The Persian version of the revised dyadic adjustment scale (RDAS): a validation study in infertile patients

Abstract

Background: Infertility can have a powerful impact on marital quality. The Revised Dyadic Adjustment Scale (RDAS) is a widely used measure of marital quality. This scale has not been validated in infertile patients. Therefore, this study aimed to evaluate the reliability and validity of the RDAS in a sample of infertile patients. Methods: The sample of this methodological study consisted of 254 infertile patients referring to a referral infertility clinic in Tehran, Iran. A battery of questionnaires was administered to the participants, including a demographic/ fertility questionnaire, the RDAS, the Relationship Assessment Scale (RAS), the Kansas Marital Satisfaction Scale (KMSS), the Couples Satisfaction Index-4 Item (CSI-4), the Hospital Anxiety and Depression Scale (HADS), and the Perceived Stress Scale-4 Item (PSS-4). Internal consistency of the scale was assessed with Cronbach's alpha, construct validity was investigated using confirmatory factor analysis (CFA), and convergent validity was examined by correlating the RDAS with RAS, KMSS, CSI-4, HADS, and PSS-4 instruments. Results: The mean total RDAS score was 49.26 ± 9.34, and 100 patients (39.4%) had marital distress based on the cutoff value of < 48. The second-order three-factor model of the RDAS exhibited an excellent fit to the data, as indicated by χ 2 /df = 2.26; CFI = 0.96; GFI = 0.91; NFI = 0.93; IFI = 0.96; RMSEA = 0.071 and SRMR = 0.050. The RDAS and its subscales revealed satisfactory internal consistency that ranged from 0.664 to 0.847. Convergent validity was confirmed by strong correlations between RDAS scores and scores on the RAS, KMSS, and CSI-4. These correlations also tended to be larger than correlations with measures of HADS-anxiety, HADS-depression, and PSS-4. Among demographic/fertility variables, only infertility duration was found to be correlated to the RDAS. Conclusion: The RDAS is a reliable and valid inventory for measuring marital quality in infertile patients. Further validation studies are needed to generalize the underlying structure of the scale in various populations.

Systematic Review of the Relationship between Couple Dyadic Adjustment and Family Health

“…Couple dyadic adjustment represents the degree to which couples are satisfied with their relationship in domains such as cohesion, satisfaction, consensus, and affective expression (Table 2). Thus, high levels of dyadic adjustment reflect better adjustment and better quality of couple relationship [11,[16][17][18][19][20][21].…”

Psychometric properties of the revised Urdu version dyadic adjustment scale for evaluating marital relationship quality between madrassa and Non-Madrassa married women

“…This study incorporated CFA to obtain the results from the data sets of the married madrassa and non-madrassa women samples with questionnaire forms. The study applied the CFA approach to confirm the scale’s factor structure as proposed by Busby (Busby et al , 1995) and Christensen Busby et al (1995); (Christensen et al , 2006) for the adequacy of the factor solutions (Maroufizadeh et al , 2020) (Table 2).…”

“…It is a bond between two individuals of the same family and community and vice versa (Aman et al , 2019). Although the friendship concept is more preferred over marriage in recent times, couples who live together generally prefer to get married in their life (Maroufizadeh et al , 2020). Researchers who have examined the subjects of couple relations and marriage highlight the adjustment in marital satisfaction as an outcome of the wedding (Kalkan et al , 2008).…”

“…Scholars have put efforts into developing tools that can examine marital relationship satisfaction and quality (Abbas et al , 2020). In recent literature, scholars have paid attention to the variable of marital satisfaction, and several studies have examined marital satisfaction quality (Blank et al , 2008; Graham et al , 2011; Maroufizadeh et al , 2020). All human beings need to develop relationships and adjustments for their survival, and every individual faces an adjustment process with their partner after the wedding (Abbas et al , 2019; Cooper, 2008; Hall and Adams, 2020; Toqeer et al , 2021).…”

Depression and Anxiety Among Men Undergoing ART Treatment

“…[4] Anxiety and depression are the most frequently occurring psychological disorders among infertile couples. [5] It is widely accepted that women are more likely to be affected than men by infertility problem, and there have been a large number of studies on the relationship between female psychological stress and the outcome of ART. In contrast, there are few researches about the in uence of male psychological stress on the outcome of ART.…”