Marital Relationship Problems Research Articles

فعالیة برنامج التدخل المهنی للخدمة الاجتماعیة للتخفیف من حدة مشکلات العلاقات الزوجیة لمرضی البهاق

الملخص: مرض البهاق مرض جلدي مزمن غير معدي يبدأ بظهور بقع بيضاء صغيرة قد تأخذ بالانتشار سريعا وقد تصل إلي نسب عالية بالجسم أو يکون انتشارها بطيئا أو تبقي کما هي علي مر السنين . هذا المرض لم يختص بجنس معين ولا بفئة عمرية أيضا , وقد جهلت أسباب مرض البهاق ومسبباته وعجز الطب الحديث عن وجود العلاج الفعال له . ويدخل مرض البهاق في علاقة متبادلة مع کثير من المشکلات أو الاضطرابات النفسية والاجتماعية إلي وجود علاقة ايجابية بينهما , فهذه الأمراض ظاهرية ولا يمکن للمريض إخفاؤها لذا يمکن القول إن ثمة علاقة قوية بين المظهر الخارجي للمصاب وحالته النفسية التي تزداد سوءا إن لم يعالج أو يتکيف مع مرضه ويتوافق مع الآخرين المقربين إلية في ظل مرضه الذي يصاحبه طيلة حياته . حيث يمکن أن يتسبب التشوه المصاحب للبهاق في إجهاد عاطفي خطير للمريض ويؤثر علي حياته .وتشکل العلاقة الحميمة جزء أساسي في الحياة الزوجية ولا يمکن الاستغناء عنها , حيث يؤثر البهاق عليها من الناحية الشکلية وعدم قبول شريک الحياة الزوجية شکل الإصابة وهذا يتفاوت بين الأشخاص , ويواجه مريض البهاق العديد من الضغوطات والتحديات الصعبة مثل الإهمال وسوء المعاملة وعدم مراعاة احتياجات شريک الحياة وقد يحدث بينهما جفوة عاطفية کبيرة فبالتالي تضعف قدرة المريض علي تلبية احتياجات الطرف الآخر, فيحدث الشقاق والجفوة بين المريض وشريکة في العلاقة الزوجية تصل إلي حد الابتعاد عن الشخص المصاب لأکبر وقت ممکن کما يحدث التهديد والوعيد بإنهاء العلاقة والانفصال منذ الإصابة بالمرض , فيتألم الشخص المصاب بسبب عدم تقدير مشاعره وحجم معاناته من الطرف الآخر , فيتهم الشريک المريض أنه صار انطوائيا وسريع الغضب, وينخفض التشاور بين المريض وشريک حياته في الشئون الأسرية. بما أن الخدمة الاجتماعية تهتم بحياة الإنسان من جميع الجوانب الاجتماعية والاقتصادية والنفسية والصحية وتقدم له الکثير من الخدمات سواء علاجية أو وقائية أو تنموية . The effectiveness of the social work professional intervention program to alleviate the marital relationship problems for vitiligo patients. Abstract: Vitiligo is a chronic, non-contagious skin disease that begins with the appearance of small white spots that may spread rapidly and may reach high levels in the body or have slow spread or remain the same over the years. This disease is not specific to a specific gender or age group as well, and the causes and causes of Vitiligo have been ignored and the inability of modern medicine to find effective treatment for it. Vitiligo enters into a reciprocal relationship with many psychological and social problems or disorders to the existence of a positive relationship between them, for these diseases are apparent and the patient cannot hide them, so it can be said that there is a strong relationship between the outward appearance of the patient and his psychological state that gets worse if he is not treated or adapted to his disease. And he corresponds with others close to him in light of his illness that accompanies him throughout his life. Where the deformity associated with vitiligo can cause serious emotional stress to the patient and affect his life. Intimate relationship is an essential part of marital life and cannot be dispensed with, as vitiligo affects it in terms of form, and the partner of marital life does not accept the form of infection and this varies between people, and a patient faces Vitiligo has many stressors and difficult challenges, such as neglect, abuse and failure to take into account the needs of a life partner, and a great emotional gap may occur between them, thus weakening the patient's ability to meet the needs of the other party, so discord and gap between the patient and a partner in the marital relationship occurs to the point of moving away from the affected person for the largest possible time. Threatening and threatening to end the relationship and separation since contracting the disease occurs, so the affected person suffers because of the lack of appreciation of his feelings and the extent of his suffering from the other party. Since the social service is concerned with human life from all social, economic, psychological and health aspects and provides him with many services, whether curative, preventive or developmental.

The Effectiveness of Emotion-focused Cognitive Therapy in Decreasing Depression due to Marital Relationship Problems

Marital distress and marital relationship problems are effective in generation and acceleration of depression. Depression is a significant contributor to the global burden of disease and affects people in all communities across the world. This study aims to determine the effectiveness of emotion-focused cognitive therapy in decreasing depression caused due to marital relationship problems. The design of this study was semi-experimental with pre-test, post-test and control group. The research population consisted of all couples referred to the Ferdowsi University of Mashhad Clinic of Psychology. 10 couples with marital problems were selected by convenience sampling, and randomly assigned to an experimental group and a control group. The experimental group received emotion-focused cognitive therapy while the control group received no treatment. The research measurement instruments consisted of BDI-II and CPQ. ANCOVA models were used to test the study hypothesis. The results showed that EFCT had been effective in decreasing depression due to marital relationship problems (P < 0.001). The results of our study not only demonstrated that the importance of cognition and emotion in marital relationship but also product useful information about effectiveness of EFCT on depression caused due to marital relationship problems for researchers, counselors and psychotherapists.

Psychological Support for Families During Crises (as exemplified by families members of Ukrainian war veterans)

Abstract The goal of the article is to describe the theoretical and empirical research of characteristics of families under non-normative crises, having as an example the families of combatants participated in the anti-terrorist operation in Ukraine. The following family crises are discussed: normative crises, as period of transition from one stage of the family life cycle to another and non-normative crises caused by traumatic life events. Research methodology. In order to differentiate more clearly the families of war veterans (those who returned from the anti-terrorist operation zone were examined) and their reactions to the crisis, a sample consisted of chosen nuclear families and the attention was focused on the marital subsystem as a family basis. At the end, survey and psychological testing of war veterans’ wives were conducted; the following diagnostic techniques were used: the author’s questionnaire, FACES-3 method (D.Olson), the questionnaire of family anxiety (E.Eydemiller); the methods of mathematical statistics were used to estimate the data. Research results. The data of the empirical study of the 36 families of war veterans who participated in the military operations in the ATO zone (Ukraine) show that such non-normative family crisis is characterized by family system imbalance and its correction requires adaptation of the family as a whole system to the new reality. Most war veterans’ families undergo series of transformations associated with changes in family structure, communication, significant emotional stress. Discussion. Psychological assistance to war veterans’ families should include psychological learning, prevention and resolving of marital relationship problems, including construction of a new family image, joint life prospects, discussion and transformation of family rules and regulations, development of family cohesion and communication.

Epilepsy: Attitude and Awareness among Students of Professional Social Work

Epilepsy is one of the most common neurological disorders that affect approximately 50 million peopleworldwide, with the prevalence of 1% in the population.Nearly 80% of people with epilepsy are found indeveloping countries, where the disease remains a majorpublic health problem. It is not only because of its healthimplications but also for its social, cultural, psychologicaland economic effects. The person with epilepsy goesthrough many difficulties such as unpredictability of theseizures, adjustmental demands on personal and worklife, family coping, problems in marital relationship,issues surrounding children, economic burden, andstigma about the disease apart from the access totreatment. Managing a chronic illness such as epilepsyinvolves more than managing medical problems. Socialworkers, as change agents, can fulfil their roles aseducators, counsellors, and patient-advocates by helpingpatients and families to gain insight into the implicationsof chronic illness. The present cross sectional study wasconducted among the Master of Social Work (MSW)students specialising in Medical and Psychiatric SocialWork, with an attempt to look at the Knowledge and Attitude about Epilepsy. Thirty one students of Master ofSocial Work course with Medical and Psychiatric SocialWork (males = 9; females = 22; age = 23.61, range 22-28years) from different colleges in South India filled thequestionnaire developed to assess the knowledge andattitudes about Epilepsy. All the respondents had heardabout Epilepsy. The study revealed that while there isgood awareness about Epilepsy among the students,majority of them felt that persons with Epilepsy shouldhave restrictions in movement (84%) and that they havelimitations in employment (58%). The implications of thestudy from knowledge development, research andpractice are discussed.

Condom use among HIV sero-concordant couples attending a secondary health facility in North-Central Nigeria

Background: Condom use during intercourse is perceived as unnecessary in sexual encounters involving a regular partner. The non-use of condom among HIV-positive people has been found to increase the risk of resistance to anti-retroviral therapy. The objective of this study was to determine the pattern of condom use among HIV sero-concordant couples attending a secondary health facility in North-Central Nigeria. Materials and Methods: This is a cross-sectional survey that was carried out among people living with HIV and AIDS (PLWHA) who have been enrolled into care and treatment at General Hospital Abejukolo in Kogi State, Nigeria. The data instrument used was self-/interviewer-administered questionnaire. The data obtained were analysed using EPI-INFO version 3.4.1 software package. Chi-square test was used and P < 0.05 was considered significant for the study. Results: Assessment of knowledge of the respondents on the correct use of condom showed that two-thirds (60; 65.9%) had good knowledge and 70 (79.6%) of them demonstrated positive attitude towards the use of condom during sexual intercourse. About one-third of the respondents (32; 35.2%) would oblige the spouse sexual intercourse without condom mainly because they are both positive, to fulfil marital obligations and to avoid problems in marital relationship. Less than two-thirds (59.3%) of sero-concordant spouse used condom during sexual intercourse for reasons of preventing re-infection and pregnancy. Conclusion: With one-third of respondents not using condom during sexual intercourse, there is a great challenge for spread of HIV infection and risk of drug resistance in HIV care and management. Therefore, stakeholders at various levels should intensify efforts and support research towards behavioural modification in addressing the existing lacunae in HIV control.

The Prevalence of Perinatal Depression in KAMC and Associated Factors

Perinatal depression is the most common childbirth complication which could adversely affect the whole family. Mothers with perinatal depression are more likely to deliver a baby with low birth weight, decrease head circumference, and low cognitive and physical growth. This study estimates the prevalence of perinatal depression and identifies the associated factors. This was a cross sectional study conducted at the King Fahd Hospital, King Abdulaziz Medical City in Riyadh. Four hundred women participated in the study: 200 prenatal women who exceeded 20 weeks of pregnancy, and 200 postpartum women in their first year after delivery that exceeded 3 weeks from delivery. The participants completed the Edinburgh postnatal depression scale, and a questionnaire about obstetric and sociodemographic data. The prevalence of perinatal depression was 22%; the prevalence in prenatal women was 23.5%, and in postnatal women it was found to be 20.5%. The associated factors were marital relationship problems, exposure to difficult events, having low socioeconomic status, lack of support from the family, and being a victim of domestic violence. One-fourth of the samples were affected by perinatal depression. Routine screening of perinatal depression is highly recommended; to decrease the complications and the feeling of stigma.

Cognitive and interpersonal factors in woman abuse

As part of a larger ecological analysis of woman battering in Israel, this study examined the combined ability of selected cognitive and interpersonal measures to differentiate among couples in which women were battered and those in which they were not. The ability of these variables to predict men's physical violence and verbal abuse and women's verbal abuse was also executed. Results indicate that a combination of low marital adjustment, high levels of conflict over children, and more perceived self-control over one's life characterized violent men; low marital adjustment and high conflict over child rearing characterized battered women. Both men's and women's verbal abuse was moderately predicted by lower marital adjustment while men's physical violence was predicted by increased levels of conflicts with his partner over child rearing. These findings suggest the importance of marital relationship factors in domestic violence and highlight the need for further study of the interaction between perceived control and marital relationship problems in relationships where men physically abuse women.

Couples Referred to a Sexual Dysfunction Clinic

Two hundred couples referred to a sexual problems clinic were assessed in a standardised way for their suitability for sex therapy. The assessment focused on the nature of the sexual dysfunction, motivation for treatment, marital and relationship problems, psychiatric status, and physical problems. Approximately one-third of the couples were found to have significant marital and relationship problems, and more than 30% were suffering from psychiatric disorders, although these were usually of mild to moderate intensity. A third of males and 18% of females were suffering from physical disorders likely to contribute to the sexual dysfunction. Patients who were offered sex therapy and who completed their course of treatment were more likely to show high levels of motivation and an absence of physical disorders, marital relationship problems and psychiatric disorder. There should be careful assessment of couples suffering from sexual dysfunction before specific treatment is offered.

ASSESSMENT OF MARITAL DISCORD IN SOCIAL WORK PRACTICE

This paper rcports the revalidation findings of the Index of Marital Satisfaction (IMS) that were obtaincd from three separate studies. The scale was found to have a reliability in excess of .90 and it also has excellent discriminant, construct, content, and factorial validity. The IMS scale has bccn revised so that it can be used with unmarried partners. Findings are also presented to show how marital relationship problems relate to a number of other problems in personal and social functioning and to several biological and social characteristics of respondents.