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Infertility stress and coping strategies in women and men undergoing in vitro fertilization treatment


Authors: Gabriela Ďurašková 1 ;  Radek Hampl 2;  Daniel Dostál 3
Authors‘ workplace: Denní sanatorium Horní Palata, VFN v Praze 1;  Centrum asistované reprodukce Sanus, Pardubice 2;  Katedra psychologie, FF UP v Olomouci 3
Published in: Ceska Gynekol 2025; 90(1): 14-21
Category: Original Article
doi: https://doi.org/10.48095/cccg202514

Overview

Aim: To describe coping strategies and infertility stress in men and women undergoing in vitro fertilization (IVF) treatment. To determine whether there are differences in coping strategies between men and women and to identify adaptive and non-adaptive coping strategies for infertility. Materials and methods: A correlational study, where 162 patients (99 women and 63 men) with primary infertility undergoing IVF treatment at Sanus Pardubice completed the Fertility Problem Inventory and COPE Inventory psychological questionnaires. Results: There were no significant differences between women and men in experiencing infertility stress. The coping strategies used most frequently by both men and women were Positive Reinterpretation, Planning, and Acceptance; men used the strategies Restraint, Suppression, and Planning significantly more frequently than women; and women used the strategies Using Emotional Social Support and Religious Coping significantly more frequently than men. For both women and men, level of Global infertility stress significantly correlated with Denial in the positive direction and with Positive Reinterpretation and Acceptance in the negative direction. Conclusion: Involuntarily childless women and men in IVF treatment experience similar infertility stress, but use slightly different coping strategies. For both men and women, Positive Reinterpretation and Acceptance emerged as adaptive strategies, while Denial emerged as non-adaptive.

Keywords:

stress – gender differences – IVF treatment – coping strategies


Sources

1. Ďurašková G, Peterson B. Posttraumatic growth in women with a long-standing experience of involuntary childlessness. J Hum Psychol 2022. doi: 10.1177/00221678211 068291.

2. Kiesswetter M, Marsoner H, Luehwink A et al. Impairments in life satisfaction in infertility: associations with perceived stress, affectivity, partnership quality, social support and the desire to have a child. Behav Med 2020; 46 (2): 130–141. doi: 10.1080/08964289.2018.1564897.

3. Tao P, Coates R, Maycock B. Investigating marital relationship in infertility: a systematic review of quantitative studies. J Reprod Infertil 2012; 13 (2): 71–80.

4. Radoš SN, Vraneš HS, Tomić J et al. Infertility-related stress and sexual satisfaction: a dyadic approach. J Psychosom Obstet Gynecol 2022; 43 (1): 18–25. doi: 10.1080/0167482X.2020.17 52658.

5. Facchin F, Somigliana E, Busnelli A et al. Infertility-related distress and female sexual function during assisted reproduction. Hum Reprod 2019; 34 (6): 1065–1073. doi: 10.1093/humrep/dez046.

6. Martins MV, Peterson B, Costa P et al. Interactive effects of social support and disclosure on fertility-related stress. J Social Personal Relationships 2013; 30 (4): 371–388. doi: 10.1177/0265407512456672.

7. Awtani M, Mathur K, Shah S et al. Infertility stress in couples undergoing intrauterine insemination and in vitro fertilization treatments. J Hum Reprod Sci 2017; 10 (3): 221–225. doi: 10.4103/jhrs.JHRS_39_17.

8. Donarelli Z, Gullo S, Coco G et al. Assessing infertility-related stress: the factor structur of the Fertility Problem Inventory in Italian couples undergoing infertility treatment. J Psychosom Obstet Gynaecol 2015; 36 (2): 58–65. doi: 10.3109/0167482X.2015.1034268.

9. Greil A, Slauson-Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn 2010; 32 (1): 140–162. doi: 10.1111/j.1467-9566.2009.01213.x.

10. Parniyan F, Pour Tohidi H. Iranian-Islamic culture and infertility treatments. J Jahrom University Med Sci 2014; 11: 226.

11. Truong LQ, Luong TB, Tran TH et al. H. Infertility-related stress, social support, and coping of women experiencing infertility in Vietnam. Health Psychol Report 2022; 10 (2): 129–138. doi: 10.5114/hpr.2022.113437.

12. van Balen F, Bos HM. W. Infertility, culture, and psychology in worldwide perspective. J Reprod Infant Psyc 2004; 22 (4): 245–247. doi: 10.1080/02646830412331298299.

13. Khalid A, Dawood S. Social support, self-efficacy, cognitive coping and psychological distress in infertile women. Arch Gynecol Obstet 2020; 302 (2): 423–430. doi: 10.1007/s00404-020-05614-2.

14. Benyamini Y, Gozlan M, Weissman A. Normalization as a strategy for maintaining quality of life while coping with infertility in a pronatalist culture. Int J Behav Med 2017; 24 (6): 871–879. doi: 10.1007/s12529-017-9656-1.

15. Ďurašková G, Sobotková I, Hampl R et al. Životní spokojenost a copingové strategie žen, které podstupují své první umělé oplodnění (IVF). E-psychologie 2016; 10 (1): 47–62. Dostupné z: https: //e-psycholog.eu/clanek/254.

16. Chaves C, Canavarro MC, Moura-Ramos M. The role of dyadic coping on the marital and emotional adjustment of couples with infertility. Fam Process 2019; 58 (2): 509–523. doi: 10.1111/famp.12364.

17. Newton CR, Sherrard W, Glavac I. The fertility problem inventory: measuring perceived infertility-related stress. Fertil Steril 1999; 72 (1): 54–62. doi: 10.1016/s0015-0282 (99) 00164-8.

18. Ďurašková G. Prožívání nedobrovolně bezdětných žen a mužů a jeho souvislosti s výsledky léčby neplodnosti. Olomouc 2019. Disertační práce (Ph.D.). FFUP Olomouc.

19. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 1989; 56 (2): 267–283. doi: 10.1037/0022-3514.56.2.267.

20. Tichý M. Osobnostní proměnné a zvládání zátěže u sociálních pracovníků a učitelů. Psychologie a její kontexty 2011; 2 (2): 87–97. Dosutpné z: http: //psychkont.osu.cz/fulltext/2011/Tichy_2011_2.pdf.

21. Revelle W. Procedures for Personality and Psychological Research, Northwestern University, Evanston, Ilinois, USA, 2022. 2022 [online]. Available from: https: //CRAN.R-project.org/package=psych Version = 2.2.5.

22. Bates D, Mächler M, Bolker B et al. Fitting linear mixed-effects models using lme4. J Stat Softw 2015; 67 (1): 1–48. doi: 10.18637/jss.v067.i01.

23. Russel VL. Emmeans: estimated marginal means, aka least-squares means. 2022 [online]. Available from: https: //CRAN.R-project.org/package=emmeans.

24. Folkman S, Lazarus RS. Manual for the ways of coping questionnaire. Palo Alto (CA): Consulting Psychologist Press 1988.

25. Peterson BD, Newton CR, Rosen KH et al. Gender differences in how men and women who are referred for IVF cope with infertility stress. Hum Reprod 2006; 21 (9): 2443–2449. doi: 10.1093/humrep/del145.

26. Snijders TA, Bosker R. Modeled variance in two-level models. Sociol Methods Res 1994; 22 (3): 342–363. doi: 10.1177/00491241940220 03004.

27. Steiger JH. Tests for comparing elements of a correlation matrix. Psychol Bull 1980; 87 (2): 245–251. doi: 10.1037/0033-2909.87. 2.245.

28. Gower JC. Some distance properties of latent root and vector methods used in multivariate analysis. Biometrika 1966; 53 (3/4): 325–338. doi: 10.2307/2333639.

29. Bayley TM, Slade P, Lashen H. Relatonships between attachment, appraisal, coping and adjustment in men and women experiencing infertility concerns. Hum Reprod 2009; 24 (11): 2827–2837. doi: 10.1093/humrep/dep 235.

30. Thorsby K, Gill R. It’s different for men. Masculinity and IVF. Men Masc 2004; 6 (4): 330–348. doi: 10.1177/1097184X03260958.

31. Slepičková, L. Nedobrovolná bezdětnost jako sociologické téma. Sociologický časopis 2006; 42 (5): 937–951. doi: 10.13060/00380288.2006.42.5.05.

32. Hanna E, Gough B. Experiencing male infertility: a review of the qualitative research literature. Sage Open 2015; 5 (4): 1–9.

33. Aflakseir A, Zarei M. Association between coping strategies and infertility stress among a group of women with fertility problem in Shiraz, Iran. J Reprod Infertil 2013; 14 (4): 202–206.

34. Benyamini Y, Gefen-Bardarian Y, Gozlan M et al. Coping specifity: the case of women coping with infertility treatments. Psychol Health 2008; 23 (2): 221–241. doi: 10.1080/14768 320601154706.

ORCID autorů

G. Ďurašková 0000-0002-5544-152X

D. Dostál 0000-0001-5489-7907

PhDr. Mgr. Gabriela Ďurašková, Ph.D.

Denní sanatorium Horní Palata

VFN v Praze

U Nemocnice 499/2

128 08 Praha

gabriela.duraskova@gmail.com

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology


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