Coping Strategies Mediate the Association Between Stigma and Fertility Quality of Life in Infertile Women Undergoing in Vitro Fertilization-embryo Transfer

Overview

Journal BMC Womens Health

Publisher Biomed Central

Specialty Gynecology & Obstetrics

Date 2021 Nov 3

PMID 34727911

Citations 8

Authors

Xiaoyu Jing

Wei Gu

Lu Zhang

Runna Miao

Xiuli Xu

Min Wang

Hadassah Joann Ramachandran

Wenru Wang

Affiliations

Soon will be listed here.

Abstract

Background: The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL) in infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). The aim of this study was to examine the mediating effect of coping strategies on the relationship between stigma and fertility quality of life (FertiQoL) in Chinese infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET).

Methods: In this cross-sectional study, a total of 768 infertile women undergoing IVF-ET were recruited from Assisted Reproductive Center of Shaanxi Province, China. The personal information, infertility stigma scale, coping strategy scale and FertiQoL scale were measured using a set of questionnaires. The multiple mediator model was performed using AMOS 21.0.

Results: The model showed a significant negative direct effect between stigma on FertiQoL. There were significantly negative indirect effects of stigma on FertiQoL through active-avoidance, active-confronting and passive-avoidance, respectively. The meaning-based coping played a positive intermediary role. The model explained 69.4% of the variance in FertiQoL.

Conclusion: Active-avoidance coping strategy is the most important mediator factor between stigma and FertiQoL in infertile women undergoing IVF-ET treatment. Meaning-based coping strategy plays a positive mediating role between stigma and FertiQoL.

Citing Articles

Network analysis of stress and stigma symptoms and their associations with quality of life among Chinese female infertility patients.

Liu F, Han W, Qiao W, Chen Z, Chen Y, Lu R BMC Womens Health. 2024; 24(1):627.

PMID: 39593046 PMC: 11590398. DOI: 10.1186/s12905-024-03469-2.

Coping Profiles and Differences in Psychological Distress and Quality of Life in Clients Undergoing Assisted Reproductive Techniques: A Latent Profile Analysis.

Bai J, Zheng J, Guo N, Dong Y, Wang K, Cheng C J Multidiscip Healthc. 2024; 17:533-540.

PMID: 38343753 PMC: 10854257. DOI: 10.2147/JMDH.S444053.

Predicting the dyadic coping through self-esteem among infertile couples undergoing fertilization and embryo transfer: An actor-partner interdependence model.

Zhang L, Gu W, Jing X, Zhi S, Zhou N, Zhang L Front Psychol. 2023; 14:1127464.

PMID: 37609490 PMC: 10442154. DOI: 10.3389/fpsyg.2023.1127464.

A review of the psychometric properties and implications for the use of the fertility quality of life tool.

Woods B, Bray L, Campbell S, Holland A, Mrug S, Ladores S Health Qual Life Outcomes. 2023; 21(1):45.

PMID: 37173669 PMC: 10182698. DOI: 10.1186/s12955-023-02125-x.

The impact of stigma on mental health and quality of life of infertile women: A systematic review.

Xie Y, Ren Y, Niu C, Zheng Y, Yu P, Li L Front Psychol. 2023; 13:1093459.

PMID: 36698573 PMC: 9869765. DOI: 10.3389/fpsyg.2022.1093459.

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