Does the number of children take a role in marital dysfunction?

INTRODUCTION The number of separations and divorces has dramatically increased in Europe in the last few years. In Spain, according to the last report of the Institute for Family Policies entitled “Evolution on the Family in Europe 2009”, the rate represents a 268% increase. Furthermore, birth rates have also decreased, with only 4% of families having three or more children. OBJECTIVES To analyse differences in marital and family functioning depending on the number of children. METHOD We studied a sample of 168 married couples who on their own initiative turned to the Diagnosis and Family Therapy Unit (UDITEF) at the University of Navarra Hospital (Spain) referring marital dysfunction. Sociodemographic data were gathered from all couples. They were asked to fill in the Dyadic Adjustment Scale (DAS) in order to assess marital dynamics and the Family Assessment Device (FAD) to assess family functioning. Statistic analysis was done with the SPSS (v. 15.0) program. RESULTS Out of the couples studied (N=168), 78 had three or more children, and 90 had less than three. Couples in large families had been married for a mean of 19.6+10.6 years, and nearly had four children (3.94+1.2) of ages in a range of 10 to 17 years. Couples in families with less than three children had been married for a mean of 13.7+10.3 and had a mean of one child (1.23+0.28) within an age range of 9 to 12 years. Statistic analysis of marital dynamics as measured with the DAS shows that there are statistically meaningful differences in the “Affective expression” subscale (p<0.05) both in husbands and wives. Concerning family functioning as measured by the FAD, we can find statistically meaningful differences in the subscale “communication” (p<0.05) measured in wives. CONCLUSIONS In our sample, marital dysfunction does not seem to be influenced by the number of children in the family. However, further research is necessary to study other variables that could also take a role, in order to get more accurate data

Does the number of children take a role in marital dysfunction?

INTRODUCTION The number of separations and divorces has dramatically increased in Europe in the last few years. In Spain, according to the last report of the Institute for Family Policies entitled “Evolution on the Family in Europe 2009”, the rate represents a 268% increase. Furthermore, birth rates have also decreased, with only 4% of families having three or more children. OBJECTIVES To analyse differences in marital and family functioning depending on the number of children. METHOD We studied a sample of 168 married couples who on their own initiative turned to the Diagnosis and Family Therapy Unit (UDITEF) at the University of Navarra Hospital (Spain) referring marital dysfunction. Sociodemographic data were gathered from all couples. They were asked to fill in the Dyadic Adjustment Scale (DAS) in order to assess marital dynamics and the Family Assessment Device (FAD) to assess family functioning. Statistic analysis was done with the SPSS (v. 15.0) program. RESULTS Out of the couples studied (N=168), 78 had three or more children, and 90 had less than three. Couples in large families had been married for a mean of 19.6+10.6 years, and nearly had four children (3.94+1.2) of ages in a range of 10 to 17 years. Couples in families with less than three children had been married for a mean of 13.7+10.3 and had a mean of one child (1.23+0.28) within an age range of 9 to 12 years. Statistic analysis of marital dynamics as measured with the DAS shows that there are statistically meaningful differences in the “Affective expression” subscale (p<0.05) both in husbands and wives. Concerning family functioning as measured by the FAD, we can find statistically meaningful differences in the subscale “communication” (p<0.05) measured in wives. CONCLUSIONS In our sample, marital dysfunction does not seem to be influenced by the number of children in the family. However, further research is necessary to study other variables that could also take a role, in order to get more accurate data

Study of marital communication in marriages with infidelity

INTRODUCTION Infidelity has a significant psychological impact on marriages and families. Marriages with an infidelity experience show a great number of premarital communication problems such as low rates of positive interaction and high rates of invalidation and negative interaction (1). OBJECTIVES To analyse communicative resources of spouses belonging to marriages with at least one unfaithfulness episode. To compare marital communication depending on the sex of the unfaithful spouse. MATERIAL AND METHODS We analized a sample of married couples in which at least one of the partners had had an extramarital relationship and who had turned to the Diagnosis and Family Therapy Unit (UDITEF) during the last five years presenting marital dysfunction related to an extramarital episode. Marital communication was studied through the observational method Rapid Marital Interaction Coding System (RMICS), analysing a 15-minute conversation between partners, which was coded by two reliable independent raters. RESULTS We analysed a sample of 39 married couples. No statistically meaningful differences were found with the RMICS between unfaithful husbands and faithful wives. However, when the wife was the unfaithful partner, we observed statistically meaningful differences in communication in the codes Hostility (p<0.05) and Problem Discussion (p<0.01) as compared to their faithful husbands. Furthermore, statistically meaningful differences were found in the use of the code Humor (p<0.01) when comparing unfaithful husbands to unfaithful wives. Statistical analysis was performed using SPSS (v.15) program. CONCLUSIONS The data obtained in our study show that marital and family communication varies depending on the sex of the unfaithful partner, mainly in the way they discuss and cope with problems, although more studies should be carried out with larger samples in order to confirm the results. We also appreciate that marriages in which the husband has been unfaithful, have a better marital communication than do marriages with an unfaithful woman. Finally, unfaithful women use a communication pattern more hostile than their husbands. BIBLIOGRAFÍA (1) Allen, E.S. The multidimensional and development nature of infidelity: Practical applications. Journal of clinical psychology, 2005; 61; 11; 1371-1400. (2) Heyman E. R. & Vivian, D. Rapid Marital Interaction Coding System. Manual. Ver. 1.7, July, 2000. State University of New York at Stony Brook

Study of marital communication in marriages with infidelity

INTRODUCTION Infidelity has a significant psychological impact on marriages and families. Marriages with an infidelity experience show a great number of premarital communication problems such as low rates of positive interaction and high rates of invalidation and negative interaction (1). OBJECTIVES To analyse communicative resources of spouses belonging to marriages with at least one unfaithfulness episode. To compare marital communication depending on the sex of the unfaithful spouse. MATERIAL AND METHODS We analized a sample of married couples in which at least one of the partners had had an extramarital relationship and who had turned to the Diagnosis and Family Therapy Unit (UDITEF) during the last five years presenting marital dysfunction related to an extramarital episode. Marital communication was studied through the observational method Rapid Marital Interaction Coding System (RMICS), analysing a 15-minute conversation between partners, which was coded by two reliable independent raters. RESULTS We analysed a sample of 39 married couples. No statistically meaningful differences were found with the RMICS between unfaithful husbands and faithful wives. However, when the wife was the unfaithful partner, we observed statistically meaningful differences in communication in the codes Hostility (p<0.05) and Problem Discussion (p<0.01) as compared to their faithful husbands. Furthermore, statistically meaningful differences were found in the use of the code Humor (p<0.01) when comparing unfaithful husbands to unfaithful wives. Statistical analysis was performed using SPSS (v.15) program. CONCLUSIONS The data obtained in our study show that marital and family communication varies depending on the sex of the unfaithful partner, mainly in the way they discuss and cope with problems, although more studies should be carried out with larger samples in order to confirm the results. We also appreciate that marriages in which the husband has been unfaithful, have a better marital communication than do marriages with an unfaithful woman. Finally, unfaithful women use a communication pattern more hostile than their husbands. BIBLIOGRAFÍA (1) Allen, E.S. The multidimensional and development nature of infidelity: Practical applications. Journal of clinical psychology, 2005; 61; 11; 1371-1400. (2) Heyman E. R. & Vivian, D. Rapid Marital Interaction Coding System. Manual. Ver. 1.7, July, 2000. State University of New York at Stony Brook

Knowledge, attitudes, behavioral and organizational factors of health professions students for a competent smoking cessation practice: An instrument adaptation and psychometric validation study in Spanish and English samples

Background: To improve smoking cessation, training of health professions students is essential. However, no specific instrument is available to assess factors that may affect students' learning about smoking cessation practice. Aim: To adapt and validate the Knowledge, Attitudes, Behaviors and Organization questionnaire in the population of undergraduate health professions students. Design: Methodological research. Methods: The researchers conducted this study with 511 Spanish and 186 English health professions students from four different universities. We used a four-step approach: 1) adaptation of the items to the target population and validation of the content by a panel of experts; 2) a pilot study to test face validity; 3) linguistic adaptation of the Spanish version to English; and 4) the psychometric assessment based on construct validity, criterion validity and internal consistency. Results: Exploratory factor analysis revealed four subscales for the Spanish version, namely 'Individual knowledge and skills', 'Individual attitudes and beliefs', 'Organizational support' and 'Organizational resources', which accounted for 85.1% of the variance. Confirmatory factor analysis in the holdout Spanish and English samples revealed adequate goodness-of-fit values, supporting the factor structure. Hypotheses testing demonstrated significant differences by capacitation in smoking cessation interventions and degree courses, providing further evidence regarding construct validity. All the subscales correlated positively with the criterion variables (5 A's smoking cessation model), except for the 'Organizational resources' subscale, which was not significantly correlated with the 5 A's. The overall Cronbach's alpha was.83 for the Spanish version and.88 for the English one. Conclusions: Our results provide empirical support for the use of the Knowledge, Attitudes, Behaviors and Organization questionnaire for Students as a reliable and valid instrument to assess knowledge, attitudes, behaviors and organization perceptions in health professions students, which is essential for competent smoking cessation practice. Interestingly, 'Organizational resources' subscale presented the lowest correlations among factors and did not correlate with any component of the 5 A's, suggesting the need of enhancing students' responsibility and involvement during their internships, as well as the interest of some organizations