Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Effects of Group Counseling on Stress and Gender-Role Attitudes in Infertile Women: A Clinical Trial

Authors
1 Student Research Committee, School of Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
2 Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
3 Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
4 Department of Obstetrics and Gynecology, Clinical Research Development Center of Kamali Hospital, School of Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
Abstract
Background: Infertility stress can have a devastating impact on the lives of couples and influence their physical and psychological health. The purpose of this study was to investigate the effects of group counseling on female stress and gender-role attitudes in infertile women. Methods: The present study is a randomized clinical trial conducted on 90 infertile women referred to Rooyesh Infertility Treatment Center in the city of Karaj, Iran. The convenience sampling method was used. Samples were divided into intervention and control groups through four-block random allocations. Accordingly, the intervention group received five-session group counselling and the control group only received routine care. Newton’s fertility problem inventory (FPI) and gender role questionnaire (GRQ) were used for collecting data before, after, and one month after the intervention. The significance level was set at 0.05. Results: The result showed a significant relationship between gender role attitude and stress in infertile women (p=0.03) and indirect association between of them (r=0.13). And also repeated measures test indicated that length of time had affected the total scores of infertility stress (p<0.001) and gender role attitude scores (p=0.001) and there was a significant difference between the two groups in infertility stress scores (p<0.001) and gender role attitude scores (p=0.001). Discussion: Group counseling can be used in stress reduction and also improved gender role attitude of infertile women.
Keywords

  1. Karaca A, Unsal G. Psychosocial problems and coping strategies among Turkish women with infertility. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(3):243-50.
  2. Begum BN, Hasan S. Psychological problems among women with infertility problem: a comparative study. J Pak Med Assoc. 2014;64(11):1287-91.
  3. Kazemijaliseh H, Ramezani Tehrani F, Behboudi-Gandevani S, Hosseinpanah F, Khalili D, Azizi F. The prevalence and causes of primary infertility in Iran: a population-based study. Global J Health Sci. 2015;7(6):226-32.
  4. Akhondi MM, Kamali K, Ranjbar F, Shirzad M, Shafeghati S, Behjati Ardakani Z, et al. Prevalence of primary infertility in Iran in 2010. Iran J Public Health. 2013;42(12):1398-404.
  5. Parsanezhad ME, Jahromi BN, Zare N, Keramati P, Khalili A, Parsa-Nezhad M. Epidemiology and etiology of infertility in Iran, systematic review and meta-analysis. J Womens Health Issues Care. 2013;2(6):2-6.
  6. Chandra A, Copen CE, Stephen EH. Infertility and impaired fecundity in the United States, 1982-2010: data from the National survey of family growth. USA: National Center for Health Statistics; 2013. 18 p.
  7. Sehhati SF, Mirghafourvand M, Rahimi M. Perceived stress and its social-individual predicors among infertile couples referring to infertility center of Alzahra hospital in Tabriz in 2013. Int J Womens Health Reprod Sci. 2014;2(5):291-6.
  8. Sexton MB, Byrd MR, von Kluge S. Measuring resilience in women experiencing infertility using the CD-RISC: Examining infertility-related stress, general distress, and coping styles. J Psychiatric Res. 2010;44(4):236-41.
  9. Pouragha B, Khabiri R, Pourreza A, Zarei E. Behavior of under the Iranian social security organization-insured persons on utilization of laboratory and imaging services. J Mazandaran Univ Med Sci. 2013;23(106):38-47.
  10. Peterson BD, Gold L, Feingold T. The experience and influence of Infertility: considerations for couple counselors. Fam J. 2007;15(3):251-7.
  11. Cotter D, Hermsen JM, Vanneman R. The end of the gender revolution? gender role attitudes from 1977 to 2008. AJS. 2011;117(1):259-89.
  12. Hedaya NK. Attribution style and gender role attitudes as predictors of infertility distress in women coping with infertility diagnoses [dissertation]: Alliant International University; 2015. 24 p.
  13. Inhorn MC. Local babies, global science: gender, religion and in vitro fertilization in Egypt: 1st ed. New York: Routledge; 2012. 320 p.
  14. Huckert T, Krampen G. Empirical test of an integrative model explaining higher prevalence of subclinical depression in women: a normative sex‐role orientation approach. J Appl Biobehav Res. 2010;15(3):144-60.
  15. Ranjbar F, Akhondi MM, Borimnejad L, Ghaffari SR, Behboodi-Moghadam Z. Paradox of modern pregnancy: a phenomenological study of women’s lived experiences from assisted pregnancy. J Pregnancy. 2015;2015:543210.
  16. Martins MV, Peterson BD, Costa P, Costa ME, Lund R, Schmidt L. Interactive effects of social support and disclosure on fertility-related stress. J Soc Pers Relat. 2013;30(4):371-88.
  17. Van den Broeck U, Emery M, Wischmann T, Thorn P. Counselling in infertility: individual, couple and group interventions. Patient Educ Couns. 2010;81(3):422-8.
  18. Frederiksen Y, Farver-Vestergaard I, Skovgård NG, Ingerslev HJ, Zachariae R. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. BMJ Open. 2015;5(1):e006592.
  19. Faramarzi M, Pasha H, Esmailzadeh S, Kheirkhah F, Heidary S, Afshar Z. The effect of the cognitive behavioral therapy and pharmacotherapy on infertility stress: a randomized controlled trial. Int J Fertil Steril. 2013;7(3):199-206.
  20. Covington SN, Burns LH. Infertility counseling: a comprehensive handbook for clinicians. 2nd ed. UK: Cambridge University Press; 2006. 521 p.
  21. Boivin J, Appleton TC, Baetens P, Baron J, Bitzer J, Corrigan E, et al. Guidelines for counselling in infertility: outline version. Hum Reprod. 2001;16(6):1301-4.
  22. Ranjbar F, Behboodi-Moghadam Z, Borimnejad L, Ghaffari SR, Akhondi MM. Experiences of infertile women seeking assisted pregnancy in Iran: a qualitative study. J Reprod Infertil. 2015;16(4):221-8.
  23. Rabeipour S, Arefi M, Ordoni Avval Z, Behroozilak T. The effectiveness of group counseling by collaborative approaches on specific stress in infertile women. J Urmia Nurs Midwifery Fac. 2016;14(1):56-65.
  24. Crawshaw M, Hunt J, Monach J, Pike S, Wilde R. British infertility counselling association-guidelines for good practice in infertility counselling. Third edition 2012. Hum Fertil (Camb). 2013;16(1):73-88.
  25. Newton CR, Sherrard W, Glavac I. The fertility problem inventory: measuring perceived infertility-related stress. Fertil Steril. 1999;72(1):54-62.
  26. Samani RO, Almasi-Hashiani A, Shokri F, Maroufizadeh S, Vesali S, Sepidarkish M. Validation study of the fertility problem inventory in Iranian infertile patients. Middle East Fertil Soc J. 2017;22(1):48-53.
  27. De Berardis D, Mazza M, Marini S, Del Nibletto L, Serroni N, Pino M, et al. Psychopathology, emotional aspects and psychological counselling in infertility: a review. Clin Ter. 2014;165(3):163-9.
  28. Peterson B, Boivin J, Norré J, Smith C, Thorn P, Wischmann T. An introduction to infertility counseling: a guide for mental health and medical professionals. J Assisted Reprod Genet. 2012;29(3):243-8.
  29. Klemetti R, Raitanen J, Sihvo S, Saarni S, Koponen P. Infertility, mental disorders and well-being–a nationwide survey. Acta Obstet Gynecol Scand. 2010;89(5):677-82.
  30. Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynecol. 2010;31(2):101-10.
  31. Greil AL, Slauson‐Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn. 2010;32(1):140-62.
  32. Wischmann TH. Couples sexual dysfunctions: sexual disorders in infertile couples. J Sex Med. 2010;7(5):1868-76.
  33. Wischmann T, Korge K, Scherg H, Strowitzki T, Verres R. A 10-year follow-up study of psychosocial factors affecting couples after infertility treatment. Hum Reprod. 2012;27(11):3226-32.
  34. Soleimani AA, Najafi M, Ahmadi K, Javidi N, Kamkar EH, Mahboubi M. The effectiveness of emotionally focused couples therapy on sexual satisfaction and marital adjustment of infertile couples with marital conflicts. Int J Fertil Steril. 2015;9(3):393-402.
  35. Latifnejad Roudsari R, Rasolzadeh Bidgoly M, Mousavifar N, Modarres Gharavi M. The effect of collaborative counseling on perceived infertility-related stress in infertile women undergoing IVF. Iran J Obstet Gynecol Infertil. 2011;14(4):22-31.
  36. Greil AL. Infertility and psychological distress: a critical review of the literature. Soc Sci Med. 1997;45(11):1679-704.
  37. Cobb RA, Walsh CE, Priest JB. The cognitive-active gender role identification continuum. J Fem Fam Ther. 2009;21(2):77-97.
  38. Miles LM, Keitel M, Jackson M, Harris A, Licciardi F. Predictors of distress in women being treated for infertility. J Reprod Infant Psychol. 2009;27(3):238-57.
  39. Greil AL, Shreffler KM, Schmidt L, McQuillan J. Variation in distress among women with infertility: evidence from a population-based sample. Hum Reprod. 2011;26(8):2101-12.