JRI 

Vajiheh Gharaie Corresponding Author
- Department of Psychology, Faculty of Psychology, Shahid Beheshti University, Tehran, Iran
Mohammad Ali Mazaheri
- Department of Psychology, Faculty of Psychology, Shahid Beheshti University, Tehran, Iran
Ali Sahebi
- Department of Psychology, Faculty of Psychology, Ferdosi University, Mashad, Iran
Sepideh Peivandi
- Department of Obstet . and Gynecol Faculty of Medicine, Sari University of Medical Sciences, Sari, Iran
Marzieh Agha Hossinei
- Department of Gynecology and Obstetrics ,Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Received: 4/1/2004 Accepted: 4/1/2004 - Publisher : Avicenna Research Institute

Related Articles

 

Other Format

 


Abstract

Introduction: Infertility is a complex crisis in life that leads to psychological and emotional stress in couples. Infertility and its treatment are breeding grounds for stress. Cycles of hope followed by crushing disappointment, along with the high costs and low success rates of medical therapies, can lead to depression, anxiety and many other psychological problems. Since, the success in programs called Assisted Reproduction Technology (ART) depend on the adjustment strategies to anxiety and stress which significantly arise during treatment procedures, a quasi experimental research project was designed to determine the effects of one of the behavioral-cognitive techniques on reduction of anxiety in women with primary infertility who undergo GIFT/ZIFT, in infertility clinic of Shariati Hospital during July- Febuery 2002. Materials and Methods: The sample group composed of 60 women with primary infertility who were allocated into two experimental (n=30) and control (n=30) groups. The preliminary evaluation of the state and trait anxiety of all subjects was conducted on day 21 of the menstrual cycle by Spielberger Anxiety Inventory. The intervention in the experimental group included a behavioral cognitive training program, cognitive restructuring and relaxation for 15-20 days. The control group received only routine cares. The state and trait anxiety were again evaluated in all participants 2 days before and 2 days after the operation. Results: Results showed that the state and trait anxiety scores at the beginning and the end of study were not significantly different between the two groups. But the state and trait anxiety scores before GIFT/ZIFT operations were significantly lower in the experimental group (P=0.002 and 0.028, respectively). The state and trait anxiety was significantly different between before and after intervention in experimental group (p=0.0001), but not in control group. The mean variation of state and trait anxiety from following intervention to after study and form before intervention to after study was significantly different in the two groups (p<0.05 ). conclusion: the results showed that behavior cognitive education are effective in reduction of anxiety in primary infertility cases that undergo art treatment. besides, in women who showed anxiety reduction following intervention, the rate of successful treatment was significantly higher compared with the control group. concerning the positive effect of behavior cognitive education and emotional support of infertile cases on reduction of anxiety and improvement of success rate, we recommend, the instructional and supportive programs to be promoted by the expert teams including psychologists.< pan>


Keywords: Cognitive- behavioral eduation, Anxiety, Infertility, GIFT, ZIFT, Assisted Reproductive Techniques


To cite this article:


References

  1. دوگاس بورلي پيتر. اصول مراقبت از بيمار (نگرشي جامع به پرستاري). چاپ دوم، گروه مترجمين، معاونت پژوهشي وزارت بهداشت، درمان و آموزش پزشكي، تهران (1373)، صفحه 8.
  2. Gibson D.M., Myers J.E. Gender and infertility: A relational approach to counseling women. J Couns Dev.2000;78(4):400-411.
  3. Valentin D.P. Psychological impact of infertility: Identifying issues and needs. Soc Work Health Care.1986;11(4):61-69.
  4. Myers L.B., Wark L. Psychotherapy for inferti-lity: A cognitive - behavioral approach for couples. Am J Fam Therapy.1996;24(1):9-20.
  5. كي‌ ويليام آر، چانگ جفري، ربارربرت، سولز ميخائيل آر. ارزيابي‌ و درمان‌ ناباروري. چاپ اول، ترجمه‌ كريم‌ زاده‌ ميبدي‌ و همكاران‌، انتشارات يزد (1375)، صفحه 27.
  6. Burns L.H., Covington S.N. Infertility cones-ling: A comprehensive handbook for clincians. New Yourk, Purthenon.2000;3-22.
  7. Michelson L.K., Marchion K. Behavioral cogn-itive, and pharmacological treatments of panic disorder with agoraphobia: Critigue and synthesis. J consult Cli psychol.1991;59,100-114.
  8. Harvey A.G., Rapce R.M. Cognitive behaviour therapy for generelized anxiety disorder. Psychia Clin North Am.1995;18(4):859-870.
  9. رجوئي مريم. جنبه‌هاي‌ روان‌ شناختي‌ ناباروري. پژوهـش‌هاي روان‌ شناختـي، دوره‌ 4 (1377)، شماره‌ 3 بخش درمان ناباروري بيمارستان شريعتي تهران به ويژه سركار خانم دكتر آل ياسين و سركار خانم‌ها و4، صفحات‌: 78-72.
  10. حيدري پروانه. بررسي‌ تأثير رفتار درماني‌ شناختي‌ بر اضطراب‌خانم‌هاي‌ نازاي‌ اوليه‌ تحت‌ درمان‌ IUI. پايان‌ نامه‌ كارشناسي‌ ارشد، دانشكده‌ پرستاري‌ مامايي‌ دانشگاه علوم پزشكي و خدمات بهداشتي، درماني مشهد (1380)، صفحات: 97 و 112.
  11. Domar A., Seible M.M., Benson H. The mind, body program for infertility: A new behavioural treatment approach for women with infertility. Fertil Steril.1990;53(2):245-249.
  12. Domar A.D., Clapp D., Slawsby E., Kessed B., Orar J., Freizinger M. The impact of group psychological intervention on distress in infertil women. J Health Psychol.2000;19(9):568-575.
  13. مهرام‌ بهروز. راهنماي‌ آزمون‌ اضطراب‌ آشكار و پنهان‌ اشپيل‌ برگر و دستورالعمل‌ اجرايي‌ و تعبير و تفسير براساس‌ پژوهش‌ هنجاريابي‌ آزمون‌ در شهر مشهد، دانشكده‌ علوم‌ تربيتي‌ و روان‌شناسي‌ دانشگاه‌ فردوسي‌ مشهد (1372).
  14. دهقاني حميده‌، دهقاني خديجه،‌ خليلي محمد علي. تأثير آموزش‌ در كاهش‌ اضطراب‌ قبل‌ و بعد از برداشت‌ تخمك‌ در زنان‌ نابارور. مجله‌ دانشگاه‌ علوم‌ پزشكي‌ و خدمات‌ بهداشتي،‌ درماني‌ شهيد صدوقي‌ يزد، سال هشتم (1379)، شماره‌ 3، صفحات:‌ 29-24.
  15. Callaghan P. Evidence based care of Chinese men having transurethral resection of the prostate (TURP). J Adv Nurs.1998;28(3):576-583.
  16. Boivin J., Takefman J. Stress leved across stages of invitro fertilization in subsequently pregnant and nonpregnant women. Fertil Steril. 1995;64(4):802-810.
  17. Csemiczky G., Landgren B.M., Collins A. The influence of stress & state anxiety on the out-come of IVF- treatment: psychological & endocri-nological assessment of swedish women entering IVF-treatment. Acta Obstet Gynecol Scand.2000; 79:113-118.

COPE
SID
NLM
AJMB
IJBMLE
IJBMLE

Home | About Us | Current Issue | Past Issues | Submit a Manuscript | Instructions for Authors | Subscribe | Search | Contact Us

"Journal of Reproduction & Infertility" is owned, published, and managed by Avicenna Research Institute .
Creative Commons License

This work is licensed under a Creative Commons Attribution –NonCommercial 4.0 International License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Journal of Reproductoin and Infertility (JRI) is a member of COMMITTEE ON PUBLICATION ETHICS . Verify here .

©2024 - eISSN : 2251-676X, ISSN : 2228-5482, For any comments and questions please contact us.