Kong Seong Sook
Department of Nursing, Soonchunhyang University, Cheonan, Korea.
Taehan Kanho Hakhoe Chi. 2008 Aug;38(4):550-60. doi: 10.4040/jkan.2008.38.4.550.
The purpose of the study was to investigate the psychological factors that affect marital satisfaction or divorce likelihood in clinical couples.
Clinical couples (n=57) who visited "M" couple clinic participated in the study. Data was collected from September 2005 to June 2006 using a Marital Satisfaction Scale, a Marital Status Inventory, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Minnesota Multiphasic Personality Inventory.
The couples showed high scores on depression, obsessive-compulsion, personality factors and divorce probability and a low score on marital satisfaction. The wife's obsessive-compulsion was a predictor of her marital satisfaction, and the wife's social introversion and depression, and husband's obsessive-compulsion were predictors of the wife's prospect of divorce. The husband's hypomania and depression were predictors of his marital satisfaction, and there were no predictors of the husband's prospect of divorce.
Obsessive-compulsion is a significant factor in a couple's relationship, although previous studies have not been interested in obsessive-compulsion. Divorce likelihood should be evaluated for clinical couples as well as marital satisfaction, because it is more important for divorce prevention. Each spouse who has a psychological problem such as depression, obsessive-compulsion, and deviated personality needs individual therapy as well as couple therapy.
本研究旨在调查影响临床夫妻婚姻满意度或离婚可能性的心理因素。
到“M”夫妻诊所就诊的临床夫妻(n = 57)参与了本研究。2005年9月至2006年6月期间,使用婚姻满意度量表、婚姻状况问卷、贝克抑郁量表、莫兹利强迫观念与强迫行为量表以及明尼苏达多相人格量表收集数据。
这些夫妻在抑郁、强迫、人格因素和离婚可能性方面得分较高,而在婚姻满意度方面得分较低。妻子的强迫观念与强迫行为是其婚姻满意度的一个预测指标,妻子的社交内向和抑郁以及丈夫的强迫观念与强迫行为是妻子离婚可能性的预测指标。丈夫的轻躁狂和抑郁是其婚姻满意度的预测指标,而没有预测丈夫离婚可能性的指标。
尽管以往研究对强迫观念与强迫行为未予关注,但它是夫妻关系中的一个重要因素。对于临床夫妻,除了评估婚姻满意度外,还应评估离婚可能性,因为这对预防离婚更为重要。患有抑郁、强迫观念与强迫行为以及人格偏差等心理问题的每一位配偶,除了接受夫妻治疗外,还需要接受个体治疗。