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The relationship between psychological coping and mood across the menstrual cycle among distressed women struggling to conceive
Abstract
Objectives Infertility is disproportionately associated with distress in women yet there has been limited research focusing on the relationship between coping strategies and fertility-monitoring techniques on distress in women struggling to conceive naturally.Methods Fifty-eight distressed women with infertility were recruited via social media. Every second day women's depressive and anxious mood was assessed in the morning and again in the evening along with their psychological coping strategies, the use of fertility monitoring techniques, and Fertility Quality of Life emotion subscale, over the course of one full menstrual cycle.Results During menstruation and statistically adjusting for morning depressive mood, active coping (β(SE) = -1.35 (0.36), p < .001) and behavioural engagement (β(SE) = -0.98 (0.35), p = .006) were associated with less depressive mood in the evening. Across all phases, social support seeking was associated with greater anxiety (β(SE) = 0.50 (0.20), p = .013) and lower emotional quality of life (β(SE) = -0.82 (0.32), p = .011). Use of fertility monitoring techniques was associated with heightened anxiety (M(SE) = 6.7 (0.2) vs. 5.9 (0.2), p < .001). The use of avoidance strategies (β(SE) = 3.22 (1.29), p = .016), endorsement of optimism (β(SE) = -4.72 (1.78), p = .011) and social support seeking (β(SE) = 3.09 (1.18), p = .012) throughout the cycle were significantly predictive of depression ratings following a negative pregnancy test, despite statistically adjusting for mean depression ratings throughout the menstrual cycle.Conclusion These findings highlight a number of cognitive and behavioural strategies that could be manipulated via psychological interventions to improve distress among women struggling to conceive.
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Attempting to conceive without medical intervention is associated with similar rates of psychopathology as medically assisted reproduction.
“Attempting to conceive without medical intervention is associated with similar rates of psychopathology [8, 9].”
From Acceptance and commitment therapy adapted for women with infertility: a pilot study of the Infertility ACTion program. (2024) · cites this paper as [8]
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Metadata
- Authors
- Balsom, A. A., & Gordon, J. L.
- Affiliations
- University of Regina (CA)
- Corresponding author
- Gordon, Jennifer L.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2021-06
- Volume
- 145
- Pages
- 110465
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W3152128819
- Cited by
- 15
- References
- 56
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 1
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Social Sciences and Humanities Research Council of Canada
- Saskatchewan Health Research Foundation
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- infertility, coping, menstrual cycle, depressive mood, anxiety, fertility monitoring, social support seeking, avoidance strategies, optimism, emotional quality of life, pregnancy testing
- MeSH terms
- Adaptation, Psychological, Affect, Anxiety, Female, Humans, Menstrual Cycle, Quality of Life, Stress, Psychological
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