Akbari Fatemeh, Dehghani Mohsen
Family Research Institute, Shahid Beheshti University, Tehran, Iran.
Dept. of Psychology, Faculty of Psychology and Educational Sciences, Shahid Beheshti University, Tehran, Iran.
Iran J Public Health. 2017 Jul;46(7):964-972.
Chronic pain is associated with increased stress in families and has its own impact on the relationship between members of the family. Among couples, if one of them suffers from chronic pain, this may influence marital satisfaction in both of them and given the importance of marital satisfaction in the prediction of successful treatment outcome, it is important to investigate pain and personality-related factors contributing to inter-individuals variation in marital satisfaction.
Participants in this study were recruited from Atieh Hospital and Rasa Pain Clinic, Tehran, Iran in the year 2013. Chronic pain patients and their spouses were asked to complete a battery of questionnaires including measures on pain cognition and marital satisfaction. Using correlation and regression analysis factors with the highest level of contribution to marital satisfaction were investigated.
Spouses' level of rumination about patients' pain has been found to be positively correlated with marital satisfaction in patients. In addition, patients' depression has been found to be the best predictor of level of marital satisfaction in patients. In addition, patients' level of depression, disability and perceived helplessness has been found to be the best predictors of marital satisfaction in their spouses.
To improve marital satisfaction among chronic pain patients, their support-seeking needs should be satisfied through involvement of their spouses in the process of treatment. To improve marital satisfaction among patients' spouses, we should help patients regain their ability, improve their mood, and make patients believe that they have access to the support of their caregivers.
慢性疼痛与家庭压力增加相关，且对家庭成员间的关系有其自身的影响。在夫妻中，如果一方患有慢性疼痛，这可能会影响双方的婚姻满意度，鉴于婚姻满意度在预测成功治疗结果方面的重要性，调查导致个体婚姻满意度差异的疼痛和人格相关因素很重要。
本研究的参与者于2013年从伊朗德黑兰的阿提耶医院和拉莎疼痛诊所招募。慢性疼痛患者及其配偶被要求完成一系列问卷，包括疼痛认知和婚姻满意度的测量。使用相关分析和回归分析，研究了对婚姻满意度贡献程度最高的因素。
发现配偶对患者疼痛的沉思程度与患者的婚姻满意度呈正相关。此外，发现患者的抑郁是患者婚姻满意度水平的最佳预测指标。此外，发现患者的抑郁程度、残疾程度和感知无助感是其配偶婚姻满意度的最佳预测指标。
为提高慢性疼痛患者的婚姻满意度，应通过让其配偶参与治疗过程来满足他们寻求支持的需求。为提高患者配偶的婚姻满意度，我们应帮助患者恢复能力、改善情绪，并让患者相信他们能得到照顾者的支持。
