Purpose
To investigate the impact of infertility in gender differences on psycho-traumatological, sexological, relational and emotional aspects and gender differences in couples requiring assisted ...reproductive treatment.
Methods
151 couples were recruited with a mean age of 36.7 ± 4.8 years for women and 39.8 ± 6.6f or men. 43% of women and 34% of men had already received the diagnosis of infertility. To recruited subjects was administered the following psychometric tests: Sexological and Emotional in Infertility questionnaire (SEIq), Arizona Sexual Experience Scale (ASEX), the Orgasmomether and the International Trauma Questionnaire (ITQ).
Results
There was a significant difference in traumatic symptoms between men and women (t = 5,859, p < 0.05). Gender differences were found in the sexological dimension of the SEIq (t = 7,858, p < .001) and in the total ASEX score (t = 3,979, p < .001). Specifically, significant correlations emerged between the ASEX domains and the emotional and sexological aspects related to infertility only in women. The reaction to the diagnosis was negatively correlated with the emotional area of the couple (r = -0.683, p < .001) and positively with the couple relationship (r = 0.815, p < .001). Multiple regression revealed that the overall functioning of the couple, rather than the single scales, is the main predictor of sexuality (R
2
= 0.77).
Conclusion
A clear impact of infertility on the couple’s psycho-traumatological, psycho-sexological and relational aspects emerged. It could be useful to promote targeted support interventions on the most compromised areas of couple functioning in assisted reproductive centers.
The actor–partner interdependence model (APIM) was employed in this study to investigate the mediating effect self-differentiation and spousal caregiving have on the relationship between recollection ...of parental care and acceptance and couple satisfaction. One hundred and forty-four non-clinical couples (N = 288) in enduring relationships were recruited. Results for actor effects revealed two mediating paths whereby, among both partners, recollection of maternal (but not paternal) acceptance was associated with their self-differentiation and responsive spousal caregiving, which, in turn, were linked to their spousal relationship satisfaction. Partner effects revealed three mediating paths: for both partners, recollection of childhood maternal acceptance was associated with responsive caregiving, which, in turn, was linked with their partner’s relationship satisfaction. Interestingly, the husbands’ recollection of maternal acceptance was associated with their partners’ responsive spousal caregiving, which was linked to both spouses’ relationship satisfaction. Our results may support the theoretical assumptions regarding intergenerational continuity from perceptions of childhood via self-differentiation effecting couple caregiving to couple relationship, but only on the mother’s part.
Older age is often associated with asexuality. That is, older individuals are not viewed as desiring of sex, nor as sexually desirable to others. Broader social and cultural norms that downplay ...women's sexual desire and agency further compound these phenomena. Whether this popular image accurately reflects older women's sexual desires, behaviour and capacity to experience pleasure is unclear. Drawing on semi-structured interviews with 43 partnered Australian women aged 55-81, this article considers women's sexual experiences and desires in older age. The findings of our research confirm that older women's experiences of sex and sexual desire are diverse and fluid. Some of the factors that influenced participants' sexual behaviour and desire will be considered in this article, as will their understandings of what "counts" as sexual satisfaction and "successful sex". The factors affecting sexual behaviour and desire also influence the way in which women are able to negotiate sexual interaction with their partners. Participants expressed a need for education and resources in order to gain greater control and to make autonomous choices over their sexual experiences, desire and ability to give and receive pleasure. The implications of these findings for practitioners are also considered.
Celotno besedilo
Dostopno za:
BFBNIB, DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
To determine the prevalence, associated factors, and relationships between symptoms of depression, symptoms of posttraumatic stress (PTS), and relationship distress in mothers and fathers of very ...preterm (VPT) infants (< 32 weeks). Mothers (
n
= 323) and fathers (
n
= 237) completed self-report measures on demographic and outcome variables at 38 days (SD = 23.1, range 9–116) postpartum while their infants were still hospitalised. Of mothers, 46.7% had a moderate to high likelihood of depression, 38.1% had moderate to severe symptoms of PTS, and 25.1% were in higher than average relationship distress. The corresponding percentages in fathers were 16.9, 23.7, and 27%. Depression was positively associated with having previous children (
p
= 0.01), speaking little or no English at home (
p
= 0.01), financial stress (
p
= 0.03), and recently accessing mental health services (
p
= 0.003) for mothers, and financial stress (
p
= 0.005) and not being the primary income earner (
p
= 0.04) for fathers. Similar associations were found for symptoms of PTS and relationship distress. Being in higher relationship distress increased the risk of depression in both mothers (
p
< .001) and fathers (
p
= 0.03), and PTS symptoms in mothers (
p
= 0.001). For both mothers and fathers, depression was associated with more severe PTS symptoms (
p
< .001). Fathers of VPT infants should be screened for mental health problems alongside mothers, and postpartum parent support programs for VPT infants should include strategies to improve the couple relationship.
Across nearly all cultures, sharing a lifelong committed relationship with an intimate partner comprises an almost universal and strongly held ambition. Nevertheless, cross-national data reliably ...indicate a high prevalence of relationship distress and dissolution, with adverse emotional and physical health consequences for adult partners and their children. This introduction to the special section summarizes findings regarding the effectiveness of couple therapy for treating general relationship distress, couple-based interventions for individual mental or physical health problems, and couple relationship education programs aimed at helping couples sustain a healthy committed relationship. Within each of these approaches, evidence regarding potential mediators of interventions' effectiveness is reviewed, and critical unanswered questions are highlighted. Discussion concludes with a brief introduction to each of the articles comprising this special section on universal processes in couple therapy and relationship education. Copyright Association for Behavioral and Cognitive Therapies. Published by Elsevier Ltd.
Since 2006, the U.S. Administration for Children and Families (ACF) has allocated $1.2 billion to a Healthy Marriage and Relationship Education (HMRE) policy initiative that provides grants to ...community organizations to support relationship education (RE) services for lower income couples and individuals. The policy aim was to help disadvantaged couples and individuals form and sustain healthy, stable relationships and marriages. A significant body of research on the effectiveness of these programs has now accumulated. This meta‐analytic study reviews all evaluation research reports of adult couple relationship education (CRE) programs supported by the ACF policy initiative to examine their impact on an array of couple, family, and individual well‐being outcomes. Overall, our review of 32 control‐group studies found a range of small but significant effects for couple relationship quality (d = .114), relationship skills (d = .132), mental health (d = .074), and coparenting (d = .033), but non‐significant effects for relationship stability, parenting, and child well‐being. Supplemental analyses with 19 1‐group/pre‐post studies showed larger effects. Planned moderator analyses explored significant heterogeneity in most effects, however, revealing interesting implications for practice and research going forward.
Resumen
Desde 2006, la Administración para los Niños y las Familias (Administration for Children and Families, ACF) de los Estados Unidos ha destinado $1.2 mil millones a una iniciativa de una política de Capacitación en Relaciones y Matrimonios Saludables (Healthy Marriage and Relationship Education, HMRE) que ofrece subvenciones a organizaciones comunitarias con el objetivo de financiar servicios de capacitación en relaciones para parejas y personas de bajos recursos. El objetivo de la política es ayudar a las parejas y a las personas desfavorecidas a formar y mantener relaciones y matrimonios estables y saludables. Actualmente se ha acumulado un número considerable de investigaciones sobre la eficacia de estos programas. En este estudio metaanalítico se analizan todos los informes de evaluaciones de investigaciones sobre programas de capacitación en relaciones de parejas adultas financiados por la iniciativa de políticas de la ACF con el fin de estudiar su efecto en diversos resultados de bienestar en las parejas, las familias y las personas particulares. En general, en nuestro análisis de 32 estudios de grupos de referencia se hallaron distintos efectos pequeños pero significativos para la calidad de la relación de pareja (d = .114), las habilidades relacionales (d = .132), la salud mental (d = .074), y la cocrianza (d = .033), y efectos no significativos para la estabilidad relacional, la crianza y el bienestar de los niños. Los análisis complementarios con 19 estudios previos y posteriores de un grupo demostraron efectos más importantes. Sin embargo, los análisis planificados de moderadores analizaron la heterogeneidad significativa en la mayoría de los efectos y revelaron consecuencias interesantes para la práctica y la investigación en el futuro.
摘要
自2006年以来，美国儿童和家庭管理局(ACF)已向健康婚姻和关系教育(HMRE)政策倡议拨款达12亿美元，向社区组织提供赠款，支持为低收入伴侣和个人提供关系教育(RE)服务。该政策的目的是帮助处境不利的伴侣和个人建立和维持健康、稳定的关系和婚姻。关于这些项目的有效性，现在已经积累了大量的研究。这项元分析研究回顾了所有由ACF政策倡议支持的成人伴侣关系教育（CRE）项目的评估研究报告，以检查它们对一系列伴侣、家庭和个人福祉的影响。总的来说，我们对32个对照组研究的审查发现，对伴侣关系质量（d=0.114）、关系技能（d=0.132）、心理健康（d=0.074）和共同育儿（d=0.033）有一系列小而重要的影响，但对关系稳定性、养育子女和儿童幸福感没有明显的影响。对19个单组/前哨研究的补充分析显示了更大的影响。然而，计划调节因子分析探讨了大多数效果的重大异质性，揭示了对实践和研究的有趣影响。
Objective
The study aimed to test whether the presence of a partner was always beneficial to people with cardiac disease and how different types of partner behaviors promoted or hindered their ...activation and distress.
Background
Cardiac disease challenges not only patients but also their partners, whose support is not always effective.
Method
A cross‐sectional dyadic research design, in which both partners completed a self‐report questionnaire during hospitalization, was adopted. The associations between partner support and patient outcomes were tested using stepwise regression analysis.
Results
The mere presence of a partner was not associated with distress or activation of a person with cardiac illness. On the contrary, the quality of partner support is differently linked with outcomes of person with cardiac illness; in particular, partner support for activation is significantly associated with lower levels of depression, anxiety, and somatization of person with cardiac disease, whereas overprotection is significantly associated with lower levels of activation.
Conclusion
Partner support may be a double‐edged sword: Partners may be a powerful ally in illness management but also a barrier to it when partner support is ineffective.
Implications
This study highlights the importance of integrating partners in cardiac recovery programs and provides suggestions for the design of couple‐based interventions.
The aim was to synthesise the current qualitative literature on the impact of Parkinson's on the couple relationship, including individual and dyad studies.
Noblit and Hare's meta-ethnography ...approach was applied; 19 studies were included in the review following a systematic search of four electronic databases. The studies included experiences of 137 People with Parkinson's and 191 partners.
Analysis produced three themes: (1) Disruption of roles and responsibilities; (2) Challenges to communication and closeness; and (3) Grief, burden, and isolation. The themes are discussed with supporting extracts from the 19 included studies.
The findings highlight the challenges that couples experience and the individual and relational resources that support coping. Support should be individually tailored to each couple as the impact on the couple may change in response to individual and contextual factors. This review adds further evidence to the case for relationally focused multidisciplinary team input at all stages of Parkinson's disease.
the transition to parenthood (TTP) is associated with changes to a couple's relationship. Quantitative evidence shows the TTP is associated with reduced satisfaction and quality of a couples’ ...relationships. Qualitative research provides information on the lived experience of couples in the TTP so can provide a more in-depth understanding of the impact. This review therefore aimed to synthesise qualitative research of the perceived impact of the TTP on a couple's relationship in contemporary Western society.
a systematic search was conducted of nine databases and grey literature. Key author, citation and reference searches were also undertaken. Papers were included if they presented qualitative data of romantic partner relationships during the TTP with parents aged 18 or over. Studies were restricted to those conducted from 1996 in Western societies. Analysis was conducted using meta-ethnography.
searches identified 5256 papers. After applying inclusion criteria 12 papers were included in the meta-synthesis. Six main themes were identified: (1) Adjustment Phase (a period of change in the relationship), (2) Focus on the Baby (with a sub-theme of feeling unprepared for the relationship impact), (3) Communication (shifts in communication patterns and importance), (4) Intimacy (changes to sexual relations, romance and closeness), (5) Strain on the Relationship (short-term or prolonged), and (6) Strengthened Relationships (deepening of connection and new affinity). Except for the themes of Strain on the Relationship and Strengthened Relationships, the findings showed the TTP had positive and negative impacts on couples’ relationships.
the review highlights a range of TTP relationship issues that couples experience and may require help with. Health care professionals working with parents in the TTP may be able to provide support through antenatal education that includes preparation for relationship changes, and provision of postnatal support to identify and overcome problems.
•The transition to parenthood can impact upon a couple's relationship.•Some parents report feeling unprepared for the impact on their relationship.•Six themes of relationship impact are presented including Strain and Strength.•Relationship strain can be short-term and strength can transpire in the long-term.•The presented themes contain examples of positive and negative effects.
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