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Aligol M, vesli monfared E, Aminpour E E, Seifi F, Seyed farajollah A. The Relationship Between Resilience and Marital Adjustment in Married Women With Breast Cancer in Qom, Iran. Qom Univ Med Sci J 2024; 18 : 802.6
URL: http://journal.muq.ac.ir/article-1-3939-en.html
URL: http://journal.muq.ac.ir/article-1-3939-en.html
MOHAMMAD Aligol1 
, Ehsan Vesli monfared * 2, Elaheh Elaheh Aminpour3 , Farideh Seifi4 , Ameneh Seyed farajollah5
, Ehsan Vesli monfared * 2, Elaheh Elaheh Aminpour3 , Farideh Seifi4 , Ameneh Seyed farajollah5
1- Department of Health Promotion and Education, Environmental Pollutants Research Center, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
2- Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran. ,vesalimonfared@gmail.com
3- Student Research Committee, Qom University of Medical Sciences, Qom, Iran.
4- Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Science, Ardabil, Iran.
5- Vice-Chancellor of Research and Technology, Qom University of Medical Science, Qom, Iran.
2- Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran. ,
3- Student Research Committee, Qom University of Medical Sciences, Qom, Iran.
4- Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Science, Ardabil, Iran.
5- Vice-Chancellor of Research and Technology, Qom University of Medical Science, Qom, Iran.
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Introduction
Breast cancer is the most common cancer in women in developed and developing countries [1]. The incidence of breast cancer in developing countries is increasing due to increased life expectancy, increasing urbanization, and adoption of unhealthy lifestyles [2]. In 2021, about 2.3 million women in the world had breast cancer and about 685,000 women died from it [3]. Cancer patients suffer from many discomforts and worries due to their physical problems, decreased sexual desire, and financial and social issues. They suffer from many psychological disorders such as stress, anger, depression [4, 5]. Women with breast cancer are at a higher risk of experiencing depressive symptoms than healthy women [6-8].
Marital adjustment is one of the most effective variables in married life, which is related to marital satisfaction and marital stability. Marital adjustment refers to agreement between couples on issues related to married life for the continuation of their marriage [9, 10]. Physical problems and diseases can affect the quality of life (QoL) and marital adjustment [11]. Having resilience is a factor that can help couples be more adaptable to hardships and stresses. Resilience refers to a person’s ability to deal with stressful conditions [12]. Studies have shown that resilience has a direct relationship with QoL and mental health outcomes of cancer [13, 14]. Also, there is an association between resilience and marital commitment [15]. This study aims to assess the correlation between resilience and marital adjustment in women with breast cancer in Qom, Iran.
Methods
This descriptive-correlational study was conducted on 167 women with breast cancer in Qom City, Iran 2023. They were selected using a sequential sampling method. The inclusion criteria were being married and having breast cancer. Suffering from neurological and mental diseases, and unwillingness to participate in the research were the exclusion criteria. The data collection tool had three parts. The first part surveys sociodemographic information (age, educational level, number of children, income level). The second part was Spinner’s dyadic adjustment scale (DAS) with 32 items and four dimensions of satisfaction, cohesion, consensus, and affection expression. The third part was the Connor-Davidson resilience scale with 25 items rated on a Likert scale from 0 (never) to 4 (always). Descriptive and analytical tests including Pearson correlation test and linear regression analysis. The significance level was set at 0.05.
Results
The women with breast cancer had a mean age of 51.2±8.8 years. There was a positive and statistically significant correlation between resilience and marital adjustment (r=0.662, P<0.01) and between resilience and income level (r=0.24, P<0.01). A negative and significant correlation was found between marital adjustment and age (r=-0.18, P<0.01). Resilience had a positive and significant correlation with affection expression, cohesion, and consensus domains of DAS (P<0.01). In the first regression model, the variable “number of children” with the highest regression coefficient showed a positive and significant correlation with marital adjustment (β=0.43, 95% CI, 2.27%, 4.71%, P<0.01). In the second regression model (after adding resilience), it was shown that the resilience variable had the highest regression coefficient (β=0.61, 95% CI, 0.36%, 0.53%, P<0.01) followed by the number of children (β=0.28, 95% CI, 1.34%, 3.27%, P<0.01).
Conclusion
There is a significant relationship between resilience and marital adjustment (affection expression, cohesion and consensus) in women with breast cancer. Resilience and number of children can predict the marital adjustment of these women. Attention should be paid to the resilience of these women to improve their marital adjustment.
Ethical Considerations
Compliance with ethical guidelines
This research was approved by the Ethics Committee of Qom University of Medical Sciences, Qom, Iran (Code: IR.MUQ.REC.1400.098). Written informed consent was obtained from the participants.
Funding
This study was financially supported by the Vice President of Research and Technology of Qom University of Medical Sciences, Qom, Iran.
Authors contributions
Conceptualization, methodology, project administration, resources, review and editing: Ehsan Vasali Monfared and Mohammad Aligol; Validation: Mohammad Aligol; Sampeling: Elaheh Aminpour; Analysis: Elaheh Aminpour and Ehsan Vasali Monfared; Investigation: Farideh Seifi and Ameneh Seyed Farajollah; Writing the original draft: Ehsan Vasali Monfared and Mohammad Aligol; Supervision: Ehsan Vasali Monfared and Farideh Seifi.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgments
The authors would like to thank the Vice-Chancellor for Research and Technology and the Student Research Committee of Qom University of Medical Sciences, Qom, Iran and all women participated in this research for their support and cooperation.
Breast cancer is the most common cancer in women in developed and developing countries [1]. The incidence of breast cancer in developing countries is increasing due to increased life expectancy, increasing urbanization, and adoption of unhealthy lifestyles [2]. In 2021, about 2.3 million women in the world had breast cancer and about 685,000 women died from it [3]. Cancer patients suffer from many discomforts and worries due to their physical problems, decreased sexual desire, and financial and social issues. They suffer from many psychological disorders such as stress, anger, depression [4, 5]. Women with breast cancer are at a higher risk of experiencing depressive symptoms than healthy women [6-8].
Marital adjustment is one of the most effective variables in married life, which is related to marital satisfaction and marital stability. Marital adjustment refers to agreement between couples on issues related to married life for the continuation of their marriage [9, 10]. Physical problems and diseases can affect the quality of life (QoL) and marital adjustment [11]. Having resilience is a factor that can help couples be more adaptable to hardships and stresses. Resilience refers to a person’s ability to deal with stressful conditions [12]. Studies have shown that resilience has a direct relationship with QoL and mental health outcomes of cancer [13, 14]. Also, there is an association between resilience and marital commitment [15]. This study aims to assess the correlation between resilience and marital adjustment in women with breast cancer in Qom, Iran.
Methods
This descriptive-correlational study was conducted on 167 women with breast cancer in Qom City, Iran 2023. They were selected using a sequential sampling method. The inclusion criteria were being married and having breast cancer. Suffering from neurological and mental diseases, and unwillingness to participate in the research were the exclusion criteria. The data collection tool had three parts. The first part surveys sociodemographic information (age, educational level, number of children, income level). The second part was Spinner’s dyadic adjustment scale (DAS) with 32 items and four dimensions of satisfaction, cohesion, consensus, and affection expression. The third part was the Connor-Davidson resilience scale with 25 items rated on a Likert scale from 0 (never) to 4 (always). Descriptive and analytical tests including Pearson correlation test and linear regression analysis. The significance level was set at 0.05.
Results
The women with breast cancer had a mean age of 51.2±8.8 years. There was a positive and statistically significant correlation between resilience and marital adjustment (r=0.662, P<0.01) and between resilience and income level (r=0.24, P<0.01). A negative and significant correlation was found between marital adjustment and age (r=-0.18, P<0.01). Resilience had a positive and significant correlation with affection expression, cohesion, and consensus domains of DAS (P<0.01). In the first regression model, the variable “number of children” with the highest regression coefficient showed a positive and significant correlation with marital adjustment (β=0.43, 95% CI, 2.27%, 4.71%, P<0.01). In the second regression model (after adding resilience), it was shown that the resilience variable had the highest regression coefficient (β=0.61, 95% CI, 0.36%, 0.53%, P<0.01) followed by the number of children (β=0.28, 95% CI, 1.34%, 3.27%, P<0.01).
Conclusion
There is a significant relationship between resilience and marital adjustment (affection expression, cohesion and consensus) in women with breast cancer. Resilience and number of children can predict the marital adjustment of these women. Attention should be paid to the resilience of these women to improve their marital adjustment.
Ethical Considerations
Compliance with ethical guidelines
This research was approved by the Ethics Committee of Qom University of Medical Sciences, Qom, Iran (Code: IR.MUQ.REC.1400.098). Written informed consent was obtained from the participants.
Funding
This study was financially supported by the Vice President of Research and Technology of Qom University of Medical Sciences, Qom, Iran.
Authors contributions
Conceptualization, methodology, project administration, resources, review and editing: Ehsan Vasali Monfared and Mohammad Aligol; Validation: Mohammad Aligol; Sampeling: Elaheh Aminpour; Analysis: Elaheh Aminpour and Ehsan Vasali Monfared; Investigation: Farideh Seifi and Ameneh Seyed Farajollah; Writing the original draft: Ehsan Vasali Monfared and Mohammad Aligol; Supervision: Ehsan Vasali Monfared and Farideh Seifi.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgments
The authors would like to thank the Vice-Chancellor for Research and Technology and the Student Research Committee of Qom University of Medical Sciences, Qom, Iran and all women participated in this research for their support and cooperation.
Type of Study: Original Article |
Subject:
بهداشت عمومی
Received: 2024/04/9 | Accepted: 2024/05/19 | Published: 2024/04/29
Received: 2024/04/9 | Accepted: 2024/05/19 | Published: 2024/04/29
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