International Journal of
Reproductive Biomedicine
Sat, Apr 20, 2024
[Archive]
Volume 17, Issue 1 (January 2019 2019)
IJRM 2019, 17(1): 57-66 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hamzehgardeshi Z, Yazdani F, Elyasi F, Moosazadeh M, Peyvandi S, Samadaee Gelehkolaee K et al . The efficacy of group counselling on perceived stress among infertile women undergoing in vitro fertilization treatment: An RCT. IJRM 2019; 17 (1) :57-66
URL: http://ijrm.ir/article-1-1381-en.html
URL: http://ijrm.ir/article-1-1381-en.html
Zeinab Hamzehgardeshi1 
, Fereshteh Yazdani * 2, Forouzan Elyasi3 , Mahmood Moosazadeh4 , Sepideh Peyvandi5 , Keshvar Samadaee Gelehkolaee6 , Maryam Shahidi7
, Fereshteh Yazdani * 2, Forouzan Elyasi3 , Mahmood Moosazadeh4 , Sepideh Peyvandi5 , Keshvar Samadaee Gelehkolaee6 , Maryam Shahidi7
1- Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
2- Midwifery Counseling, Mazandaran University of Medical Sciences, Sari, Iran , Fereshteh_yazdani68@ yahoo.com
3- Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
4- Health Science Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
5- IVF Ward, Mazandaran University of Medical Sciences, Sari, Iran.
6- Department of Reproductive Health and Midwifery, Tehran Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran
7- Department of Medical Physics, Mazandaran Medical University, Mazandaran, Iran.
2- Midwifery Counseling, Mazandaran University of Medical Sciences, Sari, Iran , Fereshteh_yazdani68@ yahoo.com
3- Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
4- Health Science Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
5- IVF Ward, Mazandaran University of Medical Sciences, Sari, Iran.
6- Department of Reproductive Health and Midwifery, Tehran Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran
7- Department of Medical Physics, Mazandaran Medical University, Mazandaran, Iran.
Abstract: (2949 Views)
Background: One of the stressful and critical experiences that threat the individual, family, marital, and social stability is infertility.
Objective: To identify the effects of midwifery-led counselling programs on the perceived stress of the women undergoing assisted reproductive treatment.
Materials and Methods: In this randomized clinical trial, 50 infertile women who underwent in vitro fertilization treatment for the first time were enrolled in two groups. The intervention group received six sessions of group counselling by M.Sc. midwifery of counseling student and the control group received only the routine care. All participants filled Newton’s standard questionnaire before and at the time of puncture, embryo transfer and the pregnancy test.
Results: The mean ± SD scores for the perceived infertility stress before the intervention in the control and the intervention groups were 167.92 ± 12.14 and 166.75 ± 13.27, respectively. The mean of perceived stress after intervention at the time of oocyte puncture in the control and case group were 177.12 ± 19.37 and 115.75 ± 13.88, at the time of embryo transfer were 179.40 ± 18.34 and 118.08 ± 15.37, and at the time of pregnancy test was 183.76 ± 14.97 and 120.50 ± 16.24, respectively. The perceived stress of infertility after intervention were statistically significant in the two group (p ≤ 0.001).
Conclusion: Group counselling is one of the effective methods for reducing the perceived stress in the women undergoing assisted reproductive treatment.
Objective: To identify the effects of midwifery-led counselling programs on the perceived stress of the women undergoing assisted reproductive treatment.
Materials and Methods: In this randomized clinical trial, 50 infertile women who underwent in vitro fertilization treatment for the first time were enrolled in two groups. The intervention group received six sessions of group counselling by M.Sc. midwifery of counseling student and the control group received only the routine care. All participants filled Newton’s standard questionnaire before and at the time of puncture, embryo transfer and the pregnancy test.
Results: The mean ± SD scores for the perceived infertility stress before the intervention in the control and the intervention groups were 167.92 ± 12.14 and 166.75 ± 13.27, respectively. The mean of perceived stress after intervention at the time of oocyte puncture in the control and case group were 177.12 ± 19.37 and 115.75 ± 13.88, at the time of embryo transfer were 179.40 ± 18.34 and 118.08 ± 15.37, and at the time of pregnancy test was 183.76 ± 14.97 and 120.50 ± 16.24, respectively. The perceived stress of infertility after intervention were statistically significant in the two group (p ≤ 0.001).
Conclusion: Group counselling is one of the effective methods for reducing the perceived stress in the women undergoing assisted reproductive treatment.
Type of Study: Original Article |
Subject:
Reproductive Genetics
References
1. [1] Latifnejad Roudsari R, Rasolzadeh Bidgoly M, Mousavifar N, Modarres Gharavi M. [The effect of collaorative counseling on perceived infertility-related stress in infertile women undergoing IVF.] Iran J Obstet Gynecol Infertil 2011; 14: 22–31. (in Persian)
2. [2] 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: 199–206.
3. [3] Hamzehgardeshi Z, SHahhosseini Z, Samadaee Gelehkolaee K. Lifestyle and Outcomes of Assisted Reproductive Techniques: A Narrative Review. Glob J Health Sci 2015;7: 11–22.
4. [4] Dirkond Moghadam A, Delpisheh A, Sayehmiri K. The prevalence of infertility in Iran, A Systematic Review. J Obstet Gynecol Infertil Iran 2014; 16: 1–7.
5. [5] Alizade T, Farahani MN, SHahraray M, Alizadegan Sh. [The relationship between self-esteem and source of control with infertility related stress of infertile men and women.] Med J Reprod Infertil 2005: 6: 194–204. (in Persian)
6. [6] Verhaak CM, Smeenk JM, Eugster A, van Minnen A, Kremer JA, Kraaimaat FW. Stress and marital satisfaction among women before and after their first cycle of in vitro fertilization and intracytoplasmic sperm injection. Fertil Steril 2001; 76: 525–531. [DOI:10.1016/S0015-0282(01)01931-8]
7. [7] Covington SN, Burns LH. Infertility counseling: A comprehensive handbook for clinicians: Cambridge University Press; 2006.
8. [8] Greenfeld DA. Does psychological support and counseling reduce the stress experienced by couples involved in assisted reproductive technology? J Assisted Reprod Genet 1997; 14: 186–188. [DOI:10.1007/BF02766107]
9. [9] McNaughton-Cassill ME, Bostwick JM, Vanscoy SE, Arthur NJ, Hickman TN, Robinson RD, et al. Development of brief stress management support groups for couples undergoing in vitro fertilization treatment. Fertil Steril 2000; 74: 87–93. [DOI:10.1016/S0015-0282(00)00564-1]
10. [10] James Sadock B, Alcott Sadock V. Kaplan and Sadocks Synopsis of Psychiatry: Behavioral Sciences Clinical psychiatry. Indian J Psychiatry 2009; 51: 331.
11. [11] Van den Broeck U, Emery M, Wischmann T, Thorn P. Counselling in infertility: individual, couple and group interventions. Patient Educ Couns 2010; 81: 422–428. [DOI:10.1016/j.pec.2010.10.009]
12. [12] Goodman K, Rothman B. Group work in infertility treatment. J Social Work with Groups 1984; 7: 79–97. [DOI:10.1300/J009v07n01_07]
13. [13] Burnett JA. Cultural considerations in counseling couples who experience infertility. Journal of Multicultural Counseling and Development 2009; 37: 166–177. [DOI:10.1002/j.2161-1912.2009.tb00100.x]
14. [14] Kennedy HP, Griffin M, Frishman G. Enabling conception and pregnancy: midwifery care of women experiencing infertility. J Nurse Midwifery 1998; 43: 190–207. [DOI:10.1016/S0091-2182(98)00007-X]
15. [15] Sahraian K, Poursamar SL, Jafarzadeh F. The relationship between social support and marital satisfaction in infertile women based on infertility factor. J Urmia Nurs Midwifer Facult 2015; 12: 1104–1109.
16. [16] Soltani M, Shairi MR, Roshan R, Rahimi Ch. The impact of emotionally focused therapy on emotional distress in infertile couples. Int J Fertil Steril 2014; 7: 337–344.
17. [17] KHeirkhah M, Vahedi M, Janani P. The Effect of Group Counseling on Infertility Adjustment of infertile women in Tabriz Al-Zahra clinic. Iran J Obstet Gynecol Infertil 2014;17: 7–14.
18. [18] Stroe J. The implementation of infertility support groups at innovative managed care California state university. Long Beach; 2015.
19. [19] Leone S. Group Counseling: Facilitator's Manual 2012. Available from: http://innovationsformnch.org/finding-what-works/helping-health-workers-cope.
20. [20] Valiani M, Abedian S, Ahmadi SM, Pahlavanzade S. [The effects of relaxation on outcome treatment in infertile women.] Complementary Med J faculty Nurs Midwifery 2014; 4: 845–853. (in Persian)
21. [21] Hamzehgardeshi Z, Yazdani F, Elyasi F, Peyvandi S, Moosazadeh M, Samadaee Gelehkolaee K. [Group counseling protocol target distress decreases fertility in infertile women.] Gorgan, Norozi; 2017. (in Persian)
22. [22] Newton CR, Sherrard W, Glavac I. The fertility problem inventory: measuring perceived infertility-related stress. Fertil Steril 1999; 72: 54–62. [DOI:10.1016/S0015-0282(99)00164-8]
23. [23] Chan CH, Ng EH, Chan CL, Ho, Chan TH. Effectiveness of psychosocial group intervention for reducing anxiety in women undergoing in vitro fertilization: a randomized controlled study. Fertil Steril 2006; 85: 339–346. [DOI:10.1016/j.fertnstert.2005.07.1310]
24. [24] Gharaie V, Ali Mazaheri M, Sahebi A, Peivandi S, Agha Hossinei M. [Effect of behavioral-cognitive education on reduction of anxiety in women with primary infertility who undergo GIFT and ZIFT.] Med J Reprod Infertil 2004; 5:170–180. (in Persian)
25. [25] Gürhan N, Oflaz F, Atici D, Akyüz A, Vural G. Effectiveness of nursing counseling on coping and depression in women undergoing in vitro fertilization. Psychol Rep 2007; 100:365–374. [DOI:10.2466/pr0.100.2.365-374]
26. [26] Sexton MB, Byrd MR, O'Donohue WT, Jacobs NN. Webbased treatment for infertility-related psychological distress. Arch Women's Ment Health 2010; 13: 347–358. [DOI:10.1007/s00737-009-0142-x]
27. [27] Cousineau TM, Green TC, Corsini E, Seibring A, Showstack MT, Applegarth L, et al. Online psychoeducational support for infertile women: a randomized controlled trial. Hum Reprod 2008; 23: 554–566. [DOI:10.1093/humrep/dem306]
28. [28] Schmidt L, Tjørnhøj-Thomsen T, Boivin J, Nyboe Andersen A. Evaluation of a communication and stress management training programme for infertile couples. Patient Educ Couns 2005; 59: 252–262. [DOI:10.1016/j.pec.2005.05.013]
29. [29] Lukse MP. The effect of group counseling on the frequency of grief reported by infertile couples. J Obstet Gynecol Neonatal Nurs 1985; 14: 67s–70s. [DOI:10.1111/j.1552-6909.1985.tb02804.x]
30. [30] Boivin J. A review of psychosocial interventions in infertility. Soc Sci Med 2003; 57: 2325–2341. [DOI:10.1016/S0277-9536(03)00138-2]
31. [31] 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 metaanalysis. BMJ Open 2015; 5: e006592. [DOI:10.1136/bmjopen-2014-006592]
32. [32] Boivin J, Griffiths E, Venetis CA. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. BMJ 2011; 342: 223–231. [DOI:10.1136/bmj.d223]
33. [33] Lancastle D, Boivin J. A feasibility study of a brief coping intervention (PRCI) for the waiting period before a pregnancy test during fertility treatment. Hum Reprod 2008; 23: 2299–2307. [DOI:10.1093/humrep/den257]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
