A Cross-sectional Study of Female HIV Patient Perspective of Dyadic Adjustment in HIV Sero-concordant and Sero-discordant couples

Background: Dyadic Adjustment is defined as the process with which couples form a steady relationship. This study assessed dyadic adjustment in HIVcouples in Ogun State, Nigeria. Methods: This cross sectional study was carried out among 458 women accessing HIV care in tertiary hospitals in Ogun State, Nigeria. Participants were evaluated using the Revised Dyadic Adjustment Scale and analyzed using the Stata/SE 15.1 statistical Package. Chi-square and t-tests were used to determine the correlates of dyadic adjustment (Distress/Non-distress) while logistic regression was used to determine the predictors of distress. Results: Only 28.82% had relationship distress while the majority (71.18%) had no distress. There was a statistically significant association between marital status and the level of distress. Those who were currently married were less likely to have distress than those who were single or previously married. Conclusion: Those who were not married were more predisposed to distress. More support for these groups is therefore recommended. Keywords: Couple, Distress, Dyadic adjustment, HIV, Sero-concordant, Sero-discordant

Randomized Clinical Trial Between Fluoxetine and Dapoxetine for Premature Ejaculation and Its Effect on Marital Relationship

INTRODUCTION: Premature ejaculation(PE) decreases sexual pleasure and quality of life, and both Fluoxetine and Dapoxetine were used in PE therapy. Dapoxetine is the first SSRI with a short half-life and fewer side effects, primarily designed for PE therapy. The aim is to evaluate and compare the effects of Fluoxetine and Dapoxetine on PE symptoms and marital satisfaction. MATERIALS AND METHODS: 44 participants aged between 18 and 64 with a PEDT score of ≥9 from Hospital USM's Primary-Care-Clinic, Kelantan Malaysia were selected and randomized into two groups: Fluoxetine(FG) and Dapoxetine Group(DG), and administered for 8 weeks with either regular Fluoxetine(20mg) or Dapoxetine (30mg) on-demand at least once a week. Premature Ejaculation Diagnostics Tool(PEDT) score was used to assess PE symptoms and Dyadic Satisfaction-Dyadic Adjustment Scale (DS-DAS) used to evaluate marital satisfaction at baseline and the 8th week. RESULT: 22 and 21 participants in FG and DG completed the study. For both groups, PEDT scores decreased substantially [from 11.41 to 5.45(P< 0.001) among FG, from 13.43 to 3.10(P<0.001) among DG]. After adjustment of the baseline PEDT score, PEDT scores in DG(6.03 vs 2.49, P><0.001) were lower at the 8th week. All groups showed significantly improved DS-DAS scores [from 34.50 to 40.68(P><0.001) in FG, from 36.57 to 44.33(P><0.001) in DG]. No marked difference in DS-DAS was scored after adjustment of the baseline DS-DAS score(41.13 vs 43.86, P=0.055) at the end of the assessment. CONCLUSION: Treatment of PE with either Fluoxetine or Dapoxetine decreases PE symptoms and increases marital satisfaction. ><0.001) among DG]. After adjustment of the baseline PEDT score, PEDT scores in DG (6.03 vs 2.49, P< 0.001) were lower at the 8th week. All groups showed significantly improved DS-DAS scores [from 34.50 to 40.68(P< 0.001) in FG, from 36.57 to 44.33(P< 0.001) in DG]. No marked difference in DS-DAS was scored after adjustment of the baseline DS-DAS score (41.13 vs 43.86, P=0.055) at the end of the assessment. CONCLUSION: Treatment of PE with either Fluoxetine or Dapoxetine decreases PE symptoms and increases marital satisfaction.

Personality Traits and Marital Adjustment: Interaction between Intra and Interpersonal Aspects

Personality characteristics have been evaluated due to the reflexes that they provoke in the conjugal satisfaction and adjustment. The objective of this study was to evaluate the actor-partner effects of personality traits on the conjugal adjustment of heterosexual couples. The study, quantitative and explanatory, evaluated 231 couples from different cities of Rio Grande do Sul. Respondents completed the Socio-demographic questionnaire, the Revised Dyadic Adjustment Scale and the Personality Adjectives Marker scale. The data was analyzed using the Latent Traits Model. The results indicate that socialization, neuroticism and achievement factors have an effect on the marital adjustment of husbands and wives. There is a partner effect on the wives’ neuroticism factor and on the husbands’ achievement factor. The extroversion and openness factors do not provoke actor-partner effects on the adjustment of the couples. The results are discussed in the light of other studies and research agendas are suggested.

Family Dyadic: Anima Animas

<p>In a randomized groups design 50 couples including 50 husbands and 50 wives belonging to joint and nuclear families were tested to study the presence of anima and animas contributory role in both spouses towards family dyadic and it relationship with joint and nuclear families. Dyadic Adjustment Scale (DAS) for family dyadic and The Masculine and Feminine Self-Disclosure Scale (MFSDS) were used to measure participants’ masculinity (anima) and femininity (animus) role in both spouses as contributory factor toward family dyadic in both family types. It was assumed that some useful information would emerge? SPSS was used for responses analysis. Significant .correlation between MFSDS .532^**and DAS.657^** found. MFSDS predicted DAS significantly <i>F</i> (<i>df</i> = 97) = 54.37,<i> p </i><.001. Traditional binary role were not much clear, a non significant relationship was found between family types and participants scores on both tests. The findings pointed toward further dyadic focus for contributory role of masculinity and femininity levels of spouses in both family types. </p>

Family Dyadic: Anima Animas

<p>In a randomized groups design 50 couples including 50 husbands and 50 wives belonging to joint and nuclear families were tested to study the presence of anima and animas contributory role in both spouses towards family dyadic and it relationship with joint and nuclear families. Dyadic Adjustment Scale (DAS) for family dyadic and The Masculine and Feminine Self-Disclosure Scale (MFSDS) were used to measure participants’ masculinity (anima) and femininity (animus) role in both spouses as contributory factor toward family dyadic in both family types. It was assumed that some useful information would emerge? SPSS was used for responses analysis. Significant .correlation between MFSDS .532^**and DAS.657^** found. MFSDS predicted DAS significantly <i>F</i> (<i>df</i> = 97) = 54.37,<i> p </i><.001. Traditional binary role were not much clear, a non significant relationship was found between family types and participants scores on both tests. The findings pointed toward further dyadic focus for contributory role of masculinity and femininity levels of spouses in both family types. </p>

Efek Sabar dan Syukur Terhadap Penyesuaian Pernikahan

One of the keys to achieving a quality of marriage is the marital adjustment. Marital adjustment is defined as the process of mutual adjustment between husband and wife in all aspects of their life. There are many challenges faced, so it requires patience and gratitude. Patience is self-control from bad actions, accompanied by an optimistic attitude, never giving up, being open to new information and solutions, and not easily complaining. Meanwhile, gratitude can be defined as positive feelings to oneself, others, the environment and even God, and is expressed in behavior. This study aimed to explore effect of patience and gratitude on marital adjustment. The research approach used is quantitative, involving 203 respondents (male = 64, female = 139), taken by purposive sampling technique. Criteria of respondent are married Muslim, age of marriage between 0-2 years. The scale used in this study is the RDAS (Revision Dyadic Adjustment Scale) for marital adjustments with 0.796 reliability, the Patience Scale with 0.749 reliability and the Gratitude Scale in Islamic Psychology with a reliability of 0.839. Statistical analysis techniques use multiple regression. The results of this study indicate an F value of 18,717 with a probability value of 0.000 (p <0.05). This data shows that the variables of patience and gratitude have an effect on marital adjustments by 15.8 percent, or with the R square coefficient (R²) value of 0.158.AbstrakSalah satu kunci dari tercapainya kualitas pernikahan adalah adanya penyesuaian pernikahan. Penyesuaian pernikahan didefinisikan proses saling menyesuaikan antara suami dan istri pada seluruh aspek kehidupannya. Pada prosesnya banyak tantangan yang dihadapi sehingga membutuhkan variabel sabar dan syukur. Sabar adalah pengendalian diri dari tindakan yang tidak baik, disertai sikap optimis, pantang menyerah, terbuka kepada informasi baru maupun solusi, serta tidak mudah mengeluh. Sedangkan syukur dapat diartikan perasaan positif kepada diri sendiri, orang lain, lingkungan dan bahkan Tuhan dan diekspresikan dalam perilaku. Penelitian ini berupaya untuk melakukan studi tentang pengaruh sabar dan syukur terhadap penyesuaian pernikahan. Pendekatan penelitian yang digunakan adalah kuantitatif, melibatkan 203 responden (Laki-laki=64, Perempuan=139), diambil dengan teknik purposif, dengan kriteria yang sudah menikah, Muslim, usia pernikahan 0-2 tahun. Adapun skala yang digunakan pada penelitian ini adalah RDAS (Revision Dyadic Adjustment Scale) untuk penyesuaian pernikahan dengan reliabilitas 0.796, Skala Sabar dengan reliabilitas 0.749 dan Skala Syukur dalam Psikologi Islam dengan reliabilitas sebesar 0.839. Teknik Analisa statistik menggunakan multiple regression. Hasil penelitian ini menunjukan adanya nilai F sebesar 18.717 dengan probabability value sebesar 0.000 (p< 0.05). Data ini menunjukkan bahwa variabel sabar dan syukur memberikan pengaruh terhadap penyesuaian pernikahan sebesar 15,8 persen, atau dengan nilai koefisien R square (R²) sebesar 0.158

PENGARUH KECEMASAN TERHADAP PENYESUAIAN PERNIKAHAN PADA WANITA PERIMENOPAUSE

Physical decline will occur gradually in middle adulthood. One of the big things related to the physical condition of middle adult women is the period of perimenopause. Not only physically, the perimenopause period will also affect the emotional aspects of women. In this period, women will experience a higher level of anxiety rather than other developmental periods. The anxiety experienced not only affects the individual, but can also have an impact on the couple, such as affecting marriage satisfaction, marriage quality, and sexual satisfaction. One term that is quite broad and can summarize these aspects is marital adjustment. This study aims to determine the effect of anxiety on marital adjustment in perimenopause women. Participants in this study were 182 women, aged 40-50 years who experienced perimenopause symptoms (hot flashes, vaginal dryness, easy headaches, bone loss, increased levels of bad cholesterol, dry skin, difficulty concentrating, forgetfulness, decreased sexual desire and fertility, mood changes, irritability, increased symptoms of depression and anxiety). The measuring instruments used in this study were the State-Trait Anxiety Inventory (STAI) and the Dyadic Adjustment Scale (DAS). In this study, the analysis technique used is simple linear regression. The results showed a negative effect of anxiety on marriage adjustment (B = -0.583, p <0.01). The higher the anxiety, the lower the marriage adjustment, and vice versa. The amount of influence given by anxiety on marital adjustment is 34%. Penurunan fisik akan terjadi secara bertahap pada masa dewasa madya. Salah satu hal besar yang berhubungan dengan kondisi fisik pada wanita dewasa madya adalah periode perimenopause. Tidak hanya berpengaruh secara fisik, periode perimenopause juga akan memengaruhi aspek emosional pada wanita. Pada periode ini, wanita akan mengalami tingkat kecemasan yang lebih tinggi dibandingkan pada masa perkembangan lainnya. Kecemasan yang dialami tidak hanya berdampak pada individu, namun juga dapat berdampak pada pasangan, seperti memengaruhi kepuasan pernikahan, kualitas pernikahan, dan kepuasan seksual, Salah satu istilah yang cukup luas dan dapat merangkum aspek-aspek terseut adalah penyesuaian pernikahan. Penelitian ini bertujuan untuk melihat pengaruh kecemasan terhadap penyesuaian pernikahan pada wanita perimenopause. Partisipan pada penelitian ini adalah 182 wanita, berusia 40-50 tahun yang mengalami simptom perimenopause (hot flashes, rasa kering pada vagina, mudah sakit kepala, pengeroposan tulang, peningkatan kadar kolesterol jahat, kulit kering, sulit berkonsenterasi, mudah lupa, penurunan gairah seksual dan kesuburan, perubahan kondisi mood, mudah tersinggung, peningkatan gejala depresi dan kecemasan). Alat ukur yang digunakan pada penelitian ini adalah State-Trait Anxiety Inventory (STAI) dan Dyadic Adjustment Scale (DAS). Pada penelitian ini teknik analisa yang digunakan adalah regresi linier sederhana. Hasil penelitian menunjukkan adanya pengaruh negatif kecemasan terhadap penyesuaian pernikahan (B = -0.583, p < 0.01). Semakin tinggi kecemasan maka penyesuaian pernikahan akan semakin rendah, dan sebaliknya. Adapun besar pengaruh yang diberikan kecemasan terhadap penyesuaian pernikahan adalah sebesar 34%.

Σχέσεις μεταξύ του ζευγαριού και οι αντιλήψεις τους για το δεσμό με τη μητέρα τους

The current study examined the association between attachment style and adjustment in romantic relationships as well as the association between perceptions of adult attachment and adjustment in romantic relationships. 65 cohabitating couples aged from 21 to 32 years were recruited for the study. Couples completed the following self-report questionnaires: 1) Perceptions of Adult Attachment Questionnaire, PAAQ, Lichtenstein & Cassidy, 1991, 2) Experiences in Close Relationships Inventory, ECR, Brennan, Clark & Shaver, 1998 and 3) Dyadic Adjustment Scale, DAS, Spanier, 1976. Results showed that secure couples (both partners described themselves as securely attached) as well as mixed couples (one partner chose the secure description and the other defined himself or herself as insecure) reported higher relationship quality compared to both insecure couples (both partners described themselves as insecurely attached). Analyses aimed to test the links between early attachment experiences and marital relationship quality illustrated that both partners’ rejection from their mother in early childhood had a detrimental effect on women’s marital adjustment.

Comunicação conjugal negativa e aberta: modelo interdependente de efeito ator/parceiro no ajustamento conjugal

A comunicação é imprescindível à avaliação e intervenção em psicoterapia conjugal. Nesse sentido, foi investigado se a comunicação conjugal negativa e aberta impactam no ajustamento conjugal de casais heterossexuais. Trata-se de um estudo quantitativo, transversal, correlacional e explicativo. Foram avaliados 231 casais residentes no Sul do Brasil. Os participantes responderam o Communication Questionnaire e o Revised Dyadic Adjustment Scale R-DAS. Os dados foram analisados de forma diádica por meio do Actor Partner Interdependence Model - APIM e indicaram que a comunicação negativa provoca impacto superior à comunicação aberta no ajustamento conjugal de maridos e esposas, já que provocou efeitos ator e parceiro. A comunicação aberta provocou somente o efeito ator para maridos e esposas. Os resultados foram discutidos à luz da literatura científica considerando as possíveis implicações para a área clínica e para a pesquisa.