Efficacy of psychosocial interventions for pregnancy rates of infertile women undergoing
            <i>in vitro</i>
            fertilization: a systematic review and meta-analysis

Ha, Ju-Young; Park, Hyo-Jin; Ban, Seon-Hwa

doi:10.1080/0167482x.2022.2142777

Cited by 8 publications

(6 citation statements)

References 30 publications

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“…Therefore, our results offer important implications for clinical practice. Psychological work with patients with somatic conditions can be multifaceted, and meta-analytic data suggest that, in general, psychosocial support accompanying assisted reproduction improves both mental health and pregnancy outcomes for participants [54][55][56][57][58][59][60] , Beyond standard psychological monitoring and support of these patients which could be preventive in terms of the development of emotional adjustment disorders as a consequence of stress and psychological burden associated with infertility and infertility treatment, psychological interventions could also significantly support patients' ability to adhere to dietary recommendations in those patients whose affective temperamental profile suggest that their lower dietary adherence may jeopardize treatment success. While affective temperaments cannot be modified by psychotherapy, they can be used to identify patients at risk of less intervention success, and by understanding the factors that mediate this lower success rate in case of given affective temperaments, extra care, attention, and targeted intervention could focus on these mediatory factors.…”

Section: The Role Of Affective Temperaments In the Success Of Fertili...mentioning

confidence: 99%

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Szabo,

Szigeti F.,

Sipos

et al. 2024

Sci Rep

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Affective temperaments have been shown to robustly affect infertility treatment success. However, identification of possible mediating factors through which they exert their influence is still lacking. A growing number of results suggest that adherence to recommended treatments may be such a mediator, on the one hand, because affective temperaments are known to influence adherence and, on the other hand, because non-adherence negatively influences the treatment outcome. Recommended treatment of infertility involves, beyond medications, dietary and lifestyle changes. The aim of this retrospective cohort study was to evaluate whether adherence to physician-prescribed diet and physical activity recommendations mediates the effect of affective temperaments on infertility treatment outcomes. Among 308 women who underwent infertility treatment in an Assisted Reproduction Center, affective temperaments, adherence to diet, adherence to physical exercise, and infertility treatment success (clinical pregnancy) were assessed besides detailed medical history and demographic parameters. Associations between affective temperaments, adherence to diet and recommended physical activity, and assisted reproduction outcomes were analyzed using generalized linear models and causal mediation analysis. Adherence to physical activity didn’t have an effect, but diet adherence increased the odds of infertility treatment success by 130% suggesting its role as a potential mediator. Based on causal mediation analysis, higher depressive and anxious temperament scores were directly associated with 63% and 45% lower odds of achieving clinical pregnancy, respectively, with effects not mediated by diet adherence. Higher irritable temperament scores indirectly decreased the odds of achieving clinical pregnancy by 14%, mediated by diet adherence; while higher cyclothymic temperament scores decreased the odds of achieving clinical pregnancy both directly by 51% and indirectly, mediated by diet adherence by 11%. Our results suggest that diet adherence mediates the mechanism by which irritable and cyclothymic affective temperaments influence IVF treatment success. Since adherence is a modifiable risk factor of infertility treatment success, screening for affective temperaments may help to identify potentially high-risk non-adherent patient groups and offer patient-tailored treatment, which may help increase the chances of a successful pregnancy and live birth in women undergoing IVF treatment.

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Section: The Role Of Affective Temperaments In the Success Of Fertili...mentioning

confidence: 99%

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Szabo,

Szigeti F.,

Sipos

et al. 2024

Sci Rep

View full text Add to dashboard Cite

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“…The instructional materials used in this study were adopted from evidence-based guidelines involving disseminating educational resources focused on psychological assistance for individuals experiencing infertility. [40][41][42] Figure 1. CONSORT flow diagram.…”

Section: Educational Programmentioning

confidence: 99%

The assessment of educational and supportive care to the infertile females undergoes In Vitro Fertilization procedure by clinical pharmacist: a randomized clinical trial

Abbas Ibrahim,

Abdulhadi Rashid

2023

F1000Res

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Background Infertility affects approximately 10-15% of married individuals, and may trigger various emotional reactions. Females undergoing in vitro fertilization (IVF) are more susceptible to experiencing depression. This study aims to assess the influence of pharmacist counseling on quality of life, depression scores, and pregnancy rates among infertile females undergoing IVF treatment. Method The research examined women who visited the infertility clinic at Kamal Al-Samaraie Hospital in Baghdad, Iraq to achieve pregnancy. These individuals were separated into a control group and an intervention group. The intervention group received an educational program consisting of five visits, while the control group got a conventional hospital procedure. The present research evaluated the quality of life-related to fertility using the FertiQoL (Fertility Quality of Life) questionnaire. It examined the participants’ depression levels using the CES-D (Center for Epidemiologic Studies Depression) scale. These assessments were conducted at the commencement and conclusion of the in vitro fertilization (IVF) cycle. Results The present research included 150 women diagnosed with infertility, whose average age was 30.32 ± 5.64 years. The participants had a mean body mass index (BMI) of 27.12 ± 3.57. No statistically significant difference was seen in the FertiQoL evaluation scores between the control and intervention groups at the beginning of the study. The FertiQoL, assessed at the end of the trial, exhibited a statistically significant increase in the interventional group, with a P-value of 0.025. The prevalence of Depression risk patients decreased from 83% to 69%, and the interventional group exhibited a substantially greater proportion of favorable pregnancy outcomes (48%) compared to the control group (29.3%). Conclusion Infertile women who undergo IVF operations have higher rates of depression. Depression may be reduced, and quality of life improved with education and supportive counseling. Pregnancy rates rise as a result of clinical pharmacist counseling. Trial registration This study was registered on Clinical Trials.gov (NCT06022640).

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Section: The Potential Role Of Psychological Factors and Intervention...mentioning

confidence: 99%

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Szabó,

Sipos

et al. 2023

Preprint

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Affective temperaments have been shown to robustly affect infertility treatment success. However, identification and understanding of possibly modifiable processes and mediating factors through which they exert their influence is still lacking. A growing number of results suggest that adherence to recommended treatments may be such a mediator because, on the one hand, affective temperaments are known to influence adherence, and, on the other hand, non-adherence negatively influences treatment outcomes. Recommended treatment of infertility involves, beyond medications, dietary and lifestyle changes. The aim of this retrospective cohort study was to evaluate whether adherence to physician-prescribed diet and physical activity recommendations mediates the effect of affective temperaments on infertility treatment outcomes. Among 308 women who underwent infertility treatment in an Assisted Reproduction Center and whose treatment plan included both diet and regular physical activity recommendations in addition to standard medical interventions, affective temperaments, adherence to diet, adherence to physical exercise, and infertility treatment success (clinical pregnancy) were assessed. Associations between affective temperaments, adherence to diet and recommended physical activity, and assisted reproduction outcomes were analyzed using generalized linear models and causal mediation analysis adjusted for age, BMI, and previous miscarriage as already known covariates. Based on regression analysis, adherence to physical activity did not have an effect (p = 0.477), but diet adherence increased the odds of infertility treatment success by 130% (p = 0.001), suggesting its role as a potential mediator between affective temperaments and infertility treatment success. Based on causal mediation analysis, higher depressive and anxious temperament scores were directly associated with a lower likelihood of achieving clinical pregnancy (direct effect: OR = 0.369 (p = 0.023), and OR = 0.554 (p = 0.013), respectively), with effects not mediated by diet adherence (mediation effect: OR = 0.917 (p = 0.259), and OR = 0.954 (p = 0.284), respectively); higher irritable affective temperament scores indirectly decreased the likelihood of achieving clinical pregnancy, mediated by diet adherence (mediation effect: OR = 0.885 (p = 0.027), direct effect: OR = 0.692 (p = 0.307)); while higher cyclothymic affective temperament scores decreased the likelihood of achieving clinical pregnancy both directly (OR = 0.492 (p = 0.027)) and indirectly, mediated by diet adherence (OR = 0.891 (p = 0.034)). Hyperthymic affective temperament had no statistically significant effect on infertility treatment success. Our results shed light on the mechanisms by which affective temperaments influence the success of IVF treatment and suggest that cyclothymic and irritable affective temperaments predict lower diet adherence, and lower adherence to the recommended diet may decrease the chances of successful infertility treatment. Since adherence is a modifiable risk factor of infertility treatment success, screening for affective temperaments may help to identify potentially high-risk non-adherent patient groups and offer patient-tailored mental health support or interventions, which may help increase the chances of a successful pregnancy and live birth in women undergoing IVF treatment.

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Efficacy of psychosocial interventions for pregnancy rates of infertile women undergoing in vitro fertilization: a systematic review and meta-analysis

Cited by 8 publications

References 30 publications

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

The assessment of educational and supportive care to the infertile females undergoes In Vitro Fertilization procedure by clinical pharmacist: a randomized clinical trial

Adherence to dietary recommendations mediates the effect of affective temperaments on infertility treatment outcomes

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