Quality of life and related constructs in a group of infertile Hungarian women: a validation study of the FertiQoL

F, Judit Szigeti; Grevenstein, Dennis; Wischmann, Tewes; Lakatos, Enikő; Balog, Piroska; Sexty, Réka

doi:10.1080/14647273.2020.1824079

Cited by 10 publications

(9 citation statements)

References 56 publications

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“… Toates (2009) noted the central role that contextual factors play in affecting desire to engage sexually with a partner. It may be that poorer quality of life during MAR, as a result of increased financial burden, provides an overall negative life context that includes more stress ( Swift et al, 2021 ) and poorer psychological function ( Renzi et al, 2020 ; Szigeti et al, 2020 ). According to Toates (2009) , this negative context then lessens interest in and motivation for sex.…”

Section: Discussionmentioning

confidence: 99%

“…For example, in a cross-sectional study, El Amiri et al (2021) showed that poorer MAR-related quality of life was linked with lower sexual desire and satisfaction for both members of the couple. In addition, studies among women undergoing MAR indicate that poorer quality of life during MAR is related to greater stress ( Swift et al, 2021 ) and poorer emotional function, such as depressive symptoms ( Szigeti et al, 2020 ) or problems with identifying and expressing feelings ( Renzi et al, 2020 )—both of which are associated with poorer sexual satisfaction among those seeking MAR ( Karlidere et al, 2007 ; Coward et al, 2019 ; Ho et al, 2020 ; Nakic Rados et al, 2020 ). Importantly, while links between quality of life during MAR and sexual satisfaction and sexual desire have been explored, prior studies did not examine links between quality of life during MAR and sexual distress or sexual frequency.…”

Section: Introductionmentioning

confidence: 99%

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Perceived financial burden is indirectly linked to sexual well-being via quality of life among couples seeking medically assisted reproduction

et al. 2023

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IntroductionMedically assisted reproduction is a difficult treatment process for couples both financially and sexually. Yet, these two domains have not been examined together among couples seeking treatment, leaving couples and practitioners without guidance on how to address these domains together.MethodsIn line with Couples and Finance Theory, we tested the hypothesis that perceived financial burden and couple income would predict quality of life during medically assisted reproduction, which would then predict four domains of sexual well-being (i.e., sexual satisfaction, desire, distress, and frequency). We also examined if the results differed by treatment status—that is, between partners who were receiving treatment and those who were not. Cross-sectional data from 120 couples who had undergone medically assisted reproduction in the past six months were analyzed via structural equation modeling through an actor-partner interdependence mediation model.ResultsAn individual’s greater perceived financial burden predicted their own lower quality of life during medically assisted reproduction, which in turn predicted their lower sexual satisfaction, desire and distress, as well as their partner’s lower sexual satisfaction. Household income did not indirectly predict any sexual well-being domains, and results regarding treatment status were inconclusive.DiscussionClinicians can discuss with couples how perceived financial strain of medically assisted reproduction affects their quality of life and what ramifications that may have for their sexual well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceived financial burden is indirectly linked to sexual well-being via quality of life among couples seeking medically assisted reproduction

et al. 2023

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“…The FertiQoL 14 , 17 is a 36-item instrument for the assessment of the fertility-specific quality of life (QoL) of individuals. The tool contains 2 general items, a core and an optional treatment section.…”

Section: Methodsmentioning

confidence: 99%

“…The one recommended for screening purposes is the SCREENIVF 16 , a combination of both generic and specific items, also assessing three domains (emotional, social-relational and cognitive), and quick to complete. Out of the existing fertility-related questionnaires, only the FertiQoL and the SCREENIVF have been validated in Hungarian 17 , 18 .…”

Section: Introductionmentioning

confidence: 99%

The SCREENIVF Hungarian version is a valid and reliable measure accurately predicting possible depression in female infertility patients

Szigeti F.,

Sexty,

Szabó

et al. 2024

Sci Rep

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Infertility patients, often in high distress, are entitled to being informed about their mental status compared to normative data. The objective of this study was to revalidate and test the accuracy of the SCREENIVF, a self-reported tool for screening psychological maladjustment in the assisted reproduction context. A cross-sectional, questionnaire-based online survey was carried out between December 2019 and February 2023 in a consecutive sample of female patients (N = 645, response rate 22.9%) in a university-based assisted reproduction center in Hungary. Confirmatory factor analysis and cluster and ROC analyses were applied to test validity, sensitivity and specificity in relation to Beck Depression Inventory (BDI) scores. Model fit was optimal (chi-square = 630.866, p < 0.001; comparative fit index = 0.99; root-mean-square error of approximation = 0.018 (90% CI 0.013–0.023); standardized-root-mean-square-residual = 0.044), and all dimensions were reliable (α > 0.80). A specific combination of cutoffs correctly predicted 87.4% of BDI-scores possibly indicative of moderate-to-severe depression (χ2(1) = 220.608, p < 0.001, Nagelkerke R2 = 0.462, J = 66.4). The Hungarian version of the SCREENIVF is a valid and reliable tool, with high accuracy in predicting BDI-scores. Low response rate may affect generalizability. The same instrument with different cutoffs can serve various clinical goals.

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“…Fertility-related quality of life (QoL) was measured with the Hungarian version of the Fertility Quality of Life Questionnaire (FertiQoL) [ 28 , 30 , 47 , 48 ]. FertiQoL is an internationally validated instrument to measure QoL in individuals experiencing fertility problems in diverse life areas.…”

Section: Methodsmentioning

confidence: 99%

Introducing the Hungarian Version of the SCREENIVF Tool into the Clinical Routine Screening of Emotional Maladjustment

Prémusz

Ács

Bódis

et al. 2022

IJERPH

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Examining possible psychosocial maladjustments should be an integral part of fertility care. For the early detection of vulnerability, the present study aimed to adapt and test the reliability and validity of the Hungarian version of SCREENIVF against the Fertility Quality of Life Questionnaire (FertiQoL) in a cross-sectional on subfertile women (n = 60, age 34.6 ± 5.2 years, BMI 24.2 ± 4.9 kg/m2) at a university linked fertility clinic in South-Hungary. A confirmatory factor analysis (CFA) was conducted to investigate the construct validity. For the reliability testing, Cronbach alpha values were calculated. Spearman’s rank correlation tested the criterion validity. Discriminant validity was applied using Mann–Whitney U-test and Kruskal–Wallis test. The Edinburgh Framework and COSMIN checklist were applicable for the analysis using SPSS 27.0; significance was set at p < 0.05. The confirmatory factor analysis indicated a good fit; all dimensions were reliable (α ≥ 0.70). Cronbach’s alpha was excellent (0.825–0.904). Strong correlations were found between the total scale (FertiQoL) and anxiety (R = −0.507, p < 0.001), depression (R = 0.554, p < 0.001), and helplessness cognitions (R = −0.747, p < 0.001) and moderate or no correlation with acceptance cognitions (R = 0.317, p = 0.015) and social support (R = 0.230, p = 0.082). The Hungarian version of SCREENIVF proved a valid and reliable tool to measure psychological maladjustment before ART. A longitudinal, randomized, controlled trial involving the partners could further strengthen the results, which is among our long-term plans.

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Quality of life and related constructs in a group of infertile Hungarian women: a validation study of the FertiQoL

Cited by 10 publications

References 56 publications

Perceived financial burden is indirectly linked to sexual well-being via quality of life among couples seeking medically assisted reproduction

Perceived financial burden is indirectly linked to sexual well-being via quality of life among couples seeking medically assisted reproduction

The SCREENIVF Hungarian version is a valid and reliable measure accurately predicting possible depression in female infertility patients

Introducing the Hungarian Version of the SCREENIVF Tool into the Clinical Routine Screening of Emotional Maladjustment

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