The Relationship between Coping Strategy and Adaptation to Infertility among Women Who Underwent Assisted Reproduction Treatment

Authors

1 Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 MSc, Isfahan Fertility and Infertility Center, Isfahan, Iran

3 Instructor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The way of coping with infertility affects the mental health of infertile couples. The association of coping strategies and adaptability in women who underwent assisted reproductive treatment are controversial. The aim of the present study was to determine the relationship between coping strategies and adaptability in infertile women who underwent assisted reproductive therapy.
Methods: This cross-sectional study was conducted on 212 women who underwent assisted reproduction treatment using convenience sampling. Adaptability to infertility and coping strategies were evaluated using validated self-report questionnaires. Statistical analysis was performed using the multivariable linear regression test. The structural equation modeling was done using AMOS software version 24.
Findings: The results showed that independent of the age, monthly income and duration of infertility, there was a negative significant relationship between adaptability to infertility and self-blame, ruminative self-focus, emotional expression, and emotional understanding. Although, a positive significant relationship between adaptability and liberation of the mind strategy exists. The overall structural equation model analysis represented good fit for the model indicating the relationship between coping strategies and infertility adaptability (CMIN/DF = 0.46, P = 0.91).
Conclusion: The results showed that in women who underwent assisted reproductive therapy, only the use of mind liberation strategies had a positive effect on adaptability and other coping strategies had an inverse effect with adaptability.

Keywords

References

  1. Kazemijaliseh H, Ramezani Tehrani F, Behboudi-Gandevani S, Hosseinpanah F, Khalili D, Azizi F. The prevalence and causes of primary infertility in Iran: A population-based study. Glob J Health Sci 2015; 7(6): 226-32.
  2. Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci 2018; 20(1): 41-7.
  3. Turnbull B, Graham ML, Taket A. Pronatalism and social exclusion in Australian society: experiences of women in their reproductive years with no children. Gend Issues 2017; 34(4): 333-54.
  4. Ergin RN, Polat A, Kars B, Öztekin D, Sofuoğlu K, Çalışkan E. Social stigma and familial attitudes related to infertility. Turk J Obstet Gynecol 2018; 15(1): 46-9.
  5. Alosaimi FD, Altuwirqi MH, Bukhari M, Abotalib Z, BinSalehc S. Psychiatric disorders among infertile men and women attending three infertility clinics in Riyadh, Saudi Arabia. Ann Saudi Med 2015; 35(5): 359-67.
  6. Gourounti K, Anagnostopoulos F, Potamianos G, Lykeridou K, Schmidt L, Vaslamatzis G. Perception of control, coping and psychological stress of infertile women undergoing IVF. Reprod Biomed Online 2012; 24(6): 670-9.
  7. Heredia A, Padilla F, Castilla JA, Garcia-Retamero R. Effectiveness of a psychological intervention focused on stress management for women prior to IVF. J Reprod Infant Psychol 2020; 38(2): 113-26.
  8. Nouman H, Benyamini Y. Religious women’s coping with infertility: Do culturally adapted religious coping strategies contribute to well-being and health? In J Behav Med 2019; 26(2): 154-64.
  9. Chaves C, Canavarro MC, Moura-Ramos M. The role of dyadic coping on the marital and emotional adjustment of couples with infertility. Family Process 2019; 58(2): 509-23.
  10. Lazarus RS, Folkman S. Stress, appraisal and coping. New York, NY: Springer Publishing Company; 1984.
  11. Volmer L, Rösner S, Toth B, Strowitzki T, Wischmann T. Infertile partners' coping strategies are interrelated: Implications for targeted psychological counseling. Geburtshilfe Frauenheilkd 2017; 77(1): 52-8.
  12. Chernoff A, Balsom AA, Gordon JL. Psychological coping strategies associated with improved mental health in the context of infertility. Arch Women Ment Health 2021; 24(1): 73-83.
  13. Basirat Z, Faramarzi M, Chehrazi M, Amiri M, Ghofrani F, Tajalli Z. Differences between infertile women with and without PCOS in terms of anxiety, coping styles, personality traits, and social adjustment: a case-control study. Arch Gynecol Obstet 2020; 301(2): 619-26.
  14. Yazdani F, Kazemi A, Fooladi MM, Samani HR. The relations between marital quality, social support, social acceptance and coping strategies among the infertile Iranian couples. Eur J Obstet Gynecol Reprod Biol 2016; 200: 58-62.
  15. Zurlo MC, Cattaneo Della Volta MF, Vallone F. Predictors of quality of life and psychological health in infertile couples: the moderating role of duration of infertility. Qual Life Res 2018; 27(4): 945-54.
  16. Dierickx S, Rahbari L, Longman C, Jaiteh F, Coene G. 'I am always crying on the inside': a qualitative study on the implications of infertility on women's lives in urban Gambia. Reprod Health 2018; 15(1): 151.
  17. Li J, Liu BT, Li M. Coping with infertility: a
    transcultural perspective. Curr Opin Psychiatr 2014; 27(5): 320-5.
  18. Zuckerman M, Gagne M. The COPE revised: Proposing a 5-factor model of coping strategies. J Res Pers 2003; 37(3): 169-204.
  19. Torabi M, Kazemi A, Abdishahshahani M. Psychometric properties of revised version of the fertility adjustment scale in infertile couples undergoing assisted reproductive technology. Eur J Obstet Gynecol Reprod Biol 2019; 243: 16-20.
  20. Peloquin K, Brassard A, Arpin V, Sabourin S, Wright J. Whose fault is it? Blame predicting psychological adjustment and couple satisfaction in couples seeking fertility treatment. J Psychosom Obstet Gynaecol 2018; 39(1): 64-72.
  21. Kraaij V, Garnefski N, Schroevers MJ, Weijmer J, Helmerhorst F. Cognitive coping, goal adjustment, and depressive and anxiety symptoms in people undergoing infertility treatment: a prospective study. J Health Psychol 2010; 15(6): 876-86.
  22. Grech LB, Kiropoulos LA, Kirby KM, Butler E, Paine M, Hester R. Coping mediates and moderates the relationship between executive functions and psychological adjustment in multiple sclerosis. Neuropsychology 2016; 30(3): 361-76.
  23. Pottinger AM, McKenzie C, Fredericks J, DaCosta V, Wynter S, Everett D, et al. Gender differences in coping with infertility among couples undergoing counselling for in vitro fertilization treatment. West Indian Med J 2006; 55(4): 237-42.
  24. Castillo JM, Leira-Doce P, Carrión-Tacuri J, Muñoz-Guacho E, Arroyo-Solís A, Curado G, et al. Contrasting strategies to cope with drought by invasive and endemic species of Lantana in Galapagos. Biodivers Conserv 2007; 16(7): 2123-36.
  25. Panagopoulou E, Vedhara K, Gaintarzti C, Tarlatzis B. Emotionally expressive coping reduces pregnancy rates in patients undergoing in vitro fertilization. Fertil Steril 2006; 86(3): 672-7.
  26. Koser K. Fertility counseling with couples: A theoretical approach. Fam J 2019; 28(1): 25-32.
  27. Nikolett P, Adrien R, Olivé NN. Level of infertility-specific distress in function of coping strategies and other psychosocial variables. Magyar Pszichológiai Szemle 2013; 68(3): 399-418.

 

Journal of Isfahan Medical School
Volume 40, Issue 660
4th Week, April
March and April 2022
Pages 69-76

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History

  • Receive Date: 23 April 2022
  • Accept Date: 23 April 2022

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