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Infertile Partnersʼ Coping Strategies Are Interrelated – Implications for Targeted Psychological Counseling
Open accessAbstract
Background Infertility patients often have high stress levels which, in some cases, represent a risk of developing depression or anxiety. The SCREENIVF questionnaire is a validated tool to evaluate such risks. Some coping strategies have been shown to be correlated with infertile couplesʼ levels of stress. Determining which strategies are correlated with higher levels of risk for depression or anxiety could be useful to offer targeted psychological counseling to reduce the risk of depression or anxiety. Materials and Methods A total of 296 women and men who attended the Fertility Center at Heidelberg University Hospital completed the SCREENIVF questionnaire and the COMPI coping scales. Data were analyzed first on an individual basis and focused on the couple, using the Actor Partner Interdependence Model. Results On an individual level, active avoidance coping was positively correlated with a higher risk of depression or anxiety in women, while meaning-based coping was negatively correlated with risk in men. When the results of couples were viewed together, women and men using active avoidance coping exhibited higher risk scores as individuals (actor effect), as did their partners (partner effect). Women who used meaning-based coping had positive actor and partner effects. Women using active-confronting coping had a negative partner effect (higher risk score for men). Conclusions These findings indicate that some coping strategies may have a protective effect while others may increase the risk of emotional maladjustment in infertile couples. Further analysis of coping strategies could help to identify new counseling approaches for infertile patients.
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Active-avoidant coping behaviour can increase the negative psychological impact of a disease, while an active-confronting approach can reduce that impact.
“We know from coping research that active-avoidant coping behaviour can increase the negative psychological impact of a disease. In contrast, an active-confronting approach can reduce that impact.”
From Endometriosis: patient–doctor communication and psychological counselling (2023) · cites this paper as [30]
The Discussion and Conclusion reports that active-avoidance coping was positively correlated with psychological risk in infertile partners. The evidence for active-confronting coping is mixed: the couples analysis reports lower risk scores for men in one comparison, but the discussion reports increased risk scores in men whose partners used it. These associations do not establish that either strategy causes a change in the psychological impact of disease generally. The supplied copy gives no page numbers. (LLM, conf=0.88)
Experimental — accuracy not yet measuredStudies 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 [30]
In ‘Coping strategies and risk factors: analysis of couples’ (page unavailable), the paper links a partner’s coping strategy to the other partner’s psychological-distress risk. It does not establish an effect on the patient’s behaviour, and its findings are correlational, with most effect sizes described as small. The broader assertion that dyad studies ‘all conclude’ partners have a major impact is therefore not supported by this paper. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe same is true of meaningful coping strategies.
“The same is true of meaningful coping strategies [30].”
From Endometriosis: patient–doctor communication and psychological counselling (2023) · cites this paper as [30]
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Metadata
- Authors
- Volmer, L., Rösner, S., Toth, B., Strowitzki, T., & Wischmann, T.
- Affiliations
- Heidelberg University (DE)
- Universitätsfrauenklinik, Abteilung für Gynäkologische Endokrinologie und Fertilitätsstörungen, Heidelberg, Germany
- Corresponding author
- Volmer, L.
- ORCID
- Wischmann, T.
- Venue
- Geburtshilfe und Frauenheilkunde
- Publisher
- Georg Thieme Verlag KG
- Published
- 2017-01-30
- Volume
- 77
- Issue
- 01
- Pages
- 52-58
- ISSN
- 0016-5751 (ISSN-L)
- 1438-8804
- PMC
- PMC5283173
- OpenAlex
- W2579972532
- Cited by
- 40
- References
- 22
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 2 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 3
- FWCI
- 4.45
- Type
- journal article
- Language
- de
- Open access
- bronze
- doi.org
- Locations
- Geburtshilfe und Frauenheilkunde (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Society of Human Reproduction and Embryology
- 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, coping strategies, infertile couples, depression risk, anxiety risk, psychological counseling, meaning-based coping, actor-partner interdependence
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