Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Impact of cognitive behaviour therapy on anxiety level of primary infertile women undergoing IUI

Authors
Parvaneh Heidari 1
Robab Latifnejad 1
Ali Sahebi 2
Monireh Jahaniyan 3
Seyyed Reza Mazloum 4
1 Midwifery Department, Faculty of Medicine, Karaj Azad University, Karaj, Iran
2 Psychology Department, Faculty of Educative Sciences and Psychology, Ferdousi University, Mashad, Iran
3 Montaserieh infertility treatment Center, Mashhad Medical Scienses University, Mashad, Iran
4 Nursing Department, Faculty of Medicine, Mashhad Medical Sciences University, Mashad, Iran
Abstract
Infertility and its numerous treatment programs create crisis in infertile women’s life and is a potent source of anxiety. Since cognitive behavioural therapy might be efficacious for emotional aspect of infertility, therefore we designed a study for evaluation of cognitive behaviour therapy effect on anxiety level in primary infertile women undergoing IUI in Montaserieh Infertility Research Center from May to August 2001. In this randomized controlled clinical trial 110 women with primary infertility that were undergoing IUI for first time randomly were allocated to two groups of experimental and control. In first visit for IUI treatment (beginning of study) state and trait anxiety of all subjects were measured by Spiel Berger anxiety inventory. The experimental group completed a cognitive behaviour therapy program including cognitive restructuring and relaxation for 12-13 days. Control group received only routine cares. State and trait anxiety were measured in 30 minutes before and after IUI for two groups. Findings showed that state and trait anxiety scores in beginning of study were not significantly different between two groups. But state anxiety scores during and end of study were significantly different which there was more decrease in experimental group. Trait anxiety score were not significantly different at the beginning, before and end of study. The mean of difference state anxiety at beginning and during study and beginning and end of study was significantly different and beginning and end of study in two groups. Also the mean of difference between trait anxiety at beginning and during study and beginning and end of study was significantly different in two groups, while the mean of difference between trait anxiety during and end of study was not significant. The results of study showed that cognitive behaviour therapy is effective in reduction of anxiety in women undergoing IUI treatment, so we recommend securing psychological well being in women undergoing infertility treatment.
Keywords
anxiety
Cognitive behaviour therapy
Infertility
Intra uterine insemination
رجوئی مریم. جنبه‏های روانشناختی ناباروری. مجله پژوهشهای روانشناختی، 1377، ص 87-72.
کی چانگ ربارسولز. ارزیابی و درمان ناباروری. کریم زاده میبدی و همکاران، چاپ اول، یزد، انتشارات یزد، 1375.
اسپیروف اچ کلس کیس. اندوکرینولوژی بالینی زنان و ناباروری اسپیروف. امینی نائینی فرحناز و همکاران، چاپ اول، تهران، انتشارات تیمورزاده، جلد دوم، 1379.
دهقانی حمیده، دهقانی خدیجه، خلیلی محمد علی. تاثیر آموزش در کاهش اضطراب قبل و بعد از برداشت تخمک در زنان نابارور. مجله دانشگاه علوم پزشکی و خدمات بهداشتی درمانی شهید صدوقی یزد، سال 2، شماره 3: پاییز1379ص: 29-24.
کرمی نوری رضا، آخوندی محمد مهدی، بهجتی اردکانی زهره. مطالعه و بررسی جنبه های روانی، اجتماعی ناباروری از دیدگاه پزشکان ایرانی. چکیده مقالات سمپوزیوم، جنبه‏های روانشناختی ناباروری. تهران، 1380.
Gattuso S.M., Litt M.D., Fitzgeral T.E. Coping with gastrointestinal endoscopy: self–efficacy enhancement and coping style. J Consul Clin Psychol. 1992; 60(1): 133- 9.
کرک هاوتون، کلارک سالکووس کیس. درمان شناختی رفتاری. ترجمه قاسم زاده حبیب الله. چاپ اول، انتشارات ارجمند، جلد اول، 1376.
Stuart G.W., Laraia M.T. Principals and practice of psychiatric nursing. 6th Edition. USA, Mosby. 1998.
MC Naughton C. Development of brief stress management support groups for couples undergoing invitro fertilization treatment. Fertil Steril. 2000; 74(1): 87- 93.
Domar A., Seibel M.M., Benson H. The mind, body program for infertility: a new behavioural treatment approach for women with infertility. Fertil Steril. 1990; 53(2): 246- 9.
Domar A.D., Zuttermister P.C., Seibel M., et al. Psychological improvement in infertile women after behavioural treatment: a replication. Fertil Steril. 1992; 58(1): 144- 7.
Schmidt L. Infertile couple’s assessment of infertility treatment. Acta Obst Gyn Scand. 1998; 77(6): 649- 53.
Spiel Berger C.D. Manual for the state trait anxiety inventory. Consulting Psychologist Press. 1983.
مهرام بهروز. راهنمای آزمون اضطراب صفت و حالت اشپیل برگر،دستورالعمل اجرایی و تعبیر و تفسیر براساس پژوهش هنجاریابی آزمون در شهر مشهد، سال 1372. دانشکده علوم تربیتی و روانشناسی،دانشگاه فردوسی، مشهد.
Cassidy T. Problem solving style, stress & psychological illness. Br Clin Psychol. 1996; 35: 265-77.
سهرابی حمیدرضا، بیرشک بهروز. شناخت و درمان اختلاف زناشویی. تهران، مؤسسه خدمات فرهنگی رسا، سال 1377.
دولت‏آبادی حسین. مقایسه سطح عزت نفس و شدت افسردگی بین معلولیت جسمی حرکتی شاغل و معلولین جسمی حرکتی بیکار. پایان‏نامه کارشناسی ارشد روانشناسی بالینی، دانشکدة علوم تربیتی و روانشناسی، دانشگاه فردوسی، مشهد، سال 1376.
سمیعی‏زاده توسی طیبه. بررسی تأثیر وجود همراه در کنار مادران نخست‏زا بر طول مدت زایمان در شهر ملایر، پایان نامه کارشناسی ارشد، دانشگاه علوم پزشکی و خدمات بهداشتی، درمانی مشهد، سال 1378.
Sadock B.J., Sadok V.A. Kaplan and Sadok’s comprehensive textbook of psychiatry. 7th Edition. USA, Lippincott Williams & Wilkins. 2000
رجوئی مریم. اثر درمانی شناختی رفتاری بر مشکلات روانی زنان نابارور تحت درمان با روشIVF-ET. پایان نامه کارشناسی ارشد روانشناسی بالینی دانشگاه آزاد اسلامی رودهن، 1376.
Ost L.G., Westling B.E. Applied relaxation vs. cognitive behaviour therapy in the treatment of panic disorder. Behav Res Ther. 1995; 33(2): 145-58.
Schmidt N.B., Woolaway Bickel K., Trakowski J. Dismantling cognitive behaviour treatment for panic disorder: questioning the utility of breathing retraining. Consul Clin Psychol. 2000; 68(3): 417- 24.
Pearson E. Cognitive behaviour therapy formulation. New York, New York Academic Presses. 1992; 64 (4): 802- 10.
Bovin J., Takefman J. Stress level across stages of invitro fertilization in subsequently pregnant and nonpregnant women. Fertil Steril. 1995.
Hachett M.I., Kemmann E., Cheron C. Upper gastrointestinal endoscopy: are preparatory interventions effective? Gastrointestinal Endoscopy. 1998; 48(4): 341- 7.
Journal of Reproduction & Infertility
Volume 3, Issue 3
Summer 2002
Pages 40-51