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Volume 7, Issue 2 (2026)
J Clinic Care Skill 2026, 7(2): 1001-1010 |
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Ethics code: IR.DUMS.1398.037
History
Received: 2026/07/29 | Accepted: 2026/04/21 | Published: 2026/04/21
Received: 2026/07/29 | Accepted: 2026/04/21 | Published: 2026/04/21
How to cite this article
Rezaei R, Mohammadi S, Jahangirimehr A, Pajohideh Z. Comparison of General Health, Marital Satisfaction, and Happiness Among Women with and Without Recurrent Pregnancy Loss: A Case-Control Study. J Clinic Care Skill 2026; 7 (2) :1001-1010
URL: http://jccs.yums.ac.ir/article-1-506-en.html
URL: http://jccs.yums.ac.ir/article-1-506-en.html
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Abstract (15 Views)
Aims: Recurrent pregnancy loss (RPL) imposes a profound psychological burden. This study aimed to compare general health, marital satisfaction, and subjective happiness between women with RPL and healthy controls, and to elucidate the mediating pathways linking RPL to relational outcomes.
Methods: In this matched case-control study conducted in 2025 in Shushtar, Iran, 210 reproductive-aged women (71 with RPL, 140 healthy controls matched by age, socioeconomic status, and gravidity) were recruited. Participants completed the General Health Questionnaire (GHQ-28), ENRICH Marital Satisfaction Inventory, and Oxford Happiness Questionnaire. Data were analyzed using Mann-Whitney U tests, stepwise multiple regression, and path analysis to evaluate direct and indirect effects.
Findings: Women with RPL exhibited significantly poorer general health (40.89±17.07 vs. 23.41±15.44, p<0.001), lower happiness (29.65±19.11 vs. 43.86±16.04, p<0.001), and reduced marital satisfaction (123.58±59.91 vs. 163.01±54.56, p=0.001) compared to controls. Crucially, path analysis revealed that RPL status did not directly diminish marital satisfaction. Instead, its detrimental effect was fully mediated by compromised general health and reduced happiness (indirect effect β=0.297, p<0.001).
Conclusion: Women with RPL experience poorer general health, lower happiness, and reduced marital satisfaction than healthy controls. Path analysis suggests that RPL may indirectly affect marital satisfaction through compromised health and happiness. These findings support integrating psychosocial care into RPL management. However, longitudinal studies are needed to confirm causal pathways.
Methods: In this matched case-control study conducted in 2025 in Shushtar, Iran, 210 reproductive-aged women (71 with RPL, 140 healthy controls matched by age, socioeconomic status, and gravidity) were recruited. Participants completed the General Health Questionnaire (GHQ-28), ENRICH Marital Satisfaction Inventory, and Oxford Happiness Questionnaire. Data were analyzed using Mann-Whitney U tests, stepwise multiple regression, and path analysis to evaluate direct and indirect effects.
Findings: Women with RPL exhibited significantly poorer general health (40.89±17.07 vs. 23.41±15.44, p<0.001), lower happiness (29.65±19.11 vs. 43.86±16.04, p<0.001), and reduced marital satisfaction (123.58±59.91 vs. 163.01±54.56, p=0.001) compared to controls. Crucially, path analysis revealed that RPL status did not directly diminish marital satisfaction. Instead, its detrimental effect was fully mediated by compromised general health and reduced happiness (indirect effect β=0.297, p<0.001).
Conclusion: Women with RPL experience poorer general health, lower happiness, and reduced marital satisfaction than healthy controls. Path analysis suggests that RPL may indirectly affect marital satisfaction through compromised health and happiness. These findings support integrating psychosocial care into RPL management. However, longitudinal studies are needed to confirm causal pathways.