Marital Adjustment in Patients with Chronic Viral Hepatitis versus Healthy Controls
Abstract
Objective: Marital adjustment has been regarded as an important issue in chronic illnesses. Some studies have addressed the effect of viral hepatitis on patients' spouses but there is still limited information on the topic. This study has compared marital adjustment in patients suffering from different stages of viral hepatitis with that of a healthy population.Methods: In a cross-sectional study, 176 subjects were recruited and divided into three groups: group I (57 patients with chronic active hepatitis), group II (68 carriers with non-active viral hepatitis), and group III (51 healthy subjects). Patients and controls were selected through systematic sampling from Tehran Hepatitis Center and Tehran Blood Transfusion Organization respectively. The overall score and the scores of subscale items including Dyadic Consensus, Affection Expression, Dyadic Satisfaction and Dyadic Cohesion were compared in the groups using Revised Dyadic Adjustment Scale (RDAS).
Results: There was no significant difference between the overall RDAS score, and its subscales including Dyadic Satisfaction, Dyadic Consensus, Affection Expression and Dyadic Cohesion among the study groups (p>0.05).
Conclusions: It appears that marital adjustment in Iranian patients with chronic active hepatitis and carriers with non-active viral hepatitis are similar to healthy subjects. Thus, dyadic support may act as a buffer on the negative impact of the disease development on the familial lives of the patients.
Anonymous authors. Constitution of the World Health Organization 1946. Bull World Health Organ 2002; 80: 983-984.
Luk WS. The HRQoL of renal transplant patients. J Clin Nurs 2004; 13: 201-209.
Lukkarinen H, Hentinen M. Assessment of quality of life with the Nottingham Health Profile among women with coronary artery disease. Heart Lung 1998; 27: 189-199.
Weng LC, Dai YT. [Physical, psychological, social, and spiritual issues facing kidney transplant recipients]. Hu Li Za Zhi 2005; 52: 65-70.
Muehrer RJ, Becker BN. Life after transplantation: new transitions in quality of life and psychological distress. Semin Dial 2005; 18: 124-131.
Trief PM, Wade MJ, Britton KD, Weinstock RS. A prospective analysis of marital relationship factors and quality of life in diabetes. Diabetes Care 2002; 25: 1154-1158.
Yates BC, Bensley LS, Lalonde B, Lewis FM, Woods NF. The impact of marital status and quality on family functioning in maternal chronic illness. Health Care Women Int 1995; 16: 437-449.
Trief PM, Grant W, Elbert K, Weinstock RS. Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes. Diabetes Care 1998; 21: 241-245.
Laffel LM, Vangsness L, Connell A, Goebel- Fabbri A, Butler D, Anderson BJ. Impact of ambulatory, family-focused teamwork intervention on glycemic control in youth with type 1 diabetes. J Pediatr 2003; 142: 409-416.
Trief PM, Himes CL, Orendorff R, Weinstock RS. The marital relationship and psychosocial adaptation and glycemic control of individuals with diabetes. Diabetes Care 2001; 24: 1384- 1389.
Bianchi G, Marchesini G, Nicolino F, Graziani R, Sgarbi D, Loguercio C, et al. Psychological status and depression in patients with liver cirrhosis. Dig Liver Dis 2005; 37: 593-600.
Busby DM, Christensen C, Crane DR, Larson JH. A Revision of the Dyadic Adjustment Scale for Use with Distressed and Nondistressed Couples - Construct Hierarchy and Multidimensional Scales. J Marital Fam Ther 1995; 21: 289-308.
Danesh E. The efficacy of Islamic counseling on improving marital adjustment levels of incompatible couples [monograph on the internet]; 2007. Available from: http://www.iranpa.org/pdf/054.pdf
Fathi-Ashtiani A, Karami GR, Einollahi B, Assari S, Aghanasiri F, Najafi M, et al. Marital quality in kidney transplant recipients: easy to predict, hard to neglect. Transplant Proc 2007; 39: 1085-1087.
Ifudu O, Paul HR, Homel P, Friedman EA. Predictive value of functional status for mortality in patients on maintenance hemodialysis. Am J Nephrol 1998; 18: 109- 116.
Hollisaaz MT, Aghanassir M, Lorgard-Dezfuli- Nezad M, Assari S, Hafezie R, Ebrahiminia M. Medical comorbidities after renal transplantation. Transplant Proc 2007; 39: 1048-1050.
Hall SF. A user's guide to selecting a comorbidity index for clinical research. J Clin Epidemiol 2006; 59: 849-855.
Niederau C. [10 minute consultation: 36-year- old patient with chronic hepatitis C. Is unprotected sex with the spouse still possible]? MMW Fortschr Med 2005; 147: 59- 60.
Tahan V, Karaca C, Yildirim B, Bozbas A, Ozaras R, Demir K, et al. Sexual transmission of HCV between spouses. Am J Gastroenterol 2005; 100: 821-824.
Terrault NA. Sex and hepatitis C. Am J Gastroenterol 2005; 100: 825-826.
Zacks S, Beavers K, Theodore D, Dougherty K, Batey B, Shumaker J, et al. Social stigmatization and hepatitis C virus infection. J Clin Gastroenterol 2006; 40: 220-224.
Minuk GY, Gutkin A, Wong SG, Kaita KD. Patient concerns regarding chronic hepatitis C infections. J Viral Hepat 2005; 12: 51-57.
Mehaut M, Walckhoff F, Marchal P. [Actual cost of hospitalization of cirrhosis patients in a provincial hospital.]. Sem Med Prof Med Soc 1958; 34: 1035-1040.
Cundy T, Bomford A, Butler J, Wheeler M, Williams R. Hypogonadism and sexual dysfunction in hemochromatosis: the effects of cirrhosis and diabetes. J Clin Endocrinol Metab 1989; 69: 110-116.
Jensen SB, Gluud C. Sexual dysfunction in men with alcoholic liver cirrhosis. A comparative study. Liver 1985; 5: 94-100.
Wang YJ, Wu JC, Lee SD, Tsai YT, Lo KJ. Gonadal dysfunction and changes in sex hormones in postnecrotic cirrhotic men: a matched study with alcoholic cirrhotic men. Hepatogastroenterology 1991; 38: 531-534.
McCarthy BW. Strategies and techniques for revitalizing a nonsexual marriage. J Sex Marital Ther 1997; 23: 231-240.
Anonymous authors. Plaintiff must show a 'channel for infection' to recover damages. AIDS Policy Law 1997; 12: 9.
Anonymous authors. Wife was not infected, so husband's AIDS fear was unreasonable. AIDS Policy Law 1999; 14: 3.
Lam BK, Lo CM, Fung AS, Fan ST, Liu CL, Wong J. Marital adjustment after interspouse living donor liver transplantation. Transplant Proc 2000; 32: 2095-2096.
Lo CM, Gertsch P, Fan ST. Living unrelated liver transplantation between spouses for fulminant hepatic failure. Br J Surg 1995; 82: 1037.
Cormier M. The role of hepatitis C support groups. Gastroenterol Nurs 2005; 28: 4-9.
Files | ||
Issue | Vol 1 No 4 (2006) | |
Section | Articles | |
Keywords | ||
Chronic hepatitis Family relation Mental health spouses |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |