Psychosocial predictors of infertility related stress

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Υπατία - Ιδρυματικό Αποθετήριο
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Psychosocial predictors of infertility related stress (EN)

Γουρουντή, Κλεάνθη (EL)
Αναγνωστόπουλος, Φώτιος (EL)
Βασλαματζής, Γρηγόριος (EL)

Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Μαιευτικής (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)


Στρες (EN)
Ενδοκυτταροπλασματική έγχυση σπερματοζωαρίου (EN)
Απογραφή κατάστασης άγχους (EN)
Pessimism (EN)
Χαρακτηριστικά προσωπικότητας (EN)
Center for Epidemiological Studies-Depression (EN)
Εσωστρέφεια (EN)
Anxiety (EN)
Αντιμετώπιση (EN)
Κοινωνική υποστήριξη (EN)
Infertility Related Distress (EN)
Fertility Related Stress (EN)
coping strategies (EN)
Copenhagen Multi-centre Psychosocial Infertility (EN)
Υπογόνιμες γυναίκες (EN)
Cognitive Appraisals (EN)
Νευρωτισμός (EN)
Άγχος σχετικά με τη γονιμότητα (EN)
Δυσφορία σχετικά με την υπογονιμότητα (EN)
Πολυκλινική Ψυχοκοινωνικής Υπογονιμότητας Κοπεγχάγης (EN)
Infertility (EN)
Stressors (EN)
Άγχος (EN)
Κατάθλιψη (EN)
Social support (EN)
Neuroticism (EN)
Προσωπικότητα (EN)
Κέντρο Επιδημιολογικών Ερευνών-Κατάθλιψης (EN)
psychological stress (EN)
Εκτίμηση (EN)
Introversion (EN)
Στρατηγικές αντιμετώπισης (EN)
Τεστ για τον προσανατολισμό στη ζωή (EN)
Personality Traits (EN)
Ψυχολογικό στρες (EN)
Cognitive-Phenomenological Theory (EN)
Life Orientation Test (EN)
Γνωστικές εκτιμήσεις (EN)
Coping (EN)
Έξυπνο μοντέλο-μονοπάτι (EN)
Γνωστική-φαινομενολογική θεωρία (EN)
Infertile Women (EN)
Συμβουλευτική πριν την εξωσωματική γονιμοποίηση (EN)
Στρες συσχετιζόμενο με τη γονιμότητα (EN)
Στρεσογόνα (EN)
State Trait Anxiety Inventory (EN)
Depression (EN)
Personality (EN)
Appraisal (EN)
Stress (EN)
Απαισιοδοξία (EN)
Υπογονιμότητα (EN)
Predictive path-model (EN)
Infertility related stress (EN)
Intracytoplasmatic sperm injection (EN)
Pre-IVF Counseling (EN)

ΤΕΙ Αθήνας (EL)
Technological Educational Institute of Athens (EN)

Current Women's Health Reviews (EL)

Αγγλική γλώσσα


DOI: 10.2174/157340410793362159

Yeh, John (EN)

*Η εύρυθμη και αδιάλειπτη λειτουργία των διαδικτυακών διευθύνσεων των συλλογών (ψηφιακό αρχείο, καρτέλα τεκμηρίου στο αποθετήριο) είναι αποκλειστική ευθύνη των αντίστοιχων Φορέων περιεχομένου.