OBESITY AND MARITAL RELATIONSHIP: THE MEDIATING ROLE OF COPING

Main Article Content

Saima Ahmad Din
Amina Muazzam

Abstract

OBJECTIVE: To find out the mediating role of coping between factors of obesity and marital relationship in women with obesity.


METHODS: This analytical cross-sectional study was conducted from May to November 2019 at various universities (Lahore College for Women University, Riphah International University, and University of Central Punjab) and hospitals (Services Hospital, Jinnah Hospital and Shalimar Hospital) of Lahore, Pakistan. Sample (n=400) was collected through Purposive sampling technique. Overeating Situations Scale, big five personality inventory, relationship satisfaction inventory, brief coping response inventory along demographic form were administered on the sample. Data was analyzed through Path analysis using AMOS-20


RESULTS: Majority (n=213/400; 53.25%) of participants were working in private-sector, 216/400 (54%) were teachers and 54% (n=184/400) were doctors. Participants ranged in age from 25-50 years. Forty-five percent (n=180) had 1-5 years’ duration of marriage. Path analysis revealed that the structural path from reappraisal coping to openness to experience and from extraversion to the marital relationship has a positive direct effect. It can also be seen that the structural path from emotional, psychological, and cognitive factors to marital relationship and from disengagement coping to the marital relationship have direct significant negative, whereas from reappraisal coping to marital relationship show a direct positive effect. Coping showed two indirect paths to marital relationship: the path mediated by reappraisal coping to marital relationship and disengagement coping marital relationship.


CONCLUSION: Mediating effect of coping revealed that women who use reappraisal coping enjoy better marital life as compared to the women who use disengagement type of coping.

Article Details

How to Cite
Din, S. A., and A. Muazzam. “OBESITY AND MARITAL RELATIONSHIP: THE MEDIATING ROLE OF COPING”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 14, no. 3, Sept. 2022, pp. 163-8, doi:10.35845/kmuj.2022.21713.
Section
Original Articles

References

World Health Organization. Obesity 2018. [Accesed on: February 28, 2019] Available from URL: https://www.who.int/topics/obesity/en/.

Erulkar A. Early marriage, marital relations and intimate partner violence in Ethiopia. Int Perspect Sex Reprod Health 2013;39(1):6-13. https://doi.org/10.1363/3900613

Liao C, Gao W, Cao W, Lv J, Yu C, Wang S, et al. Association of educational level and marital status with obesity: a study of chinese twins. T Twin Res Hum Genet 2018;21(2):126-35. https://doi.org/10.1017/thg.2018.8

Jabbari M, Hosseini‐Tabaghdehi M, Kashi Z, Mousavinasab N, Shahhosseini Z. Personality traits and sexual self‐efficacy in diabetic women: The mediating role of marital satisfaction and sexual function. Brain Behav 2021;11(11):e2371. https://doi.org/10.1002/brb3.2371

Harrington R, Loffredo DA. Insight, rumination, and self-reflection as predictors of well-being. J Psychol 2010;145(1):39-57. https://doi.org/10.1080/00223980.2010.528072

Erol RY, Orth U. Actor and partner effects of self-esteem on relationship satisfaction and the mediating role of secure attachment between the partners. J Res Personal 2013;47(1):26-35. https://doi.org/10.1016/j.jrp.2012.11.003

Sarma H, Saquib N, Hasan MM, Saquib J, Rahman AS, Khan JR, et al. Determinants of overweight or obesity among ever-married adult women in Bangladesh. BMC Obes 2016;3(1):13. https://doi.org/10.1186/s40608-016-0093-5

Penley JA, Tomaka J. Associations among the Big Five, emotional responses, and coping with acute stress. Personal Individ Differ 2002;32(7):1215-28. https://doi.org/10.1016/S0191-8869(01)00087-3

Martyn‐Nemeth P, Penckofer S, Gulanick M, Velsor‐Friedrich B, Bryant FB. The relationships among self‐esteem, stress, coping, eating behavior, and depressive mood in adolescents. Res Nurs Health 2009;32(1):96-109. https://doi.org/10.1002/nur.20304

National Institute of Population Studies (NIPS) [Pakistan] and ICF. 2019. Pakistan Demographic and Health Survey 2017-18. Islamabad, Pakistan, and Rockville, Maryland, USA: NIPS and ICF.

Siddiqui M, Ayub H, Hameed R, Nadeem MI, Mohammad TA, Simbak N, et al. Obesity in Pakistan: Current and future perceptions. Curr Trends Biomed Eng Biosci 2018;17 (2):555958. https://doi.org/10.19080/CTBEB.2018.17.555958

Francis JJ, Johnston M, Robertson C, Glidewell L, Entwistle V, Eccles MP, et al. What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychol Health 2010;25(10):1229-45. https://doi.org/10.1080/08870440903194015

Ahmad S, Muazzam A, Anjum A. Factors of Obesity and Personality Traits among Middle Aged Women of Lahore. Pak Armed Forces Med J 2020;70(4):1153-57.

Gosling SD, Rentfrow PJ, Swann Jr WB. A very brief measure of the Big-Five personality domain.ns. J Res Pers 2003;37(6):504-28. https://doi.org/10.1016/S0092-6566(03)00046-1

Røysamb E, Vittersø J, Tambs K. The Relationship Satisfaction scale – Psychometric properties. Nor J Epidemiol [Internet]. 2014 Dec.29 [Accessed on: June 29, 2022] Available from URL: https://www.ntnu.no/ojs/index.php/norepid/article/view/1821

Hayward LE, Vartanian LR, Pinkus RT. Coping with weight stigma: Development and validation of a Brief Coping Responses Inventory. Obes Sci Pract 2017;3(4):373-83. https://doi.org/10.1002/osp4.125

Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract 2011;17(2):268-74. https://doi.org/10.1111/j.1365-2753.2010.01434.x

Afshar H, Roohafza HR, Keshteli AH, Mazaheri M, Feizi A, Adibi P. The association of personality traits and coping styles according to stress level. J Res Med Sci 2015;20(4):353.

Sadr MM. The role of personality traits predicting emotion regulation strategies. Int J Humanit Soc Sci 2016;3(4):13-24.

Irfan S, Ghaffar A. Coping strategies and personality dimensions of female gynecologists. J Educ Pract 2014;5(34):57-65.

Hambrick EP, McCord DM. Proactive Coping and its Relation to the Five-Factor Model of Personality. Individ Differ Res 2010;8(2).

Claxton A, O’Rourke N, Smith JZ, DeLongis A. Personality traits and marital satisfaction within enduring relationships: An intra-couple discrepancy approach. J Soc Pers Relat 2012;29(3):375-96. https://doi.org/10.1177/0265407511431183

Golestani E, Tavakoli Manzeri A, Tavakoli Manzeri H. Relationship of personality traits with marital satisfaction in women. J Life Sci Biomed 2012;2(5):216-8.

Orayzi HR, Abedi A, Amini M. A meta-analysis of extroversion and marital satisfaction. J Fundam Mental Health 2016;18(6):305-12.

Mousavi R. Relation between big five personality factors neuroticism, extraversion, agreeableness, openness, loyalty and marital adjustment. NeuroQuantology 2017;15(4). http://dx.doi.org/10.14704/nq.2017.15.4.1154

Tennen H, Affleck G. Benefit-finding and benefit-reminding. Handbook of Positive Psychology 2002;1:584-97.

Canzi E, Donato S, Ferrari L, Parise M, Pagani AF, Lopez G, Rosnati R, Ranieri S. “What makes us strong?”: Dyadic coping in Italian prospective adoptive couples. Front Psychol 2019;10:399. https://doi.org/10.3389/fpsyg.2019.00399

Mirabzadeh A, Eftekhari MB, Forouzan AS, Sajadi H, Rafiee H. Relationship between ways of coping and quality of life in married women: Toward mental health promotion. Iran. Red Crescent Med J 2013;15(8):743. https://doi.org/10.5812/ircmj.12728

Tegegne A, Molla A, Wonde D, Jibat N. Marital Dissatisfaction, Coping Mechanisms, and the Likelihood of Divorce among Selected Districts of Jimma Zone, South Western Ethiopia. Glob J Human Soc Sci 2015;15(10):22-30.

Richter J, Rostami A, Ghazinour M. Marital satisfaction, coping, and social support in female medical staff members in Tehran University Hospitals. J Soc Pers Relat 2014;8(1):115-27. http://dx.doi.org/10.5964/ijpr.v8i1.139