Volume 19, Issue 12 (December 2021)                   IJRM 2021, 19(12): 1105-1116 | Back to browse issues page


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Sadeghi M, Farajkhoda T, Khanabadi M, Eftekhar M. PERMA model vs. integrative-behavioral couple therapy for fertility problems: A randomized clinical trial protocol. IJRM 2021; 19 (12) :1105-1116
URL: http://ijrm.ir/article-1-2251-en.html
1- Student Research Committee, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. , farajkhoda_t@yahoo.com
3- Department of Counseling, Allameh Tabataba’i Univercity, Tehran, Iran.
4- Abortion Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abstract:   (2000 Views)
Background: Psychological interventions may reduce fertility problems. Positive emotion, engagement, meaning, positive relationship and accomplishment (PERMA( is a cognitive intervention and integrative-behavioral couple therapy (IBCT) is a behavioral intervention. Appropriate mental interventions are important in infertility treatment.
Objective: To investigate the effect of the PERMA model vs. IBCT in reducing the fertility problems of couples.
Materials and Methods: The content of the interventions was developed and adjusted based on a literature review and the opinions of experts. In this three-arm parallel randomized clinical trial, 42 couples undergoing infertility treatment will be allocated randomly into three groups (n = 14 couples/each). Group 1 will receive the PERMA intervention, group 2 will receive the IBCT intervention, and group 3 as the control group will receive an infertility treatment training program intervention. The primary outcome will be the fertility problems, which will be measured by completing a fertility problem inventory at baseline, as well as in the 5th and 9th wk as a follow-up. Another primary outcome, satisfaction with the intervention, will also be assessed in the 5th and 9th wk. The secondry outcome will be a positive pregnancy test at wk 12. The interventions will be conducted through a combination of face-to-face and online via WhatsApp.
Conclusion: This study will assess social, sexual, and parenthood concerns. A combination of online and face-to-face interventions will be appropriate given the COVID-19 pandemic. Couple’s counseling may provide better counseling outcomes for fertility problems in comparison with group counseling. This study will try to optimize resilience during infertility treatment through learning better relationship and problem-solving skills, and may have an indirect impact on pregnancy rate, burden of infertility, and costs of treatment due to increased effectiveness.
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Type of Study: Original Article | Subject: Reproductive Psycology

References
1. Burkman RT. Berek and Novak's gynecology. JAMA 2012; 308: 516-517. [DOI:10.1001/jama.308.5.516]
2. Maharloui N, Morshed-Behbahani B, Doryanizadeh L, Kazemi M. Prevalence and pattern of infertility in Iran: A systematic review and meta-analysis study. Women Health Bull 2021; 8: 63-71.
3. Rakhshanimehr B, Noori N, Ansari-Moghaddam AR, Keikha N, Parache M, Ghasemi M. Epidemiology and duration of infertility in patients referring to Zahedan Molud Infertility Center during 2017-2018. Pak J Med Health Sci 2020; 14: 1325-1329.
4. Talaei A, Kimiaei SA, Borhani Moghani M, Moharreri F, Talaei A, Khanghaei R. Effectiveness of group cognitive behavioral therapy on depression in infertile women. Iran J Obstet Gynecol Infertil 2014; 17: 1-9.
5. Sälevaara M, Punamäki RL, Poikkeus P, Flykt M, Tulppala M, Tiitinen A. Fear and experience of childbirth among women who conceived with donated oocytes: A prospective cohort study. Acta Obstet Gynecol Scand 2016; 95: 755-762. [DOI:10.1111/aogs.12888] [PMID]
6. Dehghani Firouzabadi R, Sekhavat L, Ghafoorzadah M, Tabatabaii RS, Farajkhoda T. A comparison between efficacy of vaginal isosorbide mononitrate and low dose syntocinon on cervical ripening at labor. Iran J Obstet Gynecol Infertil 2011; 14: 29-39.
7. Kim M, Moon SH, Kim JE. Effects of psychological intervention for Korean infertile women under in vitro fertilization on infertility stress, depression, intimacy, sexual satisfaction and fatigue. Arch Psychiatr Nurs 2020; 347: 211-217. [DOI:10.1016/j.apnu.2020.05.001] [PMID]
8. Vaughan DA, Shah JS, Penzias AS, Domar AD, Toth TL. Infertility remains a top stressor despite the COVID-19 pandemic. Reprod BioMed Online 2020; 41: 425-427. [DOI:10.1016/j.rbmo.2020.05.015] [PMID] [PMCID]
9. Quant HS, Zapantis A, Nihsen M, Bevilacqua K, Jindal S, Pal L. Reproductive implications of psychological distress for couples undergoing IVF. J Assist Reprod Genet 2013; 30: 1451-1458. [DOI:10.1007/s10815-013-0098-7] [PMID] [PMCID]
10. Dockray S, Steptoe A. Positive affect and psychobiological processes. Neurosci Biobehav Rev 2010; 35: 69-75. [DOI:10.1016/j.neubiorev.2010.01.006] [PMID] [PMCID]
11. Rahmani Fard T, Kalantarkousheh M, Faramarzi M. Effect of mindfulness-based cognitive infertility stress therapy on psychological well-being of women with infertility. Middle East Fertil Soc J 2018; 23: 476-481. [DOI:10.1016/j.mefs.2018.06.001]
12. Gander F, Proyer RT, Ruch W. Positive psychology interventions addressing pleasure, engagement, meaning, positive relationships, and accomplishment increase well-being and ameliorate depressive symptoms: A randomized, placebo-controlled online study. Front Psychol 2016; 7: 686. [DOI:10.3389/fpsyg.2016.00686] [PMID] [PMCID]
13. Kern ML, Waters LE, Adler A, White MA. A multidimensional approach to measuring well-being in students: Application of the PERMA framework. J Positive Psychol 2015; 10: 262-271. [DOI:10.1080/17439760.2014.936962] [PMID] [PMCID]
14. Seligman MEP. Authentic Happiness: Using the new positive psychology to realize your potential for lasting fulfillment. New York: Free Press; 2002.
15. Goodman FR, Disabato DJ, Kashdan TB, Kauffman SB. Measuring well-being: A comparison of subjectivewell-being and PERMA. J Positive Psychol 2018; 13: 321-332. [DOI:10.1080/17439760.2017.1388434]
16. Dargahi Sh, Ghamari Giv H, Aeyadi N, Soltani Z. Effect of behavioral-communication couple therapy in dimensions of marital adjustment in infertile couples. J Res Health 2018; 8: 313-321.‎ [DOI:10.29252/jrh.8.4.313]
17. Sevier M, Eldridge K, Jones J, Doss BD, Christensen A. Observed communication and associations with satisfaction during traditional and integrative behavioral couple therapy. Behav Ther 2008; 39: 137-150. [DOI:10.1016/j.beth.2007.06.001] [PMID]
18. Hamdieh M, Alizadegan Sh, Nikzad V. The effect of provision of training regarding infertility treatment strategies on anxiety level of infertile couples. Int J Fertil Steril 2009; 4: 185-188.
19. Ying L, Wu LH, Loke AY. The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: A systematic review. J Assist Reprod Genet 2016; 33: 689-701. [DOI:10.1007/s10815-016-0690-8] [PMID] [PMCID]
20. Taebi M, Simbar M, Abdolahian S. Psychological empowerment strategies in infertile women: A systematic review. J Educ Health Promot 2018; 7: 68. [DOI:10.4103/jehp.jehp_151_15] [PMID] [PMCID]
21. Gurman AS, Lebow JL, Snyder DK. Clinical handbook of couple therapy. 5th Ed. New York; USA: Guilford Publications; 2015.
22. 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: 1301-1304. [DOI:10.1093/humrep/16.6.1301] [PMID]
23. 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: 22-31.
24. Seligman MEP. Flourish a visionary new understanding of happiness and well-being. New York: Simon & Schuster; 2011.
25. Barraca Mairal J. Integrative behavioral couple therapy (IBCT) as a third-wave therapy. Psicothema 2015; 27: 13-18.
26. Kamel RM. Management of theinfertile couple: An evidence-based protocol. Reprod Biol Endocrinol 2010; 8: 21. [DOI:10.1186/1477-7827-8-21] [PMID] [PMCID]
27. 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]
28. Arab M, Ghazi Tabatabaei SM, Rashidian A, Rahimi Forushani A, Zarei E. The effect of service quality on patient loyalty: A study of private hospitals in Tehran, Iran. Iran J Public Health 2012; 41: 71-77.
29. Farajkhoda T, Ashrafi F, Bokaie M, Zareei Mahmoodabadi H. Online compared to face-to-face sexual intimacy enhancement training program counseling with cognitive-behavioral approach on sexual intimacy in pregnant women. J Sex Marital Ther 2021; 47: 446-459. [DOI:10.1080/0092623X.2021.1895388] [PMID]
30. Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci 2018; 20: 41-47. [DOI:10.31887/DCNS.2018.20.1/klrooney] [PMCID]
31. Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats Th. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology 2004; 63: 126-130. [DOI:10.1016/j.urology.2003.09.015] [PMID]
32. Wagner L, Gander F, Proyer RT, Ruch W. Character strengths and PERMA: Investigating the relationships of character strengths with a multidimensional framework of well-being. Appl Res Qual Life 2020; 15: 307-328. [DOI:10.1007/s11482-018-9695-z]

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