First IVF treatment—short-term impact on psychological well-being and the marital relationship

Holter, Herborg; Anderheim, L.; Bergh, Christina; Möller, Anders

doi:10.1093/humrep/del288

Cited by 87 publications

(83 citation statements)

References 28 publications

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“…However, a study that examined the depressed mood of men 2-4 weeks prior to treatment showed that they were less depressed than other men, indicated by the higher mean scores in subscale of PGWB (m = 16.3 vs. 15.8) [6].…”

Section: Depressionmentioning

confidence: 98%

“…A study that analyzed the pretreatment data after the results of the pregnancy test had been disclosed did not identify significant differences in depression levels between women who finally succeeded in conceiving and those who failed [22]. However, one of the seven studies found no significant difference in depression scores between infertile and normal women (subscale of PGWB, m = 15.4 vs. 15.3) [6], with the measurement point at 2-4 weeks before treatment. Contradictory findings were presented in a study conducted in the USA, indicating that incidences of major depressive disorders (MDD) and other depressive disorders (ODD) among IVF women were lower than among the primary care population (PHQ-9, MDD, 1 % vs. 10 %; ODD, 2 % vs. 6 %) [21], where the PHQ instruments were first developed and published [25].…”

Section: Depressionmentioning

confidence: 98%

“…The depression levels of women and/or men were investigated in the nine studies using a variety of instruments: the Beck Depression Inventory (BDI) [11,20,24], the Symptom Check List (SCL-90) [5,23], the Self-Rating Depression Scale (SDS) [19], the Psychological General Well-Being Index (PGWB) [6], the Patient Health Questionnaire-9 (PHQ-9) [21], and the Lubin's Depression Adjective Checklist Scale (DACL) [22]. The depression levels of women before proceeding with IVF treatment were presented in seven studies.…”

Section: Depressionmentioning

confidence: 99%

“…The psychological reactions of infertile women have received much attention in the literature, since women endure the majority of IVF procedures [5][6][7][8]. A systematic review of 27 studies focusing on the emotional adjustment of women to different stages of IVF treatment was conducted in 2007.…”

Section: Introductionmentioning

confidence: 99%

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Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Ying

Loke

2015

J Assist Reprod Genet

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Purpose The purposes of this paper are to provide a comprehensive picture of men and women's emotional reactions to infertility treatment, specifically In Vitro Fertilization (IVF) pursued by heterosexual couples, and to identify any differences between the genders. Methods Nonexperimental studies exploring the psychological effects of IVF treatment on infertile couples were included. Six electronic databases were used to conduct a systematic search from the years 2000 to 2014. The references of the articles selected for review and other related systematic reviews were also screened to retrieve additional relevant articles. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Descriptive analysis was adopted to synthesize the results.Results A total of 22 quantitative and 4 qualitative studies were identified and included in this review. Although both men and women experienced psychological distress during the treatment, gender differences existed. Women had elevated anxiety and depression levels prior to the treatment, which became even higher on the day of the oocyte retrieval, pre-and post embryo transfer, and during the waiting period before the pregnancy test. Men of the infertile couples reported elevated depression scores before treatment, which usually increased during the time spent waiting for the outcome of the IVF treatment. Both men and women had lower scores on positive affect before the pregnancy test. A failed IVF cycle had long-term negative psychological consequences for both spouses. Conclusions The results of this review pointed to the need for a couple-based support program, aimed at improving the psychological well-being of couples.

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Section: Depressionmentioning

confidence: 98%

Section: Depressionmentioning

confidence: 98%

Section: Depressionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Ying

Loke

2015

J Assist Reprod Genet

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“…Findings document that in general women reported higher emotional difficulties than men in almost every stages of infertility (Holter, Anderheim, Bergh, & Moller, 2006; Markestad et al ., 1998), although patterns of reactions along the infertility experience are similar (Boivin et al ., 1998). When examining gender differences on the importance attributed to parenthood, no differences have been found (Moura‐Ramos, Gameiro, Canavarro, Soares, & Santos, 2012).…”

Section: Introductionmentioning

confidence: 97%

Does infertility history affect the emotional adjustment of couples undergoing assisted reproduction? the mediating role of the importance of parenthood

Moura‐Ramos

Gameiro

Canavarro

et al. 2015

British J Health Psychol

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ObjectivesThe emotional adjustment of couples undergoing assisted reproductive technology (ART) treatments has been widely studied; however, it remains unclear whether infertility history contributes to couples' adjustment. This study examined the impact of infertility history (duration of infertility and number of previous ART treatment cycles) on the emotional adjustment of couples undergoing an ART cycle and the mediating effect of importance of parenthood on that association.MethodsIn this cross‐sectional study, 70 infertile couples (70 women and 70 men) completed self‐report questionnaires assessing emotional adjustment and infertility stress during the hormonal stimulation phase of an ART cycle. Path models accounting for the dyadic nature of the data examined the direct and indirect effects (by affecting representations about parenthood and childlessness) of infertility history on emotional adjustment.ResultsThe number of previous cycles affected men's, but not women's, emotional adjustment by affecting the representations on the importance of parenthood and of childlessness. Duration of infertility had the opposite effect, as couples with longer infertility reported heightened importance of parenthood, which negatively affected their emotional adjustment.ConclusionsInfertility history was associated with emotional adjustment in men and women, although these associations were complex. The results suggest that progression through treatment is harder for those men and women who attribute higher importance to being parents, which is aggravated by longer infertility. Statement of contribution What is already known about the subject? Infertility is an unexpected and stressful life eventAssisted reproductive treatments (ART) are emotionally demanding What does this study add? The influence of infertility history on adjustment is mediated by the importance of parenthoodMen and women are affected by their past history of infertility differently

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Couples and Infertility

Shreffler¹,

Gallus²,

Peterson³

et al. 2020

The Handbook of Systemic Family Therapy

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First IVF treatment—short-term impact on psychological well-being and the marital relationship

Abstract: Couples undergoing their first IVF treatment are as a group well adjusted and manage to handle the short-term emotional strain under treatment. The determining factor for short-term emotional response of treatment was whether pregnancy was achieved.

Cited by 87 publications

References 28 publications

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Does infertility history affect the emotional adjustment of couples undergoing assisted reproduction? the mediating role of the importance of parenthood

Couples and Infertility

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