Relationship of Controlling Negative Thoughts and Parenting Stress with Marital Satisfaction in Parents of Children with Learning Disability: Mediated by Sexual Satisfaction
Advances in Nursing & Midwifery,
Vol. 32 No. 1 (2023),
7 June 2023
Introduction: Lack of satisfying sexual relations weakens marital relationships. The present study aimed to investigate the relationship between controlling negative thoughts and parenting stress with the marital satisfaction of parents of children with learning disabilities as influenced by the mediating role of sexual satisfaction.
Methods: The statistical population of this descriptive correlational study covered all parents of children with learning disabilities in Tehran in 2020, 212 of whom were selected as the statistical sample using convenience sampling based on the inclusion and exclusion criteria. The research instruments included the Marital Satisfaction Scale, the Thought Control Questionnaire, the Parenting Stress Questionnaire, and the Sexual Satisfaction Questionnaire. Descriptive statistics including mean and standard deviation as well as Pearson's correlation coefficient were used for data analysis. The proposed model was evaluated using structural equation modeling (SEM) via SPSS-25 and AMOS-25 software.
Results: The results showed that the correlations between marital satisfaction and controlling negative thoughts (r = 0.33), parenting stress (r = -0.40), and sexual satisfaction (r = 0.049) were significant (P < 0.01). In addition, the correlations between sexual satisfaction and controlling negative thoughts (r = 0.60) and parenting stress (r = -0.39) were also significant (P < 0.01). The relationship between the indirect path of controlling negative thoughts with marital satisfaction via the mediating role of sexual satisfaction was significant (β = 0.32, P = 0.010). Moreover, sexual satisfaction had a mediating role in the relationships between parenting stress and marital satisfaction in the parents (β = -0.08, P = 0.044). The results indicated a good fit of the model (IFI = 0.98, CFI = 0.96, RMSEA = 0.071).
Conclusions: The results suggest that the proposed model had a good fit and could be considered an important step toward identifying the factors influencing the marital satisfaction of parents having children with learning disabilities.
- Sexual Satisfaction
- Negative Thinking
How to Cite
2. Hodge MA, Sutherland R, Jeng K, Bale G, Batta P, Cambridge A, et al. Agreement between telehealth and face-to-face assessment of intellectual ability in children with specific learning disorder. J Telemed Telecare. 2019;25(7):431-7.
3. Taderera C, Hall H. Challenges faced by parents of children with learning disabilities in Opuwo, Namibia. Afr J Disabil. 2017;6:283.
4. Darooneh T, Hajizadeh Bandeghara F, Saei Ghare Naz M, Kholosi F, Nasiri M, Ozgoli G. The Role of Children in Women’s Marital Satisfaction in Tehran, 2016. Adv Nurs Midwifery. 2019;28(4):3-7.
5. He B, Wongpakaran T, Wongpakaran N, Wedding D. Marital Satisfaction and Perceived Family Support in Families of Children with Autistic Spectrum Disorder: Dyadic Analysis. Healthcare (Basel). 2022;10(7):1227.
6. DeLongis A, Zwicker A. Marital satisfaction and divorce in couples in stepfamilies. Current Opinion in Psychology. 2017;13:158-61.
7. Ahmadi Doulabi M, Sajedi F, Vameghi R, Mazaheri MA, Akbarzadeh Baghban A, Afraz F. Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison with Mothers of Normal Children. Iran J Child Neurol. 2019;13(4):91-108.
8. Tavakol Z, Nasrabadi AN, Moghadam ZB, Salehiniya H. The presence of the child, the opportunity or a threat to marital satisfaction: A qualitative study. J Educ Health Promot. 2019;8:67.
9. Babaei N, Afrooz GA, Arjmandnia AA. Developing a life quality promoting program and investigation of its effectiveness on mental health and marital satisfaction of mothers with down syndrome daughters. Journal of Family Psychology. 2021;4(1):75-86.
10. Mas JM, Dunst CJ, Balcells-Balcells A, Garcia-Ventura S, Giné C, Cañadas M. Family-centered practices and the parental well-being of young children with disabilities and developmental delay. Res Dev Disabil. 2019;94:103495.
11. Lu MH, Wang GH, Lei H, Shi ML, Zhu R, Jiang F. Social Support as Mediator and Moderator of the Relationship Between Parenting Stress and Life Satisfaction Among the Chinese Parents of Children with ASD. J Autism Dev Disord. 2018;48(4):1181-1188.
12. Halvorsen M, Høifødt RS, Myrbakk IN, Wang CE, Sundet K, Eisemann M, Waterloo K. Cognitive function in unipolar major depression: a comparison of currently depressed, previously depressed, and never depressed individuals. J Clin Exp Neuropsychol. 2012;34(7):782-90.
13. Van de Walle M, Bijttebier P, Braet C, Bosmans G. Attachment anxiety and depressive symptoms in middle childhood: The role of repetitive thinking about negative affect and about mother. Journal of Psychopathology and Behavioral Assessment. 2016;38(4):615-630.
14. Tucker RP, Smith CE, Hollingsworth DW, Cole AB, Wingate LRR. Do thought control strategies applied to thoughts of suicide influence suicide ideation and suicide risk? Personality and Individual Differences. 2017;112:37-41.
15. Szczepanowski R, Cichoń E, Niemiec T, Andrzejewska BE, Wójta-Kempa M. Measurement of Unwanted Thought Suppression Strategies with the Thought Control Questionnaire in the General Polish Population: A Confirmatory Factor Analysis and Validation. Psychol Res Behav Manag. 2021;14:137-148.
16. Smith S, Tallon M, Clark C, Jones L, Mörelius E. "You Never Exhale Fully Because You're Not Sure What's NEXT": Parents' Experiences of Stress Caring for Children With Chronic Conditions. Front Pediatr. 2022;10:902655.
17. Qian G, Mei J, Tian L, Dou G. Assessing Mothers' Parenting Stress: Differences Between One- and Two-Child Families in China. Front Psychol. 2021;11:609715.
18. Fuentes-Balderrama J, Del Castillo CC, García AO, Loving RD, Plaza BT, Cardona JRP. The Effects of Parenting Styles on Internalizing and Externalizing Behaviors: A Mexican Preadolescents Study. Int J Psychol Res (Medellin). 2020;13(1):9-18.
19. Mohammadipour S, Dasht Bozorgi Z, Hooman F. The Role of Mental Health of Mothers of Children with Learning Disabilities in the Relationship Between Parental Stress, Mother-child Interaction, and Children’s Behavioral Disorders. Journal of Client-centered Nursing Care. 2021;7(2):149-158.
20. Ben-Naim S, Gill N, Laslo-Roth R, Einav M. Parental Stress and Parental Self-Efficacy as Mediators of the Association Between Children's ADHD and Marital Satisfaction. J Atten Disord. 2019 Mar;23(5):506-516.
21. Stewart M, Schnabel A, Hallford DJ, McGillivray JA, Forbes D, Foster M, et al. Challenging child behaviours positively predict symptoms of posttraumatic stress disorder in parents of children with autism spectrum disorder and rare diseases. Research in Autism Spectrum Disorders. 2020;69:101467.
22. Hsiao Y-J. Parental Stress in Families of Children with Disabilities. Intervention in School and Clinic. 2017;53(4):201-5.
23. Pascoal PM, Byers ES, Alvarez MJ, Santos-Iglesias P, Nobre PJ, Pereira CR, Laan E. A Dyadic Approach to Understanding the Link Between Sexual Functioning and Sexual Satisfaction in Heterosexual Couples. J Sex Res. 2018 Nov-Dec;55(9):1155-1166.
24. Træen B, Štulhofer A, Janssen E, Carvalheira AA, Hald GM, Lange T, Graham C. Sexual Activity and Sexual Satisfaction Among Older Adults in Four European Countries. Arch Sex Behav. 2019 Apr;48(3):815-829.
25. Cao H, Zhou N, Fine MA, Li X, Fang X. Sexual Satisfaction and Marital Satisfaction During the Early Years of Chinese Marriage: A Three-Wave, Cross-Lagged, Actor-Partner Interdependence Model. J Sex Res. 2019;56(3):391-407.
26. Panabad S, Gholamzadeh Jofreh M, Asgari P, Kazemian Moghaddam K. Effectiveness of Emotionally-Focused Couples Therapy on Marital Violence, Marital Adjustment, and Sexual Intimacy of Couples Visiting Counseling Centers of Ahvaz. Adv Nurs Midwifery. 2022;31(1):1-7.
27. Olson DH, Fournier DG, Druckman JM. Counselor's manual for Prepare//Enrich (Rev. ed). Minneapolis. 1987.
28. Arab Alidousti A, Nakhaee N, Khanjani N. Reliability and Validity of the Persian versions of the ENRICH Marital Satisfaction (Brief version) and Kansas Marital Satisfaction Scales. Health and Development Journal. 2015;4(2):158-167.
29. Wells A, Davies MI. The Thought Control Questionnaire: a measure of individual differences in the control of unwanted thoughts. Behav Res Ther. 1994 Nov;32(8):871-8.
30. Darvish Molla M, Shirazi M, Nikmanesh Z. The Role of Difficulties in Emotion Regulation and Thought Control Strategies on Pornography Use. Practice in Clinical Psychology. 2018;6(2):119-128.
31. Abidin, RR. The determinants of parenting behavior. Journal of Clinical Child Psychology. 1992;21: 407-412.
32. Mohammadipour S, Dasht Bozorgi Z, Hooman F. The Role of Mental Health of Mothers of Children with Learning Disabilities in the Relationship Between Parental Stress, Mother-child Interaction, and Children’s Behavioral Disorders. Journal of Client-centered Nursing Care. 2021;7(2):149-58.
33. Hudson WW, Harrison DF, Crosscup PC. A short-form scale to measure sexual discord in dyadic relationships. Journal of Sex Research. 1981;17:157-174.
34. Tabarzan S, Hooman F, Bakhtiarpour S. Investigating the Relationship among the Quality of Married Life, Internet Addiction, and Mindfulness in Women with Breast Cancer: The Mediating Role of Sexual Satisfaction. Women. Health. Bull. 2022;9(4):2-9.
35. Kelly JD 4th. Your Best Life: Managing Negative Thoughts-The Choice is Yours. Clin Orthop Relat Res. 2019;477(6):1291-1293.
36. Michaelson V, Trothen T, Ascough H, Pickett W. Canadian Children and Spiritual Health: Foundations for Spiritual Care. Journal of Pastoral Care & Counseling. 2016;70(4):244-56.
- Abstract Viewed: 132 times
- PDF Downloaded: 131 times