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Marital satisfaction in relation to social support, coping, and quality of life in medical staff in Tehran, Iran
Umeå University, Faculty of Social Sciences, Department of Social Work.
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Marital satisfaction is one of the main characteristics of a healthy family, and is known as an important predictor of overall quality of life. Stress is unavoidable in everyday life and it can affect marital relationships. Furthermore, employed married individuals encounter more stressors than do unmarried ones, especially when their jobs are demanding and stressful, such as working as medical professionals in hospitals. Applying effective coping strategies and receiving social support, especially from emotionally close persons, are protective factors which can help individuals deal with stress and buffer the negative effects of life stress on marital and life satisfaction. In the present cross-sectional investigation, marital satisfaction was studied in relation to socio-demographic variables, social support, ways of coping, and quality of life in medical staff in Tehran. Data were collected from 653 medical staff who worked in 12 hospitals affiliated with Tehran Medical University using socio-demographic questions, the ENRICH marital satisfaction questionnaire, the SF-36 questionnaire, the Social Support questionnaire, and the Ways of Coping questionnaire. The results indicated that marital satisfaction, quality of life and spousal support were significantly higher in men than women. Spousal support was significantly associated with marital satisfaction especially in women. Multiple regression analyses indicated that marital satisfaction, social support, and job satisfaction combined with socio-demographic variables explain between 12% and 28% of the variance in quality of life domains. Analysing the data with special focus on females revealed a significant negative relationship between subscales of marital satisfaction and using “seeking social support”, “confrontive coping”, “escape avoidance”, “distancing”, and “self-controlling” as ways of coping. Hierarchical regression analyses showed that job satisfaction, social support, and ways of coping explained between 24% and 38% of the variance in seven of the nine subscales of marital satisfaction. Therefore, focusing on the study findings could be helpful in promoting marital satisfaction and quality of life in married medical staff. 

Place, publisher, year, edition, pages
Umeå, Sweden: Umeå university , 2013. , 57 p.
Series
Studier i socialt arbete vid Umeå universitet : avhandlings- och skriftserie, ISSN 0283-300X ; 78
Keyword [en]
Marital satisfaction, Social support, Ways of coping, Quality of life, Job satisfaction, Medical staff, Gender differences, Iran
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-79478ISBN: 978-91-7459-706-6 (print)OAI: oai:DiVA.org:umu-79478DiVA: diva2:641995
Public defence
2013-09-13, Samvetet, Samhällsvetarhuset, Umeå Universitet, Umeå, 10:00 (English)
Opponent
Supervisors
Available from: 2013-08-23 Created: 2013-08-20 Last updated: 2013-08-23Bibliographically approved
List of papers
1. Marital Satisfaction, Coping, and Social Support in Female Medical Staff Members in Tehran University Hospitals
Open this publication in new window or tab >>Marital Satisfaction, Coping, and Social Support in Female Medical Staff Members in Tehran University Hospitals
2015 (English)In: Interpersona, ISSN 1981-6472, E-ISSN 1981-6472, Vol. 8, no 1, 115-127 p.Article in journal (Refereed) Published
Abstract [en]

Stress significantly influences marital satisfaction. Women tend to be more emotionally involved in problems than men. Furthermore, employed women encounter more stressors especially when their job is stressful which it is often the case in medical professionals. In the present cross-sectional study, relationships were analyzed between marital satisfaction (ENRICH Marital Satisfaction Inventory), ways of coping (Ways of Coping questionnaire) with marital stress and social support (Social Support Questionnaire) in 100 female medical staff members in Tehran university hospitals. The results revealed a significant negative relationship between subscales of marital satisfaction and using “seeking social support”, “confrontive coping”, “escape avoidance”, “distancing”, and “self-controlling” as ways of coping related to marriage related problems. Furthermore, the analyses showed that job satisfaction, social support, and ways of coping explain between 24% and 38% of the variance in subscales of marital satisfaction. Therefore focusing on these factors could be an effective approach to promote marital satisfaction in female medical staff members.

Keyword
marital satisfaction, ways of coping, social support, women, medical staff members, Iran
National Category
Sociology
Identifiers
urn:nbn:se:umu:diva-79477 (URN)10.5964/ijpr.v8i1.139 (DOI)
Note

Originally published in manuscript form with the title: Marital satisfaction, ways of coping and social support in female medical staff in Tehran- Iran

Available from: 2013-08-20 Created: 2013-08-20 Last updated: 2017-12-06Bibliographically approved
2. Marital Satisfaction: The Differential Impact of Social Support Dependent on Situation and Gender in Medical Staff in Iran
Open this publication in new window or tab >>Marital Satisfaction: The Differential Impact of Social Support Dependent on Situation and Gender in Medical Staff in Iran
2013 (English)In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 5, no 4, 151-164 p.Article in journal (Refereed) Published
Abstract [en]

Stress is unavoidable in everyday life and it can effect on marital relationship. Social support especially from emotionally closed persons as a protective factor can help individuals to deal with stress and buffers the negative effects of life stress on marital satisfaction. In the present cross-sectional study we investigated the relationship between social and spousal support and marital satisfaction in medical staff in Iran. Data collection was performed in 653 medical staff using socio-demographic questions, the ENRICH Marital Satisfaction Inventory, and the Social Support Questionnaire. Women and men did not differ in total social support satisfaction and the total number of supporting people; but, women were more often support providers for their husbands than men were for their wives. Spouse support was a more important indicator of marital satisfaction for women than for men. Also results revealed that spouse support is more important than social support from other resources to explain marital satisfaction. Job satisfaction had an explanatory effect on marital satisfaction especially in men. Furthermore, the findings showed that social support could decrease the explanatory impact of job satisfaction on scales of marital satisfaction. Therefore, focusing on social support, especially spouse support could be an effective approach in family counseling or family education programs to improve marital satisfaction in medical staff.

Keyword
marital satisfaction, social support, job satisfaction, medical staff, Iran
National Category
Social Sciences
Identifiers
urn:nbn:se:umu:diva-71301 (URN)10.5539/gjhs.v5n4p151 (DOI)
Available from: 2013-05-25 Created: 2013-05-25 Last updated: 2017-12-06Bibliographically approved
3. Marital Satisfaction with a Special Focus on Gender Differences in Medical Staff in Tehran-Iran
Open this publication in new window or tab >>Marital Satisfaction with a Special Focus on Gender Differences in Medical Staff in Tehran-Iran
2012 (English)In: Journal of family issues, ISSN 0192-513X, E-ISSN 1552-5481Article in journal (Refereed) Accepted
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-64096 (URN)
Available from: 2013-01-15 Created: 2013-01-15 Last updated: 2017-12-06Bibliographically approved
4. Health-related quality of life, marital satisfaction and social support in medical staff in Iran
Open this publication in new window or tab >>Health-related quality of life, marital satisfaction and social support in medical staff in Iran
Show others...
2013 (English)In: Applied Research in Quality of Life, ISSN 1871-2584, E-ISSN 1871-2576, Vol. 8, no 3, 385-402 p.Article in journal (Refereed) Published
Abstract [en]

Quality of life is a subjective and multidimensional concept that includes all aspects of an individual’s life. Many investigations indicate that marital satisfaction is an important determinant of quality of life and social support affects both marital satisfaction and quality of life. Since medical staff face job stressors in their everyday life, in the present cross-sectional study, the relationships between quality of life, marital satisfaction, and social support in medical staff in Tehran were analyzed. Data collection was performed in 653 medical staff using socio-demographic questions, the SF-36 questionnaire, the ENRICH Marital Satisfaction Inventory, and the Social Support Questionnaire. The results revealed that men reported significantly higher quality of life and marital satisfaction than women, but there was no gender difference in social support. The quality of life and marital satisfaction domains were found to be differentially correlated among male and female participants. All domains of marital satisfaction were found to be significantly associated with the “vitality” and “mental health” domains among females and “physical functioning” domain in the male. Also, social support was associated with almost all quality of life domains in both sexes. The multiple regression analyses indicated that all the study variables combined with socio-demographic factors can explain between 12 % and 28 % of the variance in quality of life domains. Therefore, focusing on these factors could be an effective approach to improve quality of life in medical staff as a group with a stressful job.

Place, publisher, year, edition, pages
Springer, 2013
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-63992 (URN)10.1007/s11482-012-9190-x (DOI)000322521400007 ()
Available from: 2013-01-15 Created: 2013-01-10 Last updated: 2017-12-06Bibliographically approved

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