Social support and coping strategies as predictors of marital interaction in couples experiencing unintended pregnancy

Authors

  • Nia Reviani IPB University, Bogor, Indonesia, Indonesia
  • Ujang Sumarwan IPB University, Bogor, Indonesia, Indonesia
  • Tin Herawati IPB University, Bogor, Indonesia, Indonesia
  • Lilik Noor Yuliati IPB University, Bogor, Indonesia, Indonesia

DOI:

https://doi.org/10.34011/jmp2k.v36i1.4176

Keywords:

coping strategies, marital interaction, social support, unintended pregnancy

Abstract

Background: Unintended pregnancy (UP) is a reproductive health problem that can undermine psychological well-being, social functioning, and family dynamics, particularly marital interaction.

Objective: This study aimed to analyze the extent to which social support and coping strategies predict the quality of marital interaction among couples experiencing UP.

Methods: A cross-sectional design was employed involving 200 couples from Bekasi City and Bekasi Regency, Indonesia, selected using purposive sampling. Data were collected through structured interviews using standardized questionnaires and analyzed with Partial Least Squares Structural Equation Modeling (PLS-SEM).

Results: The results showed that most couples reported low levels of social support and marital interaction, while coping strategies were generally at a moderate level. Social support had a significant positive effect on both coping strategies (p < 0.01) and marital interaction (p < 0.01), and coping strategies also had a significant positive effect on marital interaction (p < 0.05).

Conclusion: These findings highlight the importance of strengthening social support networks and enhancing adaptive coping skills to improve marital quality and foster family resilience in the context of unintended pregnancy.

References

[1] N. Nawati and F. Nurhayati, “Dampak kehamilan tidak diinginkan terhadap perawatan kehamilan dan bayi (studi fenomenologi di Kota Bogor),” J. Kesehatan, vol. 9, no. 1, pp. 21–25, May 2018, doi: 10.26630/jk.v9i1.729.

[2] Badan Pusat Statistik, “Angka Kelahiran Hasil Long Form SP2020 Menurut Kelompok Umur Ibu (Age Spesific Fertility Rate/ASFR) dan Provinsi/Kabupaten/Kota, 2020,” 2023.

[3] J. Bahk, S. C. Yun, Y. mi Kim, and Y. H. Khang, “Impact of unintended pregnancy on maternal mental health: A causal analysis using follow up data of the Panel Study on Korean Children (PSKC),” BMC Pregnancy Childbirth, vol. 15, no. 1, Apr. 2015, doi: 10.1186/s12884-015-0505-4.

[4] L. Panselina Widowati, R. Damayanti, S. Tinggi Ilmu Kesehatan Sint Carolus Jalan Salemba Raya No, and J. Pusat, “Unintended pregnancy and antenatal care behavior in Indonesia,” J. Ners Kebidanan Indonesia, vol. 10, pp. 214–223, 2022, [Online]. Available: http://ejournal.almaata.ac.id/index.php/JNKI

[5] K. S. Hall, V. K. Dalton, M. Zochowski, T. R. B. Johnson, and L. H. Harris, “Stressful life events around the time of unplanned pregnancy and women’s health: Exploratory findings from a national sample,” Matern. Child Health J, vol. 21, no. 6, pp. 1336–1348, Jun. 2017, doi: 10.1007/s10995-016-2238-z.

[6] K. Barton, M. Redshaw, M. A. Quigley, and C. Carson, “Unplanned pregnancy and subsequent psychological distress in partnered women: A cross-sectional study of the role of relationship quality and wider social support,” BMC Pregnancy Childbirth, vol. 17, no. 1, p. 44, Jan. 2017, doi: 10.1186/s12884-017-1223-x.

[7] J. Goossens, Y. Branden, L. Sluys, I. Delbaere, A. Hecke, S. Verhaeghe, and D. Beeckman., “The prevalence of unplanned pregnancy ending in birth, associated factors, and health outcomes,” Human Reproduction, vol. 31, no. 12, pp. 2821–2833, Dec. 2016, doi: 10.1093/humrep/dew266.

[8] T. Herawati, B. Kumalasari, M. Musthofa, and F. P. S. Tyas, “Dukungan sosial, interaksi keluarga, dan kualitas perkawinan pada keluarga suami istri bekerja,” Jurnal Ilmu Keluarga dan Konsumen, vol. 11, no. 1, pp. 1–12, 2018, doi: 10.24156/jikk.2018.11.1.1.

[9] D. Wulansari and D. Krisnatuti, “Marital interaction and marital role on marital satisfaction of dual earner family with school age children,” Journal of Child, Family, and Consumer Studies, vol. 2, no. 2, pp. 126–137, Jun. 2023, doi: 10.29244/jcfcs.2.2.126-137.

[10] I`lma Fadillah Nur Anisa Gunawan and D. Krisnatuti, “The relationship between economic pressure, husband-wife interaction, and husband’s marital satisfaction,” Journal of Child, Family, and Consumer Studies, vol. 1, no. 3, pp. 175–184, Oct. 2022, doi: 10.29244/jcfcs.1.3.175-184.

[11] Sandy Diana Mardlatillah and N. Saadah, “Pola relasi suami istri sebagai upaya meningkatkan kelanggengan perkawinan,” Sociocouns: Journal of Islamic Guidance and Counseling, vol. 2, no. 1, pp. 59–68, Apr. 2022, doi: 10.35719/sjigc.v2i1.12.

[12] M. K. Falconier and R. Kuhn, “Dyadic coping in couples: A conceptual integration and a review of the empirical literature,” 2019, Frontiers Media S.A. doi: 10.3389/fpsyg.2019.00571.

[13] M. J. Traa, J. De Vries, G. Bodenmann, and B. L. Den Oudsten, “Dyadic coping and relationship functioning in couples coping with cancer: A systematic review,” Br J Health Psychol, vol. 20, no. 1, pp. 85–114, Feb. 2015, doi: 10.1111/bjhp.12094.

[14] M. Golan, N. Vilchinsky, H. Wolf, M. Abuhazira, T. Ben-Gal, and A. Naimark, “Couples’ coping strategies with left ventricular assist device implantation: A qualitative dyadic study,” Qual Health Res, vol. 33, no. 8–9, pp. 741–752, 2023, doi: 10.1177/10497323231168580.

[15] S. Cohen and H. M. Hoberman, “Positive Events and Social Supports as Buffers of Life Change Stress 1,” J Appl Soc Psychol, vol. 13, no. 2, pp. 99–125, Apr. 1983, doi: 10.1111/j.1559-1816.1983.tb02325.x.

[16] S. Folkman, R. S. Lazarus, C. Dunkel-Schetter, A. DeLongis, and R. J. Gruen, “Dynamics of a Stressful Encounter: Cognitive Appraisal, Coping, and Encounter Outcomes,” Vaillant, 1986.

[17] Y.-C. Chuang, “Effects of interaction pattern on family harmony and well-being: Test of interpersonal theory, Relational-Models theory, and Confucian ethics,” 2005.

[18] S. Hall, “Supporting mental health and wellbeing at a whole-school level: Listening to and acting upon children’s views,” Emotional and Behavioural Difficulties, vol. 15, no. 4, pp. 323–339, 2010, doi: 10.1080/13632752.2010.523234.

[19] S. Abdollahpour, S. Ramezani, and A. Khosravi, Perceived social support among family in pregnant women. sid.ir, 2015. [Online]. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?ID=458324

[20] N. Kalhori ShR, P. Shahry, S. R. Niakan Kalhori, A. Esfandiyari, F. Zamani-Alavijeh, and F. Zamani-Alavijeh, “A Comparative Study of Perceived Social Support and Self-Efficacy among Women with Wanted and Unwanted Pregnancy.” Int. J. Community Based Nurs. Midwifery, vol. 4, pp. 176–185, 2016.

[21] Y. Dibaba, M. Fantahun, and M. J. Hindin, “The association of unwanted pregnancy and social support with depressive symptoms in pregnancy: Evidence from rural Southwestern Ethiopia,” BMC Pregnancy Childbirth, vol. 13, Jun. 2013, doi: 10.1186/1471-2393-13-135.

[22] S. Yang et al., “Childhood adversity, perceived social support, and depressive symptoms among pre-abortion Chinese women,” Reproductive Health , vol. 21, no. 1, Dec. 2024, doi: 10.1186/s12978-024-01811-3.

[23] C. L. Dennis and T. Dowswell, “Psychosocial and psychological interventions for preventing postpartum depression,” Feb. 28, 2013, John Wiley and Sons Ltd. doi: 10.1002/14651858.CD001134.pub3.

[24] O. Sarı, B. F. Dağcıoğlu, Y. K. Akpak, N. Yerebatmaz, and A. İleri, “Planned and unplanned pregnancy and its association with coping styles and life quality,” Health Care Women Int, vol. 44, no. 10–11, pp. 1314–1324, 2023, doi: 10.1080/07399332.2021.1932895.

[25] M. J. Sánchez-Cunqueiro, M. I. Comeche, and D. Docampo, “On the relation of self-efficacy and coping with the experience of childbirth,” J Nurs Educ Pract, vol. 8, no. 6, p. 48, Jan. 2018, doi: 10.5430/jnep.v8n6p48.

[26] D. Carr, V. A. Freedman, J. C. Cornman, and N. Schwarz, “Happy marriage, happy life? Marital quality and subjective well-being in later life,” Journal of Marriage and Family, vol. 76, no. 5, pp. 930–948, 2014, doi: 10.1111/jomf.12133.

[27] K. Margelisch, K. A. Schneewind, J. Violette, and P. Perrig-Chiello, “Marital stability, satisfaction and well-being in old age: variability and continuity in long-term continuously married older persons,” Aging Ment Health, vol. 21, no. 4, pp. 389–398, Apr. 2017, doi: 10.1080/13607863.2015.1102197.

[28] F. P. S. Tyas and T. Herawati, “Kualitas pernikahan dan kesejahteraan keluarga menentukan kualitas lingkungan pengasuhan anak pada pasangan yang menikah usia muda,” Jurnal Ilmu Keluarga dan Konsumen, vol. 10, no. 1, pp. 1–12, 2017, doi: 10.24156/jikk.2017.10.1.1.

[29] S. Aprilia Anjani et al., “Menavigasi konflik keluarga strategi untuk komunikasi yang efektif.” Circle Archive, vol. 1, no. 4, 2024.

[30] S. M. K. Arifain, F. Yusof, S. Aziz, N. Suhaini, and N. Suhaini, “The influence of social support on marriage satisfaction among working women in selangor, negeri sembilan and melaka,” International Journal of Academic Research in Business and Social Sciences, vol. 11, no. 2, Feb. 2021, doi: 10.6007/ijarbss/v11-i2/8874.

[31] J. Abbas et al., “The moderating role of social support for marital adjustment, depression, anxiety, and stress: Evidence from Pakistani working and nonworking women,” J Affect Disord, vol. 244, pp. 231–238, Feb. 2019, doi: 10.1016/j.jad.2018.07.071.

[32] J. F. Jensen, A. J. Rauer, and B. Volling, “A dyadic view of support in marriage: The critical role of men’s support provision,” Sex Roles, vol. 68, no. 7–8, pp. 427–438, Apr. 2013, doi: 10.1007/s11199-012-0256-x.

[33] D. Segel-Karpas and R. Arbel, “Optimism, pessimism and support in older couples: A longitudinal study,” J Pers, vol. 90, no. 4, pp. 645–657, Aug. 2022, doi: 10.1111/jopy.12688.

[34] C. E. Cutrona,’, R. M. Hesslingf, and J. A. Suhrb, “Printed in the United Slates of America,” 1997.

[35] P. García-Grau, R. A. McWilliam, and ..., “Child, Family, and early intervention characteristics related to family quality of life in Spain,” Journal of Early …, 2019, doi: 10.1177/1053815118803772.

[36] F. Y. Lubis, F. A. Abidin, L. Qodariah, V. Anindhita, and F. D. Purba, “Coping strategies and psychological distress among mothers during COVID-19 pandemic: The moderating role of social support,” PLoS One, vol. 19, no. 4 April, Apr. 2024, doi: 10.1371/journal.pone.0300365.

[37] D. Yulianti and I. F. Meutia, “Family coping strategies in the midst of corona crisis,” Journal of Social Sciences, vol. IV, no. 4, pp. 25–35, Dec. 2021, doi: 10.52326/jss.utm.2021.4(4).03.

[38] C. Yang, H. Gao, Y. Li, E. Wang, N. Wang, and Q. Wang, “Analyzing the role of family support, coping strategies and social support in improving the mental health of students: Evidence from post COVID-19,” Front Psychol, vol. 13, Dec. 2022, doi: 10.3389/fpsyg.2022.1064898.

[39] R. Zainul Abidin, K. Ismail, S. Sariah, S. Hassan, and S. A. Sudan, “Marital satisfaction, communication and coping strategy among malaysian married couples: factors prediction and model testing,” 2018. [Online]. Available: www.sciencepubco.com/index.php/IJET

[40] J. G. Msughter, C. C. Phd, J. Erewari, N. Phd, E. Chinwe, and N. Phd, “GAS Journal of Arts Humanities and Social Sciences (GASJAHSS) Managing Conflict in Marriage: Techniques and Interventions for Addressing and Resolving Disagreements in a Healthy and Productive Manner”, doi: 10.5281/zenodo.14568462.

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Published

2026-03-31

How to Cite

Reviani, N., Sumarwan, U., Herawati, T., & Yuliati, L. N. (2026). Social support and coping strategies as predictors of marital interaction in couples experiencing unintended pregnancy. Media Penelitian Dan Pengembangan Kesehatan, 36(1), 265–275. https://doi.org/10.34011/jmp2k.v36i1.4176

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