Emotional and behavioral components of infertility-related stress experienced by infertile women

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Abstract

The article is devoted to the study of infertility-related stress experienced by infertile women. We studied such components of the stress of infertility as anxiety, depression, coping strategies, emotional schemes, as well as the psychological component of the quality of life. The aim of the study was to study the characteristics of individual components of the stress of infertility, such us anxiety, depression, emotional schemas and coping strategies. The following research methods were selected: A. Beck’s Anxiety Scale, A. Beck’s Depression Scale; questionnaire of the study of the quality of life in infertility FertiQoL J. Boivin; R. Leahy Scale of Emotional Schemes Questionnaire (LESS II); COPE coping strategies questionnaire in adaptation by T.O. Gordeeva, E.N. Osin, E.A. Rasskazova, O.A. Sychev, V.Yu. Shevyakhova. 33 women with infertility (main group) and 33 women without infertility and not planning pregnancy in the near future were studied. The results of the study revealed such characteristics of women with infertility as insufficient satisfaction with the quality of life, subjectively felt emotional discomfort, insufficient social support and some dissatisfaction with marital relations. At the same time, subclinical levels of anxiety-depressive symptoms are accompanied by a general tension of emotional schemes, the prevalence of such schemes, “Feelings of guilt for their own emotions”, “Lack of meaningfulness”, “Invalidation of emotions by others”, “Predicted duration of emotions”, “Tendency to ruminate”, “A simplified idea of emotions”. Behavioral strategies in a stressful situation in women with the stress of infertility are characterized by inflexibility, a tendency to avoidance and denial, and the rare use of positive reformulation and humor. The study revealed the presence of various supporting stress factors of infertility characteristic of women suffering from infertility: insufficient satisfaction with the quality of life, subjectively felt emotional discomfort, insufficient social support and dissatisfaction with marital relations. At the same time, subclinical levels of anxiety-depressive symptoms are accompanied by a general tension of emotional schemes and limited behavioral strategies in a stressful situation.

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About the authors

Victoria N. Kargol

Belgorod State University

Author for correspondence.
Email: vngor@mail.ru

Assistant, Department of General and Clinical Psychology

Russian Federation, Belgorod

Marina V. Zemlianykh

Saint Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation

Email: mvz6@mail.ru

MD, PhD, Associate Professor, Department of Psychosomatic and Psychotherapy

Russian Federation, Petersburg

References

  1. Адамян Л.В., Филиппова Г.Г., Калинская М.В. Переживание бесплодия и копинг-стратегии женщин фертильного возраста//Медицинский анализ Северного Кавказа. – 2012. – № 3. – С. 101–105. [Adamyan LV, Filippova GG, Kalinskaya MV. Perezhivanie besplodiya i koping-strategii zhenshchin fertil’nogo vozrasta. Medical News North Caucasus. 2012;3:101-105. (In Russ.)]
  2. Гончаров Г.В. Психофизиологическая коррекция стресса бесплодия у женщин в программе экстракорпорального оплодотворения. Автореф. дис. кандидат медицинских наук. Волгоград, 2011. [Goncharov GV. Psikhofiziologicheskaya korrekcziya stressa besplodiya u zhenshhin v programme e’kstrakorporal’nogo oplodotvoreniya. [Dissertation abstract]. Volgograd; 2011. (In Russ.)] Режим доступа: https://www.dissercat.com/content/psikhofiziologicheskaya-korrektsiya-stressa-besplodiya-u-zhenshchin-v-programme-ekstrakorpor Дата обращения: 23.08.2021.
  3. Лихи Р. Терапия эмоциональных схем. – СПб.: Питер, 2019. [Likhi R. Terapiya emotsional’nykh skhem. Saint Petersburg: Piter; 2019. (In Russ.)]
  4. Рассказова Е.И., Гордеева Т.О., Осин Е.Н. Копинг-стратегии в структуре деятельности саморегуляции: психометрические характеристики и возможности применения методики СОРЕ//Психология. Журнал высшей школы экономики. – 2013. – Т. 10, № 1. – С. 82–118. [Rasskazova EI, Gordeeva TO, Osin EN. Coping strategies in the structure of self-regulation activity: psychometric characteristics and possibilities of using the COPE technique. Psychology. Journal of the Higher School Economics. 2013;10(1):82-118. (In Russ.)]
  5. Сирота Н.А., Московченко Д.В., Ялтонский В.М., и др. Психодиагностика эмоциональных схем: результаты апробации русскоязычной краткой версии шкалы эмоциональных схем Р. Лихи//Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева. – 2016. – № 1. – С. 76–83. [Sirota NA, Moskovchenko DV, Yaltonskiy VM, et al. Psychodiagnostics of emotional schemas: the results of approbation of the Russian-language short version of the scale of emotional schemas by R. Leahy. VM. Bekhterev Review of Psychiatry and Medical Psychology. 2016;1:76-83. (In Russ.)]
  6. Филиппова Г.Г. Развитие исследований по репродуктивной психологии на кафедре общей психологии и истории психологии Московского гуманитарного университета//Научные труды Московского гуманитарного университета. – 2018. – № 1. – С. 6. [Filippova GG. Development of research on reproductive psychology at the Department of General Psychology and the History of Psychology of the Moscow Humanitarian University. Nauchnye trudy Moskovskogo gumanitarnogo universiteta. 2018;(1):6. (In Russ.)] doi: 10.17805/trudy.2018.1.6
  7. Abbey A. Adjusting to infertility. In: Harvey J.D., Miller E.D., Eds. Loss and trauma: General and close relationship perspectives. Ann Arbor, MI: Edwards Brothers, 2000.
  8. Abbey A, Halman, LJ, Andrews FM. Psychosocial, treatment, and demographic predictors of the stress associated with infertility. Fertil Steril. 1992;57(1):122-128. doi: 10.1016/s0015-0282(16)54787-6
  9. Boivin J. Evidence-based approaches to infertility counseling. In: Covington SN. Burns LH, Eds. Infertility counseling: A comprehensive handbook for clinicians. 2nd ed. New York: Cambridge University Press; 2006.
  10. Boivin J, Takefman J, Braverman A. The Fertility Quality of Life (FertiQoL) tool: development and general psychometric properties. Fertil Steril. 2011;96(2): 409-415. doi: 10.1016/j.fertnstert.2011.02.046
  11. Fertility Quality of Life tool. (FertiQoL). Available from: http://sites.cardiff.ac.uk/fertiqol/download/
  12. Daniluk JC. Reconstructing their lives: A longitudinal, qualitative analysis of the transition to biological childlessness for infertile couples. Journal of Counseling and Development. 2001;79(4):439-449. doi: 10.1002/j.1556-6676.2001.tb01991.x
  13. Daniluk, JC, Tench E. Long-term adjustment of infertile couples following unsuccessful medical intervention. Journal of Counseling and Development. 2007;85:(1) 89-100. doi: 10.1002/j.1556-6678.2007.tb00448.x
  14. Domar A. Conquering infertility: Dr. Alice Domar’s guide to enhancing fertility and coping with infertility. New York: Viking Penguin; 2002.
  15. Domar AD, Clapp D, Slawsby EA, et al. Impact of group psychological interventions on pregnancy rates in infertile women. Fertility and Sterility. 2000;73(4): 805-812. doi: 10.1016/s0015-0282(99)00493-8
  16. Domar AD, Clapp D, Slawsby E, et al. The impact of group psychological interventions on distress in infertile women. Health Psychology. 2000;19(6):568-575. doi: 10.1037//0278-6133.19.6.568
  17. Domar AD, Seibel MM, Benson H. The mind/body program for infertility: A new behavioral treatment approach for women with infertility. Fertility and Sterility. 1990; 53(2):246-249. doi: 10.1016/s0015-0282(16)53275-0.
  18. Eugster A, Vingerhoets AJ. Psychological aspects of in vitro fertilization: A review. Soc Sci Med. 1999;48(5): 575-589. doi: 10.1016/s0277-9536(98)00386-4
  19. Greil AL. Not yet pregnant: Infertile couples in contemporary America. New Brunswick, NJ: Rutgers University Press; 1991. P. 243.
  20. Greil AL, Schmidt L, Peterson B. Understanding and treating the psychosocial consequences of infertility. In: Wenzel A, Ed. The Oxford Handbook of Perinatal Psychology. Oxford UK: Oxford University Press; 2014. doi: 10.1093/oxfordhb/9780199778072.013.007
  21. Henning K, Strauss B. Psychological and psychosomatic aspects of involuntary childlessness: State of research at the end of the 1990’s. In: Strauss B, ed. Ashland OH: Hogrefe & Huber Publishers; 2002. P. 3-18.
  22. Mahlstedt P, MacDuff S, Bernstein J. Emotional factors and the in vitro Fertilization and embryo transfer process. J In Vitro Fert Embryo Transf. 1987;4(4): 232-236. doi: 10.1007/BF01533762
  23. Matthews R, Martin-Matthews A. Infertility and involuntary childlessness: The transition to nonparenthood. Journal of Marriage and the Family. 1986;48:641-649. doi: 10.2307/352050
  24. McCarthy MP. Women’s lived experience of infertility after unsuccessful medical intervention. J Midwifery Womens Health. 2008;53:319-324. doi: 10.1016/j.jmwh.2007.11.004
  25. Olshansky EF. Identity of self as infertile: An example of theory-generating research. ANS Adv Nurs Sci. 1987;9(2): 54-63. doi: 10.1097/00012272-198701000-00009
  26. Pook M, Krause W. Stress reduction in male infertility patients: A randomized, controlled trial. Fertility and Sterility. 2005;83(1):68-73. doi: 10.1016/j.fertnstert.2004.06.053
  27. Pook M, Tuschen-Caffier B, Krause W. Is infertility a risk factor for impaired male fertility? Hum Reprod. 2004;19(4):954-959. doi: 10.1093/humrep/deh167
  28. Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018;20(1): 41-47. doi: 10.31887/DCNS.2018.20.1/klrooney
  29. Terry DJ, Hynes GJ. Adjustment to a low-control situation: reexamining the role of coping responses. Journal of Personality and Social Psychology. 1998;74(4): 1078-1092.
  30. Van Balen F. The psychologization of infertility. In: Inhorn MC, van Balen F, eds. Infertility Around the Globe. Berkeley: University of California press; 2002.
  31. Verhaak CM, Smeenk JM J, van Minnen A. A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Human Reproduction. 2005;20(8):2253-2260. doi: 10.1093/humrep/dei015
  32. Williams ME. Toward greater understanding of the psychological effects of infertility on women. Psychotherapy in Private Practice. 1997;16:7-26. doi: 10.1300/J294v16n03_02
  33. Wischmann TH. Psychogenic Infertility: Myths and facts. J Assist Reprod Genet. 2003;20(12):485-494. doi: 10.1023/b: jarg.0000013648.74404.9d.

Copyright (c) 2021 Kargol V.N., Zemlianykh M.V.

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