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Cited by 11Reproductive Health and TechnologiesAttachment and Relationship DynamicsMaternal Mental Health During Pregnancy and Postpartum

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Psychological Aspects of Infertility – Results from an Actor–Partner Interdependence Analysis

Open access
Thanscheidt, Carla Luisa, Pätsch, Patrick, Rösner, Sabine, Germeyer, Ariane, Krause, Manja, Kentenich, Heribert, Siercks, Ikbale, Häberlin, Felix, Ehrbar, Verena, Tschudin, Sibil, Böttcher, Bettina, Toth, Bettina, Wischmann, Tewes·2023·Geburtshilfe und Frauenheilkunde
DOI 10.1055/a-2041-2831PMC PMC10317563
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Abstract

Introduction For some patients, undergoing medical treatment for infertility is a cause of major emotional stress which the couple needs to deal with together; it can be said that infertility is a shared stressor. From the literature it is known that a subjectively perceived sense of self-efficacy supports the patient’s ability to cope adaptively with an illness. As the basis for this study, we assumed that high levels of self-efficacy are associated with low psychological risk scores (e.g., for anxiety or depressiveness), both in the patient themselves and in their partner. Accordingly, in infertility patients, targeted support to promote helpful self-efficacy expectations could represent a new counselling strategy that could enable psychologically vulnerable patients to better cope with the treatment procedure and treatment failures of medically assisted reproduction, making these patients less at risk with regard to psychosocial factors. Methods 721 women and men attending five fertility centers in Germany (Heidelberg, Berlin), Austria (Innsbruck), and Switzerland (St. Gallen, Basel) completed the SCREENIVF-R questionnaire to identify psychological risk factors for amplified emotional problems, as well as the ISE scale to measure self-efficacy. Using paired t-tests and the actor–partner interdependence model, we analyzed the data of 320 couples. Results Considering the study participants as couples, women had a higher risk score than men for four out of five risk factors (depressiveness, anxiety, lack of acceptance, helplessness). In all of the risk areas, it was possible to identify a protective effect from self-efficacy on the patient’s own risk factors (actor effect). There was a negative correlation between the men’s self-efficacy level and the women’s feelings of depressiveness and helplessness (partner effect, man → woman). The women’s self-efficacy levels had a positive correlation with acceptance and access to social support in the men (partner effect, woman → man). Conclusion Because infertility is generally something that a couple has to deal with together, future studies should focus on couples as the unit of analysis instead of just analyzing the men and women separately. In addition, couples therapy should be the gold standard in psychotherapy for infertility patients.

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  • Studies on the partnership dyad all conclude that partners will have a major impact on the patient's subjective experience and behaviour.

    “Studies on the partnership dyad all conclude that partners will have a major impact on the patient’s subjective experience and behaviour.”

    From Endometriosis: patient–doctor communication and psychological counselling (2023) · cites this paper as [28]

    The Results (Analysis of the couples: APIM results) report partner associations with depression, helplessness, acceptance, and social support. But all partner effects were small and considerably smaller than actor effects, so this paper does not support calling their impact “major.” It does not establish effects on behaviour or that all dyad studies reach this conclusion. (LLM, conf=0.88)

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Research works printed but not linked: 3

  1. A Bandura, 1994, Self-efficacy, 71
  2. C Spielberger, 1983, Manual for the State-Trait Anxiety Inventory (Form Y1–Y2)
  3. R Van Dam-Baggen, 1992, De inventarisatielijst Social Betrokkenheid (ISB): een zelfbeoordelingslijst om sociale steun te meten [The Inventarisation inventory to measure social integration: a self report inventory to assess social support], Gedragstherapie, 25, 27

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Metadata

Authors
Thanscheidt, C. L., Pätsch, P., Rösner, S., Germeyer, A., Krause, M., Kentenich, H., Siercks, I., Häberlin, F., Ehrbar, V., Tschudin, S., Böttcher, B., Toth, B., & Wischmann, T.
Affiliations
  • University Hospital Heidelberg (DE)
  • Heidelberg University (DE)
  • Fertility Center Berlin, Berlin, Germany
  • Fiore, St. Gallen, Switzerland
  • University Hospital of Basel (CH)
  • Innsbruck Medical University (AT)
  • Abteilung für Gynäkologische Endokrinologie und Reproduktionsmedizin, Medizinische Universität Innsbruck, Innsbruck, Austria
Corresponding author
Wischmann, Tewes
ORCID
Venue
Geburtshilfe und Frauenheilkunde
Publisher
Georg Thieme Verlag KG
Published
2023-04-14
Volume
83
Issue
07
Pages
843-849
ISSN
  • 0016-5751 (ISSN-L)
  • 1438-8804
DOI
10.1055/a-2041-2831
PMC
PMC10317563
OpenAlex
W4365504912
Cited by
10
References
21
Citations by year
2025: 5 · 2024: 2 · 2023: 3
FWCI
2.40
Type
journal article
Language
de
Open access
Licence
Locations
  • Geburtshilfe und Frauenheilkunde (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
infertility, self-efficacy, actor-partner interdependence, couples, anxiety, depressiveness, helplessness, acceptance, social support, psychological risk factors, assisted reproduction, infertility counseling, couple therapy

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