Comparison of Family Functions in Infertile Women with and without Pelvic Inflammatory Disease

Maadi, Maryam; Abolghasemi, Abbas; Kafie, Mosa; Sharami, Seyedeh Hajar

doi:10.30473/ijohp.2023.61680.1219

Document Type : research

Authors

¹ M.A. in Psychology˒ University of Guilan

² Professor in Psychology, University of Guilan

³ Professore of Obstetrics & Gynecology,Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra hospital, school of medicine,Guilan university of medical sciences, Rasht, Iran

https://doi.org/10.30473/ijohp.2023.61680.1219

Abstract

Objective: Pelvic inflammatory disease is a common infection that can reduce family functioning by causing longterm complications such as chronic pelvic pain and infertility. This study aimed to compare
family functions in Infertile women with and without pelvic inflammatory disease.
Method: The research method was causal-comparative, and the participants included 48 infertile women with pelvic
inflammatory disease and 57 infertile women without pelvic inflammatory disease, referred to Al-Zahra Hospital
in Rasht in 2021. Based on the patients’ records and the diagnosis of the gynecologist, infertile women with pelvic
inflammatory disease (tubular factor) and infertile women without pelvic inflammatory disease (due to other causes)
were selected purposefully. A demographic checklist and McMaster Family Functioning Questionnaire were used to
collect data. Research data were analyzed using one-way and multivariate variance analysis.
Results: The results showed that there was a significant difference between the mean scores of emotional fusion in
infertile women with pelvic inflammatory disease and infertile women without pelvic inflammatory disease (P <
0.05). In addition, there was a significant difference in the two levels of high and low education in emotional control
and response and interaction between group and education components (P < 0.05).
Conclusion: According to the results of this study and the importance of the emotional integration component in
women with infertility without pelvic inflammatory disease, this component can be used as a strength in these women
for more effective communication in married life and to reduce the negative effects of infertility and education should
be further examined as a possible influential variable.

Keywords

Article Title [Persian]

مقایسه کارکردهای خانواده در زنان نازای با و بدون بیماریهای التهابی لگن

Authors [Persian]

مریم معادی ¹
عباس ابوالقاسمی ²
موسی کافی ²
سیده هاجر شارمی ³

¹ Master student of General Psychology, University of Guilan, Iran

² دانشکده ادبیات و علوم انسانی، گروه روانشناسی، دانشگاه گیلان

³ مرکز تحقیقات بهداشت باروری، گروه زنان و زایمان، بیمارستان الزهرا، دانشکده پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران

Abstract [Persian]

مقدمه: بیماری التهابی لگن به‌عنوان یک عفونت شایع، با ایجاد عوارض طولانی مدت مانند درد مزمن لگن و ناباروری می‌تواند باعث کاهش کارکرد‌های خانواده در فرد شود. هدف این مطالعه، مقایسه کارکردهای خانواده در زنان مبتلا به نازایی با و بدون بیماریهای التهابی لگن بود. روش: پژوهش حاضر از نوع علی مقایسه-ای است و شرکت کننده‌ها شامل 48 زن مبتلا به نازایی با بیماری التهابی لگن و 57 زن مبتلا به نازایی بدون بیماری التهابی لگن از میان زنان مبتلا به نازایی مراجعه کننده به بیمارستان الزهراء رشت در سال 1400 بودند که بر اساس پرونده بیماران و تشخیص پزشک متخصص زنان، دارای نازایی با بیماری التهابی لگن(عامل لوله ای) و نازایی بدون بیماری التهابی لگن( ناشی از علل دیگر) به صورت هدفمند انتخاب شدند. برای جمع آوری داده‌ها، از چک لیست جمعیت شناختی و پرسشنامه کارکرد خانواده مک مستر استفاده شد. داده های پژوهش با تحلیل واریانس یک و چند متغیری تجزیه و تحلیل شد. یافته‌ها: نتایج نشان داد که تنها بین میانگین نمرات آمیختگی عاطفی در زنان نابارور با و بدون بیماری التهابی لگن تفاوت معناداری وجود دارد (05/0>P).همچنین در دو سطح تحصیلی بالا و پایین در پاسخگویی عاطفی و کنترل، و در اثر متقابل بین گروه و تحصیلات مولفه نقش دارای تفاوت معنادار بود(05/0>P). نتیجه‌گیری: با توجه به نتایج این پژوهش و اهمیت مولفه آمیختگی عاطفی در زنان مبتلا به نازایی بدون بیماری التهابی لگن این مولفه می‌تواند به عنوان یک نقطه قوت در این زنان در جهت ارتباط موثرتر در زندگی زناشویی به کار رود و اثرات منفی نازایی را کاهش دهد و تحصیلات نیز به عنوان یک متغیر تاثیرگذار احتمالی مورد بررسی بیشتر قرار گیرد.

Keywords [Persian]

همجوشی عاطفی
کارکردهای خانواده
بیماریهای التهابی لگن
ناباروری زنان
نازایی لوله ای

References

Adelosoye, A. A., Fasipe, O. J., Medunoye, E. I., Adelosoye, O. C., & Sunday, E. O. (2020). Assessment of family function impact on depression severity among infertile women attending a teaching hospital in South-South Nigeria. Future Science OA, 6(8), FSO595.

Al-Kuran, O., Al-Mehaisen, L., Alduraidi, H., Al-Husban, N., Attarakih, B., Sultan, A., Othman, Z., AlShárat, S., AlHilali, S., Alkouz, N., Alibrahim, N., & AlMusallam, W. (2021). How prevalent are symptoms and risk factors of pelvic inflammatory disease in a sexually conservative population. Reproductive health, 18(1), 109.

Arnold, L. M., Crofford, L. J., Mease, P. J., Burgess, S. M., Palmer, S. C., Abetz, L., & Martin, S. A. (2008). Patient perspectives on the impact of fibromyalgia. Patient education and counseling, 73(1), 114-120.

Azarkolah, A., Abolghasemi, A., Nadrmohammadi, M., Salvat, H. (2020). Determine the relationship between Sense of Coherence, Positive thinking & self-disclosure with Quality of life of Cancer Patients. Quarterly journal of health psychology, 8(32), 7-24.

Batista, S. M. L. P., & Martins, R. M. L. (2021). Suffering-associated factors in chronic disease in hospitalised patients in Portugal. Enfermería Clínica (English Edition), 31(3), 135-147.

Çuhadar, D., Savaş, H. A., Ünal, A., & Gökpınar, F. (2015). Family functionality and coping attitudes of patients with bipolar disorder. Journal of religion and health, 54(5), 1731-1746.

Deyhoul, N., Mohamaddoost, T., & Hosseini, M. (2017). Infertility-related risk factors: a systematic review. Int J Womens Health Reprod Sci, 5(1), 24-29.

Di Tella, M., Perutelli, V., Miele, G., Lavorgna, L., Bonavita, S., De Mercanti, S. F., ... & Castelli, L. (2021). Family functioning and Multiple Sclerosis: Study Protocol of a Multicentric Italian project. Frontiers in Psychology, 12, 2188.

Ebrahimi, E., Abolmaali Alhosseini, K. (2018). The Mediating Role of Motivational Structure in the Relationship between Cognitive Abilities and High-Risk Behaviors in Adolescents. Educational Psychology, 13(46), 171-190.

Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster family assessment device. Journal of marital and family therapy, 9(2), 171-180.

Garr, K., Odar Stough, C., & Origlio, J. (2021). Family functioning in pediatric functional gastrointestinal disorders: a systematic review. Journal of Pediatric Psychology, 46(5), 485-500.

Gutiérrez-Colina, A. M., Lee, J. L., VanDellen, M., Mertens, A., & Marchak, J. G. (2017). Family functioning and depressive symptoms in adolescent and young adult cancer survivors and their families: A dyadic analytic approach. Journal of pediatric psychology, 42(1), 19-27.

Jarareh, J., Rahimian Boogar, E., Hosseini, F. (2012). The Role of Alexithymia and Demographic Factors in Prediction of Family Functioning and Academic Achievement in the Children of the Couples Referred to Counseling and Psychotherapy Centers, Journal of Family and Research, 9(3), 7.

Kiełek-Rataj, E., Wendołowska, A., Kalus, A., & Czyżowska, D. (2020). Openness and communication effects on relationship satisfaction in women experiencing infertility or miscarriage: a dyadic approach. International Journal of Environmental Research and Public Health, 17(16), 5721.

Mehraban, Z., Alizadeh, L., Amir Mozaffari, N. (2015). Etiology of pelvic inflammatory disease. Razi Journal of Medical Sciences, 21 (127), 94-82.

Miller, I. W., Ryan, C. E., Keitner, G. I., Bishop, D. S., & Epstein, N. B. (2000). The McMaster approach to families: Theory, assessment, treatment and research. Journal of family therapy, 22(2), 168-189.

Mohammadi, R., JafariVarjoshani, N., PayamiBousari, M., & Ghahremani, Z. (2018). On the Hemodialysis Patients’ Family Function in Zanjan Province in 2019. Preventive Care in Nursing and Midwifery Journal, 8(3), 51-61.

Mousavi Diva, R., Moghaddam, N., Amani, O. (2017). Evaluation of family performance and spiritual health in women with and without breast cancer treatment with non-infected counterparts. Journal of Psychiatric Nursing, 5 (5), 49-55.

Moutzouri˒ M.˒ Sarantaki˒ A.˒ & Gourounti˒ K.(2021). The association of cognitive representations with psychological adjustment in experience of infertility and fertility treatment: A systematic review. European Journal of Midwifery˒ 5(33)˒ 1-9.

Namegh, M., momeni javid, M., Hosseinian, S. (2015). The study of contribution of dimensions of family function in fear of movement at patients suffered by musculoskeletal chronic pain. Quarterly journal of health psychology, 4(16), 43-58.

Olooto, W. E., Amballi, A. A., & Banjo, T. A. (2012). A review of Female Infertility; important etiological factors and management. J Microbiol Biotech Res, 2(3), 379-385.

Podolska, M., & Bidzan, M. (2011). Infertility as a psychological problem. Ginekologia Polska, 82(1).

Pour Abdullah, H., Jafari, M., And Namdian, M. (2017). Correlation between family functioning and quality of life of cancer patients in Valiasr Medical Center in Zanjan. Zanjan University of Medical Sciences.

Pournaghash-Tehrani, S., & Abdoli-Bidhendi, M. R. (2018). Psychological factors, Sexual Dysfunction and Quality of Life in Revascularization Procedures: A Pre and Post Evaluation Study. Iranian Journal of Health Psychology, 1(1), 9-18.

Quintard, B., Constant, A., Lakdja, F., & Labeyrie-LaGarrdère, H. (2014). Factors predicting sexual functioning in patients 3 months after surgical procedures for breast cancer: The role of the Sense of Coherence. European Journal of Oncology Nursing, 18(1), 41-45.

Rezaei, Z., Dehghani, M., & Heidari, M. (2017). Quality of life of female-headed households: The role of resilience and family functioning based on the McMaster model. Family Studies, 13 (51), 407-421.

Shen, C. C., Yang, A. C., Hung, J. H., Hu, L. Y., Chiang, Y. Y., & Tsai, S. J. (2016). Risk of psychiatric disorders following pelvic inflammatory disease: a nationwide population-based retrospective cohort study. Journal of Psychosomatic Obstetrics & Gynecology, 37(1), 6-11.

Simionescu, G., Doroftei, B., Maftei, R., Obreja, B. E., Anton, E., Grab, D., ... & Anton, C. (2021). The complex relationship between infertility and psychological distress. Experimental and Therapeutic Medicine, 21(4), 1-1.

Sepahmansour, M., & Katebi, M. (2019). Comparison of Health Hardness and Life Expectancy in Patients with Diabetes and Breast Cancer. Quarterly journal of health psychology, 8(31), 155-168.

Sogaard, K. K., Leisner, M. Z., Laugesen, K., Farkas, D. K., Karagas, M. R., & Sorensen, H. T. (2020). Pelvic inflammatory disease and risk of cancer: A nationwide cohort study. International Journal of Gynecology & Obstetrics, 149(1), 107-109.

Stevenson‐Hinde, J. O. A. N., & Akister, J. (1995). The McMaster Model of Family Functioning: observer and parental ratings in a nonclinical sample. Family process, 34(3), 337-347.

Till, S. R., As-Sanie, S., & Schrepf, A. (2019). Psychology of chronic pelvic pain: prevalence, neurobiological vulnerabilities, and treatment. Clinical obstetrics and gynecology, 62(1), 22.

Vandsburger, E. H. (2001). The effects of family resiliency resources on the functioning of families experiencing economic distress. Virginia Commonwealth University.

Weinstock, L. M., Wenze, S. J., Munroe, M. K., & Miller, I. W. (2013). Concordance between patient and family reports of family functioning in bipolar I disorder and major depressive disorder. The Journal of nervous and mental disease, 201(5), 377.

Zandieh, S., Dehghani, M., Asarzadegan, F. (2016). Family function in patients with chronic headache, non-chronic headache and headache free individuals. Quarterly journal of health psychology, 5(19), 45-56.

Zhang, Y. (2018). Family functioning in the context of an adult family member with illness: A concept analysis. Journal of clinical nursing, 27(15-16), 3205-3224.

Zhang, J., Liang, C., Shang, X., & Li, H. (2020). Chronic prostatitis/chronic pelvic pain syndrome: A disease or symptom? Current perspectives on diagnosis, treatment, and prognosis. American journal of men's health, 14(1), 155798832

Comparison of Family Functions in Infertile Women with and without Pelvic Inflammatory Disease

References

References

Volume 6, Issue 1 - Serial Number 15March 2023Pages 19-26

Volume 6, Issue 1 - Serial Number 15
March 2023
Pages 19-26