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Psychosocial predictors of infertility related stress

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Psychosocial predictors of infertility related stress (EN)
Γουρουντή, Κλεάνθη (EL)
Αναγνωστόπουλος, Φώτιος (EL)
Βασλαματζής, Γρηγόριος (EL)
journalArticle
2015-05-18
2015-05-18T15:00:12Z
2010
Current Women's Health Reviews (EL)
Objective: The objective of the present study was to review studies describing specifically the impact of certain personality traits, cognitive appraisals, coping strategies and social support on infertility related stress. Furthermore, the aim was to examine the interrelationships among these psychosocial potential predictors in order to develop a predictive psychosocial path-model of infertility related stress. The clinical application of the predictive model of infertility related stress would help the medical staff of fertility centers to identify infertile women who are at greater risk for infertility related stress and for adjustment difficulties and to foster the implementation of preventative and therapeutic interventions. Methods: A systematic search of the psychological and medical electronic databases (Medline, PsycINFO, CINAHL, EMBASE and Scopus) was performed. This review considered only quantitative, primary studies that were relevant to the objective of the review. Population of interest was considered to be infertile women undergoing fertility treatment. Independent variables were considered to be psychosocial predictors of infertility related stress. Outcomes (dependent variables) were considered to be anxiety, depression, and negative mood states. The development of the psychosocial path-model of infertility related stress was based on the principles of stress, appraisal and coping theories. Results: Nineteen studies met the inclusion criteria and finally included in the review. According to the review findings, psychosocial predictors of infertility related stress are: a) personality characteristics, such as neuroticism, pessimism and introversion, b) viewing infertility as a threat or a loss, c) low perceived control over the infertility condition and fertility treatment outcome, d) frequent use of avoidant/escape coping strategies, e) marital dissatisfaction and poor marital communication and f) impoverished social network. Based on the review findings, a predictive path-model of infertility related stress which diagrammatically represents the interrelationships among the independent variables and the interrelationships between the independent and dependent variables was developed. The produced diagrammatical-model shows that: a) the relationship between personality dispositions and fertility related stress is either direct or mediated by appraisal cognitions and coping strategies, b) the relationship between appraisal cognitions and fertility related distress is mediated by coping strategies and c) social support is associated with distress both directly and indirectly either through appraisal cognitions or through coping strategies. Conclusion: Although no single pattern of adjustment to infertility appears common, this review has identified several psychosocial factors that might make particular infertile individuals more vulnerable to stress. It is often a combination of factors which makes stress overwhelming. However, it is important to keep in mind that the risk posed by some factors may by mitigated by the presence of buffers. An insight into such risk and protective factors would facilitate the identification of women at risk of experiencing high infertility related stress and foster the implementation of tailored support, and therapeutic interventions. (EN)
Psychology
Στρες
Ενδοκυτταροπλασματική έγχυση σπερματοζωαρίου
http://id.loc.gov/authorities/subjects/sh85100264
Απογραφή κατάστασης άγχους
Pessimism
Χαρακτηριστικά προσωπικότητας
Center for Epidemiological Studies-Depression
Εσωστρέφεια
Anxiety
Αντιμετώπιση
Κοινωνική υποστήριξη
Infertility Related Distress
Fertility Related Stress
http://lod.nal.usda.gov/16450
coping strategies
Ψυχολογία
Copenhagen Multi-centre Psychosocial Infertility
http://lod.nal.usda.gov/768
Υπογόνιμες γυναίκες
Cognitive Appraisals
Νευρωτισμός
Άγχος σχετικά με τη γονιμότητα
Δυσφορία σχετικά με την υπογονιμότητα
Πολυκλινική Ψυχοκοινωνικής Υπογονιμότητας Κοπεγχάγης
Infertility
http://id.loc.gov/authorities/subjects/sh00006614
Stressors
Άγχος
Κατάθλιψη
**N/A**-Ψυχολογία
Social support
**N/A**-Ιατρική
Neuroticism
Προσωπικότητα
Κέντρο Επιδημιολογικών Ερευνών-Κατάθλιψης
psychological stress
Εκτίμηση
Introversion
http://id.loc.gov/authorities/subjects/sh2010007007
Στρατηγικές αντιμετώπισης
Τεστ για τον προσανατολισμό στη ζωή
Personality Traits
Ψυχολογικό στρες
http://zbw.eu/stw/descriptor/15790-5
Cognitive-Phenomenological Theory
Life Orientation Test
Γνωστικές εκτιμήσεις
Coping
Έξυπνο μοντέλο-μονοπάτι
Γνωστική-φαινομενολογική θεωρία
Infertile Women
http://id.loc.gov/authorities/subjects/sh85067649
Συμβουλευτική πριν την εξωσωματική γονιμοποίηση
Στρες συσχετιζόμενο με τη γονιμότητα
Στρεσογόνα
State Trait Anxiety Inventory
http://id.loc.gov/authorities/subjects/sh00006125
Depression
Ιατρική
Personality
Appraisal
Stress
Medicine
Απαισιοδοξία
Υπογονιμότητα
Predictive path-model
Infertility related stress
Intracytoplasmatic sperm injection
Pre-IVF Counseling
Yeh, John (EN)
Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Μαιευτικής (EL)
http://benthamscience.com/journal/index.php?journalID=cwhr
Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες
http://creativecommons.org/licenses/by-nc-nd/3.0/us/
forever
ΤΕΙ Αθήνας
Υπατία - Ιδρυματικό Αποθετήριο
Δημοσιεύσεις



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