Hospital Practices and Research

Predicting Marital Quality Based on Emotional Empathy and Alexithymia in Nursing Students

Document Type : Original Article

Authors

Nasrin Eftekhari Moghaddam 1
Masoud Shahbazi 2
Kobra Kazemian Moghaddam 3

1 Department of Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

2 Department of Counseling, Masjed Soleiman Branch, Islamic Azad University, Masjed Soleiman, Iran

3 Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran

https://doi.org/10.30491/hpr.2024.452346.1421
Abstract
Background: Nurses play a vital role in healthcare, and their well-being directly impacts the quality of patient care they provide. However, the demanding nature of nursing work, characterized by long hours, shift work, and emotional strain, can affect their personal lives, including marital quality.
Objectives: This study aimed to investigate the relationship between emotional empathy, alexithymia, and marital quality in nursing students in Ahvaz City and to predict marital quality based on emotional empathy and alexithymia.
Methods: This study employed a cross-sectional, descriptive-correlational design. The statistical population included all married nursing students at Ahvaz University of Medical Sciences in 2023. A sample of 204 married students was selected using the convenience sampling method. Data were collected using the Revised Dyadic Adjustment Scale (RDAS), Interpersonal Reactivity Index (IRI), and Toronto Alexithymia Scale (TAS). Data were analyzed using the Pearson correlation coefficient and simultaneous regression analysis. SPSS software v27 was used for data analysis.
Results: The results showed that emotional empathy had a positive and significant correlation with marital quality (p <0.001), and alexithymia had a negative and significant correlation with marital quality (p <0.001) in nursing students. The results of the simultaneous regression analysis showed that emotional empathy and alexithymia predicted 49% of the variance in marital quality.
Conclusion: This study identifies emotional empathy and alexithymia as important factors in marital quality for nursing students. However, recognizing the complexity of marital satisfaction, the authors advocate for interventions that address these factors alongside other relevant contributors.

Keywords

Empathy
Alexithymia
Family Conflict
Students
Nursing
  1. Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A. Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nurs. 2022;21(1):75. doi:10.1186/s12912-022-00852-y
  2. Ghaffari M, Esmali A, Mohammadi R, Aligolipour M, Ramazani Alalani Z. The Mediating Role of Mental Toughness in the Relationship between Meta-Emotion and Co-Rumination with Health Anxiety in Hospital Nurses. Hosp Pract Res. 2023;8(2):245-52. doi:10.30491/hpr.2023.404124.1398
  3. Azimian J, Piran P, Jahanihashemi H, Dehghankar L. Investigation of marital satisfaction and its relationship with job stress and general health of nurses in Qazvin, Iran. Electron Physician. 2017;9(4):4231. doi:19 082/4231
  4. Wolotira EA. Trauma, compassion fatigue, and burnout in nurses: The Nurse Leader’s response. Nurse Leader. 2023;21(2):202-6. doi:10.1016/j.mnl. 2022.04.009
  5. Oh HK, Cho SH. Effects of nurses’ shiftwork characteristics and aspects of private life on work-life conflict. Plos One. 2020;15(12):e0242379. doi:10.13 71/journal.pone.0242379
  6. Mehrara A, Mazaheri MA, Hasanzadeh A. The survey of quality of life, perceived stress, and its relationship with marital satisfaction in married women working at health centers. J Educ Health Promot. 2019;8(1):249. doi:10.4103/jehp.jehp_349_19
  7. Ahmadi L, Panaghi L, Sadeghi MS, Zamani Zarchi MS. The mediating role of personality factors in the relationship between family of origin health status and marital adjustment. J Res Health. 2020;10(4):239-48. doi:10.32598/JRH.10.4.1526.1
  8. Hsu TL, Barrett AE. The association between marital status and psychological well-being: Variation across negative and positive dimensions. J Fam Issues. 2020; 41(11):2179-202. doi:10.1177/0192513X20910184
  9. Gordahani A, Tamini BK. The Role of Blood Groups in Health Anxiety, Marital Adjustment, and Quality of Life in Nurses. Medsurg Nurs. 2022;11(2):e130349. doi:10.5812/msnj-130349
  10. De Hert S. Burnout in healthcare workers: prevalence, impact and preventative strategies. Local Reg Anesth. 2020:171-83.
  11. Nejatian M, Alami A, Momeniyan V, Delshad Noghabi A, Jafari A. Investigating the status of marital burnout and related factors in married women referred to health centers. BMC Women's Health. 2021;21:25. doi:10.1186/s12905-021-01172-0
  12. Coronado-Maldonado I, Bentez-Mrquez MD. Emotional intelligence, leadership, and work teams: A hybrid literature review. Heliyon. 2023:e20356. doi:10.1016/j.heliyon.2023.e20356
  13. Wang L, Shan M. Effects of empathy nursing on the quality of life and treatment compliance of elderly patients with cerebral infarction. Am J Transl Res. 2021;13(10):12051.
  14. Ringwald WR, Wright AG. The affiliative role of empathy in everyday interpersonal interactions. Eur J Pers. 2021;35(2):197-211. doi:10.1002/per.2286
  15. Moudatsou M, Stavropoulou A, Philalithis A, Koukouli S. The Role of Empathy in Health and Social Care Professionals. Healthcare (Basel). 2020;8(1):26. doi:10.3390/healthcare8010026
  16. Brandão T, Brites R, Hipólito J, Pires M, Nunes O. Dyadic coping, marital adjustment and quality of life in couples during pregnancy: an actor–partner approach. J Reprod Infant Psychol. 2020;38(1):49-59. doi:10.1080/02646838.2019.1578950
  17. Luminet O, Nielson KA, Ridout N. Having no words for feelings: alexithymia as a fundamental personality dimension at the interface of cognition and emotion. Cogn Emot. 2021;35(3):435-48. doi:10.1080/ 02699931.2021.1916442
  18. Kılıaslan AK, Yıldız S, Emir BS, Kılı Alexithymia, reading the mind in the eyes and empathy in patients with antisocial personality disorder. La Presse Mdicale Open. 2022;3:100034. doi:10.1016/ j.lpmope.2022.100034
  19. Nam G, Lee H, Lee JH, Hur JW. Disguised emotion in alexithymia: subjective difficulties in emotion processing and increased empathic distress. Front Psychiatry. 2020;11:533792. doi:10.3389/fpsyt. 2020.00698
  20. Panahi MS, Hoseinzadeh A, Razaghpour M, Hosieni N. Formulating a model for the relationship between alexithymia, social support, loneliness, and marital satisfaction: Path analysis model. J Family Med Prim Care. 2018;7(5):1068-73. doi:10.4103/jfmpc.jfmpc_ 3_18
  21. Zakeri F, Rezaei M. The Role of Alexithymia and Dysfunctional Reactions in Predicting Marital Intimacy. Pract Clin Psychol. 2022;10(4):329-42. doi:10.32598/jpcp.10.4.850.1
  22. Frye-Cox NE, Hesse CR. Alexithymia and marital quality: The mediating roles of loneliness and intimate communication. J Fam Psychol. 2013;27(2):203-11. doi:10.1037/a0031961
  23. Karukivi M, Tolvanen M, Karlsson L, Karlsson H. Is alexithymia linked with marital satisfaction or attachment to the partner? A study in a pregnancy cohort of parents-to-be. Compr Psychiatry. 2014; 55(5):1252-7. doi:10.1016/j.comppsych.2014.03.019
  24. Kline RB. Principals and practice of structural equation modeling. NY: Guilford Press. 1998.
  25. Busby DM, Christensen C, Crane DR, Larson JH. A revision of the Dyadic Adjustment Scale for use with distressed and nondistressed couples: Construct hierarchy and multidimensional scales J Marital Fam Ther. 1995;21(3):289-308. doi:10.1111/j.1752-0606. 1995.tb00163.x
  26. Davis MH. A multidimensional approach to individual differences in empathy. JSAS. 1980;10:85-104.
  27. Golbabaei S, Barati M, Haromi ME, Ghazazani N, Borhani K. Development and construct validation of a short form of the interpersonal reactivity index in Iranian community. Curr Psychol. 2023;42(16):14038-50. doi:10.1007/s12144-022-02716-9
  28. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994;38(1):23-32. doi:10.1016/0022-3999(94) 90005-1
  29. Besharat MA. Assessing reliability and validity of the Farsi version of the Toronto Alexithymia Scale in a sample of substance-using patients. Psychol Rep. 2008;102(1):259-70. doi:10.2466/pr0.102.1.259-270
  30. Kaveh Farsani Z. Evaluating the model investigating the relationship between apology and the marital relationships quality: the mediating of marital empathy and emotional forgiveness. JAC. 2021;10(2): 51-72.
  31. Alimohammadi F, Aghajani A. Predicting quality of marital life based on couples commitment, and empathy in married students of Islamic Azad University, Qom Branch. Shenakht J Psychol Psychiatry. 2021;8(4):135-45. doi:10.32598/shenakht.8.4.135
  32. Zdankiewicz-Ścigała E, Ścigała DK, Trzebiński J. Alexithymia in the Narratization of Romantic Relationships: The Mediating Role of Fear of Intimacy. J Clin Med. 2024;13(2):404. doi:10.3390/jcm1302 0404
  33. Khosravi T, Ghahari S, Ahadi F. Relationship between Attachment Style and Alexithymia with Marital Dissatisfaction. Middle East J Rehabil Health Stud. 2015;2(3):e29709. doi:10.17795/mejrh-29709
Hospital Practices and Research
Volume 8, Issue 3 - Serial Number 31
Summer 2023
Pages 325-330

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