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Karakaş S, Akarsu RH, Tandoğan Ö, Şahan Ö. "The biggest disappointment": women's expectations from sex are ignored, from the perspective of infertile women. J Reprod Infant Psychol 2024; 42:842-854. [PMID: 37565411 DOI: 10.1080/02646838.2023.2243296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 07/27/2023] [Indexed: 08/12/2023]
Abstract
OBJECTIVE The aim of this study is to determine the attitudes, behaviours and experiences of infertile women towards sexuality. METHODS This study was carried out in the infertility outpatient clinic of a state hospital in Istanbul of Turkey. Fifteen infertile women who had been receiving primary infertility treatment for at least two years and were actively continuing infertility treatment were included in the study. Data were collected by means of an detailed information form and a semi-structured interview. Content analysis was applied to the data obtained from semi-structured interviews. Consistency percentage calculation was made between the codes and themes determined by 4 researchers who are experts in their fields. RESULTS Results based on the interviews with the participants, 2 main themes, 6 sub-themes and 27 codes related to sub-themes were determined as 'Factors Affecting Sexual Life' and 'Overview of Sexual Health and Sexuality'. 'Disappointment' was determined as the most commonly defined code in the determined main theme and sub-themes. CONCLUSION It was determined that the majority of infertile women base their sexual lives on reproductive functions, experience serious sexual health problems, feel worthless, and describe their sexual life as a great disappointment.
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Affiliation(s)
- Sevda Karakaş
- Department of Nursing, Istanbul Arel University Faculty of Health Sciences, Istanbul, Turkey
| | - Rukiye Höbek Akarsu
- Faculty of Health Sciences, Department of Nursing, Yozgat Bozok University, Yozgat, Turkey
| | - Özden Tandoğan
- Department of Nursing, Istanbul Arel University Faculty of Health Sciences, Istanbul, Turkey
| | - Özlem Şahan
- Faculty of Health Sciences, Department of Midwifery, Antalya Bilim University, Antalya, Turkey
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Abu Khait A, Menger A, Hamdan-Mansour AM, Aldalaykeh M, Hamaideh SH, Al-Mrayat YD, Nusair H. The Association Between Coping Strategies and Psychological and Emotional Distress Among Health Care Providers Caring for Autistic Children in Jordan. West J Nurs Res 2024; 46:571-582. [PMID: 38829033 DOI: 10.1177/01939459241254782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Abstract
BACKGROUND Health care providers (HCPs) caring for autistic children report more perceived psychological and emotional distress related to their job. However, not much is known about what can be done to mitigate such distress, especially in countries with limited mental health resources, such as Jordan. OBJECTIVE This study aimed to examine the association between coping strategies (problem-focused, emotion-focused, and avoidant) and perceived emotional and psychological distress among HCPs of autistic children in Jordan. METHODS In this cross-sectional study, a convenience sample of 180 HCPs working with autistic children in Jordan were recruited through autism centers and social media using an online self-administered questionnaire. RESULTS The multiple linear regression analysis revealed that 31% of the variability in perceived emotional distress was explained by its significant association with problem-focused coping, emotion-focused coping, and avoidant coping. Likewise, 39% of the variability in perceived psychological distress was explained by its significant association with gender, having an immediate family, area of specialty, problem-focused coping, emotion-focused coping, and avoidant coping. CONCLUSIONS The study shows that problem-focused coping significantly decreases perceived emotional distress, whereas emotion-focused and avoidant coping significantly increase perceived emotional distress. Avoidant coping significantly increases perceived psychological distress. Understanding the association between coping strategies and perceived emotional and psychological distress among HCPs can assist mental health nurses in identifying at-risk providers and providing timely emotional and psychological support.
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Affiliation(s)
- Abdallah Abu Khait
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | | | - Ayman M Hamdan-Mansour
- Department of Community Health Nursing, School of Nursing, The University of Jordan, Amman, Jordan
| | - Mohammed Aldalaykeh
- Community and Mental Health Nursing Department, College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Shaher H Hamaideh
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
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Khalesi ZB, Kenarsari FJ. Anxiety, depression, and stress: a comparative study between couples with male and female infertility. BMC Womens Health 2024; 24:228. [PMID: 38589804 PMCID: PMC11003146 DOI: 10.1186/s12905-024-03072-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 04/02/2024] [Indexed: 04/10/2024] Open
Abstract
BACKGROUND AND AIM Although infertility as a significant cause of marital crises is prevalent almost equally in men and women, infertile women are under more pressure and distress than infertile men. Therefore, this study was conducted aiming to compare anxiety, depression, and stress between couples with male and female infertility. METHODS In this descriptive-analytical cross-sectional study, 40 couples (n = 80) with male infertility and 40 couples (n = 80) with female infertility were referred to the infertility clinic of Al-Zahra Educational and Medical Center, Rasht, Iran. Eligible infertile couples were selected by convenience sampling method. The data collection tool was a two-part questionnaire consisting of a demographic information form and a short form of the standard Depression Anxiety Stress Scale-21 (DASS-21). Data analysis was carried out using descriptive and inferential statistical tests at a significant level of p < 0.05. RESULTS The severity of depression, anxiety, and stress also had a statistically significant difference between men and women. The severity of depression was mild in 57.5% of infertile women and moderate in 40% of infertile men. The severity of anxiety was moderate in 42.5% of infertile women and mild in 57.5% of infertile men. The severity of stress was Severe in 37.5% of infertile women and mild in 40% of infertile men. There was a statistically significant difference between infertile women and men in terms of depression (t=-4.213, df = 1619, p < 0.001), anxiety (t=-7.261, df = 2274, p < 0.001), and stress (t=-9.046, df = 2308, p < 0.001) subscales, and the total scores (t=-7.709, df = 2315, p < 0.001). The depression, stress and anxiety levels were higher in infertile women than in healthy women with infertile spouses. This difference was statistically significant (p < 0.01). The depression, anxiety, and stress levels were significantly different between infertile men and healthy men with infertile wives (p < 0.001). CONCLUSION The results of this study indicated that depression, anxiety, and stress were more prevalent in infertile women than in infertile men. The severity levels of depression, anxiety, and stress in the wives of infertile men were higher than those in the spouses of infertile women.
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Affiliation(s)
- Zahra Bostani Khalesi
- Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
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Ahmad S, Jafree SR. Influence of gender identity on the adoption of religious-spiritual, preventive and emotion-focused coping strategies during the COVID-19 pandemic in Pakistan. Ann Med 2023; 55:2291464. [PMID: 38105479 PMCID: PMC10732200 DOI: 10.1080/07853890.2023.2291464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 11/30/2023] [Indexed: 12/19/2023] Open
Abstract
BACKGROUND Academic research has highlighted the gendered impacts and amplifications of gender disparities of COVID-19. Traditionally, Pakistan is a patriarchal society, where it is a parenthood norm to socialize specific gender social roles. OBJECTIVES The current research asserts that these normative gender roles may influence individuals throughout their life course, even during the COVID-19 pandemic. Therefore, the present study explored the influence of gender identity in adopting different coping strategies such as religious-spiritual, preventive, emotion-focused and non-constructive coping against the COVID-19 pandemic. METHODS Due to the lockdown in various areas of Pakistan, data were collected through an online questionnaire using Qualtrics. In a cross-sectional study, 955 respondents completed responses. Factors analysis and reliability analysis were run to ensure the scales' reliability, validity and robustness for different coping strategies. Multivariate linear regression analysis was used to find model fitness. CONCLUSIONS For theoretical explanation, the current study used social role theory that argues that each gender benefits differently from distinct coping behaviours. The findings highlighted that women were more likely to adopt most coping strategies, with the most significant difference in religious-spiritual coping and preventative coping strategies even in the presence of control variables such as level of education, household monthly income, family structure, marital status and family size. There was no gender difference in adopting non-constructive strategies. The empirical evidence suggested that females might be at an increased risk of stress due to the burden of unbalanced household-based social norms and care responsibilities. The current research also expanded the base of coping to religious-spiritual coping, emotion-focused coping and non-constructive coping.
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Affiliation(s)
- Saeed Ahmad
- Department of Sociology and Anthropology, Utah State University, Logan, UT, USA
| | - Sara Rizvi Jafree
- Department of Sociology, Forman Christian College University (FCCU), Lahore, Pakistan
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Tang N, Pei M, Xie L, Liang X, Hu J, Gao Y. Relationship Between Dyadic Coping with Anxiety and Depression in Infertile Couples: Gender Differences and Dyadic Interaction. Psychol Res Behav Manag 2023; 16:4909-4919. [PMID: 38089528 PMCID: PMC10710950 DOI: 10.2147/prbm.s437808] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 10/24/2023] [Indexed: 09/08/2024] Open
Abstract
BACKGROUND This study aims to examine the relationship between anxiety and depression and dyadic coping in infertile couples, exploring gender differences and dyadic interactions in these associations. METHODS A cross-sectional study was conducted involving 288 couples recruited from the First Affiliated Hospital of Lanzhou University between November 2021 and November 2022. The Dyadic Coping Scale, Anxiety Scale, and Depression Scale were utilized to measure dyadic coping, anxiety, and depression, respectively. The Actor-Partner Interdependence Model was used to analyze the actor effect and partner effect. RESULTS Wives exhibited significantly higher anxiety and depression scores compared to husbands (p<0.001). No statistically significant difference was found in dyadic coping between wives and husbands. Positive dyadic coping in infertile couples had significant actor effects on anxiety and depression (p<0.05) and partner effects (p<0.05). Positive dyadic coping negatively predicted anxiety and depression of oneself and one's partner. Negative dyadic coping in infertile couples also had significant actor effects on anxiety and depression (p<0.05) and partner effects (p<0.05). Negative dyadic coping positively predicted anxiety and depression of oneself and one's partner. CONCLUSION The dyadic coping style of infertile couples has both actor and partner effects on their own and their partner's anxiety and depression. Anxiety and depression in infertile couples are influenced by their own and their partner's dyadic coping style, respectively. Therefore, dyadic coping serves as an important indicator for predicting psychological outcomes in these couples.
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Affiliation(s)
- Nan Tang
- Department of Nursing, 1th Medical Centre of PLA General Hospital, Beijing, People’s Republic of China
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People’s Republic of China
| | - Mengyue Pei
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People’s Republic of China
- Henan Kaifeng College of Science Technology and Communication, Kaifei, Henan, People’s Republic of China
| | - Lei Xie
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People’s Republic of China
- Renji Hospital, Shanghai Jiaotong University, Shanghai, People’s Republic of China
| | - Xueping Liang
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People’s Republic of China
| | - Junping Hu
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People’s Republic of China
- The First hospital of Lanzhou University, Lanzhou, Gansu, People’s Republic of China
| | - Yuan Gao
- Department of Nursing, 1th Medical Centre of PLA General Hospital, Beijing, People’s Republic of China
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Reisi M, Kazemi A, Abedi MR, Nazarian N. Spouse's coping strategies mediate the relationship between women's coping strategies and their psychological health among infertile couples. Sci Rep 2023; 13:10675. [PMID: 37393323 PMCID: PMC10314934 DOI: 10.1038/s41598-023-37380-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 06/21/2023] [Indexed: 07/03/2023] Open
Abstract
Social problems and suffering from the treatment process for infertile couples, especially for women, require the couples to cope with them to balance the infertility crisis. According to the close interactions of the couples with each other, the objective of the present study was to explore a theoretical framework for the relationships between women's coping strategies, spouses' coping strategies, and women's psychological health in infertile couples who were candidates for assisted reproductive technology (ART). This cross-sectional study was carried out on 212 couples undergoing ART. The couples' coping strategies were evaluated using a validated self-report questionnaire. The women's psychological health was assessed using a 21-item stress, anxiety, and depression scale (DASS-21). Statistical analysis was performed using the plug-in application PROCESS macro for SPSS. The direct effect of the women's self-blame and self-focused rumination strategies (p < .0001), and the indirect effect of the women's self-blame on stress and depression by mediating spouses' self-blame and self-focused rumination strategies, was significant. The indirect effect of the women's self-focused rumination on the anxiety and depression levels by mediating spouses' self-blame strategy was significant. The women's self-blame and self-focused rumination strategies had a negative effect on the women's psychological health who were undergoing ART. This negative effect was mediated by the spouse's coping strategies.
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Affiliation(s)
- Marzie Reisi
- School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ashraf Kazemi
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezarjerib AV., Isfahan, Iran.
| | - Mohammad Reza Abedi
- Counseling Department, School of Psychology and Education Sciences, University of Isfahan, Isfahan, Iran
| | - Naser Nazarian
- Social Sciences Department, University of Isfahan, Isfahan, Iran
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7
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Hamid AARM, Miskry ASAA, Darweesh AHM. The relationship between coping and distress among faculty members and students during COVID-19 pandemic lockdown: The moderating effect of gender. Front Psychiatry 2023; 14:1103049. [PMID: 36911133 PMCID: PMC9992169 DOI: 10.3389/fpsyt.2023.1103049] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 01/26/2023] [Indexed: 02/24/2023] Open
Abstract
OBJECTIVES Previous research has documented significant associations between the COVID-19 pandemic lockdown, various mental health problems, and coping strategies. However, literature on the moderating role of gender on the relationship between distress and coping strategies during COVID-19 is almost nonexistent. Hence, the main objective of this study was two folds. To examine gender differences in distress and coping strategies, and to test the moderating effect of gender on the relationship between distress and coping among university faculty members and students during the COVID-19 pandemic. METHOD A cross-sectional web-based study design was used to collect data from the participants. A sample of 649 participants (68.9% university students and 31.1% faculty members) was selected. The General Health Questionnaire (GHQ-12) and the Coping Inventory for Stressful Situations (CISS) were used to collect data from the participants. The survey was sent out during the COVID-19 lockdown from May 12th to June 30th, 2020. RESULTS The results showed significant gender differences in distress and the three coping strategies. Women consistently scored higher on distress (p < 0.01), task-focused (p < 0.05), emotion-focused (p < 0.001), and avoidance coping (p < 0.01) compared to men. Gender moderated the relationship between emotion-focused coping and distress (p < 0.001) but not the relationship between distress and task-focused or avoidance coping. CONCLUSION Increased emotion-focused coping is associated with decreased distress among women while the use of emotion-focused coping by men predicted more distress. Workshops and programs focused on providing skills and techniques on how to cope with stressful situations induced by the COVID-19 pandemic are recommended.
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Affiliation(s)
- Abdalla A R M Hamid
- Department of Clinical Psychology, United Arab Emirates University, Al Ain, United Arab Emirates
| | | | - Abdel Hameed M Darweesh
- Department of Cognitive Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
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An assessment of coping with infertility stress and eating disorders in women undergoing IVF treatment. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-022-01780-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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9
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Şahiner E, Boz İ. Experiences of women undergoing infertility treatment from embryo transfer until pregnancy test and their conceptualization of their embryo. J Psychosom Obstet Gynaecol 2022; 43:153-164. [PMID: 33397187 DOI: 10.1080/0167482x.2020.1865909] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
AIM This study aims to explore women's experiences with embryo transfer (ET) until pregnancy test and their conceptualization of their embryo. METHOD The sample of this descriptive phenomenology study consists of 17 women with ET. The data were collected through in-depth interviews. The thematic analysis developed by Braun and Clarke was used for data analysis. RESULTS Analysis of the interviews led to the emergence of five themes and 14 sub-themes. The theme "pregnancy in biological terms" has two sub-themes: "considering herself pregnant" and "the first moment with the baby". The theme "not an embryo, my child" has three sub-themes: "world of hope", " unnatural but normal" and "attachment to embryo". The theme "daily life after ET" has three sub-themes: "living life in the usual way", "process of self-listening", and "the negative effects of drugs on the body". The theme "seeking ways to ensure fertility" has four sub-themes: "complete bed rest", "the search for information: the internet", "practice an infertility diet" and "spiritual support with prayer". Finally, the theme "caring after the transfer" has two sub-themes: "need more information" and "unmet women-oriented care". CONCLUSION In this study, it was determined that women had intense physical and emotional experiences during the waiting period after ET and their daily lives were affected. It was also understood that the embryo means "baby/child/son/daughter" to them and that they establish a close bond with their embryos. Women's needs are not sufficiently known until post-ET pregnancy testing. Explaining the experiences of women after IVF-ET and the meanings of their embryo will help determine the issues they need in holistic care.
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Affiliation(s)
- Esra Şahiner
- Nursing Faculty, Obstetrics and Gynecology Nursing Department, Akdeniz University, Antalya, Turkey
| | - İlkay Boz
- Nursing Faculty, Obstetrics and Gynecology Nursing Department, Akdeniz University, Antalya, Turkey
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Romeiro J, Nogueira P, Hall J, Caldeira S. The Resilience Scale in Portuguese Adults under Assisted Reproductive Techniques. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105932. [PMID: 35627471 PMCID: PMC9140717 DOI: 10.3390/ijerph19105932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 04/28/2022] [Accepted: 05/04/2022] [Indexed: 11/17/2022]
Abstract
Assessing resilience response to an adverse event such as infertility requires measuring the same construct adequately and accurately by nurses. The objective of this study was to explore the validity and reliability of the Portuguese version of the Resilience Scale for adults. A cross-sectional and methodological design was used, and factor analyses were performed. The sample comprised 140 adult Portuguese individuals under fertility treatment recruited from health-related websites. The findings yielded a bad fit of the hypothesized Resilience Scale structure with the observed data. Instead, a 21-item tool with a four-factor structure revealed high internal consistency (0.94). The tool correlated positively and significantly to the Portuguese version of the Spiritual Well-Being Questionnaire and was negatively associated and lacked correlation with the Fertility Adjustment Scale. The 21-item Resilience Scale is a reliable tool suitable to measure resilience in Portuguese adults under assisted reproductive techniques. This tool offers the opportunity of early recognition by health professionals aiming to enhance patients’ coping skills effectively and promote positive psychological and mental health outcomes.
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Affiliation(s)
- Joana Romeiro
- Institute of Health Sciences, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal;
- Correspondence: ; Tel.: +351-965126857
| | - Paulo Nogueira
- Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal;
| | - Jenny Hall
- Independent Researcher, Liverpool L17 7AQ, UK;
| | - Sílvia Caldeira
- Institute of Health Sciences, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal;
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Esan DT, Nnamani KQ, Ogunkorode A, Muhammad F, Oluwagbemi OO, Ramos CG. Infertility affects the quality of life of Southwestern Nigerian women and their partners. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2022. [DOI: 10.1016/j.ijans.2022.100506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
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Effect of trace elements on the seminal oxidative status and correlation to sperm motility in infertile Saudi males. Saudi J Biol Sci 2021; 28:4455-4460. [PMID: 34354430 PMCID: PMC8324968 DOI: 10.1016/j.sjbs.2021.04.042] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 03/29/2021] [Accepted: 04/18/2021] [Indexed: 11/23/2022] Open
Abstract
The impact of trace elements, especially zinc, selenium, copper, and magnesium, on male fertility has gained great interest and significance. Increased oxidative stress and altered trace element levels are probable etiological factors underlying male reproductive dysfunction and infertility. The present study focused on the evaluation of seminal oxidative markers, such as reactive oxygen species (ROS), malondialdehyde (MDA), and total antioxidant capacity (TAC), and trace element levels in the normozoospermic fertile control group (n = 40) and asthenozoospermic infertile group (n = 30). Semen from infertile men exhibited significantly higher ROS and MDA levels accompanied with significant decline in TAC and trace element (zinc and magnesium) levels. Furthermore, a significant correlation was observed between trace elements and oxidative markers with sperm motility. The current study revealed increased lipid peroxidation and oxidant-reductant imbalance that leads to deterioration of semen quality and male infertility. Thus, oxidative stress and trace elements can be considered important biomarkers of male infertility. Measurement of seminal oxidative stress with conventional seminological parameters must be integrated in fertility assessment from early stages to ensure healthy semen characteristics and fertility in men.
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Elyasi F, Parkoohi PI, Naseri M, Gelekolaee KS, Hamedi M, Peyvandi S, Azizi M. Relationship between coping/attachment styles and infertility-specific distress in Iranian infertile individuals: A cross-sectional study. Int J Reprod Biomed 2021; 19:347-360. [PMID: 33997594 PMCID: PMC8106813 DOI: 10.18502/ijrm.v19i4.9061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 07/11/2020] [Accepted: 10/12/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Infertility has been recognized as a stressful clinical condition, significantly affecting couples' emotional functioning. OBJECTIVE To investigate the relationship between coping/attachment styles and infertility-specific distress (ISD) in infertile participants. MATERIALS AND METHODS Atotal number of 240 infertile participants (120 women and 120 men) who attend the Outpatient Infertility Clinic in Sari, Iran between February and October 2017 were selected using the convenience sampling method. Data were collected using a questionnaire addressing sociodemographic variables. In addition, coping and attachment styles were evaluated via the Coping Strategies Questionnaire and the Revised Adult Attachment Scale by Collins and Read (1990); respectively. Ultimately, the Infertility Distress Scale was used to assess ISD. RESULTS The mean ISD score was 42.53 ± 9.63. Secure and insecure attachment styles were observed in 37.9% and 62.1% of the cases, respectively. There was a significant difference among ISD and different groups of attachment styles (p = 0.001) and emotion-focused coping style (p = 0.021). However, no significant relationship was found between problem-focused coping style and ISD (p = 0.985). CONCLUSION Considering the relationship between coping/attachment styles and ISD, it was recommended to implement stress prevention and coping education within the framework of coping/attachment theories for infertile individuals.
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Affiliation(s)
- Forouzan Elyasi
- Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Parisa Islami Parkoohi
- Psychiatry and Behavioral Sciences Research Center, Addiction Research Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mahshid Naseri
- School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Keshvar Samadaee Gelekolaee
- Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoume Hamedi
- IVF Ward, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Sepideh Peyvandi
- Sexual and Reproductive Health Research Center IVF Ward, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Marzieh Azizi
- Department of Reproductive Health and Midwifery, Nursing and Midwifery Faculty, Tehran University of Medical Science, Tehran, Iran
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The Need of Personalized Medicine in Coping with Stress during Infertility Treatment. J Pers Med 2021; 11:jpm11010056. [PMID: 33477431 PMCID: PMC7830688 DOI: 10.3390/jpm11010056] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 12/09/2020] [Accepted: 01/15/2021] [Indexed: 12/20/2022] Open
Abstract
The term personalized medicine was created for oncological patients, but due to its positive clinical results it is now used in many other fields of medicine, including reproductive medicine. The aim of the study was to determine the level of stress and strategies of coping with stress in patients treated for infertility. The study—using a questionnaire developed by the authors, the Perceived Stress Scale-10 (PSS-10), and the Coping Orientation to Problems Experienced Inventory (Mini-COPE)—was conducted among 456 people from infertile couples. Conclusions: More than half of the studied patients demonstrated a high level of stress. The choice of coping strategies was related to the respondents’ gender and level of stress as well as their experience with assisted reproductive technology.
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Kazemi A, Torabi M, Abdishahshahani M. Adjustment toward infertility mediates the relationship between coping, depression and anxiety in men: A confirmatory analysis. Eur J Obstet Gynecol Reprod Biol 2021; 258:48-52. [PMID: 33412462 DOI: 10.1016/j.ejogrb.2020.12.049] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 11/10/2020] [Accepted: 12/21/2020] [Indexed: 01/25/2023]
Abstract
OBJECTIVE The aim of the present study was to develop a theoretical framework for the relationships between coping, adjustment toward infertility, depression and anxiety and to present a confirmatory analysis of the developed theoretical framework in men who, together with their spouses, were candidates for assisted reproductive technology (ART) treatment. STUDY DESIGN This cross-sectional study was conducted on 212 men selected from the couples who were candidate for ART. Depression and anxiety, adjustment toward infertility, and coping strategies were assessed using self-report questionnaire. Statistical analysis was performed using the plug-in application PROCESS macro and AMOS software. RESULTS The results showed that higher depression and anxiety scores were related to lower adjustment to infertility. Higher adjustment score was associated with lower self-blame, self-focused rumination, active confronting and avoidance coping strategies scores significantly. In the depression and anxiety pathway models, the positive relationship between active confronting and elf-focused rumination coping strategies were mediated by adjustment. However, the effect of active confronting on depression and anxiety was significant only with mediating role of adjustment. The direct and indirect relationship of self-focused rumination and the indirect relationship of active confronting with depression and anxiety had a good fitness (CMIN/ DF = .419). CONCLUSION The self-focused rumination and active confronting coping strategies, having negative association with adjustment to infertility, and may increase depression and anxiety in men undergoing ART; however, higher adjustment is associated with decreased depression and anxiety. Therefore, mental health programs for men undergoing ART may need to focus on improving the skills of adaptive coping strategies.
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Affiliation(s)
- Ashraf Kazemi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Marjan Torabi
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Mahshid Abdishahshahani
- Midwifery Department, Nursing and Midwifery Health Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
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Beg MA, Nieschlag E, Abdel‐Meguid TA, Alam Q, Abdelsalam A, Haque A, Mosli HA, Bajouh OS, Abuzenadah AM, Al‐Qahtani M. Genetic investigations on causes of male infertility in Western Saudi Arabia. Andrologia 2019; 51:e13272. [DOI: 10.1111/and.13272] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 02/18/2019] [Accepted: 02/26/2019] [Indexed: 12/24/2022] Open
Affiliation(s)
- Mohd A. Beg
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
- Center of Innovation in Personalized Medicine King Abdulaziz University Jeddah Saudi Arabia
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
| | - Eberhard Nieschlag
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
- Centre of Reproductive Medicine and Andrology University Hospital Münster Münster Germany
| | - Taha A. Abdel‐Meguid
- Department of Urology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
- Minia University El‐Minia Egypt
| | - Qamre Alam
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
| | - Ahmed Abdelsalam
- Department of Urology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
- Department of Urology Theodor Bilharz Research Institute Giza Egypt
| | - Absarul Haque
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
| | - Hisham A. Mosli
- Department of Urology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
| | - Osama S. Bajouh
- Department of Obstetrics and Gynecology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
| | - Adel M. Abuzenadah
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
- Center of Innovation in Personalized Medicine King Abdulaziz University Jeddah Saudi Arabia
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
| | - Mohammed Al‐Qahtani
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
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