ABSTRACT
The speedy change in the Saudi Arabian community's socio-demographic pattern will significantly influence reproductive attitudes and practices with increasing preferences toward family planning because of the use of contraceptives. The current study was conducted to determine the attitudes and knowledge of married women in the Aseer region of Saudi Arabia regarding contraceptives use. Saudi married women from the Aseer region were the participants of this cross-sectional study. The study's objectives were covered via a standardized questionnaire, and the study comprised of 412 married women. A 100 % participant's response was demonstrated, while 31.8 % of the respondents were 31-40 years old. Most of the participants have a great awareness and knowledge about contraceptives, while (n=324; 78.6%) had previously used contraceptives. Additionally, 297 (72.1%) have intention to use contraceptive methods in the future. Majority of the participants (n=297; 91.6%) considered the economic and family planning as a reason for using the contraceptives, while natural family planning was mostly preferred (n=202; 49%). Logistic regression analysis exhibited significant correlation between the age, education, employment, monthly income and children number. The findings show that Saudi married women have high perceptions and knowledge of contraception. However, more effort is required to raise awareness regarding family planning and contraceptives, whereas the policy makers must exclude the obstacles to women from using contraceptives.
Subject(s)
Female , Saudi Arabia , Spouses , Contraception , Family Development PlanningABSTRACT
Abstract Objective Early marriage has many deleterious effects on the health of girls, such as sexual dissatisfaction, an inevitable result of the lack of sufficient knowledge about sexual issues at the time of the marriage. The goal of the present study was to determine the effectiveness of counseling based on functional analytic psychotherapy with enhanced cognitive therapy (FECT) on the sexual quality of life of married adolescent women. Methods This clinical trial was conducted between July and October 2019 on 150 married adolescent women who met the inclusion criteria. In the intervention group, FECTwas conducted in sixteen 90-minute sessions twice a week. The Sexual Quality of Life-Female (SQOL-F) questionnaire was used. When the study ended, the control group was given the choice of receiving the same intervention as the intervention group. Results The paired t-test showed a significant difference between the mean score of sexual quality of life before (52.33±23.09) and after (88.08±10.51) counseling in the intervention group (p<0.0001). According to the analysis of covariance, there was a significant difference between the score on sexual quality after counseling between the intervention (88.08±10.51) and control (60.32±23.73) groups (p<0.0001). There was also a significant difference between the mean score on the four dimensions of sexual quality of life in the intervention group (p<0.0001). Conclusion The results showed that counseling based on FECT improved the sexual quality of life in all dimensions in married adolescent women.
Resumo Objetivo O casamento precoce tem muitos efeitos deletérios sobre a saúde das meninas, como a insatisfação sexual, resultado inevitável da falta de conhecimento suficiente sobre questões sexuais no momento do casamento. O objetivo do presente estudo foi determinar a eficácia do aconselhamento baseado em psicoterapia analítica funcional com terapia cognitiva aprimorada (FECT) na qualidade de vida sexual de mulheres adolescentes casadas. Métodos Este ensaio clínico foi realizado entre julho e outubro de 2019 em 150 mulheres adolescentes casadas que preencheram os critérios de inclusão. No grupo de intervenção, FECT foi realizado em dezesseis sessões de 90 minutos duas vezes por semana. Foi utilizado o questionário Sexual Quality of Life-Female (SQOL-F). Quando o estudo terminou o grupo de controle teve a opção de receber a mesma intervenção do grupo de intervenção. Resultados O teste t pareado mostrou diferença significativa entre o escore médio da qualidade de vida sexual antes (52,33±23,09) e após (88,08±10,51) o aconselhamento no grupo intervenção (p<0,0001). De acordo com a análise de covariância houve diferença significativa entre o escore de qualidade sexual após aconselhamento entre os grupos intervenção (88,08±10,51) e controle (60,32±23,73) (p<0,0001). Também houve diferença significativa entre a pontuação média nas quatro dimensões da qualidade de vida sexual no grupo de intervenção (p<0,0001). Conclusão Os resultados mostraram que o aconselhamento baseado no FECT melhorou a qualidade de vida sexual em todas as dimensões em mulheres adolescentes casadas.
Subject(s)
Humans , Female , Adolescent , Marriage , Cognitive Behavioral Therapy , Quality of Life , Sexual Behavior , CounselingABSTRACT
Resumen La infidelidad marital es relativamente frecuente a pesar de sus consecuencias. Este estudio tuvo como objetivo desarrollar un modelo predictivo de la conducta sexual infiel en personas casadas, mediante el análisis de siete variables que participan en el fenómeno de la infidelidad. Se colectó una muestra de 790 personas casadas (53.4 % mujeres y 47.6 % hombres) por rutas al azar en Monterrey, México. Se aplicó la Escala de Valoración de la Relación, Índice de Satisfacción Sexual, Escala de Actitud hacia la Exclusividad Marital, Escalas de Conducta Infiel, Escala de Búsqueda de Sensaciones Sexuales y Escala de Engrandecimiento Marital. Se especificó el modelo con 2 variables exógenas correlacionadas (búsqueda de sensaciones sexuales y engrandecimiento marital) y 5 variables endógenas (actitud hacia la infidelidad, satisfacción marital, satisfacción sexual, deseo de infidelidad sexual y conducta de infidelidad sexual). De cada 100 participantes, 6 estaban insatisfechos con su matrimonio, 13 con las relaciones sexuales con su pareja y 20 veían más defectos que virtudes en sus parejas. Además, 83 informaron no incurrir en conductas de infidelidad sexual, 60 indicaron total rechazo hacia la propia infidelidad, 72 no mostraron deseo de infidelidad sexual y 51 reportaron no buscar de sensaciones sexuales. El modelo mostró un efecto grande sobre la conducta de infidelidad sexual, explicando 70.8 % de su varianza, y tuvo un buen ajuste: χ 2 (7) = 11.93, P = 0.10, RMSEA = 0.03 y SRMR = 0.01. Se concluye que la variable más crítica es el deseo de infidelidad sexual, cuyo determinante más importante es la búsqueda de sensaciones sexuales. La correlación negativa entre esta última variable y engrandecimiento marital indica que estas 2 variables se pueden modular una a la otra. A su vez, el modelo remarca aspectos de insatisfacción marital y sexual.
Abstract Marital infidelity is relatively frequent despite its consequences. The aim of the study was to develop a predictive model of sexual infidelity behavior among married persons, through the analysis of seven variables related to the infidelity construct. A sample of 790 married persons (53.4 % women and 47.6 % men) was collected in Monterrey, Mexico using random route sampling. The Relationship Assessment Scale, Sexual Satisfaction Index, Attitude toward Marital Exclusivity Scale, Unfaithful Behavior Scales, Sexual Sensation Seeking Scale, and Marital Aggrandizement Scale were applied. A model with 2 correlated exogenous variables (sexual sensation seeking and marital aggrandizement) and 5 endogenous variables (attitude towards infidelity, marital satisfaction, sexual satisfaction, desire for sexual infidelity, and sexual infidelity behavior) was specified. Six out of 100 participants were dissatisfied with their marriage and 13 with sexual relations with their partner and 20 saw more defects than virtues in their partners. In addition, 83 informed not engaging in sexual infidelity behaviors, 60 indicated total rejection towards own sexual infidelity, 72 showed no desire for sexual infidelity and 51 reported not seeking sexual sensations. The model showed a large effect on the sexual infidelity behavior, explaining 70.8 % of its variance, and had a close fit: χ 2 (7) = 11.93, P-value = 0.10, RMSEA = 0.03, and SRMR = 0.01. It is concluded that the most critical variable in the model is the desire for sexual infidelity, whose most important determinant was the sexual sensation seeking. The negative correlation between this last variable and marital aggrandizement indicates that these 2 variables can be modulated one to the other. Furthermore, the model highlights aspects of marital and sexual dissatisfaction.
ABSTRACT
Background:Family planning is one of the factors which have a great role in the reduction of global poverty by positively contributing to socio-economic development. Additionally controlling both the number and timing of births through utilization of contraception isassociated with improved maternal and neonatal health outcomes. The aim of the study was to assess utilization of modern contraception among married women. Methods:A community based cross-sectional study with quantitative and qualitative study methods was conducted from February 15 toMarch 15, 2016 in Aleta Chuko district, Southern Ethiopia.Multistage cluster sampling procedure was used to select a total of 364 married womenof reproductive age(18-49).Descriptive statistics, Bivariate and multivariate logistic regression analyses were performed using SPSS version 20.0. On the other hand, qualitativedata were analyzed thematically and the result was presented innarration.Results:Contraceptive prevalence rate among married women in Aleta Chuko district was 45.5%. Results of Multiple Binary Logistic Regression revealed that residence, educational level of the respondents, discussion about modern contraceptives with husband, partner’s approval of modern contraceptive use and joint decision on the number of children were significantly associated with modern contraceptive use.Conclusions:Therefore, district health office and concerned stakeholders should focus on couples to encourage girl’s education, communication between couples, and male involvement for family planning.
ABSTRACT
Background: primary dysmenorrhea [PD] or menstrual cramp is a natural phenomenon which occurs throughout the reproductive years of every women. It characterized by cramping and lower abdominal pain just before and during menstruation. It occupies 20% – 90% of female population. Purpose: The aim is to assessing and comparing the intensity of pain and symptoms for PD in married and unmarried. Methodology: A total 100 female with PD were recruited by simple random sampling to participate in this study. Recruited female with PD were allocated into two groups, Group A unmarried women and Group B married women were provided with MOOS menstrual distress questionnaire [MDQ], WaLIDD score and pain scoring NPRS numerical pain rating scale were used to assess the severity of pain and symptoms. Result: Group A shows significant difference [p< o.o1] in MDQ and NPRS when compared to Group B. Conclusion: The study shows unmarried women’s have increase intensity of pain and symptoms than married women.
ABSTRACT
Background: India will soon surpass China as the world’s most populous nation by 2022. Though India was the first to launch family planning in 1952, population stabilization remains a distant dream. No scalpel vasectomy (NSV) is a modified and sophisticated technique of vasectomy which can be performed in low resource settings. However, acceptance of NSV is declining in India including Maharashtra. Hence a study was conducted to evaluate factors affecting acceptance of NSV amongst married men visiting urban and rural health facilities of Maharashtra.Methods: A cross sectional study was conducted amongst randomly selected 50 married males of 21 years old and above each in conveniently selected urban and rural health centre under a medical college. After obtaining written informed consent from the participants, data was collected from November to December 2018 with the help of semi structured questionnaire. Socio-demographic information, knowledge, attitude and practices were entered and analyzed in Epi Info 7. Study was approved by the institutional ethics committee.Results: Majority (60%) of men attending the urban health care setup knew about NSV compared to those attending rural set up (34%). More number of participants from rural area (62%) were of opinion that NSV affects sexual performance as compared to urban area (44%). Willingness to recommend NSV to others was 62% and 32% in urban and rural men respectively. None of the participants (0%) underwent NSV.Conclusions: There is a huge gap between knowledge, attitude and practices regarding NSV in the study participants. It shows a need to revise strategies for its promotion.
ABSTRACT
Objective@# To explore the influence of marital status on the survival of patients with buccal mucosa squamous cell carcinoma (BMSCC) and to provide a scientific basis for risk assessment and nursing decisions for these patients.@*Methods @# A total of 1 006 BMSCC participants were identified in the Surveillance, Epidemiology, and End Results(SEER) database. Kaplan-Meier analysis was used to evaluate the effect of marital status (married, unmarried and unhappily married) on the survival of patients with buccal squamous cell carcinoma. The independent prognostic effect of marital status was further determined by univariate and multivariate Cox proportional hazard regression analysis.@*Results@# Marital status was an independent prognostic factor for BMSCC patients (P=0.001). Married patients had the best survival, while separated/divorced/widowed patients had the worst survival (HR=1. 445, P=0.001), and never married patients had an intermediate risk (HR=1.297, P=0.040).@*Conclusion@#Marital status was an independent prognostic factor for BMSCC patients. Unmarried and unhappily married patients had worse survival, which suggests that we should pay more attention to patients’ marital status, especially unmarried and unhappily married patients.
ABSTRACT
Background: India was the first country to have launched a National Program for Family Planning in 1952, but still there is no control on population growth. The objective was to assess the knowledge, attitude and practices of contraceptives among married women in semi urban area of Tamil Nadu.Methods: A community based cross sectional study was conducted in a semi urban area of Tamil Nadu. Married women of reproductive age (15-49) were included. Purposive sampling technique was used to select the subjects and self-administered questionnaire was used as study tool.Results: In this study about 91.80% were aware of at least one of the contraceptive methods but only 64.75% women used. The most common reason for using contraception was small family norms (75.89%) and for not using contraception was worried about side effects. The method commonly preferred was sterilisation (63.93%). The process of decision making was done mutually by both husband and wife (76.79%). There is an association existing between the education and awareness.Conclusions: On overall analysis it was found that only 49% are aware of contraception. Thus by proper motivation, counselling and improving facilities at both government and private sector, the unmet needs of contraception can be a
ABSTRACT
Background: Even though India was the first country to launch family planning programme, population growth rate of India is still higher. Males are often the dominant decision makers of the family. Many studies regarding contraception has been done on females but the same is lacking on males. Aims & Objectives: The aim was to assess the level of awareness and practices about the contraceptive methods and factors associated with awareness and use among the married males in slums of Phulwarisharif block of Patna. Material & Methods: A cross-sectional study was conducted among 212 married males aged 18 to 60 years over a period of 3 months in slums of Phulwarisharif, Patna. Data were collected by interview of study subjects using predesigned and pretested questionnaire. Descriptive statistics and chi-square test were applied using SPSS software. Results: Among 212 married males 91.5 % have heard of at least one contraceptive method, while only 42.45% have ever used any contraceptive method. The major source of knowledge among 194 aware participants were friends and family members (78.9%). Age, duration of marriage, number of children and position in the family were associated with level of awareness. Conclusion: Despite of high awareness about contraceptives low utilization and limited knowledge was observed among the married male participants.
ABSTRACT
Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour. The National Population policy (NPP) 2000 states that the immediate objective is to address the unmet need for contraceptive services. Unintended pregnancy related to unmet need is a worldwide problem that affects women and their families and societies at large.Methods: A community based cross-sectional study was conducted from November 2016 to October 2017 in Maralur and Maralur Dinne, urban localities under urban health Training Centre of Sri Siddhartha Medical College. 260 Married women (15–49 years) were interviewed by house to house survey. The questionnaire was used to collect data to assess their reproductive intentions and contraceptive behaviour.Results: Out of 260 participants, 144 (55.4%) of them belonged to the group where their contraceptive needs were met for spacing and limiting births, 59 (22.69%) of them of did not have any need for contraceptives, 16 (6.15%) had unmet need for spacing births and 41 (15.77%) of the participants had unmet need for limiting births.Conclusions: The unmet need for contraceptives was 21.92% in the study which is much higher compared to NFHS-4 data for urban India (12.1%). The reasons and the factors associated with the unmet need should be addressed.
ABSTRACT
O presente estudo tem como objetivo investigar o modo como o casal se constitui, com base no enfoque psicanalítico, levando em consideração os aspectos intrapsíquicos e intersubjetivos examinam-se, inicialmente, a escolha amorosa como base do processo identificatório e suas implicações na formação do casal. Em seguida, investigam-se o conceito de vínculo e a formação conjugal, a partir das concepções de Puget, Berenstein, Eiguer e Kaës. Por fim, discute-se o conceito de alianças inconscientes, a partir de suas tipologias. Constata-se que a formação do casal oferece, por um lado, um continente, palco de encenações de acordos e pactos inconscientes, por outro, possui mecanismos defensivos para lidar com a vida coletiva. Conclui-se que o casal tende a uma estabilidade quando os modelos de referência são recriados, formando uma estrutura inédita de relação, e quando se adequam ao macro contexto sociocultural.
The purpose of this study is to investigate the formation of the married couple through a psychoanalytical approach, taking into consideration its intrapsychic and intersubjective aspects. The authors start by examining the love choice as the foundation of the identification process and its implications in the formation of the couple. Next, they investigate the concept of bond and the conjugal formation from the standpoints of Puget, Bernstein, Eiguer and Käes. Finally, the authors discuss the concept of unconscious ties through its typologies. The study observes that the formation of the couple offers, on one hand, a continent for the staging of agreements and unconscious pacts, and on the other, defensive mechanisms to deal with collective life. The study concludes that the couple tends towards stability when the circumstances recreate reference models - forming an unprecedented relationship structure - and when such models fit into the broader sociocultural context.
Subject(s)
Humans , Pair Bond , Unconscious, Psychology , Marriage/psychology , Oedipus Complex , ContractsABSTRACT
Violence against women a social evil in the society despite a lot of talk of women empowerment. Assessmentof burden in terms of prevalence will go a long way in planning the services for those affected bydomestic violence. To find the prevalence of domestic violence and associated risk factors among marriedfemales in a rural area of Jammu. This community based cross-sectional study was conducted amongrural married females using a structured and pretested questionnaire. Data was analysed using simpleproportions, chi-square test and logistic regression. 171/301(56.6%) of the respondents reported someform of the domestic violence. Psychological, physical and sexual violence rates were found to be32.16%, 9.9% and 2.33% respectively. A statistically significant association was found with variables likeliteracy, type of family, family income, sex of children etc. Relatively high levels of domestic violence inthis rural setting calls for a multidisciplinary approach involving improvement of literacy levels amongfemales, creating awareness about legal aid and screening the victims at primary health centres to mitigatethis problem.
ABSTRACT
This study examined the possible causes of nutritional inadequacy in Vietnamese immigrant women married to Korean husbands. Qualitative in-depth interviews were conducted with a sample of 34 Vietnamese marriage immigrant women and 17 Korean spouses participating in or having experienced Nutrition Plus from four Community Health Centers in Seoul, Korea. The study results showed that the nutritional staus of the Vietnamese marriage immigrant women was affected by the unfamiliar Korean food (cultural factor), low household income (economical factor), difficulty in purchasing Vietnamese food (environmental factor), and low accessibility to nutrition support systems (social factor). The Korean husbands' nutritional status was affected by the unfamiliar Vietnamese food (cultural factor), low household income (economic factor), and irregular working conditions (social factors). Nutritional interventions as a public service to the community needs to be developed and applied. Suggestions are presented regarding the future efforts to better understand and meet the nutrition needs of intermarried couples to respond to their heterogeneous needs and deliver adequate nutrition service to ever increasing intermarried families.
Subject(s)
Female , Humans , Asian People , Community Health Centers , Emigrants and Immigrants , Family Characteristics , Korea , Marriage , Nutritional Status , Qualitative Research , Seoul , SpousesABSTRACT
Objective To investigate and analyze the prevalence, patterns and associated factors of domestic violence against married women in Wenzhou area. Methods a total of 705 married women took part in this cross-sectional study conducted in 2018. Conflict Tactics Scales and several short demographic questions were used in this study to collect basic information and the occurence of domestic violence within 12 months. Results Nearly 40% of married women experienced at least one incident of domestic violence during the past 12 months. 33.8% of respondents experiencing one episode of psychological violence in the past 12 months, followed by 19.5% experienced physical violence and 14.9%of sexual violence. The joint occurrence of multiple forms of violence was the most commonly reported features experiencing domestic violence. Some individual (education and Hukou), marital relationship (marital satisfaction, duration of marriage, marital autonomy marital models) and family (family model and sex roles) factors of the respondents, were negatively or positively associated with domestic violence against married women. Conclusion The results indicated that there was a high rate of domestic violence among married women in Wenzhou area. Accordingly, there is an obvious need of intervention and treatment activities to prevent and reduce the occurrence of domestic violence among the married women.
ABSTRACT
Globally, there is a scale of views about family functioning and wellbeing with a great deal of conflicting evidence. In Yemen, conservative social traditions are the norms. Yemen has one of the highest population growth rate and the highest rate of unmet need for FP in the world. This study aimed to explore the perception and attitude about family functioning and attitude among married and unmarried people in selected Yemeni Governorates. The study was conducted in April–May 2014 through house to house community-based cross-sectional survey with a purposively selected sample in 21 districts in 3 Yemeni governorates. The target population was Yemeni citizens aged 15+ years present in households in the targeted districts at the time of data collection. Married and un married respondents were approached equally with a pre-tested questionnaire and only consented respondents were enrolled. Analysis was done using the statistical package for Social Sciences version 22. Differences between married and unmarried respondents was tested by Chi squared test (χ²). Statistical significance was set at p˂0.05. The study involved 2217 respondents. Married and unmarried respondents were not different in their perception and attitude regarding family size, the negative influence of large family size, the relation of family size to children education and age at marriage, and some economic aspects in relation to large family size. However, they differently perceive the meaning of the family; reasons for establishing not different the family and for having children; decision makers for continuation of children education; reasons for postponing marriage, the influence of having too male children on increasing family income and on boosting father’s prestige amongst others. In conclusion; married and unmarried were not different in most of the addressed issues. The few differently perceived issues reflect differences in life experience, reality and social responsibilities. There is a need for further studies to monitor practices related to demographic changes over time in the Yemeni society.
ABSTRACT
PURPOSE: The purpose of this study was to investigate the effect of parenting stress and acculturative stress on the parenting efficacy of Vietnamese married migrant women. METHODS: A total of 130 Vietnamese married immigrant women were recruited from the Multicultural Family Support Center in U-city. Data were collected using self-report questionnaires and analyzed using descriptive statistics of a t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS 21.0 program. RESULTS: The scores of parenting and acculturative stress level were 2.62 and 2.87, parenting efficacy level was 2.98. The Aculturative stress experience was positively correlated with parenting stress (r=0.547, p < 0.001), Parenting stress experience was negatively correlated with parenting efficacy (r=-0.486, p < 0.001), and, acculturative stress experience was negatively correlated with parenting efficacy (r=-0.460, p < 0.001). The multiple regression analysis of acculturative (t=-2.891, p=0.005) and parenting stress (t=-3.818, p < 0.001) showed a significant number of factors that explain parenting efficacy. The model included the two independent variables of acculturation stress and parenting stress which were statistically significant (F=24.966, p < 0.001), and had a descriptive result of 28.5%. CONCLUSION: The results of this study suggest the need for development and implementation of mediation measures such as substantial, cooperative, and systematic parenting programs for women in Vietnam to promote regional community support.
Subject(s)
Female , Humans , Acculturation , Asian People , Emigrants and Immigrants , Negotiating , Parenting , Parents , Transients and Migrants , VietnamABSTRACT
@#Background: The practice of modern contraceptives still remains a sceptical issue in the society and dormant due to increasing objection of husbands who play a significant role in the family planning practice. Objectives: This study was done to determine the factors affecting the ever use of modern contraceptive methods among married men visiting a healthcare clinic in Malaysia. Material and method: A cross sectional study of 443 men aged over 18 years was conducted using convenient sampling from January 2016 till March 2016 at a primary care clinic. A self-administered questionnaire assessing sociodemographic characteristic, attitude towards family planning, spousal communication and ever used of modern contraceptive methods was used. Results: The proportion of ever used modern contraception was 48% (n=192). Multiple logistic regression revealed that spousal communication on family planning (Adjusted OR 15.8; 95% CI 7.0 – 35.6) and attitude towards marital relationship (Adjusted OR 1.1; CI 1.0 – 1.1) were significant predictors for ever used of modern contraception among married men. Conclusion: The proportion of ever used modern contraception is still not high. Men who communicated with their spouse on modern contraception and perceived family planning as means to preserve their marital relationship were more likely to practice modern contraceptive method
ABSTRACT
BACKGROUND: Family values of a married woman may be related to her own depressive mood. Since depressive mood of a married woman is likely to exert a negative influence, in terms of mental health, on her, her family members, and the whole society's, it may be very important to explore the relationship between family values in married women and their depressive mood. METHODS: In this study, we analyzed nationally representative 5,818 married women aged 20 years or older from the 4th panel data of 2012 Korean Longitudinal Survey of Women and Families. As for variables of interest, we constructed three family values variables: family-oriented view of marriage, individualistic view of marriage, and traditional view of marital roles. Then we employed multivariate logistic regression analyses to explore the relationship between family values and depressive mood, adjusting for family and socio-demographic factors. RESULTS: In total, 804 married women (18.4%) had experienced depressive mood. All of the three family values variables were significant in their relationships with depressive mood. The women categorized as ‘very weak’ in family-oriented view of marriage were more likely to experience depressive mood than the women categorized as ‘very strong’ (odds ratio [OR], 1.98; 95% confidence interval [CI], 1.53–2.55). By contrast, the women categorized as ‘very weak’ in individualistic view of marriage (OR, 0.43; 95% CI, 0.33–0.55) and in traditional view of marital roles (OR, 0.68; 95% CI, 0.51–0.92) were less likely to experience depressive mood than their respective counterpart women categorized as ‘very strong.’ CONCLUSION: In Korea, married women's values towards marriage itself and roles between wives and husbands had significant associations with their depressive mood. This suggests that in order to improve mental health in married women, we need to take social and cultural dimensions into consideration along with public health interventions.
Subject(s)
Female , Humans , Depression , Korea , Logistic Models , Longitudinal Studies , Marriage , Mental Health , Public Health , SpousesABSTRACT
ABSTRACT Objective To describe the implications of social inability as a factor that can contribute to sexual abuse in the marriage relationship of people with high-functioning autism spectrum disorder (ASD). Case description A 30-year-old male sought medical attention complaining of being "very nervous" and have difficulties in family relationships. He was diagnosed with high-functioning ASD based on the DSM-5. Married for over 4 years with a woman diagnosed with histrionic personality disorder (HPD), he asked for her to accompany him in the sessions and help him describe difficulties they had during sexual intercourse. His wife reported feeling raped in all of her sexual relations with the patient, especially when he could not understand that she did not want sex. Comments The case study leads us to believe that the social and communicative disability is a complicating factor that can contributes to the occurrence of sexual abuse in marital relationships with individuals with ASD. Social skills training, psychotherapy, and traditional medical therapies should be considered to minimize the risk of occurrence of cases of sexual abuse by individuals with high-functioning ASD against the spouses themselves.
RESUMO Objetivo Descrever implicações da inabilidade social como fator que pode contribuir para o abuso sexual no relacionamento conjugal de pessoas com transtornos do espectro do autismo de alto funcionamento (TEA de alto funcionamento). Descrição do caso Um homem de trinta anos procurou ajuda médica queixando-se de ser "muito nervoso" e ter dificuldades no relacionamento familiar. Foi diagnosticado com TEA de alto funcionamento com base no DSM-5. Casado há mais de quatro anos com uma mulher diagnosticada com transtorno de personalidade histriônica (TPH), pediu que ela o acompanhasse nas sessões para ajudá-lo a descrever suas dificuldades sexuais. A esposa relatou que se sentia estuprada em todas as relações sexuais com o paciente, especialmente quando ele não conseguia entender que ela não queria fazer sexo. Comentários Este caso nos leva a acreditar que a inabilidade social e de comunicação é um complicador que pode contribuir para a ocorrência de abuso sexual em relacionamentos conjugais de indivíduos com TEA de alto funcionamento. Treinamento de habilidades sociais, psicoterapia e terapias médicas tradicionais devem ser considerados para minimizar o risco de ocorrência de casos de abuso sexual praticados por indivíduos com TEA de alto funcionamento contra os próprios cônjuges.
ABSTRACT
Objective: The main aim of this paper is to examine the relationship between cosmetic surgery and psychological variables such as self-esteem and marital satisfaction along with its components in Iran. Methods: The study had an ex-post facto, pre-post-test design. Using purposive sampling method, a total of 30 married women, who had referred for cosmetic surgery to clinics in Tehran, were incorporated during a six-month period. Data collection instruments included Enrich Marital Satisfaction Scale and Coopersmith Self-Esteem Inventory. The obtained data were analyzed using inferential statistics (analysis of variance for repeated measures, related sample test, and Pearson correlation coefficient). Results: According to the results of this study, some components of marital satisfaction (such as marital relations, financial management, leisure, and sex) and self-esteem of women before and after cosmetic surgery is statistically significant also there is a relationship betwean marital satisfaction and self-esteem, as self-esteem increases, marital satisfaction rises too. Conclusion: Performance of such surgeries always presents risks, and advice should be sought before making any decision about the surgery.