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Cited by 142Reproductive Health and TechnologiesResilience and Mental HealthMaternal Mental Health During Pregnancy and Postpartum

Resilience acts as a moderator in the relationship between infertility-related stress and fertility quality of life among women with infertility: a cross-sectional study

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Li, Yifei, Zhang, Xin, Shi, Meng, Guo, Shuaishuai, Wang, Lie·2019·Health and Quality of Life Outcomes
DOI 10.1186/s12955-019-1099-8PMC PMC6377764
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Abstract

BACKGROUND: Infertility-related stress can seriously impact the fertility quality of life (QoL) of infertile women. Resilience, as a coping resource, can effectively combat psychological stress. This study aimed to evaluate the fertility QoL of infertile women and to examine whether resilience moderates the association of infertility-related stress with fertility QoL. METHODS: This cross-sectional study was conducted in northeast of China from December 2017 to February 2018. Out of 559 women outpatients with infertility, 498 (89.1%) completed self-reported questionnaires including the FertiQoL Scale, Fertility Problem Inventory (FPI) and Connor-Davidson Resilience Scale (CD-RISC). Hierarchical multiple regression analysis and simple slope analysis were applied to explore the influencing factors related to fertility QoL as well as to examine the moderating effect of resilience on the association of infertility-related stress with fertility QoL. RESULTS: The mean FertiQoL score was 64.54 ± 16.90 among the participants. Household monthly income and causes of infertility were significantly related to fertility QoL. In addition, infertility-related stress was negatively related to fertility QoL, and resilience was positively associated with fertility QoL, explaining 36.3% of the variance. Resilience moderated the association of infertility-related stress with fertility QoL. Specifically, the effect of infertility-related stress on fertility QoL varied by low(1 SD below the mean, B = - 0.496, β = - 0.714, P < 0.001), mean (B = - 0.293, β = - 0.422, P < 0.001) and high (1 SD above the mean, B = - 0.090, β = - 0.130, P < 0.001) levels of resilience. The higher resilience was, the weaker the effect of infertility-related stress on fertility QoL was. CONCLUSIONS: Overall, women with infertility in China had relatively low FertiQoL scores. Resilience influenced the association of infertility-related stress with fertility QoL. Infertile patients' psychological status must be addressed and adequate resilience-based interventions such as mindfulness-based skills should be provided to improve fertility QoL of women with infertility.

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Authors
Li, Y., Zhang, X., Shi, M., Guo, S., & Wang, L.
Affiliations
  • China Medical University (CN)
  • Shenyang Women and Infants Hospital (CN)
Corresponding author
  • Guo, Shuaishuai
  • Wang, Lie
ORCID
Venue
Health and Quality of Life Outcomes
Publisher
Springer Science and Business Media LLC
Published
2019-02-15
Volume
17
Issue
1
Pages
38-38
ISSN
1477-7525 (ISSN-L)
DOI
10.1186/s12955-019-1099-8
PMC
PMC6377764
OpenAlex
W2922176289
Cited by
142
References
59
Citations by year
2026: 8 · 2025: 8 · 2024: 8 · 2023: 16 · 2022: 17 · 2021: 22 · 2020: 62 · 2019: 1
FWCI
24.39
Type
journal article
Language
en
Open access
Licence
Locations
  • Health and Quality of Life Outcomes (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
infertility, infertility-related stress, FertiQoL, resilience, moderating effect, women's psychological well-being, causes of infertility, household income, mindfulness-based interventions, Connor-Davidson Resilience Scale, Fertility Problem Inventory, China, Northeast China, resilience interventions, coping with infertility, mindfulness-based stress reduction
MeSH terms
Adult, China, Cross-Sectional Studies, Female, Humans, Infertility, Female, Infertility, Male, Male, Quality of Life, Regression Analysis, Stress, Psychological, Resilience, Psychological, Self Report

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