Communication and coping as predictors of fertility problem stress: cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment
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TLDR
The study provides information about where to intervene with fertility patients in order to reduce their stress after medically unsuccessful treatment, and predicts low fertility problem stress in the personal and marital domain.Abstract:
BACKGROUND: We investigated coping strategies and communication strategies as predictors of fertility problem stress 12 months after start of fertility treatment. METHODS: We used a prospective, longitudinal cohort design including 2250 people beginning fertility treatment with a 12-month follow-up. Data were based on self-administered questionnaires measuring communication with partner and with other people, coping strategies: active-avoidance coping, active-confronting coping, passive-avoidance coping, meaning-based coping, and fertility problem stress. The study population included those participants (n = 816, men and women) who had not achieved pregnancy by assisted reproduction or delivery at follow-up. RESULTS: Among both men and women, difficulties in partner communication predicted high fertility problem stress (odds ratio for women, 3.47, 95% confidence interval 2.09–5.76; odds ratio for men, 3.69, 95% confidence interval 2.09–6.43). Active-avoidance coping (e.g. avoiding being with pregnant women or children, turning to work to take their mind off things) was a significant predictor of high fertility problem stress. Among men, high use of active-confronting coping (e.g. letting feelings out, asking other people for advice, seeking social support) predicted low fertility problem stress in the marital domain (odds ratio 0.53, 95% confidence interval 0.28–1.00). Among women, medium or high use of meaning-based coping significantly predicted low fertility problem stress in the personal and marital domain. CONCLUSION: The study provides information about where to intervene with fertility patients in order to reduce their stress after medically unsuccessful treatment.read more
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The experience of infertility: A review of recent literature
TL;DR: Examination of research published since the last review of the literature on the socio-psychological impact of infertility concludes that more attention is now being paid to the ways in which the experience of infertility is shaped by social context.
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Women’s emotional adjustment to IVF: a systematic review of 25 years of research
Christianne M. Verhaak,Jesper M. J. Smeenk,Andrea W M Evers,Jan A.M. Kremer,Floris W. Kraaimaat,D.D.M. Braat +5 more
TL;DR: In general, most women proved to adjust well to unsuccessful IVF, although a considerable group showed subclinical emotional problems, indicating that treatment-induced stress is considerably related to threats of failure.
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Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis
Yoon Frederiksen,Ingeborg Farver-Vestergaard,Ninna Grønhøj Skovgård,Hans Jakob Ingerslev,Robert Zachariae +4 more
TL;DR: The present meta-analysis suggests that psychosocial interventions for couples in treatment for infertility, in particular CBT, could be efficacious, both in reducing psychological distress and in improving clinical pregnancy rates.
References
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Book
Stress, appraisal, and coping
Richard S. Lazarus,Susan Folkman +1 more
TL;DR: In this paper, the authors present a detailed theory of psychological stress, building on the concepts of cognitive appraisal and coping, which have become major themes of theory and investigation in psychology.
Journal ArticleDOI
Positive psychological states and coping with severe stress.
TL;DR: Coping processes that are associated with positive psychologicalStates in the context of intense distress are described and the theoretical implications of positive psychological states in the coping process are discussed.
Journal ArticleDOI
Situational coping and coping dispositions in a stressful transaction.
TL;DR: This paper found that feelings of harm before an exam induced several kinds of coping after the exam, mostly dysfunctional, while confidence about one's grade was a better predictor of emotions throughout than was coping.
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The fertility problem inventory: measuring perceived infertility-related stress
TL;DR: The Fertility Problem Inventory provides a reliable measure of perceived infertility-related stress and specific information on five separate domains of patient concern and among patients receiving treatment, social, sexual, and relationship concerns appear central to current distress.
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Coping through emotional approach: a new look at emotion, coping, and health-related outcomes.
TL;DR: New instruments to assess coping through emotional approach are developed and validated, demonstrating that items measuring emotion-focused strategies in published coping questionnaires are confounded with distress and self-deprecation.