Relationship between perceived social support and clinical variables in infertile couples

Year 2013, Volume: 38 Issue: 2, 72 - 77, 01.06.2013

Nurdan Eren Bodur Behçet Çoşar Onur Karabacak

Abstract

In this study it was aimed to assess and evaluate the impact of the levels of perceived social support in infertile couples on stress related with infertility and marital adjustment. The study included 104 couples with primary or secondary infertility and 44 healthy couples with children for the control group. Control group was given the Hospital Anxiety Depression Scale (HADS), Dyadic Adjustment Scale (DAS) and Multidimensional Scale of Perceived Social Support (MSPSS). Infertile group was given HADS, DAS, MSPSS and also Fertility Problem Inventory. Women in infertile couples reported greater psychological symptoms and more decreased marital adjustment than men in infertile couples; but the couples did not show any significant difference with those in control groups regarding these parameters. It was determined that, in general, while marital adjustment in infertile couples increases, depression and anxiety levels decrease. It was also observed that perceieved social support from the family has a positive effect on the marital adjustment. The perceived social support level in men in infertil couples is lower than women in the same group, and this outcome is also related with the increasing anxiety in men. These results showed that psychosocial problems in infertile couples should be evaluated with specific scales. Psychosocial support which will be given to infertile couples and motivating social support systems while providing this service would have positive effects especially on men.

Keywords

Fertility, multidimensional perceived social support, dyadic adjustment, fertility problem

İnfertil çiftlerde algılanan sosyal destek ve klinik değişkenlerle ilişkisi

Abstract

Bu araştırmada, infertil çiftlerin algıladıkları sosyal destek klinik değişkenler üzerine olan etkisinin araştırılması amaçlanmıştır. Çalışmaya 104 infertil çift ve kontrol grubu olarak sağlıklı ve çocuklu 44 çift dahil edilmiştir. Kontrol grubuna HAD (Hastane anksiyete depresyon), ÇBASDÖ (çok boyutlu algılanan sosyal destek ölçeği) ve ÇUÖ (çiftler uyum ölçeği) ve infertil grubuna bu ölçeklere ek olarak FSE (Fertilite Sorun Envanteri) verilmiştir. İnfertilite grubu kadınlar, infertil erkeklere göre daha fazla psikososyal bozulma ve evlilik uyumunda düşme bildirseler de bu kontrol grubundan farklı değildir. Genel olarak, infertil çiftlerde evlilik uyumu arttıkça depresyon ve anksiyete düzeyinin düştüğü, aileden algılanan sosyal desteğin evlilik uyumu üzerine olumlu etkisinin olduğu ancak kadınların eşleriyle olan iletişimi azaldıkça aileden algıladıkları sosyal desteğin arttığı görülmüştür. Erkeklerin sosyal destek düzeyi kadınlara göre düşük ve bu artan anksiyete düzeyleri ile de ilişkilidir. Bu sonuçlar infertil çiftlerde psikososyal sorunların bu alana özgü ölçeklerle değerlendirilmesinin önemine, çiftlere sağlanacak psikososyal desteğin ve bu hizmet içinde sosyal destek sistemlerinin harekete geçirilmesinin özellikle de erkekler üzerindeki olumlu etkilerinin olabileceğine dikkat çekmektedir.

Keywords

İnfertilite, çok yönlü algılanan sosyal destek, çift uyumu, fertilite sorunu

References

• Harris ED. Clinical features of rheumatoid arthritis. In: Ruddy S, Harris ED, Sledge CB, editors. Kelley’s Textbook of Rheumatology. 6th edition, Elsevier, Philadelphia: WB Saunders Company. 2001; 9671000.
• Dreyer SJ, Boden SD. Natural history of rheumatoid arthritis of the cervical spine. Clin Orthop. 1999; 366:98-106.
• Yoshino S, Shiga H, Nakamura H, Nagashima M. Longterm outcome of total joint arthroplasty in nonambulatory patients with rheumatoid arthritis. J Rheumatol. 1999; 26:1076–9.
• Ekdahl C, Anderson SI, Svensson B. Muscle function of the lower extremities in rheumatoid arthritis and osteoarthrosis: a descriptive study of patients in a primaryhealth care district. J Clin Epidemiol. 1989; 42: 947-54.
• Aydog E, Aydog ST, Cakci A, Doral MN. Dynamic postural stability in blind athletes using the biodex stability system. Int J Sports Med. 2006; 27:415-8.
• Tjon A, Hen SS, Geurts AH, Pad Bosch, PV, Laan RM, Mulder T. Postural control in rheumatoid arthritis patients scheduled for total knee arthroplasty. Arch Phys Med Rehab. 2000; 81:1489–93.
• Rome K , Dixon J, Gray M, Woodley R. Evaluation of static and dynamic postural stability in established rheumatoid arthritis: Exploratory study. Clin Biomechanics. 2009; 24: 524–26.
• Lawlor DA, Patel R, Ebrahim S. Association between falls in elderly women and chronic diseases and drug use: cross sectional study. BMJ. 2003; 327:712-7.
• Fessel KD, Nevitt MC. Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis. Arthritis Care Res. 1997; 10: 222Luoto S, Riikonen K, Siivola M, Laiho K, Kauppi M, Mikkelsson M. Impaired postural control is associated with worse scores of the Health Assessment Questionnaire disability index among women with rheumatoid arthritis. J Rehabil Med. 2011; 43: 900-5.
• Briggs RC, Gossman MR, Birch R, Drews JE, Shaddeau SA. Balance performance among noninstitutionalized elderly women. Phys Ther. 1989; 69:748–56.
• Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology. 2002; 41:1388-94.
• Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in communitydwelling older adults using the timed up and go test. Phys Ther. 2000; 80:896–903.
• Baldwin SL, Van Arnam TW, Ploutz-Snyder LL. Reliability of dynamic bilateral postural stability on the Biodex Stability System in older adults, Med Sci Sport Exerc. 2004; 36:530.
• Aydog ST, Aydog EC， Akci A, Doral MN. Reproducibility of postural stability score in blind athletes. Isokinetic Exerc Sci. 2004; 12:229–32.
• Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988; 31:315–24.
• Cachupe JCW, Shifflet B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Meas Phys Edu Exerc Sci. 2001; 5:97-108
• Aydog, E., Bal, A., Aydog, S.T., Cakci, A. Evaluation of dynamic postural balance using the biodex stability system in rheumatoid arthritis patients. Clin. Rheumatol. 2006; 25: 462–7.
• Woolf AP. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003; 81:646
• Ekdahl C, Andersson SI. Standing balance in rheumatoid arthritis: a comparative study with healthy subjects. Scand J Rheumatol. 1989; 18:33-42.
• Woodburn J, Helliwell PS, Barker S. Threedimensional kinematics at the ankle joint complex in rheumatoid arthritis patients with painful valgus deformity of the rearfot. Rheumatology. 2002; 41:1406–12
• Platto MJ, O’Connell PG, Hicks JE, Gerber LH. The relationship of pain and deformity of the rheumatoid foot to gait and an index of functional ambulation. J Rheumatol. 1991; 18:38–43.
• Mengshoel AM, Clarke-Jenssen AC, Fredriksen B, Paulsen T. ‘Clinical examination of balance and stability in rheumatoid arthritis patients’, Physiotherapy. 2000; 86: 342-347.
• Ekdahl C.Postural control, muscle function and psychological factors in rheumatoid arthritis. Are there any relations? Scand J Rheumatol. 1992; 21: 297-301
• Wilson O, Kirwan JR. Measuring sensation in the feet of patients with rheumatoid arthritis. Musculoskelet Care. 2006; 4:12–23.
• Marcora SM, Lemmey AM, Maddison PJ. Can progressive resistance training reverse cachexia in patients with rheumatoid arthritis? Result of a pilot study. J Rheumatol. 2005; 32:1031-9.
• Suomi R, Kojeca DM. Postural sway characteristics of women with lower extremity arthritis before and after an aquatic exercise intervention. Arch Phys Med Rehabil. 2000; 81:780–85.
• Williams HG, McClenaghan BA, Dickerson J. Spectral characteristics of postural control in elderly individuals. Arch Phys Med Rehabil. 1997; 78:737– 7
• Jamison M, Neuberger GB, Miller PA. Correlates of falls and fear of falling among adults with rheumatoid arthritis. Arthritis Rheum. 2003; 49:673–80.
• Armstrong C, Swarbrick CM, Pye SR, O'Neill TW. Occurrence and risk factors for falls in rheumatoid arthritis. Ann Rheum Dis. 2005; 64:1602–4.
• Hayashibara M, Hagino H, Katagiri H, Okano T, Okada J, Teshima RIncidence and risk factors of falling in ambulatory patients with rheumatoid arthritis: a prospective 1-year study. Osteoporos Int. 2010; 21:1825-33.
• Yazışma Adresi / Address for Correspondence: Dr. Ahmet İnanır Gaziosma npaşa Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı 60100 TOKAT Tel: [phone] e-mail: [e-mail] geliş tarihi/received :19.08.2012 kabul tarihi/accepted:01.10.2012