Journal of Qualitative Research in Health Sciences

Authors

1 Department of Psychology, School of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

2 Multiple Sclerosis Research Center, Neuroscience Research Institute, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Multiple sclerosis (MS) disease has side effects on the quality of life of married people. Moreover, the quality of life and marital adjustment of the patients would impact on their disease process. The purpose of the study was to determine psychological components on marital adjustment among married patients with MS.
Method: This was a qualitative and phenomenological research using targeted sampling. Semi-structured interviews were done with 15 married patients with MS (at least one of them suffered from the disease) who came to Sina hospital, Tehran, Iran, until reaching to data saturation.
Results: Assessment of effective psychological components on marital adjustment among married people with MS revealed 8 main themes and 18 subthemes. The main themes were as “spirituality”, “resiliency”, “coping with stress skills”, “conflict-resolving strategies”, “schemas”, “intimate spouse relationships”, “life stresses”, “openness to change”, and “responding to forgiveness”.
Conclusion: Participants in the study ranked the psychological components as first to ninth as spirituality, resiliency, coping with stress styles, conflict-resolving strategies, schemas, intimate spouses relationships, life stresses, openness to change, and responding to forgiveness.

Keywords

  1. Yarmohammadian A, Bonakdar Hashemi N, Asgari K. The effect of emotional intelligence and life skills training on marital adjustment among young couples. Knowledge & Research in Applied Psychology 2011; 12(44): 3-12. [In Persian].
  2. Yarmohammadian A, Bonakdar Hashemi N, Asgari K. The effect of emotional intelligence and life skills training on marital adjustment among young couples. Knowledge & Research in Applied Psychology 2011; 12(44): 3-12. [In Persian].
  3. Tavallaii SA, Nemati E, Khoddami Vishteh HR, Azizabadi FM, Moghani LM, Assari S. Marital adjustment in patients on long-term hemodialysis: A case-control study. Iran J Kidney Dis 2009; 3(3): 156-61.
  4. Tavallaii SA, Nemati E, Khoddami Vishteh HR, Azizabadi FM, Moghani LM, Assari S. Marital adjustment in patients on long-term hemodialysis: A case-control study. Iran J Kidney Dis 2009; 3(3): 156-61.
  5. Qadir F, Khalid A, Medhin G. Social support, marital adjustment, and psychological distress among women with primary infertility in Pakistan. Women Health 2015; 55(4): 432-46. [DOI:10.1080/03630242.2015.1022687]
  6. Qadir F, Khalid A, Medhin G. Social support, marital adjustment, and psychological distress among women with primary infertility in Pakistan. Women Health 2015; 55(4): 432-46. [DOI:10.1080/03630242.2015.1022687]
  7. Mikaeili N, Mokhtarpour Habashi E, Meysami Bonab S. The role of perceived social support, coping strategies and resilience in the prediction of the quality of life in patients with multiple sclerosis. Journal of Social Psychology 2012; 7(23): 5-17. [In Persian].
  8. Mikaeili N, Mokhtarpour Habashi E, Meysami Bonab S. The role of perceived social support, coping strategies and resilience in the prediction of the quality of life in patients with multiple sclerosis. Journal of Social Psychology 2012; 7(23): 5-17. [In Persian].
  9. Naeeni R, Soltanzadeh Z, Salimipour H, Vahhabi Z, Yadegari S. The association of sever stressful life events and multiple sclerosis. Iran South Med J 2015; 18(1): 222-8. [In Persian].
  10. Naeeni R, Soltanzadeh Z, Salimipour H, Vahhabi Z, Yadegari S. The association of sever stressful life events and multiple sclerosis. Iran South Med J 2015; 18(1): 222-8. [In Persian].
  11. Albert U, Maina G, Bogetto F, Chiarle A, Mataix-Cols D. Clinical predictors of health-related quality of life in obsessive-compulsive disorder. Compr Psychiatry 2010; 51(2): 193-200. [DOI:10.1016/j.comppsych.2009.03.004]
  12. Albert U, Maina G, Bogetto F, Chiarle A, Mataix-Cols D. Clinical predictors of health-related quality of life in obsessive-compulsive disorder. Compr Psychiatry 2010; 51(2): 193-200. [DOI:10.1016/j.comppsych.2009.03.004]
  13. Ludman EJ, Peterson D, Katon WJ, Lin EH, Von KM, Ciechanowski P, et al. Improving confidence for self care in patients with depression and chronic illnesses. Behav Med 2013; 39(1): 1-6. [DOI:10.1080/08964289.2012.708682]
  14. Ludman EJ, Peterson D, Katon WJ, Lin EH, Von KM, Ciechanowski P, et al. Improving confidence for self care in patients with depression and chronic illnesses. Behav Med 2013; 39(1): 1-6. [DOI:10.1080/08964289.2012.708682]
  15. Burnette JL, Davis DE, Green JD, Worthington EL, Bradfield E. Insecure attachment and depressive symptoms: The mediating role of rumination, empathy, and forgiveness. Pers Individ Dif 2009; 46(3): 276-80. [DOI:10.1016/j.paid.2008.10.016]
  16. Burnette JL, Davis DE, Green JD, Worthington EL, Bradfield E. Insecure attachment and depressive symptoms: The mediating role of rumination, empathy, and forgiveness. Pers Individ Dif 2009; 46(3): 276-80. [DOI:10.1016/j.paid.2008.10.016]
  17. Santtila P, Wager I, Witting K, Harlaar N, Jern P, Johansson A, et al. Discrepancies between sexual desire and sexual activity: Gender differences and associations with relationship satisfaction. J Sex Marital Ther 2008; 34(1): 31-44. [DOI:10.1080/00926230701620548]
  18. Santtila P, Wager I, Witting K, Harlaar N, Jern P, Johansson A, et al. Discrepancies between sexual desire and sexual activity: Gender differences and associations with relationship satisfaction. J Sex Marital Ther 2008; 34(1): 31-44. [DOI:10.1080/00926230701620548]
  19. McNulty K, Livneh H, Wilson LM. Perceived uncertainty, spiritual well-being, and psychosocial adaptation in individuals with multiple sclerosis. Rehabilitation Psychology 2004; 49(2): 91. [DOI:10.1037/0090-5550.49.2.91]
  20. McNulty K, Livneh H, Wilson LM. Perceived uncertainty, spiritual well-being, and psychosocial adaptation in individuals with multiple sclerosis. Rehabilitation Psychology 2004; 49(2): 91. [DOI:10.1037/0090-5550.49.2.91]
  21. Larson PJ, Olson DH. Spiritual beliefs and marriage: A national survey based on ENRICH. The Family Psychologist 2004; 20(2): 4-8.
  22. Larson PJ, Olson DH. Spiritual beliefs and marriage: A national survey based on ENRICH. The Family Psychologist 2004; 20(2): 4-8.
  23. Salimi H, Najjarian Pour S, Mohammadi K, Mehr Ali Tabar AA. Prediction of marital adjustment based on decision making and problem solving, family solidarity, coping strategies, communication skills, and religious beliefs (Factors Family Process). Rooyesh-e-Ravanshenasi 2016; 5(1): 93-110. [In Persian].
  24. Salimi H, Najjarian Pour S, Mohammadi K, Mehr Ali Tabar AA. Prediction of marital adjustment based on decision making and problem solving, family solidarity, coping strategies, communication skills, and religious beliefs (Factors Family Process). Rooyesh-e-Ravanshenasi 2016; 5(1): 93-110. [In Persian].
  25. Moussavi Moghadam Z, Ahmadipour L, Yosefi G, Binandeh H, Ranjbari A. Effectiveness of resiliency skills education on quality of life and reduce couples conflicts. Journal of Applied Environmental and Biological Sciences 2015; 5(6): 398-403.
  26. Moussavi Moghadam Z, Ahmadipour L, Yosefi G, Binandeh H, Ranjbari A. Effectiveness of resiliency skills education on quality of life and reduce couples conflicts. Journal of Applied Environmental and Biological Sciences 2015; 5(6): 398-403.
  27. Azadbakht R, Vakili P. Relationship between early maladaptive schemas and marital satisfaction of women. Journal of Educational Psychology 2013; 4(3): 11-8.
  28. Azadbakht R, Vakili P. Relationship between early maladaptive schemas and marital satisfaction of women. Journal of Educational Psychology 2013; 4(3): 11-8.
  29. Greeff AP, de Bruyne T. Conflict management style and marital satisfaction. J Sex Marital Ther 2000; 26(4): 321-34. [DOI:10.1080/009262300438724]
  30. Greeff AP, de Bruyne T. Conflict management style and marital satisfaction. J Sex Marital Ther 2000; 26(4): 321-34. [DOI:10.1080/009262300438724]
  31. Bodenmann G, Ledermann T, Bradbury TN. Stress, sex, and satisfaction in marriage. Personal Relationships 2007; 14(4): 551-69. [DOI:10.1111/j.1475-6811.2007.00171.x]
  32. Bodenmann G, Ledermann T, Bradbury TN. Stress, sex, and satisfaction in marriage. Personal Relationships 2007; 14(4): 551-69. [DOI:10.1111/j.1475-6811.2007.00171.x]
  33. Gaur P, Bhardwaj AB. Relationship between empathy, forgiveness and marital adjustment in couple. The International Journal of Indian Psychology 2015; 3(1): 145-51.
  34. Gaur P, Bhardwaj AB. Relationship between empathy, forgiveness and marital adjustment in couple. The International Journal of Indian Psychology 2015; 3(1): 145-51.
  35. Yeganeh T, Shaikhmahmoodi H. Role of religious orientation in predicting marital adjustment and psychological well-being. Sociology Mind 2013; 3(2): 131-6. [DOI:10.4236/sm.2013.32020]
  36. Yeganeh T, Shaikhmahmoodi H. Role of religious orientation in predicting marital adjustment and psychological well-being. Sociology Mind 2013; 3(2): 131-6. [DOI:10.4236/sm.2013.32020]
  37. Demaris A, Mahoney A, Pargament KI. Sanctification of marriage and general religiousness as buffers of the effects of marital inequity. J Fam Issues 2010; 31(10): 1255-78. [DOI:10.1177/0192513X10363888]
  38. Demaris A, Mahoney A, Pargament KI. Sanctification of marriage and general religiousness as buffers of the effects of marital inequity. J Fam Issues 2010; 31(10): 1255-78. [DOI:10.1177/0192513X10363888]
  39. Dennison L, Moss-Morris R, Chalder T. A review of psychological correlates of adjustment in patients with multiple sclerosis. Clin Psychol Rev 2009; 29(2): 141-53. [DOI:10.1016/j.cpr.2008.12.001]
  40. Dennison L, Moss-Morris R, Chalder T. A review of psychological correlates of adjustment in patients with multiple sclerosis. Clin Psychol Rev 2009; 29(2): 141-53. [DOI:10.1016/j.cpr.2008.12.001]
  41. Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health 2008; 56(4): 445-53. [DOI:10.3200/JACH.56.44.445-454]
  42. Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health 2008; 56(4): 445-53. [DOI:10.3200/JACH.56.44.445-454]
  43. Kaveh M, Alizadeh H, Delavar A, Borjali A. Development of a resilience fostering program against stress and its impact on quality of life components in parents of children with mild intellectual disability. Iranian Journal of Exceptional Children 2011; 11(2): 119-40. [In Persian].
  44. Kaveh M, Alizadeh H, Delavar A, Borjali A. Development of a resilience fostering program against stress and its impact on quality of life components in parents of children with mild intellectual disability. Iranian Journal of Exceptional Children 2011; 11(2): 119-40. [In Persian].
  45. Nadi A, Khodapanahi MK, Sedghpoor S. Comparing coping styles between students with high and low emotional intelligence in different socio-economical classes. Journal of Applied Psychology 2009; 3(3): 48-59. [In Persian].
  46. Nadi A, Khodapanahi MK, Sedghpoor S. Comparing coping styles between students with high and low emotional intelligence in different socio-economical classes. Journal of Applied Psychology 2009; 3(3): 48-59. [In Persian].
  47. Dehghani A, Kajbaf MB. The relationship between coping styles and hardiness among students. Knowledge Health 2013; 8(3): 112-8. [In Persian].
  48. Dehghani A, Kajbaf MB. The relationship between coping styles and hardiness among students. Knowledge Health 2013; 8(3): 112-8. [In Persian].
  49. Khojasteh Mehr R, Koochaki R, Rajabi G. Mediating role of relationship attributions and destructive conflict resolution strategies on the relationship between attachment styles and marital quality. Contemporary Psychology 2013; 7(2): 3-14. [In Persian].
  50. Khojasteh Mehr R, Koochaki R, Rajabi G. Mediating role of relationship attributions and destructive conflict resolution strategies on the relationship between attachment styles and marital quality. Contemporary Psychology 2013; 7(2): 3-14. [In Persian].
  51. Beirami M, Fahimi S, Akbari E, Amiri Pichakolaei A. Predicting marital satisfaction on the basis of attachment styles and differentiation components. J Fundam Ment Health 2012; 14(53): 66-77. [In Persian].
  52. Beirami M, Fahimi S, Akbari E, Amiri Pichakolaei A. Predicting marital satisfaction on the basis of attachment styles and differentiation components. J Fundam Ment Health 2012; 14(53): 66-77. [In Persian].
  53. Zolfaghari M, Fatehi-Zadeh M, Abrdi MR. Determining relationships between early maladaptive schemas and marital intimacy among Mobarakeh Steel Complex personnel. J Fam Res 2008; 4(3): 261-47. [In Persian].
  54. Zolfaghari M, Fatehi-Zadeh M, Abrdi MR. Determining relationships between early maladaptive schemas and marital intimacy among Mobarakeh Steel Complex personnel. J Fam Res 2008; 4(3): 261-47. [In Persian].
  55. Borjali A, Taghvaie D. The mediation role of love stories in regards to early maladaptive schemas and marital satisfaction. International Journal of Behavioral Sciences 2014; 8(3): 219-26. [In Persian].
  56. Borjali A, Taghvaie D. The mediation role of love stories in regards to early maladaptive schemas and marital satisfaction. International Journal of Behavioral Sciences 2014; 8(3): 219-26. [In Persian].
  57. Chatav Y, Whisman MA. Partner schemas and relationship functioning: A states of mind analysis. Behav Ther 2009; 40(1): 50-6. [In Persian]. [DOI:10.1016/j.beth.2007.12.005]
  58. Chatav Y, Whisman MA. Partner schemas and relationship functioning: A states of mind analysis. Behav Ther 2009; 40(1): 50-6. [In Persian]. [DOI:10.1016/j.beth.2007.12.005]
  59. Aliakbari Dehkordi M. Relationship between women sexual function and marital adjustment. J Res Behav Sci 2010; 4(3): 199-206. [In Persian].
  60. Aliakbari Dehkordi M. Relationship between women sexual function and marital adjustment. J Res Behav Sci 2010; 4(3): 199-206. [In Persian].
  61. Bahari F, Fatehizadeh M, Ahmadi Sa, Molavi H, Bahrami F. Effectiveness of couple communication skills training (CCST) on decreasing the marital conflicts of divorcing couples. Research in Clinical Psychology and Counseling 2011; 1(1): 59-70.
  62. Bahari F, Fatehizadeh M, Ahmadi Sa, Molavi H, Bahrami F. Effectiveness of couple communication skills training (CCST) on decreasing the marital conflicts of divorcing couples. Research in Clinical Psychology and Counseling 2011; 1(1): 59-70.
  63. Chiaravalloti ND, DeLuca J. Cognitive impairment in multiple sclerosis. Lancet Neurol 2008; 7(12): 1139-51. [DOI:10.1016/S1474-4422(08)70259-X]
  64. Chiaravalloti ND, DeLuca J. Cognitive impairment in multiple sclerosis. Lancet Neurol 2008; 7(12): 1139-51. [DOI:10.1016/S1474-4422(08)70259-X]
  65. Al-Akour N, Khader YS, Shatnawi NJ. Quality of life and associated factors among Jordanian adolescents with type 1 diabetes mellitus. J Diabetes Complications 2010; 24(1): 43-7. [DOI:10.1016/j.jdiacomp.2008.12.011]
  66. Al-Akour N, Khader YS, Shatnawi NJ. Quality of life and associated factors among Jordanian adolescents with type 1 diabetes mellitus. J Diabetes Complications 2010; 24(1): 43-7. [DOI:10.1016/j.jdiacomp.2008.12.011]
  67. Agha Yousefi A, Shaghaghi F, Dehestani M, Barghi Irani Z. The relationship between quality of life (QOL) and psychological capital with illness perception in MS patients. Journal of Health Psychology 2012; 1(1): 32-45. [In Persian].
  68. Agha Yousefi A, Shaghaghi F, Dehestani M, Barghi Irani Z. The relationship between quality of life (QOL) and psychological capital with illness perception in MS patients. Journal of Health Psychology 2012; 1(1): 32-45. [In Persian].
  69. Gharashi K, Sarandi P, Farid A. The comparison of stress and marital satisfaction status of parents of hearing-impaired and normal children. Audiology 2013; 22(1): 18-24. [In Persian].
  70. Gharashi K, Sarandi P, Farid A. The comparison of stress and marital satisfaction status of parents of hearing-impaired and normal children. Audiology 2013; 22(1): 18-24. [In Persian].
  71. Tse WS, Yip THJ. Relationship among dispositional forgiveness of others, interpersonal adjustment and psychological well-being: Implication for interpersonal theory of depression. Pers Individ Dif 2009; 46(3): 365-8. [DOI:10.1016/j.paid.2008.11.001]
  72. Tse WS, Yip THJ. Relationship among dispositional forgiveness of others, interpersonal adjustment and psychological well-being: Implication for interpersonal theory of depression. Pers Individ Dif 2009; 46(3): 365-8. [DOI:10.1016/j.paid.2008.11.001]