scholarly journals Comparison of Marital and Sexual Functioning of the Spouses of Patients with Schizophrenia and Depressive Disorders

2021 ◽  
pp. 263183182110180
Author(s):  
Shivali Aggarwal ◽  
Sandeep Grover ◽  
Subho Chakrabarti

Aim: This study assessed the various aspects of marital functioning among the spouses of patients with schizophrenia and recurrent depressive disorder (RDD). Methodology: Spouses were assessed on Dyadic Adjustment Scale (DAS), Marital Forgiveness Scale, Quality Marriage Index, New Sexual Satisfaction Scale, and Arizona Sexual Experience Questionnaire. Results: Compared to the spouses of patients with RDD, spouses of patients with schizophrenia reported poor marital adjustment (in the consensus and satisfaction domains of DAS), lower quality of marriage, and significantly lower sexual satisfaction. Spouses did not differ significantly on account of marital forgiveness and prevalence of sexual dysfunction. Higher age of onset of schizophrenia in the patients was associated with better quality of marriage as assessed by using quality of marriage scale, better consensus, and satisfaction as per the DAS. Higher residual psychopathology and poor socio-occupational functioning in patients with schizophrenia were associated with poor marital adjustment and sexual satisfaction. Conclusion: To conclude, the present study depicts that the spouses of patients with schizophrenia have poorer marital adjustment and sexual satisfaction, in comparison to the spouses of patients with RDD.

2021 ◽  
pp. 28-29
Author(s):  
Vinay Kumar ◽  
Sunila Rathee ◽  
Sidharth Arya ◽  
Priti Singh ◽  
Rajiv Gupta

Background: Opioid and alcohol consumption is considered as an on-going stressor, not only for the individual, but for family members as well. Spouses are particularly affected given the intimate nature of their relationship and constant exposure to the behaviour of the dependent persons. Quality of life has emerged as an important treatment outcome measure for alcohol and opioid dependence whose natural course comprises of remission and relapse. Objective: To assess the quality of life, marital adjustment and among the patients of alcohol and opioid dependence syndrome. Materials and Methods: This was a cross sectional hospital based study and included 100 treatment seeking population 50 each with alcohol dependence and opioid dependence as per ICD-10 criteria. The participants were purposively selected and informed consent were taken. Research tools were Hindi version of Kansas Marital Satisfaction scale and WHOQOL-BREF. Results: The mean age of the participants were 34.87 +12.48 years. The study did not observe a signicant difference in the overall domains of quality of life. Except the overall health domain, quality of life was more in alcohol subjects as compared to opioid subjects (p < 0.05). There was a signicant difference in the marital quality of life which was lower in opioid dependence than alcohol dependence subjects. Conclusion: Improved marital adjustment are most important part of improved quality of life and its sustainability plays key role in preventing relapse and reaching to the recuperation. Effective management for the alcohol and opioid patients must include the marital intervention to improve the recovery and rehabilitation of the patients.


2019 ◽  
Vol 41 (5) ◽  
pp. 692-707
Author(s):  
Carlene Deits-Lebehn ◽  
Timothy W. Smith ◽  
Brian R. W. Baucom ◽  
Jill B. Nealey-Moore ◽  
Bert N. Uchino ◽  
...  

Single-dimension measures of marital quality can obscure distinct effects of positive and negative aspects of relationships. The present study extended evidence regarding the two-dimension relationship quality model generally, and the Quality of Relationship Inventory (QRI) Support and Conflict scales in particular, by examining associations with overall marital adjustment, represented continuously and as a discrete category of significant marital discord, and depressive symptoms, using younger, middle-aged and older couples. Using multilevel modeling (MLM), QRI Support and Conflict scales were independently associated with overall marital adjustment in the continuous and categorical analyses. As expected, QRI Conflict was more consistently associated with depressive symptoms than was QRI Support. Results were consistent across age and sex. Hence, the two-dimension model is applicable for continuous and more clinically relevant categorical representations of marital quality across adulthood, and the QRI Support and Conflict scales provide additional measures of positive and negative aspects of relationship quality.


2015 ◽  
Vol 11 (3) ◽  
pp. 432-441 ◽  
Author(s):  
Sajjad Basharpoor ◽  
Ali Sheykholeslami

Given the immense importance of marital relationships in the quality of life, this research was conducted in order to investigate the relationships between marital adjustment and family functions with quality of life in women. The design of the current study was correlational. Seven hundred and thirty women were selected randomly among all women living in the province of Western Azerbaijan (Iran) and participated in this study. The sample responded to the Family Assessment Device, Dyadic Adjustment scale and Quality of Life questionnaire, individually in their homes. Collected data were analyzed by Pearson’s correlation and multiple regression tests. The results showed that all dimensions of family functions and dyadic adjustment were positively correlated with quality of life in women. Results of multiple regression also revealed that 33 percent of total quality of life can be explained by family functions and 24 percent of this variable can be explained by dyadic adjustment. Our study demonstrated that women’s quality of life was affected by family functions and marital adjustment in family.


2016 ◽  
Vol 29 (2) ◽  
pp. 185-193 ◽  
Author(s):  
Marcela Moreira Lima Nogueira ◽  
Jose Pedro Simões Neto ◽  
Maria Fernanda B. Sousa ◽  
Raquel L. Santos ◽  
Isabel Barbeito Lacerda ◽  
...  

ABSTRACTIntroduction:The onset of Alzheimer's disease (AD) affects couples’ relationship. We investigated the perception of change and sexual satisfaction in spouse-caregivers and their partners diagnosed with AD.Methods:We compared 74 dyads of people with Alzheimer's disease (PwAD)/spouse-caregivers and 21 elderly dyads control. We assessed sexual satisfaction with Questionnaire on Sexual Experience and Satisfaction (QSES), cognition using a Mini-Mental State Examination (MMSE), disease severity using a Clinical Dementia Rating scale (CDR), awareness of disease with Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia (ASPIDD), functionality with Pfeffer Functional Activities Questionnaire (FAQ), depressive symptoms with Cornell Scale for Depression in Dementia (CSDD), quality of life using a Quality of Life in Alzheimer's Disease Scale (QoL-AD), and burden using a Zarit Burden Interview (ZBI).Results:We found differences between the perception and no perception of change in sexual activity of PwAD (p < 0.001), spouse-caregivers (p < 0.01), and controls (p < 0.05). Moderate to severe sexual dissatisfaction was observed in 36.5% of PwAD, 65% of spouse-caregivers, and 31% of controls. PwAD sexual satisfaction was related to cognitive impairment (p < 0.05). Spouse-caregivers sexual satisfaction was related to gender (p < 0.05) and the presence of sexual activity (p < 0.001).Conclusions:The perception of change with higher sexual dissatisfaction, were significant in PwAD and their spouse-caregivers, in comparison with couples of elderly without dementia.


2016 ◽  
Vol 36 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Ju Hee Kim ◽  
Hye Sook Shin ◽  
Eun Kyoung Yun

Purpose: This study was conducted to examine the level of infertility stress, marital adjustment, depression, and quality of life in infertile couples and assess the actor and partner effects in these areas using the actor–partner interdependence model. Design: Cross-sectional study. Method: Participants were 121 infertile couples. After pilot study, data were collected from November 2012 to March 2013 using the following questionnaires: the Fertility Quality of Life, Fertility Problem Inventory, Revised Dyadic Adjustment Scale, and Beck Depression Inventory. Findings: There was a gender difference in infertility stress, depression, and quality of life. Infertility stress had actor and partner effects on the quality of life. Marital adjustment had an actor effect on the quality of life for the wives. Depression had actor and partner effects on quality of life for the wives, but only an actor effect for the husbands. Conclusion: This study found that there were actor and partner effects of infertility stress, marital adjustment, and depression on the quality of life in infertile couples. These findings may help nurses be aware of such effects and can be used as a baseline data in the development of nursing interventions for infertile couples.


Psicologia ◽  
2014 ◽  
Vol 19 (1/2) ◽  
pp. 87 ◽  
Author(s):  
Katherine Vaughn Fielder ◽  
Sharon E. Robinson Kurpius

Este estudo investigou a relação de duas variáveis contextuais (a relação conjugal e o stress) com a experiência de menopausa em 224 mulheres de meia-idade, casadas. As mulheres responderam à Dyadic Adjustment Scale, Quality of Relationship Inventory, Women’s Health Questionnaire, Index of Sexual Satisfaction e Life Events Questionnaire for Middle-Aged Women. A qualidade conjugal, a satisfação conjugal e o stress permitiram prever a sintomatologia menopáusica. As mulheres com casamentos insatisfatórios, caracterizados por menos suporte social, menor profundidade e maior conflito, referiram um aumento de stress e mais sintomatologia menopáusica do que as mulheres com casamentos satisfatórios. A satisfação sexual está positivamente relacionada com a satisfação conjugal. Não se encontraram diferenças devidas ao estatuto de menopausa. Estes resultados sugerem que quando as mulheres atravessam a transição da menopausa, as variáveis relacionais podem ultrapassar em importância o estatuto de menopausa.DOI: http://dx.doi.org/10.17575/rpsicol.v19i1/2.399


1993 ◽  
Vol 21 (3) ◽  
pp. 241-249 ◽  
Author(s):  
Daniel T. L. Shek ◽  
M. C. Lam ◽  
K. W. Tsoi ◽  
C. M. Lam

The Chinese version of the Kansas Marital Satisfaction Scale (C-KMS) was administered to 91 maritally “adjusted” and 81 maritally “maladjusted” adults, along with other instruments assessing marital adjustment (the Chinese Dyadic Adjustment Scale) and marital expectations (the Chinese Marital Comparison Level Index). The C-KMS was found to have high internal consistency as a scale and the C-KMS scores were observed to correlate substantially with measures of marital adjustment and marital expectation but not significantly with measures not expected to be related to marriage. The results also showed that there were significant differences between the maritally “adjusted” and the “maladjusted” groups of subjects in terms of C-KMS scores. The present data show that the CKMS has acceptable reliability and validity status and that it can be used as an objective tool in assessing marital satisfaction in the Chinese context.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252329
Author(s):  
Ana Kinkead ◽  
Susana Sanduvete-Chaves ◽  
Salvador Chacón-Moscoso ◽  
Christian E. Salas

The way couples regulate their emotions affects the quality of their relationship. Despite this, no evidence-based scales of validity and reliability can measure the intention to regulate emotions in the romantic dyad. In order to address this gap, we developed the Couples Extrinsic Emotion Regulation (CEER) questionnaire. First, we adapted the “Others” subscale from the Emotion Regulation of Others and Self questionnaire (EROS) for any close relationship to measure the intention to regulate emotions in couples; second, the psychometric properties of the CEER questionnaire were studied. For the content validity assessment, 23 experts (47.8% of whom worked in social and health psychology and the psychology of emotions, 17.4% in couples’ therapy, and 34.8% in social science methodologies) participated. A total of 528 Chileans completed the online CEER questionnaire, the relationship satisfaction scale (RAS) and dyadic adjustment scale (DAS): 27.8% were male, age M = 38.7, SD = 10.05, and time of the relationships M = 11.27, SD = 9.82. The content-based validity study made it possible to determine which items to include in the final version. Two unrelated first-order factors structure of the original test fit (RMSEA = .052, GFI = .97, AGFI = .95; CFI = .99; NFI = .98; and NNFI = .98). The CEER+ and CEER- factors presented adequate internal consistency (α = .79; ω = .80 and α = .85; ω = .85, respectively). The discrimination index of the factors were excellent (CEER+ = .55 and CEER- = .63). Validity evidence based on the relations to other variables showed a direct positive relation between CEER+, RAS and overall DAS, as well as their factors; and a negative relation between CEER-, RAS overall DAS, as well as their factors. The use of this instrument is recommended for the identification of Chilean couples where at least one of the partners has a less favorable opinion of their relationship, providing relevant data for couple’s therapy.


2014 ◽  
Vol 27 (5) ◽  
pp. 837-845 ◽  
Author(s):  
Marcela Moreira Lima Nogueira ◽  
Jose Pedro Simões Neto ◽  
Maria Fernanda B. Sousa ◽  
Raquel L. Santos ◽  
Rachel D. L. Rosa ◽  
...  

ABSTRACTBackground:The relationship between sexuality and quality of life (QoL) of spouse-caregivers remains unclear. We designed this study to evaluate the relationship between sexual satisfaction and spouse-caregivers’ QoL, and to determine the influence of the clinical characteristics of people with dementia (PWD) on spouse-caregivers’ self-reported QoL.Methods:Using a cross-sectional design, 54 PWD and their spouse-caregivers completed the QoL in Alzheimer's Disease scale (QoL-AD), questionnaire on sexual experience and satisfaction (QSES), Mini-Mental State Examination (MMSE), Clinical Dementia Rating scale (CDR), Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia (ASPIDD), Pfeffer functional activities questionnaire (FAQ), the Cornell scale for depression in dementia (CSDD) and Zarit burden interview (ZBI). Univariate and multivariate regression analyses were conducted to identify the factors that influenced the spouse-caregivers’ QoL ratings.Results:We did not find a significant difference in QoL between male and female spouse-caregivers (p = 0.71). We also found that 13% of males and 48.1% of females demonstrated moderate to severe sexual dissatisfaction. However, we did not find a significant correlation between spouse-caregivers’ QoL and sexual satisfaction (p = 0.41). The linear regression indicated that impaired awareness and lower QoL of PWD were significantly related to spouse-caregivers’ QoL (p = 0.000).Conclusions:The spouse-caregivers’ QoL is influenced by awareness of disease and PWD QoL. Our study would be helpful for the development of adequate psycho-educational approaches to increase spouse-caregivers’ QoL, considering the specificities of the couples’ relationship.


2019 ◽  
Author(s):  
Madita Hoy ◽  
Bernhard Strauß ◽  
Christoph Kröger ◽  
Katja Brenk-Franz

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