Volume 33, Issue 126 (October 2020)                   IJN 2020, 33(126): 69-81 | Back to browse issues page


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Safari S, Hasanpoor Azghady S, Ghafarizadeh A, Amiri Farahani L. Dimensions of Forgiveness and the Influential Factors in Infertile Couples. IJN 2020; 33 (126) :69-81
URL: http://ijn.iums.ac.ir/article-1-3322-en.html
1- Department of Midwifery & Reproductive Health, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Nursing Care Research Center (NCRC), Department of Midwifery & Reproductive Health ,School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding author) Tel: 09155031928 Email: hasanpoor.sb@iums.ac.ir
3- Jihad University of Markazi Province, Omid Royan Infertility Treatment Center, Arak, Iran
4- Nursing Care Research Center (NCRC), Department of Midwifery & Reproductive Health ,School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (1843 Views)
Background & Aims: Infertility is an important life crisis that leads to psychological complications and severely stressful experiences. Infertility stress disrupts marital adjustment, and the subsequent incompatibility increases over time. In this regard, numerous factors may affect couples' relationship, and forgiveness between couples has been suggested as a major influential factor in family strength. Forgiveness could a potent mechanism to end a broken relationship or help resolve conflicts between couples and provide the conditions for reconciliation, thereby increasing couples' satisfaction with each other. Couples' forgiveness is a process that allows gaining a greater understanding of themselves, each other, and their relationships in order to become free of the dominance of negative thoughts, feelings, and behaviors after experiencing an unpleasant interpersonal event. To date, no studies have investigated the influential factors in forgiveness, and no interventional research has been focused on forgiveness in infertile couples in Iran. Prior to forgiveness-based interventions, it is essential to evaluate the dimensions and influential factors in different research communities, so that the design and formulation of support programs for infertile couples would be based on the related variables to achieve the desired outcomes. The present study aimed to assess the dimensions of forgiveness and its influential factors in infertile couples.
Materials & Methods: This cross-sectional study was performed on 200 infertile couples referring to Omid Royan Infertility Center in Arak, Iran; the cause of infertility was of the female origin. The subjects were selected via continuous sampling during December 2018-September 2019. The inclusion criteria were Iranian nationality, age of 18-49 years, literacy, no drugs abuse, no use of medications for mental disorders, no psychiatric disorders (self-report of subjects), no adopted children, first marriage in both couples, and a minimum of one year since the diagnosis of infertility. Data were collected using demographic and infertility questionnaire and family forgiveness scale (FFS). Face and content validity was used to assess the validity of the demographic and infertility questionnaire. FFS was designed and developed by Pollard et al. in 1998 to measure forgiveness in families and couples, as well as the dimensions of forgiveness. The questionnaire consists of 40 items and two sections. The first 20 items are focused on the family of origin, and the second 20 items are focused on primal relationship (nuclear family). Since the infertile couples in our study were childless, only the second section of the questionnaire (primal relationship) was used, which has five subscales of realization, recognition, reparation, restitution, and resolution. Each subscale has four items, which are scored based on a four-point Likert scale (Never True=1, Almost Always True=4). Notably, the 10-point scoring of this questionnaire is inverse. The scores of each subscale are within the range of 4-16, and the score range of the entire scale is 20-80, with the higher scores indicating more forgiveness. Pollard et al. obtained the Cronbach's alpha coefficient for the subscales of the questionnaire, which are calculated to be within the range of 0.55-0.86. FFS has been psychometrically measured for the Iranian population by Seif and Bahari (2003). In a study on a sample of 766 married couples in Tehran (Iran), the reliability of the second section of the scale (primal relationship) was reported to be 85% based on Cronbach's alpha. Data analysis was performed in SPSS version 16 using independent t-test, Mann-Whitney U test, one-way ANOVA, Kruskal-Wallis test, and Pearson's correlation-coefficient, and the P-value of less than 0.05 was considered as significant.
Results: The mean forgiveness score of men and women was 64.38 ± 4.89 and 64.14±6.16, respectively. The highest mean score in the dimensions of forgiveness in both women and men was achieved the dimension of resolution (14.10 ± 1.84 and 13.94 ± 2.18, respectively), while the lowest mean score was in the dimension of recognition in women and men (10.80 ± 1.75 and 10.58 ± 1.34, respectively). A significant positive correlation was observed between the forgiveness of infertile women and the forgiveness of their spouses (r=0.44; P<0.001). Among the studied variables, the forgiveness of infertile women was correlated with the variables of male and female education level, female occupation status, residential status, and type of marriage. On the other hand, spousal forgiveness was only correlated with male education level, male occupation status, and the number of failed pregnancies.
Conclusion: According to the results, the mean forgiveness scores of men and women had no significant difference. The highest mean score in both women and men was achieved in the dimension of recovery, while the lowest mean score belonged to the acknowledgment of error. Increased forgiveness in one of the spouses was accompanied by enhanced forgiveness on behalf of the other spouse. Among the studied variables, forgiveness in infertile women was correlated with the variables of male and female education level, female occupation status, residential status, and type of marriage, while the forgiveness of men was only correlated with male education level and occupation status and the number of failed pregnancies. Attention must be paid to the influential factors in forgiveness in the development and formulation of counseling or educational programs based on forgiveness, along with other methods of psychological support for infertile couples in order to improve marital relations and couples' adaptation to the issues and stresses caused by infertility and its treatment.
 
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Type of Study: Research | Subject: Midwifery
Received: 2020/07/15 | Accepted: 2020/10/14 | Published: 2020/10/14

References
1. Direkvand Moghadam A, Delpisheh A, Sayehmiri K. The prevalence of infertility in Iran, a systematic review. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013;16(81):1-7.
2. Gameiro S, van den Belt-Dusebout AW, Bleiker E, Braat D, van Leeuwen FE, Verhaak CM. Do children make you happier? Sustained child-wish and mental health in women 11-17 years after fertility treatment. Human Reproduction. 2014;29(10):2238-46. [DOI:10.1093/humrep/deu178] [PMID]
3. Luk BH, Loke AY. The impact of infertility on the psychological well-being, marital relationships, sexual relationships, and quality of life of couples: A systematic review. J Sex Mar Therap. 2015;41(6):610-25. [DOI:10.1080/0092623X.2014.958789] [PMID]
4. Mormandi EA, Otero P, Bertone AL, Calvo M, Astarita G, Kogovsek N, Levalle O. Body weight increase and quality of semen: A controversial association. Endocrinología y Nutrición (English Edition). 2013;60(6):303-7. https://doi.org/10.1016/j.endonu.2013.01.006 [DOI:10.1016/j.endoen.2013.01.011] [PMID]
5. Ombelet W, Van Blerkom J, Klerkx E, Janssen M, Dhont N, Mestdagh G, Nargund G, Campo R. The tWE lab simplified IVF procedure: First births after freezing/thawing. Facts, Views Vision ObGyn. 2014;6(1):45.
6. Akhondi MM, Ranjbar F, Shirzad M, Ardakani ZB, Kamali K, Mohammad K. Practical difficulties in estimating the prevalence of primary infertility in Iran. Int J Fertil steril. 2019;13(2):113.
7. Connolly KJ, Edelmann RJ, Cooke ID, Robson J. The impact of infertility on psychological functioning. J Psychosom Res. 1992;36(5):459-68. https://doi.org/10.1016/0022-3999(92)90006-N [DOI:10.1016/0022-3999(81)90072-6]
8. Jonaidy E, Noorani Sadodin S, Mokhber N, Shakeri MT. Comparing the marital satisfaction in infertile and fertile women referred to the public clinics in Mashhad in 2006-07. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2009;12(1):7-16.
9. Hamidipour R, Sanaee Zaker B, Nazari AM, Naghi Farahani M. Effectiveness of Forgiveness-Based Marital Group Therapy on Matrimonial Satisfaction. Women's Studies Sociological and Psychological. 2010;8(4):49-72.
10. Brush BL, McGee EM, Cavanagh B, Woodward M. Forgiveness: A concept analysis. J Holist Nurs. 2001;19(1):27-41. [DOI:10.1177/089801010101900104] [PMID]
11. Worthington Jr EL, Kurusu TA, Collins W, Berry JW, Ripley JS, Baier SN. Forgiving usually takes time: A lesson learned by studying interventions to promote forgiveness. J Psychol Theol. 2000;28(1):3-20. [DOI:10.1177/009164710002800101]
12. Peterson BD, Newton CR, Rosen KH, Skaggs GE. Gender differences in how men and women who are referred for IVF cope with infertility stress. Human Reproduction. 2006;21(9):2443-9. [DOI:10.1093/humrep/del145] [PMID]
13. McCullough ME, Worthington Jr EL, Rachal KC. Interpersonal forgiving in close relationships. J Person Soc Psychol. 1997;73(2):321. [DOI:10.1037/0022-3514.73.2.321]
14. Keshavarz F, Mosalanejad L, Ghavi F, Abdollahifard S, Khodabakhshi Koolaee A. Coping strategies and perceived stress in infertile couples. Journal of Client-Centered Nursing Care. 2018;4(2):80-7. [DOI:10.32598/jccnc.4.2.80]
15. Gana K, Jakubowska S. Relationship between infertility-related stress and emotional distress and marital satisfaction. J Health psychol. 2016;21(6):1043-54. [DOI:10.1177/1359105314544990] [PMID]
16. Danesh E, Aminalroayaei P, Nooripour LR. The relationship between resiliency, psychological well-being and marital satisfaction of infertile couples undergoing in vitro fertilization. Community Health. 2017;4(3):170-78.
17. Tan JH, Luan S, Katsikopoulos K. A signal-detection approach to modeling forgiveness decisions. Evol Human Behav. 2017;38(1):27-38. [DOI:10.1016/j.evolhumbehav.2016.06.004]
18. Ghafoori S, Mashhadi A, Hasan Abadi H. The effectiveness of spiritual psychotherapy based on forgiveness in order to increase marital satisfaction and prevent marital conflicts of couples in the city of Mashhad. Journal of Fundamentals of Mental Health. 2013;15(4):45-57.
19. Rye MS, Fleri AM, Moore CD, Worthington Jr EL, Wade NG, Sandage SJ, Cook KM. Evaluation of an intervention designed to help divorced parents forgive their ex-spouse. J Divorce Remarriage. 2012;53(3):231-45. [DOI:10.1080/10502556.2012.663275]
20. Chida Y, Schrempft S, Steptoe A. A novel religious/spiritual group psychotherapy reduces depressive symptoms in a randomized clinical trial. J Relig Health. 2016;55(5):1495-506. [DOI:10.1007/s10943-015-0113-7] [PMID] [PMCID]
21. Wade NG, Hoyt WT, Kidwell JE, Worthington Jr EL. Efficacy of psychotherapeutic interventions to promote forgiveness: A meta-analysis. J Consul Clin Psychol. 2014;82(1):154. [DOI:10.1037/a0035268] [PMID]
22. Mok A, De Cremer D. Overlooking interpersonal hurt: A global processing style influences forgiveness in work relationships. Eur J Work Organiz Psychol. 2015;24(2):267-78. [DOI:10.1080/1359432X.2014.892872]
23. Fincham FD. Forgiveness, family relationships and health. InForgiveness and health 2015: 255-70. [DOI:10.1007/978-94-017-9993-5_17]
24. Worthington Jr EL, Lavelock C, vanOyen Witvliet C, Rye MS, Tsang JA, Toussaint L. Measures of forgiveness: Self-report, physiological, chemical, and behavioral indicators. InMeasures of personality and social psychological constructs. 2015 ;1:474-502. [DOI:10.1016/B978-0-12-386915-9.00017-6]
25. Rey L, Extremera N. Forgiveness and health-related quality of life in older people: Adaptive cognitive emotion regulation strategies as mediators. Journal of health psychology. 2016 Dec;21(12):2944-54. [DOI:10.1177/1359105315589393] [PMID]
26. Fincham FD. Forgiveness, family relationships and health. InForgiveness and health. 2015:255-70. [DOI:10.1007/978-94-017-9993-5_17]
27. Pollard MW, Anderson RA, Anderson WT, Jennings G. The development of a family forgiveness scale. J Fam Therapy. 1998;20(1):95-109. [DOI:10.1111/1467-6427.00070]
28. Seyf S, Bahari F, Khosravi Z. Forgiveness scale extended to the iranian families. Women Stud. 2006;3(3(9)):97-112.
29. Shahverdi M, Hayati M. The Effectiveness of Consolidated Couple Therapy on couples' marital forgiveness. Rooyesh-e-Ravanshenasi Journal (RRJ). 2019;8(8):149-56.
30. Koochak R, Othman N, Binti A, Ghanbari A. Relation between emotional intelligence and forgiveness with marital satisfaction. Int J Fundam Psychol Soc Sci. 2011;1:21-5.
31. Cheng ST, Yim YK. Age differences in forgiveness: The role of future time perspective. Psychol Aging. 2008;23(3):676. [DOI:10.1037/0882-7974.23.3.676] [PMID]
32. Yárnoz Yaben S. Forgiveness, attachment, and divorce. J Divorce Remarr. 2009;50(4):282-94. [DOI:10.1080/10502550902775952]
33. Orathinkal J, Vansteenwegen A, Burggraeve R. Are demographics important for forgiveness?. The Family Journal. 2008;16(1):20-7. [DOI:10.1177/1066480707309542]
34. Hasanpoor-Azghady SB, Simbar M, Abou Ali Vedadhir SA, Amiri-Farahani L. The social construction of infertility among Iranian infertile women: a qualitative study. J Reprod Infert. 2019;20(3):178.

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