The role of gender and self-esteem as moderators of the relationship between stigma and psychological distress among infertile couples

Fang, Mei Lan; Kang, Xiaofei; Hou, Fangyan; Lv, Gaorong; Xu, Xiaofang; Kong, Linghua; Li, Ping

doi:10.1080/13548506.2020.1808233

Cited by 21 publications

(21 citation statements)

References 41 publications

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“…The inclusion criteria of this study: (1) female patients diagnosed as infertility using WHO diagnostic criteria (Infertility is clinically described as a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse); 1 (2) patients voluntarily participate in this study and were able to understand the survey content; (3) married females (Unmarried females with infertility are prohibited from receiving assisted reproductive technology in China). The exclusion criteria of this study were set as described previously: 19 , 33 (1) patients with disturbance of consciousness and mental illness; (2) patients were unable to fill in the questionnaires; (3) patients with severe physical or chronic diseases, such as (1) Severe heart, brain or kidney diseases; (2) Severe mental disorders; (3) Severe organic diseases in the reproductive or endocrine system. A total of 278 infertile patients were enrolled in this research.…”

Section: Methodsmentioning

confidence: 99%

Psychological Resilience as the Mediating Factor Between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis

Zhao¹,

Huangfu²,

Li³

et al. 2022

PRBM

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Background Stigma, social avoidance and distress may seriously affect the quality of life of infertility patients. Psychological resilience has been proved to effectively combat psychological stress. This study aimed to explore the mediating role of psychological resilience between stigma and social avoidance and distress (SAD) in females with an unfulfilled wish for a child. Methods Stigma Scale, Social Avoidance and Distress Scale (SADS), and Psychological Resilience Scale were used to evaluate 266 females with infertility. Structural equation model was used to test the mediating effect of psychological resilience on the relationship between stigma and SAD. Results The SADS, stigma scores, and psychological resilience scores of 266 females with infertility were 13.36 ± 5.77, 77.84 ± 16.91, and 58.84 ± 12.24 points, respectively. The stigma scores were positively correlated with SADS, and negatively correlated with psychological resilience scores. The psychological resilience scores were negatively correlated with SADS. Psychological resilience played a partially mediating role between the stigma and SAD of infertility patients, and the mediating effect accounted for 25.5% of the total effect. Conclusion Psychological resilience had a partial mediating effect on the relationship between stigma and SAD, and could reduce the negative effect of stigma on the development of SADS. Therefore, positive psychological interventions improving psychological resilience might help to reduce stigma and improve SAD in infertility patients.

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Section: Methodsmentioning

confidence: 99%

Psychological Resilience as the Mediating Factor Between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis

Zhao¹,

Huangfu²,

Li³

et al. 2022

PRBM

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“…Individuals with greater self-esteem are more likely to be good problem solvers and have greater resilience when dealing with stressors [28]. Self-esteem has been proven to buffer negative emotions at special times, e.g., coronavirus disease 2019 (COVID-19) quarantine period [29], as well as in various populations: the general population [30], adolescents [31], female college students [32], and obese couples [33]. As a marginalized population, HIV stigma is a significant predictor of poor health outcomes, including suicide, among PLWH [16].…”

Section: Moderation Effect Of Self-esteemmentioning

confidence: 99%

Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis

Wei

Yan

Guo

et al. 2022

J. Racial and Ethnic Health Disparities

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Objective Suicidal ideation is an important public health challenge among people living with HIV (PLWH) across the world and in China. HIV stigma, depression, and self-esteem have been associated with suicidal ideation. However, the underlying mechanisms remain not fully understood. Methods Study data were derived from a sample of 465 PLWH in China. Suicidal ideation after HIV diagnosis was used as outcome variable. HIV stigma, depressive symptoms, and self-esteem were measured using reliable instruments and used as predictor, mediator, and moderator, respectively. Mediation and moderated mediation model were used for data analysis. Results 31.6% of PLWH in China had suicidal ideation after HIV diagnosis. The association between perceived HIV stigma and suicidal ideation was partially mediated by depression (indirect effect = 0.02, 95% CI = [0.02, 0.03]) with the path from perceived HIV stigma to depressive symptoms being moderated by self-esteem (interaction effect = − 0.02, 95% CI [− 0.03, − 0.01]). Conclusions Study findings suggested a mediation mechanism of HIV stigma on suicidal ideation through depressive symptoms, and self-esteem might weaken the mediation mechanism by moderating the perceived HIV stigma-depressive symptoms pathway.

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“…In addition to these factors, studies have shown that the stigma of infertility has negative impacts on health, including psychological distress such as anxiety and depression, low quality of life, and social isolation [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. Stigma refers to the socially constructed process by which a group of individuals are labeled with socially undesirable attributes.…”

Section: Introductionmentioning

confidence: 99%

“…In other countries, the relationship between stigma related to infertility and psychological distress, such as anxiety and depression, has been quantitatively examined [ 12 , 15 , 17 , 18 , 22 , 23 , 24 , 25 ]. According to Chinese, Turkish, and American research, stigma was significantly positively associated with psychological distress [ 15 , 19 , 22 , 23 , 25 ]. American and Indian research studies also examined the social pressure of “becoming a mother” as a predictor of distress [ 12 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Stigma and Anxiety, Depression, and Psychological Distress among Japanese Women Undergoing Infertility Treatment

et al. 2022

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Japan has the highest number of cases of infertility treatment in the world. Studies have indicated that women undergoing infertility treatment feel stigmatized and suffer from psychological symptoms such as anxiety and depression. However, in Japan, few studies have quantitatively examined the association between the stigma of infertility and psychological symptoms, and, to our knowledge, no study has examined its association using a scale with tested reliability and validity. This study aims to quantitatively examine the relationship between infertility stigma and anxiety, depression, and psychological distress among women undergoing infertility treatment, using a scale that has been validated for reliability and validity. The cross-sectional study was conducted in December 2021 through a web-based survey of 254 participants undergoing infertility treatment. A multiple regression analysis was performed to examine the relationship between stigma and anxiety, depression, and psychological distress. Stigma was a statistically significant predictor of anxiety, depression, and psychological distress (standardized β = 0.58, p < 0.001; β = 0.50, p < 0.001; β = 0.62, p < 0.001, respectively) after controlling for sociodemographic and infertility characteristics. Future studies should examine the causal relationship between stigma and anxiety, depression, and psychological distress and how to intervene to reduce stigma among women undergoing infertility treatment.

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The role of gender and self-esteem as moderators of the relationship between stigma and psychological distress among infertile couples

Cited by 21 publications

References 41 publications

Psychological Resilience as the Mediating Factor Between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis

Psychological Resilience as the Mediating Factor Between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis

Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis

Association between Stigma and Anxiety, Depression, and Psychological Distress among Japanese Women Undergoing Infertility Treatment

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