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Communication and coping as predictors of fertility problem stress: cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment
Abstract
BACKGROUND: We investigated coping strategies and communication strategies as predictors of fertility problem stress 12 months after start of fertility treatment. METHODS: We used a prospective, longitudinal cohort design including 2250 people beginning fertility treatment with a 12-month follow-up. Data were based on self-administered questionnaires measuring communication with partner and with other people, coping strategies: active-avoidance coping, active-confronting coping, passive-avoidance coping, meaning-based coping, and fertility problem stress. The study population included those participants (n = 816, men and women) who had not achieved pregnancy by assisted reproduction or delivery at follow-up. RESULTS: Among both men and women, difficulties in partner communication predicted high fertility problem stress (odds ratio for women, 3.47, 95% confidence interval 2.09-5.76; odds ratio for men, 3.69, 95% confidence interval 2.09-6.43). Active-avoidance coping (e.g. avoiding being with pregnant women or children, turning to work to take their mind off things) was a significant predictor of high fertility problem stress. Among men, high use of active-confronting coping (e.g. letting feelings out, asking other people for advice, seeking social support) predicted low fertility problem stress in the marital domain (odds ratio 0.53, 95% confidence interval 0.28-1.00). Among women, medium or high use of meaning-based coping significantly predicted low fertility problem stress in the personal and marital domain. CONCLUSION: The study provides information about where to intervene with fertility patients in order to reduce their stress after medically unsuccessful treatment.
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Cited by
The experience of infertility: a review of recent literature
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Who is at risk of emotional problems and how do you know? Screening of women going for IVF treatment
Verhaak, C. M., Lintsen, A. M. E., Evers, A. W. M., & Braat, D. D. M. (2010) · Human Reproduction · doi:10.1093/humrep/deq054 · Cited by 167
Assessing infertility stress: re-examining the factor structure of the Fertility Problem Inventory
Moura-Ramos, M., Gameiro, S., Canavarro, M. C., & Soares, I. (2012) · Human Reproduction · doi:10.1093/humrep/der388 · Cited by 105
Kagami, M., Maruyama, T., Koizumi, T., Miyazaki, K., Nishikawa-Uchida, S., Oda, H., Uchida, H., Fujisawa, D., Ozawa, N., Schmidt, L., et al. (2012) · Human Reproduction · doi:10.1093/humrep/der441 · Cited by 73
Self-citation
Metadata
- Authors
- Schmidt, L., Holstein, B. E., Christensen, U., & Boivin, J.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-07-08
- Volume
- 20
- Issue
- 11
- Pages
- 3248-3256
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2140584348
- Cited by
- 211
- References
- 3
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- closed
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