Marital and Sexual Satisfaction, Depression, Anxiety, and Stress among Wives of Patients with Chronic Illnesses (original) (raw)
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The Journals of Gerontology: Series B, 2019
Objectives: To examine (a) the relationship between own depressive symptoms and spouses' health condition changes among mid-and later-life couples and (b) the roles of marital relationship quality and spousal caregiving in this relationship. Method: Fixed-effect analyses were conducted using data from 3,055 couples aged 45 and older from Waves 1 (2006) to 4 (2012) of the Korean Longitudinal Study on Ageing. Results: Spousal stroke was linked with higher depression symptoms. Spouses' onset of cancer was related to an increase in depressive symptoms for wives, but not for husbands. Spousal caregiving and marital satisfaction were significant moderators: Wives caring for spouses with cancer reported more depressive symptoms than those not providing care; husbands caring for spouses with lung disease reported more depressive symptoms than those not providing care. The associations between wives' heart disease, husbands' cancer diagnosis, and depressive symptoms were weaker for couples with higher marital satisfaction. Discussion: The findings suggest variations across health condition types and gender. Relationship quality and caregiving are important contexts moderating the negative impact of spousal chronic illness on depression. Health care providers should be aware that spouses' health statuses are connected and that type of illness may affect the care context.
European Journal of Therapeutics
Objective: The purpose of our study is to show how the relationship between marital adjustment and satisfaction will change in cases of chronic disease in either or both spouses of married couples using a multivariate statistical analysis method. Methods: Marriage adjustment ve marriage satisfaction scales were used. A structural equation modeling - multiple group analysis method was used in the study, which was designed as a relational screening model. Results: In the study, which included 898 participants, 56.6% of the participants were female and 43.4% were male. The mean age of the participants was 36.94 ± 8.72 standard deviations. First, the relationship between marital adjustment and satisfaction was analyzed using structural equation modeling, and the relationship between the scales was found to be statistically significant (p=0.001). In the model, which was significant and sufficient, the variable of chronic disease was coded on the arrow representing the regression coeffici...
Journal of Psychosomatic Research
Objective: The aim of the present study is to increase knowledge regarding associations between couples' health condition and psychological distress in both spouses considering gender as well as patient/spouse status. Method: We examined a community-based sample of 995 elderly couples in which either both spouses were healthy, one of them suffered from chronic disease or both spouses were ill. Both spouses filled out the Hospital Anxiety and Depression Scale. Results: In line with our hypotheses, the results showed an association between women's psychological distress and their own as well as their spouse's health condition, whereas men's psychological distress was associated only with their own health condition. Conclusion: The findings demonstrate the need for awareness of gender and patient/spouse differences in psychological distress among elderly couples confronted with chronic disease. D
British Journal of Health Psychology, 2013
Objectives. The current study examined the contribution of marital satisfaction to symptoms of depression among patients with acute coronary syndrome (ACS) and their partners. Method. The sample comprised of 91 ACS male patients and their female partners. Data were collected at the time of initial hospitalization and 6 months later. Patients' and partners' assessments of marital satisfaction were measured using the ENRICH scale. Symptoms of depression were measured using the Brief Symptoms Inventory (BSI). Dyadic analysis applying the Actor-Partner Interdependence Model (APIM) was used. Results. Different patterns emerged for the two phases. In the acute phase, only the Actor effect was significant: for both patients and partners, one's greater marital satisfaction was associated with one's lower levels of depression. In the chronic phase, both Actor and Partner effects were significant, while different trends were found for patients and partners. Partners' marital satisfaction was associated with their own and the patients' decreased depression symptoms, whereas among patients, higher levels of marital satisfaction were associated with elevated levels of depression both for themselves and for their partners. Conclusions. A dyadic perspective and phases of illness have to be taken into account in understanding adjustment and developing interventions following ACS.
Health Psychology, 2000
This cross-sectional study assessed 3 ways of providing spousal support. Active engagement means involving the patient in discussions and using constructive problem-solving methods; protective buffering means hiding one's concerns; and overprotection refers to underestimation of the patient's capabilities, resulting in unnecessary help and excessive praise for accomplishments. Ratings of received spousal support by 68 patients with cancer revealed findings similar to those of partners' ratings of provided support. The positive association between active engagement and the patient's marital satisfaction was stronger for patients with a rather poor psychological and physical condition than for those with a rather good condition. Furthermore, protective buffeting and overprotection were negatively associated with marital satisfaction only when patients experienced relatively high levels of psychological distress or physical limitations.
This cross-sectional study assessed 3 ways of providing spousal support. Active engagement means involving the patient in discussions and using constructive problem-solving methods; protective buffering means hiding one's concerns; and overprotection refers to underestimation of the patient's capabilities, resulting in unnecessary help and excessive praise for accomplishments. Ratings of received spousal support by 68 patients with cancer revealed findings similar to those of partners' ratings of provided support. The positive association between active engagement and the patient's marital satisfaction was stronger for patients with a rather poor psychological and physical condition than for those with a rather good condition. Furthermore, protective buffeting and overprotection were negatively associated with marital satisfaction only when patients experienced relatively high levels of psychological distress or physical limitations.
Health Problems and Marital Satisfaction Among Older Couples
Journal of Aging and Health, 2013
Objective: Older couples are likely to be confronted with health problems of both spouses and these health problems may negatively influence their marital satisfaction. The present study examined these possible negative effects using a dyadic perspective. Method: Data from 78 independently living older couples were analyzed using the Actor-Partner Interdependence Model (APIM). Health problems were modeled as a latent factor of functional disability, the number of chronic diseases, and self-rated health. The couple's health context, that is, similarity or dissimilarity, was examined with an actor-partner interaction variable. Results: For wives, spousal health problems were negatively associated with their marital satisfaction, but only under the condition that their own health was relatively good. For husbands, neither own nor spousal health problems were associated with their marital satisfaction. Discussion: Future research focusing on older couples needs to consider the couple's health context next to health at the individual level.
Marital satisfaction and mental health status in patients with breast cancer
Journal of Research in Medical Sciences, 2012
BACKGROUND: Breast cancer is a common cancer in women that affects femininity and marital life because of side effect of cancer treatments on breast as a sexual organ. The aim of this study was to evaluate the marital satisfaction in patients with breast cancer compared to general population. METHODS: In a cross-sectional study we recruited 60 participants in three groups. The first group contained breast cancer women, the second one consisted of patients with other cancers and the third group was selected from general population. Marital satisfaction and mental health status of participants were measured by Enriching and Nurturing Relationship Issues, Communication and Happiness (ENRICH) questionnaire and 28-item General Health Questionnaire (GHQ-28), respectively. RESULTS: ANOVA test analysis did not determine any statistically significant differences between three groups in ENRICH score (p = 0.55) and GHQ-28 as mental health score (p = 0.93). In multivariate analysis after age adjustment, we could not find any statistically significant differences between the three groups in ENRICH score and GHQ-28 score. CONCLUSIONS: In this sample of breast cancer patients, there were not any significant differences in marital satisfaction comparing with general population.
Chronic disease in elderly couples
Journal of Psychosomatic Research, 2001
Objective: The aim of the present study is to increase knowledge regarding associations between couples' health condition and psychological distress in both spouses considering gender as well as patient/spouse status. Method: We examined a community-based sample of 995 elderly couples in which either both spouses were healthy, one of them suffered from chronic disease or both spouses were ill. Both spouses filled out the Hospital Anxiety and Depression Scale. Results: In line with our hypotheses, the results showed an association between women's psychological distress and their own as well as their spouse's health condition, whereas men's psychological distress was associated only with their own health condition. Conclusion: The findings demonstrate the need for awareness of gender and patient/spouse differences in psychological distress among elderly couples confronted with chronic disease. D