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\"Ivan is a tightly wound philosophy professor whose reverence for logic and order governs not only his academic interests, but also his closest relationships. His wife, Prue, is quite the opposite: a pioneer in the emerging field of biolinguistics, she is young and beautiful, full of life and feeling. Thus far, they have managed to weather their differences. But lately, an odd distance has settled in between them. Might it have something to do with the arrival of the college's dashing but insufferable new writer-in-residence, whose novel Prue always seems to be reading? Into this delicate moment barrels Ivan's unstable father-in-law, Frank, in town to hear Prue deliver a lecture on birdsong that is set to cement her tenure application. But the talk doesn't go as planned, unleashing a series of crises that force Ivan to finally confront the problems in his marriage, and to begin to fight--at last--for what he holds dear\"--Provided by publisher.

Objective We examined associations among couples' first financial discussion, healthy financial communication, marital satisfaction, and financial disagreements with cross‐sectional and longitudinal dyadic data. Background Prior research on these associations has only used cross‐sectional data from one respondent. Method We used actor–partner interdependent structural equation modeling with a sample of 1,079 mixed‐gender, newlywed dyads to estimate cross‐sectional and longitudinal models. Results Cross‐sectionally, both husbands' and wives' reports of their first financial discussion predicted better marital satisfaction and fewer financial disagreements through their own report of healthy financial communication. Longitudinally, only husbands' report of the couple's first financial discussion positively predicted between‐person changes in both husbands' and wives' marital satisfaction two waves later. Additionally, whereas husbands' healthy financial communication predicted changes in their own marital satisfaction, financial disagreements, and wives' financial disagreements over time, wives' healthy financial communication only predicted changes in their own perception of financial disagreements. Conclusion Future relational and financial outcomes for mixed‐gender newlyweds appear to benefit from an earlier first financial discussion in their relationship. Implications Therapists and educators should focus on the timing and quality of couples' financial communication to help couples mitigate financial disagreements and improve marital satisfaction.

Weili Wu,* Na Zhou,* Ying He Gynecology Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People’s Republic of China*These authors contributed equally to this workCorrespondence: Na Zhou, Gynecology Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People’s Republic of China, Email 1178800000@zju.edu.cnBackground: Ovarian hyperstimulation syndrome (OHSS) is a distressing complication of in vitro fertilization–embryo transfer (IVF-ET) that can amplify emotional and psychological burden. Fertility-related stress is influenced by individual psychological resources and the quality of marital communication. However, limited research has examined these associations in patients hospitalized with OHSS.Objective: To examine the relationship between fertility stress, conjugal communication patterns, and psychological capital in hospitalized patients with OHSS following IVF-ET.Methods: This cross-sectional study included 185 women admitted to the fertility ward of a tertiary hospital in China between June 2022 and December 2023. Participants completed the Fertility Problem Inventory (FPI), the Psychological Capital Questionnaire (PCQ), and the Chinese version of the Christensen Marital Communication Model Questionnaire. Descriptive statistics, Pearson correlation, and multiple linear regression analyses were conducted using SPSS version 26.0. Outcomes included the level of fertility stress and its associations with conjugal communication, psychological capital, and relevant demographic and clinical predictors.Results: Participants reported elevated fertility stress (mean ± SD: 155.08 ± 30.58), suboptimal conjugal communication (60.15 ± 24.06), and moderate psychological capital (120.05 ± 18.92). Fertility stress was positively correlated with total avoidance communication (r = 0.373, p < 0.01) and negatively correlated with psychological capital (r = – 0.322, p < 0.01). Regression analysis revealed that embryo transfer cycles (β = 9.284, p = 0.007), second pregnancy attempts (β = 11.398, p = 0.049), total avoidance communication (β = 2.080, p < 0.001), and psychological capital (β = – 0.337, p = 0.002) were significant predictors of fertility stress.Conclusion: Maladaptive conjugal communication and diminished psychological capital are significantly associated with heightened fertility stress in OHSS patients undergoing IVF-ET. Integrating psychosocial support to enhance marital communication and psychological resilience may help alleviate stress and improve patient outcomes.Keywords: ovarian hyperstimulation syndrome, fertility stress, psychological capital, marital communication, IVF-ET, psychosocial care, nursing care

The aim of this study was to investigate the relationship between marital quality and mental health during pregnancy. This cross-sectional study was conducted on 300 Iranian pregnant women. The ENRICH marital satisfaction subscales, levels of domestic violence, perceived social support, as well as depression and anxiety levels were assessed using a questionnaire. AMOS path analysis was used to explore the causal relationship and the mediating effect of social support among the variables of marital quality subscales and mental health. The results showed that, adjusted for age, the history of infertility and level of anxiety were related to marital satisfaction, marital relationships and level of depression which were related to the level of domestic violence. Sexual satisfaction and the level of perceived social support had a mediating role in such relationships. The study confirmed that marital quality is an important predictor of mental health. Improving the marital quality may lead to improvement in mental health.

Objectives: The goal of this study was to investigate associations of the positivity and negativity of couple communication behaviors during a novel Stressor, representative of dyadic coping, with diurnal cortisol patterns, an indication of stress physiological functioning. Background: Previous research suggests that less positive and more negative couple interactions about reoccurring relationship issues are stressful and, as a result, are associated with physiological stress dysregulation. Past research has also indicated that behaviors during novel, as opposed to reoccurring, Stressors are uniquely predictive of couple outcomes because behaviors during novel Stressors are indicative of patterns of dyadic coping. However, there is not yet evidence linking couple behaviors in response to novel Stressors to physiological stress functioning. Methods: Sixty-one (N = 122 individuals) heterosexual couples completed a novel stress task, and recordings of their interactions were coded for negative and positive communication behaviors. Couples provided saliva samples at home for 2 days, which were assayed for diurnal cortisol concentrations. Results: Results of linear regression and structural equation modeling analyses suggested that women's greater positive, in relation to negative, communication behavior during the novel Stressor was associated with women's greater cortisol awakening levels and cortisol awakening responses. Men's greater positive behavior was associated with men ys and women's greater cortisol awakening levels, that is, signs indicating healthy physiological functioning. Conclusion: Couples' dyadic coping has implications for the functioning of stress systems. Implications: Specifically, couples' communication quality during novel Stressors may protect from physiological stress dysregulation; the manner in which couples treat each other when facing novel stress can get \"under the skin.\"

Amounting evidence indicates that insufficient knowledge of marital communication skills leads to destructive interactions and poor marital adjustments in couples, especially during stressful situations. Despite the high effectiveness of Gottman’s psychoeducational intervention, there is a lack of study on the online Gottman’s psychoeducation intervention (O-GPI) to improve marital communication and dyadic adjustments. The aim of this study was to evaluate the effectiveness of O-GPI on the improvement of marital communication patterns among Iranian couples. Method: The study followed a single-blind parallel group in a randomized controlled trial using an experimental longitudinal design, comprising 72 heterosexual couples living in Shiraz, Iran, with a 1–7-year marital age and no severe marital problems. The experimental group received eight consecutive O-GPIs via the Zoom platform, while the control group received information related to parenting skills via email. The outcome measures were the three patterns of communication: (i) constructive communication; (ii) demand–withdraw communication; and (iii) mutual avoidance communication—the screening measure was the dyadic adjustment scale. Results: The findings indicated that O-GPI could improve couples’ constructive communication significantly (45% for husbands and 40% wives) and decrease their total demand–withdrawal (51% for husbands and 65% wives) and mutual avoidance communication (60% for husbands and 62% wives). Limitations: Due to the homogenous nature of the sample, generalizations should be made with caution. Conclusions: This study demonstrates the feasibility and effectiveness of the online Gottman’s psychoeducational intervention to improve couples’ communication patterns.

This study aims to examine associations between spousal communication about contraception and ever use of modern contraception, overt modern contraceptive use (with husband's knowledge), and covert modern contraceptive use (without husband's knowledge) among adolescent wives and their husbands in Niger. Cross-sectional data, from the Reaching Married Adolescents Study, were collected from randomly selected adolescent wives (ages 13-19 years) and their husbands from 48 randomly selected villages in rural Niger (N = 1,020 couples). Logistic regression models assessed associations of couples' reports of spousal communication about contraception with wives' reports of contraception (overall, overt, and covert). About one-fourth of adolescent wives and one-fifth of husbands reported spousal communication about contraception. Results showed couples' reports of spousal communication about contraception were positively associated with ever use of modern contraception. Couples' reports of spousal communication about contraception were negatively associated with covert modern contraceptive use compared to overt use. Wives' reports of spousal communication were marginally associated with covert use compared to no use but husbands' reports were not. Among a sample of couples in Niger, spousal communication about contraception was positively associated with modern contraceptive use (compared to no use) and negatively with covert use (compared to overt use) but wives' and husbands' reports showed differential associations with covert use compared to no use. Since there is little understanding of couple communication surrounding covert contraceptive use decisions, research should focus on characterizing content and context of couple communication particularly in cases of disagreement over fertility decisions.

Objective To determine whether the harmful effects of abandonment schema on marital quality can be attributed to low trait emotional intelligence in a sample of Iranian couples. Background Research has demonstrated that maladaptive schemas are related to various indicators of marital quality; however, little is known about the mechanisms underlying these relationships. In this study, we use maladaptive schema theory to propose that the harmful effects of abandonment schema on marital quality can be attributed to low trait emotional intelligence. Method Data were collected from a sample of 123 married couples from Iran. Participants completed a series of questionnaires designed to measure maladaptive schemas, trait emotional intelligence, and marital quality. Structural equation modeling was used to assess the hypothesized indirect effect. Results Results indicate that abandonment schema is negatively associated with several indicators of marital quality via the mediating effects of trait emotional intelligence. Conclusion We conclude that trait emotional intelligence can account for the negative relationships between abandonment schema and spousal ratings of marital satisfaction, communication satisfaction, and conflict resolution satisfaction in a sample of Iranian couples. Implications Couple therapists should consider emotion‐focused techniques when treating couples where one or both partners present with abandonment schema.

Objective: The goal of this study was to provide the first empirical investigation of associations among interparental conflict, adolescents' attention to emotion in interpersonal interactions, and adolescents' anxiety. Background: Previous research suggests that both interparental conflict and attention biases have implications for youth anxiety. Method: Adolescents (n = 60, aged 10-19 years) viewed neutral versus emotional (angry, happy) photo pairs of interpersonal interactions while gaze was measured using an eye-tracking camera. Adolescents also reported their anxiety symptoms. Parents' self-reported characteristics of their conflict were observed during an interparental conflict discussion. Results: Parents who displayed less positive conflict behavior had adolescents who spent more time attending to angry interpersonal interactions; more negative conflict behavior by parents predicted less time attending to happy interpersonal interactions by adolescents. Interparental conflict interacted with attention to angry interpersonal interactions in relation to adolescent anxiety: More negative marital conflict was related to increased anxiety symptoms only when adolescents also displayed an attention bias toward angry interactions. Conclusion: Interparental conflict and attention to angry interpersonal interactions may be risk factors for adolescent anxiety and interact in predicting anxiety. Implications: Efforts aimed at improving the mental health of youth from poor-quality family environments may benefit from considering strategies to modify attention to angry interpersonal interactions.