Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

The Effect of Spiritual Health on Psychological Distress of Infertile Women: The Role of Perceived Social Support as a Mediator

Authors
Faride Ensafdaran 1
Mahmoud Nejabat 1
Soudabeh Sabetian 2
Bahia Namavar Jahromi 3
Fatemeh Hemmati 4
1 Research Center of Quran, Hadith and Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Biostatistics, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Biostatistics, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
4 Fatemieh Institute of Higher Education, Shiraz, Iran
10.18502/jri.v25i4.18127
Abstract
Background: The objective of this study was to evaluate the model of spiritual health in relation to psychological distress among infertile women, with perceived social support as a mediator. Method: In this study, structural equation modeling (SEM) was employed. The study population included all infertile women in Shiraz from which a sample of 250 individuals was selected using a targeted sampling method. The research data were collected by Spiritual Health questionnaire developed by Iranian Academy of Medical Sciences; Depression, Anxiety, and Stress Scale 21 (DASS-21); and Multidimensional Scale of Perceived Social Support (MSPSS). Data analysis was performed using SPSS and AMOS software. Results: The results demonstrate that the direct impact of spiritual health on psychological distress and perceived social support was statistically significant. Furthermore, a significant indirect effect of spiritual health on psychological distress was identified through perceived social support. Conclusion: According to the findings of this study, it may be beneficial to address aspects of spiritual health and social support to alleviate psychological distress among infertile women.
Keywords
Infertility
perceived social support
Psychological distress
Spiritual Health
Gurunath S, Pandian Z, Anderson RA, Bhattacharya S. Defining infertility--a systematic review of pre-valence studies. Hum Reprod Update. 2011;17(5): 575-88.
Margan R, Margan MM, Fira-Mladinescu C, Put-noky S, Tuta-Sas I, Bagiu R, et al. Impact of stress and financials on romanian infertile women access-ing assisted reproductive treatment. Int J Environ Res Public Health. 2022;19(6):3256.
Clifton J, Parent J, Worrall G, Seehuus M, Evans M, Forehand R, et al. An internet-based mind/body intervention to mitigate distress in women ex-periencing infertility: a randomized pilot trial. Fertil Steril. 2016;106(3):e62.
Omani-Samani R, Ghaheri A, Navid B, Sepidarkish M, Maroufizadeh S. Prevalence of generalized anxiety disorder and its related factors among infertile patients in Iran: a cross-sectional study. Health Qual Life Outcomes. 2018;16(1):129.
Lakatos E, Szigeti JF, Ujma PP, Sexty R, Balog P. Anxiety and depression among infertile women: a cross-sectional survey from hungary. BMC Womens Health. 2017;17(1):48.
Jahromi BN, Mansouri M, Forouhari S, Poordast T, Salehi A. Quality of life and its influencing factors of couples referred to an infertility center in Shiraz, Iran. Int J Fertil Steril. 2018;11(4):293-7.
Ozturk R, Taner A, Guneri SE, Yilmaz B. Another face of violence against women: Infertility. Pak J Med Sci. 2017;33(4):909-14.
Akyuz A, Seven M, Şahiner G, Bilal B. Studying the effect of infertility on marital violence in Turkish women. Int J Fertil Steril. 2013;6(4):286-93.
Rufai AI, Grema BA, Bello MM, Michael GC. Association between family functionality, sociode-mographic factors, and severity of depression in women with infertility attending a gynecology clinic in northwest Nigeria. J Neurosci Rural Pract. 2022; 13(2):246-53.
Simionescu G, Dorfotei B, Maftei R, Obreja BE, Anton E, Grab D, et al. The complex relationship between infertility and psychological distress (Review). Exp Ther Med. 2021;21(4):306.
Chiew PW, Jan JM. In vitro fertilisation: women's questions and concerns in a Malaysian online forum. Pertanika J Soc Sci Humanities. 2018;26:79-96.
Dumbala S, Bhargav H, Satyanarayana V, Arasap-pa R, Varambally S, Desai G, et al. Effect of yoga on psychological distress among women receiving treatment for infertility. Int J Yoga. 2020;13(2):115-9.
Honarvar N, Taghavi M. Relation of religious coping and depression levels in infertile women. Iran J Psychiatry. 2020;15(2):134-42.
Fatima S, Sharif S, Khalid I. How does religiosity enhance psychological well-being? roles of self-efficacy and perceived social support. Psychol Relig Spiritual. 2018;10(2):119.
Fricchione GL. Religious issues in the context of medical illness. Psychiatric care of the medical patient. 2nd ed. Edition Stoudemire A, Fogel BS, Greenberg DB, editors. New York: Oxford Uni-versity Press; 2000. p. 91-101.
Domar AD, Penzias A, Dusek JA, Magna A, Merarim D, Nielsen B, et al. The stress and distress of infertility: does religion help women cope? Sex Reprod Menopause. 2005;3(2):45-51.
Dadhwal V, Choudhary V, Perumal V, Bhatta-charya D. Depression, anxiety, quality of life and coping in women with infertility: a cross‐sectional study from India. Int J Gynecol Obstet. 2022;158 (3):671-8.
Fernandez-Ferrera C, Llaneza-Suarez D, Fernan-dez-Garcia D, Castañon V, Llaneza-Suarez C, Lla-neza P. Resilience, perceived stress, and depressed mood in women under in vitro fertilization treat-ment. Reprod Sci. 2022;29(3):816-22.
Ni Y, Huang L, Zhang E, Xu L, Tong C, Qian W, et al. Psychosocial correlates of fertility-related quality of life among infertile women with re-peated implantation failure: the mediating role of resilience. Front Psychiatry. 2022;13:1019922.
Hajihasani M, Ekhtiari Amiri R. Psychological dis-tress in infertile women: the role of quality of marital relationships and self-compassion. Hum Fertil. 2023;26(6):1393-9.
Truong LQ, Luong TB, Tran T, Dang NH, Nguyen LH, Nguyen TT, et al. Infertility-related stress, social support, and coping of women experiencing infertility in Vietnam. Health Psychol Rep. 2022; 10(2):129-38.
Zhong M, Li X, Tang N, Chen X, Fan T. Role of resilience in relationship between perceived social support and quality of life of breast cancer patients. Chinese Nurs Res. 2019;33(2):237-40.
Dreyer J, Schwartz-Attias I. Nursing care for ado-lescents and young adults with cancer: literature review. Acta Haematol. 2014;132(3-4):363-74.
Kong L, Fang M, Ma T, Li G, Yang F, Meng Q, et al. Positive affect mediates the relationships be-tween resilience, social support and posttraumatic growth of women with infertility. Psychol Health Med. 2018;23(6):707-16.
Khalid A, Dawood S. Social support, self-efficacy, cognitive coping and psychological distress in in-fertile women. Arch Gynecol Obstet. 2020;302(2):423-30.
Parkitny L, McAuley J. The depression anxiety stress scale (DASS). J Physiother. 2010;56(3):204.
Amiri P, Abbasi M, Gharibzadeh S, Asghari Jafar-abadi M, Hamzavi Zarghani N, Azizi F. [Desig-nation and psychometric assessment of a compre-hensive spiritual health questionnaire for Iranian populations]. Med Ethics. 2015;8(30):25-55. Persian.
Ensafdaran F, Nejabat M, Mahmoudi A, Shamsaei M. Presenting a model of nurses' psychological well-being based on the variables of spiritual health, resilience, and emotional atmosphere of the family during the corona pandemic and its effect on emotional distress tolerance of nurses. J Health System Res. 2022;18(2):120-6.
Dahlem NW, Zimet GD, Walker RR. The multi-dimensional scale of perceived social support: a confirmation study. J Clin Psychol. 1991;47(6):756-61.
Van Nieuw Amerongen‐Meeuse JC, Schaap‐Jon-ker H, Anbeek C, Braam AW. Religious/spiritual care needs and treatment alliance among clinical mental health patients. J Psychiatr Ment Health Nurs. 2021;28(3):370-83.
Najafi K, Khoshab H, Rahimi N, Jahanara A. Re-lationship between spiritual health with stress, anxiety and depression in patients with chronic diseases. Int J Africa Nurs Sci. 2022;17:100463.
Ross L, Giske T, Van Leeuwen R, Baldacchino D, McSherry W, Narayanasamy A, et al. Factors con-tributing to student nurses'/midwives' perceived competency in spiritual care. Nurs Educ Today. 2016;36:445-51.
Ha T, Różycka-Tran J, Jurek P, Thu T, Hao L. Vietnamese version of the dual filial piety scale: preliminary validation in a student sample. Health Psychol Rep. 2020;8(3):263-72.
Höbek Akarsu R, Kızılkaya Beji N. Spiritual and religious issues of stigmatization women with in-fertility: a qualitative study: spiritual and religious issues of stigmatization. J Religion Health. 2021; 60(1):256-67.
Salehi B, Asghari Ebrahim Abad MJ. Investigating the impact of the role and dimensions of religion and distress tolerance in predicting the psycho-logical safety of infertile women. Womens Stud Soc Psychol. 2019;17(1):165-92.
Casu G, Ulivi G, Zaia V, Fernandes Martins MD, Parente Barbosa C, et al. Spirituality, infertility-re-lated stress, and quality of life in Brazilian infertile couples: analysis using the actor-partner interde-pendence mediation model. Res Nurs Health. 2018;41(2):156-65.
Trevino KM, Pargament KI. Medicine, spirituality, religion, and psychology. In: Balboni M, Peteet J editors. Spirituality and religion within the culture of medicine: from evidence to practice. Oxford: Oxford Academic; 2017. p. 233-62.
Snider AM, McPhedran S. Religiosity, spirituality, mental health, and mental health treatment out-comes in Australia: a systematic literature review. Ment Health Religion Culture. 2014;17(6):568-81.
Zavis M, Procházka P. Studying spirituality of muslim spouses fighting infertility: from methodo-logical problems to analysis of everyday practice. Spiritual Stud. 2020;6(2):28-39.
Ozbay F, Johnson DC, Dimoulas E, Morgan Iii C, Charney D, Southwick S. Social support and re-silience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35-40.
Praharso NF, Tear MJ, Cruwys T. Stressful life transitions and wellbeing: a comparison of the stress buffering hypothesis and the social identity model of identity change. Psychiatry Res. 2017;247:265-75.
Bekiros S, Jahanshahi H, Munoz-Pacheco JM. A new buffering theory of social support and psycho-logical stress. PLoS One. 2022;17(10):e0275364.
Greil AL, Slauson‐Blevins K, McQuillan J. The ex-perience of infertility: a review of recent literature. Sociol Health Illn. 2010;32(1):140-62.
Rezaei SM, Mosavinezhad SM, Ansari B. The role of spiritual experiences in feeling of failure and infertility stress among infertile women. Health Spiritual Med Ethic. 2020;7(4):41-9.
Demirel G, Taskin Yilmaz F, Yenicesu AG. The relation between religious coping, adjustment to fertility, being affected by infertility, and satis-faction with life in Turkish women with infertility. J Relig Health. 2021;60(6):4264-77.
Braga DPdAF, Melamed RMM, Setti AS, Zanetti BF, Figueira RdCS, Iaconelli Jr A, et al. Role of religion, spirituality, and faith in assisted reproduc-tion. J Psychosom Obstet Gynecol. 2019;40(3):195-201.
Journal of Reproduction & Infertility
Volume 25, Issue 4
Autumn 2024
Pages 290-297