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Effects of gender roles, child wish motives, subjective well-being, and marital adjustment on infertility-related stress: a preliminary study with a Hungarian sample of involuntary childless men and women

  • Reproductive Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

The aim of the study is to investigate the infertility-related stress in a Hungarian infertile population and examine the effects of gender roles, child wish motives, subjective well-being, and marital relationship on the experience of infertility according to our self-constructed conceptual framework.

Methods

Validated self-report questionnaires measuring the factors of the conceptual framework were taken in the study carried out in a sample of 53 people attending the fertility unit of a Hungarian clinic.

Results

Infertility-related global stress, infertility-related social concerns, and general health problems have more intensive effect on women than on men (all p < 0.05). Women from the infertile group scored higher their femininity (p < 0.001) and lower their general health (p < 0.05) than the reference population. Infertile men believe deeper in meaning of life than women (p < 0.05) or reference population (p < 0.01). Femininity (β = 0.460, p < 0.05), traditional gender role concepts (β = −0.248, p < 0.05), general health (β = −0.474, p < 0.05), and marital relationship (β = −0.251, p < 0.05) play the strongest role to predict stress caused by infertility.

Conclusions

The current study emphasizes the importance of interrelations of gender role attitudes, gender role identification, general health, and satisfaction in couple relationship with infertility-related stress. In further investigations, both social and personal aspects and their effect on experiencing infertility need to be measured in infertile people, particularly in different cultural settings.

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References

  1. Greil AL, Slauson-Blevins K, McQuillan J (2010) The experience of infertility: a review of recent literature. Sociol Health Illn 32(1):140–162

    Article  PubMed  Google Scholar 

  2. Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth DR, Passos EP (2010) Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynecol 31(2):101–110

    Article  Google Scholar 

  3. Oddens BJ, den Tonkelaar I, Nieuwenhuyse H (1999) Psychosocial experiences in women facing fertility problems—a comparative survey. Hum Reprod 14(1):255–261

    Article  PubMed  CAS  Google Scholar 

  4. Salvatore P, Gariboldi S, Offidani A, Coppola F, Amore M, Maggini C (2001) Psychopathology, personality, and marital relationship in patients undergoing in vitro fertilization procedures. Fertil Steril 75(6):1119–1125

    Article  PubMed  CAS  Google Scholar 

  5. Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R (2001) Psychosocial characteristics of infertile couples: a study by the ‘Heidelberg Fertility Consultation Service’. Hum Reprod 16(8):1753–1761

    Article  PubMed  CAS  Google Scholar 

  6. Fassino S, Piero A, Boggio S, Piccioni V, Garzaro L (2002) Anxiety, depression and anger suppression in infertile couples: a controlled study. Hum Reprod 17(11):2986–2994

    Article  PubMed  CAS  Google Scholar 

  7. Verhaak CM, Smeenk JMJ, van Minnen A, Kremer JAM, Kraaimaat FW (2005) A longitudinal, prospective study on emotional adjustment before, during and after consecutive fertility treatment cycles. Hum Reprod 20(8):2253–2260

    Article  PubMed  CAS  Google Scholar 

  8. Holter H, Anderheim L, Bergh C, Möller A (2006) First IVF treatment—short-term impact on psychological well-being and the marital relationship. Hum Reprod 21(12):3295–3302

    Article  PubMed  CAS  Google Scholar 

  9. Jordan C, Revenson TA (1999) Gender differences in coping with infertility: a meta-analysis. J Behav Med 22(4):341–358

    Article  PubMed  CAS  Google Scholar 

  10. Chachamovich JLR, Chachamovich E, Cordova FP, Fleck MMP, Knauth D, Passos EP (2009) Congruence of quality of life among infertile men and women: findings from a couple-based study. Hum Reprod 24(9):2151–2157

    Article  PubMed  CAS  Google Scholar 

  11. Chachamovich JLR, Chachamovich E, Ezer H, Cordova FP, Fleck MMP, Knauth D, Passos EP (2010) Psychological distress as predictor of quality of life in men experiencing infertility: a cross-sectional survey. Reprod Health 7(3). http://www.reproductive-health-journal.com. Accessed 2 September 2010

  12. Peterson BD, Pirritano M, Christensen U, Schmidt L (2008) The impact of partner coping in couples experiencing infertility. Hum Reprod 23(5):1128–1137

    Article  PubMed  CAS  Google Scholar 

  13. Thompson EH, Woodward JT, Stanton Al (2012) Dyadic goal appraisal during treatment for infertility: how do different perspectives relate to partners’ adjustment? Int J Behav Med 19(3):252–259

    Article  PubMed  Google Scholar 

  14. Pottinger AM, McKenzie C, Fredericks J, DaCosta V, Wynter S, Everett D, Walters Y (2006) Gender differences in coping with infertility among couples undergoing counselling for in vitro fertilization treatment. West Indian Med J 55(4):237–242

    Article  PubMed  CAS  Google Scholar 

  15. Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP (2010) Agreement on perceptions of quality of life in couples dealing with infertility. J Obstet Gynecol Neonat Nurs 39(5):557–565

    Article  Google Scholar 

  16. Berg BJ, Wilson JF, Weingartner PJ (1991) Psychological sequelae of infertility treatment: the role of gender and sex-role identification. Soc Sci Med 33(9):1071–1080

    Article  PubMed  CAS  Google Scholar 

  17. Pasch LA, Dunkel-Schetter C, Christensen A (2002) Differences between husbands’ and wives’ approach to infertility affect marital communication and adjustment. Fertil Steril 77(6):1241–1247

    Article  PubMed  Google Scholar 

  18. Slepičková L (2010) Couples undergoing infertility treatment in the Czech Republic: broad range of possibilities in a traditional milieu. Soc Theor Health 8:151–174

    Article  Google Scholar 

  19. Friedman RS, Weissbrod CS (2005) Work and family commitment and decision-making status among emerging adults. Sex Roles 53:317–325

    Article  Google Scholar 

  20. Yaremko SK, Lawson KL (2007) Gender, internalization of expressive traits, and expectations of parenting. Sex Roles 57(9–10):675–687

    Article  Google Scholar 

  21. Verbrugge LM (1986) Role burdens and physical health of women and men. Women Health 11:47–77

    Article  PubMed  CAS  Google Scholar 

  22. Matz DM, Handley KB, Eisler RM (1995) The relationship between feminine gender role stress, body image, and eating disorders. Psychol Women Q 19:493–508

    Google Scholar 

  23. Sánchez-López MP, Cuellar-Flores I, Dresch V (2012) The impact of gender roles on health. Women Health 52(2):182–196

    Article  Google Scholar 

  24. Gnoth C, Godehardt E, Frank-Hermann P, Friol K, Tigges J, Freundl G (2005) Definition and prevalence of subfertility and infertility. Hum Reprod 20(5):1144–1147

    Article  PubMed  CAS  Google Scholar 

  25. Kaáli SG (ed) (2006) A meddőség korszerű diagnosztikája és kezelése [The modern diagnosis and therapy of infertility]. Budapest, Medicina Könyvkiadó Rt

    Google Scholar 

  26. Hambleton RK (1994) Guidelines for adapting educational and psychological tests: a progress report. Eur J Psychol Assess 10:229–244

    Google Scholar 

  27. Bagdy E, Pressing L, Bugán A, Zétényi T (1986) Az MMPI-próba. Elmélet és alkalmazás. [The MMPI. Theory and practice] Budapest, Akadémiai Kiadó

  28. Gervai J, Turner PJ, Hinde RA (1995) Gender-related behaviour, attitudes, and personality of young children in England and Hungary. Int J Behav Dev 18(1):105–126

    Article  Google Scholar 

  29. Brähler E, Stöbel-Richter Y, Schumacher J (2001) Für und Wider eines eigenen Kindes: Der Leipziger Fragebogen zu Kinderwunschmotiven (LKM). Diagn 47(2):96–106

    Article  Google Scholar 

  30. Beck AT, Steer RA, Garbin MG (1988) Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev 8(1):77–100

    Article  Google Scholar 

  31. Rózsa S, Szádóczky E, Füredi J (2001) A Beck Depresszió Kérdőív rövidített változatának jellemzői hazai mintán. [Psychometric properties of the Hungarian version of the shortened Beck Depression Inventory]. Psychiatr Hung 16(4):384–402

    Google Scholar 

  32. Skrabski A, Kopp M, Rózsa S, Réthelyi J, Rahe RH (2005) Life meaning: an important correlate of health in the Hungarian population. Int J Behav Med 12(2):78–85

    Article  PubMed  Google Scholar 

  33. Goldberg D, Williams P (1988) A user’s guide to the General Health Questionnaire. NFER-Nelson, Windsor

    Google Scholar 

  34. Balajti I, Vokó Z, Ádány R, Kósa K (2007) A koherencia-érzés mérésére szolgáló rövidített kérdőív és a lelki egészség (GHQ-12) kérdőív magyar nyelvű változatainak validálása. [Validation of the Hungarian versions of the abbreviated sense of coherence (SOC) scale and the general health questionnaire (GHQ-12)] Mentálhig Pszichoszom 8(2):147–161

    Google Scholar 

  35. Spanier GB (1976) Measuring dyadic adjustment: new scales for assessing the quality of the marriage and similar dyads. J Marriage Fam 38(1):15–28

    Article  Google Scholar 

  36. Newton CR, Sherrard W, Glavac I (1999) The fertility problem inventory: measuring perceived infertility-related stress. Fertil Steril 72(1):54–62

    Article  PubMed  CAS  Google Scholar 

  37. Kapitány B, Spéder Z (2012) Gyermekvállalás. [Fertility] In: Őri P, Spéder Z (eds) Demográfiai Portré 2011. Jelentés a magyar népesség helyzetéről [Demographic Portrait of Hungary 2011. Report on Demographic Conditions of the Hungarian Population]. Budapest, KSH Népességtudományi Kutatóintézet

  38. Bayley TM, Slade P, Lashen H (2009) Relationships between attachment, appraisal, coping and adjustment in men and women experiencing infertility concerns. Hum Reprod 24(11):2827–2837

    Article  PubMed  CAS  Google Scholar 

  39. Peterson BD, Newton CR, Feingold T (2007) Anxiety and sexual stress in men and women undergoing infertility treatment. Fertil Steril 88(4):911–914

    Article  PubMed  Google Scholar 

  40. McDonough P, Amick BC (2001) The social context of health selection: a longitudinal study of health and employment. Soc Sci Med 53(1):135–145

    Article  PubMed  CAS  Google Scholar 

  41. Schanz S, Baeckert-Sifeddine IT, Braeunlich C, Collins SE, Batra A, Gebert S, Hautzinger M, Flierlbeck G (2005) A new quality-of-life measure for men experiencing involuntary childlessness. Hum Reprod 20(10):2858–2865

    Article  PubMed  CAS  Google Scholar 

  42. Adler JD, Boxley RL (1985) The psychological reactions to infertility: sex roles and coping styles. Sex Roles 12(3):271–279

    Article  Google Scholar 

  43. Cook R (1993) The relationship between sex-role and emotional functioning in patients undergoing assisted conception. J Psychosom Obstet Gynecol 14(1):31–40

    Article  CAS  Google Scholar 

  44. Sachs-Ericsson N, Ciarlo JA (2000) Gender, social roles and mental health. Sex Roles 43:605–628

    Article  Google Scholar 

  45. Kopp M, Skrabski Á (2003) A gyermekvállalás pszichológiai és szociális háttértényezői a magyar népesség körében. [Some psychological and social background factors of childbearing in the Hungarian population] Demogr 46:383–395

  46. Herrmann D, Scherg H, Verres R, von Hagens C, Strowitzki T, Wischmann T (2011) Resilience in infertile couples acts as a protective factor against infertility-specific distress and impaired quality of life. J Assist Reprod Genet 28(11):1111–1117

    Article  PubMed  Google Scholar 

  47. Callan VJ (1987) The personal and marital adjustment of mothers and of voluntarily and involuntarily childless wives. J Marriage Fam 49(4):847–856

    Article  Google Scholar 

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We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Institute of Behavioural Sciences, University of Debrecen Medicine and Health Science Centre, Nagyerdei krt. 98. Pf. 45., 4032, Debrecen, Hungary

    Réka Eszter Cserepes, János Kollár & Antal Bugán

  2. Department of Obstetrics and Gynaecology, University of Debrecen Medicine and Health Science Centre, Debrecen, Hungary

    Tamás Sápy

  3. Institute of Medical Psychology, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany

    Tewes Wischmann

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  1. Réka Eszter Cserepes
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  2. János Kollár
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Correspondence to Réka Eszter Cserepes.

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Cserepes, R.E., Kollár, J., Sápy, T. et al. Effects of gender roles, child wish motives, subjective well-being, and marital adjustment on infertility-related stress: a preliminary study with a Hungarian sample of involuntary childless men and women. Arch Gynecol Obstet 288, 925–932 (2013). https://doi.org/10.1007/s00404-013-2835-7

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  • DOI: https://doi.org/10.1007/s00404-013-2835-7

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