The Effect of Cognitive Behavioral Therapy on Anxiety and Depression in Iranian Infertile Women: A Systematic and Meta-Analytical Review

Golshani, Farideh; Mirghafourvand, Mojgan; Hasanpour, Shirin; Biarag, Leila Seiiedi

doi:10.5812/ijpbs.96715

Cited by 14 publications

(12 citation statements)

References 33 publications

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“…While diagnosing the infertility-cause stresses and damages, psychological interventions help infertile couples work through their problems and adapt to infertility [ 16 ]. Several studies showed that socio-psychological interventions for couples undergoing infertility treatments can effectively reduce mental health problems and improve clinical pregnancy rate [ 17 , 18 ]. Cognitive-behavioral therapy is a highly efficient short-term treatment in psychology that focuses on modifying dysfunctional behaviors and thoughts to help individuals experience general mental health [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial

et al. 2021

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Background Considering the prevalence of infertility in the community and the consequences of failure of infertility treatments on women’s mental health, interventions that can control stress, anxiety and depression in infertile women with a history of IVF failure will be very helpful. This study aimed to determine the effects of hope-oriented group counseling on mental health (primary outcome) and quality of life (QoL) (secondary outcome) of women with failed IVF cycles. Method This randomized controlled trial was conducted on 60 women with failed IVF cycles visiting Infertility Clinic at Al-Zahra Teaching Hospital of Tabriz- Iran. Participants were allocated to the intervention group (n = 30) and control group (n = 30) based on a randomized block design. Hope-oriented group counseling was provided to the intervention group in six 45–60 min sessions (once a week). The control group only received routine care to undergo another IVF cycle. The Depression Anxiety Stress Scale-21 (DASS-21) and the SF-12 Quality of Life Scale were filled out by interviewing the participants before the intervention and one week and one month after the intervention. After intervention 26 participants in each group were included in the analysis. Results There was no significant difference between the intervention and control groups in the socio-demographic profile of participants (P > 0.05). The post-intervention mean score of stress (adjusted mean difference = − 1.7, 95% confidence interval: − 3.2 to − 0.3, P = 0.018) and depression (adjusted mean difference = − 1.3, 95% confidence interval: − 4.7 to − 1.5, P < 0.001) was significantly lower in the intervention group compared to the control. Although the mean anxiety score was lower in the intervention group compared to the control, the difference between them was not statistically significant (adjusted mean difference = − 1.1, 95% confidence interval: − 2.6 to 0.4, P = 0.153). The mean score of QoL was significantly higher in the intervention group than that of the control group (adjusted mean difference = 6.9, 95% confidence interval: 5.1 to 8.8, P < 0.001). Conclusion Hope-oriented group counseling was effective in reducing stress and depression and improving QoL in women with failed IVF cycles. It is recommended to use this counseling approach, along with other methods, to improve the mental health of women with failed IVF cycles. Trial registration TCT Registration Number: TCTR 20191017003, registered on October 17, 2019.

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Section: Introductionmentioning

confidence: 99%

Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial

et al. 2021

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“…While diagnosing the infertility-cause stresses and damages, psychological interventions help infertile couples work through their problems and adapt to infertility (16). Several studies showed that sociopsychological interventions for couples undergoing infertility treatments can effectively reduce mental problems and improve clinical pregnancy rate (17,18). Cognitive-behavioral therapy is a highly e cient short-term treatment in psychology that focuses on modifying dysfunctional behaviors and thoughts to help individuals experience general mental health (19).…”

Section: Introductionmentioning

confidence: 99%

Effect of Hope-Oriented Group Counseling on Mental Health of Infertile Women with Failed IVF Cycles: A Randomized Controlled Trial

Rahimi

Mirghafourvand

Esmaeilpour

et al. 2021

Preprint

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Background Considering the prevalence of infertility in the community and the consequences of failure of infertility treatments on women's mental health, interventions that can control stress, anxiety and depression in infertile women with a history of IVF failure will be very helpful. This study aimed to determine the effects of hope-oriented group counseling on mental health (primary outcome) and quality of life (QoL) (secondary outcome) of women with failed IVF cycles.Method This randomized controlled trial was conducted on 60 women with failed IVF cycles visiting Infertility Clinic at Al-Zahra Teaching Hospital of Tabriz- Iran. Participants were allocated to the intervention group (n = 30) and control group (n = 30) based on a randomized block design. Hope-oriented group counseling was provided to the intervention group in six 45–60 minute sessions (once a week). The control group only received routine care to undergo another IVF cycle. The author filled out the Depression Anxiety Stress Scale-21 (DASS-21) and the SF-12 Quality of Life Scale by interviewing the participants before the intervention and one week and one month after the intervention.Results There was no significant difference between the intervention and control groups in the socio-demographic profile of participants (P > 0.05). The post-intervention mean score of stress (modified mean difference=-1.7, 95% confidence interval: -3.2 to 0.3, P = 0.018) and depression (modified mean difference=-1.3, 95% confidence interval: -4.7 to -1.5, P < 0.001) was significantly lower in the intervention group compared to the control. Although the mean anxiety score was lower in the intervention group compared to the control, the difference between them was not statistically significant (modified mean difference= -1.1, 95% confidence interval: -2.6 to 0.4, P = 0.153). The mean score of QoL was significantly higher in the intervention group than that of the control group (modified mean difference= -1.1, 95% confidence interval: 5.1 to 8.8, P < 0.001).Conclusion Hope-oriented group counseling was effective in reducing stress and depression and improving QoL in women with failed IVF cycles. It is recommended to use this counseling approach, along with other methods, to improve the mental health of women with failed IVF cycles.Trial Registration TCT Registration Number: TCTR 20191017003, registered on October 17, 2019 (http://www.clinicaltrials.in.th/index.php?tp=regtrials&menu=trialsearch&smenu=fulltext&task=search&task2=view1&id=5369)

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“…[ 3 ] Having a child is associated with many positive values such as emotional benefits, economic and security interests, a sense of worth and survival, and is highly valued in a variety of cultures. [ 4 5 6 ] Previous studies in Iran have shown that most couples have a strong desire to have children and often consider it necessary to have at least one child in order to maintain the strength of their lives. [ 7 ] However, many people around the world suffer from infertility.…”

Section: Introductionmentioning

confidence: 99%

“…[ 7 ] However, many people around the world suffer from infertility. [ 8 ] In fact, infertility causes a crisis in various aspects of a couple's life[ 5 6 ] and can have a significant impact on the couple's emotional functioning. [ 6 8 ] However, the entry of a child into the cold family can improve the couple's communication and ultimately solve the psychological problems caused by the child's vacuum in their lives.…”

Section: Introductionmentioning

confidence: 99%

“…[ 8 ] In fact, infertility causes a crisis in various aspects of a couple's life[ 5 6 ] and can have a significant impact on the couple's emotional functioning. [ 6 8 ] However, the entry of a child into the cold family can improve the couple's communication and ultimately solve the psychological problems caused by the child's vacuum in their lives. [ 9 ] Previous studies have shown that adopting a child reduces the psychological effects of infertility in infertile couples.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the effect of two methods of counseling (face to face and telephone) on awareness and attitude toward adoption in infertile couples

Rezamahaleh

Khadivzadeh

Asgharinekah

et al. 2020

J Edu Health Promot

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INTRODUCTION: Many infertile people have heard about adoption, but little is known about the true meaning of adoption and how it is accepted. Giving the right information about adoption is effective in making the right decision for couples. As a result, there is a need to intervene and provide training to improve community attitudes and increase adoption among infertile people. Therefore, the present study aimed to determine the effect of two counseling methods (face-to-face and telephone) on awareness and attitude toward adoption in infertile couples. MATERIALS AND METHODS: The present study is a randomized quasi-experimental study of two groups in the Milad Infertility Center of Mashhad on 34 (each group of 17 couples) infertile couples with the criteria to enter the study. Couples were randomly assigned to two telephone and face-to-face counseling groups, and each individual's awareness and attitudes toward adoption were completed separately before and after counseling. The average number of face-to-face sessions for face-to-face counseling was three 60-min sessions and six 30-min sessions for telephone counseling. RESULTS: Based on the results of t -test, there was a statistically significant difference between the average score of awareness of adoption before and after the intervention (2 weeks after the last counseling session), in infertile couples in face-to-face training group and in telephone training group ( P < 0.0001). The score of the attitude toward adoption before counseling in the face-to-face counseling group was 60.55 ± 5.5, which reached 66.76 ± 4.7 after counseling. Based on the results of the T-pair test, this difference was significant ( P < 0.0001). In addition, in the telephone counseling group, the score of attitude toward adoption increased from 59.53. 7.4 to 67.73 ± 7.5, which was a significant difference in terms of t-pair test. The mean score of attitudes toward adoption was not statistically significant in the two groups ( P = 0.653). CONCLUSION: The results of this study showed that both counseling methods (face to face and telephone) increase the level of awareness and attitude of couples about adoption, but neither method was superior to the other.

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The Effect of Cognitive Behavioral Therapy on Anxiety and Depression in Iranian Infertile Women: A Systematic and Meta-Analytical Review

Cited by 14 publications

References 33 publications

Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial

Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial

Effect of Hope-Oriented Group Counseling on Mental Health of Infertile Women with Failed IVF Cycles: A Randomized Controlled Trial

Comparison of the effect of two methods of counseling (face to face and telephone) on awareness and attitude toward adoption in infertile couples

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