Quality Of Marital Relationship Research Articles

A Grounded Theory Study of Couple Caregiving: A Qualitative Study

Aim: Caregiving is fundamental to human relationships and plays a crucial role in the quality and stability of marital relationships. The present study aimed to explain the concept of couple caregiving. Methods: This qualitative research was conducted in 2021, adopting a grounded theory approach. For this purpose, ten couples residing in city of Aligudarz (Iran) were selected based on inclusion criteria and purposive sampling. The sampling continued until data saturation was reached. These individuals were examined through semi-structured, in-depth interviews. Data were analyzed using Strauss and Corbin’s (2014) method and the MAXQDA20 software. Findings: The data analysis led to the identification of 78 open codes and 13 axial codes in the form of causal conditions: life history, conscious marriage; contextual conditions: individual and couple contexts; efficient couple relationship; Intervening conditions: behavioral and cognitive facilitating factors; obstacles: personal and environmental stressors; Strategies for sustaining and improving care, and persona; outcomes for the caregiver and care recipient and couple outcomes and the central theme of “reciprocal couple caregiving” was chosen. Conclusions: The findings indicated that factors influencing couple caregiving extend to the time before marriage. Couple caregiving involves conscious marriage and proactive and constructive actions of the couple. It is an interactive and reciprocal process that enhances the insight and awareness of the couple, and the use of care-seeking and caregiving receptivity strategies significantly contributes to its continuity.

Comprehensively evaluating the relationships between marital status and other family factors with cardiovascular disease and long-term overall mortality in the elderly: a study of 48 510 Chinese individuals.

Marital status is associated with cardiovascular disease (CVD) incidence and overall mortality, yet limited research on this topic in elderly individuals is available. Our aim was to comprehensively assess the impact of marital status and other family factors on CVD incidence and long-term mortality among elderly people. Data from the Chinese Longitudinal Healthy Longevity Survey (2002/2005/2008-2018) for participants aged ≥60years were analysed. A cross-sectional study initially examined the correlation between spouses, offspring, living arrangements, and CVD using logistic regression. Subsequently, a retrospective cohort study investigated the long-term associations of these factors with overall mortality via Kaplan-Meier and Cox regression analyses. The study involved 48 510 subjects (average age: 87years). The cross-sectional analysis revealed a correlation between living with a spouse and an increased incidence of heart disease (adjusted OR 1.27, 95% CI 1.04-1.55) and cerebrovascular disease/stroke (adjusted OR 1.26, 95% CI 1.11-1.42). According to the retrospective cohort analysis, living with a spouse significantly reduced overall mortality (adjusted HR 0.84, 95% CI 0.80-0.87), irrespective of marital relationship quality. Conversely, living with offspring (adjusted HR 1.12, 95% CI 1.08-1.16), having more children (adjusted Pnonlinearity = 0.427) or cohabitants (adjusted Pnonlinearity < 0.0001) were associated with increased overall mortality. In the elderly population, being married and living with a spouse were not significantly associated with a decrease in CVD incidence but were associated with a reduction in long-term overall mortality. Living with offspring, having more children, or having a larger family size did not replicate the protective effect but indicated greater overall mortality.

Role of Personality Traits in Predicting Newlywed Intimacy and Relationship Quality

ABSTRACT While personality traits can predict couples’ behaviors in marital life, there are limited studies on the relationship between personality and marital relationships. This study aimed to examine the role of personality in predicting intimacy and the quality of marital relationships in newlywed couples. This cross-sectional study included 115 newlywed couples who participated in an online survey. Participants completed three questionnaires: the NEO Personality Inventory for assessing personality traits, the Intimacy Safety Questionnaire (ISQ) for measuring marital intimacy, and the Quality of Marriage Index (QMI) for evaluating marital quality. Marital intimacy was positively predicted by extraversion and conscientiousness in women and extraversion, conscientiousness, and openness in men. Relationship quality was negatively predicted by neuroticism in women while positively predicted by openness, agreeableness, and conscientiousness in men.

Predicting Concerns During Pregnancy Based on Marital Quality and Cognitive SelfRegulation with the Mediating Role of Mental Security

&#x0D; &#x0D; &#x0D; Introduction: During pregnancy, the marital quality and mental security of women are threatened. A woman's physical, mental and psychological health during this period has significant effects on the health of the fetus, success in natural childbirth and breastfeeding, and improving health. Maintaining psychological security, cognitive self-regulation of emotions, and the quality of marital relations during pregnancy can reduce the worries of this period to some extent. The current research aims to predicting design a structural model of marital quality and cognitive self-regulation with the mediating role of psychological security to predict concerns during pregnancy.&#x0D; Methods: The present study was a descriptive-correlation type using the structural equation modeling method. The study population included all the pregnant women of 25 to 40who referred to health centers and clinics in Yazd in 2023. 275 women were randomly selected by cluster sampling method. Data was collected using Aldersey and Lin's (2011) pregnancy anxiety questionnaires, Busby et al.'s marital quality (1995), Maslow's psychological security (2004), and Garnevsky et al.'s (2002) cognitive self-regulation of emotion. Data analysis was done through Pearson correlation methods and structural equation modeling using SPSS-19 and AMOS-20 software.&#x0D; Results: The results of multivariate regression test showed that the variables of cognitive self-regulation of emotion (positive emotion (R=0/49), negative emotion (R=0/056), and marital quality (R=0/089) with the mediation of psychological security on concerns during pregnancy, had a direct and significant effect (P&lt;0/05). Psychological security also had a direct, negative, and significant effect on worries during pregnancy (P&lt;0/05).&#x0D; Conclusion: The results of the present study shows that the structural model of concerns during pregnancy based on cognitive self-regulation of emotion and marital quality with the mediation of psychological security had favorable fit indices, and therefore, the knowledge of these variables can help to reduce worries during pregnancy&#x0D; &#x0D; &#x0D;

Sexual dysfunction, marital relationship, and subjective quality of life among women with schizophrenia: Analytical case-control study

Background: Women with schizophrenia have a high risk of adverse sexual health outcomes. The chronic course of schizophrenia draws attention to assessing the quality of life and marital relationships of patients with schizophrenia. However, there is a crunch of data in the Indian setting. This study aimed to investigate the prevalence of sexual dysfunctions (SDs) and determine the marital relationship and quality of life among women with schizophrenia. Material and Methods: The study followed an analytical case-control design. The study was conducted at the inpatient psychiatric department of one of the apex tertiary healthcare centers located at the foothills of the Northern Himalayas. The study purposively included 136 participants (68 cases and 68 controls). The control group included healthy women aged 18–45 currently staying with sexual partners. Data were collected using pretested and standardized self-report questionnaires. Results: The median age of the case group was 36 (interquartile range (IQR), 29–42) years, while that of the control group was 29 (IQR 26–34) years. The prevalence of SD was significantly higher (P = 0.001) in cases (95.3%) than in controls (73.4%). Compared to healthy controls, women with schizophrenia have a significantly higher rate of SD in sexual desire (P = 0.001), getting arousal (P &lt; 0.001), lubrication (P &lt; 0.001), achieving orgasm (P &lt; 0.001), and sexual satisfaction (P &lt; 0.001) (except pain). In addition, the marital relationship was better managed (P &lt; 0.001) in healthy controls compared with cases. The healthy control group significantly expressed a better quality of life in physical (P &lt; 0.001), psychological (P &lt; 0.001), and maintaining social (P &lt; 0.001) relationships (except environment domains). In multivariable logistic regression analysis, employment status significantly predicted SDs (odds ratio (OR), 25.78; 95% confidence interval (CI), 2.09, 318.10; P &lt; 0.05) in participants. Conclusion: The prevalence of SD is significantly high among female participants. Hence, treating physicians should pay attention to sexual function during the screening and treatment of patients with schizophrenia.

Childhood maltreatment and the quality of marital relationships: Examining mediating pathways and gender differences

Background: Childhood maltreatment (CM) is considered a traumatic experience with long-term adverse effects on the quality of adult intimate relationships. Research on the mechanisms underlying this phenomenon among Arab societies is scarce. Objective: This study investigated the impact of childhood physical abuse (PA) and emotional abuse (EA) on the quality of marital relationships. Additionally, it examined the mediating roles of two dimensions of insecure adult attachment (i.e., avoidant and anxious) to a romantic partner and psychological distress within gender-specific models. Method: A cross-sectional survey was conducted among a representative sample of 604 married Arab adults ( M age = 33.5, SD = 6.52; 50.1% women) in Israel using a self-administered questionnaire. Results: Childhood PA was significantly related to low levels of relationship quality among men and women. For men, childhood PA was positively related to psychological distress and both patterns of romantic attachment styles, which in turn were negatively associated with relationship quality. For women, childhood PA was positively associated with psychological distress and avoidant attachment, correlating with low levels of relationship quality. Conclusion: A retrospective assessment of childhood PA is associated with decreased levels of marital relationship quality for men and women. This association is mediated by psychological distress and romantic attachment styles. Implications: Implementing interventions focused on improving mental health and promoting a secure romantic attachment style can enhance the quality of marital relationships for adults with CM experiences.

Predictors of social intermediate factors associated with sexual quality of life of women: systematic review and meta-analysis

BackgroundSexual problems and diminished sexual quality of life can adversely affect the physical, psychological, and emotional health of women. The present study was done to determine the social intermediate factors of health associated with sexual quality of life in women of reproductive age.DesignSystematic review and Meta-analysis.Data sourcesEmbase, Web of Science, PubMed/Medline (NLM), ProQuest, and CENTRAL.Eligibility criteriaObservational studies (cross-sectional, case-control, cohort) from 2010 to 2022 with no language constraints were included. The sexual quality of life, as the main variable of the study, has been evaluated using Symonds women’s sexual quality of life scale (SQOL-F). The health social determinants intermediate factors based on WHO model were considered as exposure variables.Data extraction and synthesisThe data of included studies were extracted by two independent persons through a researcher-made checklist according to the study aims. Quality assessment of studies was done using Newcastle-Ottawa instrument. R software (Version R-4.2.1) were used for meta-analysis. Publication bias was evaluated by Egger & Begg tests. Sensitivity analysis was done through one-out remove approach.ResultsEventually, 15 studies were eligible to be included in this systematic review and meta-analysis. Variables of depression, quality of marital relation, body image, self-esteem, physical activity, and sexual function were among the health social intermediate factors associated with sexual quality of life. Publication bias had no effect on the obtained results; no study affecting the results was found through sensitivity analysis.ConclusionConsidering the relationship between modifiable factors and sexual quality of life, it seems that identification of these factors can be an important step towards designing interventional studies to help women experience enhanced sexual quality of life.

Effectiveness of Cognitive Behavioral Therapy on Psychological Hardiness and Marital Relationship Quality in Couples with Marital Conflicts

Objective: The aim of the present study was to determine the effectiveness of cognitive-behavioral therapy on psychological hardiness and the quality of marital relationships in couples with marital conflicts. Methods and Materials: The research method was a quasi-experimental design with a pre-test and post-test with a control group. The statistical population of this study consisted of couples with marital conflicts in Tehran in 2023. Then, 32 couples with marital conflicts were selected through convenience sampling and randomly assigned to the experimental group (16 people) and the control group (16 people). The data collection tools were questionnaires on psychological hardiness and the quality of marital relationships. Subsequently, cognitive-behavioral therapy training was conducted on the experimental group over 8 sessions of 90 minutes each. After the training sessions, post-tests were administered to both the experimental and control groups. Findings: The findings indicated that the post-test scores of the experimental group in psychological hardiness and the quality of marital relationships were significantly better than those of the control group. Conclusion: Therefore, cognitive-behavioral therapy has an effect on psychological hardiness and the quality of marital relationships in couples with marital conflicts.

Effectiveness of Schema Therapy on Marital Relationship Quality and Emotion Regulation in Couples Affected by Infidelity

Objective: Marital infidelity is the primary reason couples seek divorce, leading them to family counseling clinics. The current study aimed to investigate the effectiveness of schema therapy on marital relationship quality and emotion regulation in couples affected by infidelity. Methods and Materials: This was a quasi-experimental study with a pre-test-post-test control group design. The population included all couples in Nowshahr affected by infidelity in 2023. The sample consisted of 30 couples affected by infidelity (15 for the control group and 15 for the experimental group), selected through convenience sampling and randomly assigned to two groups. Data collection tools were the Busby et al. (1995) Marital Relationship Quality Questionnaire and the Garnefski and Kraaij (2006) Emotion Regulation Questionnaire. For data analysis, mean, standard deviation were used in the descriptive section, and multivariate analysis of covariance (MANCOVA) and SPSS version 26 were employed in the inferential section. Findings: The results showed that schema therapy had a significant effect on marital relationship quality (F = 72.99, P &lt; 0.01) and emotion regulation (F = 51.44, P &lt; 0.01) in couples affected by infidelity. Conclusion: It can be concluded that schema therapy was effective in improving marital relationship quality and emotion regulation in couples affected by infidelity, and can be utilized to reduce psychological problems in such couples.

A study on the relationship between self-differentiation and communication patterns and marital relationship quality among Chinese couples

A study on the relationship between self-differentiation and communication patterns and marital relationship quality among Chinese couples

Comparison of effectiveness of face to face and telephone-based counseling with EXPLISSIT approach on marital interaction and quality of life of women attending health centers of Tabriz city during Covid 19 epidemy: A Quasi-experimental study

Background. Quarantine and social distancing due to COVID 19 has led to anxiety, anger, stress, and anger in people and has had a negative impact on physical and mental health and the quality of marital relationships. Due to the lack of sufficient studies and also the fact that no study was found in the literature review that compared this approach over the phone and face-to-face, this study was conducted with the aim of comparing the effect of telephone and face-to-face counseling with the explicit approach on women's marital interactions. Methods. This quasi-experimental study was conducted in 2022 in the health centers of Tabriz city on women aged 18 to 40 with a sexual performance score of less than 28. The participants were assigned to two groups of face-to-face counseling and telephone counseling with a ratio of 1:1 using a computerized random number table with blocks of four and six. Counseling based on explicit approach was done in the face-to-face counseling group during three meetings of 60-90 minutes, and for the telephone counseling group, there were three individual telephone counseling sessions of 60-90 minutes. Pre-test questionnaires including sexual performance, quality of sexual life and marital satisfaction were completed before and eight weeks after the end of the intervention. Results. The mean (standard deviation) score of the quality of sexual life after the intervention was significantly increased in both face-to-face and telephone counseling groups compared to before the intervention. Also the mean (standard deviation) of the total score of sexual performance and marital satisfaction after the intervention in the face-to-face counseling group was significantly higher than that of the telephone counseling group. Conclusion. Using counseling based on ex-PLISSIT approach in both face-to-face and telephone counseling groups, are effective in sexual health. Therefore, during crises such as a pandemic, or other restrictions to hold face-to-face counseling sessions, telephone consultations are useful. Practical Implications. Counseling based on ex-PLISSIT approach is effective for sexual health.

Investigating the relationship between psychological adjustment and the quality of marital relationship dimensions of women with breast cancer in Golestan Province in 2022

IntroductionBreast cancer is the most prevalent cancer among women. Contracting this cancer is an experience accompanied by extreme mental stress. Therefore, when they know about their disease, they experience high levels of disappointment and weakness in adapting to it in their personal and family lives. Like any other type of cancer, it endangers various aspects of mental health, including the marital relation. Breast cancer diagnosis is a crisis in a women's life. In this respect, mastectomy (i.e., breast removal surgery) is eliminating a part of the body that symbolizes gender, femininity, and maternal dimensions. Regarding the importance of the breast in forming a woman's sexual identity, the reaction to the disease by women may involve fear, anxiety, and depression. Hence, the contraction of breast cancer may damage the married life of these women. The present study was conducted to explore the relationship between mental adjustment to cancer (MAC) and marital relationship quality (MRQ) in women with breast cancer. Materials and methodThis descriptive-correlational study was conducted on a sample size of 135. Sampling was performed through the accessible sampling method on women with breast cancer referred to two clinics in Gorgan City during 2020–2021. The data-collection tool comprised the demographic data blank, the Mini-Mac mental-adjustment-to-cancer questionnaire, and the Perceived Relationship Quality Component (PRQC) inventory. The data were analyzed using Pearson's correlation index, multivariable regression model, and the SPSS software ver. 18. ResultsThe mean scores for MAC and MRQ domains in women with breast cancer were 81.15 ± 19.78 and 93.19 ± 95.17, respectively. There was a direct and significant relation between the MAC score in women with breast cancer and the perceived MRQ in them (r = 0.341; p = 0.001), such that with increasing the psychological MAC, the perceived quality of the marital relationship was significantly higher. ConclusionBased on the obtained results, it is inferred that with an increase in the MAC, MRQ domains improve accordingly. Concerning the major role of the MRQ in the mental health of couples, the authorities must prepare a service package to improve the MRQ and mental health of breast cancer patients.

Psychological pathways linking social networks to verbal fluency decline: Implications for Black‐White cognitive disparities

AbstractBackgroundGrowing literature has identified social networks (SN) as a naturally occurring, modifiable resource for cognitive health. Less is understood about psychological mechanisms through which SN factors influence cognition and whether SN factors play a role in racial cognitive disparities in the US. This study 1) investigated prospective associations between SN factors and changes in verbal fluency; and 2) examined the mediating roles of loneliness and depressive symptoms in the SN‐verbal fluency link among diverse older adults.MethodParticipants were 455 non‐Hispanic Black (NHB) and White (NHW) older adults (Mage = 63.6; 53% Black) from the Michigan Cognitive Aging Project (MCAP), a community‐based, racially balanced, longitudinal study of Black and White adults transitioning to late life in Southeast Michigan. At baseline, participants completed neuropsychological assessments in person and were followed up via telephone two years later. Marital status, living arrangement, network size, network composition, and relationship quality (support and strain) were queried at baseline. We used latent difference score modeling to analyze how SN factors are associated with changes in verbal fluency. Next, a sequential mediation model was used to test for mediating pathways via loneliness and depression.ResultBeing married, larger network size, higher support, and lower strain were each uniquely linked to shallower declines in verbal fluency via lower loneliness and depressive symptoms. Independent of these psychological mediators, having a higher proportion of friends in one’s network was directly linked to shallower declines in verbal fluency. Compared to White participants, Black participants reported a lower proportion of friends and were more likely to have never been married, but they also reported less loneliness.ConclusionOur findings suggest that loneliness and depression represent a psychological stress pathway linking some, but not all, SN features to cognitive decline. Further, Black‐White differences provide evidence of both risk and resilience. Racial disparities in verbal fluency decline were partially explained by a lower proportion of friends (risk) but were partially offset by lower loneliness (resilience) among Black adults. This study highlights the multi‐faceted nature of SN and differential pathways by which SN factors shape cognitive health across racial groups.

Longitudinal associations between paternal mental health and child behavior and cognition in middle childhood.

Paternal mental health has been associated with adverse consequences on offspring psychosocial development, and family environmental factors may partly explain those associations. To clarify this, we need comprehensive prospective studies, particularly in middle-childhood when the child enters school and is expected to make use of behavioral and cognitive skills as part of their interactions and learning. Using data from a sub-sample of the prospective 3D birth cohort study comprised of mother-father-child triads, and a follow-up of the parents and the children at 6-8 years of age (n = 61; 36 boys, 25 girls), we examined whether paternal anxious and depressive symptoms measured during the pregnancy period (i.e., prenatally) or concurrently when the child was assessed at 6-8 years old were associated with children's cognition/behavior. In contrast to our hypotheses, we found that greater prenatal paternal depressive symptoms predicted fewer child behavioral difficulties; and that greater concurrent childhood paternal depression or anxiety symptoms were associated with higher child full-scale IQ, controlling for the equivalent maternal mental health assessment and parental education. Father parenting perception did not mediate these associations, nor were they moderated by maternal mental health at the concurrent assessment, or paternal ratings of marital relationship quality. These findings suggest that higher symptoms of paternal mental health symptoms are associated with fewer child behavioral difficulties and higher cognitive performance in middle childhood. Potential clinical implications and future research directions are discussed.

Doing it all: Effects of Family Responsibilities and Marital Relationship Quality on Mothers' Ambulatory Blood Pressure.

The shared provider responsibility between married couples does not translate to equally shared division of childcare (CC) and household labor. While some marriages contain highly positive aspects, marriages may also simultaneously contain both positive and negative aspects. The negativity in these relationships can negate the positivity and could potentially lead to the detriment of mothers' health. We examined mothers' ambulatory blood pressure (ABP) associated with their marital relationship quality and perceived equity with her spouse on CC and household tasks. We investigate these associations using a mixed multilevel model analysis on a sample of 224 mothers in heterosexual marriages, all of whom had children under the age of 18 years currently living in the home. Mothers' perception of equity in the division of CC responsibilities contributed to lower ABP. Additionally, mothers in supportive marital relationships (low negativity and high positivity) had lower ABP than those in ambivalent relationships (both high negativity and positivity). There was a crossover interaction such that the effect of relationship quality on ABP was moderated by the perception of equity in the division of CC. For mothers who report doing all the CC, they had lower ABP if they had a supportive marital relationship compared with mothers in ambivalent relationships. Whereas mothers who report more equity in CC and have a supportive relationship have higher ABP compared with mothers in ambivalent relationships. This study has implications related to dynamics within marital relationships. These results demonstrate important relational influences on mothers' ABP.

The association between sexual function, quality of marital relationship and associated factors in women with a history of ectopic pregnancy: a cross-sectional study in Iran

BackgroundEctopic pregnancy (EP) has many adverse effects on the relationship between couples. The present study aims to assess the association between sexual function (SF), quality of marital relationship (QMR) and associated factors in women with a history of EP.MethodThis cross-sectional study was performed on 220 women with a history of EP in Kerman in 2022. Convenience sampling method was applied. Data were collected using the female sexual function index (FSFI) and the perceived relationship quality components scale (PRQC) questionnaires and were analyzed with descriptive and inferential statistics (median regression) in Stata software version 17. A P-value < 0.05 was considered statistically significant.ResultsOf the female participants, 20.4% had sexual dysfunction (SD). Longer duration of marriage (P = 0.045) and increase in the number of EPs (P < 0.001) were associated with a decrease in SF. A quarter of women experienced poor QMR. Increase in spouse age (P = 0.047), longer duration of marriage (P = 0.028), and increase in the number of EPs (P < 0.001) were associated with a decrease in QMR. There was a significant direct relationship between SF and the QMR (r = 0.857; P < 0.001).ConclusionThe present study showed a significant relationship between SF and the QMR in women with a history of EP. Therefore, SF and the QMR are necessary to be considered in future health promotion programs of these women.

An intergenerational study of parental bonding on perceptions of parental and spousal criticism and marital relationship quality in Singapore.

Criticism is a form of interpersonal social rejection and destructive conflict behavior which has been associated with poor relationship outcomes in both parent-child and marital relationships. However, the role of the individual's perceptions of parental and spousal criticism in influencing the perceptions of criticism of other members in the family unit has not been examined. This study investigated the associations between parental bonding and perceptions of parental and spousal criticism across generations in Singapore. In all, 134 Singaporean married parent dyads (G2) and one child (G3) of each dyad were recruited. G2 parent participants completed the Perceived Criticism measure for their parents (G1) and spouses, the Parental Bonding Instrument and the Quality of Marriage Index. G3 children participants completed the Perceived Criticism measure for their parents (G2). Path analysis found that G2 perceptions of parental bonding were significant predictors of G2's perceptions of G1 parental criticism, which significantly predicted both G2's perceptions of spousal criticism and G3's perceptions of G2 parental criticism. Perceptions of spousal criticism were also found to predict marital relationship quality in G2 participants. Findings highlight the intergenerational transmission of perceptions of criticism across relationships in the family unit, providing support that parenting practices and communication patterns in one generation can predict those in the next generation in the Singaporean context. Future studies can look to replicate the findings in other cultures and include further investigations into sibling relationships as well.

Work involvement and the quality of two-career marital relationships – the mediating role of stress and role conflicts

Work involvement and the quality of two-career marital relationships – the mediating role of stress and role conflicts

The influence of bride price on the marriage quality of Chinese women and its differences between urban and rural areas

The practice of bride price payment has a longstanding history in China and has become a customary procedure by which men are able to get married. Despite attracting significant research attention due to the escalating bride price amount, few studies have focused on its impact on marriage quality. Using data from the 2020 Beijing and Chengdu Household Survey, this study examined how the bride price amount affects women's marital quality, including marital happiness, marital relationship quality, and exposure to domestic violence, based on three theoretical perspectives: marriage repayment theory, marriage endowment theory, and marriage signal theory. The study also incorporated interaction terms to investigate potential differences in the effects of bride price on women's marital quality between urban and rural areas. The results indicate that the current bride price practice is more aligned with the marriage endowment theory and has a statistically significant positive effect on urban women's marital happiness and relationship quality, but no effect was observed in rural areas. The influence of the bride price amount on the frequency of domestic violence against women also varied between urban and rural areas. Because men in rural areas face a disadvantage in the marriage market and there is a scarcity of available women, they are less likely to resort to domestic violence to manage marital conflicts when paying a higher bride price.

Comparing the effectiveness of integrative couple therapy and reality therapy on the quality of marital relationships and dysfunctional attitudes in incompatible couples

Comparing the effectiveness of integrative couple therapy and reality therapy on the quality of marital relationships and dysfunctional attitudes in incompatible couples