Psychological Distress and Marital Adjustment in Spouses of Hepatitis C Patients

Abstract

This study examines the spouses of patients diagnosed with Hepatitis C as it pertains to the level of psychological distress and marital adjustment and effect of illness stag e, gender and socioeconomic status. Caregivers who have to cope with chronic illness in their family are prone to psychological distress, i.e. anxiety, depression and lapses of thought. Fears associated with Hepatitis C add to this caregiving burden for spouses of Hepatitis C patients. This research explores the associations of the Kessler Psychological Distress Scale (K10) and Dyadic Adjustment Scale (DAS) scores between the two spouses. Results show a strong negative relationship between marital satisfaction, consensus, and cohesion and psychological distress. Results show that female 
spouses and those from lower socioeconomic background exhibit higher distress levels, leading to greater distress on marital adjustment. Furthermore, spouses of patients with advanced stage disease of Hepatitis C present with even worse difficulty in maintaining marital cohesiveness and satisfaction. These results emphasize the importance of targeted psychological and social support interventions for caregivers of patients with chronic illness to strengthen both the personal well-being and marital resilience of caregivers.