Experiential avoidance, self-compassion, self-judgment and coping styles in infertility
Open accessAbstract
Objectives This study sought out to explore the existence of differences regarding emotion regulation processes (psychological inflexibility/experiential avoidance, self-judgment and self-compassion) and coping styles (emotional/detached, avoidant and rational) in three different groups of couples: 120 fertile couples (FG), 147 couples with an infertility diagnosis who were pursuing medical treatment for their fertility problem(s) (IG), and 59 couples with infertility applying for adoption (AG).Study design Cross-sectional survey, using the couple as unit of analysis.Main outcome measures Participants filled in paper-pencil questionnaires assessing coping styles, psychological inflexibility/experiential avoidance, self-judgment and self-compassion.Results IG couples, and particularly women, tend to use more experiential avoidance and self-judgment mechanisms and less emotional/detached coping style. When compared to FG couples, IG and AG couples tend to apply more avoidant coping strategies. AG couples showed higher self-compassion.Conclusions Findings suggest that emotion regulation processes may be an important target in psychological interventions for patients dealing with infertility and with the demands of medical treatment.
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The literature suggests that ACT is a potentially suitable approach and an effective treatment for patients dealing with infertility.
“Thus, the literature suggests that ACT is a potentially suitable approach and an effective treatment for patients dealing with infertility (Pinto-Gouveia etal., 2012; Cunha etal., 2016; Rahimi etal., 2019; Hosseinpanahi etal., 2020).”
From Mapping acceptance and commitment therapy outcomes in the context of infertility: a systematic review (2024) · cites this paper as Cunha et al., 2016
The Conclusions (page not provided) say that Acceptance and Commitment Therapy may be adequate for patients dealing with infertility, supporting its potential suitability. They say contextual therapies may expand treatment effectiveness, but do not establish that ACT is an effective treatment. The study’s cross-sectional design also does not test ACT treatment outcomes. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIndividuals confronted with fertility problems tend to display maladaptive coping strategies, avoiding thoughts, emotions, and situations related to pregnancy or parenting as a way of dealing with infertility (Cunha et al., 2016; Galhardo et al., 2019).
“Therefore, individuals confronted with fertility problems tend to display maladaptive coping strategies as they tend to avoid thought, emotions, and situations that are somehow related to pregnancy or parenting as a way of dealing with the painful experience of infertility (Cunha etal., 2016; Galhardo etal., 2019).”
From Mapping acceptance and commitment therapy outcomes in the context of infertility: a systematic review (2024) · cites this paper as Cunha et al., 2016
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Experimental — accuracy not yet measuredCouples diagnosed with infertility tend to have higher experiential avoidance scores (Cunha et al., 2016).
“In fact, couples diagnosed with infertility tend to have higher experiential avoidance scores (Cunha etal., 2016).”
From Mapping acceptance and commitment therapy outcomes in the context of infertility: a systematic review (2024) · cites this paper as Cunha et al., 2016
Couples with an infertility diagnosis pursuing medical treatment presented significantly higher scores of experiential avoidance compared to fertile couples and couples applying for adoption.
“Studies addressing experiential avoidance in people dealing with infertility are scarce but couples with an infertility diagnosis pursuing medical treatment presented signi fi cantly higher scores of experiential avoidance when compared to fertile couples and couples applying for adoption (Cunha, Galhardo, & Pinto-Gouveia, 2016).”
From Infertility-related stress and depressive symptoms – the role of experiential avoidance: a cross-sectional study. (2020) · cites this paper as Cunha, Galhardo, & Pinto-Gouveia, 2016
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Mental health in women undergoing gynecological surgery at risk of infertility
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Parental Infertility: Impact of the Quality of the Relation between Parents and Adopted Children
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Predictors of psychosocial well-being in patients seeking fertility treatment in South Africa
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- Authors
- Cunha, M., Galhardo, A., & Pinto-Gouveia, J.
- Affiliations
- Instituto Superior Miguel Torga (PT)
- Corresponding author
- Galhardo, Ana
- Venue
- Sexual & Reproductive Healthcare
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 10
- Pages
- 41-47
- ISSN
- 1877-5756 (ISSN-L)
- OpenAlex
- W2331644535
- Cited by
- 48
- References
- 62
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 9 · 2022: 5 · 2021: 5 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 3
- FWCI
- 5.32
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Sexual & Reproductive Healthcare (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Funders
- Portuguese Foundation for Science and Technology (SFRH/BD/68392/2010)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- infertility, experiential avoidance, psychological inflexibility, self-compassion, self-judgment, coping styles, emotion regulation, couples, infertility treatment, adoption, avoidance coping, rational coping
- MeSH terms
- Self-Control, Adaptation, Psychological, Adult, Cross-Sectional Studies, Depression, Empathy, Female, Humans, Infertility, Male, Quality of Life, Self Efficacy
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