Adjustment to infertility: the role of intrapersonal and interpersonal resources/vulnerabilities

Mahajan, Neha; Turnbull, Deborah; Davies, Michael J.; Jindal, Umesh; Briggs, Nancy; Taplin, John E.

doi:10.1093/humrep/den462

Cited by 57 publications

(54 citation statements)

References 41 publications

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“…In particular, reasons why men do not disclose using ART to those outside of their immediate personal relationships tend to centre on shame (Lee and Chu, 2001) and fear of thoughtless comments (Throsby and Gill, 2004). This is problematic because research has shown that social support is associated with less stress (Martins et al, 2013) and less depression, and anxiety and greater positive adjustment to involuntary childlessness (Bute, 2013;Mahajan et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

Catch 22? Disclosing assisted conception treatment at work

Akker

Payne

Lewis

2017

IJWHM

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Purpose: The purpose of this study was to explore factors influencing decision-making about disclosure of Assisted Reproductive Technology (ART) use in the workplace.Design: A qualitative study design was used. Thirty-one women and six men who were using or had recently used ART were recruited from British fertility networks and interviewed.Data were transcribed verbatim and thematically analysed.Findings: Two main strands were identified each encompassing two themes: i) 'Concerns about disclosure' covered the very personal nature of disclosing ART treatment and also career concerns and ii) 'Motives for disclosure' covered feeling it was necessary to disclose and also the influence of workplace relationships. Research limitations:The relatively small, self-selected sample of participants was recruited from fertility support networks, and lacked some diversity. Practical implications:Clarity about entitlements to workplace support and formal protection against discrimination, along with management training and awareness raising about ART treatment is needed to help normalise requests for support and to make decisions about disclosure within the workplace easier.Originality/ value: The study has highlighted an understudied area of research in ART populations. The data provide insight into the challenging experiences of individuals combining ART with employment and, in particular, the complexity of decisions about whether or not to disclose.

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Section: Introductionmentioning

confidence: 99%

Catch 22? Disclosing assisted conception treatment at work

Akker

Payne

Lewis

2017

IJWHM

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“…Several factors may influence emotional reactions to infertility and fertility treatment, including sociodemographic factors and psychosocial factors, such as coping strategies (e.g., avoidance coping) (Benyamini, Gozlam, & Kokia, 2009, Gourounti, Anagnostopoulos, & Vaslamatzis, 2010a, Mahajan et al, 2009, van den Broeck et al, 2010. A review of this issue (Gourounti, Anagnostopoulos, & Vaslamatzis, 2010b) suggested that the role of psychological factors in relation to infertility stress has not been adequately investigated.…”

Section: Introductionmentioning

confidence: 99%

Alexithymia and fertility-related stress

Gourounti

Anagnostopoulos

Griva³

et al. 2015

Women & Health

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The investigation of the relationship between alexithymia, the inability to identify and describe feelings and the absence of fantasies, and fertility-related distress is a relatively neglected area of research. The aims of this study were to examine: (1) the prevalence of alexithymia in a sample of infertile women, and (2) the association between alexithymia, coping strategies, and fertility-related stress. This study included 160 infertile women undergoing in vitro fertilization in a public fertility clinic from September of 2013 to December of 2013. Self-report instruments were used to measure alexithymia (Toronto Alexithymia Scale-20), coping (COPE), and fertility-related stress (Fertility Problem Inventory). Bivariate and multiple linear regression were used. A high alexithymia score was positively associated with age, infertility duration, and low educational and economic level. Multivariate analyses showed that, controlling for demographic factors, high avoidance coping, low problem-appraisal coping, and high alexithymia were positively associated with fertility-related stress (β = 0.309, p < .001, β = -0.203, p = .006, β = 0.151, p = .050, respectively). Results of this study indicated that alexithymia during fertility treatment was associated with maladaptive coping strategies and psychological stress. In addition, the association between alexithymia and duration of infertility may be interpreted as secondary alexithymia acts as a coping strategy in infertile women.

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“…Despite the worldwide continuous increase in the numbers of ART cycles, in 2010 only 27.1% had success (Dyer et al., ). The cause for patients’ infertility are often related to an intertwining biological, lifestyle, and occupational aspects (Centers for Disease Control and Prevention, ), along with intrapersonal, interpersonal, and environmental factors (Mahajan et al., ). As so, a holistic and integrated nursing approach to these patients is required (Romeiro, Caldeira, Brady, Hall, & Timmins, ; Romeiro, Caldeira, Brady, Timmins, & Hall, ).…”

mentioning

confidence: 99%

The Human Responses and Nursing Diagnoses of Those Living With Infertility: A Qualitative Systematic Review

Romeiro

Caldeira

2018

Int J of Nursing Knowl

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OBJECTIVE To systematically retrieve, critique, and synthesize patients’ human responses about living with infertility and identify possible related nursing diagnoses according to NANDA‐I. METHODS Systematic review of qualitative nursing studies. FINDINGS A total of 39 papers were included, 49 human responses, and 77 potential infertility‐related nursing diagnoses were identified across three themes. Main foci matching nursing diagnosis were related to spiritual well‐being, spiritual distress, and resilience. CONCLUSIONS Patients respond to infertility in a variety of ways and this raises the need for a more effective, holistic, and accurate nursing diagnosis. IMPLICATIONS FOR PRACTICE The accuracy of the nursing diagnosis is critical in raising the quality of the nursing process and in meeting infertile patients’ circumstances and care expectations.

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Adjustment to infertility: the role of intrapersonal and interpersonal resources/vulnerabilities

Abstract: The findings of the study highlight the merit of understanding intra- and interpersonal attributes for achieving better wellbeing outcomes. These findings would also prove valuable for researchers and practioners involved in designing and implementing psychosocial interventions.

Cited by 57 publications

References 41 publications

Catch 22? Disclosing assisted conception treatment at work

Catch 22? Disclosing assisted conception treatment at work

Alexithymia and fertility-related stress

The Human Responses and Nursing Diagnoses of Those Living With Infertility: A Qualitative Systematic Review

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