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Predictors of quality of life and psychological health in infertile couples: the moderating role of duration of infertility.
Qual Life Res. 2018 04; 27(4):945-954.QL

Abstract

PURPOSE

To investigate the influence of individual characteristics (age, gender, educational level, coping strategies), perceived couple's Dyadic Adjustment, type of diagnosis and duration of infertility on self-reported quality of life (QoL) and psychological health in infertile couples, examining the potential moderating role of duration of infertility.

METHODS

A questionnaire composed by socio-demographics, Coping Orientations to Problem Experienced, Dyadic Adjustment Scale, FertiQoL, State-Trait Anxiety Inventory and Edinburgh Depression Scale was submitted to 206 couples undergoing infertility treatments.

RESULTS

Female patients perceived significantly lower levels of QoL and higher levels of Anxiety and Depression. High Educational level and Social Support Coping strategy were associated with higher QoL and psychological health only in female patients. Problem Solving Coping strategy was associated with higher QoL and psychological health only in male patients. Positive Attitude and Avoidance/Distancing Coping strategies and perceived couple's Dyadic Adjustment were associated with higher QoL and psychological health in both male and female patients. Duration of infertility > 3 years was associated with a reduction of protective effects of all coping strategies but did not affect protective effects of Educational level and couple's Dyadic Adjustment.

CONCLUSIONS

Both positive/active and avoiding/distancing coping strategies are effective to promote QoL and psychological health in infertile couples, but they are all compromised by a long duration of infertility. Conversely, positive effects of educational level and couple's Dyadic Adjustment persist and should be emphasised in the definition of interventions to promote well-being in couples undergoing long-term treatments.

Authors+Show Affiliations

Department of Political Sciences, University of Naples Federico II, Via L. Rodinò 22, 80138, Naples, Italy. zurlo@unina.it.Department of Humanistic Studies, University of Naples Federico II, Via Porta di Massa 1, 80133, Naples, Italy.Department of Political Sciences, University of Naples Federico II, Via L. Rodinò 22, 80138, Naples, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29307056

Citation

Zurlo, Maria Clelia, et al. "Predictors of Quality of Life and Psychological Health in Infertile Couples: the Moderating Role of Duration of Infertility." Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, vol. 27, no. 4, 2018, pp. 945-954.
Zurlo MC, Cattaneo Della Volta MF, Vallone F. Predictors of quality of life and psychological health in infertile couples: the moderating role of duration of infertility. Qual Life Res. 2018;27(4):945-954.
Zurlo, M. C., Cattaneo Della Volta, M. F., & Vallone, F. (2018). Predictors of quality of life and psychological health in infertile couples: the moderating role of duration of infertility. Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 27(4), 945-954. https://doi.org/10.1007/s11136-017-1781-4
Zurlo MC, Cattaneo Della Volta MF, Vallone F. Predictors of Quality of Life and Psychological Health in Infertile Couples: the Moderating Role of Duration of Infertility. Qual Life Res. 2018;27(4):945-954. PubMed PMID: 29307056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of quality of life and psychological health in infertile couples: the moderating role of duration of infertility. AU - Zurlo,Maria Clelia, AU - Cattaneo Della Volta,Maria Francesca, AU - Vallone,Federica, Y1 - 2018/01/06/ PY - 2017/12/27/accepted PY - 2018/1/8/pubmed PY - 2018/10/5/medline PY - 2018/1/8/entrez KW - Anxiety KW - Coping strategies KW - Couple’s dyadic adjustment KW - Depression KW - Infertility KW - Quality of life SP - 945 EP - 954 JF - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation JO - Qual Life Res VL - 27 IS - 4 N2 - PURPOSE: To investigate the influence of individual characteristics (age, gender, educational level, coping strategies), perceived couple's Dyadic Adjustment, type of diagnosis and duration of infertility on self-reported quality of life (QoL) and psychological health in infertile couples, examining the potential moderating role of duration of infertility. METHODS: A questionnaire composed by socio-demographics, Coping Orientations to Problem Experienced, Dyadic Adjustment Scale, FertiQoL, State-Trait Anxiety Inventory and Edinburgh Depression Scale was submitted to 206 couples undergoing infertility treatments. RESULTS: Female patients perceived significantly lower levels of QoL and higher levels of Anxiety and Depression. High Educational level and Social Support Coping strategy were associated with higher QoL and psychological health only in female patients. Problem Solving Coping strategy was associated with higher QoL and psychological health only in male patients. Positive Attitude and Avoidance/Distancing Coping strategies and perceived couple's Dyadic Adjustment were associated with higher QoL and psychological health in both male and female patients. Duration of infertility > 3 years was associated with a reduction of protective effects of all coping strategies but did not affect protective effects of Educational level and couple's Dyadic Adjustment. CONCLUSIONS: Both positive/active and avoiding/distancing coping strategies are effective to promote QoL and psychological health in infertile couples, but they are all compromised by a long duration of infertility. Conversely, positive effects of educational level and couple's Dyadic Adjustment persist and should be emphasised in the definition of interventions to promote well-being in couples undergoing long-term treatments. SN - 1573-2649 UR - https://www.unboundmedicine.com/medline/citation/29307056/Predictors_of_quality_of_life_and_psychological_health_in_infertile_couples:_the_moderating_role_of_duration_of_infertility_ L2 - https://doi.org/10.1007/s11136-017-1781-4 DB - PRIME DP - Unbound Medicine ER -