Quality of marital life in Korean spinal cord injured patients

The purposes of this study were to assess the quality of marital life and to investigate the most serious problem in the marital relationships of Korean spinal cord injured patients. 30 spinal cord injured (SCI) couples (SCI husbands and their non-disabled wives) who were married prior to injury and 30 able-bodied (AB) couples participated in a questionnaire study. The quality of marital life was measured with three parameters: marital stability, marital adjustment, and marital satisfaction. The results were as follows: (1) The marriage of chronic SCI couples was not noticeably unstable when compared with that of AB couples; (2) There was no significant difference in dyadic adjustment and marital satisfaction between SCI couples and AB couples; (3) There was no significant difference in marital stability, marital adjustment, and marital satisfaction between SCI husbands and their wives; (4) SCI couples had more cohesive marital relationships and SCI husbands expressed less affection to their wives than AB husbands and (5) Sex was the most serious problem in marriages of SCI couples. In conclusion: (1) the quality of marital life in chronic SCI couples is not highly different from that of AB couples; (2) There is no significant difference in the quality of marital life between chronic SCI husbands and their non-disabled wives; and (3) It is considered necessary that rehabilitation program for SCI patients should include information on the altered physiology of sexual function of SCI patients and subsequent mutual adaptation to changed sexual function.     

Interpersonal communication and sexual adjustment: The roles of understanding and agreement.

The influence of interpersonal communication on sexual adjustment in cohabiting heterosexual couples was investigated. Male and female partners from 76 heterosexual couples independently completed measures of their own and their partners' sexual preferences, as well as measures of sexual and general relationship adjustment, sexual difficulties, marital role preferences, depression, and social desirability. Results indicated that sexual satisfaction in both partners was associated with men's understanding of their partner's preferences and agreement between their preferences. The influential role of men's understanding was supported by hierarchical regression, convergent and discriminant evidence, and multiple regression models that accounted for 51% and 63% of variance in men's and women's sexual satisfaction. General relationship adjustment of both partners was associated with women's understanding of men's marital role preferences. An explanation of understanding's function is proposed, accounting for gender differences within and across sexual and general realms of relating. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult attachment and the transition to parenthood.

This study examined how a major life stressor—the transition to parenthood—affects marital satisfaction and functioning among persons with different attachment orientations. As hypothesized, the interaction between women's degree of attachment ambivalence and their perceptions of spousal support (assessed 6 weeks prior to childbirth) predicted systematic changes in men's and women's marital satisfaction and related factors over time (6 months postpartum). Specifically, if highly ambivalent (preoccupied) women entered parenthood perceiving lower levels of support from their husbands, they experienced declines in marital satisfaction. Women's ambivalence also predicted their own as well as their husbands' marital satisfaction and functioning concurrently. The degree of attachment avoidance did not significantly predict marital changes, although women's avoidance did correlate with some of the concurrent marital measures. These findings are discussed in terms of attachment theory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuroticism and marital satisfaction: The mediating role played by the sexual relationship.

Why is Neuroticism so harmful to marriage and other intimate relationships? Given that such relationships generally involve a sexual component, the current longitudinal study explored whether the apparent negative impact of own and partner's Neuroticism on marriage could be explained by dissatisfaction with the sexual relationship. Just after their weddings, 72 couples reported their marital satisfaction, sexual satisfaction, and Neuroticism. One year later, they again reported their marital and sexual satisfaction. Own Neuroticism predicted lower levels of concurrent marital and sexual satisfaction among husbands and wives, declines in sexual satisfaction among husbands and wives, and declines in marital satisfaction among wives. Partner's Neuroticism predicted lower levels of concurrent marital satisfaction among husbands and wives, lower levels of concurrent sexual satisfaction among husbands, and declines in sexual satisfaction among husbands. Consistent with predictions, sexual satisfaction mediated every effect of own and partner Neuroticism on marital satisfaction. Results highlight the prominent role played by the sexual relationship in accounting for marital outcomes and thus suggest specific processes through which Neuroticism may affect the marriage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child maltreatment history among newlywed couples: A longitudinal study of marital outcomes and mediating pathways.

Participants included 202 newlywed couples who reported retrospectively about child maltreatment experiences (sexual abuse, physical abuse, psychological abuse, and neglect) and whose marital functioning was assessed 3 times over a 2-year period. Decreased marital satisfaction at T1 was predicted by childhood physical abuse, psychological abuse, and neglect for husbands; only neglect predicted lower satisfaction for wives. Increased maltreatment of various types was also related to T1 difficulties with marital trust and partner aggression. Dyadic growth curve analyses showed that the marital difficulties reported at T1 tended to remain over the course of the study. Further, in several instances, maltreatment exerted an increasingly detrimental influence on marital functioning over time, particularly for husbands. Examination of possible mediators between maltreatment and reductions in marital satisfaction revealed pathways through decreased sexual activity, increased psychological aggression, and increased trauma symptoms reported by husbands. These findings suggest that clinicians should consider how an adult’s history of child maltreatment may contribute to current marital dysfunction. The authors also identify possible targets for intervention when working with this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of prebirth parent personality and marital functioning on family development: A framework and suggestions for further study.

A framework for studying the impact of prebirth parent personality and marital functioning on family development is outlined. In the context of the delineation of four influences on infant and family development—namely, personality, social interaction, role, and ecology—the presentation focuses on the general hypothesis that certain relatively stable characteristics of the parents' personality and their marriage make an important and persistent impact on the family's development. Evidence for such stability is cited. As a further step in the delineation of prebirth influences, global and specific assessments of such influences were distinguished. Because variations in infant characteristics influence marital and parent personality functioning, the advantage of assessing this functioning before the birth of the first child is also stressed. Finally, the nature of the impact of certain stable aspects of the parents' personality and marital characteristics on a particular parent–infant transaction, infant soothability-responsiveness to need, is documented from existing research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality and compatibility: A prospective analysis of marital stability and marital satisfaction.

The antecedents of marital stability (divorce or remaining married) and marital satisfaction (within the group that remains married) were investigated with a panel of 300 White couples who were followed from their engagements in the 1930's until 1980. 22 of the couples broke their engagements; of the 278 couples who married, 50 got divorced between 1935 and 1980. Personality characteristics (measured by acquaintance ratings made in the 1930's) were important predictors of both marital stability and marital satisfaction. The 3 aspects of personality most strongly related to marital outcome were the neuroticism of the husband, the neuroticism of the wife, and the impulse control of the husband. The remaining variance was accounted for by attitudinal, social-environment, and sexual history variables. (29 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of gender and racial differences among Missouri insanity acquittees

This study examines gender and racial differences among Missouri insanity acquittees, which included 42 African American females, 279 African American males, 63 Caucasian females, and 458 Caucasian males. Significant differences across the four groups were not found in age, current marital status, a diagnosis of borderline intellectual functioning/mental retardation, committing crimes of assault and burglary, and whether insanity acquittees ever received conditional releases to reside in the community. Some variations across the four gender/race categories were related to race (diagnoses of schizophrenia, mood disorders, and other Axis I diagnoses), but variations were more frequently related to gender (whether ever married; diagnoses of substance abuse, sexual disorders, antisocial personality disorder, borderline personality disorder, and any personality disorder; committing crimes of murder, sexual offenses, and serious offenses; and current residential status). African American males were identified as being an at-risk population. They were the most likely to have a schizophrenia diagnosis, a substance abuse diagnosis, an antisocial personality disorder diagnosis, and to be hospitalized on the survey date. Implications for treatment and future research are explored.     

Body image and marital satisfaction: Evidence for the mediating role of sexual frequency and sexual satisfaction.

How does women’s body image shape their interpersonal relationships? Based on recent theories of risk regulation and empirical evidence that sex is an emotionally risky behavior, we predicted that women’s body image would predict increased sexual frequency and thus increased sexual and marital satisfaction for both members of established relationships. The current study of 53 recently married couples provided results consistent with this prediction. Specifically, wives’ perceptions of their sexual attractiveness were positively associated with both wives’ and husbands’ marital satisfaction, controlling for wives’ body mass index (BMI) wives’ global self-esteem, wives’ neuroticism, and reports of whether or not the couple was trying to get pregnant, and both of these associations were mediated by increased sexual frequency and higher sexual satisfaction. Notably, wives’ perceptions of their sexual attractiveness accounted for 6% of the variance in husbands’ marital satisfaction and 19% of the variance in wives’ marital satisfaction that was unique from BMI and the other controls. Accordingly, marital interventions may greatly benefit by addressing women’s body esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and marital functioning: An examination of specificity and gender differences.

Recent work has emphasized the importance of assessing the marital relationships of depressed persons. The present study was designed to examine the specificity to clinical depression of problematic marital functioning and to assess potential gender differences in the marital relationships and spousal interactions of depressed persons. Depressed psychiatric patients, nondepressed medical patients, and nondepressed community control subjects and their spouses completed measures of marital satisfaction and then participated in a 20-min marital interaction task. Subjects then completed measures assessing their postinteraction mood and perceptions of their spouses, and the interactions were scored with respect to the frequency of occurrence of a number of behaviors. The depressed couples differed from the community controls on virtually every measure of marital functioning. Furthermore, although the medical patients and their spouses also reported marital dissatisfaction and exhibited dysfunctional interactional behavior, only the depressed couples were characterized by negative affect following the interactions and by negative appraisals of their spouses' behaviors. This negative affect was particularly pronounced for the depressed women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of success in emotionally focused marital therapy

This study examined client variables expected to predict success in emotionally focused marital therapy (EFT), now the second most validated form of marital therapy after the behavioral approaches. The relationship of attachment quality, level of emotional self-disclosure, level of interpersonal trust, and traditionality to the therapy outcome variables, marital adjustment, intimacy, and therapist ratings of improvement, was examined. These variables were chosen for their relevance to the theory and practice of EFT and to intimate relationships in general. Overall, therapeutic alliance predicted successful outcome; the task dimension of the alliance in particular predicted couples' satisfaction. More specifically, one dimension of female partners' trust, their faith in their partner, predicted couples' satisfaction at follow-up. Females' faith also significantly predicted males' level of intimacy at follow-up. Males who were most likely to be nondistressed at termination indicated higher levels of proximity seeking on an attachment measure at intake, and older males and males whose partners had higher levels of faith in them were more likely to be nondistressed at follow-up. Traditionality was not found to be significantly related to outcome. Couples who made the most gains at follow-up also indicated lower initial marital satisfaction and included males who indicated lower levels of use of attachment figure on the attachment measure at intake. Males who made the largest gains at termination were older and were rated as less expressive by their partner on self-disclosure measures at intake. Age was the only variable significantly related to males' gains in satisfaction at follow-up. Implications for the practice of marital therapy and future research are delineated.     

Positive and negative characteristics of marital interaction and their association with marital satisfaction in middle-aged and older couples.

The study examined age differences in positive (e.g., warm) and negative (e.g., hostile) characteristics of marital interactions between middle-aged and older couples and whether these characteristics were differentially associated with marital satisfaction by age. Spouses' perception of partners' positive and negative behavior during marital interaction was assessed in general and following disagreement and collaborative tasks. Trained observers coded spouses' positive and negative behavior during interactions. Older individuals reported higher marital satisfaction and perceived their spouse's behavior as less negative in general and more positive across all contexts than middle-aged individuals. Spouses' perceptions of their partners' positive and negative behavior independently predicted marital satisfaction for both age groups across contexts. Perceptions of partners' negative behavior in general and of both positive and negative behavior in the disagreement task were more closely associated with marital satisfaction for older spouses than for middle-aged spouses. Results point to the importance of positive and negative characteristics in marital functioning across age cohorts and indicate that such characteristics may be context dependent. Findings suggest that, in some contexts, both positive and negative characteristics are more salient for older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual functioning among breast cancer, gynecologic cancer, and healthy women.

Determined the specific type of sexual functioning deficits and the relationship between global sexual satisfaction and adjustment in 2 related life areas (marital relationship and body image) for 2 groups of cancer patients at high risk for sexual difficulties. The 2 groups included 16 27–67 yr old females with Stage 2 breast cancer and 16 31–65 yr old females with gynecologic cancer. These Ss were compared to 16 healthy female outpatients (controls). Measures included the Sexual Activities scale from the Derogatis Sexual Functioning Inventory, a modified version of the Dyadic Assessment Scale (marital adjustment), a global sexual evaluation, and a body-image scale. Analyses revealed that the aspects of sexual functioning for breast-cancer and gynecologic-cancer Ss that differed from those of controls were the frequency of sexual behaviors and the level of sexual arousal. Whereas Ss' evaluations of their current sexual life had no relationship to their marital-adjustment ratings, analyses suggested that body-image disruption may be a prevalent problem for gynecologic cancer patients. Data suggest that cancer diagnosis and treatment are instrumental in producing reductions in sexual activity and arousability. (34 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital discord and well-being in older adults: Is the association confounded by personality?

The associations between marital discord and multiple measures of well-being (depression, anxiety, life satisfaction, and self-esteem) were evaluated in a population-based sample of 416 couples in which the husband was 65 years or older. Results indicated that greater marital discord was associated with greater depression and lower life satisfaction and self-esteem. Furthermore, the associations between marital discord and well-being remained significant when statistically controlling for the rival explanation of the Big Five personality traits. Finally, there was little evidence for gender differences in the magnitude of the associations between marital discord and well-being. Findings suggest that marital discord is an important correlate of multiple measures of well-being in older individuals and that this association is not confounded by the Big Five personality traits. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual activities, response and satisfaction in women pre- and post-spinal cord injury

Twenty-five spinal cord injured (SCI) women (median age = 34) completed an 80-item multiple choice questionnaire (median 50 months postinjury) that assessed sexual functioning pre-spinal cord injury and post-spinal cord injury in four areas: (1) sexual adjustment; (2) sexual activities and preferences; (3) sexual desire, arousal and satisfaction; and (4) sexual abilities. Frequency of sexual activity decreased following SCI. Intercourse was the favorite activity preinjury; whereas, kissing, hugging and touching were favored postinjury. Sexual desire and satisfaction decreased postinjury. Ability to achieve lubrication and orgasm with various types of spinal injuries is reported. Although most women did not receive sexual information or counseling, 76% of the sample believed they had been adjusting well sexually. Results are discussed accounting for the limitations of self-report methodology in sexuality research. The need for laboratory based, physiologic studies is underscored.     

Global marital satisfaction versus marital adjustment: An empirical comparison of three measures.

Two measures of marital satisfaction, the Quality of Marriage Index (R. Norton; see record 1983-27053-001) and the Relationship Satisfaction Questionnaire (D. D. Burns and S. L. Sayers, 1992) were compared to a measure of marital adjustment, the Dyadic Adjustment Scale (G. B. Spanier; see record 1977-00122-001). The measures showed excellent convergent validity (high correlations among each other and with other measures of marital functioning) and discriminant validity (low or nonsignificant correlations with psychopathology subscales). However, spouses' ratings of frequency of disagreements differed significantly from their ratings of satisfaction in the same areas. Formulas for converting scores among the measures are given, and the measures were found to have modest classification powers. The relative advantages and disadvantages of adjustment and satisfaction measures are discussed, and recommendations are made for when to use each type of measure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality traits versus the quality of the marital relationship as the determinant of marital sexuality

The question of whether personality traits or the relationship among marital partners is more significant for the importance of sexuality and satisfaction in sexual interaction was examined. It was demonstrated that only interaction variables were significant, satisfying sexual relationships existing only in happy marriages. Correspondence between the partners was quite good for "satisfaction in sexual interaction," but there was no correlation for the importance sexuality had for both partners. The comparison between the two sexes additionally showed that for women sexuality was less important and satisfying compared to men. This relationship held during various stages of the marital relationship.     

Birds of a feather don't always fly farthest: Similarity in Big Five personality predicts more negative marital satisfaction trajectories in long-term marriages.

Decades of research suggest that similarity in demographics, values, activities, and attitudes predicts higher marital satisfaction. The present study examined the relationship between similarity in Big Five personality factors and initial levels and 12-year trajectories of marital satisfaction in long-term couples, who were in their 40s and 60s at the beginning of the study. Across the entire sample, greater overall personality similarity predicted more negative slopes in marital satisfaction trajectories. In addition, spousal similarity on Conscientiousness and Extraversion more strongly predicted negative marital satisfaction outcomes among the midlife sample than among the older sample. Results are discussed in terms of the different life tasks faced by young, midlife, and older adults, and the implications of these tasks for the "ingredients" of marital satisfaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Type A behavior of administrators and wives' reports of marital satisfaction and well-being.

Self-reported Type A behavior (measured by a 44-item scale developed by S. M. Sales, 1969) of 85 top level administrators of correctional institutions was correlated to their spouses' reported marital satisfaction, emotional well-being, and health-related behaviors. In general, higher levels of Type A behavior of job incumbents was associated with less marital satisfaction and poorer well-being of spouses. This effect was most pronounced on dependent variables related to the husband–wife relationship and to home and family functioning. Several explanations for these findings are considered. (30 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationships among sexual satisfaction, marital quality, and marital instability at midlife.

Sexual satisfaction, marital quality, and marital instability have been studied over the life course of couples in many previous studies, but less in relation to each other. On the basis of the longitudinal data from 283 married couples, the authors used autoregressive models in this study to examine the causal sequences among these 3 constructs for husbands and wives separately. Results of cross-lagged models, for both husbands and wives, provided support for the causal sequences that proceed from sexual satisfaction to marital quality, from sexual satisfaction to marital instability, and from marital quality to marital instability. Initially higher levels of sexual satisfaction resulted in an increase in marital quality, which in turn led to a decrease in marital instability over time. Effects of sexual satisfaction on marital instability appear to have been mediated through marital quality. (PsycINFO Database Record (c) 2011 APA, all rights reserved)