The Role of Psychological Distress in Relational Health Instability among Romantic Couples: A Qualitative Inquiry




Background: Relationship instability, which creates an additional burden to the couples, has contributed to relationship disconnection. Factor like stress plays a vital role in the flux of relationship status and in understanding the stability of intimate relationships and quality in romantic relationships. Yet, there is a dearth on psychological distress noted on non-marital relationship disconnection, since the most documented research has centered on the context of marital bond disconnection. Thus, it prompted the researcher to conduct a qualitative inquiry on the role of psychological distress among women with experiences on mutual bond disconnection.

Methods: Constructivist grounded theory and feminist theory designs were utilized to describe the role of psychological distress in relational health instability from the lens of women who participated on this study. This study employed theoretical and purposive sampling methods to enter research interest on relationship loss. Guided by a semi-structured questionnaire, the researcher explored women’s experiences on mutual bond disconnection. However, this paper focused on the thoughts, views, and feelings among women on relational health instability among couples.

Results: Thematic analysis generated the participants’ psychological stressors such as disrespect, disinclination, and monetary issues that caused their relational health instability and further led to mutual bond disconnection. Moreover, it provided an in-depth understanding of the factors causing romantic relational health instability such as: (i) humiliation, and (ii) financial matters.

Conclusion: The findings provided an increased in-depth understanding of the psychological factors that leads to unhealthy relationships among romantic couples which further cause the mutual bond disconnection.


Relational Health Instability, Psychological Distress, Mutual Bond Disconnection, Women, Romantic Couples


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Basharpoor, S., & Sheykholeslami, A. (2015). The relation of marital adjustment and family functions with quality of life in women. Europe’s Journal of Psychology, 11(3), 432.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research Psychology, 3(2), 77-101.

Canham, S. L., Mahmood, A., Stott, S., Sixsmith, J., & O’Rourke, N. (2014). ’Til Divorce Do Us Part: Marriage Dissolution in Later Life. https://Dx.Doi.Org/10.1080/10502556.2014.959097

,55(8), 591–612.

Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage Publications, Inc.

Etikan, I., Musa, SA., Alkassim, RS. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1-4.

Fannin, AD. (2005). Dissolution and facework: An examination of facework in the dissolution process of marriage. (Doctoral dissertation, University of Missouri, Columbia). Proquest Information and Learning.

Farshad, M., Mohamad, N., & Mokhtar, A. (2011). Qualitative study of factors contributing to marital dissatisfaction and applying or divorce (The case of Kermanshan). Women Strategic Studies (Ketabe Zanan), 14(53), 7 42.

Forgasz, H., Tan, H., Leder, G., & McLeod, A. (2018). Enhancing survey participation: Facebook advertisements for recruitment in educational research. International Journal of Research and Method in Education, 41(3), 257–270.

Gottman, J. M., & Levenson, R. W. (2000). The timing of divorce: Predicting when a couple will divorce over a 14-year period. Journal of Marriage and Family, 62(3), 737–745. “Humiliation.” (2002). In Webster Universal Dictionary and Thesaurus. Geddes and Grosset Ltd.

Infurna, F., Wiest, M., Gerstorf, D., Rams, N., Schupp, J., Wagner. G., & Heckausen, J. (2017). Changes in life satisfaction when losing one’s spouse: Individual differences in anticipation, reaction, adaptation, and longevity in the German Socio-economic Panel Study (SOEP). Ageing and Society, 37, 899-934.

Karney, B. R., & Bradbury, T. N. (2005). Contextual influences on marriage: Implications for policy and intervention. Current Directions in Psychological Science, 14(4), 171–174.

Liang, B., & West, J. (2011). Relational Health, Alexithymia, and Psychological Distress in College Women: Testing a Mediator Model. American Journal of Orthopsychiatry, 81(2), 246–254.

Maestripieri, D., Klimczuk, A. C. E., Seneczko, M., Traficonte, D. M., & Wilson, M. C. (2013). Relationship status and relationship instability, but not dominance, predict individual differences in baseline cortisol levels. PLoS ONE, 8(12).

Navidian, A., Bahari, F., & Kermansaravi, F. (2014). The relationship of interpersonal conflict handling styles and marital conflicts among Iranian divorcing couples. Global Journal of Health Science, 6(6), 245–251.

Polit, D., & Beck, C. (2012). Nursing research: Generating and assessing evidence for nursing practice, (9th Ed). New York: Wolter Kluwer/Lippincott Williams and Wilkins.

Ramazanoğlu, C., & Holland, J. (2002). Feminist Methodology. London: SAGE Publications Ltd. Randall, A. K., & Bodenmann, G. (2009). The role of stress on close relationships and marital satisfaction. Clinical Psychology Review, 29(2), 105–115.

Raphael, B. (1984). The Anatomy of Bereavement: A Handbook for Caring Professional. Taylor & Francis e-Library.

Sailor, J. (2013). A phenomenological study of falling out of romantic love. The Qualitative Report. 37(37), 1-22,

Stanley, S., Markman, H., Whitton, S. (2004). Communication, conflict, and commitment: insights on the foundations of relationship success from a national survey. Family Process, 41(4), 659-675.

Streubert, H., & Carpenter, D. (2011). Qualitative research in nursing: Advancing the humanistic imperative, (Fifth Ed.). Wolters Kluwer.

Tolorunleke, C. A. (2014). Causes of Marital Conflicts Amongst Couples in Nigeria: Implication for Counselling Psychologists. Procedia - Social and Behavioral Sciences, 140, 21–26.

Tracy, E. L., & Utz, R. L. (2020). For Better or for Worse: Health and Marital Quality during Midlife. Journal of Aging and Health, 32(10), 1625–1635.

Wadsworth, P. (2015). A constructivist grounded theory exploration of wellbeing in female sexual assault victims/survivors (Doctoral dissertation, Arizona State University, Arizona).

Watson, FA. (2016). Lesson learned on approaches to data collection and analysis from a pilot study. Nurse Researcher, 24(1), 32-36.



How to Cite

Calda-Tolibas, M. A. . . (2022). The Role of Psychological Distress in Relational Health Instability among Romantic Couples: A Qualitative Inquiry. The Malaysian Journal of Nursing (MJN), 14(2), 101-108.