Factors that influence marital satisfaction in men with a heart rhythm disorders

Abstract

Background: A diagnosis of a cardiac arrhythmia can affect marital relations and diminish libido and satisfaction with a patient's sex life. The aim of the study was to assess the factors that affect marital satisfaction in men with an arrhythmias who had qualified for cardiac pacemaker implantation. Methods: The study included 103 men (aged 58.28 ± 8.72) with recognized heart rhythm disorders who were hospitalized in Department of Electrocardiology. The Hospital Anxiety and Depression Scale (HADS), the International Erectile Function Index (IIEF) and the Index of Marital Satisfaction (IMS) were used in this research. Results: The greater the severity of the anxiety (r ¼ 0.2492, p ¼ 0.011) and depression symptoms (r ¼ 0.3735, p ¼ 0.000), the less satisfied a patient was with the relationship. An analysis showed that depression (p ¼ 0.000), sexual desire (p ¼ 0.001), overall satisfaction (p ¼ 0.009), erectile function (p ¼ 0.0162) and intercourse satisfaction (p ¼ 0.026) are important predictors of marital satisfaction. Only sexual desire was an important predictor of marital satisfaction in patients with sinus node dysfunction, while the depression, sexual desire and overall satisfaction results were predictors in patients with atrioventricular blocks. Conclusion: Anxiety and depression symptoms affect the assessment of marital satisfaction in men with a heart rhythm disorder. Different factors influence marital satisfaction for different heart rhythm disorders.