Parvaneh Heidari Corresponding Author
- Midwifery Department, Faculty of Medicine, Karaj Azad University, Karaj, Iran
Robab Latifnejad
- Midwifery Department, Faculty of Medicine, Karaj Azad University, Karaj, Iran
Ali Sahebi
- Psychology Department, Faculty of Educative Sciences and Psychology, Ferdousi University, Mashad, Iran
Monireh Jahaniyan
- Montaserieh infertility treatment Center, Mashhad Medical Scienses University, Mashad, Iran
Seyyed Reza Mazloum
- Nursing Department, Faculty of Medicine, Mashhad Medical Sciences University, Mashad, Iran

Received: 7/1/2002 Accepted: 7/1/2002 - Publisher : Avicenna Research Institute

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Infertility and its numerous treatment programs create crisis in infertile women’s life and is a potent source of anxiety. Since cognitive behavioural therapy might be efficacious for emotional aspect of infertility, therefore we designed a study for evaluation of cognitive behaviour therapy effect on anxiety level in primary infertile women undergoing IUI in Montaserieh Infertility Research Center from May to August 2001. In this randomized controlled clinical trial 110 women with primary infertility that were undergoing IUI for first time randomly were allocated to two groups of experimental and control. In first visit for IUI treatment (beginning of study) state and trait anxiety of all subjects were measured by Spiel Berger anxiety inventory. The experimental group completed a cognitive behaviour therapy program including cognitive restructuring and relaxation for 12-13 days. Control group received only routine cares. State and trait anxiety were measured in 30 minutes before and after IUI for two groups. Findings showed that state and trait anxiety scores in beginning of study were not significantly different between two groups. But state anxiety scores during and end of study were significantly different which there was more decrease in experimental group. Trait anxiety score were not significantly different at the beginning, before and end of study. The mean of difference state anxiety at beginning and during study and beginning and end of study was significantly different and beginning and end of study in two groups. Also the mean of difference between trait anxiety at beginning and during study and beginning and end of study was significantly different in two groups, while the mean of difference between trait anxiety during and end of study was not significant. The results of study showed that cognitive behaviour therapy is effective in reduction of anxiety in women undergoing IUI treatment, so we recommend securing psychological well being in women undergoing infertility treatment.

Keywords: Cognitive behaviour therapy, Anxiety, Infertility, Intra uterine insemination

To cite this article:


  1. رجوئي مريم. جنبه‏هاي روانشناختي ناباروري. مجله پژوهشهاي روانشناختي، 1377، ص 87-72.
  2. كي چانگ ربارسولز. ارزيابي و درمان ناباروري. كريم زاده ميبدي و همكاران، چاپ اول، يزد، انتشارات يزد، 1375.
  3. اسپيروف اچ كلس كيس. اندوكرينولوژي باليني زنان و ناباروري اسپيروف. اميني نائيني فرحناز و همكاران، چاپ اول، تهران، انتشارات تيمورزاده، جلد دوم، 1379.
  4. دهقاني حميده، دهقاني خديجه، خليلي محمد علي. تاثير 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 2، شماره 3: پاييز1379ص: 29-24.
  5. كرمي نوري رضا، آخوندي محمد مهدي، بهجتي اردكاني زهره. مطالعه و بررسي جنبه هاي رواني، اجتماعي ناباروري از ديدگاه پزشكان ايراني. چكيده مقالات سمپوزيوم، جنبه‏هاي روانشناختي ناباروري. تهران، 1380.
  6. Gattuso S.M., Litt M.D., Fitzgeral T.E. Coping with gastrointestinal endoscopy: self–efficacy enhancement and coping style. J Consul Clin Psychol. 1992; 60(1): 133- 9.
  7. كرك هاوتون، كلارك سالكووس كيس. درمان شناختي رفتاري. ترجمه قاسم زاده حبيب الله. چاپ اول، انتشارات ارجمند، جلد اول، 1376.
  8. Stuart G.W., Laraia M.T. Principals and practice of psychiatric nursing. 6th Edition. USA, Mosby. 1998.
  9. MC Naughton C. Development of brief stress management support groups for couples undergoing invitro fertilization treatment. Fertil Steril. 2000; 74(1): 87- 93.
  10. Domar A., Seibel M.M., Benson H. The mind, body program for infertility: a new behavioural treatment approach for women with infertility. Fertil Steril. 1990; 53(2): 246- 9.
  11. Domar A.D., Zuttermister P.C., Seibel M., et al. Psychological improvement in infertile women after behavioural treatment: a replication. Fertil Steril. 1992; 58(1): 144- 7.
  12. Schmidt L. Infertile couple’s assessment of infertility treatment. Acta Obst Gyn Scand. 1998; 77(6): 649- 53.
  13. Spiel Berger C.D. Manual for the state trait anxiety inventory. Consulting Psychologist Press. 1983.
  14. مهرام بهروز. راهنماي آزمون اضطراب صفت و حالت اشپيل برگر،دستورالعمل اجرايي و تعبير و تفسير براساس پژوهش هنجاريابي آزمون در شهر مشهد، سال 1372. دانشكده علوم تربيتي و روانشناسي،دانشگاه فردوسي، مشهد.
  15. Cassidy T. Problem solving style, stress & psychological illness. Br Clin Psychol. 1996; 35: 265-77.
  16. سهرابي حميدرضا، بيرشك بهروز. شناخت و درمان اختلاف زناشويي. تهران، مؤسسه خدمات فرهنگي رسا، سال 1377.
  17. دولت‏آبادي حسين. مقايسه سطح عزت نفس و شدت افسردگي بين معلوليت جسمي حركتي شاغل و معلولين جسمي حركتي بيكار. پايان‏نامه كارشناسي ارشد روانشناسي باليني، دانشكدة علوم تربيتي و روانشناسي، دانشگاه فردوسي، مشهد، سال 1376.
  18. سميعي‏زاده توسي طيبه. بررسي تأثير وجود همراه در كنار مادران نخست‏زا بر طول مدت زايمان در شهر ملاير، پايان نامه كارشناسي ارشد، دانشگاه علوم پزشكي و خدمات بهداشتي، درماني مشهد، سال 1378.
  19. Sadock B.J., Sadok V.A. Kaplan and Sadok’s comprehensive textbook of psychiatry. 7th Edition. USA, Lippincott Williams & Wilkins. 2000
  20. رجوئي مريم. اثر درماني شناختي رفتاري بر مشكلات رواني زنان نابارور تحت درمان با روشIVF-ET. پايان نامه كارشناسي ارشد روانشناسي باليني دانشگاه آزاد اسلامي رودهن، 1376.
  21. Ost L.G., Westling B.E. Applied relaxation vs. cognitive behaviour therapy in the treatment of panic disorder. Behav Res Ther. 1995; 33(2): 145-58.
  22. Schmidt N.B., Woolaway Bickel K., Trakowski J. Dismantling cognitive behaviour treatment for panic disorder: questioning the utility of breathing retraining. Consul Clin Psychol. 2000; 68(3): 417- 24.
  23. Pearson E. Cognitive behaviour therapy formulation. New York, New York Academic Presses. 1992; 64 (4): 802- 10.
  24. Bovin J., Takefman J. Stress level across stages of invitro fertilization in subsequently pregnant and nonpregnant women. Fertil Steril. 1995.
  25. Hachett M.I., Kemmann E., Cheron C. Upper gastrointestinal endoscopy: are preparatory interventions effective? Gastrointestinal Endoscopy. 1998; 48(4): 341- 7.


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