1
Department of Counseling, Faculty of Psychology, Isfahan University, Isfahan, Iran
2
Isfahan Fertility and Infertility Center, Isfahan, Iran
Abstract
Introduction: Different psychological aspects of infertility have been studied so far. The object-tive of this study was to determine the most common dimensions of attitude towards infertility in infertile couples and also to determine the relation between attitude towards infertility and age of couples, the time-span after marriage, educational achievements and infertility variables. Another objective of the study was to determine the relation between attitude towards infertility and deg-rees of depression and anxiety.Materials & Methods: Among people who referred to Fertility and Infertility Center in Isfahan in autumn 2004, 55 cases (25 men and 30 women), who had neither children nor any adoption child but had been diagnosed infertile, were randomly selected and were asked to answer attitude towards infertility questionnaire and Becks depression and anxiety inventories. The data were analyzed by SPSS software. Statistical methods such as correlation, descriptive analysis, variance and multiple regression analyses were employed.Results: Based on the findings of the study, attitude towards having offspring and parental role with 69.1%, and attitude towards social acceptance with 54.5%, were the most prevalent dimen-sions of attitude towards infertility. In addition, attitude had a significant (p < 0.05) reverse relation to age but had no significant relation to time-span after marriage or the participants' educational levels. Results did not show significant differences in attitude towards infertility, when the partici-pant, his/her spouse or both of them were infertile. Noting the regression analysis results, attitude towards life control and social acceptance are the most important factors determining depression severity (p < 0.0001), where life control, social acceptance, having offspring and parental role had greater effects on anxiety (p < 0.0001). Conclusion: Many infertile couples put the highest emphasis on offspring and parental role and most of them had negative attitude towards social acceptance. Older people had less negative atti-tudes towards the variables. The participants' attitude towards infertility had no relation to time-span after marriage, educational levels or whether the participant, his/her spouse or both were infertile. Depression and anxiety in these couples were due to their attitude towards life control and social acceptance.
Greil A. L. Infertility and psychological distress: A cri-tical review of the literature. Soc Sci Med.1994;45 (11):1670-1704.
Andrews F., Abbey A., Halman J. Is fertility problem stress different?. Fertil Steril.1992;57:1247-1253.
ملایی نژاد میترا. بررسی ارتباط سازگاری زناشویی و تنیدگی ناشی از ناباروری در زنان مراجعه کننده به مرکز باروری و ناباروری شهر اصفهان در سال 1378. پایان نامه کارشناسی ارشد. دانشگاه علوم پزشکی و خدمات بهداشتی درمانی ایران. (1379). صفحه 11.
Nasseri M. Cultural similarities in psychological reac-tions to infertility. Psychol Rep.2000;(86):375-378.
Diamond R., Kezur D., Meyers M., Scharf C., Wein-shel M. Couple therapy for infertility. New York, The Guilford Press.1999;35-45.
Pasch L., Dunkel-Schetter C., Christensen A. Diffe-rences between husbands and wives approach to infertility affect marital communication and adjust-ment. Fertil Steril.2002;77(6):1241-1704.
سرمد زهره. بازرگان عباس. حجازی الهه. روشهای تحقیق در علوم رفتاری. تهران: آگاه. (1377)، صفحه 187.
Steer R.A., Rissmiller D.J., Ranieri W.F., Beck A.T. Structure of the Computer-assisted Beck anxiety inven-tory with psychiatric inpatients. J pers Assess.1993;60 (3):532-542.
کاویانی حسین، احمدی ابهری سید علی، دهقان محمد، منصورنیا محمد علی، خرمشاهی مازیار، قدیرزاده محمدرضا، دادپی علیرضا، چهاردهی امیر. شیوع اختلالهای اضطرابی در شهر تهران. فصلنامه اندیشه و رفتار. سال هشتم (1381). شماره سوم. صفحات: 11-4.
کاویانی حسین، قاسمزاده حبیب اله. بررسی همایندی مرضی و همپوشی علائم اختلالهای افسردگی و اضطراب در جامعه ایرانی. مجله دانشکده پزشکی دانشگاه علوم پزشکی تهران. (1382) شماره سوم، صفحات: 177-171.
یعقوبی نصرآبادی محمد، عاطف وحید محمد کاظم، احمدزاده غلامحسین. تأثیر گروه درمانی شناختی- رفتاری بر کاهش افسردگی و اضطراب بیماران مبتلا به اختلال خلقی. فصلنامه اندیشه و رفتار. سال نهم، (1382). شماره دوم. صفحات: 56-64.
Xu L., KE H.X., HE F.F. Psychological aspects of in-fertile couples. Zhonghua Fu Chan Ke Za Zhi.1994;29 (4):232-4.
Wright J., Duchesne C., Saburina S., Bissonette F., Benoit J., Girard J. Psychological distress and inferti-lity: men, women respond differently. Fertil Steril. 1991;55(1):100-108.
Abbey A., Andrews F., Halman J. Gender s role in res-ponse to infertility. Psychol Women.1991;15:295- 316.
Nilforooshan, P., Ahmadi, S. A., Abedi, M. R. & Ahmadi, S. M. (2006). Attitude towards infertility and its relation to depression and anxiety in infertile couples. Journal of Reproduction & Infertility, 6(5), 546-552.
MLA
Nilforooshan, P., Ahmadi, S. A., Abedi, M. R., & Ahmadi, S. M. "Attitude towards infertility and its relation to depression and anxiety in infertile couples", Journal of Reproduction & Infertility, 6, 5, 2006, 546-552.
HARVARD
Nilforooshan P., Ahmadi S. A., Abedi M. R., Ahmadi S. M. (2006). 'Attitude towards infertility and its relation to depression and anxiety in infertile couples', Journal of Reproduction & Infertility, 6(5), pp. 546-552.
CHICAGO
P. Nilforooshan, S. A. Ahmadi, M. R. Abedi & S. M. Ahmadi, "Attitude towards infertility and its relation to depression and anxiety in infertile couples," Journal of Reproduction & Infertility, 6 5 (2006): 546-552,
VANCOUVER
Nilforooshan P., Ahmadi S. A., Abedi M. R., Ahmadi S. M. Attitude towards infertility and its relation to depression and anxiety in infertile couples. JRI. 2006;6(5):546-552.