Effect of resilience in women on the outcome of her first IVF/ICSI


Authors: G. Ďurašková 1;  R. Hampl 2;  J. Štěpán 2;  M. Kupka 1
Authors‘ workplace: Katedra psychologie, Filozofická fakulta UP, Olomouc, vedoucí katedry PhDr. M. Šucha, Ph. D. 1;  Centrum asistované reprodukce Sanus, Pardubice, vedoucí lékařka MUDr. Š. Novotná 2
Published in: Ceska Gynekol 2014; 79(2): 115-119

Overview

Objective:
To examine whether women´s well-being and coping strategies are associated with IVF outcomes.

Design:
Prospective study.

Setting:
Centre of assisted reproduction Sanus, Pardubice; PPCHC s.r.o. Hradec Králové

Methods:
Study included these methods of data collection; Psychological well-being was mesured by Dotazník životní spokojenosti (Questionnaire of well-being,n = 103) and coping strategies were mesured by COPE Invetory (n = 82). In the years 2010–2013 women attending their first cycle IVF/ICSI (younger than 35 years) were asked to fill in the psychological questionnaires prior to collection of oocytes. Then the result of IVF/ICSI was observed – a clinically recognized pregnancy. We compared general well-being, satisfaction with their own health, marital satisfaction and emotion focused coping strategies: Acceptance, Positive reinterpretation and Seeking of emotional social support, between pregnant and non-pregnant women.

Results:
There were no statistically significant differences between women who became pregnant and those who did not in general well-being (t = -0.9,p = 0.37), satisfaction with their own health (t = -0.6, p = 0.52), marital satisfaction (t = -0.8, p = 0.44), use of Acceptance (t = 0.9 , p = 0.36) and Positive reinterpretation (t = -0.8, p = 0.43). The only factor that was significantly associated with pregnancy outcome was Seeking of emotional social support (t = 2.3, p = 0.02).

Conclusion:
We found no evidence that psychological well-being had any influence on the outcome of IVF/ICSI treatment. In case of emotion focused coping we found that women who became pregnant used significantly more often strategy called Seeking of emotional social support than women who remained nonpregnant.

Keywords:
well-being, coping, resilience, assisted reproduction, IVF/ICSI


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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