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Application of the dyadic data analysis in behavioral medicine research: marital satisfaction and anxiety in infertile couples.
BMC Med Res Methodol. 2018 10 26; 18(1):117.BM

Abstract

BACKGROUND

Dyadic data analysis (DDA) is increasingly being used to better understand, analyze and model intra- and inter-personal mechanisms of health in various types of dyads such as husband-wife, caregiver-patient, doctor-patient, and parent-child. A key strength of the DDA is its flexibility to take the nonindependence available in the dyads into account. In this article, we illustrate the value of using DDA to examine how anxiety is associated with marital satisfaction in infertile couples.

METHODS

This cross-sectional study included 141 infertile couples from a referral infertility clinic in Tehran, Iran between February and May 2017. Anxiety and marital satisfaction were measured by the anxiety subscale of the Hospital Anxiety and Depression Scale and 10-Item ENRICH Marital Satisfaction Scale, respectively. We apply and compare tree different dyadic models to explore the effect of anxiety on marital satisfaction, including the Actor-Partner Interdependence Model (APIM), Mutual Influence Model (MIM), and Common Fate Model (CFM).

RESULTS

This study demonstrated a practical application of the dyadic models. These dyadic models provide results that appear to give different interpretations of the data. The APIM analysis revealed that both men's and women's anxiety excreted an actor effect on their own marital satisfaction. In addition, women's anxiety exerted a significant partner effect on their husbands' marital satisfaction. In MIM analysis, in addition to significant actor effects of anxiety on marital satisfaction, women's reports of marital satisfaction significantly predicted men's marital satisfaction. The CFM analysis revealed that higher couple anxiety scores predicted lower couple marital satisfaction scores.

CONCLUSION

In sum, the study highlights the usefulness of DDA to explore and test the phenomena with inherently dyadic nature. With regard to our empirical data, the findings confirmed that marital satisfaction was influenced by anxiety in infertile couples at both individual and dyadic level; thus, interventions to improve marital satisfaction should include both men and women. In addition, future studies should consider using DDA when dyadic data are available.

Authors+Show Affiliations

Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. mhossein110@yahoo.com.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran. samani@royaninstitute.org.Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30367603

Citation

Maroufizadeh, Saman, et al. "Application of the Dyadic Data Analysis in Behavioral Medicine Research: Marital Satisfaction and Anxiety in Infertile Couples." BMC Medical Research Methodology, vol. 18, no. 1, 2018, p. 117.
Maroufizadeh S, Hosseini M, Rahimi Foroushani A, et al. Application of the dyadic data analysis in behavioral medicine research: marital satisfaction and anxiety in infertile couples. BMC Med Res Methodol. 2018;18(1):117.
Maroufizadeh, S., Hosseini, M., Rahimi Foroushani, A., Omani-Samani, R., & Amini, P. (2018). Application of the dyadic data analysis in behavioral medicine research: marital satisfaction and anxiety in infertile couples. BMC Medical Research Methodology, 18(1), 117. https://doi.org/10.1186/s12874-018-0582-y
Maroufizadeh S, et al. Application of the Dyadic Data Analysis in Behavioral Medicine Research: Marital Satisfaction and Anxiety in Infertile Couples. BMC Med Res Methodol. 2018 10 26;18(1):117. PubMed PMID: 30367603.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application of the dyadic data analysis in behavioral medicine research: marital satisfaction and anxiety in infertile couples. AU - Maroufizadeh,Saman, AU - Hosseini,Mostafa, AU - Rahimi Foroushani,Abbas, AU - Omani-Samani,Reza, AU - Amini,Payam, Y1 - 2018/10/26/ PY - 2018/09/18/received PY - 2018/10/18/accepted PY - 2018/10/28/entrez PY - 2018/10/28/pubmed PY - 2019/8/14/medline KW - Anxiety KW - Dyad KW - Dyadic data analysis KW - Infertility KW - Marital satisfaction SP - 117 EP - 117 JF - BMC medical research methodology JO - BMC Med Res Methodol VL - 18 IS - 1 N2 - BACKGROUND: Dyadic data analysis (DDA) is increasingly being used to better understand, analyze and model intra- and inter-personal mechanisms of health in various types of dyads such as husband-wife, caregiver-patient, doctor-patient, and parent-child. A key strength of the DDA is its flexibility to take the nonindependence available in the dyads into account. In this article, we illustrate the value of using DDA to examine how anxiety is associated with marital satisfaction in infertile couples. METHODS: This cross-sectional study included 141 infertile couples from a referral infertility clinic in Tehran, Iran between February and May 2017. Anxiety and marital satisfaction were measured by the anxiety subscale of the Hospital Anxiety and Depression Scale and 10-Item ENRICH Marital Satisfaction Scale, respectively. We apply and compare tree different dyadic models to explore the effect of anxiety on marital satisfaction, including the Actor-Partner Interdependence Model (APIM), Mutual Influence Model (MIM), and Common Fate Model (CFM). RESULTS: This study demonstrated a practical application of the dyadic models. These dyadic models provide results that appear to give different interpretations of the data. The APIM analysis revealed that both men's and women's anxiety excreted an actor effect on their own marital satisfaction. In addition, women's anxiety exerted a significant partner effect on their husbands' marital satisfaction. In MIM analysis, in addition to significant actor effects of anxiety on marital satisfaction, women's reports of marital satisfaction significantly predicted men's marital satisfaction. The CFM analysis revealed that higher couple anxiety scores predicted lower couple marital satisfaction scores. CONCLUSION: In sum, the study highlights the usefulness of DDA to explore and test the phenomena with inherently dyadic nature. With regard to our empirical data, the findings confirmed that marital satisfaction was influenced by anxiety in infertile couples at both individual and dyadic level; thus, interventions to improve marital satisfaction should include both men and women. In addition, future studies should consider using DDA when dyadic data are available. SN - 1471-2288 UR - https://www.unboundmedicine.com/medline/citation/30367603/Application_of_the_dyadic_data_analysis_in_behavioral_medicine_research:_marital_satisfaction_and_anxiety_in_infertile_couples_ DB - PRIME DP - Unbound Medicine ER -