The Effect of Group Counseling on Infertility Adjustment of infertile women in Tabriz Al-Zahra clinic

Document Type : Original Article

Authors

1 PhD Student of Medical Education, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

2 PhD Student of Statistics and Information, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

3 M.Sc. Student of Community midwifery, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

 
Introduction: About one fifth of couples are infertile and 2 million couples are added to this amount annually. The Variety in the rate of adjustment reflects the interpersonal vulnerabilities that affects the capacity of person cope with a life stressful events such as infertility. The goal of psychological interventions is recognition and the person to more cope with this situation. According to the prevalence of infertility in community and its psychological problems. this study was performed with the aim to determine the effects of group counseling on infertility adjustment.
 
Method: this two grouped randomized controlled trial was performed on 92 infertile women referred to infertility clinic of Tabriz Al-Zahra Hospital from 2013-2014. The infertility psychological adjustment scale was used for evaluation of the rate of individual's adjustment with infertility.  In counseling group, counseling based on guideline of infertility psychology counseling was offered by researcher. Control group received the routine care of the center. The infertility adjustment questionnaire was given to counseling and control groups again after accomplished counseling intervention. For data analysis, SPSS software (version 16) and statistical tests such as paired t test, in depended t test and chi-square were used. p<0/05 was considered significant.
 
Results: the counseling group had a significant decrease in mean score of infertility adjustment (58.39±10.13) compared to the control group (90.63±13.28)(p<0/001). So in counseling group, adjustment to infertility was increased compared to control group.
 
Conclusion: group counseling affects increasing adjustment in infertile woman undergoing IVF or ICSI. So it can be concluded this treatment can be used as a complementary therapy beside medical treatments in infertility centers and be more effective on adjustment of infertile women.
 

Keywords

References

  1. Zuraida AS. Psychological distress among infertile woman: exploring biopsychosocial response to infertility. Malas J Psychiatry 2010;19(2):1-11.
  2. Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. 7th ed. Philadelphia:Lippincott Williams & Wilkins;2005.
  3. Sbaraqli C, Morgante G, Goracci A, Hofkens T, De Leo V, Castrogiovanni P. Infertility and psychiatric morbidity. Fertil Steril 2008 Dec;90(6):2107-11.
  4. Fisher J, Astbury J, Cabral de Mello M, Saxena S. Mental health aspects of women's reproductive health: a global review of the literature. Geneva:World Health Organization;2009.
  5. Mahajan NN, Turnbull DA, Davies MJ, Jindal UN, Briggs NE, Taplin JE. Adjustment to infertility: the role of intrapersonal and interpersonal resources/vulnerabilities. Hum Reprod 2009 Apr;24(4):906-12.
  6. Agha-Yousefi A, Choubsaz F, Shaghaghi F, Motiei G. [The effect of coping thechniques on coping strategies of infertile woman in Kermanshah] [Article in Persian[. J Kermanshah Univ Med Sci 2012;16(2):155-64.
  7. Kushyar H, Heidari A. [Theories and nursing theorists]. Tehran:Andishe Rafee;2009. [in Persian].
  8. Parr KS, Crisis. Grief and coping with infertility [MS Dissertation]. Washington:Washington University;2008.
  9. Latifnejad Roudsari R, Rasolzadeh Bidgoly M, Mousavifar N, Modarres Gharavi M. [The effect of collaborative counseling on perceived infertilityrelated stress in infertile women undergoing IVF] [Article in Persian]. Iran J Obstet Gynecol Infertil 2011;14(4):22-31.
  10. Chan CH, Ng EH, Chan CL, Chan TH. Effectiveness of psychosocial group intervention for reducing anxiety in women undergoing in vitro fertilization: a randomized controlled study. Fertil Steril 2006 Feb;85(2),339-46.
  11. Talaei A, Kimiaei SA, Borhani Moghani M, Moharreri F, Talaei A, Khanghaei R. [Effectiveness of group cognitive behavioral therapy on depression in infertile women] [Article in Persian]. Iran J Obstet Gynecol Infertil 2014;94(17):1-9.
  12. Raufi Klachayh S, Rohani M, Shahnavaz.A. [Evaluation of anxiety in patients with myocardial infarction and their hospitals] [Article in Persian[. J Health Care 2011;12(3):20-5.
  13. Navabinezhad SH.[Guidance and group counseling]. 5th ed. Tehran:Organization of Study and Codification the Social Sciences Books;2010. [in Persian].
  14. Baheiraei A, Mirghafourvand M. [Health promotion from concepts to practice]. Tehran:Noor-e-Danesh;2011. [in Persian].
  15. Glover L, Hunter M, Richards JM, Katz M, Abel PD. Development of the fertility adjustment scale. Fertil Steril 1999 Oct;72(4):623-8.
  16. Boivin J, Appleton TC, Baetens P, Baron J, Bitzer J Corrigan E, et al. Guidelines for counseling in infertility: outline version. Hum Reprod 2001 Jun;16(6):1301-4.
  17. Hamid N. [The effectiveness of stress management on depression, anxiety and fertilization of infertile women] [Article in Persian]. J Behav Sci 2011 Spring;5(1):55-60.
  18. Gharaei V, Mazaheri MA, Sahebi A, Peivandi S, Agha Hoseini M. [Effectiveness of cognitive behavioral education for reducing anexiety in primery infertile women undergoing ZIFT and GIFT] [Article in Persian]. J Reprod Infertil 2003;170-80..
  19. Behjati Ardakani Z, Akhoondi MM, Kamali K, Fazli Khalf Z, Eskandari Sh, Ghorbani B. [The evaluation of mental health among infertile patients referred to Ibn-e-Sina Infertility Centers] [Article in Persian]. J Reprod Infertil 2010;11(4):319-24.
  20. Faramarzi M, Alipor A, Esmaelzadeh S, Kheirkhah F, Poladi K, Pash H. Treatment of depression and anxiety in infertile women: cognitive behavioral therapy versus fluoxetine. J Affect Disord 2008 May;108(1-2):159-64.
  21. Boivin J. A review of psychosocial intervention in infertility. Soc Sci Med 2003 Dec;57(12):2325-41.
  22. Schimidt L, Tiornhoi-Thomsen T, Boivin J, NyboeAndersen A. Evaluation of communication and stress management training program for infertile couples. Patient Educ Counsg 2005 Dec;59(3):252-62.
  23. Choobforoushzadeh A, Kalantari M, Molavi H. [The effectiveness of cognitive behavioral stress management therapy on marital satisfaction in infertile women] [Article in Persian]. J Fundament Mental Health 2010;12(47):596-603.
  24. Valiani M, Abedyan S, Ahmadi M, Pahlevanzadeh S, Hassanzadeh A. The effect of relaxation techniques to ease the stress in infertile woman. Iran J Nurs Midwifery Res 2010 Fall;15(4):259-64.
  25. Van den Broeck U, Emery M., Wischmann T, Thorn P. Counselling in infertility: individual, couple and group interventions. Patient Educ Couns 2010 Dec;81(3):422-8.

Files

Share

How to cite

Statistics