• Korean Journal of Human Ecology
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• v.22 no.4
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• pp.559-574
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• 2013

The purpose of this study was to develop the couple relationship improvement program for college students and to examine the effects of the program based on the family of origin and attachment. Does based on Bowen's theory of differentiation of self, adult attachment, group counseling for this and establishes program goals according to systematic group counseling program development model and composed program. In order to attain like this research objective, six male and female couples attending colleges were divided into the participating group and comparison group; the students were from H University in Daejeon, Korea, and they had the experience of participating in the comprehensive group program. The changes shown by the couples were studied, and the cases were analyzed by examining the minutes and reports, which supplemented the quantitative analysis of the effectiveness of the group counseling program. The analysis of the effectiveness of the program showed the following. The case showed that goals of the individuals and couples, enhancing the understanding of self and partners by understanding the self-differentiation and adult attachment while having a positive impact on understanding, acceptance, disclosure of self partner and couple relationship based on the social support of the cognitive emotion regulation strategies.

• Journal of Digital Convergence
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• v.19 no.9
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• pp.373-383
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• 2021

The purpose of this research was to develop an un-tact group counseling program to deal with the conflicts in the relationship of unmarried couples and to verify the effect of the program for improving emotional cognition and emotion regulation of unmarried couples. The research procedure consisted of the program development step and the program verification step, and in detail, 8 steps of program development processes were established. The subjects of the research were 11 unmarried couples, and 4 group were organized. The group counseling program was conducted once a week (2 sessions), a total of 10 sessions for 5 weeks. The effect was analyzed quantitatively and qualitatively. As a result of quantitative analysis, the participant's relationship satisfaction was significantly improved and there was a significant change in some relationship emotional schemas of participants. As a result of qualitatively analysis through participant's program review, participant's emotional understanding and the couple relationship were improved, and the group effect of the couple group counseling was found. Finally, the significance and limitations of this study were presented.

• Journal of Families and Better Life
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• v.20 no.6
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• pp.11-24
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• 2002

The purpose of this study is to develop a Marriage Enrichment Program that can be applied to the actual lives of Korean families and couples, as well as adopted in family welfare programs. For this study, a quasi-experimental group design was employed and pre- and post- tests on Internal-External Control, Couple Communication, and Marital Satisfaction were conducted. Experimental participants consisted of six volunteer couples who responded to an advertisement by the Chonbuk Family Counseling Center printed in a daily newspaper. The experimental group received two hours of education on marital relationship enhancement every week for eight weeks. The control group received no such treatment. The effectiveness of the education was measured by Wilcox matched pair test, using a SAS program, as well as by the self-report of the participants. The results show that there was statistically significant improvement for the experimental group in all three areas of marriage-- internal control, couple communication, and marital satisfaction. In addition, the participants'evaluations were generally positive about the program. The participants reported that it was most helpful to learn through the educational program that individuals differ in basic needs and that they should not force personal beliefs on others. They also reported that their understanding of their spouse improved.

• Journal of Korean Public Health Nursing
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• v.21 no.1
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• Korean Journal of Human Ecology
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• v.20 no.4
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• pp.731-743
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• 2011

The purpose of this study was to explore the relationship between personality differences and marital conflict. In particular, this study examined what impact, if any, exists between groups married for fewer than five years(Group 1) and those married for five or more years(Group 2). The sample consisted of 368 married couples. Each couple was asked to complete two questionnaires: one for measuring marital conflict and another for assessing husbands' and wives' personalities using the Myers-Briggs Type Indicator(MBTI). The results of this study were as follows: First, between Group 1 and Group 2, marital conflict showed no differences. Second, no marital conflict, caused by the four types of personality, was found in Group 2. However, for Group 1, the marital conflict perceived by wives was influenced by J-P and S-N types of wives, and the marital conflict perceived by husbands was affected by J-P type of husbands and S-N type of wives. Third, for Group 1, the marital conflict perceived by wives was influenced by the difference between S-N types. The marital conflict perceived by husbands was affected by differences between S-N types and between J-P types. No marital conflict, caused by the difference of the four types of personality, was found in Group 2. The results showed that the four types of personality and the differences in personality types between the couples affected marital conflict, depending on the duration of marriage. Therefore, it is important for the newly married couple to comprehend their spouse's personality and to adjust their lifestyles stemming from their personality differences.

• Research in Community and Public Health Nursing
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• v.26 no.3
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• pp.179-189
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• 2015

Purpose: The purpose of this study was to identify factors influencing depression of participants in the National Supporting Program for Infertile Couples (NSPI) who received a treatment of IVF (in vitro fertilization) or IUI (intra-uterine insemination). Methods: Using the 2013 NSPI Satisfaction On-line Survey data, secondary data analyses were conducted on 830 cases of IVF and 706 cases of IUI. Descriptive statistics, independent t-test, ${\chi}^2$ test, and logistic regression were performed using SPSS/WIN 21.0. Results: Logistic regression analysis showed that non-pregnancy status (OR=3.05), unexplained infertility (OR=4.29), relationship trouble with spouse (OR=3.57), and relationship trouble with the in-law family (OR=2.78) were significant factors predicting the depression level in the IUI treatment group. Non-pregnancy status (OR=5.28), childlessness (OR=1.92), financial support helpful hardly or not at all (OR=2.63), relationship trouble with spouse (OR=3.28), relationship trouble with the in-law family (OR=2.83), and unemployment (OR=1.60) were significant factors in the IVF treatment group. Conclusion: To reduce infertile women's depression, adequate attention and care need to be paid to these psychological symptoms. It is suggested to develop counseling and couple-therapy along with methods to enhance social support (including that from the in-law's family).

• Journal of Genetic Medicine
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• v.7 no.2
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• pp.125-132
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• 2010

Purpose: Preimplantation genetic diagnosis (PGD), also known as embryo screening, is a pre-pregnancy technique used to identify genetic defects in embryos created through in vitro fertilization. PGD is considered a means of prenatal diagnosis of genetic abnormalities. PGD is used when one or both genetic parents has a known genetic abnormality; testing is performed on an embryo to determine if it also carries the genetic abnormality. The main advantage of PGD is the avoidance of selective pregnancy termination as it imparts a high likelihood that the baby will be free of the disease under consideration. The application of PGD to genetic practices, reproductive medicine, and genetic counseling is becoming the key component of fertility practice because of the need to develop a custom PGD design for each couple. Materials and Methods: In this study, a survey on the contents of genetic counseling in PGD was carried out via direct contact or e-mail with the patients and specialists who had experienced PGD during the three months from February to April 2010. Results: A total of 91 persons including 60 patients, 49 of whom had a chromosomal disorder and 11 of whom had a single gene disorder, and 31 PGD specialists responded to the survey. Analysis of the survey results revealed that all respondents were well aware of the importance of genetic counseling in all steps of PGD including planning, operation, and follow-up. The patient group responded that the possibility of unexpected results (51.7%), genetic risk assessment and recurrence risk (46.7%), the reproduction options (46.7%), the procedure and limitation of PGD (43.3%) and the information of PGD technology (35.0%) should be included as a genetic counseling information. In detail, 51.7% of patients wanted to be counseled for the possibility of unexpected results and the recurrence risk, while 46.7% wanted to know their reproduction options (46.7%). Approximately 96.7% of specialists replied that a non-M.D. genetic counselor is necessary for effective and systematic genetic counseling in PGD because it is difficult for physicians to offer satisfying information to patients due to lack of counseling time and specific knowledge of the disorders. Conclusions: The information from the survey provides important insight into the overall present situation of genetic counseling for PGD in Korea. The survey results demonstrated that there is a general awareness that genetic counseling is essential for PGD, suggesting that appropriate genetic counseling may play a important role in the success of PGD. The establishment of genetic counseling guidelines for PGD may contribute to better planning and management strategies for PGD.

• Women's Health Nursing
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• v.28 no.1
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• pp.56-64
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• 2022

Purpose: This study aimed to investigate the effects of health-promoting behaviors (HPB), marital intimacy, and parenting stress on the quality of life (QoL) of low-income women with young children in Korea, an underserved group. Methods: This cross-sectional survey employed a descriptive correlational design. Using convenience sampling, 123 low-income women with children younger than 6 years were recruited from 14 health and community centers in Jeonju, Korea, from June 2020 to May 2021. Participants completed a questionnaire on QoL, HPB, marital intimacy, and parenting stress. Data were analyzed using descriptive statistics, independent t-test, analysis of variance, Pearson correlation, and hierarchical regression analysis. Results: Participants, who were on average 37.41±3.65 years old and had 1 to 2 children (n=98, 79.7%), reported a mid-level (3.14 out of 1-5) of QoL. Marital intimacy (β=.38, p<.001) was the most influential factor on the QoL of low-income women with young children. In descending order, HPB (β=.35, p<.001) and non- employment status (β=-.21, p=.003) had a significant influence on QoL (F=15.64, p<.001), and the overall explanatory power was 49.0%. Conclusion: Considering the mid-level QoL of low-income women with young children, programs aimed at improving the QoL of low-income women need to promote marital intimacy and maintain HPB, while considering their employment status. Strategies that include couple counseling, health care to encourage healthy lifestyles, and reemployment education are needed.

• Journal of Digital Convergence
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• v.18 no.1
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• pp.379-387
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• 2020

The purpose of this study is to examine the differences in psychological adjustment among university students according to their parents' divorce status and their parents' conflict. Specifically, students who have not-divorced parents were subdivided into two groups: those who have with a high degree of conflict and with a low degree of conflict. The results were as follows. First, the degree of the marital conflict from the divorced parents is higher than the one of the marital conflict from the parents not divorced. Second, the group who has the parents with a high level of marital conflict went through the highest difficulties among 3 groups at all variables without the parent-child relationship. Therefore, this study suggests that marital conflict is more closely related to psychological adjustment of children than parental divorce itself.