Inhalte und Effekte psychologischer Paarberatung bei unerfülltem Kinderwunsch

Wischmann, Tewes; Stammer, H.; Gerhard, I.; Verres, Rolf

doi:10.1007/s004440050054

Cited by 4 publications

(4 citation statements)

References 27 publications

(22 reference statements)

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“…In other words, the chances of a treatment failing are higher than it succeeding. According to German data, 10 out of 12 couples who undergo in vitro fertilization will go on to implantation, three will become pregnant, and two will take home a baby from hospital 40 . The cumulative pregnancy rate, i.e., the rate of multiple pregnancies achieved with multiple interventions, is naturally higher, and the cumulative live birth rate for patients under 40 years of age is around 50% for six implantations 13 .…”

Section: Discussionmentioning

confidence: 99%

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Szabó,

Sipos

et al. 2023

Preprint

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Affective temperaments have been shown to robustly affect infertility treatment success. However, identification and understanding of possibly modifiable processes and mediating factors through which they exert their influence is still lacking. A growing number of results suggest that adherence to recommended treatments may be such a mediator because, on the one hand, affective temperaments are known to influence adherence, and, on the other hand, non-adherence negatively influences treatment outcomes. Recommended treatment of infertility involves, beyond medications, dietary and lifestyle changes. The aim of this retrospective cohort study was to evaluate whether adherence to physician-prescribed diet and physical activity recommendations mediates the effect of affective temperaments on infertility treatment outcomes. Among 308 women who underwent infertility treatment in an Assisted Reproduction Center and whose treatment plan included both diet and regular physical activity recommendations in addition to standard medical interventions, affective temperaments, adherence to diet, adherence to physical exercise, and infertility treatment success (clinical pregnancy) were assessed. Associations between affective temperaments, adherence to diet and recommended physical activity, and assisted reproduction outcomes were analyzed using generalized linear models and causal mediation analysis adjusted for age, BMI, and previous miscarriage as already known covariates. Based on regression analysis, adherence to physical activity did not have an effect (p = 0.477), but diet adherence increased the odds of infertility treatment success by 130% (p = 0.001), suggesting its role as a potential mediator between affective temperaments and infertility treatment success. Based on causal mediation analysis, higher depressive and anxious temperament scores were directly associated with a lower likelihood of achieving clinical pregnancy (direct effect: OR = 0.369 (p = 0.023), and OR = 0.554 (p = 0.013), respectively), with effects not mediated by diet adherence (mediation effect: OR = 0.917 (p = 0.259), and OR = 0.954 (p = 0.284), respectively); higher irritable affective temperament scores indirectly decreased the likelihood of achieving clinical pregnancy, mediated by diet adherence (mediation effect: OR = 0.885 (p = 0.027), direct effect: OR = 0.692 (p = 0.307)); while higher cyclothymic affective temperament scores decreased the likelihood of achieving clinical pregnancy both directly (OR = 0.492 (p = 0.027)) and indirectly, mediated by diet adherence (OR = 0.891 (p = 0.034)). Hyperthymic affective temperament had no statistically significant effect on infertility treatment success. Our results shed light on the mechanisms by which affective temperaments influence the success of IVF treatment and suggest that cyclothymic and irritable affective temperaments predict lower diet adherence, and lower adherence to the recommended diet may decrease the chances of successful infertility treatment. Since adherence is a modifiable risk factor of infertility treatment success, screening for affective temperaments may help to identify potentially high-risk non-adherent patient groups and offer patient-tailored mental health support or interventions, which may help increase the chances of a successful pregnancy and live birth in women undergoing IVF treatment.

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Section: Discussionmentioning

confidence: 99%

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Szabó,

Sipos

et al. 2023

Preprint

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show abstract

“…Although Wischmann, Stammer, Scherg, Gerhard, and Verres (2001) also found anxiety and depression to be significant, somatization was also a factor in the effect of infertility among men and women. In addition, as a possible coping mechanism, couples undergoing infertility were more likely to display a more positive attitude about other factors of life outside of the infertility problem (Wischmann et al, 2001). These coping skills may be significant to the counselor's understanding of the couple experiencing infertility.…”

Section: Stressors Of In-vitro Fertilizationmentioning

confidence: 91%

Couples Undergoing Infertility Treatment: Implications for Counselors

Savitz-Smith

2003

The Family Journal

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This review examines the current literature regarding infertility counseling as it applies to clinical practice. Although there have been several excellent studies and articles published within the past few years, including ones in this journal, the references to a case study here adds another dimension to the literature. The author describes a case of a couple who is referred to counseling by the clinic performing the in-vitro fertilization (IVF). Current issues that family counselors face such as reactions to infertility, differences between male and female reactions, parenting after successful IVF treatment, reactions to unsuccessful treatment, and the role of counseling and psychotherapy are discussed.

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“…In other words, the chances of a treatment failing are higher than those of succeeding. According to German data, 10 out of 12 couples who undergo in vitro fertilization will go on to implantation, three will become pregnant, and two will take home a baby from hospital 45 . The cumulative pregnancy rate, i.e., the rate of multiple pregnancies achieved with multiple interventions, is naturally higher, and the cumulative survival rate for patients under 40 years of age is around 50% for six implantations 13 .…”

Section: Unmet Needs In Increasing the Success Rate Of Fertility Trea...mentioning

confidence: 99%

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Szabo,

Szigeti F.,

Sipos

et al. 2024

Sci Rep

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Affective temperaments have been shown to robustly affect infertility treatment success. However, identification of possible mediating factors through which they exert their influence is still lacking. A growing number of results suggest that adherence to recommended treatments may be such a mediator, on the one hand, because affective temperaments are known to influence adherence and, on the other hand, because non-adherence negatively influences the treatment outcome. Recommended treatment of infertility involves, beyond medications, dietary and lifestyle changes. The aim of this retrospective cohort study was to evaluate whether adherence to physician-prescribed diet and physical activity recommendations mediates the effect of affective temperaments on infertility treatment outcomes. Among 308 women who underwent infertility treatment in an Assisted Reproduction Center, affective temperaments, adherence to diet, adherence to physical exercise, and infertility treatment success (clinical pregnancy) were assessed besides detailed medical history and demographic parameters. Associations between affective temperaments, adherence to diet and recommended physical activity, and assisted reproduction outcomes were analyzed using generalized linear models and causal mediation analysis. Adherence to physical activity didn’t have an effect, but diet adherence increased the odds of infertility treatment success by 130% suggesting its role as a potential mediator. Based on causal mediation analysis, higher depressive and anxious temperament scores were directly associated with 63% and 45% lower odds of achieving clinical pregnancy, respectively, with effects not mediated by diet adherence. Higher irritable temperament scores indirectly decreased the odds of achieving clinical pregnancy by 14%, mediated by diet adherence; while higher cyclothymic temperament scores decreased the odds of achieving clinical pregnancy both directly by 51% and indirectly, mediated by diet adherence by 11%. Our results suggest that diet adherence mediates the mechanism by which irritable and cyclothymic affective temperaments influence IVF treatment success. Since adherence is a modifiable risk factor of infertility treatment success, screening for affective temperaments may help to identify potentially high-risk non-adherent patient groups and offer patient-tailored treatment, which may help increase the chances of a successful pregnancy and live birth in women undergoing IVF treatment.

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Inhalte und Effekte psychologischer Paarberatung bei unerfülltem Kinderwunsch

Cited by 4 publications

References 27 publications

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Couples Undergoing Infertility Treatment: Implications for Counselors

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

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