Journal of Korean Academy of Nursing

Research Papers

Validity and Reliability of the Korean Version of the Couple Satisfaction Index: Kim, Suk-Sun , Gil, Minji , Kim, Daeun , Kim, Sunhai , Heo, Dayeon , Moon, Nan Young; J Korean Acad Nurs 2022;52(2):228-227. Published online April 30, 2022; DOI: https://doi.org/10.4040/jkan.21177

Purpose
The study aimed to translate the Couple Satisfaction Index (CSI 32) into Korean, to evaluate the reliability and validity of CSI 32 and short-form (CSI 16, 4) in the Korean context, and to determine a cut-off score for Korean couples.
Methods
Korean Versions of the Couple Satisfaction Index (K-CSI) 32 was translated, back-translated, and reviewed by five bilingual experts. Confirmatory factor analysis (CFA) was conducted with data from a sample of 218 couples (N = 436) to test construct validity. Validity and reliability were evaluated. The receiver’s operating characteristics curve analysis was used to obtain the cut-off score.
Results
The construct validities of K-CSI 32, 16, and 4 were verified using one-factor structures. The results of CFA showed a slightly better fit for K-CSI 16 and 4 than for K-CSI 32. Convergent validity was supported by significant positive correlations of K-CSI with Kansas Marital Satisfaction Scale, Dyadic Adjustment Scale, and Family Relationship Assessment Scale. Moreover, the significant differences in K-CSI between normal and depressive group demonstrated known-group validity. Cut-off scores of 105.5 on K-CSI 32, 50.25 on K-CSI 16, and 13.25 on K-CSI 4 were validated to identify distressed couple relationships.
Conclusion
For clinical practice, the reliable and valid K-CSI 32 has the potential to measure changes in couple satisfaction after couple therapy or interventions. Applying K-CSI 32 may facilitate research on couple and family relationships in nursing and contribute to the discussion on the role of couple satisfaction in mental health.

Citations

Citations to this article as recorded by

Online coaching blended couple‐oriented intervention for preventing depression among Korean middle adulthood: A feasibility study
Minji Gil, Suk‐Sun Kim, Daeun Kim, Sunhai Kim
Family Process.2023; 62(4): 1478. CrossRef

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Actor and Partner Effects of Couple’s Daily Stress and Dyadic Coping on Marital Satisfaction: Won, Su Kyung , Seol, Kyoung Ok; J Korean Acad Nurs 2020;50(6):813-821. Published online December 31, 2020; DOI: https://doi.org/10.4040/jkan.20162

Abstract PDF

Purpose
This study aimed to identify the actor and partner effects of daily stress and dyadic coping on marital satisfaction using the Actor-Partner Interdependence Mediational Model (APIeM).
Methods
Participants were 314 couples who met the study’s eligibility criteria. Data were collected from March to April 2016 through apartment and cooperative company communities in Seoul. Two APIeMs of positive and negative dyadic coping were analyzed using SPSS 20.0 and Mplus 7.4. All measures were self-administered.
Results
Daily stress and positive and negative dyadic coping in both spouses had direct actor effects on their marital satisfaction. Daily stress in both spouses had an indirect actor effect on marital satisfaction through their positive and negative dyadic coping. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his positive dyadic coping, while the wife’s positive dyadic coping had a direct partner effect on the husband’s marital satisfaction. The husband’s daily stress had an indirect partner effect on the wife’s marital satisfaction through his negative dyadic coping, while the wife’s negative dyadic coping had a direct partner effect on the husband’s marital satisfaction.
Conclusion
Dyadic coping is an effective way to deal with couple’s daily hassles as it increase their satisfaction in marriage.

Citations

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Analysis of risk factors for co-morbid anxiety and depression in pregnant women
Wei Zhang, Ling Li, Xiabidan Tuxunjiang, Bahedana Sailike, Xiaoting Wang, Weicui Meng, Sufeila Shalayiding, Ting Jiang
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Shiqiong Yan, Wenzhuo Fan, Yonghong Ma, Sijia Xie, Rong Li, Yao Lan, Linli Xie, Jie Jing
International Journal of Women's Health.2024; Volume 16: 1009. CrossRef
Spouse Burnout and Marriage Satisfaction in Married Individuals: The Mediating Role of Psychologıcal Well-being
Bülent Şen, Nergüz Bulut Serin, Kadriye Karagülmez
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Dyadic coping and associated factors in women with high-risk pregnancy and their spouses: Do they interact?
Mengjie Liu, Yu Fang, Mengshi Liu, Min Wu, Jingshuo Zhang, Tianchen Niu, Xiaoman Zhang
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중년부부의 문제해결 유형과 결혼만족도의 관계
수산나 주, 미선 강, 인혜 정, 서진 조
Journal of Family Relations.2023; 28(1): 33. CrossRef
Relationship between Chinese middle-aged and old couples' Confucian coping thinking and marital quality
Zhiguang Fan, Hanwei Wu, Min Tao, Lei Chen
Frontiers in Public Health.2022;[Epub] CrossRef
The impact of avoidant attachment on marital satisfaction of Chinese married people: Multiple mediating effect of spousal support and coping tendency
Lian Xiong, Caihua Zhou, Liangshi Yan, Pan Zhao, Mengting Deng, Yan Hu
Acta Psychologica.2022; 228: 103640. CrossRef
Interrelation of Attachment and Coping Behavior In Adults
E.V. Kuftyak
Counseling Psychology and Psychotherapy.2021; 29(1): 28. CrossRef

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Original Articles

Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy: Yeong Kyong Oh, Seon Young Hwang; J Korean Acad Nurs 2018;48(1):50-58. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.50

Abstract PDF

Abstract Purpose

The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.

Methods

This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.

Results

Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17, p=.026), social well-being (SWB) (b=.49, p=.010), and functional well-being (FWB) (b=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07, p=.024), SWB (b=-.19, p=.008), and FWB (b=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.

Conclusion

Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.

Citations

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Incertidumbre en mujeres diagnosticadas con cáncer de mama: estudio transversal
Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
Escola Anna Nery.2024;[Epub] CrossRef
Uncertainty in women diagnosed with breast cancer: a cross-sectional study
Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
Escola Anna Nery.2024;[Epub] CrossRef
Body change stress, sexual function, and marital intimacy in korean patients with breast cancer receiving adjuvant chemotherapy: A cross-sectional study
Hyesoon Lee, Hyeon Gyeong Yoon
Asia-Pacific Journal of Oncology Nursing.2023; 10(5): 100228. CrossRef
Factors influencing the supportive care needs of female patients with genital cancer in South Korea
Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
Medicine.2023; 102(51): e36650. CrossRef
An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model
Mihyeon Park, Sukhee Ahn
Korean Journal of Women Health Nursing.2023; 29(4): 302. CrossRef
Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants
Hyenam Hwang, Yoonshin Lee
Asian Oncology Nursing.2023; 23(4): 177. CrossRef
A hermeneutic phenomenological study on the disease experience among young women with breast cancer
Jeonghee Ahn, Kyoung-eun Lee
Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100310. CrossRef
Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress
Silvia Cerea, Maria Sansoni, Giovanni Scarzello, Elena Groff, Marta Ghisi
Supportive Care in Cancer.2022; 30(11): 9127. CrossRef
Relationships among sexual function, marital intimacy, type D personality and quality of life in patients with ovarian cancer, with spouses
Ju‐Hee Nho, Sung Reul Kim, Won Ku Choi
European Journal of Cancer Care.2022;[Epub] CrossRef
The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef
The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef
Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
International Journal of Environmental Research and Public Health.2020; 17(20): 7532. CrossRef
Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies
Hye Shin Lee, Sunjoo Boo, Jeong-Ah Ahn, Ju-Eun Song
Korean Journal of Women Health Nursing.2020; 26(1): 72. CrossRef
Impact of Psycho-Social Factors on Fatigue among Breast Cancer Patients Who Are Currently Undergoing Radiotherapy
Hyesun Park, Kisook Kim
International Journal of Environmental Research and Public Health.2020; 17(17): 6092. CrossRef
Health care Utilization of Cancer patient Women at Nursing Hospital
Hye-Sun Park, Kyung-Sook Park
Journal of Digital Contents Society.2018; 19(11): 2139. CrossRef

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Illness Experience of Married Korean Women with Epilepsy: Young-Min Shon, Woo Joung Joung; J Korean Acad Nurs 2017;47(3):289-304. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.289

Abstract PDF

Abstract Purpose

The purpose of this study was to understand and describe the illness experience of married Korean women with epilepsy.

Methods

Data were collected during 2015~2016 through individual in-depth interviews with 12 married women with epilepsy. Verbatim transcripts were analyzed using Giorgi's phenomenological analysis to uncover the meaning of the illness experience of the participants.

Results

The study results showed that the illness experience of married Korean women with epilepsy was clustered into a specific description of situated structure and a general description of situated structure. Six themes from 20 meaning units were identified: 1) Undermined self-esteem with stigma of being epileptic; 2) Limited social interaction; 3) Suffering sorrow as a ‘disqualified being’; 4) Shuttling back and forth across the boundary between healthy and epileptic; 5) Desperate struggle to meet the expectation of given role; 6) Self-empowering through self-restriction and realization.

Conclusion

The findings from this study show that both the enacted and felt stigma of epilepsy impact on the life of married Korean women with epilepsy. Although the participants face social and interpersonal restriction and prejudices, they try their best to fulfill their role rather than to be cared for as patients. As the stigma and hardships of the participants are related to lack of knowledge, health professionals should focus not just on clinical intervention but also on providing targeted educational programs and counseling for these women to dispel the stigma of the disease and to increase their quality of life.

Citations

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Systematic review of frequency of felt and enacted stigma in epilepsy and determining factors and attitudes toward persons living with epilepsy—Report from the International League Against Epilepsy Task Force on Stigma in Epilepsy
Churl‐Su Kwon, Ann Jacoby, Amza Ali, Joan Austin, Gretchen L. Birbeck, Patricia Braga, J. Helen Cross, Hanneke de Boer, Tarun Dua, Paula T. Fernandes, Kirsten M. Fiest, Jonathan Goldstein, Sheryl Haut, Diane Lorenzetti, Janet Mifsud, Solomon Moshe, Karen
Epilepsia.2022; 63(3): 573. CrossRef
Structural Equation Modeling on Health-Related Quality of Life in Adults with Epilepsy
Jeong Ok Ko, Myung Ha Lee
Journal of Korean Academy of Nursing.2017; 47(5): 624. CrossRef

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Factors Affecting Mother's Adaptation to Breastfeeding: Sun Hee Kim; J Korean Acad Nurs 2010;40(2):225-235. Published online April 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.2.225

Abstract PDF

Purpose

The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors.

Methods

The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression.

Results

The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child.

Conclusion

Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

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Journal of Affective Disorders.2023; 321: 16. CrossRef
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Korean Journal of Women Health Nursing.2015; 21(4): 262. CrossRef
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