جستجوی مقالات مرتبط با کلیدواژه "کیفیت زناشویی" در نشریات گروه "پزشکی"

Maladjusted couples have many marital problems and couple therapy methods can play an effective role in reducing their problems. Therefore, this study was conducted with the aim of determining the effectiveness of couple therapy based on mindfulness on marital trust and marital life quality in maladjusted couples. The present study was quasi-experimental with a pre-test and post-test design with experimental and control groups. The research population was maladjusted couples who referred to counseling and psychological services centers and clinics of Ahvaz City in the autumn of 2023 (approximately 250 couples). The sample size for each group was considered 12 couples, and these couples were selected by purposive sampling method. The experimental group underwent 8 sessions of 90 minutes under couple therapy based on mindfulness and the control group did not receive any intervention. Data were collected using Marital Adjustment, Marital Trust, and Marital Life Quality Scales and analyzed using chi-square test and multivariate analysis of covariance. According to chi-square test results, there wasn’t any significant difference between the experimental and control groups in terms of education level, age, and marriage duration (p>0.05). Also, according to multivariate analysis of covariance results, couple therapy based on mindfulness led to an increase in marital trust (F=227.22, p<0.001) and marital life quality (F=167.65, p<0.001) in maladjusted couples. Considering the effectiveness of couple therapy based on mindfulness on increasing marital trust and marital life quality in maladjusted couples, it is suggested that counselors and therapists use this method along with other effective methods to improve the psychological characteristics in vulnerable groups.

During pregnancy, the marital quality and mental security of women are threatened. A woman's physical, mental and psychological health during this period has significant effects on the health of the fetus, success in natural childbirth and breastfeeding, and improving health. Maintaining psychological security, cognitive self-regulation of emotions, and the quality of marital relations during pregnancy can reduce the worries of this period to some extent. The current research aims to predicting design a structural model of marital quality and cognitive self-regulation with the mediating role of psychological security to predict concerns during pregnancy.

The present study was a descriptive-correlation type using the structural equation modeling method. The study  population included all the pregnant women of 25 to 40who referred to health centers and clinics in Yazd in 2023. 275 women were randomly selected by cluster sampling method. Data was collected using Aldersey and Lin's (2011) pregnancy anxiety questionnaires, Busby et al.'s marital quality (1995), Maslow's psychological security (2004), and Garnevsky et al.'s (2002) cognitive self-regulation of emotion. Data analysis was done through Pearson correlation methods and structural equation modeling using SPSS-19 and AMOS-20 software.

The results of multivariate regression test showed that the variables of cognitive self-regulation of emotion (positive emotion (R=0/49), negative emotion (R=0/056), and marital quality (R=0/089) with the mediation of psychological security on concerns during pregnancy, had a direct and significant effect (P<0/05). Psychological security also had a direct, negative, and significant effect on worries during pregnancy (P<0/05).

The results of the present study shows that the structural model of concerns during pregnancy based on cognitive self-regulation of emotion and marital quality with the mediation of psychological security had favorable fit indices, and therefore, the knowledge of these variables can help to reduce worries during pregnancy.

 Various factors, such as individual, communication, and external factors, affect the marital quality of couples. Communication problems are a fundamental issue in family-related communication approaches. Another factor affecting the marital quality of couples is the spouse's perceived responsiveness. The responsiveness the spouse perceives increases emotional expression in relationships, reduces conflict, and strengthens intimacy between couples in marital relationships. Conversely, in an unresponsive atmosphere, there is a learned helplessness with depression. Considering the importance that the perceived responsiveness of the couples has on the marital quality, and also keeping in mind that increasing efficient and effective communication patterns in marital relationships can help improve the quality of couples' marital relationship, the present study was conducted to develop a structural model of marital quality based on communication patterns with the mediation of spouse's perceived responsiveness.

 The research method is analytical of correlational type and structural equation modeling. The statistical population of the research included all married women referred to counseling centers and psychological services under the supervision of the Psychology and Counseling Organization of Iran in Tehran City in 2022. For sampling, 13 counseling centers in 8 districts of Tehran were referred. The samples in the present study were recruited by available sampling. The size of the statistical sample was estimated to be 350 people, taking into account the number of parameters estimated in the conceptual model of the research, but to prevent the drop of participants, 400 married women completed the questionnaires, 3 cases were removed due to not completing the questionnaires, and finally, the questionnaires of 397 samples were analyzed. The inclusion criteria include female gender, being married, being 30-50 years old, education with at least a diploma, at least 3 years of cohabitation, the absence of severe mental disorders, and the absence of psychiatric drug use in the past year (based on the contents of the file available at the counseling center) were considered. The exclusion criterion was not answering more than 10% of the questionnaires (7 questions). Revised Dyadic Adjustment Scale (Busby et al., 1995), Spouse's Perceived Responsiveness Scale (Reis et al., 2017), and Communication Patterns Questionnaire (Christensen & Sulawi, 1984) were used to collect data. The structural equation modeling method and version 22 of SPSS and AMOS software were used for data analysis.

 Examining the coefficients of the direct path showed that the pattern of mutual constructive communication (p<0.001, β=0.39), the communication pattern of withdrawal/expectation (p<0.001, β=-0.24), and the pattern of mutual avoidance (p<0.001, β=-0.20) had significant direct relationships with marital quality. Also, the coefficients of the indirect path showed that the constructive communication pattern had a significant indirect relationship (p=0.001, β=0.14) and the withdrawal/expectation (p=0.014, β=-0.10) and mutual avoidance communication patterns (p<0.001, β=-0.17) had significant indirect relationships with marital quality with the mediation of the spouse's perceived responsiveness. Also, the fit indices showed that the hypothesized model fits the measurement model (X2/df=2.79, CFI=0.94, GFI=0.94, AGFI=0.94, NFI= 0.93, RMSEA=0.07).

 Based on the present research findings, communication patterns are related to the mediation of the spouse's perceived responsiveness with marital quality. It seems that the perceived responsiveness of the spouse through neutralizing the negative consequences and increasing the emotions, negative affection, and constructive attitude of people towards each other in the interactions is always an influential factor in the marital quality of the couple. According to the results of the present study, it is suggested that marriage counselors and family therapists should pay attention to the key role of spouses' perceived responsiveness in premarital counseling and in predicting the quality of couples' relationships, as well as in the field of family education and individual counseling in increasing the quality of couples' relationships.

Marriage is one of the most important events in life. A successful marriage and starting a marital relationship will satisfy many physical and psychological needs in a safe environment. This study was conducted with the aim of the effectiveness of the marital satisfaction model on increasing the sexual quality of couples.

In terms of the research method, the present study is the analysis of structural relations for developing a correlation type model. The research population included all married men and women who referred to the laboratory of the family clinic and the specialized clinic of Quds Hospital in Sanandaj. To determine the sample size in this research, 500 subjects were selected using available sampling method and research tools were implemented on them. The research tools in this study are the questionnaires of Nathan H.'s Marital Satisfaction Questionnaire. Azrin, Barry T. Naster and Robert Jones (1973), the questionnaire of the quality of sexual life of women by Simmonds et al. (2005) and the quality of sexual life of men by Pakpour et al.

The obtained results show that there is a significant difference between the average scores of the post-test of the quality of sexual life of women in the control and experimental groups, and there is also a significant difference between the average scores of the post-test of the quality of sexual life of men in the two groups of the control and the experiment (p< 0.05).

To improve marital quality, it is necessary to focus more on "marital satisfaction".

Given that the family is the most important social institution, many variables may affect maritalrelationships and its quality. Recognition of these factors can be effective in improving and improving the quality of this institution.

The present study is a correlational study of path analysis. The statistical population of the study includes all married women with diploma degree and higher degree Ahvaz in 2022. From this statistical population, 340 people were selected as a sample by available sampling method. In this study, to collect data from Norton Marital Relationship Quality Scale (MRQS), Beck Short Depression Inventory (BDI-13), Hovestedt et al.'s Family Scale (FOS), Alder et al.'s Perception of Parents' Marriage Questionnaire (PPMQ) and Singh and Bahargawa Emotional Maturity Scale (EMS) were used. In the present study, the proposed model was evaluated using the path analysis method and the bootstrap method (software (AMOS-24) was used to test indirect relationships.

The findings of this study showed that both indirect pathways of the function of the family of Origen on depression and marital quality were confirmed through emotional maturity at a significance level of less than 0.05. But the two indirect paths of the effect of perception of parents' marriage on depression and marital quality through emotional maturity were significantly greater than 0.05, so they are not confirmed.

The results showed that the direct pathways of the family of origin to emotional maturity, the function of the family of origin and depression, the function of the family of origin to marital quality, emotional maturity and depression, emotional maturity to marital quality and perception of parents' Marriage to marital quality were statistically significant. Therefore, it is necessary for family therapy and couple therapy specialists to pay attention to predictor variables and their effect on improving marital relations and family institution.

Nurses are the most important of human source in health system. Due to the stress of nursing, the traits of emotional and cognitive basically role playing on marital quality of nurses. Present study aimed to Predict marital quality based on positive and negative emotions with mediating self-compassion and cognitive flexibility in nurses of patients with COVID- 19.

Research Method was correlation and Population was nurses of patients with COVID-19 in Isfahan university medical sciences in 2021. Using simple random sampling 138 nurses were selected and complete questionnaires of Busby & et al (1995) marital quality, Watson & et al (1988) positive and negative emotions, Raes & et al (2011) self-compassion and Dennis and Vander Wal (2010) cognitive flexibility and data were analyzed by Pearson’s correlation and hierarchy regression.

There is a positive and significant relationship between positive emotion, self-compassion and cognitive flexibility with marital quality (p<0.01). The results of hierarchy regression showed that self-compassion and cognitive flexibility significantly mediate on the relation of positive emotion and marital quality (p<0.01).

Nurses with positive emotion experience pleasance emotional and affective states and enjoy from their job and family and experience high marital quality. self-compassion through experience self-focus emotions and Awareness of emotions and cognitive flexibility through increasing ability to percept positive emotion experiences explain more part of positive emotion in predicting marital quality. In other to increase marital quality of nurses, it is suggested, pay attention to positive emotion, self-compassion and cognitive flexibility in nurses, and recovery self-compassion and cognitive flexibility through counseling and training.

Satisfaction of basic needs will lead to self-control and the power of the ego, in which case, through the organization of the ego in controlling life, will affect the quality of marriage. The aim of this study was to explain the structural pattern between basic needs and quality of married life based on the mediating role of ego power. 

The research method was descriptive-correlation. The statistical population of this study included all married students of the University of Tehran in 2020. 384 people were selected by convenience sampling. Demographic questionnaire, "Dyadic Adjustment Scale", "Basic Needs Satisfaction in General Scale" and "Ego Strength Scale" were used to collect data. The validity of the instruments was measured using content validity by qualitative method and reliability by internal consistency method by calculating Cronbachchr('39')s alpha coefficient. Structural equation model and SPSS .24 and Amos. 24 were used to analyze the data.

The indirect path coefficient between basic psychological needs and marital quality  (P= 0.001, β= 0.243) was positive due to ego power and was significant at the level of 0.01.

The power of the ego positively mediates the relationship between the basic psychological needs of autonomy, competence and relationship, and the dependence and quality of married life. It is suggested that in counseling and psychological services centers, trainings be provided to married people who refer to marital complaints on how to satisfy their basic psychological needs and ways to increase ego empowerment and quality of married life.

Infertility is one of the most common human problems that its prevalence is more in developing countries, especially Iran. Infertility affects the physical, mental and social health of individuals. Infertility affects not only physical but also mental and social health of individuals. The aim of this study was to determine the effectiveness of Positive Psychotherapy Based on Belief to Good on mental health and marital quality of infertile women. The present study is a quasi-experimental research with a pre and posttest and follow-up plan in terms of practical purpose and method, which is accompanied by a control group. The statistical population of this study included all infertile women referred to Samen Medicine Clinic, who were selected by convenience sampling method. In this study, 30 infertile women were selected voluntarily and divided into two experimental (N=15) and control groups (N=15). The research instruments include the Positive Psychotherapy Based on Belief to Good protocol, Goldberg Mental Health Questionnaire (GHQ) and the Busby et al Marital Quality Scale (RDAS). Questionnaires were completed before and after the intervention and also one month after the end of treatment. Data analysis was performed using SPSS-26 and repeated measures analysis of variance. The results showed that mental health and marital quality increased significantly in the experimental group compared to the control group. Therefore, it seems that Positive Psychotherapy Based on Belief to Good has a positive effect on mental health and marital quality of infertile women.

Unsolved conflicts among couples may exacerbate their problems and even result in divorce. Therefore, the manners that couples interact and resolve their disagreements significantly influence the quality of their marital life. Negative strategies used to resolve marital controversies are predictive of divorce and positive approaches are predictive of marital stability. Early maladaptive schemas make women unaware of their unsatisfied basic needs; consequently, such conditions affect conflict resolution among them, making them less adaptive and compromising. Early maladaptive schemas are enduring attitudes toward the self as well as the interactions with the surrounding world and may affect conflict resolution. Thus, this study aimed to explore the relationship between early maladaptive schemas and marital quality through the mediation of conflict resolution strategies in married women.

This was a correlational study. The statistical population of the study included the married women who were referred to healthcare centers in Tehran City, Iran, in 2020; of them, by random cluster sampling, 320 eligible subjects were included in the current study. Initially, the districts were randomly selected. Next, the study participants were selected using online and convenience sampling methods. To select healthcare centers, districts were randomly selected in the north (districts 2 & 3), south (districts 18 & 19), center (districts 11 & 12), east (districts 8 & 13), and west (districts 9 & 10). Due to the Coronavirus Disease 2019 (COVID–19) pandemic, randomization was impossible and the questionnaire was virtually provided to the study participants. The inclusion criteria of the study included living in Tehran and spending a year together (couples). Research tools included the Young Schema Questionnaire–Short Form (Young, 1998), Rahim Organizational Conflict Inventory–II (ROCI–II) (Rahim, 1983), and Revised Dyadic Adjustment Scale (Busby et al., 1995). The obtained data were analyzed using structural equation modeling and Pearson correlation coefficient in SPSS and AMOS. The significance level of the tests was considered 0.05.

According to the present research results, the total effect of early maladaptive schemas was significant on marital quality (β=–0.431, p=0.001). The direct effects of constructive conflict resolution strategies (β=0.350, p=0.009) and non–constructive conflict resolution strategies (β=–0.308, p=0.014) were significant on marital quality. The direct effect of early maladaptive schemas was significant on constructive conflict resolution strategies (β=–0.156, p=0.043) and non–constructive conflict resolution (β=0.147, p=0.043). Furthermore, the direct effect of early maladaptive schemas was significant on marital quality (β=–0.332, p=0.011). The indirect effects mediated by constructive conflict resolution strategies (β=–0.054, p=0.008) and non–constructive conflict resolution strategies (β=–0.45, p=0.011) were significant on marital quality. The hypothesized model presented a relatively good fit with the collected data (χ2/df=2.48, CFI=0.933, GFI=0.969, AGFI=0.891, & RMSEA=0.047).

The present study results revealed that constructive and non–constructive conflict resolution strategies mediated the relationship between early maladaptive schemas and marital quality in married females.

Satisfaction with relationships between couples enhances marital relations, vitality and vitality of spouses and prevents the disorders associated with them. The purpose of this study was to determine the effectiveness of communication skills training on reducing marital burnout and enhancing marital quality of married female nurses working in Hamadan hospitals.

This study was a quasi-experimental with pre-test and post-test design with control group. The statistical population of the study was all female nurses aged 25-40 years working in hospitals of Hamadan city in 1398, 160 of whom were the sample of the study. Of the nurses who scored high on the Couple Burnout Measure (CBM) and Revised Dyadic Adjustment Scale (RDAS) scores (n = 97), 32 were randomly selected into two groups (intervention group and control group). The intervention group received sex education based on the Communication Skills Training (Miller, Nunnally & Wackman) 1999 Package for 8 sessions of 90 minutes and the control group did not receive any intervention. At the end of training sessions, both groups received post-test. Data were analyzed by analysis of covariance.

The results showed that in the pre-test and post-test stages, there was a significant difference between the intervention and control groups in marital dissatisfaction (P = 0.001, F = 13.28) and marital quality (F = 68.33, P <0.001). . There was a significant difference. In other words, communication skills training will reduce marital distress and increase marital quality.

The results of this study showed the effect of communication skills training on reducing marital fatigue and enhancing marital quality. It can be concluded that many marital problems with various training including communication skills can be improved and improved. Therefore, counselors and psychologists can use this method to reduce marital burnout and increase the quality marriage.

Satisfaction with sexual intercourse causes warmth of marital relations, vitality and vitality of spouses, preventing the disorders associated with it. The purpose of this study was to determine the effectiveness of sex therapy training on reducing marital burnout and increasing marital quality of married female nurses aged 25-40 years working in hospitals of Hamadan.

This study was a quasi-experimental with pre-test and post-test design with control group. The statistical population of the study was all female nurses aged 25-40 years working in hospitals of Hamadan city in 1398, 160 of whom were the sample of the study. Of the nurses who scored high on the Couple Burnout Measure (CBM) and Revised Dyadic Adjustment Scale (RDAS) scores (n = 97), 32 were randomly selected into two groups (intervention group and control group). The intervention group received sex education based on the Masters and Johnson 2012 Sex Therapy Package for 8 sessions of 90 minutes and the control group did not receive any intervention. At the end of training sessions, both groups received post-test. Data were analyzed by analysis of covariance.

The results showed that in the pre-test and post-test stages, there was a significant difference between the intervention and control groups in marital burnout (F = 33.01, P <0.001) and marital quality (F = 68.33, P <0.001). ). There was a significant difference. In other words, sex therapy training reduces marital burnout and enhances marital quality.

The results of this study showed the effect of sex therapy training on reducing marital burnout and increasing marital quality. It is recommended that family therapists and counselors use this treatment in counseling centers and family education classes to resolve coupleschr('39') marital problems.

Family life is tied to numerous threats that could destroy it. One of these dangers is marital infidelity, which generates multiple problems and has diverse psychological effects on the affected individuals. One of the most significant impacts of marital infidelity is declined relationship quality and marital satisfaction; this condition could lead to the collapse of marital life and divorce if not intervened promptly. Therefore, it is required to design and select therapies to prevent the harmful effects of infidelity on families. Accordingly, this study aimed to compare the effects of Glasserchr('39')s Reality Therapy (RT) and Emotion–Focused Therapy (EFT) on betrayed women. 

This was a quasi–experimental study with two experimental groups and one control group. The statistical population of the study consisted of all betrayed married women who referred to the counseling centers of the Welfare Organization of Tehran City, Iran, in 2017. The study sample included 45 individuals. In the first step, sampling was conducted by a multistage cluster sampling method. Then, the study subjects were randomly selected from 5 districts (2, 7, 11, 16, 21) out of the 22 districts of Tehran. Then, 2 counseling centers were randomly selected from each of the selected regions. Besides, 45 betrayed women were selected by random sampling method and were randomly assigned to either one of the experimental groups 1 and 2, or the control group (n=15/group). Each experimental group received 8 sessions of Glasserchr('39')s RT or EFT. The research instruments included the Revised Dyadic Adjustment Scale (RDAS) (Busby et al., 1995), ENRICH Marriage Satisfaction Questionnaire (Olson et al., 1982), RT protocol (Abbasi et al., 2017), and EFT protocol (Bahrami et al., 2009). All study groups, before and after the end of the sessions and intervention, complemented the questionnaires. Finally, marital satisfaction and marital quality scores were compared. The obtained data were analyzed in SPSS by Analysis of Covariance (ANCOVA).

The ANCOVA results indicated a significant difference in the scores of marital satisfaction and quality of marital relationships in both test groups, compared to the controls (p<0.001). The Eta squared value suggested that approximately 74% and 84% of the variance of the scores of quality of marital relations and marital satisfaction were respectively explained by the difference between the two provided interventions. Due to the significant difference between the posttest scores in the experimental and control groups, a two–way study of the significant difference between the three posttest scores of marital relationship quality and marital satisfaction was performed through pairwise comparisons (mean difference; primary–secondary) by Fisherchr('39')s Least Significant Difference (LSD) posthoc test. The LSD test data revealed no significant difference between the effects of Glaserchr('39')s RT and EFT on the quality of marital relationships in the posttest phase (p=0.374). However, there was a significant difference between the efficacy of RT and EFT on marital satisfaction at the posttest (p<0.001). 

EFT helps improve the damage of infidelity by alleviating attachment defects and regulating emotions. Moreover, RT provides such effects by emphasizing personal responsibility and recognizing the individual’s needs.

Background and Given the positive outcomes of a stable marriage, the researchers have paid much attention to the parameters and factors affecting the improvement of marital quality. Religiosity and the role of religion and religious beliefs are among the most important factors in this regard. Therefore, the present study aimed to predict marital quality based on spiritual orientation.
This descriptive, correlational study was conducted on 844 married individuals with the mean age of 31.7 years in Mashhad, Iran. The data were collected by means of the Sociodemographic Characteristics Form, Spiritual Orientation Inventory, and Marital Quality Inventory, the validity and reliability of which have been confirmed in Iran. The data analysis was performed using the descriptive and inferential statistics (stepwise regression) in SPSS software, version 22.
According to the results, spiritual orientation and marital quality were correlated (r=0.582). The coefficient of determination indicated that 27% of the variability in the dependent variable (i.e., marital quality) was explained by spiritual orientation. Moreover, the significance of the regression model confirmed the linear relationship between the variables.
Based on the findings, it seems that spiritual orientation and its components are among the main indicators of marital quality and stable marriage and play a decisive role in marital quality.

Aim and Marital quality of couples is the most important aspect of families with optimal performance. The purpose of the present study was to compare the effectiveness of cognitive-behavioral couple therapy (CBCT) and couple therapy based on acceptance and commitment therapy (ACT) on the marital quality of conflicting couples.
Methods and Materials: This quasi-experiment was conducted with a pretest-posttest design and control group. The statistical population of the study included all conflicting couples referring to consultation centers in the city of Isfahan, Iran, in 2016. The subjects (90 couples) were selected through voluntary sampling and were divided into CBCT (30 individuals), ACT (30 individuals), and control groups (30 individuals). The two experimental groups received 12 sessions of therapy (once a week). The data collection tools were a demographic characteristics form and the Revised Dyadic Adjustment Scale (RDAS). Data were analyzed using ANCOVA in SPSS software.
Findings: CBCT and ACT made significant changes in marital quality at the posttest stage (P 0.05).
According to the results of the study, both CBCT and ACT caused significant changes in marital quality and there was no significant difference between the effectiveness of these two therapeutic methods. Thus, the results of this study provide empirical support for increase in marital quality through both therapies.