JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
The Effect of Fordyce Happiness Training on Marital Satisfaction and Mental Health in Women With Premenstrual Syndrome

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 33 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
The Effect of Fordyce Happiness Training on Marital Satisfaction and Mental Health in Women With Premenstrual Syndrome

Premenstrual syndrome, Marital satisfaction, Mental health, Happiness

Introduction: Premenstrual syndrome has several physical and psychological complications. Since healthy family
relationships and normal marital interactions are affected by a woman's physical and mental health, any disorder
in this area decreases marital satisfaction and consequently endangers the mental health and survival of the family.
Objective: This study aimed to determine the effect of Fordyce happiness training on marital
satisfaction and mental health in women with premenstrual syndrome.
Materials and Methods: This randomized controlled trial was performed in 2018-2019. A total of 40 women
with the premenstrual syndrome were selected by convenience sampling and randomly divided into
experimental (n=20) and control (n=20) groups. The experimental group received six sessions of the Fordyce
happiness training program at weekly intervals in groups of 10. In both groups, the level of marital satisfaction
and mental health was measured by Enriching and Nurturing Relationship Issues‚ Communication‚ and
Happiness (ENRICH) marital satisfaction questionnaire, and the Goldberg Mental Health questionnaire three
times: before, immediately after, and 45 days after the training sessions. The Chi-square test, Fisher exact test,
independent t test, and repeated measures analysis of variance were conducted to analyze the obtained data.
Results: The Mean±SD ages of the experimental and control groups were 32.45±7.33 and 33.10±6.25
years, respectively. The mean scores of mental health in the experimental group compared to the control
group in the pretest, post-test, and follow-up (43.95±4.38, 41.20±5.73, 40.25±5.88) had a decreasing trend
(P<0.05) but the mean scores of marital satisfactions in the experimental group (81.90±7.18, 86.35±8.16,
86.80±7.96, respectively) increased (P<0.05). However, no significant change was observed in the control
group. Time significantly affects the mean changes in mental health (P=0.002) and marital satisfaction
(P=0.001) in the samples. The time-group effect also shows a significant change for both variables (partial
eta-squared for mental health=0.174 and marital satisfaction=0.165); the changes in the mean mental
health and marital satisfaction of the research samples over time are different between the experimental
and control groups; there are changes in the mean score of the two variables in three time points.
Conclusion: The findings of the present study showed that Fordyce happiness training is effective
in improving the level of marital satisfaction and mental health of women with premenstrual
syndrome. Therefore, it is suggested that this training program is used to adapt women
psychologically to the mood and physical changes of premenstrual syndrome.

Fereshteh Abdolrahmi , Marzieh Kaboudi , Hamid Kamerzarin , Bijan Kaboudi , Parastoo Mohammadi , Mozhdeh Horriat

January 2023, Volume 33, Number 1

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