1
|
Pellerone M, Martinez-Torvisco J, Razza SG, Commodari E, Miccichè S. Precursors of Prenatal Attachment and Anxiety during Pregnancy in Women Who Procreate Naturally and Pregnant Women following Assisted Reproduction Technology. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6945. [PMID: 37887682 PMCID: PMC10606198 DOI: 10.3390/ijerph20206945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 07/21/2023] [Accepted: 10/17/2023] [Indexed: 10/28/2023]
Abstract
The process of adaptation of the woman to pregnancy seems to be influenced by many factors, such as the type of conception, the mother's age, the possible presence of other children, and socio-cultural factors. Women who conceived with an assisted reproductive technique are emotionally vulnerable; compared with pregnant women who procreated naturally, they manifest elevated anxiety, which seems to be correlated to the fright of being separated from their child. Objectives of the present research are as follows: (1) to analyze the relationship between age, gestational age, time expectancy, previous failed attempts, perception of a high-risk pregnancy, and presence of other children, with the level of maternal-fetal attachment (MFA); (2) explore the level of maternal-infant attachment and anxiety by comparing the control and experimental group; (3) to measure a possible relationship between anxiety levels and MFA in ART pregnant women; (4) to identify variables predictive of prenatal attachment. The study group is formed by ninety-five women aged between 18-42 years (M = 30.57; S.D. = 5.47), pregnant from the 23rd to the 37th week (M = 28.95; S.D. = 3.99); on which 50 women who procreate naturally and 45 pregnant women following assisted reproductive technology. They completed: Maternal-Fetal Attachment Scale (MFAS), State-Trait Anxiety Inventory (STAI), and ad hoc questionnaire to collect anamnestic data. The results show the presence of a correlation between gestational age and waiting period, between the number of assisted fertilization attempts with the worry about their ability to become pregnant, but a negative correlation between pregnancy weeks and the level of maternal-fetal attachment. The study shows the predictive role of anxiety on the MFA. The applications and indications for future research are analyzed.
Collapse
Affiliation(s)
- Monica Pellerone
- Faculty of Human and Social Sciences, Kore University of Enna, 94100 Enna, Italy; (S.G.R.); (S.M.)
| | - Juan Martinez-Torvisco
- Department of Cognitive, Social and Organizational Psychology, La Laguna University, 38200 Santa Cruz de Tenerife, Spain;
| | - Stesy Giuseppa Razza
- Faculty of Human and Social Sciences, Kore University of Enna, 94100 Enna, Italy; (S.G.R.); (S.M.)
| | - Elena Commodari
- Department of Educational Sciences, University of Catania, 95126 Catania, Italy;
| | - Sandra Miccichè
- Faculty of Human and Social Sciences, Kore University of Enna, 94100 Enna, Italy; (S.G.R.); (S.M.)
| |
Collapse
|
2
|
Hamzehgardeshi Z, Khalilian A, Peyvandi S, Elyasi F, Kalantari F, Gelehkolaee KS. Complex factors related to marital and sexual satisfaction among couples undergoing infertility treatment: A cross-sectional study. Heliyon 2023; 9:e15049. [PMID: 37101648 PMCID: PMC10123143 DOI: 10.1016/j.heliyon.2023.e15049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 03/18/2023] [Accepted: 03/24/2023] [Indexed: 03/31/2023] Open
Abstract
Objectives This study assesses complex factors related to marital and sexual satisfaction among couples undergoing infertility treatment. Methods This cross-sectional study was conducted with 140 couples who visited fertility centers in Iran, between September 2015 and July 2016. Data collection was done by Marital and Sexual Satisfaction Questionnaires and were analyzed by the IBM SPSS 26 software. Results There was a significant difference between wives and husbands in the MSQ total scores (p = 0.027). However, there was no significant difference between wives and husbands in the SSQ total scores (p = 0.398). Sexual satisfaction and decision-maker in life among wives and husbands were significant predictors of MSQ. The kind of treatment, cause of infertility and BMI among wives and kinds of treatment, cause of infertility, and decision-maker among husbands were also significant predictors of SSQ. Conclusion The findings of this study showed that there is a difference between the understanding of marital and sexual satisfaction in wives and their husbands. Healthcare providers need to pay more attention to these differences.
Collapse
Affiliation(s)
- Zeinab Hamzehgardeshi
- Sexual and Reproductive Health Research Center, Department of Reproductive Health and Midwifery, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Alireza Khalilian
- Department of Biostatistics, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Sepideh Peyvandi
- Department of Obstetrics and Gynecology, IVF Ward, Sexual and Reproductive Health Research Center, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Forouzan Elyasi
- Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
- Imam Khomeini Educational and Treatment Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Fereshteh Kalantari
- Imam Khomeini Educational and Treatment Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Keshvar Samadaee Gelehkolaee
- Sexual and Reproductive Health Research Center, Department of Reproductive Health and Midwifery, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
- Corresponding author.
| |
Collapse
|
3
|
SHIRIN AMINIZADEH, ATEFEH AHMADI, MAHLEGHA DEHGHAN, KATAYOUN ALIDOUSTI. The effect of cognitive behavior therapy on attitude of infertile individuals toward child adoption. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2022; 63:E97-E103. [PMID: 35647384 PMCID: PMC9121689 DOI: 10.15167/2421-4248/jpmh2022.63.1.2411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 01/03/2022] [Indexed: 11/17/2022]
Abstract
Background Infertility is one of the most important life-threatening crises that will cause serious psychological problems and serious stressful experiences for couples. Granting the parenting of neglected children can benefit both infertile couples and those children. Purpose The study aimed to investigate the effect of Cognitive-Behavioral Counseling (CBT) on the attitude of infertile individuals towards child adoption. Methods It is a clinical trial study. Forty samples were determined in each case and control group. Five 90-minute cognitive-behavioral counseling sessions were held for the intervention group. Control group participants were on the waiting list. Data were reported based on frequency distribution, central distribution, dispersion, Wilcoxon, and paired T-test. The level of significance was set at p < 0.05. Findings Participants in this study had a mean age of 32.5 years old, the mean years without children was 6.29 years, most of them had higher education. The majority of individuals in the control and intervention groups referred more than once to treat infertility. Based on the current study results, the attitude score of the intervention group before the consultation was 100.74, and it was 112.46 after counseling (p = 0.046). Moreover, the score of attitudes toward adoption after counseling in the control group was 97.10 and 112.46 in the intervention group (p < 0.001). Conclusions CBT has been influential on the attitude of infertile people towards adoption.
Collapse
Affiliation(s)
- AMINIZADEH SHIRIN
- Department of Midwifery, Nursing Research center, Kerman Medical Science University, Kerman, Iran
| | - AHMADI ATEFEH
- Department of Midwifery, Razi Faculty of Nursing and Midwifery, Kerman Medical Science University, Kerman, Iran
| | - DEHGHAN MAHLEGHA
- Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - ALIDOUSTI KATAYOUN
- Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
- Correspondence: Alidousti Katayoun, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran – Tel.: 0989132421749 - Fax: 0983431325218 - E-mail ;
| |
Collapse
|
4
|
Mokhtari F, Torabi F, Pirhadi M. Relationship between fertility characteristics with spiritual intelligence and resilience in infertile couples. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:44. [PMID: 35372623 PMCID: PMC8975001 DOI: 10.4103/jehp.jehp_97_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Accepted: 05/29/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Infertility and the use of assisted reproductive therapies affect infertile couples quality of life. Infertile couples face many physical, psychological, and financial challenges due to having a higher level of spiritual intelligence and resilience will help the infertile couple to adapt to infertility conditions and achieve their therapeutic goals. This study was aimed to determine the relationship between fertility characteristics and spiritual intelligence and resilience in infertile couples. MATERIALS AND METHODS This was a cross-sectional study that was conducted in 2020 on 162 infertile couples referring to infertility centers in Isfahan who met the inclusion criteria. Samples were selected by convenience sampling method. Information was gathered using a questionnaire consists of three parts: demographic and fertility characteristics, spiritual intelligence, and resilience. Data were analyzed using descriptive and inferential statistical methods (t-test, Pearson's correlation coefficient, and Chi-square). P < 0.05 was considered statistically significant. RESULTS Pearson's correlation coefficient showed that there was no significant relationship between resilience score and spiritual intelligence score with age, duration of marriage, and duration of treatment (P > 0.05). There was no significant relationship between resilience score and spiritual intelligence score and its dimensions with the level of education and economic status of the family (P > 0.05). CONCLUSIONS There was no significant relationship between demographic and fertility factors with spiritual intelligence and resilience.
Collapse
Affiliation(s)
- Fatemeh Mokhtari
- Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fatemeh Torabi
- Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Masoume Pirhadi
- Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
5
|
Samadi P, Alipour Z, Salehi K, Kohan S, Hashemi M. The keys to a good and lasting marriage: Exploration of Iranian couple's experiences. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:474. [PMID: 35233421 PMCID: PMC8826870 DOI: 10.4103/jehp.jehp_1438_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Accepted: 04/17/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND AND AIM Marital satisfaction is a multidimensional phenomenon, which refers to the quality of marital relationship, or the general view of marriage status and reflection of happiness and marital performance. Repetition of certain positive behaviors can make a huge difference in the success of continued married life, and that awareness of such behaviors seems to be critical to recognizing certain warnings. Therefore, this study with qualitative approach conducted to promoting long-term marital satisfaction by exploring couple's experiences. MATERIALS AND METHODS This study was conducted using descriptive phenomenology method. The participants were 12 person (six couples) with a history of 20-30 years of married life expectancy and a marital satisfaction score of above 65. The data were collected by purposeful sampling and semi-structured interviews, analyzed using Colaizzi method. By categorizing the codes, subcategories, and main categories were extracted. RESULTS An analysis of the experiences of the participants resulted in emergence of eight subcategories, and three main categories: "Strong Foundation For Living Together," "Mutual Commitment To Protecting Marital Cohesion," and "Striving To Improve Sexual Relations." CONCLUSIONS A long-term marriage associated with a variety of variables, including a strong foundation for living together, a mutual commitment to protect marital cohesion, and an effort to improve sexuality. And the results showed that the type of relationship will change during the years after marriage in a way that takes on certain meanings and concepts and can be interpreted in physiological, cultural and other specific contexts.
Collapse
Affiliation(s)
- Parisa Samadi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Alipour
- Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran, and Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Kobra Salehi
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Shahnaz Kohan
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Hashemi
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
6
|
Woods BM, Patrician PA, Fazeli PL, Ladores S. Infertility-related stress: A concept analysis. Nurs Forum 2021; 57:437-445. [PMID: 34873709 DOI: 10.1111/nuf.12683] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/08/2021] [Accepted: 11/29/2021] [Indexed: 11/30/2022]
Abstract
AIM To develop a clear definition of infertility-related stress using Rodgers' method of concept analysis. BACKGROUND Infertility affects approximately 13% of women in the United States. Though poorly defined in the literature, previous studies suggest infertility-related stressors contribute to psychological distress. DESIGN Rodgers' method of concept analysis guided the review, including sample and setting, literature search, and data analysis. DATA SOURCE PubMed, CINAHL, and PsycINFO were searched for relevant literature. REVIEW METHODS Following abstract, title, and text screenings, 21 articles were included and reported using the PRISMA-S checklist. Texts were analyzed and results informed the proposed definition of infertility-related stress. RESULTS Antecedents included infertility, desire for children, and fear of the unknown. Attributes were identity crisis, social isolation and stigma, sexual stress, and financial strain. Consequences included treatment dropout and marital strain. Anxiety, depression, and decreased quality of life were identified as both attributes and consequences. CONCLUSIONS Synthesized results informed a proposed definition of infertility-related stress. Improved understanding of infertility-related stress allows for measurement development and facilitates recognition of patients in need of additional support, while potentially reducing the impact on the health and well-being of infertile women.
Collapse
Affiliation(s)
- Brittany M Woods
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Patricia A Patrician
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Pariya L Fazeli
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Sigrid Ladores
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA
| |
Collapse
|
7
|
Salcuni S, Mancinelli E, Muneratti A, Grillo A, Alessi C, Guglielmino A, Finos L. Couples undergoing Assisted Reproductive Techniques: An Actor-Partner Interdependence Model of dyadic adjustment, attachment, and body-image avoidance. Health Psychol Open 2021; 8:20551029211039923. [PMID: 34671483 PMCID: PMC8521762 DOI: 10.1177/20551029211039923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The aim is to assess the commonalities and interdependence referred to body-image avoidance among 118 couples newly introduced to first-level assisted reproductive techniques. Results showed non-clinical functioning levels, and partners showed a correlated, yet low, dyadic adjustment. The couple-effect was modeled through an Actor Partner Interdependence Model. For both partners, dyadic adjustment’s actor-effect associates with body-image avoidance. Moreover, psychological symptoms’ actor-effect associate to body-image avoidance, resulting significantly more influential than the partner-effect. Only for males, alexithymia’s actor-effect was significant. To conclude, partners’ functioning is quite specular yet not interdependent, as they do not show a couple-as-a-unit modality of functioning. Clinical implications are discussed.
Collapse
Affiliation(s)
- Silvia Salcuni
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Elisa Mancinelli
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Anna Muneratti
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | | | - Chiara Alessi
- Dipartimento Strutturale Aziendale Salute della Donna e del Bambino, Unità Operativa Complessa (UOC) Ostetricia e Ginecologia, Padova Hospital, Padova, Italy
| | | | - Livio Finos
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| |
Collapse
|
8
|
Andrei F, Salvatori P, Cipriani L, Damiano G, Dirodi M, Trombini E, Rossi N, Porcu E. Self-efficacy, coping strategies and quality of life in women and men requiring assisted reproductive technology treatments for anatomical or non-anatomical infertility. Eur J Obstet Gynecol Reprod Biol 2021; 264:241-246. [PMID: 34340094 DOI: 10.1016/j.ejogrb.2021.07.027] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 03/10/2021] [Accepted: 07/16/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To examine the magnitude and the predictors of emotional reactions to an infertility diagnosis, comparing women and men who were clinically diagnosed with an anatomical cause of infertility or non-anatomical cause of infertility. STUDY DESIGN Cross-sectional study involving a total of 133 adults waiting for infertility treatment at the IVF and Infertility Unit of the S. Orsola University Hospital in Bologna (Italy). Of these, 107 patients (55 with anatomical causes of infertility and 52 with non-anatomical causes of infertility; response rate: 80%) took part to the study. After providing informed written consent, each participant was asked to complete the Infertility Self-efficacy Scale, the Fertility Quality of Life, and the Brief Coping Orientation to Problem Experienced, which they returned at their second access to the Unit. Differences between the groups were analyzed through a series of univariate ANOVA, whereas a multiple regression analysis was used to jointly examine the predictors of fertility quality of life. RESULTS Results showed both gender related and diagnosis related differences. Women had statistically significant lower scores than men on the Infertility Self-Efficacy Scale and on the global, emotional, and mind-body subscales of the Fertility Quality of Life, while they scored significantly higher on the emotion focused and socially supported subscales of the Coping Orientation to Problem Experienced. Independently of gender, patients with non-anatomical causes of infertility scored poorly than patients with anatomical causes of infertility on the relational subscale of the Fertility Quality of Life and on the Avoidant scale of the Brief Coping Orientation to Problem Experienced. Hierarchical multiple regression analyses revealed that higher levels of self-efficacy and a lower use of avoidant coping strategies predicted a more positive quality of life over and above gender and cause of infertility. CONCLUSION This study partly confirms data on gender differences in experiencing the psychological burden of infertility and adds some new information, particularly with respect to the prediction of quality of life indicators over and above infertility cause.
Collapse
Affiliation(s)
- Federica Andrei
- University of Bologna - Department of Psychology, Bologna, Italy.
| | - Paola Salvatori
- University of Bologna - Department of Psychology, Bologna, Italy
| | - Linda Cipriani
- Infertility and IVF Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy
| | - Giuseppe Damiano
- Infertility and IVF Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy
| | - Maria Dirodi
- Infertility and IVF Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy
| | - Elena Trombini
- University of Bologna - Department of Psychology, Bologna, Italy
| | - Nicolino Rossi
- University of Bologna - Department of Psychology, Bologna, Italy
| | - Eleonora Porcu
- Infertility and IVF Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy; University of Bologna - DIMEC, Bologna, Italy
| |
Collapse
|
9
|
Pasha H, Faramarzi M, Basirat Z, Kheirkhah F, Adib-Rad H. Role of mental health in prediction of sexual function in infertile women, Babol, Iran. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:171. [PMID: 34250105 PMCID: PMC8249962 DOI: 10.4103/jehp.jehp_839_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 11/23/2020] [Indexed: 05/31/2023]
Abstract
BACKGROUND Infertility is one of the main concerns in women's lives that may lead to psychological imbalance and disrupt their sexual relationship. The study was conducted with the aim of evaluating role of mental health in prediction of sexual function in infertile women. MATERIALS AND METHODS This analytic-descriptive study was conducted in 2015-2016 in 424 infertile women referring to Fatemeh Zahraa Infertility and Reproductive Health Center, Babol, Iran. The participants filled out the Female Sexual Function Index (α = 0.72-0.90), General Health Questionnaire (GHQ-28, α = 0.86), and demographics questionnaires. Linear regression used to analyze the data. RESULTS The mean of total GHQ was 23.57 ± 12.06. The highest mean of GHQ subscales was social dysfunction (8.68 ± 3.69). There was a negative association between GHQ with the overall sexual function of infertile women (r = -0.397, P < 0.0001). The higher mental health disorder was associated with lower sexual function. Furthermore, there was an inverse significant association between all the subscales of mental health and sexual function. Based on the multiple linear regression analysis, the variables of anxiety and sleep disorder (β = -0.143, P < 0.035), social dysfunction (β= -0.139, P < 0.003), depression symptoms (β = -0.121, P < 0.046), sexual intercourse frequency (β = 0.272, P < 0.0001), and educational level (β = -0.110, P < 0.016) were the significant predictors of perceived sexual dysfunction after adjusting for other variables. The strongest predictor of the GHQ subscale was anxiety and sleep disorder. CONCLUSIONS Undesirable conditions of mental health and its adverse effects on sexual function and also other predictors emphasize the need to develop more effective screening and supportive strategies with the help of the psychologists.
Collapse
Affiliation(s)
- Hajar Pasha
- Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Mahbobeh Faramarzi
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Zahra Basirat
- Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Farzan Kheirkhah
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Hajar Adib-Rad
- Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| |
Collapse
|
10
|
Zurlo MC, Cattaneo Della Volta MF, Vallone F. Infertility-Related Stress and Psychological Health Outcomes in Infertile Couples Undergoing Medical Treatments: Testing a Multi-dimensional Model. J Clin Psychol Med Settings 2021; 27:662-676. [PMID: 31471847 DOI: 10.1007/s10880-019-09653-z] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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 Inventory-Y 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.
Collapse
Affiliation(s)
- Maria Clelia Zurlo
- Department of Political Sciences, University of Naples Federico II, Via L. Rodinò 22, 80138, Naples, Italy.
| | | | - Federica Vallone
- Department of Humanities, University of Naples Federico II, Naples, Italy
| |
Collapse
|
11
|
Elyasi F, Parkoohi PI, Naseri M, Gelekolaee KS, Hamedi M, Peyvandi S, Azizi M. Relationship between coping/attachment styles and infertility-specific distress in Iranian infertile individuals: A cross-sectional study. Int J Reprod Biomed 2021; 19:347-360. [PMID: 33997594 PMCID: PMC8106813 DOI: 10.18502/ijrm.v19i4.9061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 07/11/2020] [Accepted: 10/12/2020] [Indexed: 11/24/2022] Open
Abstract
Background Infertility has been recognized as a stressful clinical condition, significantly affecting couples' emotional functioning. Objective To investigate the relationship between coping/attachment styles and infertility-specific distress (ISD) in infertile participants. Materials and Methods Atotal number of 240 infertile participants (120 women and 120 men) who attend the Outpatient Infertility Clinic in Sari, Iran between February and October 2017 were selected using the convenience sampling method. Data were collected using a questionnaire addressing sociodemographic variables. In addition, coping and attachment styles were evaluated via the Coping Strategies Questionnaire and the Revised Adult Attachment Scale by Collins and Read (1990); respectively. Ultimately, the Infertility Distress Scale was used to assess ISD. Results The mean ISD score was 42.53 ± 9.63. Secure and insecure attachment styles were observed in 37.9% and 62.1% of the cases, respectively. There was a significant difference among ISD and different groups of attachment styles (p = 0.001) and emotion-focused coping style (p = 0.021). However, no significant relationship was found between problem-focused coping style and ISD (p = 0.985). Conclusion Considering the relationship between coping/attachment styles and ISD, it was recommended to implement stress prevention and coping education within the framework of coping/attachment theories for infertile individuals.
Collapse
Affiliation(s)
- Forouzan Elyasi
- Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Parisa Islami Parkoohi
- Psychiatry and Behavioral Sciences Research Center, Addiction Research Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mahshid Naseri
- School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Keshvar Samadaee Gelekolaee
- Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoume Hamedi
- IVF Ward, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Sepideh Peyvandi
- Sexual and Reproductive Health Research Center IVF Ward, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Marzieh Azizi
- Department of Reproductive Health and Midwifery, Nursing and Midwifery Faculty, Tehran University of Medical Science, Tehran, Iran
| |
Collapse
|
12
|
Fallahchai R, Fallahi M, Badiee M. Two-Year Follow-Up of the Efficacy of the PREP Training on Iranian Newlyweds. JOURNAL OF MARITAL AND FAMILY THERAPY 2021; 47:183-195. [PMID: 32706168 DOI: 10.1111/jmft.12444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The aim of the present study was to replicate the efficacy of the Prevention and Relationship Education Program (PREP) training on marital satisfaction and dyadic adjustment among a group of Iranian newlyweds. One hundred and sixty heterosexual couples (N = 320 participants) were randomly assigned to an experimental or a wait list control group. Data from one hundred and forty-eight couples were analyzed. Participants completed the ENRICH Marital Satisfaction Scale (The Family Journal, 1, 1993, 196-207) and Dyadic Adjustment Scale (The Journal of Sex Research, 39, 1976, 190-196) at pretest, posttest, 1-year follow-up, and 2-year follow-up. Results indicated that mean marital satisfaction and dyadic adjustment scores between the experimental and control groups were significantly different at posttest. Therefore, PREP training improved marital satisfaction and dyadic adjustment of couples at posttest. The data suggests that PREP training program can be introduced as an effective relationship education program for Iranian newlyweds.
Collapse
|
13
|
Pourshahbaz A, Eftekhar Ardebili M, Dolatshahi B, Ranjbar H, Taban M. Gender role conflict: Is it a predictor of marital dissatisfaction? A cross sectional study in Tehran. Med J Islam Repub Iran 2020; 34:84. [PMID: 33306043 PMCID: PMC7711028 DOI: 10.34171/mjiri.34.84] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Indexed: 12/03/2022] Open
Abstract
Background: Gender role, sex-oriented attitudes, behaviors, cognitions, and emotions play an essential role in interpersonal relationships. Along with other factors, marital relationships and satisfaction can also be affected by a person’s gender role. The increased rate of divorce is related to a decrease in marital satisfaction. The aim of this study was to evaluate the predictor power of gender role conflict on marital satisfaction considering the role of demographic variables (age, income, number of children, and number of family members), marriage-related factors (duration of the marriage, family functioning), and mental health disorder.
Methods: This was a cross sectional study. Participants were selected from couples who were attending West of Tehran health center. A total of 123 married couples aged 18 to 60 years who did not have mental or other medical disorders were recruited. Data gathering tools were McMaster Family Assessment Device (FAD), ENRICH Marital Satisfaction Scale, Bem Sex-Role Inventory (BSRI), a sociodemographic questionnaire, and Brief Symptom Inventory (BSI). Pearson correlation, chi-square, t test, ANOVA, Scheffe post hoc, and linear regression tests were used to analyze the data. Data were analyzed using SPSS 16, and in all statistical tests, significance level was set at p<0.05.
Results: No significant correlations were observed between marital satisfaction and age, number of family members, duration of the marriage, number of children, and income (p>0.05). The presence of gender role conflict was correlated with lower marital satisfaction. Family functioning, gender role conflict, and presence of psychotic problems were predictors of marital satisfaction (p<0.001, R2=0.419).
Conclusion: Screening couples who applied for divorce due to psychiatric problems and gender role conflict and evaluating their family functioning may have a positive effect on reduction of divorce rate.
Collapse
Affiliation(s)
- Abbas Pourshahbaz
- Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehrdad Eftekhar Ardebili
- Mental Health Research Center, Psychosocial Health Research Institute, Iran university of medical sciences, Tehran, Iran
| | - Behrouz Dolatshahi
- Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hadi Ranjbar
- Mental Health Research Center, Psychosocial Health Research Institute, Iran university of medical sciences, Tehran, Iran
| | - Mozhgan Taban
- Mental Health Research Center, Psychosocial Health Research Institute, Iran university of medical sciences, Tehran, Iran
| |
Collapse
|
14
|
Mahadeen AI, Hamdan-Mansour AM, Habashneh SA, Dardas LA. Sexual Satisfaction Among Infertile Couples: Demographics and Psychosocial Health Factors. J Psychosoc Nurs Ment Health Serv 2020; 58:40-47. [PMID: 32853392 DOI: 10.3928/02793695-20200812-01] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 05/26/2020] [Indexed: 11/20/2022]
Abstract
The purpose of the current study was to explore sexual satisfaction among infertile couples in Jordan and its associations with psychosocial and sociodemographic factors. Using a descriptive correlational design, 248 infertile couples from outpatient clinics were recruited and filled out a questionnaire on sexual satisfaction, in addition to perceived social support, depressive symptoms, psychological stress, coping skills, optimism, life satisfaction, and sociodemographics. Sexual satisfaction was significantly and positively correlated with perceived social support, optimism, life satisfaction, and coping. Stronger association was observed between sexual satisfaction and optimism. No difference was found in sexual satisfaction in relation to participants' gender, age, working status, or education. This study highlights the importance of building mental health nurses' competence to provide education and counseling on sexuality to improve the quality of life of infertile couples and optimize their sexual wellness. The most recent guidelines for psychosocial care for infertile couples are discussed. [Journal of Psychosocial Nursing and Mental Health Services, 58(9), 40-47.].
Collapse
|
15
|
Kapısız S, Akgül Gök F, Yılmaz N, Özcan S, Duyan V. İnfertil çiftlerde evlilik doyumu ve evlilik doyumunu etkileyen faktörler. CUKUROVA MEDICAL JOURNAL 2019. [DOI: 10.17826/cumj.482385] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
16
|
Molgora S, Fenaroli V, Acquati C, De Donno A, Baldini MP, Saita E. Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART). Front Psychol 2019; 10:415. [PMID: 30906270 PMCID: PMC6418016 DOI: 10.3389/fpsyg.2019.00415] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 02/12/2019] [Indexed: 11/13/2022] Open
Abstract
A couple is considered to be infertile if unable to conceive after 12 months of unprotected sexual intercourse. An extended body of literature supports that infertility and infertility treatments contribute to emotional, social, sexual, and relational issues that can have a negative impact on each partner's well-being and on the couple relationship. Recent findings suggest that a dyadic approach should be used when working with couples coping with these stressors. However, most research to date has focused on the association between infertility and individual's psychological outcomes, rather than on the experience of infertility-related stress and coping from a relational perspective. Consequently, assuming that infertility is a dyadic stressor and that the ability of the partners to cope with this experience is the result of both individual and relational coping strategies, this study aimed to investigate dyadic coping and marital adjustment among couples at the beginning of an Assisted Reproductive Technology (ART) treatment. A sample of 167 heterosexual couples (N = 334) undergoing ART treatment at the fertility clinic of a large hospital in Milan from January to December 2017 was recruited. Each participant completed self-reported questionnaires examining marital adjustment (Dyadic Adjustment Scale) and dyadic coping (Dyadic Coping Questionnaire). Demographics and clinical variables were also collected. Data were analyzed using the Actor Partner Interdependence Model (APIM), testing the effect of each partner's dyadic coping style on their own and their partner's marital adjustment. Results revealed that both women and partners' scores on positive dyadic coping styles (common, emotion-focused, problem-focused, and delegated dyadic coping) contributed to higher marital adjustment. This result suggests that couples unable to engage in this type of reciprocal supportive behaviors and those unsatisfied with their coping efforts may be more vulnerable while undergoing ART treatments. Furthermore, findings highlighted some gender differences for stress communication and negative dyadic coping suggesting the presence of specific dynamics within couples facing an ART treatment. Implications for clinical practice and future research are discussed.
Collapse
Affiliation(s)
- Sara Molgora
- Department of Psychology, Catholic University of Sacred Hearth, Milan, Italy
| | - Valentina Fenaroli
- Department of Psychology, Catholic University of Sacred Hearth, Milan, Italy
| | - Chiara Acquati
- Graduate College of Social Work, University of Houston, Houston, TX, United States
| | - Arianna De Donno
- Department of Psychology, Catholic University of Sacred Hearth, Milan, Italy
| | - Maria Pia Baldini
- IRCCS Ca 'Granda Foundation Maggiore Policlinico Hospital, Milan, Italy
| | - Emanuela Saita
- Department of Psychology, Catholic University of Sacred Hearth, Milan, Italy
| |
Collapse
|
17
|
Maroufizadeh S, Hosseini M, Rahimi Foroushani A, Omani-Samani R, Amini P. Application of the dyadic data analysis in behavioral medicine research: marital satisfaction and anxiety in infertile couples. BMC Med Res Methodol 2018; 18:117. [PMID: 30367603 PMCID: PMC6203997 DOI: 10.1186/s12874-018-0582-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 10/18/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dyadic data analysis (DDA) is increasingly being used to better understand, analyze and model intra- and inter-personal mechanisms of health in various types of dyads such as husband-wife, caregiver-patient, doctor-patient, and parent-child. A key strength of the DDA is its flexibility to take the nonindependence available in the dyads into account. In this article, we illustrate the value of using DDA to examine how anxiety is associated with marital satisfaction in infertile couples. METHODS This cross-sectional study included 141 infertile couples from a referral infertility clinic in Tehran, Iran between February and May 2017. Anxiety and marital satisfaction were measured by the anxiety subscale of the Hospital Anxiety and Depression Scale and 10-Item ENRICH Marital Satisfaction Scale, respectively. We apply and compare tree different dyadic models to explore the effect of anxiety on marital satisfaction, including the Actor-Partner Interdependence Model (APIM), Mutual Influence Model (MIM), and Common Fate Model (CFM). RESULTS This study demonstrated a practical application of the dyadic models. These dyadic models provide results that appear to give different interpretations of the data. The APIM analysis revealed that both men's and women's anxiety excreted an actor effect on their own marital satisfaction. In addition, women's anxiety exerted a significant partner effect on their husbands' marital satisfaction. In MIM analysis, in addition to significant actor effects of anxiety on marital satisfaction, women's reports of marital satisfaction significantly predicted men's marital satisfaction. The CFM analysis revealed that higher couple anxiety scores predicted lower couple marital satisfaction scores. CONCLUSION In sum, the study highlights the usefulness of DDA to explore and test the phenomena with inherently dyadic nature. With regard to our empirical data, the findings confirmed that marital satisfaction was influenced by anxiety in infertile couples at both individual and dyadic level; thus, interventions to improve marital satisfaction should include both men and women. In addition, future studies should consider using DDA when dyadic data are available.
Collapse
Affiliation(s)
- Saman Maroufizadeh
- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.,Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mostafa Hosseini
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
| | - Abbas Rahimi Foroushani
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Reza Omani-Samani
- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
| | - Payam Amini
- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
| |
Collapse
|
18
|
Martínez-Pampliega A, Cormenzana S, Martín S, Navarro L. Marital functioning and treatment outcome in couples undergoing assisted reproduction. J Adv Nurs 2018; 75:338-347. [PMID: 30187521 DOI: 10.1111/jan.13844] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Revised: 07/03/2018] [Accepted: 08/06/2018] [Indexed: 11/28/2022]
Abstract
AIM To investigate the relationship between the quality of marital functioning and communication, individual psychological symptomatology, and pregnancy achievement in couples undergoing assisted reproduction. BACKGROUND The results concerning marital functioning and the feasibility of pregnancy yield contradictory outcomes and the quality of the relationship of the couple undergoing assisted reproduction has not been analysed from systemic models. Our hypothesis is that when undergoing assisted reproduction treatment (ART), the couple's functioning and communication will be related to the pregnancy rate. DESIGN This study employs a cross-sectional design with couples receiving ART. METHODS Spanish heterosexual couples (N = 185) completed the self-report instruments. The data were collected from 2010 - 2015. All the couples completed at least one treatment process, or at least 1 year had gone by since beginning the treatment. RESULTS The association between couple relationship quality and the individual psychological symptomatology experienced during the assisted reproduction process was confirmed in men and women. Although both members of the couple experienced an increase of symptomatology, only men's symptomatology was statistically significantly linked to pregnancy achievement. CONCLUSION It is necessary to support the couple from the assisted reproduction centres, promoting cohesion, flexibility, and communication in the relationship. The intervention process should also be understood from a systemic perspective; that is, considering dyadic transactions as a systemic unit. Two aspects seem to be especially relevant for clinical nurses in ART: (a) the man's role is crucial for treatment success; (b) the woman's communication is crucial to the process.
Collapse
Affiliation(s)
- Ana Martínez-Pampliega
- Department of Social and Developmental Psychology, School of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Susana Cormenzana
- Department of Social and Developmental Psychology, School of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Sagrario Martín
- Quirón-Salud Bilbao, Assisted Reproduction Center, Bilbao, Spain
| | - Lucía Navarro
- Department of Social and Developmental Psychology, School of Psychology and Education, University of Deusto, Bilbao, Spain
| |
Collapse
|
19
|
Sahebalzamani M, Mostaedi Z, Farahani H, Sokhanvar M. Relationship between Health Literacy and Sexual Function and Sexual Satisfaction in Infertile Couples Referred to The Royan Institute. INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2018; 12:136-141. [PMID: 29707930 PMCID: PMC5936611 DOI: 10.22074/ijfs.2018.5185] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 09/17/2017] [Indexed: 11/24/2022]
Abstract
Background Health science and technology today is a rapidly growing field. Health is a multifaceted concept influ-
enced by several factors, and health literacy is essential to deal properly with the current situation. In this study, the
association between health literacy and sexual function and sexual satisfaction were investigated in 2016. Materials and Methods This descriptive and correlational study was conducted on 193 couples in the Royan Insti-
tute, Tehran. Data collection instruments were three standard questionnaires which included the Test of Functional
Health Literacy, the Female Sexual Function Index (FSFI) and the International Index of Erectile Function, and the
Iranian version of the Sexual Satisfaction Scale. The data were analyzed using SPSS-v23 software at a significance
level of 0.05. Results Marginal health literacy, 49.7% among men and 44.1% among women, was more common than adequate
or inadequate health literacy. Erectile function for the majority of men was appropriate (53.3%), compared to 16.6%
who had perfect function and 30.1% for whom function was less than appropriate. The majority of women (57.0%)
had sexual dysfunction. One hundred and three (53.3%) men had appropriate sexual function and 57% of women had
normal sexual function. The greater proportion of men (50.8%) and women (46.1%) had good, rather than very good
or less than good, sexual satisfaction. The results of chi-square tests indicated that greater health literacy was associ-
ated with higher levels of sexual function and sexual satisfaction among men and women. However, application of the
Cramer’s V test indicates that the strength of these associations is moderate to weak. Conclusion Health literacy was marginal among most couples and its adverse impacts on sexual function and sexual
satisfaction were confirmed. Accordingly, it is recommended that plans be developed to promote health literacy among
infertile couples.
Collapse
Affiliation(s)
- Mohammad Sahebalzamani
- Department of Management, Tehran Medical Sciences Branch Islamic Azad University, Tehran, Iran
| | - Zahra Mostaedi
- Department of Nursing and Midwifery, Tehran Medical Sciences Branch Islamic Azad University, Tehran, Iran
| | - Hojjatollah Farahani
- Department of Psychology, Tehran Medical Sciences Branch Islamic Azad University, Tehran, Iran. Electronic Address:
| | - Mobin Sokhanvar
- Iranian Center of Excellence in Health Management (IceHM), Tabriz University of Medical Sciences, Tabriz, Iran
| |
Collapse
|
20
|
Hajizade-Valokolaee M, Khani S, Fooladi E, Peivandi S. Related factors of violence against women with infertility: A systematic review study based on an ecological approach. Electron Physician 2017; 9:5834-5843. [PMID: 29403627 PMCID: PMC5783136 DOI: 10.19082/5834] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Accepted: 08/29/2017] [Indexed: 11/20/2022] Open
Abstract
Background and aim Infertility as a global problem, affects the different aspects of women’s health. Also, violence against infertile women affects their psychological wellbeing and treatment consequence. This study aimed at reviewing related factors to violence against infertile women, based on an ecological approach. Methods In this systematic review, the researchers conducted their search in electronic databases such as Google Scholar, and then in more specialized ones such as Medline via PubMed, Science Direct, Up-to-date, Springer, SID, Magiran, Iranmedex and Irandoc with the key words violence, infertility, women, risk factors, social environment, and individuality, from 1988 to 2016. The selection of papers was undertaken from 20–27 January 2017. The articles were selected based on the following criteria: 1), the articles focused on the research question 2), infertility and violence were included in the title of the articles, and 3) articles were published in online journals. Exclusion criteria were articles which focused on violence against the general population, pregnant women and female sex workers and articles that were not available in full text form or written in other languages (Not Persian or English). The quality of selected studies was appraised using a 16-item checklist adapted from Tao. This checklist consisted of 16 items which used a 0 or 1 scoring system (not eligible or eligible). If an article received a score of 75% (12–16 points), it was of high quality. A score of 50% to 74% (8–12 points) indicated moderate quality, and less than 50% (8 points) indicated low quality. The process of titles, abstracts and full-texts’ appraisal led to the selection of 16 articles, which were used to write this article Results Two of the articles based on 16-items of the check list had high quality score, 8 of them had moderate and the remaining articles had low quality score. Our findings were classified under three categories corresponding with the ecological approach: (1) Microsystem level “individual sociodemographic and infertility characteristics”, (2) Mesosystem level “interpersonal’ and husband sociodemographic characteristics” and (3) Macro system level considered ethnicity and cultural factors. Conclusion Violence against infertile women and the stress caused by it, would affect the consequences of infertility treatment. It is noted that various cultural-contextual factors cause violence in different societies. There is a need for the development of screening tools and applying counselors to identify infertile women at the risk of violence, and provide clinical services, counseling and social support.
Collapse
Affiliation(s)
- Maryam Hajizade-Valokolaee
- Student Research Committee, Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Soghra Khani
- Ph.D. of Reproductive Health, Assistant Professor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ensieh Fooladi
- Ph.D. of Reproductive Health, Assistant Professor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Sepideh Peivandi
- M.D. Gynecologist, Associate Professor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
| |
Collapse
|
21
|
Mosheva M, Eyal S, Weisman O, Gilad R, Fishman Y, Weinberger R, Weizman A, Gothelf D. Higher adaptive functioning and lower rate of psychotic comorbidity in married versus unmarried individuals with 22q11.2 deletion syndrome. Am J Med Genet A 2017; 176:2365-2374. [DOI: 10.1002/ajmg.a.38555] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2017] [Revised: 09/28/2017] [Accepted: 11/03/2017] [Indexed: 12/28/2022]
Affiliation(s)
- Mariela Mosheva
- The Child Psychiatry Division, Edmond and Lily Safra Children's Hospital; Sheba Medical Center; Tel Hashomer Israel
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
| | - Stav Eyal
- The Child Psychiatry Division, Edmond and Lily Safra Children's Hospital; Sheba Medical Center; Tel Hashomer Israel
| | - Omri Weisman
- The Child Psychiatry Division, Edmond and Lily Safra Children's Hospital; Sheba Medical Center; Tel Hashomer Israel
- Sagol School of Neuroscience; Tel Aviv University; Tel Aviv Israel
| | - Reut Gilad
- Jerusalem Mental Health Center; Eitanim Psychiatric Hospital; Jerusalem Israel
| | - Yael Fishman
- The Child Psychiatry Division, Edmond and Lily Safra Children's Hospital; Sheba Medical Center; Tel Hashomer Israel
| | - Ronnie Weinberger
- The Child Psychiatry Division, Edmond and Lily Safra Children's Hospital; Sheba Medical Center; Tel Hashomer Israel
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
| | - Abraham Weizman
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
- Geha Mental Health Center and Felsenstein Medical Research Center; Petah Tikva Israel
| | - Doron Gothelf
- The Child Psychiatry Division, Edmond and Lily Safra Children's Hospital; Sheba Medical Center; Tel Hashomer Israel
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
- Sagol School of Neuroscience; Tel Aviv University; Tel Aviv Israel
| |
Collapse
|
22
|
Investigating the Relationship Between Religious Attitudes With Some Sexual Characteristics and Marital Satisfaction Among Women of Reproductive Age. WOMEN’S HEALTH BULLETIN 2017. [DOI: 10.5812/whb.40544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
23
|
Rezaei M, Elyasi F, Janbabai G, Moosazadeh M, Hamzehgardeshi Z. Factors Influencing Body Image in Women with Breast Cancer: A Comprehensive Literature Review. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016; 18:e39465. [PMID: 28184329 PMCID: PMC5291938 DOI: 10.5812/ircmj.39465] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Revised: 06/14/2016] [Accepted: 07/17/2016] [Indexed: 11/25/2022]
Abstract
Context Many psycho-socioeconomic and other types factors associated with cancer, the treatment process, and changes in patients’ physical appearance and sexual function influence the body image of women with breast cancer. The purpose of this study was to determine which factors influence the body image of women with breast cancer. Data Collection A narrative literature review was conducted. Electronic databases, including Google Scholar, SID, Magiran, IranDoc, Barekat, Web of Science, Science Direct, Cochrane Library, ProQuest, Scopus, and PubMed, including Medline, were searched to retrieve articles published from 1993 to 2016 using the keywords breast cancer, treatment, body image, and related factors. The quality of selected studies was appraised using a checklist adapted from Samadaee-Gelehkolaee (2016). Results Of 690 articles retrieved in the search, 190 articles were selected for full text appraisal. Finally, 44 articles were selected for data analysis. The results were classified under three headings: bio-psycho-socioeconomic factors, factors associated with the disease and treatment processes, and physical appearance and sexual function. Conclusions The findings of this review showed that many factors can influence the body image of women suffering from breast cancer. These factors were predictors of patients’ inter-personal and intra-personal relationships with their partners and others who influenced various other aspects of their lives, possibly leading to many life’s issues. These factors must be identified and considered to make the most appropriate decisions for patients. The strength of this study lies in the exploration of factors influencing the body image of women with breast cancer which earlier studies did not consider. Moreover, the authors believe that this research has addressed nearly all the factors that are real concerns in the body image of women with breast cancer.
Collapse
Affiliation(s)
- Maedeh Rezaei
- Student Research Committee, Nasibeh Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, IR Iran
- Department of Reproductive Health and Midwifery, Mazandaran University of Medical Sciences, Sari, IR Iran
| | - Forouzan Elyasi
- Psychiatry and Behavioral Research Center, Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, IR Iran
| | - Ghasem Janbabai
- Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, IR Iran
| | - Mahmood Moosazadeh
- Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, IR Iran
| | - Zeinab Hamzehgardeshi
- Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, IR Iran
- Department of Reproductive Health and Midwifery, Mazandaran University of Medical Sciences, Sari, IR Iran
- Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, IR Iran
- Corresponding Author: Zeinab Hamzehgardeshi, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Vesal St., Amir Mazandarani Blvd., P. O. Box: 4816715793, Sari, Mazandaran, IR Iran. Tel: +98-1133367342-5, Fax: +98-1133368915, E-mail:
| |
Collapse
|