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JCCNC 2018, 4(2): 80-87 |
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Keshavarz F, Mosalanejad L, Ghavi F, Abdollahifard S, Khodabakhshi Koolaee A. Coping Strategies and Perceived Stress in Infertile Couples. JCCNC 2018; 4 (2) :80-87
URL: http://jccnc.iums.ac.ir/article-1-174-en.html
URL: http://jccnc.iums.ac.ir/article-1-174-en.html
Fariba Keshavarz1 
, Leili Mosalanejad2 , Fatemeh Ghavi3 , Saeed Abdollahifard4 , Anahita Khodabakhshi Koolaee * 5
, Leili Mosalanejad2 , Fatemeh Ghavi3 , Saeed Abdollahifard4 , Anahita Khodabakhshi Koolaee * 5
1- Student Research Committee, School of Allied Medical Science, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Nursing, School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
4- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
5- Department of Psychology and Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran. ,a.khodabakhshid@khatam.ac.ir
2- Department of Nursing, School of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
4- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
5- Department of Psychology and Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran. ,
Abstract: (4342 Views)
Background: Infertility can lead to major bio-psychological disorders. Coping strategies help individuals adapt to unpredictable conditions in a systematic way. The present study aimed to determine the perceived stress of couples undergoing treatment for infertility, as well as their coping strategies and correlation between the studied variables and gender.
Methods: This was a cross-sectional study conducted on 140 infertile couples undergoing infertility treatment at the Infertility Center of Yazd, Yazd City, Iran. The relevant data were collected by Perceived Stress Scale and Billings and Moos’s Coping Responses Inventory. Then, the obtained data were analyzed by descriptive statistics (relative frequency percentage, mean and standard deviation), Pearson correlation coefficient and regression analysis in SPSS.
Results: The obtained results suggest that the mean score of perceived stress is higher in women. Moreover, women more frequently use problem-focused mechanisms, while men more frequently use emotion-focused mechanisms. In both men and women, a positive significant relationship exist between positive perceived stress and coping mechanisms; the former predicted the latter. While, the mean scores for avoidant and behavioral coping mechanisms were higher in men, the mean scores for cognitive coping mechanisms were higher in women (P<0.05). However, women achieved higher scores for both problem-focused and emotion-focused strategies.
Conclusion: there is a significant and positive correlation between perceived stress and coping mechanisms in both sexes. In addition, stress predicts the kind of coping strategies in these people. On the whole, psychiatric approach and counseling may enhance the mental health of infertile couples and increase the chance of success in this costly treatment.
Methods: This was a cross-sectional study conducted on 140 infertile couples undergoing infertility treatment at the Infertility Center of Yazd, Yazd City, Iran. The relevant data were collected by Perceived Stress Scale and Billings and Moos’s Coping Responses Inventory. Then, the obtained data were analyzed by descriptive statistics (relative frequency percentage, mean and standard deviation), Pearson correlation coefficient and regression analysis in SPSS.
Results: The obtained results suggest that the mean score of perceived stress is higher in women. Moreover, women more frequently use problem-focused mechanisms, while men more frequently use emotion-focused mechanisms. In both men and women, a positive significant relationship exist between positive perceived stress and coping mechanisms; the former predicted the latter. While, the mean scores for avoidant and behavioral coping mechanisms were higher in men, the mean scores for cognitive coping mechanisms were higher in women (P<0.05). However, women achieved higher scores for both problem-focused and emotion-focused strategies.
Conclusion: there is a significant and positive correlation between perceived stress and coping mechanisms in both sexes. In addition, stress predicts the kind of coping strategies in these people. On the whole, psychiatric approach and counseling may enhance the mental health of infertile couples and increase the chance of success in this costly treatment.
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● The perceived stress scores are higher in women than in men.
● Women use the problem-focused mechanisms, while men use emotion-focused mechanisms.
● There is a positive significant relationship between positive perceived stress and coping mechanisms in both men and women.
● Useful coping strategies are playing key role in mental health of infertile couples.
Plain Language Summary
Infertility is a stressful incident that can threaten the stability of the marriage, family and the society. Some researchers believe that psychological elements such as coping strategies to face the r problems and perceived stress are very important in dealing with infertility. Our present study try to explain how coping strategies and stress can impact couples who are under treatment of infertility. Based on the results, perceived stress was higher in women. Moreover, women used problem-focused mechanisms more frequently, while men used emotion-focused mechanisms more. In both men and women, there was a positive significant relationship between positive perceived stress and coping mechanisms. In dealing with stress using the proper coping strategies like problem-focused are more useful than emotional-focused ones. For learning better coping strategies, couples needs the individual and group counseling and psychotherapy sessions along with the medical infertility treatment programs.
● Women use the problem-focused mechanisms, while men use emotion-focused mechanisms.
● There is a positive significant relationship between positive perceived stress and coping mechanisms in both men and women.
● Useful coping strategies are playing key role in mental health of infertile couples.
Plain Language Summary
Infertility is a stressful incident that can threaten the stability of the marriage, family and the society. Some researchers believe that psychological elements such as coping strategies to face the r problems and perceived stress are very important in dealing with infertility. Our present study try to explain how coping strategies and stress can impact couples who are under treatment of infertility. Based on the results, perceived stress was higher in women. Moreover, women used problem-focused mechanisms more frequently, while men used emotion-focused mechanisms more. In both men and women, there was a positive significant relationship between positive perceived stress and coping mechanisms. In dealing with stress using the proper coping strategies like problem-focused are more useful than emotional-focused ones. For learning better coping strategies, couples needs the individual and group counseling and psychotherapy sessions along with the medical infertility treatment programs.
Type of Study: Research |
Subject:
Special
Received: 2018/01/2 | Accepted: 2018/04/5 | Published: 2018/05/1
Received: 2018/01/2 | Accepted: 2018/04/5 | Published: 2018/05/1
References
1. Covington, S. N. & Burns, L. H., 2006. Infertility counselling: A comprehensive handbook for clinicians. Cambridge: Cambridge University Press. [PMCID] [PMCID]
2. Domar, A. D., et al. (1992). The prevalence and predictability of depression in infertile women. Fertility and Sterility, 58(6), pp. 1158-63. [DOI:10.1016/S0015-0282(16)55562-9] [DOI:10.1016/S0015-0282(16)55562-9]
3. Domar, A. D., Zuttermeister, P. C. & Friedman, R., 1993. The psychological impact of infertility: A comparison with patients with other medical conditions. Journal of Psychosomatic Obstetrics and Gynaecology, 14, pp. 45-52. [PMID] [PMID]
4. Drosdzol, A. & Skrzypulec, V., 2009. Depression and anxiety among Polish infertile couples: An evaluative prevalence study. Journal of Psychosomatic Obstetrics & Gynecology, 30(1), pp. 11-20. [DOI:10.1080/01674820902830276] [PMID] [DOI:10.1080/01674820902830276]
5. Dyrbye, L. N., Thomas, M. R. & Shanafelt, T. D., 2005. Medical student distress: Causes, consequences, and proposed solutions. Mayo Clinic Proceedings, 80(12), pp. 1613-22. [DOI:10.4065/80.12.1613] [PMID] [DOI:10.4065/80.12.1613]
6. Foruzandeh, N. & Delaram, M., 2003. [Effects of cognitive behavioral therapy on the coping strategies of nonmedical students of Shahrekord University of Medical Sciences (Persian)]. Journal of Shahrekord University of Medical Sciences, 5(3), pp. 26-34.
7. Galhardo, A., et al., 2011. The impact of shame and self-judgment on psychopathology in infertile patients. Human Reproduction, 26(9), pp. 2408-14. [DOI:10.1093/humrep/der209] [PMID] [DOI:10.1093/humrep/der209]
8. Goosen, G. M. & Bush, H. A., 1982. Adaptation: A feedback process. In: D. C. Sutterly. & G. F. Donnelly (eds), Coping with Stress: A Nursing Perspective. Houston: Aspen Systems Corporation.
9. Hashim, S. A., Soliman, S. M. & Mansour, S. E., 2012. Couples adjustment to failed assisted reproductive technology after counseling. Nature and Science, 10(6), pp. 61-74.
10. Jordan, C. & Revenson, T. A., 1999. Gender differences in coping with infertility: A meta-analysis. Journal of Behavioral Medicine, 22(4), pp. 341-58. [DOI:10.1023/A:1018774019232] [PMID] [DOI:10.1023/A:1018774019232]
11. Karaca, A. & Unsal, G., 2015. Psychosocial problems and coping strategies among Turkish women with infertility. Asian Nursing Research, 9(3), pp. 243-50. [DOI:10.1016/j.anr.2015.04.007] [PMID] [DOI:10.1016/j.anr.2015.04.007]
12. Koerner, F. A. & Mary Anne, F., 2002. Understanding family communication patterns and family functioning: The roles of conversation orientation and conformity orientation. Annals of the International Communication Association, 26(1), PP. 36-65. [DOI:10.1080/23808985.2002.11679010] [DOI:10.1080/23808985.2002.11679010]
13. Kraaij, V., et al., 2010. Cognitive coping, goal adjustment, and depressive and anxiety symptoms in people undergoing infertility treatment: A prospective study. Journal of Health Psychology, 15(6), pp. 876-86. [DOI:10.1177/1359105309357251] [PMID] [DOI:10.1177/1359105309357251]
14. Lazarus, R., 1977. Cognitive and copy processes in emotion. In: R. Lazarus. & A. Monat (eds), In Stress and Coping: An Anthology. New York: Columbia University Press.
15. Lykeridou, K., et al., 2011. Occupational social class, coping responses and infertility‐related stress of women undergoing infertility treatment. Journal of Clinical Nursing, 20(13‐14), pp. 1971-80. [DOI:10.1111/j.1365-2702.2011.03696.x] [PMID] [DOI:10.1111/j.1365-2702.2011.03696.x]
16. Martins, M. V., et al., 2011. Direct and indirect effects of perceived social support on women's infertility-related stress. Human Reproduction, 26(8), pp. 2113-21. [DOI:10.1093/humrep/der157] [PMID] [DOI:10.1093/humrep/der157]
17. Matsubayashi, H., et al., 2004. Increased depression and anxiety in infertile Japanese women resulting from lack of husband's support and feelings of stress. General Hospital Psychiatry, 26(5), pp. 398-404. [DOI:10.1016/j.genhosppsych.2004.05.002] [PMID] [DOI:10.1016/j.genhosppsych.2004.05.002]
18. Mimura, C. & Griffiths, P., 2004. A Japanese version of the perceived stress scale: Translation and preliminary test. International Journal of Nursing Studies, 41(4), pp. 379-85. [DOI:10.1016/j.ijnurstu.2003.10.009] [PMID] [DOI:10.1016/j.ijnurstu.2003.10.009]
19. Moos, R. H., 1997. Coping responses inventory: A measure of approach and avoidance coping skills. In: C. P. Zalaquett., & R. J. Wood (eds), Evaluating Stress: A Book of Resources. Lanham, MD: Scarecrow Education.
20. Mosalanejad, L. & Kooalee, A. K., 2013. Looking at infertility treatment through the lens of the meaning of life: The effect of group logotherapy on psychological distress in infertile women. International Journal of Fertility & Sterility, 6(4), pp. 224-31. [PMID] [PMCID] [PMID] [PMCID]
21. Mosalanejad, L., Koolaee, A. K. & Jamali, S. (2012). Effect of cognitive behavioral therapy in mental health and hardiness of infertile women receiving Assisted Reproductive Therapy (ART). Iranian Journal of Reproductive Medicine, 10(5), 483-8. [PMID] [PMCID] [PMID] [PMCID]
22. Nagy, E. & Nagy, B. E., 2016. Coping with infertility: Comparison of coping mechanisms and psychological immune competence in fertile and infertile couples. Journal of Health Psychology, 21(8), pp. 1799-808. [DOI:10.1177/1359105314567206] [PMID] [DOI:10.1177/1359105314567206]
23. Newton, C. R., Sherrard, W. & Glavac, I., 1999. The fertility problem inventory: Measuring perceived infertility-related stress. Fertility and Sterility, 72(1), pp. 54-62. [DOI:10.1016/S0015-0282(99)00164-8] [DOI:10.1016/S0015-0282(99)00164-8]
24. Peterson, B. D., et al., 2006. Coping processes of couples experiencing infertility. Family Relations, 55(2), pp. 227-39. [DOI:10.1111/j.1741-3729.2006.00372.x] [DOI:10.1111/j.1741-3729.2006.00372.x]
25. Peterson, B. D., et al., 2008. The impact of partner coping in couples experiencing infertility. Human Reproduction, 23(5), pp. 1128-37. [DOI:10.1093/humrep/den067] [PMID] [DOI:10.1093/humrep/den067]
26. Peterson, B. D., et al., 2009. The longitudinal impact of partner coping in couples following 5 years of unsuccessful fertility treatments. Human Reproduction, 24(7), pp. 1656-64. [DOI:10.1093/humrep/dep061] [PMID] [DOI:10.1093/humrep/dep061]
27. Schmidt, L., et al., 2005. Communication and coping as predictors of fertility problem stress: Cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment. Human Reproduction, 20(11), pp. 3248-56. [DOI:10.1093/humrep/dei193] [PMID] [DOI:10.1093/humrep/dei193]
28. Schmidt, L., et al., 2005. Does infertility cause marital benefit?: An epidemiological study of 2250 women and men in fertility treatment. Patient Education and Counseling, 59(3), pp. 244-51. [DOI:10.1016/j.pec.2005.07.015] [PMID] [DOI:10.1016/j.pec.2005.07.015]
29. Slade, P., et al., 2007. The relationship between perceived stigma, disclosure patterns, support and distress in new attendees at an infertility clinic. Human Reproduction, 22(8), pp. 2309-17. [DOI:10.1093/humrep/dem115] [PMID] [DOI:10.1093/humrep/dem115]
30. Stoleru, S., et al., 1993. Psychological factors in the aetiology of infertility: A prospective cohort study. Human Reproduction, 8(7), pp. 1039-46. [DOI:10.1093/oxfordjournals.humrep.a138189] [PMID] [DOI:10.1093/oxfordjournals.humrep.a138189]
31. Van den Broeck, U., et al., 2010. Counselling in infertility: Individual, couple and group interventions. Patient Education and Counseling, 81(3), pp. 422-8. [DOI:10.1016/j.pec.2010.10.009] [PMID] [DOI:10.1016/j.pec.2010.10.009]
32. Varcarolis, E. M., 2002. Foundation of psychiatric mental health nursing: A clinical approach. Philadelphia: W. B. Saunders.
33. Wischmann, T., 2008. Implication of psychosocial support in infertility: A critical appraisal. Journal of Psychosomatic Obstetrics & Gynecology, 29(2), pp. 83-90. [DOI:10.1080/01674820701817870] [PMID] [DOI:10.1080/01674820701817870]
34. Wischmann, T., et al., 2009. Psychosocial characteristics of women and men attending infertility counselling. Human Reproduction, 24(2), pp. 378-85. [DOI:10.1093/humrep/den401] [PMID] [DOI:10.1093/humrep/den401]
35. Zupiria Gorostidi, X., et al., 2007. Stress sources in nursing practice: Evolution during nursing training. Nurse Education Today, 27(7), pp. 777-87. [DOI:10.1016/j.nedt.2006.10.017] [PMID] [DOI:10.1016/j.nedt.2006.10.017]
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