اثربخشی مداخله روان شناختی جامع نگر بر سلامت روان شناختی زنان نابارور تحت درمان لقاح خارج رحمی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی دانشگاه شهید چمران، اهواز، ایران

2 استاد، گروه روانشناسی بالینی دانشگاه شهید چمران، اهواز، ایران

3 استادیار، گروه روانشناسی بالینی دانشگاه شهید چمران، اهواز، ایران

4 دانشیار، گروه روانشناسی بالینی دانشگاه شهید چمران، اهواز، ایران

چکیده

مقدمه: مداخله روان شناختی جامع نگر رویکرد درمانی نوینی است که برای اولین بار در ایران و بر اساس مشکلات و نیازهای روانی افراد نابارور طراحی شده است. هدف از پژوهش حاضر بررسی اثربخشی مداخله روان­شناختی جامع­نگر بر سلامت روان شناختی زنان نابارور تحت درمان لقاح خارج رحمی است.
روش: مطالعه حاضر پژوهش نیمه تجربی با طرح پیش آزمون، پس آزمون و گروه کنترل بود. 30 زن نابارور تحت درمان لقاح خارج رحمی به صورت نمونه گیری در دسترس از میان مراجعین به مرکز ناباروری معتضدی کرمانشاه انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش تحت 11 جلسه مداخله روان شناختی جامع نگر قرار گرفت. افسردگی، اضطراب و استرس آزمودنی­ها در پیش­آزمون و پس­آزمون اندازه گیری شد. داده ها پس از گردآوری با استفاده از آمار توصیفی و آزمون تحلیل کوواریانس چند متغیره مورد تجزیه و تحلیل قرار گرفت.
یافته ­ها: نتایج نشان داد که مداخله روان شناختی جامع نگر به طور قابل ملاحظه ای بر سلامت روان شناختی زنان نابارور تأثیر گذار بوده است. تفاوت معنادار نمرات میانگین پس آزمون گروه آزمایش با گروه کنترل نشانگر اثرگذاری مداخله روان شناختی جامع نگر در زنان نابارور بود.
نتیجه­ گیری: مداخله روان شناختی جامع نگر در کاهش اضطراب، افسردگی و استرس زنان نابارور تحت درمان لقاح خارج رحمی موثر است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of holistic-oriented psychological intervention on health psychology in infertile women undergoing IVF

نویسندگان [English]

  • M Hosseini, 1
  • A.K Neissi, 2
  • I. Davodi, 3
  • M MehrabiZade-Honarmand, 2
  • Y. Zargar, 4
4 teacher
چکیده [English]

Introduction:The holistic-oriented psychological intervention is a new therapeutic approach (2015) that, for the first time in Iran, has been designed based on psychological problems and needs of Iranian infertile couples. The aim of this study was to examine the effectiveness of holistic-oriented psychological intervention on depression, anxiety and stress symptomsof infertile women under IVF treatment.
Method: The present research was a semi-experimental study with pretest, posttest and control group. Among the referred patients to Moatazedi Infertility Center of Kermanshah 30 infertile women undergoing IVF treatment selected using available sampling method. They were classified into experimental (n= 15) and control (n= 15) groups using random assignment. The experimental group was treated by holistic-oriented psychological intervention for 11 sessions. Depression, anxiety and stress symptoms of subjects were measured before and after treatment. Data was analyzed using descriptive statistics and multivariate analysisof covariance (MANCOVA).
Results: Results showed that HPI affected significantly on mental health of infertile women and improved it. Significant difference of post-test average scores of experimental group than control group confirm the effectiveness of HPI on infertile women.
Conclusion: The holistic-oriented psychological intervention is effective in reducing anxiety, depression and stress symptoms of infertile women under In-Vitro Fertilization (IVF) treatment.

کلیدواژه‌ها [English]

  • Holistic-oriented psychological intervention
  • depression
  • Anxiety
  • Stress
  • Infertility
  • IVF

1- Domar AD, Prince LB. Impact of psychological interventions on IVF outcome. Sex, Reprod Menopause J. 2011; 9(4): 26-32.

2- Van den Broeck U, Emery M, Wischmann T, Thorn P. Counselling in infertility: individual, couple and group interventions. Patient  educa  couns. 2010; 81(3): 422-8.

3- Avison WR, Turner RJ. Stressful life events and depressive symptoms: Disaggregating the effects of acute stressors and chronic strains. J  health soc behav. 1988; 29: 253-64.

4- ChoobforoushzadeA, KalantariM, MolavH. The Effectiveness of Cognitive Behavioral Stress Management on Subjective Well-Being in Infertile Women. Journal of Clinical Psychology. 2010; 1(4): 1-9.

5- Peterson B, Pirritano M, Christensen U, Schmidt L. The impact of partner coping in couples experiencing infertility. Human Reprod. 2008; 23(5): 1128-37.

6- Novak E. Berek & Novak's gynecology: Lippincott Williams & Wilkins. 2007.

7- ABBASI SM, ASGARI KA, RAZEGHI NH. Women and Infertility Experience a Case Study in Tehran. 2005.

8- Obi SN, Onah HE, Okafor II. Depression among Nigerian women following pregnancy loss. Int  J Gynecol Obstet. 2009; 105(1): 60-2.

9- Chen T-H, Chang S-P, Tsai C-F, Juang K-D. Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic. Human reprod. 2004; 19(10): 2313-8.

10- Hassani F, Navabinjhad SH, R N. The Comparison of  Effectiveness between two Couple Therapies, CBCT and EFT on depression in Infertile Male Factor Pairs. J Women dev Policy. 2007; 6(3): 830-61.

11- Ramamurthi R, Kavitha G, Pounraj D, S R. Psychological impact and coping strategies among women with infertility-A hospital based cross sectional study. Inter Assoc  Infant Massage. 2016; 3(2): 114-8.

12- Ying L, Wu LH, Loke AY. The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review. J assist reprod genet. 2016; 33(6): 689-701.

13- Olivius C, Friden B, Borg G, Bergh C. Why do couples discontinue in vitro fertilization treatment? A cohort study. Fertil steril. 2004; 81(2): 258-61.

14- Depression and anxiety: do they impact infertility treatment? Infertility and Mental Health., (2010).

15- Domar AD, Gross J, Rooney K, Boivin J. Exploratory randomized trial on the effect of a brief psychological intervention on emotions, quality of life, discontinuation, and pregnancy rates in in vitro fertilization patients. Fertil steril. 2015; 104(2): 440-51.

16- Ramezanzadeh F, Noorbala A-A, Abedinia N, Forooshani AR, Naghizadeh MM. Psychiatric intervention improved pregnancy rates in infertile couples. Malaysian J Med Sci. 2011; 18(1): 16.

17- Boivin J, Gameiro S. Evolution of psychology and counseling in infertility. Fertility and sterility. 2015; 104(2): 251-9.

18- M H. The effectiveness of holistic-oriented psychological intervention on psychological health, quality of life, stress of infertility, marital adjustment and rate of infertility in infertile women undergoing IVF in Kermanshah. 2016.

19- Chow KM, Cheung MC, Cheung IK. Psychosocial interventions for infertile couples: a critical review. J clin nurs. 2016; 25(15-16): 2101-13.

20- Galhardo A, Cunha M, Pinto-Gouveia J. Mindfulness-based program for infertility: Efficacy study. Fertil steril. 2013; 100(4): 1059-67.

21- Peterson BD, Eifert GH. Using acceptance and commitment therapy to treat infertility stress. Cogn  Behav Pract. 2011; 18(4): 577-87.

22- Frederiksen Y, Farver-Vestergaard I, Skovgård NG, Ingerslev HJ, Zachariae R. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. BMJ open. 2015; 5(1): 592-99.

23- Koszycki D, Bisserbe J-C, Blier P, Bradwejn J, Markowitz J. Interpersonal psychotherapy versus brief supportive therapy for depressed infertile women: first pilot randomized controlled trial. Arch women's mental health. 2012; 15(3): 193-201.

24- Rockliff HE, Lightman SL, Rhidian E, Buchanan H, Gordon U, Vedhara K. A systematic review of psychosocial factors associated with emotional adjustment in in vitro fertilization patients. Human reprod update. 2014; 20(4): 594-613.

25- Garland EL, Gaylord SA, Fredrickson BL. Positive reappraisal mediates the stress-reductive effects of mindfulness: An upward spiral process. Mindfulness. 2011; 2(1): 59-67.

26- Golbar-yazdi Z, Agha-mohamadeyan-sherbaf H, Mosavifar N, M. m. Efectiveness of well-being therapy on stress and psychological well-being of infertile woman. . Int J Gynecol Obstet 2012; 15(2): 49-56.

27- Frisch MB. Quality of life therapy: Applying a life satisfaction approach to positive psychology and cognitive therapy: John Wiley & Sons. 2005.