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Spouses

در نشریات گروه پزشکی
  • Pipit Feriani, Esti Yunitasari, Ferry Efendi, Ilya Krisnana, Rini Ernawati, Niken A. Tianingrum, Nurus Safaah
    Background

    Reproductive health, crucial for public health and sustainable development, encompasses family planning and contraceptive use. However, global disparities persist in the adoption of family planning, highlighting the need for a comprehensive understanding of the complex factors shaping these reproductive health choices.

    Materials and Methods

    Following Preferred Reporting Items for Systematic Review and Meta‑Analyses guidelines, we conducted a systematic search of the Scopus, ScienceDirect, PubMed, Web of Science, and ProQuest databases from July to August 2023. Inclusive criteria covered various study designs and populations, ranging from individuals to communities, and encompassed sociocultural factors. The review included open access articles published between 2018 and 2023, utilizing a combination of the keywords: Family planning determinants, Contraceptive use factors, Sociocultural factors in family planning, Individual‑level influences on family planning, and Factors affecting contraceptive choices.

    Results

    Data from 25 selected studies underscore the critical influence of determinants at both individual and community levels in shaping family planning behaviors. Key drivers at the individual level included education, age, knowledge, and attitudes. At the community level, factors such as geographical disparities and healthcare accessibility played pivotal roles. Sociocultural determinants, including media exposure, gender norms, and spousal dynamics, highlighted the need for culturally sensitive strategies.

    Conclusions

    Advancing equitable family planning requires education, improved access, peer influence, and the active participation of husbands and male partners. Comprehensive programs should bridge the gap between knowledge and action, reduce disparities, and ensure equal access to contraception. Context‑specific research and evaluating interventions are crucial steps toward achieving global reproductive health objectives.

    Keywords: Contraceptive, Family Planning, Reproductive Health, Spouses
  • مریم مشکواتی*، مهدی ساجدی

    یکی از مهم ترین مسائل در حیطه فقه و حقوق خانواده که تاثیرات زیادی در ایجاد تعادل و سلامت روحی افراد خانواده دارد، بحث حقوق جنسی زوجین است. از مهم ترین مصادیق حق جنسی، استمتاع و تمکین است که در فقه و حقوق به آن پرداخته شده و برآورده شدن آن در سلامت روان زوجین و استحکام بنیان خانواده تاثیر بسزایی دارد؛ لذا این مطالعه به نقش و تاثیر حق تمکین و استمتاع زوج بر زوجه بر اساس گزاره های فقهی در سلامت روان زوجین پرداخته است. پژوهش حاضر با رویکردی کیفی و بر پایه اسناد و مدارک فقهی، حقوقی و روان شناختی به بررسی بنیادین موضوع پژوهش پرداخته است، ابزار گردآوری داده ها در این پژوهش مطالعات کتابخانه ای و استفاده از شیوه فیش برداری است. حق تمکین و استمتاع در مصادیق قابل توجهی در حقوق، مانند اعمال عبادی، فعالیت های غیر عبادی مترتب بر حضور زوجه در جامعه، خروج از منزل، خروج از کشور و غیره بیان شده است و کارکردهایی در نهاد خانواده دارد. یافته های پژوهش بیان می کند که اعمال هر یک از مصادیق و عناوین مذکور در قالب بندی تزویج سالم و اعمال تعادل و تحدید هر یک از عناصر آن، مهم ترین آثار روحی در جهت ایفای نقش موثر در سلامت روان از قبیل ایجاد آرامش روانی ناشی از رضایتمندی، تامین همدلی و سازگاری های مبتنی بر اقناع نیازهای روحی زوجین و غیره راایجاد می نماید. از مسائل مهم و تاثیرگذار در بهداشت روانی زوجین، رضایت روحی حاصل از زناشویی است که اعمال صحیح حقوق استمتاع، تمکین یا مواقعه در آن تاثیرات بسزایی خواهد داشت.

    کلید واژگان: فقه، لذت، همسر، همدلی، سلامت روان، شخصیت
    Maryam Meshkati *, Mahdi Sajedi

    One of the most important issues in the field of jurisprudence and family law, with a significant impact on the balance and mental health of family members, is the issue of couples’ sexual rights. One of the most essential aspects of sexual rights is enjoyment and compliance, which are covered in jurisprudence and law. The fulfillment of this issue among couples could have a significant impact on their mental health and the stability of the family foundation. The present study was fundamentally investigated using a qualitative approach based on jurisprudential, legal, and psychological documents. Exercising the right to obey and enjoy has been stated in significant legal examples such as religious acts, non-religious activities due to the presence of the wife in the society, leaving the house, or leaving the country, etc., which are important in the context of the family. The findings of the research indicated that the application of each of the mentioned examples and titles in the formulation of a healthy marriage, as well as the application of balance and limitation of each of its elements, are the most important spiritual effects to play an effective role in mental health (such as: creating mental peace due to satisfaction of the couples, providing empathy, providing adaptations based on persuasion of the spiritual needs of couples, etc.). One of the most essential and influential issues in the couples’ mental health is the spiritual satisfaction resulting from marriage, and the proper application of the rights of enjoyment, compliance, or conditions will have significant consequences.

    Keywords: Jurisprudence, Pleasure, Spouses, Empathy, Mental Health, Personality
  • زهره خلجی نیا*، فاطمه زهرا حسینی هاشمی، یعقوب اسماعیلی ترکانبوری، حورا آموزگار، مصطفی واحدیان
    مقدمه

    رضایت جنسی و خود ابرازی جنسی از مهم ترین و موثرترین عوامل در تداوم زندگی زناشویی موفق، سالم و شاد محسوب می شود لذا محققان مطالعه ای با هدف تعیین ارتباط  خود ابرازی جنسی و رضایت جنسی زنان متاهل سنین باروری انجام دادند.  

    مواد و روش کار

    در این مطالعه مقطعی همبستگی 100 نفر از زنان متاهل مراجعه کننده به مراکز بهداشتی شهر قم، ایران شرکت کردند. انتخاب مراکز بهداشتی به روش خوشه ای و انتخاب نمونه ها به روش در دسترس از فروردین تا مهر سال 1400 بود. ابزار مورد استفاده، پرسشنامه خود ابرازی جنسی هالبرت و رضایت جنسی لارسون بود. تجزیه و تحلیل داده ها توسط نرم افزار SPSS-22 انجام گرفت. از ضریب همبستگی پیرسون و تحلیل واریانس یک طرفه برای ارتباط متغیرها استفاده گردید. 

    یافته ها

    نتایج نشان داد میانگین رضایت جنسی 4099 (15/41) و خود ابرازی جنسی 56/19 (20/04) بود. همبستگی پیرسون بین خود ابرازی جنسی با رضایت جنسی مثبت به دست آمد که نشانگر همبستگی بالا و مستقیم باسطح معناداری بود. بین میانگین های خود ابرازی جنسی در سه دهه سنی زنان و همسران تفاوت معنادار بود. بین خود ابرازی جنسی زنان با تعداد فرزندان و گروه های تحصیلات همسران تفاوت معنادار به دست آمد. بین میانگین های رضایت جنسی زنان در سه دهه سنی همسران تفاوت معنادار بود.

    نتیجه گیری

    با توجه به همبستگی مثبت بین خود ابرازی جنسی و رضایت جنسی، پیشنهاد می شود جهت افزایش رضایت جنسی زنان، ارائه دهندگان خدمت از روش ه ای مشاوره ای و آموزشی مختلف به افزایش خود ابرازی جنسی آنان اقدام نمایند.

    کلید واژگان: متاهل، خودابرازی جنسی، رضایت جنسی
    Zohre Khalajinia*, Fatemehzahra Hoseinihashemi, Yaghoub Esmaeilitourkanbori, Hoora Amouzegar, Mostafa Vahedian
    Objective(s)

    Sexual satisfaction and sexual assertiveness are both considered to be the most important factors in maintaining a successful, healthy and happy married life. The aim of this study was to investigate the relationship between sexual assertiveness and sexual satisfaction of married women of reproductive age in Qom province in 2021.

    Methods

    100 married women who referred to health centers in Qom, Iran participated in this cross-sectional study. Health centers were selected by clustering and a convenience sample was entered into the study from April to October 2023. The questionnaire of Hulbert's sexual assertiveness index and Larson Sexual Satisfaction were used. Data analysis was done by SPSS-22 software. Pearson's correlation coefficient and one-way analysis of variance were used to analyze the data.

    Results

    The results showed that the mean of sexual satisfaction score (SD) was 99.40 (15.41), the mean of sexual assertiveness was 56.19 (20.04), and there was a high correlation between sexual assertiveness and sexual satisfaction r=0.74 (P <0.001). There was a significant difference between the averages of sexual assertiveness and age of women and spouses (P <0.001). A significant difference was found between the average sexual self-expression of women with the number of children (P=0.03) and between the average sexual assertiveness and the education groups of spouses (P=0.04).

    Conclusion

    Considering the positive correlation between sexual assertiveness and sexual satisfaction, it is suggested that in order to increase women's sexual satisfaction, service providers should increase their sexual assertiveness through various counseling and educational methods.

    Keywords: Spouses, Sexual Assertiveness, Sexual Satisfaction
  • حمیده عظیمی لولتی*، حجت الله ولی پور، یدالله جنتی، علی اصغر، نادی قرا، آذر رمضانی، مریم رستم وند
    مقدمه
    اعتیاد پدیده ای آسیب زننده به اقتصاد، سلامتی و بنیان خانواده ها می باشد. اعضای خانواده های فاقد روابط صمیمی والدین- فرزندان و پیوندهای ایمن تمایل به مصرف مواد بیشتری دارند. از پیامدهای زندگی با افراد معتاد، وابستگی متقابل همسران می باشد. این مطالعه با هدف تعیین رابطه سبک دلبستگی و وابستگی متقابل همسران بیماران مبتلا به مصرف مواد تحت درمان نگهدارنده طراحی گردید.
    روش کار
    این مطالعه توصیفی همبستگی در سال 1400 روی 98 نفر از همسران بیماران مبتلا به مصرف مواد تحت درمان نگهدارنده مراجعه کننده به درمانگاه ترک اعتیاد بیمارستان روان پزشکی زارع ساری به صورت تصادفی ساده، انجام شد. ابزارهای مورد استفاده مقیاس دلبستگی بزرگسالان کولینز و رید و پرسشنامه وابستگی متقابل اسپن و فیشر بود. برای تجزیه و تحلیل داده ها از نرم افزار              spss-22 و روش های آماری توصیفی و استنباطی (کای اسکوئر، t مستقل، من ویتنی، آنالیزواریانس، کروسکال والیس و رگرسیون خطی) استفاده گردید.
    یافته ها
    یافته ها نشان داد میانگین و انحراف معیار سبک دلبستگی ایمن 2/21±11/88، ناایمن2/60±12/11، دوسویه همسران بیماران مبتلا به مصرف مواد 4/50±11/71 و وابستگی متقابل 12/00±60/65 بود. نتایج ضریب همبستگی جزئی نشان داد بین وابستگی متقابل با دلبستگی ناایمن همبستگی منفی(P<0.05 r=0.22) و بین وابستگی متقابل با دلبستگی دوسویه-اضطرابی همبستگی مثبت وجود داشت (P<0.05 r=0.496). نتایج رگرسیون چندگانه نشان داد برای پیش بینی وابستگی متقابل از سبک های دلبستگی تنها سبک دلبستگی دوسویه-اضطرابی به طور معنی داری میتواند 31درصد تغییرات وابستگی متقابل همسران بیماران معتاد تحت درمان نگهدارنده را پیش بینی کند و همچنین وابستگی متقابل در همسران بیماران مبتلا به مصرف مواد با مدت زمان مصرف مواد، رتبه تولد و تجربه وقایع فشارزا در 6 ماه اخیر ارتباط معنی داری داشت.   
    نتیجه گیری
    وابستگی متقابل با سبک دلبستگی ارتباط معنی داری داشت و باید همراه با بیماران معتاد به همسران انان و به ویژه همسرانی که دلبستگی دوسویه اضطرابی دارند به منظور پیشگیری از وابستگی متقابل توجه بیشتری نمود. توصیه می شود برای تحقیقات آتی، با عنایت به ریشه های فرهنگی تاریخی جامعه ایرانی، پژوهش حاضر در شهرهای دیگر هم انجام گردد تا اثر تفاوت های فرهنگی خانواده ها هم مورد بررسی قرار گیرد.


    کلید واژگان: سبک های دلبستگی، وابستگی متقابل، همسران، سوءمصرف مواد مخدر، درمان نگهدارنده
    Hamideh Azimi Lolaty*, Hojjatollah Valipour, Yadollah Jannati, Ali Asghar Nadi Ghara, Azar Ramezani, Maryam Rostamvand
    Introduction
    Addiction is a detrimental phenomenon to the economy, health, and the foundation of families. family members who do not have intimate parent-child interactions or strong bonds tend to take drugs more frequently. The interdependence of spouses is one of the effects of living with addicts. This study was designed to determine the relationship between attachment style and interdependence of spouses of patients with maintenance drug use.
    Methods
    This is a descriptive-correlational study done on 98 spouses of patients with maintenance treatment referred to the addiction treatment clinic of Sari Zare Psychiatric Hospital, selected by simple random sampling in 1400. Research tools included the Collins and Reed Adult Attachment Scale and the Spin-Fisher Interdependence Questionnaire. Data were analyzed by SPSS-22 software and descriptive and inferential statistical methods (Chi-square, independent t-test, Mann-Whitney, Analysis of variance, Kruskal–Wallis, and linear regression).
    Results
    The mean and standard deviation of the total score of closeness, dependence, and anxiety attachment styles and interdependence were 11.88±2.21,12.11±2.60,11.71±4.50,60.65±12.0, respectively. Interdependence and insecure attachment had a significant negative connection, according to the partial correlation coefficient (P<0.05). there was a positive correlation between cross-dependence and bilateral-anxiety attachment (P<0.05). Results of multiple regressions showed to predict the interdependence of attachment styles, only the anxious-ambivalent style can significantly predict a 31% variance of the interdependence of spouses of addicts undergoing maintenance treatment and also showed a significant relationship between correlation with substance use time, birth rate and experience of stressful events in the last 6 months.
    Conclusions
    The results showed interdependence had a significant relationship with their attachment style and it is necessary to pay attention to their spouses along with addicted patients, and to spouses who have an anxious mutual attachment to prevent interdependence. It is recommended that for future research, about the cultural and historical roots of Iranian society, the present study should also be conducted in other cities to examine the effects of cultural differences among families.


    Keywords: Attachment Styles, Interdependence, Spouses, Drug Use, Maintenance Therapy
  • Nahid Haji Hoseini, Narjes Sadat Borghei*, Mitra Reyhani, Mahin Tatari
    Background

    Husband attendance during labor provides psychological support for her, and may also affect the duration of childbirth. Therefore, the present study was conducted to investigate the effect of the husband attendance in delivery ward on duration of labor and mode of delivery of primigravid women.

    Methods

    The present study is a field trial study that was performed on 57 couple in Kalaleh hospital in 2021 of primigravid women. The samples were assigned to two groups using a quadratic block method. The intervention group husbands attended beside their wife for at least two hours during active phase and control group received routine care. Data were collected using information form and checklist and analyzed using Mann-Whitney, Chi-square and Fisher's exact test.

    Results

    The mean of husband attendance during labor in minute was 152.32±32.25 in the intervention group. The mean of active phase in minute was 279.43±169.78 in the intervention and 345.69±167.94 in the control groups, despite the difference of 66.26 minutes in the averages, it was not statistically significant (p>0.05). In addition, there was no significant difference in the mode of delivery in the two groups.

    Conclusion

    There was no difference in the duration and mode of delivery in the two groups under investigation, thus 2 hours husbands' attendance in delivery ward did not affect time and mode of delivery.

    Keywords: Birth, Pregnancy, Spouses, Duration of labor
  • Apri Sulistianingsih *, Fitria Fitria, Yeti Septiasari, Desi Madiyanti, Sumi Anggraeni, Indah Sasih
    Background
    Labor is an experience that requires confidence but can induce a feeling of fear. Women's readiness and self-efficacy for pregnancy and childbirth are issues in preventing long labor. The husband's support can increase the mother's childbirth self-efficacy.
    Objectives
    To determine the effect of husband education in childbirth support on women's childbirth self-efficacy and labor outcomes.
    Methods
    A quasi-experimental study with pretest-posttest design was conducted from June to October 2022 at the Independent Midwifery Practice Centers of Pringsewu Regency, Indonesia. The participants were 138 pregnant women who were randomly allocated into two groups. The data collection instrument included the Childbirth Self-Efficacy Inventory (CBSEI), a questionnaire for assessing the husbands’ childbirth support knowledge and skills, and two questionnaires developed by the researchers to record respondents' characteristics and current pregnancy outcomes. Data analysis was performed using the chi-square test, the independent samples t-test, and the Multivariate analysis of variance.
    Results
    There was a significant increase in the husband's knowledge and skills in childbirth support, four domains of childbirth self-efficacy, pain, duration of the first and second stages of labor, and success of initiating breastfeeding (P <0.001). Multivariate analysis showed that of all variables, the variable most influenced by the intervention was first-stage self-efficacy expectancy, which was 0.746 (74.6%), while the variable least influenced was the duration of the first stage of labor, which was 0.199 (19.9%).
    Conclusion
    Husband education in childbirth support can increase the mother's childbirth self-efficacy and birth outcomes.
    Keywords: spouses, Education, self efficacy, Doulas, Labor, Obstetric
  • ذبیح الله قارلی پور، شاهرخ راهبر، علیرضا امیدی اسکوئی، نسرین قاسمی، احمد راهبر*
    زمینه و هدف

    ازدواج و تشکیل خانواده یکی از عوامل موثر در بهداشت روان و شیوه زندگی و کاهش نابسامانی های فردی و اجتماعی است. این مطالعه با هدف اولویت بخشی ملاک های همسرگزینی از دیدگاه دانشجویان دختر دانشگاه علوم پزشکی قم در سال 1396 انجام شده است.

    روش بررسی

    این مطالعه از نوع توصیفی تحلیلی و به صورت مقطعی در سال 1396 در دانشگاه علوم پزشکی قم انجام شده است. جامعه آماری دانشجویان دختر و تعداد 373 نمونه به روش نمونه گیری چندمرحله ای انتخاب شدند. ابزار پژوهش پرسش نامه استاندارد اولویت بخشی ملاک های همسرگزینی با 22 گویه بود که روایی و پایایی آن در مطالعات قبلی تایید شده بود. داده ها با نسخه 20 نرم افزار آماری SPSS و با استفاده از آمار توصیفی و آزمون های فریدمن، کای اسکویر، تی تست و تحلیل واریانس یک طرفه تحلیل شدند.

    یافته ها

    سن شرکت کنندگان بین 18-38 سال و ترم تحصیلی آن ها بین 1-15 بوده است. نتایج آزمون فریدمن نشان داد تفاوت های بین میانگین رتبه های متغیرهای مستقل، معنا دار می باشد. برخوردار بودن از سلامت روانی در اولویت اول و برخورداری همسر از قومیت یکسان در اولویت آخر قرار می گیرد. بین متغیر سن و میزان اهمیت اولویت های انتخاب همسر همبستگی غیرمستقیم و معناداری وجود دارد (001/0>P). همچنین بین مقاطع تحصیلی کاردانی با کارشناسی، کارشناسی ارشد و دکتری عمومی با میزان اهمیت ملاک های انتخاب همسر تفاوت معناداری وجود دارد (001/0>P).

    نتیجه گیری

    انتخاب همسر براساس معیارهای صحیح از مهم ترین عوامل موثر بر ازدواج موفق می باشد؛ به منظور حفظ و ارتقا سلامت دانشجویان به نظر می رسد دانشجویان لازم است به سلامت روان و حس مسیولیت پذیری و عفت و پاکدامنی در انتخاب همسر نسبت به سایر موارد اهمیت بیشتری بدهند.

    کلید واژگان: همسران، ازدواج، دانشجویان
    Zabihollah Gharlipour, Shahrokh Rahbar, Alireza Omidi Oskouei, Nasrin Ghasemi, Ahmad Rahbar*

    Background and Objectives :

    Marriage is one of the effective factors that can promote mental health and lifestyle and reduce the risk of individual and social disorders. This study aims to prioritize the criteria for partner selection according to the perceptions of female students of Qom University of Medical Sciences (QUMS) in 2017.

    Methods

    This is descriptive-analytical study with a cross-sectional design was conducted in 2017. The study population consists of all single female students of QUMS, of whom 373 were selected by multi-stage sampling method. The instrument was the 22-item Preference Criteria of Spouse Selection Inventory (PCSSI) with acceptable validity and reliability. Data were analyzed in SPSS software, version 20 statistical software using descriptive statistics and Friedman’s test, Chi-square test, t-test, and one-way analysis of variance.

    Results

    The age range of the participants was 18-38 years, and their semester range was 1-15. The results of Friedman test showed a significant difference between the mean ranks of partner selection criteria. Mental health had the highest priority, while being from the same ethnicity had the lowest priority. There was a significant negative correlation between age and importance of partner selection criteria (P<0.001). In addition, there was a significant difference between students with associate degree and the students with bachelor’s degree, master’s degree, and PhD degree in terms of the importance of partner selection criteria (P<0.001).

    Conclusion

    Female students of QUMS pay more attention to mental health, responsibility, and chastity criteria in choosing a partner.

    Keywords: Spouses, Marriage, Students
  • Maryam Dehshiri, Zohreh Ghorashi *, Seyede Maryam Lotfipur
    Background
    Husband involvement in prenatal care is a relatively new concept in Iran. This studyaimed to determine the effects of husband involvement in prenatal care on couples’ intimacy andpostpartum blues in primiparous pregnant women.
    Methods
    This quasi-experimental study was performed on 72 primiparous pregnant women witha gestational age of 20-36 weeks in Rafsanjan in 2021 (January to September). After conveniencesampling, the participants were assigned to control (N=36) and intervention groups (N=36). Participantsin the intervention group were accompanied by their husbands and received routine prenatal careand virtual training. Participants in the control group received routine prenatal care without husbandinvolvement. The Unidimensional Relationship Closeness Scale was completed before the interventionand two weeks after delivery, and the postpartum blues Stein questionnaire was completed one weekafter delivery. Data were analysed through SPSS V. 22 and using independent two-sample t-test, pairedt-test, chi-square, Fisher’s exact tests, and Pearson correlation coefficient with a significance level ofP<0.05.
    Results
    The results showed that 5 women (15.2%) in the intervention group and 26 (72.2%) in thecontrol group suffered from postpartum blues after intervention (P<0.001). There was no statisticallysignificant difference in the mean of couples’ intimacy between the two groups after the intervention(P=0.08), but the mean score of change in the couples’ intimacy was significantly different across thetwo groups (P=0.01).
    Conclusion
    Husband involvement in prenatal care seems to be able to reduce the incidence ofpostpartum blues but may possibly increase the couples’ intimacy. Therefore, it can be suggested thatmidwives consider husband involvement in prenatal care.
    Keywords: Marriage, Mood disorders, Prenatal care, Spouses
  • سراج الدین محمودیانی*، فاطمه رحمتی، فاطمه محمودیانی گیلان
    زمینه و هدف

    باروری در کشور به زیر سطح جایگزینی رسیده است که این مهم موجب توجه سیاست گذاران به آن شده است. باروری ایده آل می تواند پیش بینی کننده باروری واقعی باشد. تحقق باروری ایده آل می تواند سطح فعلی باروری کلی را افزایش دهد. رضایت زناشویی از تعیین کننده های مهم باروری به شمار می آید. مطالعه حاضر به دنبال بررسی اثر رضایت زناشویی بر باروری ایده آل بود.

    روش

    مطالعه حاضر، کمی و با روش پیمایش انجام شد. برای این منظور تعداد 379 نفر از زنان متاهل 15 تا 49 ساله ساکن محله های حاشیه شهر بندرعباس پیمایش شدند. نمونه گیری با روش خوشه ای چندمرحله ای انجام شد. برای گردآوری داده ها از ابزار پرسشنامه بهره برده شد.

    یافته ها

    رضایت زناشویی زنان و باروری ایده آل همبستگی مثبت و معنی داری داشتند. افزایش مدت ازدواج با افزایش باروری ایده آل همبسته بود. تفاوت میانگین باروری ایده آل برحسب سطح تحصیلات زنان معنی دار بود. میانگین تعداد ایده آل فرزندان زنان اهل سنت بیشتر از زنان اهل تشیع و زنان متعلق به قومیت های فارس، لر، ترک و عرب کمتر از زنان سایر قومیت ها بود. نتایج رگرسیون چندمتغیری نشان داد که افزایش رضایت زناشویی زنان به افزایش باروری ایده آل می انجامد.

    نتیجه گیری

    برنامه ریزی در جهت افزایش رضایت زناشویی زوجین می تواند به تحقق باروری ایده آل کمک کند. تحقق باروری ایده آل می تواند به معنای افزایش سطح فعلی باروری کلی در کشور باشد. از این رو در سیاست های جدید جمعیتی، در کنار سیاست های تشویقی برای افزایش باروری، باید به خانواده، روابط زوجین و رضایت زناشویی نیز توجه جدی کرد.

    کلید واژگان: ازدواج، باروری، جمعیت حومه شهر، نرخ تولد، همسران
    Serajeddin Mahmoudiani*, Fatemeh Rahmati, Fatemeh Mahmoudiani Gilan
    Background

    Fertility in the country has reached below the replacement level, which has attracted the attention of politicians. Ideal fertility can predict actual fertility. Achieving ideal fertility can increase the current level of fertility. Marital satisfaction is one of the important determinants of fertility. The present study endeavors to investigate the effect of marital satisfaction on ideal fertility.

    Methods

    The present study was conducted quantitatively with the survey method. For this purpose, 379 married women aged 15 to 49 living in the suburbs of Bandar Abbas were surveyed. Sampling was performed by multi-stage cluster method. A questionnaire was used to collect data.

    Results

    Women's marital satisfaction and the ideal number of children had a positive and significant correlation. The increase in the duration of marriage was correlated with the increase in the ideal number of children. The difference in the average ideal number of children by the education level of women was significant. The average ideal number of children of Sunni women was more than that of Shia women and women belonging to Fars, Lor, Turk and Arab ethnicities were less than women of other ethnicities. The results of multivariate regression showed that the increase in women’s marital satisfaction leads to an increase in the ideal number of children.

    Conclusion

    Planning to increase marital satisfaction of couples can help to achieve ideal fertility. Ideal fertility research can mean increasing the current level of total fertility in the country. Therefore, in the new population policies, along with encouraging policies to increase fertility, serious attention should also be paid to the family, spouse relationships and marital satisfaction.

    Keywords: Birth Rate, Fertility, Marriage, Spouses, Suburban Population
  • مهیار خانی مقدم*
    هدف

    از مهمترین چالش های اجتماعی، حفظ قوام خانواده بوده و در این میان، نقش روابط جنسی میان همسران، مبنایی است. با توجه به آسیب های متعددی که با تغییر سبک زندگی در حوزه مذکور پدیدار شده، پژوهش حاضر به دنبال پاسخگویی به این پرسش هاست که برجسته ترین ارکان نظام اخلاق جنسی در اسلام چیست؟ برمبنای آن، برجسته ترین راهکارهای افزایش رضامندی جنسی همسران چیست؟

    مواد و روش ها

    پژوهش به روش کتابخانه ای-استنادی و تحلیل بصورت توصیفی-تحلیلی صورت پذیرفت.

    یافته ها

    می توان از سه رکن «حکمت»، «هدایت» و «رضایت» به عنوان ارکان نظام اخلاق جنسی اسلام نام برد که دارای اصولی مانند «رعایت حریم ها»، «گرایش به جنس مکمل» و «تداوم نسل انسان» هستند. با رصد فراوانی تاکید آموزه های دینی بر بایسته های رضامندی جنسی همسران و عنایت بر چالش های جامعه، چهار راهکار «حفظ حجاب»، «حفظ نگاه»، «غیرتمندی» و «توجه متقابل بر غرایز همسر» برجسته تر است.

    نتیجه گیری

    سه راهکار «حفظ حجاب»، «حفظ نگاه» و «غیرتمندی» به عنوان لازم و ملزوم یکدیگر و برآمده از رکن «رضایت الهی»، می تواند همسران را از مخاطرات روحی و جسمی و گرایش های نامشروع، مصون  دارد. راهکار «توجه متقابل همسران به نیازهای عاطفی و جسمی یکدیگر» نیز از رکن«هدایت الهی» منشاء می گیرد؛ با توجه به تفاوت مرد و زن در تحریک و ارضای غریزه جنسی، باید هر یک از آن دو،  تمایلات جنسی فرد مقابل را در نظر گیرند تا رضامندی جنسی افزایش یابد. در ترویج بیش از پیش این راهکارها در سطح جامعه و پیشگیری از آسیب های مرتبط، سه عامل«معرفت»، «رعایت»و «نظارت» و مشارکت نهادها و ابزارهای مرتبط، قابل اعتنایند.

    کلید واژگان: اخلاق جنسی، رضامندی جنسی، همسران، قرآن، روایات
    Mahyar Khani Moghadam*
    Purpose

    One of the most important social challenges is to maintain family cohesion and in this, the role of sexual relations between spouses is fundamental. Given the many harms that have arisen with the change of lifestyle in this area, the present study seeks to answer the questions that what are the most prominent pillars of the sexual morality system in Islam? Based on that, what are the most prominent ways to increase spouses' sexual satisfaction?

    Materials and Methods

    The research was conducted by library-citation method and descriptive-analytical analysis.

    Findings

    The three pillars of "wisdom", "guidance" and "satisfaction" can be mentioned as the pillars of the Islamic sexual ethics system, which have principles such as "observance of privacy", "tendency to complementary sex" and "continuity" The human race. By observing the frequency of religious teachings emphasizing the needs of spouses' sexual satisfaction and taking into account the challenges of society, the four strategies of "keeping the hijab", "keeping the look", "impudence" and "reciprocal attention to the spouse's instincts" are more prominent.

    Conclusion

    The three strategies of "keeping the hijab", "keeping the look" and "ungratefulness" as necessary and obligatory for each other and arising from the pillar of "divine satisfaction", can protect spouses from mental and physical dangers and illegitimate tendencies. It is safe. The strategy of "spouses' mutual attention to each other's emotional and physical needs" also originates from the pillar of "divine guidance"; Given the difference between men and women in arousing and satisfying sexual instinct, each of them must consider the sexual desires of the other person to increase sexual satisfaction. In further promoting these strategies at the community level and preventing related harms, the three factors of "knowledge", "observance" and "supervision" and the participation of related institutions and tools are noteworthy.

    Keywords: Sexual Ethics, Sexual Satisfaction, Spouses, Quran, Narrations
  • D. Oudi, M. Nakhaei, S. Mohtasham, A.A. Esmaeili, S.A. Vagharseyydein*
    Aims

    living with post-traumatic stress disorder veterans imposes severe stress on veterans’ family members, especially veteran’s spouses. This study aimed to discover and explore coping strategies to advance and maintain the cohesion of life.

    Participants & Methods

    Current study was conducted in 2021 using a qualitative content analysis approach. Participants were selected purposely from post-traumatic stress disorder veterans’ spouses. Data were collected through semi-structured interviews with 15 post-traumatic stress disorder veterans’ spouses. And then analyzed according to Graneheim & Lundman's method.

    Findings

    Through analysis of transcribed interviews, 1 theme, 4 categories, and 8 subcategories were extracted. The theme was developing life meaning and categories including developing value base approach, altruistic preservation, beyond-defined gender roles, and mutually beneficial care.

    Conclusion

    In confronting with full of tension in life and lack of support, developing the meaning of life can be led to wide and deep changes in the encyclopedia and the meaning of wives' life, and these changes can make them better and more optimal in confronting life challenges.

    Keywords: PTSD, veterans, spouses, life, coping
  • Marzieh Jahani Sayad Noveiri, Masoud Khodaveisi, Farshid Shamsaei, Zohreh Vanaki, Leili Tapak
    Objective

    Breast cancer is a multidimensional crisis for women and their spouses that affects every aspect of their life. Coping with this disease requires investigating and resolving the challenges faced by all those affected by it. The present study was conducted to clarify these challenges on the basis of lived experiences of the spouses of women with breast cancer.

    Method

    The present qualitative research performed an interpretive phenomenological analysis in Iran.Purposive sampling was employed to select twenty spouses of women with breast cancer. The data collected through unstructured face-to-face interviews were analyzed using van Manen’s method. To ensure the rigor of the study, Lincoln and Guba’s criteria were evaluated in the qualitative process.

    Results

    Lived experiences of the spouses of the women with breast cancer in coping with challenges included the four themes of emotional confusion, shouldering the burden of care, psychophysical suffering caused by the disease and life without cohesion.

    Conclusion

    Spouses of the women with breast cancer in the Iranian community faced several challenges and issues. The socioeconomic support provided by supporting organizations and medical personnel appear to help moderate these challenges and improve coping in this group.

    Keywords: Breast Cancer, Coping, Phenomenological, Qualitative Research, Spouses
  • محمود اکبری *، میثم خزایی، طاهره آدینه
    زمینه و هدف

     فسخ نکاح با استفاده از خیار عیب یا خیار تخلف از شرط صفت، از راه های انحلال نکاحی است که زن یا مرد در حین نکاح، واجد عیب یا فاقد وصفی معهود یا صفتی مشروط باشند. نگرش موردی مشهور فقیهان و قانون به فسخ نکاح، برخی از محققان را به بررسی عوامل غیرمنصوص با بهره گیری از تنقیح مناط واداشته که وسواس ازجمله این بیماری ها است. ازدواج فرد وسواسی حاد، موجب می گردد بسیاری از اهداف مهم نکاح، مختل شود. هدف مرقوم حاضر بررسی نقش بیماری وسواس در فسخ نکاح در زمان شدت بیماری است.

    مواد و روش ها

     این تحقیق به روش توصیفی تحلیلی و با استفاده از منابع کتابخانه ای امکان فسخ نکاح با وسواس را بررسی می نماید.

    نتیجه گیری

     طبق ادله روایی و قواعد لاضرر و لاحرج، عیوب منصوص موجب فسخ نکاح، در شرع و قانون تمثیلی بوده ازاین رو می توان براساس ملاک های عیوب منصوص در مورد وسواس یکی از زوجین نیز اقدام به فسخ نکاح نمود. بر این اساس، زمانی که وسواس در حالت شدید یا جنون وسواسی است به دلیل مانعیت و انزجار از رابطه جنسی، فسخ نکاح امکان پذیر می گردد همچنین به دلیل ابتنای عرف بر سلامت زوجین، اگر در حین نکاح، یکی از زوجین دارای بیماری وسواس شدید

    کلید واژگان: فسخ، نکاح، وسواس
    Mahmood Akbari *, Meysam Khazaee, Tahereh Adineh
    Background and Aim

     Dissolution of marriage by using the defect option or the option of violation of the conditional characteristic is one of the ways to dissolve a marriage when the woman or man has a defect or lacks a qualifying or conditional characteristic during the marriage. The jurists’ famous case attitude and the dissolution of marriage law has made some researchers to investigate the unwritten factors by taking advantage of Manat's resection, which obsession is one of these diseases. The marriage of an acutely obsessive person causes many important goals of marriage to be disrupted. The purpose of this article is to investigate the role of obsessive disorder in the dissolution of marriage during the severity of the disease.

    Materials and Methods

     This research investigates the possibility of dissolution of marriage with obsessive disorder by descriptive and analytical method and using library sources.

    Conclusion

     According to the narrative evidence and the rules of harmlessness and non-harm, the prescribed defects that cause the dissolution of the marriage are allegorical in the religion and law. Therefore, it is possible to dissolve the marriage based on the criteria of the prescribed defects in the case of one of the spouses’ obsession disorder. So when the obsession is in a severe state or obsessive madness due to the obstacle and disgust of sexual intercourse, it is possible to dissolve the marriage. Also, due to the custom's emphasis on the spouses’ health, if during the marriage, one of the spouses has severe obsessive illness or obsessive insanity, the other party can terminate the marriage by citing the option of violating the condition.

    Keywords: dissolution of marriage, obsessive disorder, spouses
  • Faranak Safdari-Dehcheshmeh, Mahnaz Noroozi, Fariba Taleghani, Soraya Memar
    BACKGROUND

    One of the most basic life events is fertility or reproduction, which, although known as a social phenomenon, is a complex and multidimensional concept with economic, cultural, political, and religious significance. The present study aims to explain the pattern of childbearing behaviors in couples.

    MATERIALS AND METHODS

    This study is a focused ethnographic qualitative research. Participants of this study will be 20–35 years old couples who, using purposeful sampling method, will be selected from comprehensive health centers, ultrasound centers, laboratories, premarital counseling centers, offices of obstetricians and midwives, universities, shopping centers, cinemas, parks, restaurants, and entertainment centers in Isfahan, Iran. Sampling will continue considering the strategy of maximum variation in terms of age, occupation, education, and economic status until data saturation is reached. Data will be collected through semi‑structured and in‑depth individual interviews, focus group discussions, observation, field notes, daily notes, and document analysis. Simultaneous with data collection, the data will be analyzed using the thematic analysis method based on Braun and Clarke’s approach.

    CONCLUSION

    This present study is expected to lead to a deep understanding and identification of the attitudes, beliefs, and values of couples with regard to childbearing. Moreover, by understanding the pattern of childbearing behaviors of couples, useful information will be provided to the policymakers and planners for effective planning in the field of healthy childbearing. The findings can also be used in reproductive health counseling for newly married couples and community‑based interventions.

    Keywords: Anthropology, culture, reproduction, reproductive behavior, spouses
  • Azita Daryaye Lal, Bahman Akbari *, Abbas Sadeghi
    Background
    A person's satisfaction with marital life is considered as his or her satisfaction with the family and family satisfaction means life satisfaction and consequently facilitates the growth and spiritual progress of the society.
    Objective
    This study aimed to compare the effectiveness of Gottman's model and emotion-focused therapy on couples' marital intimacy.
    Method
    The method of the study was semi-experimental research with pre-test, post-test, and follow-up with the control group. The statistical population of this study was all couples referred to clinics west of Tehran in 2020 that by convenience sampling method, 24 couples were selected and randomly divided into two groups of intervention by Gottman couple therapy and emotional therapy and a control group (8 couples in each group). The experimental group underwent 10 sessions of 90 minutes under Gottman's couple therapy and emotion-focused therapy, and the control group stayed on the waiting list. Data were collected based on the Intimacy Needs Questionnaire and repeatedly measured variance analysis was used using SPSS software.
    Results
    The results showed that Gottman's model method and emotion-focused therapy had an effect on couples' marital intimacy and there was no significant difference between the two treatments in terms of effectiveness (p <0.01).
    Conclusion
    Therefore, based on the findings of this study, it can be said that Gottman's model method and emotion-focused therapy based on couples' marital intimacy is an effective model for increasing couples' marital intimacy and can be used as one of the therapeutic or educational methods in couple therapy programs.
    Keywords: Emotion-focused therapy, couples therapy, Spouses, emotions
  • عطا خداپرست، دل آرا لاغوثی*، مهستی علیزاده، ندا گیلانی
    زمینه

     یکی از عوامل تعیین کننده مهم در یک ازدواج موفق، داشتن انتظار واقع بینانه از ازدواج است. این مطالعه با هدف ارزیابی انتظارات زوجین تازه ازدواج کرده مراجعه کننده به مرکز مشاوره قبل از ازدواج و همچنین عوامل موثر بر انتظار از ازدواج آنها انجام شده است.

    روش کار

    در این مطالعه مقطعی، برای بررسی سطح انتظارات زوج های تازه ازدواج کرده مراجعه کننده به مرکز مشاوره قبل از ازدواج در تبریز از مرداد ماه 1397 تا فروردین 1398، 284 نمونه انتخاب شد. برای جمع آوری داده ها از مقیاس انتظار از ازدواج خودایفا استفاده شد. داده ها با استفاده از آمار توصیفی، آزمون تی، آزمون کای مجذور و رگرسیون لجستیک تجزیه و تحلیل شدند.

    یافته ها

     میانگین سنی شرکت کنندگان در مطالعه 5±26 سال بود. تقریبا 52٪ زوج ها تحصیلات دانشگاهی داشتند. میانگین نمره انتظار از ازدواج زوجین 19/74±158/138 به دست آمد. بر اساس نتایج آزمون رگرسیون لجستیک، انتظار از ازدواج ایده آل گرایانه بین زوجین دارای مدرک دانشگاهی در مقایسه با افراد دارای مدرک دیپلم 2/94 برابر بیشتر بود (0/003=P). علاوه بر این، انتظارات ایده آل گرایانه در زوج های با رشته تحصیلی هنر در مقایسه با زوج های دارای رشته تحصیلی علوم انسانی به طور معنی داری بیشتر بود (نسبت شانس =0/2،007/5=P) و انتظار از ازدواج ایده آل گرایانه در بین کارمندان و افراد خود اشتغال در مقایسه با افراد بیکار یا خانه دار به ترتیب 3/14 و 3/16 برابر بیشتر بود (0/05>P).

    نتیجه گیری

     نتایج نشان داد که اکثر زوج ها، انتظارات ایده آل گرایانه در مورد ازدواج داشتند و همچنین زوج های دارای تحصیلات دانشگاهی، تحصیل در رشته هنر، خوداشتغالی ها و کارمندان انتظارات ایده آل گرایانه بیشتری از ازدواج داشتند.

    کلید واژگان: ازدواج، زوج ها، مشاوره، خانواده، زوج درمانی، ایران
    Ata Khodaparast, Delara Laghousi*, Mahasti Alizadeh, Neda Gilani
    Background

     One of the important determinants of a successful marriage is the realistic expectation about marriage. This study aimed to assess the expectations of newly married couples about marriage referred to the pre-marital counseling center, and also the factors affecting their marriage expectations. Methods. In this cross-sectional study, to examine the level of marital expectation of newlywed couples referring to the premarital counseling center in Tabriz from August 2018 to April 2019, 284 samples were chosen. The self-administered Marriage Expectation Scale was used to collect data.

    Results

     In a sample of 284, the mean age was 26±5 years. Approximately 52% of couples had an academic education. The mean marriage expectation score was 158.13±19.74. According to the results of logistic regression, the odds of idealistic marriage expectation among couples with an academic degree was 2.94 times higher compared to those with an under diploma degree (P= 0.003). In addition, the odds of idealistic marriage expectation among employees and self-employed couples was 3.14 and 3.16 times higher compared to the unemployed ones or housewives, respectively (P<0.05).

    Conclusion

     The majority of couples had idealistic expectations about marriage and also couples with academic education, self-employed and employees had more idealistic marriage expectations.

    Keywords: Marriage, Spouses, Counseling, Family, Marital Therapy, Iran
  • فاطمه مدیری*
    زمینه و هدف

    اهمیت روابط مثبت خانوادگی و تاثیر آن بر ابعاد مختلف زندگی فردی و اجتماعی از جمله حوزه سلامت در مطالعات متعدد تایید شده است. آموزه های دینی نیز همواره به حسن معاشرت و روابط بهینه میان زوجین تاکید داشته اند. از سوی دیگر برخی معتقدند تغییرات دهه های اخیر از جمله افزایش استفاده از رسانه، تغییرات دینداری، اشتغال زنان و نگرش های برابرطلبانه، گسست در روابط میان همسران را به دنبال داشته است. بر این اساس، این مقاله به شناسایی سبک زندگی انتخابی متاهلین پرداخته و تلاش دارد به این سوال پاسخ دهد که سبک زندگی زوجین که با پایداری زندگی زناشویی رابطه معنادار دارد، متاثر از چه عواملی است؟

    روش

    جامعه آماری این پیمایش مقطعی، زنان و مردان متاهل شهر تهران بوده و با استفاده از فرمول کوکران و اندازه اثر طرح مطلوب،1736 نمونه در تجزیه و تحلیل نهایی به کار گرفته شده است. نمونه گیری به شیوه خوشه ای چند مرحله ای از 50 حوزه شهر تهران انجام شده است.

    یافته ها

    فردگرایی افراطی در میان همسران یافته غالبی نبوده و سبک زندگی انتخابی متاثر از استفاده از رسانه، دینداری، نگرش های جنسیتی، همگونی با همسر و تضاد میان کار و خانواده بوده است.

    نتیجه گیری

    یافته های تحقیق، رابطه میان تغییرات معاصر با سبک زندگی متمایز را به چالش کشیده است. در راستای افزایش پایداری زندگی زناشویی، لازم است خواست زوجین و نتایج تحقیقات حوزه خانواده لحاظ شود.

    کلید واژگان: روابط خانوادگی، سبک زندگی، کیفیت زندگی، مطالعات مقطعی، همسران
    Fatemeh Modiri*
    Background

    The importance of positive family relationships and its impact on various aspects of social life, including health, have been stressed in several studies. Religious teachings have always emphasized companionship and optimal relations between couples. This study examines married lifestyles and its determinants and seek to determine the factors affecting their lifestyle.

    Methods

    A cross-sectional survey of married men and women in Tehran was done. We selected 1736 samples by multi-stage cluster sampling from 50 districts and the data were analyzed.

    Results

    Extreme individualism was not prevalent among spouses. Selective lifestyles were affected by mass media, religion, gender, and attitudes of the spouse leading to conflict between work and family.

    Conclusion

    Findings of this study, have challenged the relationship between contemporary changes and a separate lifestyles. In order to increase the stability of marital life, it is necessary to explain family policies and  consideration of individual intimate needs of married couples.

    Keywords: Cross-Sectional Studies, Family Relations, Life Style, Spouses, Policy, Quality of Life
  • Akram Shirzadfar, Ghodratollah Abbasi *, Ramezan Hasanzadeh
    Background and Aim

    One of the most important complications of parental divorce for children is uncertainty about marriage and its outcomes and, in the next step, doubts about decision making about choosing a suitable spouse. This study aimed to determine the effectiveness of Adlerian educational program on the problems of choosing a spouse, attitude toward marriage and divorce of children of divorced parents.

    Materials & Methods

    This study was a quasi-experimental study with pre-test, post-test, and follow-up design with a control group. This study's statistical population was all divorced children referred to a counseling center in Tehran, 60 of whom were selected by convenience sampling method and randomly divided into two groups of 30 experimental and control. Premarital education was conducted based on the communication training program for the experimental group. Before the intervention and the final session, pre-test and post-test were taken, and follow-up was performed 45 days after the post-test. Data were collected using the decision problems in spouse selection questionnaire (2004), marriage attitude scale (1998) and attitude toward divorce (1986) were analyzed using one-way covariance analysis and SPSS.22 software.

    Results

    The results showed that the Adlerian educational program was effective on choosing a spouse (p <0.01), attitude toward marriage (p <0.01), and attitude toward divorce (p <0.01) of children of divorced parents.

    Conclusion

    It can be concluded that Adlerian's educational program was effective on increasing attitude toward marriage and decreasing decision problems and attitude toward divorce of children of divorced parents.

    Keywords: Child, Divorce, Marriage, Spouses, decision making
  • A.S. Sadri, M.S. Khanjani*, S.J Younesi, E. Nabati Saravan
    Aims

     Spouse death is problematic for women, especially for women who lack economic independence and have no shelter, and it causes confusion for them. This study aimed to identify the barriers of adaptability with spouse death in wives of martyrs who defended the holy shrine.

    Participants & Methods

    This qualitative study aimed to identify the barriers of adaptability with spouse death in wives of martyrs of holy shrine defenders from December 2019 to June 2020. The statistical sample of 12 women aged 20-40 years was selected through purposive sampling. The subjects had lost their spouses between 2-4 years. Data were collected through semi-structured interviews using open-ended questions and analyzed by Granheim and Landman method.

    Findings

     Barriers of adaptability in martyrschr('39') wives included psychological instability, upsetting with the spousechr('39')s family, emotional emptiness of losing a spouse, problems of children, feeling lonely, incorrect beliefs and behavior, the weak performance of related organizations, and emotional inhibition.

    Conclusion

     The families of the martyrs, who defended the holy shrine, especially their young wives, face individual and social problems, which sometimes are impossible to solve alone, and therefore it is necessary to take the strategies to solve them.

    Keywords: Psychological Adaptation, Grief, Loneliness, Spouses
  • Shifteh Shahabi, Hossein Jenaabadi *, Bahman Kord Tamini
    Background

    Distress tolerance has been observed as an important structure in creating new insights against the onset and persistence of psychological trauma and prevention and treatment.

    Objective

    This study aimed to investigate the role of commitment in the relationship between early maladaptive schemas and distress tolerance in conflicted couples.

    Method

    The method of this study was descriptive-correlational. The study population consisted of married men and women residing in Kerman. The sampling method was cluster sampling method, through which 400 participants (200 females and 200 males) were selected. Data collection tools included Simmons Distress Tolerance Questionnaire (2005), Adams and Jones Marital Commitment Questionnaire (1997), and Young's Early Maladaptive Schemas Questionnaire (1990). Data were analyzed using correlation and structural equation analysis by spss.22 and Amos.22.

    Results

    The results indicated the moderating role of marital commitment variable in the inverse relationship between maladaptive schemas of three areas of cuts/exclusion, impaired performance, and emotional inhibition with distress tolerance (p <0.01).

    Conclusion

    It can be concluded that although the areas of early maladaptive schemas reduce distress tolerance and commitment of women, the high level of communication commitment among couples can increase distress tolerance in them.

    Keywords: Spouses, Marriage, early maladaptive schemas, Distress tolerance
نکته
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