Clinical and psychosocial characterization of sterility clinic outpatients
Keywords:
Infertility, Health psychology, Assisted reproductionAbstract
The objective of this study was to describe the demographic, clinical and psychosocial characteristics of Sterility Clinic outpatients and to identify motivation for psychological care. It is a retrospective study, conducted using 50 couples, interviewed at the beginning of the medical inquiry process. Eighty percent of the couples were in their first marriage, 64% had been married for up to 8 years, 72% had no children and 78% had been trying to conceive for up to 6 years. The causes of infertility were unknown in thirty-six percent of the couples and 78% had never being subjected to Assisted Reproduction procedures. Ninety-four percent of the couples showed an interest in participating in a psychological support group. The fear of abortion, fetal malformation and delivery was statistically more frequent than fears related to pregnancy, Assisted Reproduction procedures and the responsibilities of parenthood. These data reveal significant variables for the development of interventions based on the knowledge of patients’ circumstances.
Downloads
References
Alesi, R. (2005). Infertility and its treatment: an emotional roller coaster. Australian Family Physician, 34 (3), 135-138.
Bardin, L. (1977). Análise de conteúdo Lisboa: Persona.
Boivin, J. (1997). Is there too much emphasis on psychosocial counseling for infertile patients? Journal of Assisted Reproduction and Genetics,14 (4), 184-186.
Boivin, J., Andersson, L., Skoog-Svanberg, A., Hjelmstedt, A., Collins, A., & Bergh, T. (1998). Psychological reactions during in vitro fertilization: similar response pattern in husbands and wives. Human Reproduction, 13 (11), 3262-3267.
Chiba, H., Mori, E., Morioka, Y., Kashiwakura, M., Nadaoka, T., Saito, H., & Hiroi, M. (1997). Stress of female infertility: relations to lenght of treatment. Gynecology Obstetric Investigation, 43 (3), 171-177.
Collins, A., Freeman, E. W., Boxer, A. S., & Tureck, R. (1992). Perceptions of infertility and treatment stress in females as compared with males entering in vitro fertilization treatment. Fertility and Sterility, 57 (2), 350-356.
Corrêa, K. R. F. D'C., Vizzotto, M. M., & Cury, A. F. (2007). Avaliação da eficácia adaptativa de mulheres e homens inseridos num programa de fertilização in vitro. Psicologia em Estudo, 12 (2), 363-370.
Cousineau, T. M., & Domar, A. D. (2007). Psychological impact of infertility. Best Practice & Research Clinical Obstetrics and Gynaecology, 21 (2), 293-308.
Cwikel, J., Gidron, Y., & Sheiner, E. (2004). Psychological interactions with infertility among women. European Journal of Obstetrics & Gynecology and Reproductive Biology,117 (2004), 126-131.
Domar, A. D., Zuttermeister, M. A., Seibel, M., & Benson, H. (1992). The prevalence and predictability of depression in infertile women. Fertility and Sterility,58 (6), 1158-1163.
Downey, J., Yingling, S., McKinney, M., Husami, N., Jewelewicz, R., & Maidman, J. (1989). Mood disorders, psychiatric symptoms, and distress in women presenting for infertility evaluation. Fertility and Sterility, 52 (3), 425-432.
Facchinetti, F., Matteo, M. L., Artini, G. P., Volpe, A., & Genazzani, A. R. (1997). An increased vulnerability to stress is associated with a poor outcome of in vitro fertilizationembryo transfer treatment. Fertility and Sterility, 67 (2), 309-314.
Farinati, D. M., Rigoni, M. S., & Muller, M. C. (2006). Infertilidade: um novo campo da psicologia da saúde. Estudos de Psicologia (Campinas), 23 (4), 433-439.
Ferriani, R. A., & Navarro, P. A. A. S. (2004). Protocolos de condutas em infertilidade conjugal São Paulo: Conexão Brasil.
Ferriani, R. A., Moura, M. D., Sala, M. M., Yamazaki, R., Reis, R. M., & Sá, M. F. S. (1995). Fertilidade assistida no Hospital das Clínicas de Ribeirão Preto (HCRP). Reprodução e Climatério, 10 (4), 151-152.
McNaughton-Cassill, M. E., Bostwick, M., Vanscoy, S. E., Arthur, N. J., Hickman, T. N., Robinson, R. D., & Neal, G.S. (2000). Development of brief stress management support groups for couples undergoing in vitro fertilization treatment. Fertility and Sterility, 74 (1), 87-93.
Minayo, M. C. S. (1994). O desafio do conhecimento: pesquisa qualitativa em saúde São Paulo: Hucitec.
Moreira, S. N. T., Melo, C. O. M., Tomaz, G., & Azevedo, G. D. (2006). Estresse e ansiedade em mulheres inférteis. Revista Brasileira Ginecologia Obstetrícia, 28 (6), 358-364.
Newton, C. R., Hearn, M. T., & Yuzpe, A. A. (1990). Psychological assessment and follow-up after in vitro fertilization: assessing the impact of failure. Fertility and Sterility, 54 (5), 879-886.
Pottinger, A. M, McKenzie, C., Fredericks, J., DaCosta, V., Wynter, S., Everett, D., & Walters, Y. (2006). Gender differences in coping with infertility among couples undergoing counselling for in vitro fertilization treatment. West Indian Medical Journal, 55 (4), 237-242.
Serafini, P., White, J., Petracco, A., Motta, E., Yadid, I. M., & Coslovsky, M. (1998). O bê a bá da infertilidade São Paulo: Organon.
Trindade, Z. A., & Enumo, S. R. F. (2002). Triste e incompleta: uma visão feminina da mulher infértil. Psicologia USP, 13 (2), 151-182.
Urrutia, D. N., Genghini, M. H. R. R., & Makuch, M. Y. (2002). Vivências de mulheres com diagnóstico de infertilidade primária: significado para o atendimento ambulatorial. Reprodução & Climatério, 17 (2), 118-121.
Wang, K., L., J., Zhang, J. X., Zhang, L., Yu, J., & Jiang, P. (2007). Psychological characteristics and marital quality of infertile women registered for in vitro fertilization-intracytoplasmic sperm injection in China. Fertility and Sterility, 87 (4), 792-798.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Ricardo GORAYEB, Andréa Cristina de Toledo BORSARI, Andreza Cristiana Ribeiro GOMES, Adriana Peterson Mariano Salata ROMÃO, Rosana SHUHAMA
This work is licensed under a Creative Commons Attribution 4.0 International License.
