Premarital Counseling

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Literature Review
The following review of the literature examines the research in regards to the impact of premarital counseling on relationship satisfaction and whether or not positive premarital counseling experiences are associated with future counseling among married couples.
Marriage
Value of Satisfaction.
A successful marriage is one that is highly valued by the majority of Americans and more than 80% of adults will get married at some point in their lifetime (U.S. Bureau of the Census, 2001). Carroll and Doherty (2003) found that 93% of Americans listed “having a happy marriage” as one of their most significant intentions in life. It is obvious that the search of a stable and joyful marriage continues to be an ambition for most Americans …show more content…

Proposed hypotheses predicted a significant positive correlation between perceived social support and quality of life, a significant negative correlation between uncertainty and quality of life, and that perceived social support and uncertainty, considered together, will explain more of the variance of quality of life than either variable considered …show more content…

S. Boylan The two-thirds of patients with epilepsy who become seizure-free have a quality of life (QOL) similar to the general population. The major treatment challenge is patients with refractory epilepsy. Whereas neurologists typically focus on seizure reduction in the treatment of these patients, results of studies relating seizure frequency to QOL are conflicting. As depression is associated with reduced QOL in epilepsy and antiepileptic medications (AEDs) can cause depression, it is important to determine the relative roles of depression and seizure frequency in QOL in refractory epilepsy.
Methods: Prospective evaluation was conducted of patients with refractory epilepsy being admitted to an inpatient video-EEG monitoring unit. The impact of clinical variables (age, sex, marital status, seizure frequency, duration and type of seizure disorder, seizure localization, number of AEDs, depression) on QOL was analyzed.
Results: Depression was a powerful predictor of QOL (n = 122, β = −35.8, p < 0.0001). No other variable predicted QOL. Depression was common (54%), severe (19% with suicidal thoughts), underdiagnosed (37%), and largely untreated (17% on antidepressants).
Conclusions: Treatment of depression may be inadequately prioritized in the management of intractable

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