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Original Communication

Couples’ Resolution of an Infertility Diagnosis Before Undergoing in Vitro Fertilization

Published Online:March 06, 2013https://doi.org/10.1024/1421-0185/a000102

Abstract

Although the use of assisted reproductive technology has today become more familiar, the suffering associated with the experience of infertility remains. This study assesses the emotional resolution of couples faced with an infertility diagnosis by examining their narratives. Fifty-seven couples were recruited from fertility clinics to participate in a semistructured interview prior to in vitro fertilization. Two aspects of the couples’ reactions to the infertility diagnosis were assessed: (1) each individual’s capacity to acknowledge the emotional reality of the diagnosis (diagnosis resolution) and (2) the couple’s ability to construct a shared meaning of the infertility diagnosis experience (narrative co-construction). Associations between these aspects and self-reported marital satisfaction, infertility-related stress, and diagnosis-related variables were analyzed. 73.7% of women and 61.4% of men had acknowledged the emotional reality of the diagnosis, and their scores for narrative co-construction were comparable to reference samples. Marital satisfaction, but not infertility-related stress, was associated with diagnosis resolution and narrative co-construction. The results indicate the importance of detecting couples with fewer individual and marital resources needed to face the reality of the diagnosis. A couple’s capacity to perceive the infertility diagnosis as a shared problem is also essential for dealing with this common life event.

References

  • Anderson, B., Silver, B. (1987). The validity of survey responses: Insights from interviews of married couples in a survey of Soviet emigrants. Social Forces, 66, 537–554. doi 10.1093/sf/66.2.537 First citation in articleCrossref, Google Scholar

  • Aquilinio, W. S. (1993). Effects of spouse presence during the interview on survey responses concerning marriage. The Public Opinion Quarterly, 57, 358–376. doi 10.1086/269381 First citation in articleCrossref, Google Scholar

  • Barnett, D., Clements, M., Kaplan-Estrin, M., McCaskill, J. W., Hunt, K. H., Butler, C. M., ... Janisse, H. C. (2006). Maternal resolution of child diagnosis: Stability and relations with child attachment across the toddler to preschooler transition. Journal of Family Psychology, 20, 100–107. doi 10.1037/0893-3200.20.1.100 First citation in articleCrossref, Google Scholar

  • Berg, B. J., Wilson, J. F. (1991). Psychological functioning across stages of treatment for infertility. Journal of Behavioral Medicine, 14, 11–26. doi 10.1007/BF00844765 First citation in articleCrossref, Google Scholar

  • Boivin, J., Bunting, L., Collins, J. A., Nygren, K. G. (2007). International estimates of infertility prevalence and treatment-seeking: Potential need and demand for infertility medical care. Human Reproduction, 22, 1506–1512. doi 10.1093/humrep/dem046 First citation in articleCrossref, Google Scholar

  • Boivin, J., Takefman, J. E., Tulandi, T., Brender, W. (1995). Reactions to infertility based on extent of treatment failure. Fertility and Sterility, 63, 801–807. First citation in articleCrossref, Google Scholar

  • Bowlby, J. (1980). Attachment and loss. Vol.3: Loss. New York: Basic Books. First citation in articleGoogle Scholar

  • Braverman, A. M. (1997). When is enough, enough? Abandoning medical treatment for infertility. In S. R. Leiblum (Ed.), Infertility: Psychological issues and counseling strategies (pp. 209–229). New York: Wiley. First citation in articleGoogle Scholar

  • Brown, G. W., Harris, T. O. (1989). Life events and illness. New York: Guilford. First citation in articleGoogle Scholar

  • Brunell, A. B., Pilkington, C. J., Webster, G. D. (2007). Perceptions of risk in intimacy in dating couples: Conversation and partner perceptions. Journal of Social and Clinical Psychology, 26, 93–117. doi 10.1521/jscp.2007.26.1.92 First citation in articleCrossref, Google Scholar

  • Buehlman, K. T., Gottman, J. M., Katz, L. F. (1992). How a couple views their past predicts their future: Predicting divorce from an oral history interview. Journal of Family Psychology, 5, 295–318. doi 10.1037//0893-3200.5.3-4.295 First citation in articleCrossref, Google Scholar

  • Chachamovich, J. R., Chachamovich, E., Ezer, H., Fleck, M. P., Knauth, D. R., Passos, E. P. (2010). Investigating quality of life and health-related quality of life in infertility: A systematic review. Journal of Psychosomatic Obstetrics and Gynaecology, 31, 101–110. doi 10.3109/0167482X.2010.481337 First citation in articleCrossref, Google Scholar

  • Coenen-Huther, J. (1994). Identité individuelle, interactions conjugales, et règles de reconstruction du passé des lignées [Individual identity, marital interactions and reconstruction rules of past lineages]. Revue suisse de sociologie, 20, 641–653. First citation in articleGoogle Scholar

  • Cook, E. P. (1987). Characteristics of the biopsychosocial crisis of infertility. Journal of Counseling and Development, 65, 465–470. doi 10.1002/j.1556-6676.1987.tb00756.x First citation in articleCrossref, Google Scholar

  • Cook, R., Parsons, J., Mason, B., Golombok, S. (1989). Emotional, marital and sexual functioning in patients embarking upon IVF and AID treatment for infertility. Journal of Reproductive and Infant Psychology, 7(2), 87–93. doi 10.1080/ 02646838908403579 First citation in articleCrossref, Google Scholar

  • Crane, D. R., Allgood, S. M., Larson, J. H., Griffin, W. (1990). Assessing marital quality with distressed and nondistressed couples: A comparison and equivalency table for three frequently used measures. Journal of Marriage and the Family, 52, 87–93. doi 10.2307/352841 First citation in articleCrossref, Google Scholar

  • Daigen, V., Holmes, J. G. (2000). Don’t interrupt! A good rule for marriage? Personal Relationships, 7, 185–201. doi 10.1111/j.1475-6811.2000.tb00011.x First citation in articleCrossref, Google Scholar

  • de Mouzon, J., Goossens, V., Bhattacharya, S., Castilla, J. A., Ferraretti, A. P., Korsak, V., ... Nyboe Andersen, A. (2012). Assisted reproductive technology in Europe, 2007: Results generated from European registers by ESHRE. Human Reproduction, 27, 954–966. doi 10.1093/humrep/des023 First citation in articleCrossref, Google Scholar

  • Dickstein, S., St. Andre, M., Sameroff, A., Seifer, R., Schiller, M. (1999). V. Maternal depression, family functioning, and child outcomes: A narrative assessment. Monographs of the Society for Research in Child Development, 64, 84–104. doi 10.1111/1540-5834.00021 First citation in articleCrossref, Google Scholar

  • Dolev, S., Oppenheim, D., Koren-Karie, N., Yirmiya, N. (2009). Emotional availability in mother-child interaction: The case of children with autism spectrum disorders. Parenting: Science and Practice, 9, 183–197. doi 10.1080/15295190902844332 First citation in articleCrossref, Google Scholar

  • Emery, M., Béran, M.-D., Darwiche, J., Oppizzi, L., Joris, V., Capel, R., ... Germond, M. (2003). Results from a prospective, randomized, controlled study evaluating the acceptability and effects of routine pre-IVF counseling. Human Reproduction, 18, 2647–2653. doi 10.1093/humrep/deg501 First citation in articleCrossref, Google Scholar

  • Evers, A. W., Kraaimaat, F. W., van Lankveld, W., Jongen, P. J., Jacobs, J. W., Bijlsma, J. W. (2001). Beyond unfavorable thinking: The illness cognition questionnaire for chronic diseases. Journal of Consulting and Clinical Psychology, 69, 1026–1036. First citation in articleCrossref, Google Scholar

  • Fiese, B. H., Marjinsky, K. A. T. (1999). III. Dinnertime stories: Connecting family practices with relationship beliefs and child adjustment. Monographs of the Society for Research in Child Development, 64(2), 52–68. doi 10.1111/1540-5834.00019 First citation in articleCrossref, Google Scholar

  • Fiese, B. H., Sameroff, A. J., Grotevant, H. D., Wamboldt, F. S., Dickstein, S., Fravel, D. L., ... Schiller, M. (1999). The stories that families tell: Narrative coherence, narrative interaction, and relationship beliefs. Monographs of the Society for Research in Child Development, 64(2), 1–36. doi 10.1111/1540-5834.00017 First citation in articleCrossref, Google Scholar

  • Fiese, B. H., Spagnola, M. (2005). Narratives in and about families: An examination of coding schemes and a guide for family researchers. Journal of Family Psychology, 19, 51–61. doi 10.1037/0893-3200.19.1.51 First citation in articleCrossref, Google Scholar

  • Freeman, E. W., Rickels, K., Tausig, J., Boxer, A., Mastroianni, L., Tureck, R. W. (1987). Emotional and psychosocial factors in follow-up of women after IVF-ET treatment: A pilot investigation. Acta Obstetricia Et Gynecologica Scandinavica, 66, 517–521. doi 10.3109/00016348709015727 First citation in articleCrossref, Google Scholar

  • Greil, A. L., Slauson-Blevins, K., McQuillan, J. (2010). The experience of infertility: A review of recent literature. Sociology of Health and Illness, 32(1), 140–162. doi 10.1111/j.1467-9566.2009.01213.x First citation in articleCrossref, Google Scholar

  • Grotevant, H. D., Fravel, D. L., Gorall, D., Piper, J. (1999). IV. Narratives of adoptive parents: Perspectives from individual and couple interviews. Monographs of the Society for Research in Child Development, 64(2), 69–83. doi 10.1111/1540-5834.00020 First citation in articleCrossref, Google Scholar

  • Harata, T., Goto, M., Iwase, A., Kurotsuchi, S., Ando, H., Osawa, M. ... Kikkawa, F. (2012). Psychological stress during in vitro fertilization and embryo transfer is influenced by the patients’ background and gender. Reproductive Medicine and Biology, 11, 143–148. doi 10.1007/s12522-012-0124-y First citation in articleCrossref, Google Scholar

  • Herth, K. A. (1989). The relationship between level of hope and level of coping response and other variables in patients with cancer. Oncology Nursing Forum, 16(1), 67–72. First citation in articleGoogle Scholar

  • Johnston, M., Shaw, R., Bird, D. (1987). “Test-tube baby” procedures: Stress and judgments under uncertainty. Psychology and Health, 1(1), 25–38. doi 10.1080/08870448708400312 First citation in articleCrossref, Google Scholar

  • Jordan, C., Revenson, T. A. (1999). Gender differences in coping with infertility: A meta-analysis. Journal of Behavioral Medicine, 22, 341–358. doi 10.1023/A:1018774019232 First citation in articleCrossref, Google Scholar

  • Koropatnick, S., Daniluk, J., Pattinson, H. A. (1993). Infertility: A nonevent transition. Fertility and Sterility, 59, 163–171. First citation in articleCrossref, Google Scholar

  • Krouse, R. S., Grant, M., Rawl, S. M., Mohler, M. J., Baldwin, C. M., Coons, S. J., ... Ko, C. Y. (2009). Coping and acceptance: The greatest challenge for veterans with intestinal stomas. Journal of Psychosomatic Research, 66, 227–233. First citation in articleCrossref, Google Scholar

  • Kupst, M. J., Schulman, J. L. (1988). Long-term coping with pediatric leukemia: A 6-year follow-up study. Journal of Pediatric Psychology, 13, 7–22. doi 10.1093/jpepsy/13.1.7 First citation in articleCrossref, Google Scholar

  • Lalos, A. (1999). Breaking bad news concerning fertility. Human Reproduction, 14, 581–585. doi 10.1093/humrep/14.3.581 First citation in articleCrossref, Google Scholar

  • Lawson, V. L., Bundy, C., Belcher, J., Harvey, J. N. (2010). Mediation by illness perceptions of the effect of personality and health threat communication on coping with the diagnosis of diabetes. British Journal of Health Psychology, 15, 623–642. doi 10.1348/135910709X478664 First citation in articleCrossref, Google Scholar

  • Levin, J. B., Sher, T. G., Theodos, V. (1997). The effect of intracouple coping concordance on psychological and marital distress in infertility patients. Journal of Clinical Psychology in Medical Settings, 4, 361–372. doi 10.1023/A:1026249317635 First citation in articleCrossref, Google Scholar

  • Litt, M. D., Tennen, H., Affleck, G., Klock, S. (1992). Coping and cognitive factors in adaptation to in vitro fertilization failure. Journal of Behavioral Medicine, 15, 171–187. doi 10.1007/ BF00848324 First citation in articleCrossref, Google Scholar

  • Lord, B., Ungerer, J., Wastell, C. (2008). Implications of resolving the diagnosis of PKU for parents and children. Journal of Pediatric Psychology, 33, 855–866. doi 10.1093/jpepsy/jsn020 First citation in articleCrossref, Google Scholar

  • Marvin, R. S., Pianta, R. C. (1996). Mothers’ reactions to their child’s diagnosis: Relations with security of attachment. Journal of Clinical Child Psychology, 25, 436–445. doi 10.1207/s15374424jccp2504_8 First citation in articleCrossref, Google Scholar

  • McCorry, N. K., Dempster, M., Quinn, J., Hogg, A., Newell, J., Moore, M., ... Kirk, S. J. (2012). Illness perception clusters at diagnosis predict psychological distress among women with breast cancer at 6 months post diagnosis. Psycho-Oncology. Advance online publication. doi 10.1002/pon.3054 First citation in articleGoogle Scholar

  • Milshtein, S., Yirmiya, N., Oppenheim, D., Koren-Karie, N., Levi, S. (2010). Resolution of the diagnosis among parents of children with autism spectrum disorder: Associations with child and parent characteristics. Journal of Autism and Developmental Disorders, 40(1), 89–99. doi 10.1007/s10803-009-0837-x First citation in articleCrossref, Google Scholar

  • Newton, C. R., Sherrard, W., Glavac, I. (1999). The Fertility Problem Inventory: Measuring perceived infertility-related stress. Fertility and Sterility, 72, 54–62. doi 10.1016/S0015-0282(99)00164-8 First citation in articleCrossref, Google Scholar

  • Oppenheim, D., Dolev, S., Koren-Karie, N., Sher-Censor, E., Yirmiya, N., Salomon, S. (2007). Parental resolution of the child’s diagnosis and the parent-child relationship. Insights from the Reaction to Diagnosis Interview. In D. Oppenheim, D. F. Goldsmith (Eds.), Attachment theory in clinical work with children: Bridging the gap between research and practice (pp. 109–136). New York: Guilford. First citation in articleGoogle Scholar

  • Oppenheim, D., Koren-Karie, N., Dolev, S., Yirmiya, N. (2009). Maternal insightfulness and resolution of the diagnosis are associated with secure attachment in preschoolers with autism spectrum disorders. Child Development, 80, 519–527. doi 10.1111/j.1467-8624.2009.01276.x First citation in articleCrossref, Google Scholar

  • Oppenheim, D., Wamboldt, F. S., Gavin, L. A., Renouf, A. G., Emde, N. (1996). Couples’ co-construction of the story of their child’s birth: Associations with marital adaption. Journal of Narrative and Life History, 6(1), 1–21. First citation in articleCrossref, Google Scholar

  • Patterson, J. M., Garwick, A. W. (1994). The impact of chronic illness on families: A family systems perspective. Annals of Behavioral Medicine, 16, 131–142. First citation in articleGoogle Scholar

  • Paulhus, D. L. (1984). Two-component models of socially desirable responding. Journal of Personality and Social Psychology, 46, 598–609. doi 10.1037/0022-3514.46.3.598 First citation in articleCrossref, Google Scholar

  • Perry, S., Jacobsberg, L., Card, C. A., Ashman, T., Frances, A., Fishman, B. (1993). Severity of psychiatric symptoms after HIV testing. American Journal of Psychiatry, 150, 775–779. First citation in articleCrossref, Google Scholar

  • Peterson, B. D., Newton, C. R., Rosen, K. H. (2003). Examining congruence between partners’ perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples. Family Process, 42(1), 59–70. doi 10.1111/j.1741-3729.2006.00372.x First citation in articleCrossref, Google Scholar

  • Peterson, B. D., Newton, C. R., Rosen, K. H., Schulman, R. S. (2006). Coping processes of couples experiencing infertility. Family Relations, 55, 227–239. First citation in articleCrossref, Google Scholar

  • Peterson, B. D., Pirritano, M., Block, J. M., Schmidt, L. (2011). Marital benefit and coping strategies in men and women undergoing unsuccessful fertility treatments over a 5-year period. Fertility and Sterility, 95, 1759–1763. doi 10.1016/j.fertnstert. 2011.01.125 First citation in articleCrossref, Google Scholar

  • Pianta, R. C., Marvin, R. S. (1992). The Reaction to Diagnosis Interview. Unpublished measure, Curry School of Education, University of Virginia, Charlottesville, VA. First citation in articleGoogle Scholar

  • Pianta, R. C., Marvin, R. S. (1993). Manual for classification of the Reaction to Diagnosis Interview. Unpublished manual, Curry School of Education, University of Virginia, Charlottesville, VA. First citation in articleGoogle Scholar

  • Pianta, R. C., Marvin, R. S., Britner, P. A., Borowitz, K. C. (1996). Mothers’ resolution of their children’s diagnosis: Organized patterns of caregiving representations. Infant Mental Health Journal, 17, 239–256. doi 10.1002/(SICI)1097-0355(199623)17:3<239::AID-IMHJ4>3.0.CO;2-J First citation in articleCrossref, Google Scholar

  • Pook, M., Krause, W., Drescher, S. (2002). Distress of infertile males after fertility workup: A longitudinal study. Journal of Psychosomatic Research, 53, 1147–1152. doi 10.1016/S0022-3999(02)00341-0 First citation in articleCrossref, Google Scholar

  • Raudenbush, S. W., Bryk, A. S., Cheong, Y. F., Congdon, R. (2004). HLM 6: Hierarchical linear and nonlinear modeling. Lincolnwood, IL: Scientific Software International. First citation in articleGoogle Scholar

  • Sabatelli, R. M., Meth, R. L., Gavazzi, S. M. (1988). Factors mediating the adjustment to involuntary childlessness. Family Relations, 37, 338–343. First citation in articleCrossref, Google Scholar

  • Salvatore, P., Gariboldi, S., Offidani, A., Coppola, F., Amore, M., Maggini, C. (2001). Psychopathology, personality, and marital relationship in patients undergoing in vitro fertilization procedures. Fertility and Sterility, 75, 1119–1125. doi 10.1016/S0015-0282(01)01775-7 First citation in articleCrossref, Google Scholar

  • Schmidt, L., Holstein, B. E., Christensen, U., Boivin, J. (2005). Communication and coping as predictors of fertility problem stress: Cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment. Human Reproduction, 20, 3248–3256. doi 10.1093/humrep/dei193 First citation in articleCrossref, Google Scholar

  • Sheeran, T., Marvin, R. S., Pianta, R. C. (1997). Mothers’ resolution of their child’s diagnosis and self-reported measures of parenting stress, marital relations, and social support. Journal of Pediatric Psychology, 22, 197–212. doi 10.1093/jpepsy/22.2.197 First citation in articleCrossref, Google Scholar

  • Silva, S., Machado, H. (2008). The diagnosis of infertility: Patients’ classification processes and feelings. Medical Sociology Online, 3(1), 4–14. Retrieved from www.medicalsociologyonline.org/resources/MSo-&-MSN-Archive/MSo_v.3/MSoVol03Issue1.pdf First citation in articleGoogle Scholar

  • Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28. First citation in articleCrossref, Google Scholar

  • Stanton, A. L., Snider, P. R. (1993). Coping with a breast cancer diagnosis: A prospective study. Health Psychology, 12(1), 16–23. doi 10.1037/0278-6133.12.1.16 First citation in articleCrossref, Google Scholar

  • Stanton, A. L., Tennen, H., Affleck, G., Mendola, R. (1992). Coping and adjustment to infertility. Journal of Social and Clinical Psychology, 11, 1–13. doi 10.1521/jscp.1992.11.1.1 First citation in articleCrossref, Google Scholar

  • Sudman, S., Bradburn, N. M. (1974). Response effects in surveys: A review and synthesis. Chicago, IL: Aldine. First citation in articleGoogle Scholar

  • Sundby, J., Schmidt, L., Heldaas, K., Bugge, S., Tanbo, T. (2007). Consequences of IVF among women: 10 years posttreatment. Journal of Psychosomatic Obstetrics and Gynaecology, 28, 115–120. First citation in articleCrossref, Google Scholar

  • Terry, D. J., Hynes, G. J. (1998). Adjustment to a low-control situation: Reexamining the role of coping responses. Journal of Personality and Social Psychology, 74, 1078–1092. doi 10.1037/0022-3514.74.4.1078 First citation in articleCrossref, Google Scholar

  • Vandeleur, C. L., Fenton, B. T., Ferrero, F., Preisig, M. (2003). Construct validity of the French version of the Dyadic Adjustment Scale. Swiss Journal of Psychology, 62, 167–175. doi 10.1024/1421-0185.62.3.167 First citation in articleLink, Google Scholar

  • Verhaak, C. M., Smeenk, J. M. J., Eugster, A., Van Minnen, A., Kremer, J. A. M., Kraaimaat, F. W. (2001). Stress and marital satisfaction among women before and after their first cycle of in vitro fertilization and intracytoplasmic sperm injection. Fertility and Sterility, 76, 525–531. doi 10.1016/S0015-0282(01)01931-8 First citation in articleCrossref, Google Scholar

  • Verhaak, C. M., Smeenk, J. M. J., Van Minnen, A., Kremer, J. A. M., Kraaimaat, F. W. (2005). A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Human Reproduction, 20, 2253–2260. First citation in articleCrossref, Google Scholar

  • Veroff, J., Sutherland, L., Chadiha, L. A., Ortega, R. M. (1993). Predicting marital quality with narrative assessments of marital experience. Journal of Marriage and the Family, 55, 326–337. doi 10.2307/352805 First citation in articleCrossref, Google Scholar

  • Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., De Corte, W. (2003). Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: Empirical evidence and reappraisal. Pain, 106(1–2), 65–72. doi 10.1016/S0304-3959 (03)00291-4 First citation in articleCrossref, Google Scholar

  • Wamboldt, F. S. (1999). II. Co-constructing a marriage: Analyses of young couples’ relationship narratives. Monographs of the Society for Research in Child Development, 64(2), 37–51. doi 10.1111/1540-5834.00018 First citation in articleCrossref, Google Scholar

  • Wamboldt, F. S., Wolin, S. J. (1989). Reality and myth in family life: Changes across generations. Journal of Psychotherapy and The Family, 4, 141–166. doi 10.1300/J287v04n03_08 First citation in articleCrossref, Google Scholar

  • Webster, A. (2002). Innovative health technologies and the social: Redefining health, medicine and the body. Current Sociology, 50, 443–457. doi 10.1177/0011392102050003009 First citation in articleCrossref, Google Scholar

  • Wright, J., Allard, M., Lecours, A., Sabourin, S. (1989). Psychological distress and infertility: A review of controlled research. International Journal of Infertility, 34, 126–142. First citation in articleGoogle Scholar