Psychological characteristics and marital quality of infertile women registered for in vitro fertilization-intracytoplasmic sperm injection in China

Wang, Kehua; Li, Juan; Zhang, Junyi; Zhang, Lihong; Yu, Jianchun; Jiang, Ping

doi:10.1016/j.fertnstert.2006.07.1534

Cited by 77 publications

(64 citation statements)

References 39 publications

(33 reference statements)

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“…The depression levels of women and/or men were investigated in the nine studies using a variety of instruments: the Beck Depression Inventory (BDI) [11,20,24], the Symptom Check List (SCL-90) [5,23], the Self-Rating Depression Scale (SDS) [19], the Psychological General Well-Being Index (PGWB) [6], the Patient Health Questionnaire-9 (PHQ-9) [21], and the Lubin's Depression Adjective Checklist Scale (DACL) [22]. The depression levels of women before proceeding with IVF treatment were presented in seven studies.…”

Section: Depressionmentioning

confidence: 99%

“…The depression levels of women before proceeding with IVF treatment were presented in seven studies. Five of these studies revealed that compared with fertile women, infertile women reported more depressive symptoms [5,20,22,23], or a higher prevalence of moderate and severe depression (BDI ≥ 10, IVF vs. ICSI vs. control = 48 % vs. 52 % vs. 12 %) [11]. A study that analyzed the pretreatment data after the results of the pregnancy test had been disclosed did not identify significant differences in depression levels between women who finally succeeded in conceiving and those who failed [22].…”

Section: Depressionmentioning

confidence: 99%

“…The psychological reactions of infertile women have received much attention in the literature, since women endure the majority of IVF procedures [5][6][7][8]. A systematic review of 27 studies focusing on the emotional adjustment of women to different stages of IVF treatment was conducted in 2007.…”

Section: Introductionmentioning

confidence: 99%

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Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Ying

Loke

2015

J Assist Reprod Genet

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Purpose The purposes of this paper are to provide a comprehensive picture of men and women's emotional reactions to infertility treatment, specifically In Vitro Fertilization (IVF) pursued by heterosexual couples, and to identify any differences between the genders. Methods Nonexperimental studies exploring the psychological effects of IVF treatment on infertile couples were included. Six electronic databases were used to conduct a systematic search from the years 2000 to 2014. The references of the articles selected for review and other related systematic reviews were also screened to retrieve additional relevant articles. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Descriptive analysis was adopted to synthesize the results.Results A total of 22 quantitative and 4 qualitative studies were identified and included in this review. Although both men and women experienced psychological distress during the treatment, gender differences existed. Women had elevated anxiety and depression levels prior to the treatment, which became even higher on the day of the oocyte retrieval, pre-and post embryo transfer, and during the waiting period before the pregnancy test. Men of the infertile couples reported elevated depression scores before treatment, which usually increased during the time spent waiting for the outcome of the IVF treatment. Both men and women had lower scores on positive affect before the pregnancy test. A failed IVF cycle had long-term negative psychological consequences for both spouses. Conclusions The results of this review pointed to the need for a couple-based support program, aimed at improving the psychological well-being of couples.

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Section: Depressionmentioning

confidence: 99%

Section: Depressionmentioning

confidence: 99%

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Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Ying

Loke

2015

J Assist Reprod Genet

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“…A study conducted in China indicated that women seeking IVF treatment were more likely than fertile women to report that their marriage was unstable [6]. It was reported that infertile couples who had undergone treatment for over 2 years were less happy with their marriage than those in their first 2 years of treatment [7].…”

Section: Introductionmentioning

confidence: 99%

The Partnership and Coping Enhancement Programme for couples undergoing in vitro fertilization treatment: the development of a complex intervention in China

Ying

Chen

et al. 2016

J Assist Reprod Genet

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“…Some studies have revealed no impact of infertility history in adjustment (Fekkes et al ., 2003; Lowyck et al ., 2009; Matsubayashi, Hosaka, Izumi, Suzuki, & Makino, 2001; Sina, Ter Meulen, & Carrasco de Paula, 2010); others found significant association between the variables (Benyamini et al ., 2005; Lok et al ., 2002; Wang et al ., 2007), indicating that longer duration of fertility problems and higher number of previous treatments were associated with more emotional difficulties. The inconsistency in study findings may be due, in part, to the assumption that the association between infertility history and emotional adjustment would be linear and constant along time.…”

Section: Introductionmentioning

confidence: 99%

Does infertility history affect the emotional adjustment of couples undergoing assisted reproduction? the mediating role of the importance of parenthood

Moura‐Ramos

Gameiro

Canavarro

et al. 2015

British J Health Psychol

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ObjectivesThe emotional adjustment of couples undergoing assisted reproductive technology (ART) treatments has been widely studied; however, it remains unclear whether infertility history contributes to couples' adjustment. This study examined the impact of infertility history (duration of infertility and number of previous ART treatment cycles) on the emotional adjustment of couples undergoing an ART cycle and the mediating effect of importance of parenthood on that association.MethodsIn this cross‐sectional study, 70 infertile couples (70 women and 70 men) completed self‐report questionnaires assessing emotional adjustment and infertility stress during the hormonal stimulation phase of an ART cycle. Path models accounting for the dyadic nature of the data examined the direct and indirect effects (by affecting representations about parenthood and childlessness) of infertility history on emotional adjustment.ResultsThe number of previous cycles affected men's, but not women's, emotional adjustment by affecting the representations on the importance of parenthood and of childlessness. Duration of infertility had the opposite effect, as couples with longer infertility reported heightened importance of parenthood, which negatively affected their emotional adjustment.ConclusionsInfertility history was associated with emotional adjustment in men and women, although these associations were complex. The results suggest that progression through treatment is harder for those men and women who attribute higher importance to being parents, which is aggravated by longer infertility. Statement of contribution What is already known about the subject? Infertility is an unexpected and stressful life eventAssisted reproductive treatments (ART) are emotionally demanding What does this study add? The influence of infertility history on adjustment is mediated by the importance of parenthoodMen and women are affected by their past history of infertility differently

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Psychological characteristics and marital quality of infertile women registered for in vitro fertilization-intracytoplasmic sperm injection in China

Cited by 77 publications

References 39 publications

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

The Partnership and Coping Enhancement Programme for couples undergoing in vitro fertilization treatment: the development of a complex intervention in China

Does infertility history affect the emotional adjustment of couples undergoing assisted reproduction? the mediating role of the importance of parenthood

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