Citation Information :
Marashi Z, Behroozi N, Haghighi-Zadeh MH, Nikbakht R, Abbaspoor Z. Effectiveness of Cognitive-behavioral Therapy on Psychological Well-being in Infertile Women: A Randomized Controlled Trial. Int J Infertil Fetal Med 2021; 12 (2):25-30.
Background: Psychological well-being is a psychological variable that affects infertile women. This study aimed to explore the effect of cognitive-behavioral therapy (CBT) on the psychological well-being of infertile women.
Materials and methods: Sixty-eight women with infertility randomly allocated into two groups: CBT (n = 34) and control (n = 34) groups. The women in the CBT program were divided into two subgroups of 12 and one group of 10, with each receiving eight therapy sessions (each session lasting 90 minutes). Psychological well-being was measured using a demographic questionnaire and the short-form Ryff Psychological well-being scale. The independent and paired t-tests, Chi-square, repeated measures, and ANCOVA tests were used to analyze the data.
Results: Two women from the CBT and three from the control groups withdrew from the study. In the CBT group, the general psychological well-being score and self-acceptance, positive relationship, autonomy, purpose in life, personal growth, and environmental mastery dimensions’ scores were improved after the intervention. The scores also were significantly higher in the case group than those in the control group (p < 0.001).
Conclusion: Cognitive-behavioral therapy can improve all aspects of psychological well-being, including self-acceptance, positive relationships, autonomy, purpose in life, personal growth, and environmental mastery in infertile women.
Trial registration number: IRCT20190311043019N1.
Gorayeb R, Borsari AC, Rosa-e-Silva ACJ, et al. Brief cognitive behavioral intervention in groups in a Brazilian assisted reproduction program. J Behav Med 2012;38(2):29–35. DOI: 10.1080/0896428.2012.65483.
Deka PK, Sarma S. Psychological aspects of infertility. Br J Med Pract 2010;3(3):336.
Vander Borght M, Wyns C. Fertility and infertility: definition and epidemiology. Clin Biochem 2018;62:2–10. DOI: 10.1016/j.clinbiochem.2018.03.012.
Tao P, Coates R, Maycock B. The impact of infertility on sexuality: a literature review. Med J Aust 2011;4(11):620. DOI: 10.4066/AMJ.20111055.
Jamilian M, Rafiei M, Jamilian HR, et al. The comparison of general health between fertile and infertile women of Arak City in 2010. J Arak Univer Med Sci 2012;14(6):27–35.
Keyes CL, Shmotkin D, Ryff CD. Optimizing well-being: the empirical encounter of two traditions. J Pers Soc Psychol 2002;82(6):1007. DOI: 10.2307/3090197.
Küchenhoff J. Unfulfilled desire for children--what is the grief for men? Therapeutische Umschau. Revue Therapeuti 1999;56(5):260–264. DOI: 10.1024/40-5918.104.22.1680.
Ryan RM, Huta V, Deci EL. Living well: a self-determination theory perspective on eudaimonia. J Happiness Stud 2008;9(1):139–170. DOI: 10.1007/S10902-006-9023-4.
Zaeri Amirany M, Pourshahriari MS, Beh-pajooh A. The impact of humor training on marital adjustment and psychological well-being in female teachers in ardestsn city. Psychol Stud 2016;12(1):85–106. DOI: 10.22051/psy.2016.2257.
Safarinia M, Aghayousefi A, Baradaran M. The relationship between personality aspects, problem solving and psychological well-being the role of narcissism. Counsel Psychot Cult 2014;5:89–102.
Eid M, Larsen RJ. The science of subjective well-being. Guilford Press; 2008.
Rosen JC, Orosan P, Reiter J. Cognitive behavior therapy for negative body image in obese women. Behav Ther 1995;26(1):25–42. DOI: 10/1016/s0005-7894(05)80081-4.
Berg RC, Landreth GL, Fall KA. Group counseling: concepts and procedures. 4th ed., Routledge; 2013.
Ahmadi Z, Abbaspoor Z, Behroozy N, et al. The effects of cognitive behavioral therapy on body image in infertile women. Iran Red Crescent 2017;19(10). DOI: doi.org/10.5812/ircmj.14903.
Mosalanejad L, Koolaee AK, Jamali S. Effect of cognitive behavioral therapy in mental health and hardiness of infertile women receiving assisted reproductive therapy (ART). Iran J Reprod Med 2012;10(5):483.
Talaei A, Kimiaei SA, Borhani Moghani M, et al. Effectiveness of group cognitive behavioral therapy on depression in infertile women. Iranian J Obstet, Gynecol Infertil 2014;17(94):1–9.
Bavadi B, Poursharifi H, Lotfikashani F. The effectiveness of cognitive-behavioral therapy based 8-step pattern of cash to improve psychological well-being of women with breast cancer. Iran J Breast Dis 2016;8(4):41–51.
Nekouei ZK, Yousefy A, Manshaee GH. Cognitive-behavioral therapy and quality of life: an experience among cardiac patients. J Educ Health Promot 2012;1(2):48–62. DOI: 10.4103/2277-95310.94410.
Norbalah AA, Ramadanzadeh F, Abedinia N, et al. Prevalence of psychiatric disorders and type personality in fertile and infertile women. J Reprod Infertil 2009;9(4):350–360.
Khanjani M, Shahidi SH, Fath-Abadi J, et al. Factor structure and psychometric properties of the Ryff's scale of psychological well-being, short form (18-item) among male and female students. JTBCP 2014;8(32):27–36.
Hayes SC, Hofmann SG. Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. New Harbinger Publications; 2018.
Hashemi N, Ghayour Baghbani SM, Khadivi G, et al. The effectiveness of cognitive behavioral therapy and schema therapy on happiness and mental health of nursing students. J Clin Nurs Midwi 2016;5(1):12–22.
Roothman B, Kirsten DK, Wissing MP. Gender differences in aspects of psychological well-being. S Afr J Psychol 2003;33(4):212–218. DOI: 10.1177/008124630303300403.
Faramarzi M, Pasha H, Esmailzadeh S, et al. The effect of the cognitive behavioral therapy and pharmacotherapy on infertility stress: a randomized controlled trial. Int J Fertil Steril 2013;7(3):199–206.
Abdolahi HM, Ghojazadeh M, Abdi S, et al. Effect of cognitive behavioral therapy on anxiety and depression of infertile women: a meta-analysis. Asian Pac J Reprod 2019;8(6):251–259. DOI: 10.4103/2305-0500.270102.
Hamzeh Pour T. The effect of cognitive behavioral therapy on anxiety in infertile women. Euro J Exp Biol 2014;4(1):415–419.
Espie CA, Emsley R, Kyle SD, et al. Effect of digital cognitive behavioral therapy for insomnia on health, psychological well-being, and sleep-related quality of life: a randomized clinical trial. JAMA Psychiatry 2019;76(1):21–30. DOI: 10.1001/jamapsychiatry.2018.2745.