The purposes of this study were to assess the quality of marital life and t
o investigate the most serious problem in the marital relationships of Kore
an spinal cord injured patients. 30 spinal cord injured (SCI) couples (SCI
husbands and their non-disabled wives) who were married prior to injury and
30 able-bodied (AB) couples participated in a questionnaire study. The qua
lity of marital life was measured with three parameters: marital stability,
marital adjustment, and marital satisfaction. The results were as follows:
(1) The marriage of chronic SCI couples was not noticeably unstable when c
ompared with that of AB couples; (2) There was no significant difference in
dyadic adjustment and marital satisfaction between SCI couples and AB coup
les; (3) There was no significant difference in marital stability, marital
adjustment, and marital satisfaction between SCI husbands and their wives;
(4) SCI couples had more cohesive marital relationships and SCI husbands ex
pressed less affection to their wives than AB husbands and (5) Sex was the
most serious problem in marriages of SCI couples. In conclusion: (1) the qu
ality of marital life in chronic SCI couples is not highly different from t
hat of AB couples; (2) There is no significant difference in the quality of
marital life between chronic SCI husbands and their non-disabled wives; an
d (3) It is considered necessary that rehabilitation program for SCI patien
ts should include information on the altered physiology of sexual function
of SCI patients and subsequent mutual adaptation to changed sexual function
.