ANTECEDENTS OF SUBJECTIVE WELL- BEING AMONG INFERTILE COUPLES UNDERGOING IN VITRO FERTILIZATION TREATMENT
Keywords:
infertile couples, subjective well-being, satisfaction with life, negative emotional disposition, predictorsAbstract
Infertility among couples is associated with a large number of psychological problems, including low levels of subjective well-being. The present cross-sectional study was planned to explore an integrative model of subjective well-being antecedents among infertile couples undergoing in vitro fertilization treatment. The sample consisted of 85 infertile couples who underwent a single psychological counselling session before medical treatments. Participants completed several standardized measures, in order to capture the level of neuroticism, alexithymia, infertility-related locus of control, irrational cognitions, and stress, overall satisfaction with life, negative emotional disposition, and couple relationship quality. A hypothetical structural model was tested using path analysis with AMOS 20.0. Together, neuroticism, alexithymia, locus of control, and irrational cognitions accounted for almost 50% of the variance in infertility-related stress. Infertility-related stress was a negative predictor of overall satisfaction with life. Moreover, infertility-related stress had a significant contribution to the prediction of negative emotional disposition. Couple relationship quality was also a predictor of subjective well-being. Our results have practical implications for counselors working with infertile couples.References
Abbey, A., Andrews, F. M., Halman, L. J. (1992). Gender’s role in responses to infertility. Psychological Women Quaterly, 15 (2), 295-316.
Abbey, A., Andrews, F. M., Halman, L. J. (1991). Infertility and subjective well-being: The mediating roles of self-esteem, internal control and interpersonal conflict. Journal of Marriage and Family, 54 (2), 408-417.
Abbey, A., Halman, L. J., & Andrews, F. M (1992). Psycho-social, treatment, and demographic predictors of the stress associated with infertility. Fertility and Sterility, 57 (1), 122-128.
Andrews, F. M., Abbey, A., & Halman, L. J. (1991). Stress from infertility, marriage factors and subjective well-being of wives and husbands. Journal of Health and Social Behavior, 32 (3), 238-253.
Arbuckle, J. L. (2007). Amos™ 16.0 User’s Guide. Chicago, IL: Amos Development Corporation.
Ardenti, R., Campari, C., Agazzi, L., & La Sala, G. B. (1999). Anxiety and perceptive functioning of infertile women during in vitro fertilization: Exploratory survey of an Italian sample. Human Reproduction, 14 (12), 3126-3132.
Arrindell, W. A., Meeuwesen, L., & Huyse, F. J. (1991). The Satisfaction with Life Scale (SWLS): Psychometric properties in a nonpsychiatric medical outpatients sample. Personality and Individual Differences, 12 (2), 117-123.
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale – I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38 (1), 23-32.
Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994). The twenty-item Toronto Alexithymia Scale – II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38 (1), 33-40.
Berwick, D. M., Murphy. J. M., Goldman. P. A., Ware, J. E. Jr., Barsky, A. J., & Weinstein, M. C. (1991). Performance of a five-item mental health screening test. Medical Care, 29 (2), 169-176.
Besharat, M. A. (2009). Alexithymia and interpersonal problems. Studies in Education & Psychology, 1, 129-145.
Boivin, J., Appleton, T. C., Baetens, P., Baron, J., Bitzer, J., Corrigan, E., Daniels, K. R., Darwish, J., Guerra-Diaz, D., Hammar, M., McWhinnie, A., Strauss, B., Thorn, B., Wischmann, T., & Kentenich, H. (2001). Guidelines for counselling in infertility: Outline version. Human Reproduction, 16 (6), 1301-1304.
Bouchard, G.., Lussier, Y., & Sabourin, S. (1999). Personality and marital adjustment: Utility of the Five-Factor Model of personality. Journal of Marriage and Family, 61 (3), 651-660.
Bowen, N. K., & Guo, S. (2012). Structural Equation Modeling. New York: Oxford University Press.
Buck, R. (1992). Emotional communication, emotional competence and physical illness: A developmental-interactionist view. In H. C. Traue & J. W. Pennebaker (Editors), Emotion, Inhibition and Health (pp. 32- 57). Seattle, WA: Hogrefe & Huber.
Butnaru, L.-I. (2011). Studii clinice şi genetice în tulburările de reproducere (Teză de doctorat). Iaşi: Universitatea de Medicină şi Farmacie “Gr. T. Popa”, Facultatea de Medicină. Rezumat disponibil pe http://www.umfiasi.ro.
Byrne, B. M. (2010). Structural Equation Modeling with AMOS. Basic Concepts, Applications and Programming (2nd ed.). New York: Routledge.
Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual Review of Psychology, 61, 679-704.
Chachamovich, J. L. R., Chachamovich, E., Fleck, M. P.; Cordova, F. P., Knauth, D. R., & Passos, E. P. (2009). Congruence of quality of life among infertile men and women: Findings from a couple-based study. Human Reproduction, 24 (9), 2151-2157.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112 (1), 155-159.
Conrad, R., Schilling, G., Langenbuch, M., Haidl, G., & Liedtke, R. (2001). Alexithymia in male infertility. Human Reproduction,16 (3), 587-92.
Costa, P. T., Jr., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO PI-R TM) and NEO Five-Factor Inventory (NEO-FFI). Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc.
Covington, S. N., & Hammer-Burns, L. H. (2006). Infertility Counseling: A Comprehensive Handbook for Clinicians (2nd ed.). New York: Cambridge University Press.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49 (1), 71-75.
Donnelly, D. A. (1993). Sexually inactive marriages. The Journal of Sex Research, 30 (2), 171- 179.
Dumitru, R., Turliuc, M. N. (2015). Predictori ai stresului în cuplurile infertile. Revista de Psihologie, 61 (4), 268-282.
Dumitru, R., Turliuc, M. N. (2014). Construction and validation of the Resilience Assessment Scale for Infertile Couples (RASIC). În S. Ionescu (Editor), The Second World Congress on Resilience: From Person to Society (pp. 1069-1073). Bologna: Medimond.
Dumitru, R., Turliuc, M. N., & Herb, S. (2014). Resilience in infertile couples. Construction and validation of the Resilience Assessment Questionnaire: A confirmatory study. În I. Boldea (Coordonator), Communication, Context, Interdisciplinarity (pp. 400-408). Tîrgu Mureş: “Petru Maior” University Press.
Dunkel-Schetter, C. A., & Lobel, M. (1991). Psychological reactions to infertility. In A. L. Stanton & C. A. Dunkel-Schetter (Editors), Infertility: Perspectives from Stress and Coping Research (pp. 29-57). New York: Plenum.
Durning, P. E., & Williams, R. S. (2004). Factors influencing expectations and fertility-related adjustment among women receiving infertility treatment. Fertility and Sterility, 82 (suppl. 2), S101. Articol disponibil pe http://www.fertstert.org.
Eid, P., & Boucher, S. (2012). Alexithymia and dyadic adjustment in intimate relationships: Analyses using the actor-partner interdependence model. Journal of Social and Clinical Psychology, 31 (10), 1095-1111.
Fardiazar, Z., Amanati, L., & Azami, S. (2012). Irrational parenthood cognitions and health-related quality of life among infertile women. International Journal of General Medicine, 5 (3), 591-596.
Farzadi, L., & Ghasemzadeh, A. (2008). Two main independent predictors of depression among infertile women: An Asian experience. Taiwanese Journal of Obstetrics and Gynecology, 47 (2), 163-167.
Fekkes, M., Buitendijk, S. E., Verrips, G. H., Braat, D. D., Brewaeys, A. M., Dolfing, J. G., Kortman, M., Leerentveld, R. A., & Macklon, N. S. (2003). Health-related quality of life in relation to gender and age in couples planning IVF treatment. Human Reproduction, 18 (7), 1536- 1543.
Gourounti, K., Lykeridou, K., & Vaslamatzis, G. (2012). Increased anxiety and depression in Greek infertile women results from feelings of marital stress and poor marital communication. Health Science Journal, 6 (1), 69-81.
Greil, A. L. (1997). Infertility and psychological distress: A critical review of the literature. Social Science & Medicine, 45 (11), 1679-1704.
Guţan, S. (2009). Reproducerea umană asistată medical şi filiaţia (Teză de doctorat). Sibiu: Universitatea “Lucian Blaga”, Facultatea de Drept “Simion Bărnuţiu”. Rezumat disponibil pe http://www.doctorate.ulbsibiu.ro.
Herrmann, D., Scherg, H., Verres, R., Von Hagens, C., Strowitzki, T., & Wischmann, T. (2011). Resilience in infertile couples acts as a protective factor against infertility-specific distress and impaired quality of life. Journal of Assisted Reproduction and Genetics, 28 (11), 1111-1117.
Holter, H., Anderheim, L., Bergh, C., & Möller, A. (2006). First IVF treatment: Short-term impact on psychological well-being and the marital relationship. Human Reproduction, 21 (12), 3295-3302.
Inhorn, M. C. (2004). Middle Eastern masculinities in the age of new reproductive technologies: Male infertility and stigma in Egypt and Lebanon. Medical Anthropology Quarterly, 18 (2), 162-182.
John, O. P., Donahue, E. M., & Kentle, R. L. (1991). The “Big Five” Inventory – Versions 4a and 54. Berkeley, CA: University of California Berkeley, Institute of Personality and Social Research.
Jordan, C., & Revenson, T. A. (1999). Gender differences in coping with infertility: A meta-analysis. Journal of Behavioral Medicine, 22 (4), 341- 358.
Kamp Dush, C. M., Taylor, M. G., & Kroeger, R. A. (2008). Marital happiness and psychological well-being across the life course. Family Relations, 57 (2), 211-226.
Kim, H. K., & McKerny, P. C. (2002). The relationship between marriage and psychological well-being: A longitudinal analysis. Journal of Family Issues, 23 (8), 885-991.
Koropatnick, S., Daniluk, J., & Pattinson, H. A. (1993). Infertility: A nonevent transition. Fertil Steril, 59 (1), 163-171.
Lamas, C., Chambry, J., Nicolas, I., Frydman, R., Jeammet, P., & Corcos, M. (2006). Alexithymia in infertile women. Journal of Psychosomatic Obstetrics & Gynecology, 27 (1), 23-30.
Larson, J. H., & Holman, T. B. (1994). Premarital predictors of marital quality and stability. Family Relations, 43 (2), 228-237.
Levant, R. F. (1992). Toward the reconstruction of masculinity. Journal of Family Psychology, 5 (3-4), 379-402.
Litt, M.D., Tennen, H., Affleck, G., & Klock, S. (1992). Coping and cognitive factors in adaptation of in vitro fertilization failure. Journal of Behavioral Medicine, 15 (2), 171-187.
Mahajan, N. N., Turnbull, D. A., Davies, M. J., Jindal, U. N., Briggs, N. E., & Taplin, J. E. (2009). Adjustment to infertility: The role of intrapersonal and interpersonal resources/vulnerabilities. Human Reproduction, 24 (4), 906-912.
Matsubayashi, H., Hosaka, T., Izumi, S.-I., Suzuki, T., Kondo, A., & Makino, T. (2004). Increased depression and anxiety in infertile Japanese women resulting from lack of husband’s support and feelings of stress. General Hospital Psychiatry, 26 (5), 398-404.
Matsubayashi, H., Hosaka, T., Izumi, S., Suzuki, T., & Makino, T. (2001). Emotional distress of infertile women in Japan. Human Reproduction, 16 (5), 966-969.
Meller, W., Hammer Burns, L., Crow, S., & Grambsch, P. (2002). Major depression in unexplained infertility. Journal of Psychosomatic and Obstetrics Gynaecology, 23 (1), 27-30.
Mierlă, D. M. (2012). Studiu privind cauzele genetice ale infertilităţii în populaţia din România (Teză de doctorat). Bucureşti: Universitatea din Bucureşti, Facultatea de Biologie. Rezumat disponibil pe http://www.unibuc.ro.
Morgan, G. A., Leech, N. L., Gloeckner, G. W., & Barrett, K. C. (2004). SPSS for Introductory Statistics: Use and Interpretation (2nd ed.). New Jersey: Lawrence Erlbaum Associates, Inc.
Newton, C. R., Sherrard, W., & Glavac, I. (1999). The Fertility Problem Inventory: Measuring perceived infertility-related stress. Fertil Steril, 72 (1), 54-72.
Parker, J. D. A., Shaughnessy, P. A., Wood, L. M., Majeski, S. A., & Eastabrook, J. M. (2005). Cross-cultural alexithymia Validity of the 20-item Toronto Alexithymia Scale in North American aboriginal populations. Journal of Psychosomatic Research, 58 (1), 83-88.
Parker, J. D. A., Taylor, G. J., & Bagby, R. M. (2003). The 20-Item Toronto Alexithymia Scale III. Reliability and factorial validity in a community population. Journal of Psychosomatic Research, 55 (3), 269- 275.
Pérusse, F., Boucher, S., & Fernet, M. (2012). Observation of couple interactions: Alexithymia and communication behaviors. Personality and Individual Differences, 53 (8), 1017-1022.
Popa, M. (2008). Statistică pentru psihologie. Teorie şi aplicaţii SPSS (Ediţia a IIa revăzută şi adăugită). Iaşi: Polirom.
Pruteanu, L. M. (2014). Predictors of postsurgical stress among cardiac patients. Revista Medico-Chirurgicală, 118 (2), 508-513.
Ramezanzadeh, F., Aghssa, M. M., Abedinia, N., Zayeri, F., Khanafshar, N., Shariat, M., Jafarabadi, M. (2004). A survey of relationship between anxiety, depression and duration of infertility. BMC Women’s Health, 4: 9. Articol disponibil online pe http://www.ncbi.nlm.nih.gov.
Rolland, J.-P. (2004). L’évaluation de la personnalité. Le modéle en cinq facteurs. Sprimont: Mardaga.
Rust, J., Bennun, I., Crowe, M., & Golombok, S. (1990). The GRIMS. A psychometric instrument for the assessment of marital discord. Journal of Family and Therapy, 12 (1), 45-57.
Rust, J., Bennun, I., Crowe, M., & Golombok, S. (1986). The GolombokRust Inventory of Marital State (GRIMS). Sexual and Marital Therapy, 1 (1), 55-60.
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research, 8 (2), 23-74.
Schmitt, D. P., Allik, J., & McCrae, R. R., Benet-Martínez, V., et al. (2007). The geographic distribution of Big Five personality traits. Patterns and profiles of human self-description across 56 nations. Journal of Cross-Cultural Psychology, 38 (2), 173-212.
Slade, P., Emery, J., & Lieberman, B. A. (1997). A prospective longitudinal study of emotions and relationships in in-vitro fertilization treatment. Humam Reproduction, 12 (1), 183-190.
Strodl, E., & Kenardy, J. (2008). The 5-item Mental Health Index predicts the initial diagnosis of nonfatal stroke in older women. Journal of Women’s Health, 17 (6), 979-986.
Taylor, G. J., & Bagby, R. M. (2004). New trends in alexithymia research. Psychoterapy and Psychosomatics, 73 (2), 68-77.
Terry, D. J., & Hynes, G. J. (1998). Adjustment to a low-control situation: Reexamining the role of coping responses. Journal of Personality and Social Psychology, 74 (4), 1078-1092.
Tudorache-Dumitru, R. (2015). Factori psihologici asociaţi succesului procedurii de fertilizare in vitro la cuplurile diagnosticate cu infertilitate (Teză de doctorat). Iaşi: Universitatea “Alexandru Ioan Cuza”, Facultatea de Psihologie şi Ştiinţe ale Educaţiei.
Vanheule, S., Desmet, M., Meganck, R., & Bogaerts, S. (2007). Alexithymia and interpersonal problems. Journal of Clinical Psychology, 63 (1), 109-117.
Verhaak, C. M., Smeenk, J. M. J., van Minnen, A., Kremer, J. A. M., & Kraimaat, F. W. (2005). A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Human Reproduction, 20 (8), 2253-2260.
Volgsten, H., Svanberg, A. S., & Olsson, P. (2010). Unresolved grief in women and men in Sweden three years after undergoing unsuccessful in vitro fertilization treatment. Acta Obstetricia et Gynecologica Scandinavica, 89 (10), 1290-1297.
Wester, S. R., Vogel, D. L., Pressly, P. K., & Heesacker, M. (2002). Sex differences in emotion: A critical review of the literature and implications for counseling psychology. The Counseling Psychologist, 30 (4), 630-652.
Wischmann, T., Stammer, H., Scherg, H., Gerhard, I., & Verres, R. (2001). Psychosocial characteristics of infertile couples: A study by the Heidelberg Fertility Consultation Service. Human Reproduction, 16 (8), 1753-1761.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant this journal right of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work, with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g. post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as an earlier and greater citation of published work (See The Effect of Open Access).