Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Department of Community Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Sex Med. 2019 Aug;16(8):1155-1169. doi: 10.1016/j.jsxm.2019.04.011. Epub 2019 Jun 10.
Infidelity can be facilitated and/or inhibited as a result of interrelations among multilevel contexts. Despite the existence of numerous studies about infidelity, there is no developmental model that considers multilevel contexts of factors associated with infidelity.
To review published articles addressing factors associated with infidelity and to apply the ecological model to these factors.
A systematic review of the literature was conducted using the PubMed, Scopus, Web of Science, and PsychoInfo. Literature search was restricted to articles published in English up to June 2018. All quantitative and full-text studies that addressed associated factors with infidelity were included. This study was conducted following PRISMA guidelines.
This article reports a review of the literature on the factors associated with infidelity based on the ecological model.
We retrieved 5,159 titles, of which 82 were qualified after the qualitative synthesis. The Ecological Couples Systems Diagram (ECSD) is proposed as a developmental model similar to Bronfenbrenner's Bioecological Systems Model. There was an inconsistency between variables of microsystem and infidelity engagement. However, the results of some studies indicated the impact of demographic factors, personality traits, and sexual information on infidelity, considering partner characteristics. Variables belonging to a mesosystem had a more stable association with infidelity than those from other systems. In addition, the review reveals the complexity of infidelity, associated with following factors: 68.3% (n = 56) of the studies were based on microsystem variables, 48.8% (n = 40) used mesosystem variables, 19.5% (n = 16) used exosystem variables, 26.8% (n = 22) used macrosystem variables, 6.1% (n = 5) used chronosystem variables, and 50% (n = 41) included variables from 2 or more levels.
The ECSD can be used not only for assessing couple compatibility in premarital counseling, but also for consulting couples who want to have a long-term romantic relationship. As a potential clinical application, therapists can use the ECSD to assess unfaithful clients and their partners, improving the quality of counseling.
STRENGTHS & LIMITATIONS: This study reveals different environmental layers of various variables related to infidelity. Determining the effect size of variables associated with infidelity was not possible due to the heterogeneity of infidelity assessment tools and test analysis.
Apparently, incompatibility of interpersonal characteristics is more likely associated with infidelity than incompatibility of intrapersonal characteristics. It is important to consider couple compatibility before starting an exclusive relationship, such as marriage, for individuals who intend to maintain a long-term exclusive romantic relationship. Haseli A, Shariati M, Nazari AM, et al. Infidelity and Its Associated Factors: A Systematic Review. J Sex Med 2019;16:1155-1169.
由于多层次背景之间的相互关系，不忠可以得到促进和/或抑制。尽管有许多关于不忠的研究，但没有考虑到与不忠相关的多层面背景的发展模型。
综述与不忠相关的因素的已发表文章，并将生态模型应用于这些因素。
使用 PubMed、Scopus、Web of Science 和 PsychoInfo 进行了系统的文献回顾。文献检索仅限于截至 2018 年 6 月发表的英文文章。纳入了所有涉及与不忠相关的因素的定量和全文研究。本研究遵循 PRISMA 指南进行。
本文根据生态模型报告了与不忠相关因素的文献综述。
我们检索到 5159 篇标题，经过定性综合后有 82 篇符合条件。提出生态夫妇系统图（ECSD）作为类似于 Bronfenbrenner 的生物生态系统模型的发展模型。微系统和不忠参与之间的变量存在不一致。然而，一些研究的结果表明，人口统计学因素、个性特征和性信息会对伴侣特征产生影响。从中系统属于的变量与不忠的关联更稳定。此外，该综述揭示了不忠的复杂性，与以下因素有关：68.3%（n=56）的研究基于微系统变量，48.8%（n=40）使用中系统变量，19.5%（n=16）使用外系统变量，26.8%（n=22）使用宏系统变量，6.1%（n=5）使用时间系统变量，50%（n=41）包含 2 个或更多水平的变量。
ECSD 不仅可用于评估婚前咨询中夫妻的兼容性，还可用于咨询希望建立长期浪漫关系的夫妻。作为一种潜在的临床应用，治疗师可以使用 ECSD 评估不忠的客户及其伴侣，从而提高咨询质量。
本研究揭示了与不忠相关的各种变量的不同环境层次。由于不忠评估工具和测试分析的异质性，无法确定与不忠相关的变量的效应大小。
显然，人际特征的不兼容比个体特征的不兼容更可能与不忠相关。对于那些打算维持长期排他性浪漫关系的个人来说，在开始排他性关系（如婚姻）之前，考虑夫妻的兼容性非常重要。Haseli A, Shariati M, Nazari AM, et al. 不忠及其相关因素：系统评价。性医学杂志 2019;16:1155-1169.
