Download fulltext HTML
Golmakani, N., Zagami, S. E., Esmaily, H., Vatanchi, A., & Kabirian, M. (2019). The relationship of the psychological coping and adjustment strategies of infertile women with the success of assisted reproductive technology. International Journal of Reproductive BioMedicine (IJRM), 17(2), 119–126. https://doi.org/10.18502/ijrm.v17i2.3989

https://doi.org/10.18502/ijrm.v17i2.3989

statistics

  • 221 Abstract Views
  • 97 PDF Views
  • 0 HTML Views

authors

  • Nahid Golmakani
    No author data available.
  • Samira Ebrahimzadeh Zagami
    No author data available.
  • Habibollah Esmaily
    No author data available.
  • Atiyeh Vatanchi
    No author data available.
  • Maryam Kabirian
    No author data available.

Published Date

  • Mar 20, 2019

The relationship of the psychological coping and adjustment strategies of infertile women with the success of assisted reproductive technology

International Journal of Reproductive BioMedicine (IJRM) / International Journal of Reproductive BioMedicine (IJRM): Volume 17, Issue No. 2 / Pages 119–126

Abstract

Background: The success of assisted reproductive techniques plays a very important role in the quality of life of infertile couples and decreases the negative behavior states of infertility.


Objective: This study aimed at determining the relationship between psychological coping and adjustment strategies with the success of assisted reproductive technology (ART).


Materials and Methods: This correlational study was conducted on 204 women visiting Milad Infertility Center in Mashhad during 2015-2016. The research instruments included Fertility Adjustment Scale and Infertility Coping Strategies Scale. The positive result of two pregnancy tests within 48 hours was considered as the success of ART.


Results: The mean and standard division score of adjustment in the group achieved treatment success (34.3±8.2) exceeded the group failed (33.6±8.8), the difference was not statistically significant (p= 0.381). Also, there was no significant difference between groups in the median and interquartile range of total coping strategies 81 (13) vs. 79.5 (12.25), (p= 0.369). Based on the logistic regression model for one increased transferred embryo, the chance of getting pregnant is 1.3 times, and for each unit increase in FSH level, the chance of ART success decreases 18%.


Conclusion: The results of this study showed that there is no relationship between psychological coping and adjustment strategies with ART success. However, the number of transferred fetus and tirthday FSH are introduced as factors that are related to the success of ART.


Key words: Infertility, Psychological adjustment, Coping skills, (ART).

References
[1] Covington SN, Burns LH. Infertility counseling: a comprehensive handbook for clinicians. United Kingdom: Cambridge University Press; 2006: 176.

[2] Souter VL, Hopton JL, Penney GC, Templeton AA. Survey of psychological health in women with infertility. J Psychosom Obstet Gynaecol 2002; 23: 41–49.

[3] Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. Philadelphia: Lippincott Williams & Wilkins;2005: 1054–1060.

[4] Valoriani V, Lotti F, Lari D, Miccinesi G, Vaiani S, Vanni C, et al. Differences in psychophysical well-being and signs of depression in couples undergoing their first consultation for assisted reproduction technology (ART): an Italian pilot study. Eur J Obstet Gynecol Reprod Biol 2016; 197: 179–185.

[5] Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol 2007; 21: 293–308.

[6] Simbar M, Hashemi S, Shams J, Alavi H. Association between infertile women’s anxiety with ART success rates. J Reprod Infertil 2010; 10: 327.

[7] Beutel M, Kupfer J, Kirchmayer P, Kehde S, Kohn FM, Schroeder-Printzen I, et al. Treatment-related stresses and depression in couples undergoing assisted reproductive treatment by IVF of ICSI. Andrologia 1999; 1: 27–35.

[8] Thiering P, Beaurepaire J, Jones M, Saunders D, Tennant C. Mood state as a predictor of treatment outcome after IVF/ET. J Psychosom Res 1993; 37: 481–491.

[9] Beaurepaire J, Jones M, Thiring P, Saunders D, Tennant C. Psychosocial adjustment to infertility and it’s treatment male and female responses at different stages of IVF/ET treatment. J Psychosom Res 1994; 38: 229-240.

[10] Zare Z, Golmakani N, Amirian M. Comparison of sexual problems in fertile and infertile couples. J Caring Sci 2017;6: 269–279.

[11] Zare Z, Amirian M, Golmakani N, Mazlom R, Laal Ahangar M. Sexual dysfunction in infertile women. Int J Reprod Biomed (Yazd) 2016; 14: 89–94.

[12] Campagne DM. Should fertilization treatment start with reducing stress? Hum Reprod 2006; 21: 1651–1658.

[13] Boivin J, Gameiro S. Evolution of psychology and counseling in infertility. Fertil Steril 2015; 104: 251–259.

[14] Reading AE, Chang LC, Kerin JF. Attitudes and anxiety levels in women conceiving through in vitro fertilization and gamete intrafallopian transfer. Fertil Steril 1989; 52:95–99.

[15] Glover L, Hunter M, Richards J, Katz M, Paul D. Development of the fertility adjustment scale. Fertil Steril 1999; 72:623–628.

[16] Bleil ME, Pasch LA, Gregorich SE, Katz PP, Millstein SG, Adler NE. Dispositional optimism and psychological adjustment to fertility treatment. Fertil Steril 2007; 88: S84.

[17] Nakagawa M, Sugimoto Y. Income distribution and macroeconomics. Fertility adjustment prior to education investment. Econ Lett 2011; 110: 155–158.

[18] Driscoll MA, Davis MC, Aiken LS, Yeung EW, Sterling EW, Vanderhoof V, et al. Psychosocial vulnerability, resilience resources, and coping with infertility: a longitudinal model of adjustment to primary ovarian insufficiency. Ann Behav Med 2016; 50: 272–284.

[19] Donkor ES, Sandall J. Coping strategies of women seeking infertility treatment in southern Ghana. Afr J Reprod Health 2009; 13: 81–93.

[20] Pottinger AM, McKenzie C, Fredericks, DaCosta V, Wynter S, Everett D. Gender differences in coping with infertility among couples undergoing counseling for In Vitro Fertilization Treatment. West Indian Med J 2006; 55: 237–242.

[21] Cwikel J, Gidron Y, Sheiner E. Psychological interactions with infertility among women. Eur J Ob stet Gynecol Reprod Biol 2004; 117: 126–131.

[22] Roca M, Gutierrez J, Gris M. Comparative study of the psychosocial risks associated with families with multiple births resulting from assisted reproductive technology (ART) and without ART. Fertil Steril 2011; 96: 170–174.

[23] Agostini F, Monti F, De Pascalis L, Paterlini M, Battista La Sala G, Blickstein I. Psychosocial support for infertile couples during assisted reproductive technology treatment. Fertil Steril 2011; 95: 707–710.

[24] Berek JS. Berek & Novak’s gynecology. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2012: 516–519.

[25] Success rate of ART in Iran. Available at http://www. salamatnews.com/news/262331; assessed in 24.2.2019.

[26] Kraaij V, Garnefski N, Schroevers MJ. Coping, goal adjustment, and positive and negative affect in definitive infertility. J Health Psychol 2009; 14:18–26.