The relationship between dyadic adjustment with demographic and clinical variables in infertile couples

Year 2013, Volume: 38 Issue: 1, 51 - 62, 01.03.2013

Nurdan Eren Bodur Behçet Çoşar Mehmet Erdem

Abstract

In this study it was aimed to assess and evaluate the impact of the levels of dyadic adjustment 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. 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, dyadic adjustment, fertility problem

İnfertil Çiftlerde Evlilik Uyumunun Demografik ve Klinik Değişkenlerle İlişkisi

Abstract

Bu araştırmada, infertil çiftlerin evlilik uyumlarının 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 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 görülmüştür. 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, çift uyumu, fertilite sorunu

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• Yazışma Adresi / Address for Correspondence: Dr. Nurdan Eren Bodur Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi Sinan Ercan Cad. 23 Kadıköy 34736 İSTANBUL e-mail:nurdaneren @gmail.com geliş tarihi/received :24.08.2012 kabul tarihi/accepted:05.10.2012