Differential efficacy of group and individual/couple psychotherapy with infertile patients

Liz, T.M. de; Strauß, Bernhard

doi:10.1093/humrep/deh743

Cited by 135 publications

(79 citation statements)

References 33 publications

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“…This investigator states that interventions that emphasize education and skills training are more effective than those addressing emotional expression and support. Another study reviewing results from group interventions and individual/ couple psychotherapy (14) found that both intervention formats tend to decrease anxiety and depression. In another meta-analysis, Hammerli, Znoj, and Barth (15) analyzed 21 controlled studies about the efficacy of psychological interventions in terms of mental health indicators and pregnancy rates.…”

mentioning

confidence: 99%

Mindfulness-Based Program for Infertility: efficacy study

Galhardo

Cunha

Pinto‐Gouveia

2013

Fertility and Sterility

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Objective: To present and determine the impact of the Mindfulness-Based Program for Infertility (MBPI). Design: Controlled clinical trial. Setting: University research unit. Patient(s): Fifty-five infertile women completed the MBPI, and 37 infertile women were assigned to a control group. Intervention(s): The MBPI includes 10 weekly sessions, in a group format, with a duration of about 2 hours each (men attend three sessions). Main Outcome Measure(s): Standardized measures of depression, state anxiety, entrapment, defeat, internal and external shame, experiential avoidance, mindfulness, self-compassion, and infertility self-efficacy were endorsed pre-and post-MBPI. Result(s):The MBPI group and the control group were shown to be equivalent at baseline. By the end of the MBPI, women who attended the program revealed a significant decrease in depressive symptoms, internal and external shame, entrapment, and defeat. Inversely, they presented statistically significant improvement in mindfulness skills and self-efficacy to deal with infertility. Women in the control group did not present significant changes in any of the psychological measures, except for a decrease in self-judgment. Conclusion(s): Increasing mindfulness and acceptance skills, as well as cognitive decentering from thoughts and feelings, seem to help women to experience negative inner states in new ways, decreasing their entanglement with them and thus their psychological distress. Data suggest that the MBPI is an effective psychological intervention for women experiencing infertility.

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confidence: 99%

Mindfulness-Based Program for Infertility: efficacy study

Galhardo

Cunha

Pinto‐Gouveia

2013

Fertility and Sterility

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“…The diagnosis of infertility, the medicalisation of conception including undertaking multiple medical procedures and awaiting unguaranteed pregnancy outcomes are all potent and social stressors. Heightened anxiety may negatively impact on the patient's fertility treatment journey [5,6] although the clinical benefits of psychosocial interventions in reducing emotional distress and in improving fertility treatment outcomes is still controversial [7,8,25]. Our study showed that self-selected music used for a short duration (15 minutes) before and after embryo transfer did not reduce anxiety but that women undergoing IVF expressed high levels of pre embryo transfer anxiety that is ameliorated following completion of the treatment procedure.…”

Section: Discussionmentioning

confidence: 67%

“…Lower levels of anxiety [5,6] and interventions directed to reduce these effects have been suggested to improve treatment outcomes [7,8] but there is little evidence for this providing clinical benefit. Music may be a simple therapeutic adjunct to IVF treatment, it has been shown to decrease anxiety and improve quality of life in other medical settings, and is easy to apply and of low cost [9].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial Assessing Whether Listening to Music at Time of Embryo Transfer Effects Anxiety Levels

LJ¹,

KL²

2016

Gynecol Obstet

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Background: Fertility treatment may have a negative emotional impact on women. Lower levels of anxiety have been associated with improved treatment success but there is no standardised method for addressing these needs. Music is a safe and beneficial non-pharmacological intervention in a number of medical fields. It may alter subjective and objective psychological anxiety as well as physiological functioning. However, little data exists surrounding the therapeutic use of music in fertility treatment but it may attenuate anxiety.

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“…In an analysis of 25 studies, Boivin et al showed decreased infertility-related distress with a psychosocial intervention 18 . In a later meta-analysis of 22 studies 19 , reduced infertility-related anxiety and depression were shown. Only one recent meta-analysis, by Hammerli et al 20 , who looked at 21 controlled studies (and excluded 363 others), noted no significant improvement in depression, anxiety, or mental distress with psychological intervention.…”

Section: 13mentioning

confidence: 97%

Oncofertility in Canada: An Overview of Canadian Practice and Suggested Action Plan

Ronn

Holzer

2013

Current Oncology

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Background: Cancer can be a devastating diagnosis. In particular, malignancy and its indicated treatments have profoundly negative effects on the fertility of young cancer patients. Oncofertility has emerged as a new interdisciplinary field to address the issue of gonadotoxicity associated with cancer therapies and to facilitate fertility preservation. In Canada, these fertility issues are often inadequately addressed despite the availability of resources. The goal of this four-part series is to facilitate systemic improvements in fertility preservation for adolescent and young adult Canadians with a new diagnosis of cancer. Methods: Here, we describe the services currently available in Canada and the challenges associated with their utilization. Finally, we outline strategies to help maximize and facilitate fertility preservation in the young cancer patient. Results: Despite an existing infrastructure to the oncofertility system in Canada, the ability of that system’s components to function together and to coordinate patient care is a challenge. Areas of weakness include poor access and referral to fertility services, a lack of readily available education for patients and health care providers, and inconsistent interdisciplinary coordination in patient care. Conclusions: The implementation of a framework for multidisciplinary resource allocation, education, patient referral, and established lines of communication may facilitate a functional oncofertility system in Canada.

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Differential efficacy of group and individual/couple psychotherapy with infertile patients

Abstract: Results are suggestive of positive effects of psychotherapy for infertile patients. However, these results must be viewed with caution due to methodological and informational bias within the studies analysed.

Cited by 135 publications

References 33 publications

Mindfulness-Based Program for Infertility: efficacy study

Mindfulness-Based Program for Infertility: efficacy study

A Randomized Controlled Trial Assessing Whether Listening to Music at Time of Embryo Transfer Effects Anxiety Levels

Oncofertility in Canada: An Overview of Canadian Practice and Suggested Action Plan

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