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Infertility Centrality in the Woman’s Identity and Goal Adjustment Predict Psychological Adjustment Among Women in Ongoing Fertility Treatments

Purpose Some of the women that go through repeated fertility treatments will not adjust well to the treatments and will experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and dispositional goal adjustment (disengagement and reeng... Full description

Journal Title: International journal of behavioral medicine 2017-11-15, Vol.24 (6), p.880-892
Main Author: Neter, Efrat
Other Authors: Goren, Shira
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: New York: Springer US
ID: ISSN: 1070-5503
Link: https://www.ncbi.nlm.nih.gov/pubmed/29143252
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title: Infertility Centrality in the Woman’s Identity and Goal Adjustment Predict Psychological Adjustment Among Women in Ongoing Fertility Treatments
format: Article
creator:
  • Neter, Efrat
  • Goren, Shira
subjects:
  • Adjustment
  • Analysis
  • Article
  • Family Medicine
  • general
  • General Practice
  • Health Psychology
  • Infertility
  • Medical treatment
  • Medicine
  • Medicine & Public Health
  • Social identity
  • Studies
  • Women
ispartof: International journal of behavioral medicine, 2017-11-15, Vol.24 (6), p.880-892
description: Purpose Some of the women that go through repeated fertility treatments will not adjust well to the treatments and will experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and dispositional goal adjustment (disengagement and reengagement) are associated with the woman’s psychological adjustment. These issues are examined in a context of a pro-natal society (Israel) where parenthood is a major life goal. Methods One hundred ninety-three women in ongoing fertility treatments filled out questionnaires, and follow-up on their psychological well-being was carried out after 3 months ( N  = 130). Results Women who perceived their fertility problem as more central to their identity experienced greater distress ( β  = 0.34, p  
language: eng
source:
identifier: ISSN: 1070-5503
fulltext: no_fulltext
issn:
  • 1070-5503
  • 1532-7558
url: Link


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titleInfertility Centrality in the Woman’s Identity and Goal Adjustment Predict Psychological Adjustment Among Women in Ongoing Fertility Treatments
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descriptionPurpose Some of the women that go through repeated fertility treatments will not adjust well to the treatments and will experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and dispositional goal adjustment (disengagement and reengagement) are associated with the woman’s psychological adjustment. These issues are examined in a context of a pro-natal society (Israel) where parenthood is a major life goal. Methods One hundred ninety-three women in ongoing fertility treatments filled out questionnaires, and follow-up on their psychological well-being was carried out after 3 months ( N  = 130). Results Women who perceived their fertility problem as more central to their identity experienced greater distress ( β  = 0.34, p  < 0.01) and less well-being ( β  = − 0.31, p  < 0.01). Concurrently, high ability for goal disengagement was a resource that protected women from these feelings. Women high on goal disengagement who were low on goal reengagement experienced greater distress ( β of interaction = − 0.24, p  < 0.01), probably because they remained with feelings of emptiness and lack of purpose. These findings were found in both cross-sectional and longitudinal analyses. Finally, the models predicting well-being and distress at T2 using centrality, goal adjustment, and T1 well-being/distress explained 42 and 47.5% of the variance, respectively. Conclusions Much research and therapeutic attention has been invested in coping with fertility treatments, while the options of reducing investment in treatments and finding alternative goals did not receive adequate attention. This study discusses these issues and their possible clinical implications especially in a pro-natal context.
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subjectAdjustment ; Analysis ; Article ; Family Medicine ; general ; General Practice ; Health Psychology ; Infertility ; Medical treatment ; Medicine ; Medicine & Public Health ; Social identity ; Studies ; Women
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descriptionPurpose Some of the women that go through repeated fertility treatments will not adjust well to the treatments and will experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and dispositional goal adjustment (disengagement and reengagement) are associated with the woman’s psychological adjustment. These issues are examined in a context of a pro-natal society (Israel) where parenthood is a major life goal. Methods One hundred ninety-three women in ongoing fertility treatments filled out questionnaires, and follow-up on their psychological well-being was carried out after 3 months ( N  = 130). Results Women who perceived their fertility problem as more central to their identity experienced greater distress ( β  = 0.34, p  < 0.01) and less well-being ( β  = − 0.31, p  < 0.01). Concurrently, high ability for goal disengagement was a resource that protected women from these feelings. Women high on goal disengagement who were low on goal reengagement experienced greater distress ( β of interaction = − 0.24, p  < 0.01), probably because they remained with feelings of emptiness and lack of purpose. These findings were found in both cross-sectional and longitudinal analyses. Finally, the models predicting well-being and distress at T2 using centrality, goal adjustment, and T1 well-being/distress explained 42 and 47.5% of the variance, respectively. Conclusions Much research and therapeutic attention has been invested in coping with fertility treatments, while the options of reducing investment in treatments and finding alternative goals did not receive adequate attention. This study discusses these issues and their possible clinical implications especially in a pro-natal context.
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abstractPurpose Some of the women that go through repeated fertility treatments will not adjust well to the treatments and will experience increased distress. The present study examined how centrality of the fertility problem in the woman’s identity and dispositional goal adjustment (disengagement and reengagement) are associated with the woman’s psychological adjustment. These issues are examined in a context of a pro-natal society (Israel) where parenthood is a major life goal. Methods One hundred ninety-three women in ongoing fertility treatments filled out questionnaires, and follow-up on their psychological well-being was carried out after 3 months ( N  = 130). Results Women who perceived their fertility problem as more central to their identity experienced greater distress ( β  = 0.34, p  < 0.01) and less well-being ( β  = − 0.31, p  < 0.01). Concurrently, high ability for goal disengagement was a resource that protected women from these feelings. Women high on goal disengagement who were low on goal reengagement experienced greater distress ( β of interaction = − 0.24, p  < 0.01), probably because they remained with feelings of emptiness and lack of purpose. These findings were found in both cross-sectional and longitudinal analyses. Finally, the models predicting well-being and distress at T2 using centrality, goal adjustment, and T1 well-being/distress explained 42 and 47.5% of the variance, respectively. Conclusions Much research and therapeutic attention has been invested in coping with fertility treatments, while the options of reducing investment in treatments and finding alternative goals did not receive adequate attention. This study discusses these issues and their possible clinical implications especially in a pro-natal context.
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