A Dyadic Approach to Infertility Stress, Marital Adjustment, and Depression on Quality of Life in Infertile Couples

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

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

2020 ◽  
Author(s):  
Ju-Young Ha ◽  
Seonhwa Ban

Abstract Background Infertility is an emerging socioeconomic issue affecting an individual’s life and the nation. However, only few studies have examined the influence of resilience on the quality of life (QoL) of spouses as actors and partners. Hence, this study aimed to analyze the influence of resilience, a positive factor that infertile couples may have, on QoL using the actor–partner interdependence model (APIM).Methods By the analyses of couples’ data, we analyzed the effect of resilience on the QoL of infertile couples as actors and partners. This cross-sectional study included 150 infertile couples. The Fertility Quality of Life and Resilience Scale was used to measure couples’ QoL and resilience. APIM was applied to analyze QoL.Results In terms of actor effects, the resilience of both wives (β = 0.201, p < 0.001) and husbands (β = 0.713, p < 0.001) had a significant effect on individual QoL. With regard to partner effects, husbands’ resilience (β = 0.351, p < 0.001) had a significant impact on wives’ QoL and the wives’ resilience (β = 0.219, p = 0.009) had a significant impact on husbands’ QoL.Conclusions The resilience of an infertile actor was found to affect both his/her own QoL and his/her partner’s QoL. In the future, if a program is to be developed to improve couples’ QoL, both spouses should work together to improve their resilience, thereby improving their QoL.


2020 ◽  
Author(s):  
Ju-Young Ha ◽  
Seonhwa Ban

Abstract BackgroundInfertility is an emerging socioeconomic issue affecting an individual’s life and the nation. However, only few studies have examined the influence of resilience on the quality of life (QoL) of spouses as actors and partners. Hence, this study aimed to analyze the influence of resilience, a positive factor that infertile couples may have, on QoL using the actor–partner interdependence model (APIM).MethodsBy the analyses of couples’ data, we analyzed the effect of resilience on the QoL of infertile couples as actors and partners. This cross-sectional study included 150 infertile couples. The Fertility Quality of Life and Resilience Scale was used to measure couples’ QoL and resilience. APIM was applied to analyze QoL.ResultsIn terms of actor effects, the resilience of both wives (β = 0.201, p < 0.001) and husbands (β = 0.713, p < 0.001) had a significant effect on individual QoL. With regard to partner effects, husbands’ resilience (β = 0.351, p < 0.001) had a significant impact on wives’ QoL and the wives’ resilience (β = 0.219, p = 0.009) had a significant impact on husbands’ QoL.ConclusionsThe resilience of an infertile actor was found to affect both his/her own QoL and his/her partner’s QoL. In the future, if a program is to be developed to improve couples’ QoL, both spouses should work together to improve their resilience, thereby improving their QoL.


2020 ◽  
Author(s):  
Ju-Young Ha ◽  
Seonhwa Ban

Abstract Background Infertility is an emerging socioeconomic issue affecting an individual’s life and the nation. However, only few studies have examined the influence of resilience on the quality of life (QoL) of spouses as actors and partners. Hence, this study aimed to analyze the influence of resilience, a positive factor that infertile couples may have, on QoL using the actor–partner interdependence model (APIM).Methods Using the method of couples’ data analysis, we analyzed the effect of resilience on the QoL of infertile couples as actors and partners. This cross-sectional study included 150 infertile couples. The Fertility Quality of Life and Resilience Scale was used to measure couples’ QoL and resilience. APIM was applied to analyze QoL.Results In terms of actor effects, the resilience of both wives (β = 0.201, p < 0.001) and husbands (β = 0.713, p < 0.001) had a significant effect on individual QoL. With regard to partner effects, husbands’ resilience (β = 0.351, p < 0.001) had a significant impact on wives’ QoL and the wives’ resilience (β = 0.219, p = 0.009) had a significant impact on husbands’ QoL.Conclusions The resilience of an infertile actor was found to affect both his/her own QoL and his/her partner’s QoL. In the future, if a program is to be developed to improve couples’ QoL, both spouses should work together to improve their resilience, thereby improving their QoL.


2020 ◽  
pp. 1-3
Author(s):  
Jisha M. ◽  
Dr Assuma Beevi.T. M.

Introduction: Psychological and social effects of infertility may cause decline in the quality of life of infertile couples. A cross sectional study was conducted among 100 infertile couples, to find out the association between level of stress, anxiety and depression with their quality of life. Materials and methods: Data was collected using demographic and fertility information questionnaire, depression anxiety and stress scale (DASS-42) and fertility quality of life (fertiQol-malayalam). Results: Infertile couples experiences higher levels of depression, anxiety and stress and it is more among women,(depression-(15.36 +_ 9.23), stress(16.3+-7.52) anxiety (9.36+_6.33) than men (depression(12.52+_10.30 )(P=0.030), stress(12.84+_ 7.94 )(P=0-002 ) anxiety(7.50+_5-55). Levels of depression, anxiety and stress have significant negative relation with their quality of life. Infertile women has significantly lower quality of life (P= 0.002) than men. Conclusion: Interventions, to reduce depression, anxiety and stress among infertile couples may be helpful to improve their quality of life.


Author(s):  
Juan Martínez-Galiano ◽  
Antonio Hernández-Martínez ◽  
Julián Rodríguez-Almagro ◽  
Miguel Delgado-Rodríguez ◽  
Ana Rubio-Alvarez ◽  
...  

Background: Discomfort during the puerperium period is very frequent in the lives of women but the influence of this discomfort on the women’s quality of life has been little studied. The objective of this study is to establish the association between discomfort and frequent problems of women in the puerperium and their quality of life score. Methods: A cross-sectional study on postpartum Spanish women was performed. Women older than 18 years and who had had a live birth were included. Less than 1% of women refused to participate in the study. Data were collected on socio-demographic, obstetric and newborn variables, on maternal problems/ discomfort in the postnatal period and on parameters that are quality of life indicators. An ad hoc online questionnaire which included the SF-36 Health Survey was used. Crude mean difference (cMD) and adjusted mean difference (aMD) were calculated through multiple linear regression. Results: 2990 women participated in the study. The greater problems causing quality of life loss were depressive symptoms (aMD = −12.40, CI 95%: −10.79, −14.01), lactation problems (aMD = −4.30, CI 95%: −2.97, −5.63), problems for sexual intercourse after childbirth (aMD = −6.34, CI 95%: −5.07, −7.60) and urinary incontinence (aMD = −4.97, CI 95%: −6.30, −3.65), among others. These have been detected as risk factors that affect the quality of life of the postpartum woman. Conclusions: The discomfort and problems manifested in the 6 weeks after childbirth have an influence that deeply affects the quality of life of postpartum women.


Author(s):  
Noorfaizah Ibrahim ◽  
Salina Mohamed ◽  
Zaliha Ismail ◽  
Mohd Razali Salleh

Background: Infertility is an intense situation experienced by couples that causes emotional discomfort and worsening of their quality of life (QoL). The husband and wives of the infertile couples may reacted differently to stress.Methods: This is a cross-sectional study involving 100 infertile couples attending fertility clinics. Cases were selected by systematic random sampling. The severity of depression, anxiety and stress was measured using the Depression, Anxiety and Stress Scale (DASS-21) and QoL was assessed with the Fertility Quality of Life (FertiQoL) questionnaire.Results: Multivariate analysis revealed that depression, anxiety and stress-related difficulties were reported at a higher level by wives (p<0.001). Total Ferti QoL scores were significantly higher in husbands (p<0.001). The female gender (wives) was the only significant variable associated with the severity of all three DASS-21 sub-scale scores (p <0.001) and considered as a high-risk factor for psychological distress. Poor Qol were significantly associated with wives (p<0.001), male cause of infertility (p=0.004), primary infertility (p=0.022) and previous history of receiving intrauterine insemination (IUI) (p =0.020).Conclusions: The wives of the infertile couples were at higher risk of developing psychological distress and had poor QoL than their husbands. The severity of the anxiety, depression and stress were adversely affected the QoL.


Spiritual intelligence is a set of abilities to take advantage of religious resources that can predict a person's quality of life and adjustment. The aim of this study was to investigate the relationship between spiritual intelligence and quality of life in nurses of Birjand teaching hospitals in a descriptive-analytical and cross-sectional study. Data were collected by using the Spiritual Intelligence Questionnaires (SISRI-24) and Quality of Life (SF36) and analyzed using the correlation and t-tests. In this study, 187 subjects were included in the study, of which 42.2% were male and 58.8% were female. The average score of spiritual intelligence of the subjects was 48, which is lower than average. Based on the results of correlation coefficient test, there was a significant relationship between spiritual intelligence and emotional health (r=0.77) and the individual's general health score (r=0.20). Based on the results, the spiritual intelligence score of the subjects was moderate and low. On the other hand, spiritual intelligence predicted some areas of quality of life in nurses, Therefore, the implementation of programs aimed at increasing the spiritual intelligence of individuals can increase the quality of life of nurses.


2018 ◽  
Vol 21 (1) ◽  
pp. 17-26
Author(s):  
Ice Yulia Wardani ◽  
Fajar Apriliana Dewi

Skizofrenia merupakan sekumpulan gejala atau sindrom yang dapat menyebabkan masalah kejiwaan yang sangat serius. Stigma diri muncul akibat efek negatif penilaian orang lain terhadap pasien Skizofrenia sehingga mengakibatkan penurunan kemampuan kerja, fungsi sosial, harga diri, dan harapan. Kualitas hidup pasien Skizofrenia erat kaitannya dengan disabilitas yang dialaminya berupa perubahan kognitif dan persepsi dalam menjalani kehidupan. Penelitian ini bertujuan untuk mengidentifikasi kualitas hidup pasien skizofrenia melalui stigma diri. Desain penelitian ini adalah descriptive corelative dengan pendekatan cross sectional, sampel 92 responden yang dipilih menggunakan teknik consecutive sampling. Analisis uji statistik menggunakan correlation test. Hasil dari penelitian adalah ada hubungan antara stigma diri dengan kualitas hidup pasien Skizofrenia dengan korelasi negatif (r= -0,568, p= 0,00). Level stigma diri termasuk kedalam klasifikasi stigma tinggi dan klasifikasi kualitas hidup yang rendah. Penelitian ini merekomen-dasikan pelaksanaan intervensi keperawatan yang berorientasi pada pasien berupa pencegahan stigma negatif dan peningkatan kualitas hidup.   Abstract Quality of Life Schizophrenia Patients Treated Through Self Stigma. Schizophrenia is a syndrome that could induce seriously psychology problems. Self stigma can induce because of consequence of negative stereotype in patients with Schizophrenia with the result that diminished ability to work, social function, self-esteem and hope. Quality of life in patients with Schizophrenia related to disability because of impaired cognitive and perception in their life. This study was conducted to correlation between self stigmawith quality of life in patients Schizophrenia. Methodology use descriptive correlative with cross sectional study, used 92 patients with a diagnosis of Schizophrenia and used consecutive sampling. Statistical analysis test using correlation test. Result this study, there is significance correlation between self stigma and quality of life (p= 0.00 < 0.005) (r= -0.865). The level of self stigma of patients with schizophrenia was determined to be high, and the self stigma had a negative impact on the quality of life.  This study recommends the implementation of patient oriented nursing interventions in the form of prevention of negative stigma and improvement of quality of life Keywords: internalized stigma, quality of life, Schizophrenia


Background: Restless leg syndrome (RLS) is an undiagnosed sensorimotor disorder that is accompanied by an unpleasant sensation in the lower limbs which cause an urge to move the leg for temporary relaxation. It causes symptoms such as insomnia, concentration and mood disturbance which affect the quality of life, job and academic performance. Objective: This study was proposed to find out the prevalence of RLS among healthcare undergraduate students with its primary complications. Method: This was a cross-sectional study, conducted in Healthcare Institutes of Karachi in July-19 to October-19. A questionnaire was given to 337 students, which was designed to diagnose RLS on the basis of criteria set by “International Restless Leg Syndrome Study Group”. The inclusion criteria were students aged between 18-25 years. Students having any neurological problem, hypertension, diabetes, pregnancy, musculoskeletal deformity or recent traumatic injuries were excluded from this study. Data were analyzed by SPSS version 22. Results: The median (IQR) age of students was 21 (20-22) years. Out of these 337 students 40(11.9%) were males and 297(88.1%) were females. Restless Leg syndrome was diagnosed in 120(35.6%) students in which 110(91.7%) were females and 10(8.3%) males. 116(34.4%) students experienced leg cramps, while RLS positive students 116(96.7%) did not seek any consultation to health care professional. Conclusion: This study concluded that there was a high prevalence of RLS among healthcare students yet remains undiagnosed. There should be more awareness programs regarding RLS to prevent its symptoms and to improve the quality of life.


2021 ◽  
Author(s):  
Etedal Ahmed A. Ibrahim ◽  
Lina Hussain Mustafa Ali ◽  
Khabab Abbasher Hussien Mohamed Ahmed ◽  
Mohammed Eltahier Abdalla Omer

Abstract Introduction:This is the first study done in the national center for neurological sciences, Khartoum state to assess the quality of life above hundred Sudanese epileptic patients, in the period from September to December 2020.Methodology: This is a descriptive cross sectional study, data was collected using interviewing questionnaire and this questionnaire was modified from SF-36 model.Results: Most of the patients are from the urban area (60.2%), housewives are most of them, most of the patients were single and from low socioeconomic status, the history of the disease was less than three years for most of the cases covered in this study, most type is generalized tonic clonic epilepsy, normal EEG finding in 75.7% and normal MRI brain in 78.6%, most of patients mentioned they have no attack in last month. Regarding mental health 47.6% feel sometimes depression, 75.7% associated with memory problems. Regarding physical health 51.5% feel energetic all of the time, 9.7% always associated with sleep disturbance, most of patients are not driving, neither having hobbies for leisure time. 63.1% don’t have any health problem, 32% feel stigma if attack happen in public. Commonest medication prescribed was carbamazepine and 73.8% are fully complaints with medication. 95.1% are not worried about long term medication use.Conclusion: lower level of education and manual labor associated with poor quality of life, epilepsy had bad impact on social life, there is global decrease in cognitive function, most of the patients don`t worry about side effects and duration of the medication usage


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