Predictors of distress in women being treated for infertility

Miles, Laura; Keitel, Merle A.; Jackson, Margo A.; Harris, Alexandra; Licciardi, F.

doi:10.1080/02646830802350880

Cited by 56 publications

(64 citation statements)

References 61 publications

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“…The present study examined a risk factor model that focused on variables that a) had replicated empirical support from prospective studies, and b) represented risk factors commonly assessed by fertility treatment providers and/or fertility counselors. Other studies (most cross-sectional) have suggested a number of other factors that appear to be associated with depression symptoms in fertility patients, including gender roles, social pressure for motherhood, shame, self-judgment, acceptance, helplessness, and coping strategies (e.g., 18, 19, 42, 43-45). Future research could test a more comprehensive model of risk factors to further delineate the unique contribution of each variable to risk for MDD, as well as more directly explore the specific mechanisms by which a history of MDD increases the risk of MDD during treatment.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of major depressive disorder for fertility treatment patients and their partners

Holley

Pasch

Bleil

et al. 2015

Fertility and Sterility

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Structured Abstract Objective To examine the prevalence and predictors of major depressive disorder (MDD) for women and their partners during the course of fertility treatment. Design Prospective cohort study over an 18-month period. Participants completed interviews and questionnaires at baseline and at 4, 10, and 18 months follow-up. Setting Five community and academic fertility practices. Patients 174 women and 144 of their male partners who did not have a successful child-related outcome during the timeframe of the study. Interventions No interventions administered. Main Outcome Measures MDD was assessed using the Composite International Diagnostic Interview (CIDI) Major Depression module, a structured diagnostic interview. Additional variables were assessed with self-report questionnaire measures. Results 39.1% of the women and 15.3% of the men met the criteria for MDD during the 18-month course of the study. A binary logistic covariate-adjusted model including showed that, for both women and men, past MDD was a significant predictor of MDD during treatment. Past MDD further predicted significant risk for MDD during treatment after controlling for other well-established risk factors (i.e., baseline levels of depression, anxiety, and partner support). Conclusions MDD was highly prevalent for fertility treatment patients and their partners. Past MDD predicted risk for MDD during treatment, and it contributed to MDD risk over and above other commonly-assessed risk factors. This suggests patients and their partners would benefit from being routinely assessed for a history of MDD prior to the start of treatment in order to best direct psychosocial support and interventions to those most in need.

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Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of major depressive disorder for fertility treatment patients and their partners

Holley

Pasch

Bleil

et al. 2015

Fertility and Sterility

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“…Infertility has usually been considered a powerful stressor that involves emotional changes [50], and infertile women experience strong psychological distress and negative feelings related to infertility [32]. There is also research showing that social pressure towards family formation and having a child [35,38] and stigmatization in infertility [32,41] are observed to a greater extent in collectivistic cultures than in individualistic cultures. However, the results of the present study showed that this unpleasant and stressful situation had no effect on flourishing at a cultural level.…”

Section: Discussionmentioning

confidence: 99%

“…For infertile women, pregnancy and motherhood are highly emphasized, and a traditional gender role is strongly identified [32]. Infertile women reported more psychological distress when they were under strong social pressure towards motherhood [32]. Childless women perceive their condition negatively depending to a negative attribute of the public to their involuntary childlessness [33].…”

Section: A Cross-cultural Study About Positive and Negative Emotionsmentioning

confidence: 99%

“…Infertile women become the focus of infertility treatment regardless of what is causing the infertility [31]. For infertile women, pregnancy and motherhood are highly emphasized, and a traditional gender role is strongly identified [32]. Infertile women reported more psychological distress when they were under strong social pressure towards motherhood [32].…”

Section: A Cross-cultural Study About Positive and Negative Emotionsmentioning

confidence: 99%

“…Thus, stigma or being marginalized may have more negative social and psychological consequences especially for infertile women in collectivistic cultures in which social life and family formation is the center of most human interactions [32,41]. Especially in collectivistic cultures, this may be partly due to still prevailing ideas that infertility is a woman's fault or the denial of the existence of male infertility [42].…”

Section: A Cross-cultural Study About Positive and Negative Emotionsmentioning

confidence: 99%

See 2 more Smart Citations

Reversal of the Norm: Pressure Discrepancies on the Two Sides of the Septum in Chronic Kidney Disease Patients with Congestive Heart Failure

Magbri¹,

Rashid²,

Brar³

2018

Acta Psychopathol

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Recently Diener et al. used a new measurement to distinguish between cognitive/ global and emotional components of well-being. Kormi-Nouri et al. examined this distinction among Swedish and Iranian university students and found no cultural differences in cognitive component but cultural differences in emotional component. The present study examined the distinction between global/cognitive and emotional components of well-being where the two groups of Swedish and Iranian participants were in an unpleasant situation and experience a significant amount of stress and negative emotions, namely infertility. The results showed no difference between infertile Swedish and Iranian women in flourishing. However, infertile Swedish women reported higher levels of positive and negative emotions than infertile Iranian women. In both infertile populations, the most predictive affect with regard to flourishing was the balance affect. It was concluded that, under a stressful and unpleasant situation like infertility compared to a normal situation, the same pattern of distinction between global/cognitive and emotional components of well-being can be still observable. However, negative emotions can act differently at cultural level: they become more noticeable in the Swedish population than in the Iranian population. The results are discussed with respect to individualistic-collectivistic dimension.

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Infertility as a Social and Public Health Issue

Hawkey

2023

Handbook of Social Sciences and Global Public Health

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Predictors of distress in women being treated for infertility

Cited by 56 publications

References 61 publications

Prevalence and predictors of major depressive disorder for fertility treatment patients and their partners

Prevalence and predictors of major depressive disorder for fertility treatment patients and their partners

Reversal of the Norm: Pressure Discrepancies on the Two Sides of the Septum in Chronic Kidney Disease Patients with Congestive Heart Failure

Infertility as a Social and Public Health Issue

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