Document Type : Original Article
Authors
1 1 Student Research Committee, Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Department of Midwifery and Reproductive Health, Isfahan University of Medical Sciences, Isfahan, Iran,
2 Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Student Research Committee, Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Infertility requires long‑term care and treatments which would influence different aspects of health
including the mental health of infertile women. The present study was conducted to determine
strategies for psychological empowerment of infertile women. This systematic review was performed
on previously conducted clinical trials. To achieve the intended studies, databases of Magiran,
Scientific Information Database, Google Scholar, Scopus, PubMed, ProQuest, ScienceDirect, and
Web of Science and also Iranian Registry of Clinical Trials website were searched using “infertility
and infertile women” as the keywords. The inclusion criteria were being an interventional study
and assessing the psychological status of infertile women. Performed studies in Iran with no time
limitations were evaluated. Based on the Jadad criteria, studies with a score of 3 or more were
enrolled in the systematic review. After assessing the quality of the studies, 21 studies were enrolled
in the review for final evaluation. Reviewing the conducted studies showed that educational and
counseling interventions could be effective in improving the aspects of psychological well‑being of
infertile women. Existing evidence revealed that applying coping strategies is effective in improving
the quality of life in infertile women, which consequently lead to the improvement of psychological
empowerment of infertile women.
Keywords
- Dirkavand‑Moghaddam AD, Sayehmiri K. The prevalence of
infertility in Iran, a systematic review. Iran J Obstet Gynecol
Infertil 2014;16:1‑7.
2. Gdańska P, Drozdowicz‑Jastrzębska E, Grzechocińska B,
Radziwon‑Zaleska M, Węgrzyn P, Wielgoś M, et al. Anxiety and
depression in women undergoing infertility treatment. Ginekol
Pol 2017;88:109‑12.
3. Mohammadi MR. Emotional and psychological problems
of infertility and strategies to overcome them. Rep Infertil
2001;2:33‑9.
4. Inhorn MC, Patrizio P. Infertility around the globe: New
thinking on gender, reproductive technologies and global
movements in the 21st century. Hum Reprod Update 2015;
21:411‑26.
5. Steegers‑Theunissen RP, Twigt J, Pestinger V, Sinclair KD. The
periconceptional period, reproduction and long‑term health
of offspring: The importance of one‑carbon metabolism. Hum
Reprod Update 2013;19:640‑55.
6. Safarinejad MR. Infertility among couples in a population‑based
study in Iran: Prevalence and associated risk factors. Int J Androl
2008;31:303‑14.
7. Masoumi SZ, Poorolajal J, Keramat A, Moosavi SA. Prevalence
of depression among infertile couples in Iran: A Meta‑analysis
study. Iran J Public Health 2013;42:458‑66.
8. Gameiro S, van den Belt‑Dusebout AW, Bleiker E, Braat D, van
Leeuwen FE, Verhaak CM, et al. Do children make you happier?
Sustained child‑wish and mental health in women 11‑17 years
after fertility treatment. Hum Reprod 2014;29:2238‑46.
9. Luk BH, Loke AY. The impact of infertility on the psychological
well‑being, marital relationships, sexual relationships, and
quality of life of couples: A Systematic review. J Sex Marital Ther
2015;41:610‑25.
10. Rabeipour S, Ordoni Avval Z, Arefi M, Behroozilak T. The
effectiveness of group counseling by collaborative approaches
on specific stress in infertile women. J Nurs Midwifery Urmia
Univ Med Sci 2016;14:56‑65.
11. Hashemi S, Simbar M, Ramezani‑Tehrani F, Shams J, Majd HA.
Anxiety and success of in vitro fertilization. Eur J Obstet Gynecol
Reprod Biol 2012;164:60‑4.
12. Faramarzi M, Kheirkhah F, Esmaelzadeh S, Alipour A,
Hjiahmadi M, Rahnama J, et al. Is psychotherapy a reliable
alternative to pharmacotherapy to promote the mental health of
infertile women? A randomized clinical trial. Eur J Obstet Gynecol
Reprod Biol 2008;141:49‑53.
13. Jamshidi Manesh M, Ali Manesh N, Reza Moghaddam Z,
Haghani H. The effect of education on self‑efficacy of infertile
women. Payesh 2015;14:227‑37.
14. Besharat MA. Comparison of infertile women and men in terms of
attachment style and psychological reconciliation with infertility.
Psychol Educ Sci 2003;33 (2):1‑15.
15. Zarif Golbar Yazdi H, Aghamohammadian Sharbaf H,
Mousavifar N, Moeenizadeh M. The effectiveness of well‑being
therapy on stress, and psychological well‑being in infertile
women. Iran J Obstet Gynecol Infertil 2012;15:48‑55 - 16. Alizadeh T, Farahani Najqi M, Shahravar M. Relationship between
self‑esteem and control source with stress in infertile women and
men. J Reprod Infertil 2005;6:194‑204.
17. Etesami Pour R, Banihashemian K. Comparison of sex disorders
and couple abuse among fertile and infertile women. Birjand Univ
Med Sci 2011;18:10‑7.
18. Bokaie M, Simbar M, Yassini Ardekani SM. Sexual behavior
of infertile women: A qualitative study. Iran J Reprod Med
2015;13:645‑56.
19. Taebi M, Gandomani SJ, Nilforoushan P, GholamiDehaghi A.
Association between infertility factors and non‑physical
partner abuse in infertile couples. Iran J Nurs Midwifery Res
2016;21:368‑71.
20. Hasanpoor‑Azghdy SB, Simbar M, Vedadhir A. The
emotional‑psychological consequences of infertility among
infertile women seeking treatment: Results of a qualitative study.
Iran J Reprod Med 2014;12:131‑8.
21. Longwe S. Gender awareness: The missing element in the third
world development project. Oxford, England, Oxfam, 1991.
149‑57.
22. Kabeer N. Resources, agency, achievements: Reflections on
the measurement of women’s empowerment. Dev Change
1999;30:435‑64.
23. Riahi B. Human empowerment: A task or a necessity. J Dev Ind
2006;27:10‑6.
24. Mosalanejad L, Khodabakshi Koolaee A, Jamali S. Effect of
cognitive behavioral therapy in mental health and hardiness of
infertile women receiving assisted reproductive therapy (ART).
Iran J Reprod Med 2012;10:483‑8.
25. Oraki M, Vaziri Nasab B, Alipour A. The effectiveness of
cognitive – Behavioral intervention for anger management on
mental health for anger management on mental health of infertile
women. Urmia Med J 2015;26:652‑62.
26. Behzadpoor S, Motahhari Zs, Vakili M, Sohrabi F. The Effect
of resilience training on increasing psychological well‑being of
infertile women. J Ilam Univ Med Sci 2015;23:131‑42.
27. Dargahi S, Mohsenzade F, Zahrakar K. The effect of positive
thinking training on psychological well‑being and perceived
quality of marital relationship on infertile women. Posit Psychol
2015;1:45‑58.
28. Kheirkhah M, Vahedi M, Jenani P. The effect of group counseling
on infertility adjustment of infertile women in Tabriz al‑Zahra
clinic. Iran J Obstet Gynecol Infertil 2014;17:7‑14.
29. Aghayousefi A, Choobsaz F, Shaghaghi F, Motiei G. The
effectiveness of coping teaching techniques on coping strategies
in infertile women. J Kermanshah Univ Med Sci 2012;2:155‑64.
30. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ,
Gavaghan DJ, et al. Assessing the quality of reports of randomized
clinical trials: Is blinding necessary? Control Clin Trials
1996;17:1‑2.
31. Wang G, Mao B, Xiong ZY, Fan T, Chen XD, Wang L, et al. The
quality of reporting of randomized controlled trials of traditional
Chinese medicine: A survey of 13 randomly selected journals from
mainland China. Clin Ther 2007;29:1456‑67.
32. Dargahi S, Zeraati M, Ghamari Givi H, Ayadi N, Haghanni M.
The effectiveness of emotion regulation training on emotional
well – Being and marital satisfaction of infertile women. Iran J
Nurs 2015;28:151‑62.
33. Hasan Zadeh LifShagard M, Tarkhan M, Taghi Zadeh ME.
Effectiveness of stress inoculation training on perceived stress
in pregnant women with infertility. J Holist Nurs Midwifery
2013;23:27‑34.
34. Faramarzi M, Pasha H, Esmailzadeh S, Kheirkhah F, Heidary S,
Afshar Z, et al. The effect of the cognitive behavioral therapy and
pharmacotherapy on infertility stress: A randomized controlled
trial. Int J Fertil Steril 2013;7:199‑206.
35. Mosalanejad L, Khodabakshi Koolee A. Looking at infertility
treatment through the lens of the meaning of life: The effect of
group logotherapy on psychological distress in infertile women.
Int J Fertil Steril 2013;6:224‑31.
36. Valiani M, Abediyan S, Ahmadi SM, Pahlavanzadeh S,
Hassanzadeh A. The effect of relaxation techniques to ease
the stress in infertile women. Iran J Nurs Midwifery Res
2010;15:259‑64.
37. Talaei A, Kimiaei, S, Borhani Moghani M, Moharreri F, Talaei A,
Khanghaei R. Effectiveness of group cognitive behavioral therapy
on depression in infertile women. Iran J Obstet Gynecol Infertil
2014;17:1‑9.
38. Moeenizadeh M, Zarif H. The efficacy of well‑being therapy for
depression in infertile women. Int J Fertil Steril 2017;10:363‑70.
39. Motiei G, Aghayousefi A, Choobsaz F, Shaghaghi F. Effective
of confrontation therapy on the feeling of lonlyness in infertile
women. J Appl Psychol 2014;3(19):85‑98.
40. Mosalanejad L, Khodabakshi Koolaee A, Jamali S. Effect of group
cognitive behavioral therapy on hardiness and coping strategies
among infertile women receiving assisted reproductive therapy.
Iran J Psychiatry Behav Sci 2012;6:16‑22.
41. Seyedi Asl ST, Sadeghi K, Bakhtiari M, Ahmadi SM,
Nazari Anamagh A, Khayatan T, et al. Effect of group positive
psychotherapy on improvement of life satisfaction and the quality
of life in infertile woman. Int J Fertil Steril 2016;10:105‑12.
42. Fadaee M, Rahimi Kian F, Damghanian M, Shahrokhnezad
Tehrani A, Mehran A. Effect of continuous care model on
emotional health and social connection aspects of quality of life
of infertile women. J Clin Nurs Midwifery 2016;5:52‑63.
43. Zarbakhsh M, Shoahasani Z, Zahiri Z, Hafshjani F, Khademi M.
Effects of stress management training and problem solving
on quality of life and life expectancy among infertile women.
Pajouhan Sci J 2013;11:1‑10.
44. Kamp Dush CM, Taylor MG, Kroeger RA. Marital happiness
and psychological well‑being across the life course. Fam Relat
2008;57:211‑26.
45. Faramarzi M, Alipor A, Esmaelzadeh S, Kheirkhah F, Poladi K,
Pash H, et al. Treatment of depression and anxiety in infertile
women: Cognitive behavioral therapy versus fluoxetine. J Affect
Disord 2008;108:159‑64.
46. RezaAY. Introducing of Newest Ways for Psychotherapy(Persian).
1st ed. Tehran: Shahryar Express; 1999.
47. Wang J, Patten SB. The moderating effects of coping strategies
on major depression in the general population. Can J Psychiatry
2002;47:167‑73.
48. Karimy M, Aminshokravi F, Zareban E, Koohpayezadeh J,
Baradaran H, Khoshdel A. The effect of education based
on individual empowerment model on the quality of life in
the menopause women in Zarandieh. Sci Mag Yafte 2014;
16:80‑90.
49. Salahi S, Javanbakhtian R, Hasheminia A, Habibzadeh H. The
effect of family‑centered empowerment model on quality of life
of hemodialysis patients. J Nurs Midwifery Urmia Univ Med Sci
2012;10:1.
50. Rasouli D, Mohammadpour Y, Safaie Z, Jafarizadeh H. The effect
of two methods of self‑empowerment training program on quality
of life of diabetic patients attending the diabetes clinic in Urmia
University of Medical Sciences, 2013. J Nurs Midwifery Urmia
Univ Med Sci 2016;14:389‑96.
51. Charmchian Langerodi M, Alibaygi A. An investigation of
effective factors on rural women’s psychological empowerment
in sari. Women Soc 2013;4:165‑92.
52. Heidari M, Alhani F, Kazemnejad AF. The effect of empowerment
model on quality of life of diabetic adolescents. Iran J Pediatr
2007;17:88‑96.
53. Hasanpoor‑Azghdy SB, Simbar M, Vedadhir A. The social
consequences of infertility among Iranian women: A Qualitative
study. Int J Fertil Steril 2015;8:409‑20.