Psychological evaluation and support in a program of in vitro fertilization and embryo transfer

Freeman, Ellen W.; Boxer, Andrea S.; Rickels, Karl; Tureck, Richard; Mastroianni, Luigi

doi:10.1016/s0015-0282(16)48316-0

Cited by 319Reproductive Health and TechnologiesAssisted Reproductive Technology and Twin PregnancyMaternal Mental Health During Pregnancy and Postpartum

Psychological evaluation and support in a program of in vitro fertilization and embryo transfer

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Freeman, Ellen W., Boxer, Andrea S., Rickels, Karl, Tureck, Richard, Mastroianni, Luigi·1985·Fertility and Sterility

DOI 10.1016/s0015-0282(16)48316-0

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Abstract

This report describes the psychological evaluation of 200 couples consecutively seen at a pretreatment consultation in an in vitro fertilization and embryo transfer program. Attitudinal and emotional characteristics of the sample are also described. Half the women and 15% of the men reported that infertility is the most upsetting experience of their lives. On the Minnesota Multiphasic Personality Inventory (MMPI), approximately 20% of the males and females had one or more elevated scale scores, suggesting dysfunctional emotional distress or personality difficulties. Half the sample had high scores on the MMPI Ego Strength scale, which indicated effective functioning and ability to withstand stress. T scores for the Taylor Manifest Anxiety Scale were in the normal range before treatment. Further longitudinal study is needed to define the emotional impact of procedures and reactions to treatment outcomes.

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At least half of infertile women have described infertility as the most upsetting event of their lives.
“At least half of infertile women have described infertility as the most upsetting event of their lives”
From Infertility-related distress and clinical targets for psychotherapy: A qualitative study (2021) · cites this paper as [12]
Infertile women's distress has been found to be comparable with that of people with other chronic diseases like cancer.
“their distress has been found to be comparable with that of people with other chronic diseases like cancer.12”
From Infertility-related distress and clinical targets for psychotherapy: A qualitative study (2021) · cites this paper as [12]
Half of infertile women describe infertility as the most upsetting event of their life, whereas only 15% of their male partners do.
“In fact, half of infertile women describe infertility as the most upsetting event of their life whereas only 15% of their male partners do [5].”
From Acceptance and commitment therapy adapted for women with infertility: a pilot study of the Infertility ACTion program. (2024) · cites this paper as [5]

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Authors: Freeman, E. W., Boxer, A. S., Rickels, K., Tureck, R., & Mastroianni, L.
Affiliations: Hospital of the University of Pennsylvania (US)
ORCID: Freeman, Ellen W.
Venue: Fertility and Sterility
Publisher: Elsevier BV
Published: 1985-01
Volume: 43
Issue: 1
Pages: 48-53
ISSN: 0015-0282 (ISSN-L)
DOI: 10.1016/s0015-0282(16)48316-0
OpenAlex: W2230710480
Cited by: 319
References: 9
Citations by year: 2026: 4 · 2025: 7 · 2024: 11 · 2023: 3 · 2022: 7 · 2021: 15 · 2020: 7 · 2019: 5 · 2018: 9 · 2017: 5 · 2016: 5 · 2015: 12 · 2014: 11 · 2013: 12 · 2012: 10
FWCI: 8.26
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 13660 d)
Locations: Fertility and Sterility (publishedVersion)
PubMed (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords: in vitro fertilization, embryo transfer, infertility, psychological assessment, couples, emotional distress, personality difficulties, MMPI, ego strength, anxiety, psychological support
MeSH terms: Adult, Attitude, Counseling, Embryo Transfer, Emotions, Female, Fertilization in Vitro, Humans, Infertility, Male, Personality Inventory, Risk Assessment, Patient Selection

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Psychological evaluation and support in a program of in vitro fertilization and embryo transfer

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