A Qualitative Inquiry into the Mediating Role of Religion and Spirituality in Adjusting Marital Relationships of Infertile Women

Document Type : Original Research Article

Authors

1 a) Associate Professor, Research Center for Patient Safety, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Professor, Department of Health Sciences, University of York, York, YO10 5DD, UK

3 Professor, School of Health & Social Care, School of Health & Medical Sciences, University of Surrey, Guildford, UK

Abstract

Background and Aim: Despite growing body of literature regarding marital adjustment of infertile women, to our knowledge, there is no study to address the role of religious and spiritual beliefs in adjusting marital relationships in infertile women. Considering the significance of marital cohesiveness and commitment in the long and stressful journey of infertile women, this study was designed to explore how marital relationships are experienced by infertile women who affiliated to different religious faiths.
Methods: A group of 30 infertile women affiliated to different denominations of Christianity (Protestantism, Catholicism, Orthodoxies) and Islam (Shiite and Sunni) were interviewed. The design was a grounded theory study including semi structured in-depth interviews. Data were collected in one Iranian and two UK fertility clinics through theoretical sampling and analyzed using Strauss and Corbin’s mode of grounded theory. 
Results: Religious infertile women using a religious/spiritual meaning-making framework tried adjust their marital relationships through going the following phases: being optimistic and positive, having supportive relationships, being grateful and appreciated for their marital life, offering spiritual sympathy and adopting religious role models. These strategies aided infertile women to be more understanding, sympathetic and gentle towards maintaining the family cohesion.
Conclusion: I argue that awareness of health professionals of the potential ways in which religion and spirituality assist infertile women to deal with their marital issues could be important. This knowledge will help them to support emotional wholeness and integrity of infertile women, offering religious and spiritual coping strategies which can help adjusting their marital relationships.

Keywords

References

1. Hart VA. Infertility and the role of psychotherapy. Issues in Mental Health Nursing 2002; 23(1):31-41.
2. Imeson M, McMurray A. Couples' experiences of infertility: a phenomenological study. Journal of Advanced Nursing 1996; 24(5):1014-1022.
3. Gonzalez LO. Infertility as a transformational process: a framework for Psychotherapeutic support of infertile women. Issues in Mental Health Nursing 2000; 21(6):619-633.
4. Greil AL. Infertility and Psychological distress: a critical review of the literature. Social Science and Medicine 1997; 45(11):1679-1704.
5. Matthews R, Matthews M. Infertility and involuntary childlessness: the transition to nonparenthood. Journal of Marriage & Family 1986; 48(3):641-649.
6. Bernstein J, Brill M, Levin S, Seibel M. Coping with infertility: a new nursing perspective. NAACOG's Clinical Issues 1992; 3(2):335-342.
7. Merari D, Chetrit A, Modan B. Emotional reactions and attitudes prior to in vitro fertilization: an inter-spouse study. Psychology & Health 2002; 17(5):629-640.
8. Bhatti LI, Fikree FF, Khan A. The quest of infertile women in squatter settlements of Karachi, Pakistan: a qualitative study. Social Science and Medicine 1999; 49(5):637-649.
9. Whiteford LM & Gonzalez. Stigma: the hidden burden of infertility. Social Science and Medicine 1995; 40(1):27-36.
10. Dyer SJ, Abrahams NA, Hoffman MH, van der Spuy ZM. 'Men leave me as I can not have children': women's experiences with involuntary childlessness. Human Reproduction 2002; 17(6):1663-1668.
11. Dyer SJ, Abrahams NA, Hoffman MH, van der Spuy ZM. Infertility in South Africa: women's reproductive health knowledge and treatmentseeking behaviour for involuntary childlessness. Human Reproduction 2002; 17(6):1657-1662.
12. Sundby J. Infertility in the Gambia: traditional and modern health care. Patient Education & Counselling 1997; 31(1):29-37.
13. Papreen N, Sharma A, Sabin K, Begum L, Ahsan SK, Baqui AH. Living with infertility: experiencesamong urban slum populations in Bangladesh. Reproductive Health Matters 2000; 8(15):33-44.
14. Holter H, Anderheim L, Bergh C, Moller A. First IVF treatment: short-term impact on psychological well-being and marital relationship. Human Reproduction 2006; 21(12):3295-3302.
15. Latifnejad Roudsari R, Karami Dehkordi A, Esmaeili H, Mousavifar N., Agha Mohamadian Sherbaf H. The relationship between body image and marital adjustment in infertile women. Iranian Journal of Obstetrics, Gynecology and Infertility 2011; 14(6):9-19
16. Leiblum SR, Aviv A, Hamer R. Life after infertility treatment: a long-term investigation of marital and sexual function. Human Reproduction 1998; 13(12):3569-3574.
17. Peterson BD, Newton CR & Rosen KH. Examining congruence between partner's perceived infertility-related stress and its relationships to marital adjustment and depression in infertile couples. Family Process 2003; 42(1):59-70.
18. Repokari L, Punamaki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J, et al. Infertility treatment and marital relationships: 1-year prospective study among successfully treated ART couples and their controls. Human Reproduction 2007; 22(5):1481-1491.
19. Sydsjo G, Ekholm K, Wadsby M, Kjellberg S, Sydsjo A. Relationships in couples after failed IVF treatment: a prospective follow-up study Human Reproduction 2005; 20(7):1952-1957.
20. Verhaak CM, Smeenk MJ, Eugster A, van Minnen A, Kremer AM, Kraaimaat FW. Stress and marital satisfaction among women before and after their fist cycle of in vitro fertilization and intracytoplasmic injection. Fertility and Sterility 2001; 76(3):525-531.
21. Dutney,A. Religion. Infertility and assisted reproductive technology. Best Practice and Research Clinical Obstetrics and Gynecology 2007; 21(1):169-180.
22. Mahoney A. Religion in families 1999 to 2009: A
relational spirituality Framework; Journal of Marriage and Family 2010; 72(4):805–827.
23. Mahoney A, Pargament KI, Jewell T, Swank AB, Scott E, Emery E, Rye M. Marriage and the spiritual realm: The role of proximal and distal religious constructs in marital functioning. Journal of Family Psychology 1999; 13(3):321-338.
24. Roth PD. Spiritual well-being and marital adjustment. Journal of Psychology & Theology 1988; 16(2):153-158.
25. Lucero S M, Pargament KI, Mahoney A, DeMaris A. Links between religious and spiritual coping and adjustment among fathers and mothers during first pregnancy. Journal of Reproductive and Infant Psychology 2013; 31(3):309-322.
26. Yeganeh T, Shaikhmahmoodi H. Role of religious orientation in predicting marital adjustment and
psychological well-being. Sociology Mind 2013, 3(2):131-136.
27. Benoliel JQ. Expanding knowledge about women through grounded theory: Introduction to the collection. Health Care Women International 2001; 22(1-2):7-9.
28. Wuest J, Merritt-Gray M, Berman H, Ford-Gilboe M. Illuminating social determinants of women's health using grounded theory. Health Care for Women International 2002; 23(8):794-808.
29. Keddy B, Sims SL, Noerager P. Grounded theory as feminist research methodology. Journal of Advanced Nursing 1996; 23(3):448-453.
30. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine de Gruyter; 1967.
31. Strauss AL, Corbin J. Basics of qualitative research, techniques and procedures for developing grounded theory. 2nd ed. California: SAGE publisher; 1998.
32. Marsh R, Dallos R. Religious beliefs and practices and Catholic couples' management of anger and conflict. Clinical Psychology and Psychotherapy 2000; 7(1):22-36.
33. Dollahite DC, Lambert NM. Forsaking all others: how religious involvement promotes marital fidelity in Christian, Jewish, and Muslim couples. Review of Religious Research 2007; 48(3):290-307.
34. Latifnejad Roudsari R, Allan HT, Smith PA. Navigating the spiritual journey of infertility: Muslim and Christian infertile women’s experiences. In: Evans, MT, Walker ED. Religion and psychology. New York: Nova Science Publishers; 2009.
35. Mahoney A, Pargament KI, Tarakeshvar N & Swank AB. Religion in the home in the 1980s and 90s: a meta-analytic review and conceptual analyses of links between religion, marriage and parenting. Journal of Family Psychology 2001; 15(4):559-596
Journal of Midwifery and Reproductive Health
Volume 1, Issue 1 - Serial Number 1
October 2013
Pages 33-41

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