative effects of Social Concern, whereas Avoidant coping buffered the negative effects of several infertility-related stress dimensions in both partners. Interventions to improve stress management and psychological health in infertile couples should consider that the adequacy of coping strategies is inherently situation specific. It therefore follows that patient-centered clinical interventions should consider the potential inadequacy of promoting Problem-Solving strategies, and that even Avoidance can be an efficient strategy for dealing with specific infertility-related stress dimensions.
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Affiliation(s)
- Maria Clelia Zurlo
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Naples, Italy
| | - Maria Francesca Cattaneo Della Volta
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Naples, Italy.,Department of Humanities, University of Naples Federico II, Naples, Italy
| | - Federica Vallone
- Dynamic Psychology Laboratory, Department of Political Science, University of Naples Federico II, Naples, Italy.,Department of Humanities, University of Naples Federico II, Naples, Italy
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Abstract
Over the last 3 to 4 decades then has been an upsurge in designing rating instruments for assessing various aspects of sexuality, sexual dysfunction, and sexual disorders. In this article, we review the instruments used for assessing/rating various sexual disorders stemming from problems in the areas of sexual knowledge to erection/ejaculation to marital functioning, etc. Some of the available scales focus on all the phases of the sexual cycle, whereas other scales focus on the specific phases of the sexual cycle. Some of the commonly used scales, which assess multiple domains of sexual dysfunction include the Arizona Sexual Experience Scale or the International Index of Erectile Dysfunction. Some of the scales focus on other disorders such as Dhat syndrome. Though a lot of scales are available, there is a paucity of culturally sensitive, translated-validated scales. Although rating instruments provide us with valuable information about the sexual functioning of an individual, these should always be used as an add-on, ie, secondary to detailed taking and clinical examination for making any diagnosis or formulation of a management plan.
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Affiliation(s)
- Sandeep Grover
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Anish Shouan
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Hassani F, Koraei A, Yaghoobi R, Zarea K. An evaluating of the relationship between body image, body satisfaction, depression, marital quality, and self-esteem in patients with psoriasis. PSYCHOL HEALTH MED 2020; 26:467-477. [DOI: 10.1080/13548506.2020.1766093] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Fatemeh Hassani
- Department of Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
| | - Amin Koraei
- Department of Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
| | - Reza Yaghoobi
- Dermatology Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Kourosh Zarea
- Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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