مقایسه‌ی رضایت زناشویی و کیفیت زندگی زنان بارور و نابارور

نویسندگان

1 استادیارگروه مشاوره دانشگاه شهید چمران اهواز

2 استادیار دانشگاه علوم پزشکی جندی‌شاپور اهواز

3 کارشناس رشته مشاوره دانشگاه شهید چمران اهواز

چکیده

پژوهش حاضر به منظور مقایسه­ی رضایت زناشویی و کیفیت زندگی زنان بارور و نابارور شهر اهواز انجام شد. جامعه­ی آماری شامل کلیه­ی زنان بارور و نابارور مراجعه کننده به مرکز درمان ناباروری بیمارستان امام خمینی (ره) اهواز بودند. نمونه­ی این پژوهش شامل 186 نفر (93 زن بارور و 93 زن نابارور) بودند که به روش نمونه­گیری در دسترس انتخاب شدند. این پژوهش از نوع علی­مقایسه­ای بود و در آن آزمودنی­ها به پرسشنامه‌ی رضایت زناشویی انریچ (ENRICH) و پرسشنامه‌ی سلامت، بهبود و کیفیت زندگی اپشتاین (EHWQLQ) پاسخ دادند. نتایج تحلیل واریانس چند متغیری (مانوا) نشان داد که بین زنان بارور و نابارور از لحاظ رضایت زناشویی تفاوت معنی­داری وجود دارد. نتایج همچنین نشان دادند که بین زنان بارور و نابارور از لحاظ سلامت جسمانی، سلامت عاطفی-روانی، استرس و کیفیت کلی زندگی تفاوت معنی­داری وجود دارد بدین معنا که زنان نابارور رضایت زناشویی و کیفیت زندگی پایین­تری نسبت به زنان بارور داشتند. 

کلیدواژه‌ها


عنوان مقاله [English]

The comparison of marital satisfaction and quality of life between fertile and infertile women

نویسندگان [English]

  • Abbas Amanelahifard 1
  • Roshan Nikbakht 2
  • Mohammad Ali Hoseini 2
  • Sahar Ahmadi Fakhr 3
  • Zahra Hoseini 3
چکیده [English]

This study was carried out to compare the quality of life (physical state, mental and emotional state, stress, life enjoyment & overall quality of life) and marital satisfa-ction in fertile and infertile women. The subjects consisted of 92 fertile and 92 infertile women referring to Imam knomeini Infertility Treatment Clinic in Ahvaz. They were selected using available sampling and the causal-comprative method was utilized. They completed two questionnaires (Enriching and Nurturing Relationship Issues Communication Happiness (ENRICH) and Epstein Health, Wellness & Quality of life Questionnaire (EHWQLQ). The data were analyzed using MANOVA. The findings showed that there was a significant difference in quality of life (physical state, mental and emotional state, stress & overall quality of life) and marital satisfaction between the two groups. Infertile women showed lower levels of quality of life and marital satisfaction.

Abbey, A., Andrews, F. M., & Halman, L. J. (1992). Infertility and subjective wellbeing: The mediating roles of selfesteem, internal control and interpersonal conflict. Journal of Marriage and Family, 54, 408-417.
Abbey, A., Halman, L. J., & Andrews, F. M. (1992). Psychosocial, ‏Treatment, and demographic predictors of the stress associated with infertility. Fertility and Sterility, 57(1), 122-128.
Benazon, N., Wright, J., & Sabourin, S. (1992). Stress, sexual satisfaction, and marital adjustment in infertile couples. Journal of Sex and Marital Therapy, 18(4), 273-284.
Berg, B. J., & Wilson, J. F (1991). psychiatric morbidity in ithe nfertile population. Fertil Stril, 53, 654-661.
Boivin, J., Appleton, T. C., Baetens, P., Baron, J., Bitzer, J., & Corrigan, E. (2001). Guidelines for counselling in infertility: outline version. Human Reproduction,16(6), 1301-1304.
Bringhenti, F., Martinelli, F., Ardenti, R., & La Sala, G. B. (1997). Psychological adjustment of infertile women entering IVF treatment: Differentiating aspects and influencing factors. Acta Obstetricia et Gynecologica Scandinavica, 76(5), 431-437.
Brkovich, A. M., & Fisher, W. A. (1998). Psychological distress and infertility: forty years of research. Journal of Psychosomatic Obstetrics Gynaecology,19(4), 218-228.
Burns, L. H., & Covington, S. N. (2006). Infertility counseling: A comprehensive handbook for clinicians (2nd ed.). Cambridge: Cambridge University Press.
Chachamovich, J., Chachamovich, E., Ezer, H., Fleck, M., Knauth, D., & Passos, E. (2010). Investigating quality of life and health-related quality of life in infertility: a systematic review. Journal of Psychosomatic Obstetrics Gynaecology, 31, 101-110.
Cook, R., Parsons, J., Mason, B., & Golombok, S. (1989). Emotional, marital and sexual functioning in patients embarking upon IVF and AID treatment for infertility. Journal of Reproductive and Infant Psychology, 7, 87- 93.
Daniluk, J. C. (1997). Gender and infertility. In Leiblum SR (ed.). Infertility, Psychological Issues and Counseling Strategies. New York: John Wiley & Sons, pp: 103-125.
Domar, A. D., & Seibel, M. M.( 1997). Emotional aspects of infertility. In Seibel, M. M. (ed.). Infertility: A Compre- hensive Text. Stamford: Appleton & Lange, pp: 29-44.
Drosdzol, A., & Skrzypulec, V. (2008). Quality of life and sexual functioning of Polish infertile couples. European Journal of Contraception and Reproductive Health Care,13(3), 271-81.
 Epstein, D. (2000). Health, Wellness and Quality of life Questionnaire. Available at: http://www.donaldepstein.com/nsa/research.shtml
Eunpu, D. L. (1995). The impact of infertility and treatment guidelines for couples therapy. The American Journal of Family Therapy,
23(2), 115-127.
Fekkes, M., Buitendijk, S. E., Verrips, G. H., Braat, D. D., Brewaeys, A. M., Dolfing, J. G., Kortman, M., Leerentveld, R. A., & Macklon, N. S.(2003). Health-related quality of life in relation to gender and age in couples planning IVF treatment. Human Reproduction, 18, 1536-1543.
Gillespie, R. (2003). Childfree and feminine: Understanding the gender identity of voluntary childless women. Gender & Society, 17, 122-136.
Golombok, S. (1992). Psychological functioning in infertility patients. Human Reproduction, 7, 208-212.
Greil, A. L., Leitko, T. A., & Porter, K. L. (1988). Infertility: His and hers. Gender & Society, 2, 172-199.
Hassanin, I, M. A., Abd-El-Raheem, T., & Shahin, A. Y. (2010). Primary infertility and health-related quality of life in Upper Egypt. International Journal of Gynecology and Obstetrics, 110, 118-121.
Kainz, K. (2001).The role of the psychologist in the evaluation and treatment of infertility. Womens Health Issues, 11(6), 481-485.
Kee, B. S., Jung, B. J., & Lee, S. H. (2000). A study on psychological strain in IVF patients. Journal of Assisted Reproduction and Genetics, 17, 445-448.
Khayata, G. M., Rizk, D. E., Hasan, M. Y., Ghazal-Aswad, S., & Asaad, M. A. (2003) Factors influencing the quality of life of infertile women in United Arab Emirates. International Journal of Gynecology and Obstetrics, 80(2), 183-188.
Laffont, I, & Edelmann, R. J. (1994). Perceived support and counselling needs in relation to in vitro fertilization. Journal of Psychosomatic Obstetrics Gynaecology, 15(4), 183-188.
Lee, T. Y., Sun, G. H., & Chao, S. C.(2001). The effect of an infertility diagnosis on the distress, marital and sexual satisfaction between husbands and wives in Taiwan. Human Reproduction, 16, 1762-1767.
Leiblum, S. R., & Greenfield, D. (1997). The course of infertility: immediate and long-term reactions. In Leiblum, S. R. (ed.). Infertility, Psychological Issues and Counseling Strategies. New York: John Wiley & Sons, pp: 83-102.
Leiblum, S. R., Aviv, A., & Hamer, R. (1998). Life after infertility treatment: A long-term investigation of marital and sexual function. Human Reproduction, 13(12), 3569-3574.
Lemmens, G. M., Vervaeke, M., Enzlin, P., Bakelants, E., Vanderschueren, D., D'Hooghe, T., et al. (2004). Coping with infertility: a body-mind group intervention program for infertility couples. Human Reproduction, 19(8),1917-1923.
Mahlstedt, P. P., MacDuff, S., & Bernstein, J. (1987). Emotional factors and the in vitro fertilization and embryo transfer process. Journal of Assisted Reproduction and Genetics, 4(4), 232-236.
Matsubayashi, H., Hosaka, T., Izumi, S., Suzuki, T., & Makino, T. (2001). Emotional distress of infertile women in Japan. Human Reproduction, 16, 966-999.
McQuillan, J., & Torres, R. A. (2007). Stone and Arthur L. Greil Infertility and Life Satisfaction Among Women. Journal of Family Issues, 28, 955-981
Merwe, E. (2010). Infertility-related stress and specific aspect of the marital relationship. Thesis presented in fulfilment of the requirements for the degree of Master of Arts (Psychology) at the University of Stellenbosch.
Monga, M., Alexandrescu, B., Katz, S. E., Stein, M., & Ganiats, T. (2004). Impact of infertility on quality of life, marital adjustment and sexual function. Urology, 63(1), 126-130.
Morin-Davy, L. (1998). Infertility: A couples lived experiences of hope and spirit. Dissertation Abstracts International, 58, 4462.
Myers, M. F. (1990). Male gender-related issues in reproductive technology. In N. Stotland (Ed.), Psychiatric aspects of reproductive technology (pp.25-35). Washington, DC: American Psychiatric Press.
Newton, C. R., Sherrard, W., & Glavac, I. (1999). The Fertility Problem Inventory: Measuring perceived infertility-related stress. Fertility and Sterility, 72(1), 54-62.
Nichols, W., & Pace-Nichols, M. (2000).
Childless married couples. In Nichols WC, Pace-Nichols, M. A., Becvar, D. S., & Napier, A. Y. (eds.). Handbook of Family Development and Intervention. New York: John Wiley & Sons, Inc, pp: 171-188.
Ollson, D. H. (1989). Families what makes them work.New York : Hamilton.
Pepe, M., & Byrne, T. (1991). Women.s perceptions of immediate and longterm effects of failed infertility treatment on marital and sexual satisfaction. Family Relations, 40, 303-309.
Reitzes, D. C., & Mutran, E. J. (2003). Self concept as the organization of roles: Importance, centrality, and balance. Sociological Quarterly, 43, 647-667.
Reporaki, L., Punamäki, R. L., Unkila-Kallio, L., & Vilska, S. (2007). Infertility treatment and marital relationships: A 1-year prospective study among successfully treated ART couples and their controls. Human Reproduction, 22(5), 1481-1492.
Sadler, A. G., & Syrop, C. H. (1998). The stress of infertility: Recommendations for assessmentand intervention. Family Stress, 14, 1-17.
Salter, M. (1986). Altered body image. London. Biqlliere Publishing.
Schmidt, L. (2006). Psychological burden of infertility and assisted reproduction. The Lancet; 367, 379-380.
Slade, P., Emery, J., & Lieberman, B. A. (1997). A prospective, longitudinal study of emotions and relationships in in-vitro fertilization treatment. Human Reproduction, 12(1), 183-190.
Stotland, N. L. (2002). Psychiatric issues related to infertility, reproductive technologies and abortion. Primary Care, 29(1):13-26.
Tao, P., Coates, R., & Maycock, B. (2012). Investigating marital relationship in infertility: A systematic review of quantitative studies. Journal of Reproduction and Infertility, 13(2), 71-80
Taylor, E. (1995). The stress of infertility. Human Ecology Forum, 23(4), 12-16.
Thoits, P. A. (1999). Self, identity, stress, and mental health. Social Psychology Quarterly, 55, 236-256.
Thornton, A., & Young-DeMarco, L. (2000). Four decades of trends in attitudes toward family issues in the United   States: The 1960s through the 1990s. Journal of Marriage and Family, 62, 1009-1038.
Tuzer, Y., Tuncel, A., Goka, S., Dogan Bulut, S., Yuksel, F. V., Atan, A., Goka, E. (2010). Marital adjustment and emotional symptoms in infertile couples: gender differences. Turkish Journal of Medical Sciences,  40 (2), 229-237.
Van Balen, F., & Trimbos-Kemper, T. (1994). Factors influencing the well-being of long-term infertile couples. Journal of Psychosomatic Obstetrics and Gynaecology, 15(3), 157-164.
Verhaak, C. M., Smeenk, J. M. J., Evers, A. W. M., Kremer, J. A. M., Kraaimaat, F. W., Braat, D. D. M. (2007). Women’s emotional adjustment to IVF: a systematic review of 25 years of research. Human Reproduction Update, 13, 27-36.
Wilson, J. F., & Kopitzke, E. J. (2002). Stress and infertility. Current Womens Health Reproduction, 2(3), 194-199.
Wischmann, T., Stammer, H., Scherg, H., Gerhard, I., & Verres, R. (2001).Psychosocial characteristics of infertile couples: a study by the `Heidelberg Fertility Consultation Service. Human Reproduction, 16(8), 1753-1761.
World Health Organization. (1991). Programme on maternal and child health and family planning, division of family health. Infertility: a tabulation of available data on prevalence of primary and secondary infertility. 1st ed. Geneva: World Health Organization; 964-968.