Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

The Relation Between Marital Adjustment and Posttraumatic Growth in Infertile Couples: The Mediatory Role of Religious Coping Strategies

Authors
1 Department of Counseling, Faculty of Psychology and Education, Shahid Beheshti University, Tehran, Iran
2 Department of Psychology, Faculty of Psychology and Education, Shahid Beheshti University, Tehran, Iran
Abstract
Background: Infertility as a crisis can both lead to negative reactions and stress in infertile couples and bring about positive reactions and growth, to which henceforth posttraumatic growth is referred. This study was conducted to model the relation between martial adjustment and posttraumatic growth through the mediation of religious coping strategies in infertile couples. Methods: This correlation-based study was performed on 250 couples at the infertility center of Shariati hospital, Tehran, Iran, selected via convenience sampling. They answered to the Marital Adjustment Scale, the Posttraumatic Growth Inventory, and the Religious Coping Strategies Inventory. This study used Structural Equation Modeling. Results: The results showed significant positive relationships between marital adjustment and both positive religious coping strategies and posttraumatic growth. A significant positive relationship between positive religious coping strategies and posttraumatic growth was also detected. Positive religious coping strategies were observed to play a mediatory role between marital adjustment and posttraumatic growth. This was the case while attributing such a mediatory role to negative coping strategies was not possible. Conclusion: Based on the results, this study can be seen as further evidence showing the necessity of focusing on the role of positive religious coping strategies in marital adjustment and posttraumatic growth in infertile couples.
Keywords

Gibson DM, Myers JE. Gender and infertility: a relational approach to counseling women. J Couns Dev. 2000:78(40):400-10.
Bradow A. Primary and secondary infertility and post traumatic stress disorder: experiential differences between type of infertility and symptom characteristics. US: Spalding University, Louisville, KY; 2012; 125 p.
Anderson KM, Sharpe M, Rattray A, Irvine DS. Distress and concerns in couples referred to a specialist infertility clinic. J Psychosom Res. 2003;54(4):353-5.
Rasouli R, Etemadi A, Shafi’abadi A, Delavar A. [Comparing effectiveness of individual and marital emotionally focused intervention based on decreasing relationship distress of couples with chronically ill children]. Fam Rese. 2007;3(11):683-96. Persian.
Choadhari NP, Patel HJ. A study about marital adjustment among female of urban & rural mehsana (Gujarat). personal Clin stud. 2009;1(2):70-5.
Fredrickson BL. How Does Religion Benefit Health and Well-Being? Are Positive Emotions Active Ingredients? Relig Psycholog. 2002;13(3):209-13.
Fredrickson BL. What good are positive emotions? Rev Gen Psychol. 1998;2(3):300-19.
Greef AP. Characteristics of families that function well. Fam Issues. 2000;21(8):948-62.
Rasouli R, Soltanegerd S. [The comparison and relationship between religious orientation and practical commitment to religious beliefs with marital adjustment in seminary scholars and university students]. Fam Res. 2013;8(32), 427-39. Persian.
Sayers SL, Kohn CS, Fresco DM. Marital conflict and depression in the context of marital discord. Cognit Ther Res. 2001;25(6):713-32.
Mollayinejad M, Jafarpour M, Jahanfar S, Jamshidi R. [The relationship between marital adjustment and the stress caused by infertility in women in Isfahan center for infertility treatment]. Fertil Infertil. 2000;2(5):26-39. Persian.
Tedeschi RG, Park CL, Calhoun GL. Posttraumatic Growth: Positive Changes in the Aftermath of Crisis. New Jersey: Taylor & Francis e-Library; 2009. Chapter 5, The context for posttraumatic growth: Life crises, individual and social resources, and coping; p. 99-124.
Ho SM, Chan CL, Ho RT. Posttraumatic growth in Chinese cancer survivors. Psychooncology. 2004;13(6):377-89.
Tedeschi RG, Calhoun LG. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychol Inq. 2004;15(1):1-18.
Moussavi P. [The relationship between general and religious coping strategies with distress and posttraumatic growth] [master’s thesis]. [Tehran]: Tarbiat Modarres University; 2008. 208 p. Persian.
Collings RL, Taylor SE, Skokan LA. A better world or a shattered vision? Changes in life perspectives following victimization. Soc Cogn. 1990;8(3):263-85.
Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Marriage Fam. 1976;38(1):15-28.
Spanier GB, Thompson L. A confirmatory analysis of the dyadic adjustment scale. Marriage Fam. 1982;44(3):731-8.
Mollazadeh J. [The relationship between marital adjustment with personality factors and coping style in control children]. [dissertation]. [Tehran]: Tarbiat Modarres University. 2002. 188 p. Persian.
Sanaee B. [Family and Marriage Scales Compiled]. Tehran: Be’sat; 2008. 240 p. Persian.
Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. J Trauma Stress. 1996;9(3):455-71.
Ghiami Z. The relationship between attachment modes with religious coping methods. Psychol Educ. 2005;35(1):221-33.
Schmidt SD, Holstein B, Christensen U, Boivin J. Does infertility marital benefit? Patient Educ Couns. 2005;59(3):244-51.
Kormi Nouri R, Akhondi MM, Behjati Ardakani Z. Psychosocial aspects of infertility from viewpoint of infertility treating physicians. J Reprod Infertil. 2001;2(3):13-26.
Pargament KI. The psychology of religion and coping: Theory, research and practice. New York: Guilford Publication; 1997. 548 p.
Hunler OS, Gencoz T. The effect of religiousness on marital satisfaction: testing the mediator role of marital problem solving between religiousness and marital satisfaction. Contemp Fam Ther. 2005;27(1): 123-36.
Garland DR, Dyer P, Stelzer K. How clergy sexual misconduct happens: A qualitative study of first-hand accounts. Social Work and Christianity. 2010;37(1):1-27.
Schramm DG, Marshall JP, Harris VW, Lee TR. Religiosity, Homogamy, and marital adjustment: An examination of newlyweds in first marriages and remarriages. J Fam Issues. 2012;33(2):246-68.