Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Mediator Effect of Marital Intimacy on the Relationship between Depression and Marital Satisfaction of Infertile women

난임 여성의 우울과 결혼만족도와의 관계에서 부부친밀감의 매개효과

  • Kim, Miok (Dankook University College of Nursing) ;
  • Kim, Hee Sun (Chonbuk National University College of Nursing)
  • Received : 2017.12.02
  • Accepted : 2018.04.23
  • Published : 2018.04.30
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Abstract

Purpose: This study the mediating effects of marital intimacy the relationship between depression and marital satisfaction of infertile women. Methods: 165 infertile women visiting a hospital in Gyeonggi-do and Busan, Korea from January 2016 to April 2016. The data was analyzed the SPSS WIN 22.0 program. Results: Depression, marital satisfaction, and marital intimacy averaged $1.51{\pm}.32$ (range of scale 0~3), $3.50{\pm}.56$ (range of scale 1~5), and $3.74{\pm}.65$ (range of scale 1~5), respectively. Depression had a negative correlation with marital satisfaction (r=-.361, p<.001) and marital intimacy(r=-.183, p<.001). Marital intimacy also had a positive correlation with marital satisfaction (r=.637, p<.001). Marital intimacy partial mediating effects between depression and marital satisfaction (${\beta}=.591$, p<.001). Conclusion: the intimacy of couple can alleviate the causal consequences that lead to a decrease in the marital satisfaction due to depression. Therefore, healthcare providers for infertile women should screen depressed women and help support infertile women from negative values for marriage depression. In addition, it is necessary to include interventions for maintaining and enhancing the intimacy of couples during infertility treatment.

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References

  1. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 51(6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  2. Greeff, A. P., & Malherbe, H. L. (2001). Intimacy and marital satisfaction in spouse. Journal of Sex & Marital Therapy, 27(3), 247-257. https://doi.org/10.1080/00926230 1750257100
  3. Lindsey, B., & Driskill, C. (2013). The psychology of infertility. International Journal of Childbirth Education, 28(3), 41-47.
  4. Chachamovich, J., Chachamovich, E., Fleck, M. P., Cordova, F. P., Knauth, D., & Passos, E. (2009). Congruence of quality of life among infertile men and women: findings from a couple-based study. Human Reproduction, 24(9), 2151-2157. http://dx.doi. org/10.1093/humrep/dep177.
  5. Cho, M. J., & Kim, K. H. (1993). Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 32(3), 381-399.
  6. Faramarzi, M. H., Pasha, S., Esmaelzadeh, G., Jorsarai, M., & Aghajani, M. S. A. (2013). Is coping strategies predictor of anxiety and depression in couple infertile? Scientific Research Corporation, 3A, 643-649. http://dx.doi.org/10.4236/health.2013.53A0 85
  7. Faria, D. E. P., Grieco, S. C, & Barros, S. M. O. (2012). The effects of infertility on the spouses' relationship. Revista da Escola de Enfermagem da USP. 46(4), 794-801. http://dx.doi.org/10.1590/S0080-62342012 000400002
  8. Greil, A. L., Slauson-Blevins, K., & McQuillan, J. (2010). The experience of infertility: a review of recent literature. Sociology of Health and Illness, 32(1), 140-162. http://dx.doi.org/10.1111/j.14679566.2009 .01213.x
  9. Hong, J. E., & Park, J. M. (2017). A phenomenological study on the spontaneous abortion experiences of women. Korean Journal of Women Health Nursing, 23(2), 63-77. https://doi.org/10.4069/kjwhn.2017.23.2.63
  10. Hwang, N. M. (2013). Factors related to the depression of infertile women. Health and Social Welfare Review, 33(3), 161-187. https://doi.org/10.15709/hswr.2013.33.3.161
  11. Hwang, N. M.., Chae, S. M., Lee, S. L., Kim, Y. S,, Kim, J. G., & Jeon, J. W. (2015). Strategies of infertility counselling program of Industrialized Countries and Policy Implication in Korea. Seoul: Korea Institute for Health and Social Affairs.
  12. Karimi, S., Hasani, M., Soltani, Z., Dalvand, M. R., & Zohdi, M. H. (2012). Effects of communication skills training on increasing intimacy between male teachers and their spouses: a case study in Baane City. Journal of Basic and Applied Scientific Research. 2(4), 3653-3659.
  13. Kwak, S. S. (2017, September). Despite infertility insurance subsidies, 15000 patients cannot benefit, Korean Doctor's Weekly, Avaliable from http://www.docdocdoc.co.kr/news/articleView.html?idxno=1047282
  14. Kim, M, O., Nam, H. A., & Youn, M. S. (2016). Infertility stress, depression, and resilience in women with infertility treatments. Journal of Korean Public Health Nursing, 30(1), 93-104. http://dx.doi.org/10.5932/ JKPHN.2016.30.1.93
  15. Kim, M. O., Park, J. S., & Nam, H. A. (2016). Factors associated with marital satisfaction of women under infertility treatments. Journal of Korean Society Maternal Child Health, 20(3), 228-238. https://doi.org/10.21896/jksmch.2016.20.3.228
  16. Kwon, J. H., & Chae, K. M. (1999). A validation study of the Korean marital satisfaction inventory. Korean Journal of Clinical Psychology, 18(2). 139-150.
  17. Lakatos, E., Szigeti, J. F., Ujma, P. P., Sexty, R., & Balog, P. (2017). Anxiety and depression among infertile women: a cross-sectional survey from Hungary. BMC Womens Health, 17(1), 48. http://dx.doi.org/10.1186/s12905 -017-0410-2
  18. Lee, K. H. (1998). Marriage types classified by wives' perception of marital conflict and intimacy. Unpublished doctoral dissertation, Seoul National University, Seoul.
  19. Lee, I. S., Moon, J. S. (2000). Knowledge of sex, attitude toward sex, and sexual satisfaction in married women, Journal of Korean Public Health Nursing, 14(1), 396-414.
  20. Lotfi, N., Zarei, E., & Samavi, S. A. (2015). The impact of infertility counseling on intimacy between infertile couples of Qeshm. Journal of Applied Environmental and Biological Sciences, 5(7), 192-196.
  21. Mindes, E., Ingrama, K., Kliewera, W., & James, C. (2003). Longitudinal analyses of the relationship between unsupportive social interactions and psychological adjustment among women with fertility problems. Social Science & Medicine, 56, 2165-2180. http://dx.doi.org/10.1016/S0277-9536(02)0 0221-6
  22. Mouavi, S. S., Klyani, M. N., Karimi, S., & Piriaee, S. (2015). The relationship between social support and mental health in infertile women. Scholars Journal of Applied Medical Sciences, 3(1D), 244-248.
  23. Moura-Ramos, M., Gameiro, S., Canavarro, M., & Soares, I. (2012). Assessing infertility stress: Re-examining the factor structure of the Fertility Problem Inventory. Human reproduction, 27(2), 496-505. http://dx.doi. org/10.1093/humrep/der388
  24. Quant, H. S., Zapantis, A. Nihsen, M., Bevilacqua, K., Jindal, S., & Lubna, P. (2013). Reproductive implications of psychological distress for couples undergoing IVF. Journal of Assisted Reproduction and Genetics, 30, 1451-1458. http://dx.doi.org/ 10.1007/s10815-013-0098-7
  25. Snyder, D. K. (1979). Multidimensional assessment of marital satisfaction. Journal of Marriage and the Family, 41, 813-823. https://doi.org/10.2307/351481
  26. Tao, P,, Coates, R,, & Maycock, B. (2012). Investigating marital relationship in infertility: a systematic review of quantitative studies. Journal of Reproduction & Infertility, 13(2), 71-80.
  27. Wilson, A., Weedin, E. A., O'Leary, D. W., Hansen, K. R., Carter, A., & Craig, L. T. B. (2014). The effects of fertility treatment on depression, anxiety, and marital satisfaction. Austin Journal of Women's Health, 1(1), 4.
  28. World Health Organization (2002). Current practices and controversies in assisted reproduction; report of a meeting on medical, ethical and social aspects of assisted reproduction. Geneva: World Health Organization.
  29. Yoo, Y. S., & Cho, O H. (2001). Spouse support, sexual satisfaction and marital intimacy of post-mastectomy patients. Journal of Korean Public Health Nursing, 15(1), 148-156.
  30. Youn, D. A. (2012). The relationship between ambivalence over emotional expressiveness and marital satisfaction: the mediating effects of emotion regulation strategy. Unpublished Master's Thesis, Catholic University, Seoul. Korea.