Infertility-Related Stress and Psychological Health Outcomes in Infertile Couples Undergoing Medical Treatments: Testing
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Infertility‑Related Stress and Psychological Health Outcomes in Infertile Couples Undergoing Medical Treatments: Testing a Multi‑dimensional Model Maria Clelia Zurlo1 · Maria Francesca Cattaneo Della Volta2 · Federica Vallone2
© Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract The study aims to propose and test a multi-dimensional infertility-related stress model including socio-demographic and fertility-related characteristics, infertility-related stress dimensions, coping strategies and couple’s dyadic adjustment dimensions as predictors of anxiety and depression among partners of couples undergoing infertility treatments. Both members of 250 infertile couples filled out a questionnaire consisting of Socio-demographics (Age; Educational level; Employment status), Fertility-related characteristics (Type of diagnosis; Duration of infertility), Fertility Problem Inventory-Short Form, Coping Orientations to Problem Experienced-New Italian Version, Dyadic Adjustment Scale, State-Trait Anxiety InventoryY and Edinburgh Depression Scale. Hierarchical Multiple Linear Regressions indicated that the proposed predictive models for anxiety and depression were significant and had good levels of fit with the data. Gender differences emerged in predictor variables. Findings provide valid predictive models that could be adopted to assess psychological health in infertile patients and to develop evidence-based and tailored counselling interventions at centres for assisted reproduction. Keywords Infertility-related stress · Coping strategies · Couple’s dyadic adjustment · Anxiety · Depression
Introduction Infertility is a clinical condition defined by the failure to achieve a pregnancy after at least 12 months of regular unprotected sexual intercourse (Zegers-Hochschild et al., 2014), affecting between 8 and 12% of reproductive couples worldwide (Ombelet, Cooke, Dyer, Serour, & Devroey, 2008), with no significant changes in the prevalence at global, national and regional levels over the past two decades (Inhorn & Patrizio 2015). In recent years, several studies highlighted that infertility is a distressing experience (Fisher & Hammarberg, 2012; Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10880-019-09653-z) contains supplementary material, which is available to authorized users. * Maria Clelia Zurlo [email protected] 1
Department of Political Sciences, University of Naples Federico II, Via L. Rodinò 22, 80138 Naples, Italy
Department of Humanities, University of Naples Federico II, Naples, Italy
2
Greil, Slauson, Blevins, & McQuillan, 2010; Peterson, Newton, & Rosen, 2003; Ying, Wu, & Loke, 2015) that may induce many psychosocial consequences such as reduction of self-esteem, perceived stigma (Donkor & Sandall, 2007; Gannon, Glover & Abel, 2004; Jansen & Saint Onge, 2015) as well as mood disorders (Cousineau & Domar, 2007; Gameiro, van den Belt-Dusebout, Smeenk, Braat, Van Leeuwen, & Verhaak, 2016; Hesam, Taghipour, Rasekhi, Fallahi, & He
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