Tags

Type your tag names separated by a space and hit enter

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 Feb 15; 17(1):38.HQ

Abstract

BACKGROUND

Infertility-related stress can seriously impact the fertility quality of life (QoL) of infertile women. Resilience, as a coping resource, can effectively combat psychological stress. This study aimed to evaluate the fertility QoL of infertile women and to examine whether resilience moderates the association of infertility-related stress with fertility QoL.

METHODS

This cross-sectional study was conducted in northeast of China from December 2017 to February 2018. Out of 559 women outpatients with infertility, 498 (89.1%) completed self-reported questionnaires including the FertiQoL Scale, Fertility Problem Inventory (FPI) and Connor-Davidson Resilience Scale (CD-RISC). Hierarchical multiple regression analysis and simple slope analysis were applied to explore the influencing factors related to fertility QoL as well as to examine the moderating effect of resilience on the association of infertility-related stress with fertility QoL.

RESULTS

The mean FertiQoL score was 64.54 ± 16.90 among the participants. Household monthly income and causes of infertility were significantly related to fertility QoL. In addition, infertility-related stress was negatively related to fertility QoL, and resilience was positively associated with fertility QoL, explaining 36.3% of the variance. Resilience moderated the association of infertility-related stress with fertility QoL. Specifically, the effect of infertility-related stress on fertility QoL varied by low(1 SD below the mean, B = - 0.496, β = - 0.714, P < 0.001), mean (B = - 0.293, β = - 0.422, P < 0.001) and high (1 SD above the mean, B = - 0.090, β = - 0.130, P < 0.001) levels of resilience. The higher resilience was, the weaker the effect of infertility-related stress on fertility QoL was.

CONCLUSIONS

Overall, women with infertility in China had relatively low FertiQoL scores. Resilience influenced the association of infertility-related stress with fertility QoL. Infertile patients' psychological status must be addressed and adequate resilience-based interventions such as mindfulness-based skills should be provided to improve fertility QoL of women with infertility.

Authors+Show Affiliations

Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.English Department, School of Fundamental Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.Reproductive Medicine Center, Shenyang Women's and Children's Hospital, No.87 Danan Road, Shenhe Area, Shenyang, 110000, China. shuaishuai197411@sina.com.Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China. liewang@cmu.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30770738

Citation

Li, Yifei, 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 and Quality of Life Outcomes, vol. 17, no. 1, 2019, p. 38.
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.
Li, Y., Zhang, X., Shi, M., Guo, S., & Wang, L. (2019). 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 and Quality of Life Outcomes, 17(1), 38. https://doi.org/10.1186/s12955-019-1099-8
Li Y, 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 Feb 15;17(1):38. PubMed PMID: 30770738.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Li,Yifei, AU - Zhang,Xin, AU - Shi,Meng, AU - Guo,Shuaishuai, AU - Wang,Lie, Y1 - 2019/02/15/ PY - 2018/08/10/received PY - 2019/01/24/accepted PY - 2019/2/17/entrez PY - 2019/2/17/pubmed PY - 2019/3/21/medline KW - Infertility KW - Infertility-related stress KW - Moderating role KW - Quality of life KW - Resilience SP - 38 EP - 38 JF - Health and quality of life outcomes JO - Health Qual Life Outcomes VL - 17 IS - 1 N2 - BACKGROUND: Infertility-related stress can seriously impact the fertility quality of life (QoL) of infertile women. Resilience, as a coping resource, can effectively combat psychological stress. This study aimed to evaluate the fertility QoL of infertile women and to examine whether resilience moderates the association of infertility-related stress with fertility QoL. METHODS: This cross-sectional study was conducted in northeast of China from December 2017 to February 2018. Out of 559 women outpatients with infertility, 498 (89.1%) completed self-reported questionnaires including the FertiQoL Scale, Fertility Problem Inventory (FPI) and Connor-Davidson Resilience Scale (CD-RISC). Hierarchical multiple regression analysis and simple slope analysis were applied to explore the influencing factors related to fertility QoL as well as to examine the moderating effect of resilience on the association of infertility-related stress with fertility QoL. RESULTS: The mean FertiQoL score was 64.54 ± 16.90 among the participants. Household monthly income and causes of infertility were significantly related to fertility QoL. In addition, infertility-related stress was negatively related to fertility QoL, and resilience was positively associated with fertility QoL, explaining 36.3% of the variance. Resilience moderated the association of infertility-related stress with fertility QoL. Specifically, the effect of infertility-related stress on fertility QoL varied by low(1 SD below the mean, B = - 0.496, β = - 0.714, P < 0.001), mean (B = - 0.293, β = - 0.422, P < 0.001) and high (1 SD above the mean, B = - 0.090, β = - 0.130, P < 0.001) levels of resilience. The higher resilience was, the weaker the effect of infertility-related stress on fertility QoL was. CONCLUSIONS: Overall, women with infertility in China had relatively low FertiQoL scores. Resilience influenced the association of infertility-related stress with fertility QoL. Infertile patients' psychological status must be addressed and adequate resilience-based interventions such as mindfulness-based skills should be provided to improve fertility QoL of women with infertility. SN - 1477-7525 UR - https://www.unboundmedicine.com/medline/citation/30770738/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_ L2 - https://hqlo.biomedcentral.com/articles/10.1186/s12955-019-1099-8 DB - PRIME DP - Unbound Medicine ER -