@2024 Afarand., IRAN
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2019;3(3):111-116
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2019;3(3):111-116
Comparison of Marital Commitment and Relationship Quality between Fertile- and Infertile Couples
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Shahhosseini Tazik S. (*1)Taheri N. (1)
Sayyadi M. (1)
(*1) Educational Psychology and Consultation Department, Psychology & Educational Faculty Sciences, University of Tehran, Tehran, Iran
(1) Educational Psychology and Consultation Department, Physical Education & Sport Sciences Faculty, University of Tehran, Tehran, Iran
(1) Educational Psychology and Consultation Department, Physical Education & Sport Sciences Faculty, University of Tehran, Tehran, Iran
Correspondence
Address: Kavian University, Kosar 13, kosar Boulevard, Vakil Abad Boulevard, Mashhad, Khorasan Razavi, Iran.Phone: +98 (51) 38816393
Fax: +98 (51) 38827895
s.shahhosseini.psy@gmail.com
Article History
Received: June 7, 2018Accepted: April 14, 2019
ePublished: July 6, 2019
BRIEF TEXT
Infertility is one of the main problems in a marriage, which can have various psychological consequences, including the inability to establish quality relationship between the couples and the instability of their marital commitment.
... [1-7]. Generally, couples facing infertility sometimes are more involved in social and occupational activities as well as family withdrawal and in some cases extramarital relations can be observed [8, 9]. ... [10]. Johnson et al. divide marital commitment into three types of personal, moral and structural commitment [11]. Personal commitment represents the individual's interest and desire to continue marital relationship, moral commitment reflects individual's moral loyalty to marriage and structural commitment also points to the barriers and limitations of leaving marriage or feeling compelled to continue that relationship or fear the consequences of divorce. … [13-24].
The aim of this study was to investigate the relationship between marital commitment and relationship quality of fertile couples compared with infertile couples.
This research was a descriptive cohort study.
This study was conducted between 2015 and 2016 on 170 fertile (N=89) and infertile (N=81) men and women referred to the Sarem Hospital.
200 subjects (96 infertile subjects and 104 fertile subjects) were selected as the sample by available sampling method, but due to incomplete and incorrect answers to the questionnaires, the final sample size was reduced to 170 cases (81 infertile and 89 fertile). The inclusion criteria included being married for more than two years and the age of 18-50 years.
The research tools included marital commitment questionnaire and couples' relationship quality questionnaire. Marital commitment questionnaire: Due to the Cronbach's alpha level obtained in all domains of marital commitment (commitment to spouse 0.88, commitment to marriage 0.78, sense of commitment 0.79, and marriage commitment 0.90), this scale has a relatively high reliability coefficient. … [25-27]. Couples' relationship quality questionnaire: The validity coefficient of the questionnaire is reported 0.8. The questionnaires were distributed among the individuals after obtaining permission from the research department of Sarem Hospital. The collected data were analyzed by SPSS 19 software. Pearson correlation test was used to examine the correlation between research variables in infertile and infertile couples and Student's t-test was used to compare research variables between two groups of fertile and infertile.
In general, there was a significant difference between fertile and infertile couples (P <0.05) in relationship quality as well as most of its subscales, including paying attention to yourself, problem solving and communication styles (p <0.05) and fertile couples showed higher scores. No statistical difference was found in marital commitment scale (p> 0.05) and only in personal commitment subscale fertile couples achieved higher scores than infertile couples (p = 0.0001; Table 1). In fertile couples, there was a positive and significant correlation between marital commitment and couples' relationship quality (r = 0.27, p <0.05). In general, there was a positive and significant correlation between marital commitment and its subscales and also all couples' relationship quality subscales. On the other hand, there was a positive and significant correlation between the quality of relationship with all its four subscales and also moral commitment and structural commitment subscales in marital commitment (p <0.05), however it showed no significant correlation with personal commitment subscale (p> 0.05; Table 2). In infertile couples, there was a positive and significant correlation between marital commitment and couples' relationship quality (r <0.18, p <0.05). In addition, there was a significant positive correlation between marital commitment and its subscales and with all couples' relationship quality subscales. On the other hand, there was a positive and significant correlation between the les' relationship quality with all its four subscales and also moral commitment and structural commitment subscales (p <0.05), but it showed no significant correlation with personal commitment subscale (p> 0.05; Table 3).
The findings of this study are in line with the results of some other relevant studies [3, 6, 16, 18]. In general, training how to make qualified communication, including having a good relationship with spouse, mutual understanding, sharing feelings and thoughts, using appropriate verbal tone, careful listening, using appropriate verbal and behavioral responses to the spouse and using a sense of gratitude towards a spouse will lead to emotional closeness and intimacy, which will reduce the problems associated with infertility in marriage.
It is suggested that the present study be conducted with homogenized groups in terms of infertility duration, age of marriage and psychological health.
One of the most important limitations of this study was that due to limited number of infertile samples, it was not possible to match and control variables, such as age, duration of infertility, age of marriage and psychological status.
Infertility decreases the level of couples' personal commitment to marital life and can undermine the quality of their relationship.
Dr. Gholamreza Hajati as well as the authorities of Sarem Hospital are appreciated for their cooperation to perform this research.
None declared.
Verbal consent was obtained from the subjects before study.
This article was extracted from the research (No. 2300950517) done in Sarem Hospital.
TABLES and CHARTS
Show attach fileInfertility is one of the main problems in a marriage, which can have various psychological consequences, including the inability to establish quality relationship between the couples and the instability of their marital commitment.
... [1-7]. Generally, couples facing infertility sometimes are more involved in social and occupational activities as well as family withdrawal and in some cases extramarital relations can be observed [8, 9]. ... [10]. Johnson et al. divide marital commitment into three types of personal, moral and structural commitment [11]. Personal commitment represents the individual's interest and desire to continue marital relationship, moral commitment reflects individual's moral loyalty to marriage and structural commitment also points to the barriers and limitations of leaving marriage or feeling compelled to continue that relationship or fear the consequences of divorce. … [13-24].
The aim of this study was to investigate the relationship between marital commitment and relationship quality of fertile couples compared with infertile couples.
This research was a descriptive cohort study.
This study was conducted between 2015 and 2016 on 170 fertile (N=89) and infertile (N=81) men and women referred to the Sarem Hospital.
200 subjects (96 infertile subjects and 104 fertile subjects) were selected as the sample by available sampling method, but due to incomplete and incorrect answers to the questionnaires, the final sample size was reduced to 170 cases (81 infertile and 89 fertile). The inclusion criteria included being married for more than two years and the age of 18-50 years.
The research tools included marital commitment questionnaire and couples' relationship quality questionnaire. Marital commitment questionnaire: Due to the Cronbach's alpha level obtained in all domains of marital commitment (commitment to spouse 0.88, commitment to marriage 0.78, sense of commitment 0.79, and marriage commitment 0.90), this scale has a relatively high reliability coefficient. … [25-27]. Couples' relationship quality questionnaire: The validity coefficient of the questionnaire is reported 0.8. The questionnaires were distributed among the individuals after obtaining permission from the research department of Sarem Hospital. The collected data were analyzed by SPSS 19 software. Pearson correlation test was used to examine the correlation between research variables in infertile and infertile couples and Student's t-test was used to compare research variables between two groups of fertile and infertile.
In general, there was a significant difference between fertile and infertile couples (P <0.05) in relationship quality as well as most of its subscales, including paying attention to yourself, problem solving and communication styles (p <0.05) and fertile couples showed higher scores. No statistical difference was found in marital commitment scale (p> 0.05) and only in personal commitment subscale fertile couples achieved higher scores than infertile couples (p = 0.0001; Table 1). In fertile couples, there was a positive and significant correlation between marital commitment and couples' relationship quality (r = 0.27, p <0.05). In general, there was a positive and significant correlation between marital commitment and its subscales and also all couples' relationship quality subscales. On the other hand, there was a positive and significant correlation between the quality of relationship with all its four subscales and also moral commitment and structural commitment subscales in marital commitment (p <0.05), however it showed no significant correlation with personal commitment subscale (p> 0.05; Table 2). In infertile couples, there was a positive and significant correlation between marital commitment and couples' relationship quality (r <0.18, p <0.05). In addition, there was a significant positive correlation between marital commitment and its subscales and with all couples' relationship quality subscales. On the other hand, there was a positive and significant correlation between the les' relationship quality with all its four subscales and also moral commitment and structural commitment subscales (p <0.05), but it showed no significant correlation with personal commitment subscale (p> 0.05; Table 3).
The findings of this study are in line with the results of some other relevant studies [3, 6, 16, 18]. In general, training how to make qualified communication, including having a good relationship with spouse, mutual understanding, sharing feelings and thoughts, using appropriate verbal tone, careful listening, using appropriate verbal and behavioral responses to the spouse and using a sense of gratitude towards a spouse will lead to emotional closeness and intimacy, which will reduce the problems associated with infertility in marriage.
It is suggested that the present study be conducted with homogenized groups in terms of infertility duration, age of marriage and psychological health.
One of the most important limitations of this study was that due to limited number of infertile samples, it was not possible to match and control variables, such as age, duration of infertility, age of marriage and psychological status.
Infertility decreases the level of couples' personal commitment to marital life and can undermine the quality of their relationship.
Dr. Gholamreza Hajati as well as the authorities of Sarem Hospital are appreciated for their cooperation to perform this research.
None declared.
Verbal consent was obtained from the subjects before study.
This article was extracted from the research (No. 2300950517) done in Sarem Hospital.
TABLES and CHARTS
Show attach fileInfertility is one of the main problems in a marriage, which can have various psychological consequences, including the inability to establish quality relationship between the couples and the instability of their marital commitment.
... [1-7]. Generally, couples facing infertility sometimes are more involved in social and occupational activities as well as family withdrawal and in some cases extramarital relations can be observed [8, 9]. ... [10]. Johnson et al. divide marital commitment into three types of personal, moral and structural commitment [11]. Personal commitment represents the individual's interest and desire to continue marital relationship, moral commitment reflects individual's moral loyalty to marriage and structural commitment also points to the barriers and limitations of leaving marriage or feeling compelled to continue that relationship or fear the consequences of divorce. … [13-24].
The aim of this study was to investigate the relationship between marital commitment and relationship quality of fertile couples compared with infertile couples.
This research was a descriptive cohort study.
This study was conducted between 2015 and 2016 on 170 fertile (N=89) and infertile (N=81) men and women referred to the Sarem Hospital.
200 subjects (96 infertile subjects and 104 fertile subjects) were selected as the sample by available sampling method, but due to incomplete and incorrect answers to the questionnaires, the final sample size was reduced to 170 cases (81 infertile and 89 fertile). The inclusion criteria included being married for more than two years and the age of 18-50 years.
The research tools included marital commitment questionnaire and couples' relationship quality questionnaire. Marital commitment questionnaire: Due to the Cronbach's alpha level obtained in all domains of marital commitment (commitment to spouse 0.88, commitment to marriage 0.78, sense of commitment 0.79, and marriage commitment 0.90), this scale has a relatively high reliability coefficient. … [25-27]. Couples' relationship quality questionnaire: The validity coefficient of the questionnaire is reported 0.8. The questionnaires were distributed among the individuals after obtaining permission from the research department of Sarem Hospital. The collected data were analyzed by SPSS 19 software. Pearson correlation test was used to examine the correlation between research variables in infertile and infertile couples and Student's t-test was used to compare research variables between two groups of fertile and infertile.
In general, there was a significant difference between fertile and infertile couples (P <0.05) in relationship quality as well as most of its subscales, including paying attention to yourself, problem solving and communication styles (p <0.05) and fertile couples showed higher scores. No statistical difference was found in marital commitment scale (p> 0.05) and only in personal commitment subscale fertile couples achieved higher scores than infertile couples (p = 0.0001; Table 1). In fertile couples, there was a positive and significant correlation between marital commitment and couples' relationship quality (r = 0.27, p <0.05). In general, there was a positive and significant correlation between marital commitment and its subscales and also all couples' relationship quality subscales. On the other hand, there was a positive and significant correlation between the quality of relationship with all its four subscales and also moral commitment and structural commitment subscales in marital commitment (p <0.05), however it showed no significant correlation with personal commitment subscale (p> 0.05; Table 2). In infertile couples, there was a positive and significant correlation between marital commitment and couples' relationship quality (r <0.18, p <0.05). In addition, there was a significant positive correlation between marital commitment and its subscales and with all couples' relationship quality subscales. On the other hand, there was a positive and significant correlation between the les' relationship quality with all its four subscales and also moral commitment and structural commitment subscales (p <0.05), but it showed no significant correlation with personal commitment subscale (p> 0.05; Table 3).
The findings of this study are in line with the results of some other relevant studies [3, 6, 16, 18]. In general, training how to make qualified communication, including having a good relationship with spouse, mutual understanding, sharing feelings and thoughts, using appropriate verbal tone, careful listening, using appropriate verbal and behavioral responses to the spouse and using a sense of gratitude towards a spouse will lead to emotional closeness and intimacy, which will reduce the problems associated with infertility in marriage.
It is suggested that the present study be conducted with homogenized groups in terms of infertility duration, age of marriage and psychological health.
One of the most important limitations of this study was that due to limited number of infertile samples, it was not possible to match and control variables, such as age, duration of infertility, age of marriage and psychological status.
Infertility decreases the level of couples' personal commitment to marital life and can undermine the quality of their relationship.
Dr. Gholamreza Hajati as well as the authorities of Sarem Hospital are appreciated for their cooperation to perform this research.
None declared.
Verbal consent was obtained from the subjects before study.
This article was extracted from the research (No. 2300950517) done in Sarem Hospital.
TABLES and CHARTS
Show attach fileCITIATION LINKS
[1]Moura-Ramos M, Gameiro S, Soares I, Santos TA, Canavarro MC. Psychosocial adjustment in infertility: A comparison study of infertile couples, couples undergoing assisted reproductive technologies and presumed fertile couples. Psicologia, Saúde e Doenças. 2010;11(2):299-319.
[2]Peterson BD, Newton CR, Rosen KH. Examining congruence between partners' perceived infertility‐related stress and its relationship to marital adjustment and depression in infertile couples. Fam process. 2003;42(1):59-70.
[3]Nichols M. Lesbian sexuality/female sexuality: Rethinking 'lesbian bed death'. Sex Relatsh Ther. 2004;19(4):363-71.
[4]Sherrod RA. Understanding the emotional aspects of infertility: Implications for nursing practice. J Psychosoc Nurs Ment Health Serv. 2004;42(3):40-7.
[5]Behdani F, Erfanian M, Hebrani P, Hojat SK. Investigation of the prevalence of depression and factors affecting it in infertile women admitted in Mashhad's Montaseryeh infertility clinic. J Fundam Ment Health. 2004;6(23-24):141-6. [Persian]
[6]Drosdzol A, Skrzypulec V. Evaluation of marital and sexual interactions of Polish infertile couples. J Sex Med. 2009;6(12):3335-46.
[7]World Health Organization. Current practices and controversies in assisted reproduction [Internet]. Vayena E, Rowe PJ, Griffin PD, editors. Geneva: World Health Organization; 2002 [cited 2015 Sep 18]. Available from: http://www.who.int/reproductivehealth/publications/infertility/9241590300/en/
[8]Shahsiah M, Bahrami F, Mohebi S. On the relationship between sexual satisfaction and marital commitment among couples in Shahreza City, central part of Iran. J Fundam Ment Health. 2009;11(3):233-8. [Persian]
[9]Weeks G, Treat S. Couples in treatment. Abingdon-on-Thames: Routledge; 2013.
[10]Lambert NM, Dollahite DC. The threefold cord: Marital commitment in religious couples. J Fam Issues. 2008;29(5):592-614.
[11]Johnson MP, Caughlin JP, Huston TL. The tripartite nature of marital commitment: Personal, moral, and structural reasons to stay married. J Marriage Fam. 1999;61(1):160-77.
[12]Abbasi Molid H. The effectiveness of educating reality therapy on couples' marital commitment in Khomeynishahr county [Dissertation]. Isfahan: University of Isfahan; 2009. [Persian]
[13]Amato PR. Reconciling divergent perspectives: Judith Wallerstein, quantitative family research, and children of divorce. Fam Relat. 2003;52(4):332-9.
[14]Peterson BD, Newton CR, Rosen KH, Skaggs G. Gender differences in how men and women who are referred for IVF cope with infertility stress. Hum Reprod. 2006;21(9):2443-9.
[15]Nichols MP, Guerin PJ, Chabot DR. Family therapy: Concepts and methods. New York: Gardner Press; 1984.
[16]Mosko JE. Commitment and attachment dimensions: Contributions to adult attachment development [Dissertation]. West Lafayette IN: Purdue University; 2009.
[17]Clements R, Swensen CH. Commitment to one’s spouse as a predictor of marital quality among older couples. Curr Psychol. 2000;19(2):110-9.
[18]Amani A, Behzad D. The effectiveness of schema-therapy on promoting marital commitment and couples' self-esteem. Couns Res. 2012;11(41):117-33. [Persian]
[19]Stanley SM, Markman HJ, Whitton SW. Communication, conflict, and commitment: Insights on the foundations of relationship success from a national survey. Fam Process. 2002;41(4):659-75.
[20]Speroff L, Fritz MA, editors. Clinical gynecologic endocrinology and infertility. Philadelphia: Lippincott Williams & Wilkins; 2005.
[21]Yaghmaei F, Mohammadi S, Alavimajd H. Developing quality of life in infertile couples questionnaire and measuring its psychometric properties. J Reprod Infertil. 2009;10(2):137-43. [Persian]
[22]Moulavinia MJ. Sexual and marital knowledge. Qom: Imame Asr; 2004. [Persian]
[23]Farajnia S, Hosseinian S, Shahidi S, Sadeghi MS. Codifying and examine psychometrics properties of marital sexual function scale (MSFS). Biannu J Appl Couns. 2014;4(1):87-104. [Persian]
[24]Litzinger S, Gordon KC. Exploring relationships among communication, sexual satisfaction, and marital satisfaction. J Sex Marital Ther. 2005;31(5):409-24.
[25]Ghanbari Hashemabadi B, Hatami Varzaneh A, Esmaieli M, Farahbakhsh K. On the relationship among parenting styles, attachment styles and marital commitment in married female students of Allameh Tabatabai University. J Woman. 2011;2(7):39-60. [Persian]
[26]Adams JM, Jones WH. The conceptualization of marital commitment: An integrative analysis. J Personal Soc Psychol. 1997;72(5):1177-96.
[27]Reynolds J, Mansfield P. The effect of changing attitudes to marriage on its stability. In: Simons J, editor. High divorce rates: The state of the evidence on reasons and remedies, reviews of evidence on the causes of marital breakdown and the effectiveness of policies and services intended to reduce its incidence. 1st Volume. London: Lord Chancellor's Department; 1999. pp. 1-38.
[28]Khoshkam S, Ahmadi SA, Abedi MR. The effect of couple’s relationship training course in the improvement of the relationship of the couples of Isfahan. J Res Couns. 2008;6(24):123-36. [Persian].
[2]Peterson BD, Newton CR, Rosen KH. Examining congruence between partners' perceived infertility‐related stress and its relationship to marital adjustment and depression in infertile couples. Fam process. 2003;42(1):59-70.
[3]Nichols M. Lesbian sexuality/female sexuality: Rethinking 'lesbian bed death'. Sex Relatsh Ther. 2004;19(4):363-71.
[4]Sherrod RA. Understanding the emotional aspects of infertility: Implications for nursing practice. J Psychosoc Nurs Ment Health Serv. 2004;42(3):40-7.
[5]Behdani F, Erfanian M, Hebrani P, Hojat SK. Investigation of the prevalence of depression and factors affecting it in infertile women admitted in Mashhad's Montaseryeh infertility clinic. J Fundam Ment Health. 2004;6(23-24):141-6. [Persian]
[6]Drosdzol A, Skrzypulec V. Evaluation of marital and sexual interactions of Polish infertile couples. J Sex Med. 2009;6(12):3335-46.
[7]World Health Organization. Current practices and controversies in assisted reproduction [Internet]. Vayena E, Rowe PJ, Griffin PD, editors. Geneva: World Health Organization; 2002 [cited 2015 Sep 18]. Available from: http://www.who.int/reproductivehealth/publications/infertility/9241590300/en/
[8]Shahsiah M, Bahrami F, Mohebi S. On the relationship between sexual satisfaction and marital commitment among couples in Shahreza City, central part of Iran. J Fundam Ment Health. 2009;11(3):233-8. [Persian]
[9]Weeks G, Treat S. Couples in treatment. Abingdon-on-Thames: Routledge; 2013.
[10]Lambert NM, Dollahite DC. The threefold cord: Marital commitment in religious couples. J Fam Issues. 2008;29(5):592-614.
[11]Johnson MP, Caughlin JP, Huston TL. The tripartite nature of marital commitment: Personal, moral, and structural reasons to stay married. J Marriage Fam. 1999;61(1):160-77.
[12]Abbasi Molid H. The effectiveness of educating reality therapy on couples' marital commitment in Khomeynishahr county [Dissertation]. Isfahan: University of Isfahan; 2009. [Persian]
[13]Amato PR. Reconciling divergent perspectives: Judith Wallerstein, quantitative family research, and children of divorce. Fam Relat. 2003;52(4):332-9.
[14]Peterson BD, Newton CR, Rosen KH, Skaggs G. Gender differences in how men and women who are referred for IVF cope with infertility stress. Hum Reprod. 2006;21(9):2443-9.
[15]Nichols MP, Guerin PJ, Chabot DR. Family therapy: Concepts and methods. New York: Gardner Press; 1984.
[16]Mosko JE. Commitment and attachment dimensions: Contributions to adult attachment development [Dissertation]. West Lafayette IN: Purdue University; 2009.
[17]Clements R, Swensen CH. Commitment to one’s spouse as a predictor of marital quality among older couples. Curr Psychol. 2000;19(2):110-9.
[18]Amani A, Behzad D. The effectiveness of schema-therapy on promoting marital commitment and couples' self-esteem. Couns Res. 2012;11(41):117-33. [Persian]
[19]Stanley SM, Markman HJ, Whitton SW. Communication, conflict, and commitment: Insights on the foundations of relationship success from a national survey. Fam Process. 2002;41(4):659-75.
[20]Speroff L, Fritz MA, editors. Clinical gynecologic endocrinology and infertility. Philadelphia: Lippincott Williams & Wilkins; 2005.
[21]Yaghmaei F, Mohammadi S, Alavimajd H. Developing quality of life in infertile couples questionnaire and measuring its psychometric properties. J Reprod Infertil. 2009;10(2):137-43. [Persian]
[22]Moulavinia MJ. Sexual and marital knowledge. Qom: Imame Asr; 2004. [Persian]
[23]Farajnia S, Hosseinian S, Shahidi S, Sadeghi MS. Codifying and examine psychometrics properties of marital sexual function scale (MSFS). Biannu J Appl Couns. 2014;4(1):87-104. [Persian]
[24]Litzinger S, Gordon KC. Exploring relationships among communication, sexual satisfaction, and marital satisfaction. J Sex Marital Ther. 2005;31(5):409-24.
[25]Ghanbari Hashemabadi B, Hatami Varzaneh A, Esmaieli M, Farahbakhsh K. On the relationship among parenting styles, attachment styles and marital commitment in married female students of Allameh Tabatabai University. J Woman. 2011;2(7):39-60. [Persian]
[26]Adams JM, Jones WH. The conceptualization of marital commitment: An integrative analysis. J Personal Soc Psychol. 1997;72(5):1177-96.
[27]Reynolds J, Mansfield P. The effect of changing attitudes to marriage on its stability. In: Simons J, editor. High divorce rates: The state of the evidence on reasons and remedies, reviews of evidence on the causes of marital breakdown and the effectiveness of policies and services intended to reduce its incidence. 1st Volume. London: Lord Chancellor's Department; 1999. pp. 1-38.
[28]Khoshkam S, Ahmadi SA, Abedi MR. The effect of couple’s relationship training course in the improvement of the relationship of the couples of Isfahan. J Res Couns. 2008;6(24):123-36. [Persian].