Hope, Infertility, In vitro fertilization, Stress
Citation Information :
Pakseresht S, Kivi MS, Shirazi MG, Roshan ZA. Relationship between Hope and Stress with Reproductive Outcome in Women Undergoing In Vitro Fertilization Treatment: A Cross-sectional Study. Int J Infertil Fetal Med 2022; 13 (2):56-60.
Background: Infertility has many psychological effects on infertile couples’ mental health. Stress and hopelessness are the most important factors that may affect the success of in vitro fertilization (IVF) in these couples. This study is aimed at investigating the relationship between stress and hope with reproductive outcomes in women undergoing IVF treatment.
Materials and methods: In this cross-sectional study, 186 women who were referred to infertility centers in Rasht undergoing IVF were selected by convenience sampling between May and October 2019. Data collection tools included a demographic questionnaire, Standard Newton's Infertility Stress, and Snyder hope scale was used to measure infertility stress and hope. β-subunit of human chorionic gonadotropin was measured in relation to reproductive outcome 14–16 days after IVF.
Results: The mean age of participants was 33.24 ± 6.23 years. The main causes of infertility were females (41.4%), males (21%), females and males (23.7%), and unknown (14%). Pregnancy success after IVF was 35.5%. The results revealed that the total stress score was 161.06 ± 29.001, and the mean score of hope was 51.39 ± 7.47. According to the results of logistic regression, there was a significant relationship between age and reproductive outcomes (p = 0.036). However, there was no significant relationship between study concepts and reproductive outcomes after IVF.
Conclusion: According to the findings of the present study, stress and hope were not significantly correlated with the success of IVF; although the level of hope in this study was good, stress is high in these individuals.
Zegers-Hochschild F, Adamson GD, Dyer S, et al. The international glossary on infertility and fertility care. Fertil Steril 2017;32(3):393–406. DOI: 10.1016/j.fertnstert.2017.06.005
Kim SJ, Kim MR, Hwang SY, et al. Preliminary report on the safety of a new herbal formula and its effect on sperm quality. World J Mens Health 2013;31(3):254–261. DOI: 10.5534/wjmh.2013.31.3.254
Kazemijaliseh H, Ramezani Tehrani F, Behboudi-Gandevani S, et al. The prevalence and causes of primary infertility in iran: a population-based study. Glob J Health Sci 2015;7(6):226–232. DOI: 10.5539/gjhs.v7n6p226
Kupka MS, D'Hooghe T, Ferraretti AP, et al. Assisted reproductive technology in Europe, 2011: results generated from European registers by ESHRE. Hum Reprod 2016;31(2):233–248. DOI: 10.1093/humrep/dev319
Stephen EH, Chandra A, King RB. Supply of and demand for assisted reproductive technologies in the United States: clinic-and population-based data, 1995–2010. Fertil Steril 2016;105(2):451–458. DOI: 10.1016/j.fertnstert.2015.10.007
Novak E. Berek and novak gynocology. Tehran Golban 2020.
Casu G, Gremigni P. Screening for infertility-related stress at the time of initial infertility consultation: psychometric properties of a brief measure. J Adv Nurs 2016;72(3):693–706. DOI: 10.1111/jan.12830
Domar AD, Gross J, Rooney K, et al. Exploratory randomized trial on the effect of a brief psychological intervention on emotions, quality of life, discontinuation, and pregnancy rates in vitro fertilization patients. Fertil Steril 2015;104(2):440–451. DOI: 10.1016/j.fertnstert.2015.05.009
Sethi P, Sharma A, Goyal LD, et al. Prevalence of psychiatric morbidity in females amongst infertile couples-a hospital based report. J Clin Diagn Res 2016;10(7):VC04–VC07. DOI: 10.7860/JCDR/2016/19639.8090
Kaya Z, Oskay U. Stigma, hopelessness and coping experiences of Turkish women with infertility. J Reprod Infant Psychol 2020:38(5):485–496. DOI: 10.1080/02646838.2019.1650904
Güneri SE, Kavlak O, Göker ENT. Hope and hopelessness in infertile women: phenomenological study. Psikiyatr Guncel Yaklasimlar 2019;11:24–36. DOI:10.18863/pgy.530714
Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues in Clin Neurosci 2018;20(1):41–47. DOI: 10.31887/dcns.2018.20.1/klrooney
Hung J-H, Hu L-Y, Tsai S-J, et al. Risk of psychiatric disorders following polycystic ovary syndrome: a nationwide population-based cohort study. PloS One 2014;9(5):e97041. DOI: 10.1371/journal.pone.0097041
Boivin J. How does stress, depression and anxiety affect patients undergoing treatment?. Curr Opin Obstet Gynecol 2019;31(3):195–199. DOI: 10.1097/GCO.0000000000000539
Haimovici F, Anderson JL, Bates GW, et al. Stress, anxiety, and depression of both partners in infertile couples are associated with cytokine levels and adverse IVF outcome. Am J Reprod Immunol 2018;79(4):e12832. DOI: 10.1111/aji.12832
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:d223. DOI: 10.1136/bmj.d223
Kermani Z, Khodapanahi M, Heidari M. Psychometrics features of the Snyder hope scale. J Appl Psychol 2011;5(19):7–23.
Snyder CR, Harris C, Anderson JR, et al. The will and the ways: development and validation of an individual-difference measure of hope. J Pers Soc Psychol 1991:60(4): 570–585. DOI: 10.1037//0022-35184.108.40.2060
Newton CR, Sherrard W, Glavac I. The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril 1999;72(1):54–62. DOI: 10.1016/s0015-0282(99)00164-8
Omani Samani R, Vesali S, Navid B, et al. Evaluation on hope and psychological symptoms in infertile couples undergoing assisted reproduction treatment. Int J Fertil Steril 2017;11(2):123–129. DOI: 10.22074/ijfs.2017.4838
Ghazavi Z, Kajbaf MB, Esmaielzadeh M. Effect of hope therapy on the hope of diabetic patients. Iranian J Nurs Midwifery Res 2015;20(1): 75–80.
Ali WK, Ibrahim HI, Ibrahim HS. Resilience, distress and hope among infertile women undergoing in vitro fertilization (IVF) treatment: a correlation study. World Journal of Nursing Sciences 2018;4(3):98–110. DOI: 10.5829/idosi.wjns.2018.98.110
Mosalanejad L PN, Gholami M, Abdollahifard S. Increasing and decreasing factors of hope in infertile women with failure in infertility treatment: a phenomenology study. Iranian J Reprod Med 2014;12(2):117–124. Persian.
Shadbad NR, Vafa MA. Anticipating the amount of hope for infertile women undergoing IVF treatment based on psychological well-being and spiritual health. Int J Sci Stud 2017;5:286–292.
Amini L, Ghorbani B, Sadeghi AvvalShahr H, et al. The relationship between perceived social support and infertility stress in wives of infertile men Iran J Nursing 2018;31(111):31–39. DOI:10.29252/ijn.31.111.31
Li Y, Zhang X, Shi M, et al. Resilience acts as a moderator in the relationship between infertility-related stress and fertility quality of life among women with infertility: a cross-sectional study. Health Qual Life Outcomes 2019;17(1):38. DOI: 10.1186/s12955-019-1099-8
Gozuyesil E, Karacay Yikar S, Nazik E. An analysis of the anxiety and hopelessness levels of women during IVF-ET treatment. Perspect Psychiatr Care 2020;56(2):338–346. DOI: 10.1111/ppc.12436
Terzioglu F, Turk R, Yucel C, et al. The effect of anxiety and depression scores of couples who underwent assisted reproductive techniques on the pregnancy outcomes. African Health Sci 2016;16(2):441–450. DOI: 10.4314/ahs.v16i2.12
Miller N, Herzberger EH, Pasternak Y, et al. Does stress affect IVF outcomes? A prospective study assessing cortisol levels and stress questionnaires for women undergoing through IVF treatments. Reprod Biomed Online 2019;39(1):93–101. DOI: 10.1016/j.rbmo.2019.01.012
Samani RO, Almasi-Hashiani A, Shokri F, et al. Validation study of the fertility problem inventory in Iranian infertile patients. Middle East Fertil Soci J 2017;22(1):48–53. DOI: 10.1016/j.mefs.2016.07.002
Pasch LA, Gregorich SE, Katz PK, et al. Psychological distress and in vitro fertilization outcome. Fertil Steril 2012;98(2): 459–464. DOI: 10.1016/j.fertnstert.2012.05.023
Pedro J, Sobral MP, Mesquita-Guimarães J, et al. Couples’ discontinuation of fertility treatments: a longitudinal study on demographic, biomedical, and psychosocial risk factors. J Assist Reprod Genet 2017;34(2):217–224. DOI: 10.1007/s10815-016-0844-8
Maroufizadeh S, Karimi E, Vesali S, et al. Anxiety and depression after failure of assisted reproductive treatment among patients experiencing infertility. Int J Gynecol Obstet 2015;130(3): 253–256. DOI: 10.1016/j.ijgo.2015.03.044