Addressing the emotional barriers to access to reproductive care

Rich, C.; Domar, Alice D.

doi:10.1016/j.fertnstert.2016.02.017

Cited by 36 publications

(29 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 Researchers have also shown that despite a good prognosis and having the finances available to pay for treatment, discontinuation is most often due to psychological reasons. [13][14][15] The impact of stress on treatment outcome…”

Section: The Psychological Impact Of Infertility: Depression Anxietymentioning

confidence: 99%

The relationship between stress and infertility

Rooney

Domar

2018

Dialogues in Clinical Neuroscience

Self Cite

397

184

View full text Add to dashboard Cite

The relationship between stress and infertility has been debated for years. Women with infertility report elevated levels of anxiety and depression, so it is clear that infertility causes stress. What is less clear, however, is whether or not stress causes infertility. The impact of distress on treatment outcome is difficult to investigate for a number of factors, including inaccurate self-report measures and feelings of increased optimism at treatment onset. However, the most recent research has documented the efficacy of psychological interventions in lowering psychological distress as well as being associated with significant increases in pregnancy rates. A cognitive-behavioral group approach may be the most efficient way to achieve both goals. Given the distress levels reported by many infertile women, it is vital to expand the availability of these programs.

show abstract

Section: The Psychological Impact Of Infertility: Depression Anxietymentioning

confidence: 99%

The relationship between stress and infertility

Rooney

Domar

2018

Dialogues in Clinical Neuroscience

Self Cite

397

184

View full text Add to dashboard Cite

show abstract

“…However, assisted reproduction techniques in clinical practice are performed only through medical-biological procedures, and although psychological issues are considered to be important, they play a secondary role in diagnostic procedures as well as in infertility treatment [23]. The scientific-technical advances in assisted reproduction and the medicalization of infertility continue to grow disproportionately compared to attention paid to the emotional response of women and men facing this experience, alone or as a couple [24].…”

Section: Infertilitymentioning

confidence: 99%

Reproductive Psychology and Infertility

Gras¹

2017

Acta Psychopathol

View full text Add to dashboard Cite

“…Assisted reproductive technology (ART) treatments are expensive (Cassettari et al, 2016;Chambers et al, 2013) and are associated with a considerable physical and psychological burden for patients (Boivin et al, 2012;Domar et al, 2012;Gameiro et al, 2012;Rich and Domar, 2016). The psychological burden of infertility treatment is commonly associated with stress caused by relationship strain, and with anxiety and depression resulting from unsuccessful treatment (Domar et al, 2010(Domar et al, , 2018.…”

Section: Introductionmentioning

confidence: 99%

Patient perceptions and understanding of treatment instructions for ovarian stimulation during infertility treatment

Barrière¹,

Avril²,

Benmahmoud-Zoubir³

et al. 2019

Reproductive Biomedicine & Society Online

View full text Add to dashboard Cite

The impact of patient-physician communication and levels of understanding of treatment on patient knowledge and compliance has been studied in patients undergoing their first cycle of infertility treatment. This observational, real-life, longitudinal study involved 488 patients from 28 infertility centres in France. Data on communication quality, understanding of treatment instructions, patient knowledge and compliance to treatment protocol were collected through questionnaires administered before treatment initiation (V1) and at oocyte retrieval (V2). At V1, patients were very satisfied with their levels of understanding of the injection and monitoring schedules, the information given by the medical team, and the way of receiving instructions, with average ratings on a scale of 0-100% of N 75%. They rated their understanding of possible treatment side-effects as satisfactory (average score 71.1%). Gaps in patient knowledge about their treatment, revealed by discrepancies between physician and patient reports, were observed in 20.5% of patients (n = 79/386), and most commonly resulted from confusion about the units and dose of gonadotropin. Anxiety about performing self-injections and a lack of confidence in their ability to self-inject correctly were each observed in approximately one-third of patients. Patient self-assessment of compliance at V2 revealed that 27% of patients (n = 83/305) did not comply with or had doubts about the injection schedule or dose injected. Meanwhile physicians reported high levels of patient

show abstract

Addressing the emotional barriers to access to reproductive care

Cited by 36 publications

References 25 publications

The relationship between stress and infertility

The relationship between stress and infertility

Reproductive Psychology and Infertility

Patient perceptions and understanding of treatment instructions for ovarian stimulation during infertility treatment

Contact Info

Product

Resources

About