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Infertility-related stress in men and women predicts treatment outcome 1 year later

Boivin, Jacky and Schmidt, Lone 2005. Infertility-related stress in men and women predicts treatment outcome 1 year later. Fertility and Sterility 83 (6) , pp. 1745-1752. 10.1016/j.fertnstert.2004.12.039

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Abstract

Objective: To examine the separate and joint effects of male and female fertility problem (FP) stress and the source of stress (e.g., personal, social, marital) on treatment outcome. Design: Prospective, epidemiological cohort design. Setting: Fertility clinics in Denmark. Patient(s: Eight hundred eighteen couples who were about to begin a new course of treatment. Intervention(s): An FP stress inventory was administered at the start of treatment, and the treatment outcome was evaluated 12 months later. Main Outcome Measure(s: Number of treatment cycles in 12-month study period and treatment outcome (i.e., success, no success). Result(s: Fertility problem stress was associated with a poorer treatment outcome in women (pooled within-groups [WGr] correlation,WGr = .517) and men (WGr = .392) with the effect significantly more pronounced for women (z = 3.19, P<.001). Fertility problem stress arising in the personal and marital domain showed greater associations with treatment outcome than did FP stress from the social domain. Logistic regression indicated that women who reported more marital distress required more treatment cycles to conceive (median 3) than women reporting less marital distress (median 2) (odds ratio [OR] = 1.20: Model χ2(3) = 77.21, P<.001). Conclusion(s): The findings provide evidence that infertility-related stress has direct and indirect effects on treatment outcome.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine
Uncontrolled Keywords: Stress; psychology; psychosocial; reproduction; marital; gender; counselling; infertility; in vitro fertilization; fertility
Publisher: Elsevier
ISSN: 0015-0282
Last Modified: 04 Jun 2017 04:50
URI: http://orca.cf.ac.uk/id/eprint/45584

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