Infertility-related distress and clinical targets for psychotherapy: a qualitative study.

Journal: BMJ open

Volume: 11

Issue: 11

Year of Publication: 2021

Affiliated Institutions:  Department of Psychology, University of Regina Faculty of Arts, Regina, Saskatchewan, Canada. Department of Nursing Education, University of the Witwatersrand, Johannesburg-Braamfontein, South Africa. Department of Psychology, University of Regina Faculty of Arts, Regina, Saskatchewan, Canada jennifer.gordon@uregina.ca.

Abstract summary 

An estimated 30%-40% of women attending infertility tertiary care facilities experience clinically significant depression and anxiety. However, current psychological interventions for infertility are only modestly effective in this population. In this study, we aimed to identify the specific psychological components of infertility-related distress to assist in the development of a more targeted and effective therapeutic intervention. To our knowledge, this study is the first of its kind to include the views and opinions of mental health professionals who specialise in the field of infertility and the first to explore therapies currently used by mental health professionals.A qualitative approach using semistructured individual interviews and focus group interviews with women who have experience with infertility and also mental health professionals specialising in the field of infertility. Thematic analysis was used to identify patterns and themes emerging from the data.Twenty-one women (aged 25-41 years) struggling to conceive for ≥12 months and 14 mental health professionals participated in semistructured interviews about the psychological challenges related to infertility.Five themes, each divided into subthemes, emerged from the data and these were developed into a model of infertility-related distress. These five themes are: (1) anxiety, (2) mood disturbance, (3) threat to self-esteem, identity and purpose, (4) deterioration of the couple and (5) weakened support network. In addition, therapeutic techniques used by mental health professionals were identified.The results of this study suggest specific clinical targets that future interventions treating infertility-related distress should address.

Authors & Co-authors:  Dube Loveness L Nkosi-Mafutha Nokuthula N Balsom Ashley A AA Gordon Jennifer L JL

Study Outcome 

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Statistics
Citations :  Bushnik T, Cook JL, Yuzpe AA, et al. . Estimating the prevalence of infertility in Canada. Hum Reprod 2012;27:738–46. 10.1093/humrep/der465
Authors :  4
Identifiers
Doi : e050373
SSN : 2044-6055
Study Population
Women
Mesh Terms
Anxiety
Other Terms
infertility;mental health;qualitative research;reproductive medicine
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
Publication Country
England