Cited by 27Mindfulness and Compassion InterventionsReproductive Health and TechnologiesMaternal Mental Health During Pregnancy and Postpartum

Effectiveness of mindful self-compassion therapy on psychopathology symptoms, psychological distress and life expectancy in infertile women treated with in vitro fertilization: a two-arm double-blind parallel randomized controlled trial

Open access
Sahraian, Kimia, Abdollahpour Ranjbar, Hamed, Namavar Jahromi, Bahia, Cheung, Ho Nam, Ciarrochi, Joseph, Habibi Asgarabad, Mojtaba·2024·BMC Psychiatry

Abstract

OBJECTIVES: Infertility is a prominent problem affecting millions of couples worldwide. Recently, there has been a hightened emphasis on elucidating the subtle linkages between infertility treatment leveraging assisted reproductive technology and the complex realm of psychological challenges, as well as efforts in implementation of psychological interventions.The Mindful Self-Compassion (MSC) program seeks to improve self-compassion, compassion for others, mindfulness, and life satisfaction while reducing depression, anxiety, and stress. In the current study, an MSC intervention was performed on infertile women (IW) undergoing in vitro fertilization (IVF) to assess the effectiveness of this intervention in reducing psychological distress and psychopathological symptoms and enhancing life expectancy. METHODS: Fifty-seven IW undergoing IVF were randomly allocated to two groups: MSC (n = 29) or treatment as usual (TAU; n = 28). Participants in MSC met once a week for two hours for eight weeks and attended a half-day meditation retreat. The Synder's Hope questionnaire and the Revised 90-Symptom Checklist (SCL-90-R) were used as the primary outcome measures. Data were obtained before the intervention, immediately after the intervention, and two months post-intervention. Repeated measures of ANCOVA and paired t-tests in all assessment points were used to compare the MSC and the TAU groups in outcomes. RESULTS: In the MSC group, hopelessness, anger-hostility, anxiety, interpersonal sensitivity difficulties, and depression were significantly reduced compared with the TAU group, and those improvements persisted at the two-month follow-up. Reliable change index revealed that the MSC group's gains were both clinically significant and durable. CONCLUSIONS: MSC can facilitate higher life satisfaction and mental well-being for IW undergoing IVF by reducing psychological distress, psychopathological symptoms, and hopelessness. These encouraging findings call for more research into the effectiveness of mindfulness-based therapies in addressing psychological problems among IW undergoing IVF.

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  • MBSR incorporates mindfulness meditation and yoga, helping individuals manage daily stress and emotional pain, building resilience and enhancing coping skills for infertility challenges.

    “Mindfulness-based stress reduction incorporates mindfulness meditation and yoga that helps individuals to manage daily stress and emotional pain, and builds resilence [44]. By fostering greater awareness and acceptance of one’s emotional state, MBSR can enhance coping skills for individuals facing infertility challenges [45].”

    From Psychosocial interventions for improving marital intimacy, sexual satisfaction, and quality of life of women and couples with infertility problems in low and middle-income countries: Systematic review protocol (2025) · cites this paper as [45]

    The ‘Self-compassion and the mindful self-compassion program’ section (page unavailable) says conventional mindfulness therapies improve self-awareness and acceptance, and reports improved coping with infertility after mindfulness-based interventions. The source studies mindful self-compassion (MSC), however, and does not establish that mindfulness-based stress reduction (MBSR) specifically enhances coping with infertility. The meditation-and-yoga description is attached to a different citation in the citing sentence. (LLM, conf=0.84)

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Research works printed but not linked: 2

  1. [30]Saif J, Rohail I, Aqeel M. Quality of life, coping strategies, and psychological distress in women with primary and secondary infertility; a mediating model. Nat-Nurture J Psychol. 2021;1(1) 10.47391/NNJP.02. · DOI
  2. [62]Anisi J, BABAII S, Barani M, Mohammadloo H, Ebrahimi F. Determine the psychometric properties by symptom Checklist-90-Revised (Scl-90-R) among military forces. 2016;17(453):13–8 https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=505913. Accessed 15 July 2022.

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Authors
Sahraian, K., Abdollahpour Ranjbar, H., Namavar Jahromi, B., Cheung, H. N., Ciarrochi, J., & Habibi Asgarabad, M.
Affiliations
  • Shiraz University of Medical Sciences (IR)
  • University of Hong Kong (HK)
  • Australian Catholic University (AU)
Venue
BMC Psychiatry
Published
2024-03-01
Volume
24
Issue
1
Pages
174-174
ISSN
1471-244X (ISSN-L)
OpenAlex
W4392357700
Cited by
27
References
100
Citations by year
2026: 12 · 2025: 12 · 2024: 3
FWCI
13.46
Type
journal article
Language
en
Open access
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
NTNU Norwegian University of Science and Technology
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
mindful self-compassion, infertility, in vitro fertilization, psychological distress, psychopathology, hopelessness, depression, anxiety, mindfulness-based interventions, life satisfaction, women's mental health
MeSH terms
Psychological Distress, Self-Compassion, Anxiety Disorders, Female, Fertilization in Vitro, Humans, Infertility, Female, Mindfulness

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