Marital Satisfaction, Social Support and Coping Strategies Among Couple Having Miscarriage

Abstract

Miscarriage is a challenging and emotionally distressing experience for couples, often affecting various aspects of their lives, including marital satisfaction, social support, and coping strategies. This study aims to explore the interplay between these factors to better understand the dynamics within couples facing the aftermath of miscarriage. A cross-sectional study was conducted involving 200 couples who had recently experienced a miscarriage. Participants were recruited through hospitals, support groups, and online platforms. Each couple completed a set of structured questionnaires, including the Comprehensive Marital Satisfaction Scale (CMSS) to assess marital satisfaction, the Multidimensional Scale of Perceived Social Support (MSPSS) to measure perceived social support, and the Brief COPE inventory to identify coping strategies. Findings revealed a significant negative correlation between miscarriage and marital satisfaction (r = -0.45, p < 0.001). Couples reported lower scores on the marital satisfaction scale, indicating decreased satisfaction within their relationships. Perceived social support played a crucial role, with higher support levels associated with better marital satisfaction (r = 0.32, p < 0.001). Coping strategies varied among couples, with active coping, acceptance, and positive re framing positively correlated with marital satisfaction, while avoidant coping strategies showed a negative association. Results indicated that the relationship between coping strategies and marital satisfaction was mediated by perceived social support, and this mediation effect was moderated by the intensity of the miscarriage experience. The findings underscore the importance of addressing these factors in clinical interventions and support services for couples dealing with pregnancy loss.

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