نوع مقاله : پژوهشی

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی/واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران

2 کارشناسی ارشد روانشناسی عمومی/ واحدعلوم تحقیقات، دانشگاه آزاد اسلامی ، تهران، ایران

3 استادیار /گروه روانشناسی ، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران

چکیده

هدف: هدف از پژوهش حاضر بررسی نقش درماندگی روا‍ن‍شناختی و تاب‍آوری در کیفیت زندگی ناباروری زنان نابارور بود.
روش: پژوهش حاضر از نوع همبستگی می‌باشد. جامعه آماری پژوهش تمامی زنان ناباروری که درطول سه ماه به چهار کلینیک درمان ناباروری در سطح شهر مشهد در شش ماهه دوم سال 1398 مراجعه کرده‌اند، تشکیل می‌دادند. از این جامعه به شیوه نمونه در دسترس 346 داوطلب زن انتخاب و به پرسشنامه ها پاسخ دادند. جهت سنجش تاب‍آوری از پرسشنامه تاب‍آوری کانر و دیویدسون (2003)، جهت سنجش درماندگی روان‍شناختی از پرسشنامه لوی‍باند و لوی‍باند (1995) و جهت سنجش کیفیت زندگی ناباروری از پرسشنامه کیفیت زندگی ناباروری بوین و همکاران (2011) استفاده شد. داده‌های پژوهش به کمک نرم افزار آماری SPSS و با استفاده از شاخص‌های آمار توصیفی و تحلیل رگرسیون چندگانه تحلیل شدند.
یافته‌ها: یافته‌های این پژوهش نشان داد که بین درماندگی روان‍شناختی و تاب‌آوری با کیفیت زندگی ناباروری رابطه معنی‌داری وجود دارد. این به این معنی است که درماندگی روان‍شناختی (افسردگی، اضطراب و استرس) و تاب‍آوری در پیش‌بینی کیفیت زندگی ناباروری زنان ناباور نقش دارند.

کلیدواژه‌ها

عنوان مقاله [English]

The Role of Psychological Distress and Resilience in Quality of Life in Infertility in Infertile Women

نویسندگان [English]

  • Shirin Moradi 1
  • Saleh Mohammadpour 2
  • Qasim Ahi 3

1 Master of Clinical Psychology،Birjand unit، Islamic Azad University، Birjand ،Iran

2 M.Sc. in General Psychology، Research Sciences Branch ، Islamic Azad University، Tehran، Iran

3 Assistant Professor of Psychology ، Birjand unit ، Islamic Azad University، Birjand ، Iran

چکیده [English]

Purpose: The aim of this study was to investigate the role of psychological distress and resilience in the quality of life in infertility in infertile women.
Method: The present study was a correlational study. The statistical population of this study consisted of all infertile women who were referred to four infertility treatment clinics during three months of 2019-20. Of this population, 346 women who were willing to participate were selected througth convenient sampling method. They were then asked to complete the measures including Resilience Questionnaire (Connor & Davidson, 2003), DASS-21 (Lovibond & Lovibond, 1995) and Quality of Life in Infertility Questionnaire  (Boivin et al., 2011). SPSS software and multiple regression analysis were used to analyze the data.
Findings: The findings of this study showed that there is a significant relationship between psychological distress and resilience with quality of life in infertility. These findings indicate that psychological distress (i.e., depression, anxiety and stress) and resilience play a significant role in predicting the quality of life in infertility.

کلیدواژه‌ها [English]

  • Quality of life in Infertility
  • Resilience
  • Psychological distress
Aarts, J. W. M., van Empel, I. W. H., Boivin, J., Nelen, W. L., Kremer, J. A. M., & Verhaak, C. M. (2011). Relationship between quality of life and distress in infertility: a validation study of the Dutch FertiQoL. Human Reproduction, 26(5), 1112-1118. doi:https://doi.org/10.1093/humrep/der051
Abbasizade, N., Bahrami, M., & yassini Ardekani, S. (2016). Prediction of Health-related Life Quality Based on Alexitmia, Attachment Styles, and Perceived Social Support in Infertile. Occupational Medicine Quarterly Journal, 8(1), 1-9. Retrieved from http://tkj.ssu.ac.ir/article-1-723-en.html
Aduloju, O. P., Olaogun, O. D., & Aduloju, T. (2018). Quality of life in women of reproductive age: a comparative study of infertile and fertile women in a Nigerian tertiary Centre. Journal of Obstetrics and Gynaecology, 38(2), 247-251. doi:https://www.tandfonline.com/doi/full/10.1080/01443615.2017.1347916
Aghajani, S., Samadi Fard, H. R., & Narimani, M. (2017). The Role of Cognitive Avoidance Components and Metacognitive Belief in the Prediction of Quality of Life in Diabetic Patients. Journal of Health Psychology, 6(21), 142-156. Retrieved from http://hpj.journals.pnu.ac.ir/article_3705_98f5569d686abe41612b53f3870d8f8c.pdf
Ahadi, F. (2018). he relationship between the severity of disability in children with mental disabilities and psychological distress of parents: The mediating role of emotion regulation and metacognitive beliefs. (Master Thesis in Psychology). Kharazmi University, Tehran.
Azad, H., & Azadi, S. (2011). The Correlation of Social Support, tolerance and Mental Health in Children of Martyrs and war-disabled in Universities of Ilam. Iranian Journal of War and Public Health, 3(4), 48-58. Retrieved from http://ijwph.ir/article-1-135-en.html
Bahrami, M. (2016). Nurses’ quality of life in medical- surgical wards of an oncology center affiliated to the Isfahan University of Medical Sciences. nursing of the vulnerable journal, 3(7), 36-46. Retrieved from http://njv.bpums.ac.ir/article-1-712-en.html
Boivin, J., Takefman, J., & Braverman, A. (2011). Development and preliminary validation of the fertility quality of life (FertiQoL) tool. Hum Reprod, 26(8), 2084-2091. doi:https://doi.org/10.1093/humrep/der171
Chi, H.-J., Park, I.-H., Sun, H.-G., Kim, J.-W., & Lee, K.-H. (2016). Psychological distress and fertility quality of life (FertiQoL) in infertile Korean women: The first validation study of Korean FertiQoL. Clinical and experimental reproductive medicine, 43(3), 174-180. doi:https://doi.org/10.5653/cerm.2016.43.3.174
Choobforoushzade, A., Kalantari, M., & Molavi, H. (2011). The effectiveness of cognitive behavioral stress management therapy on quality of life in infertile women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 14(1), 14-21. doi:https://dx.doi.org/10.22038/ijogi.2011.5789
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76-82. doi:https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/da.10113?download=true
Dihimi, M., Nouri, M., KhatounArbabi, N., & Nasr, R. (2018). The effect of optimism training on increasing resilience and quality of life of infertile couples. Paper presented at the Proceedings of the Conference on Education, Psychology, Law and Socio-Cultural Studies, Shahid Beheshti University of Medical Sciences, Tehran, Iran. https://www.sid.ir/fa/seminar/ViewPaper.aspx?ID=93867
FaalKalkhoran, L., Bahrami, H., Farrokhi, N., Zeraati, H., & Tarahomi, M. (2011). Comparing Anxiety, Depression and Sexual Life Satisfaction in Two Groups of Fertile and Infertile Women in Tehran %J JRI. Journal of Reproduction & Infertility, 12(2), 157-163. Retrieved from https://www.jri.ir/article/443
Farokhi, A., Kashani, W. A., & Abraham, M. (2011). Comparison of mental toughness of male and female athletes in contact and non-contact disciplines at different skill levels. Motor Behavior (Research in Sports Science), 3(8), 71-76. Retrieved from https://www.sid.ir/fa/journal/ViewPaper.aspx?id=186961
Folkman, S. (2008). The case for positive emotions in the stress process. Anxiety, stress, and coping21(1), 3-14. doi:https://doi.org/10.1080/10615800701740457
Gameiro, S., Boivin, J., Peronace, L., & Verhaak, C. M. (2012). Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment. Human reproduction update, 18(6), 652-669. doi:https://doi.org/10.1093/humupd/dms031
Ghaheri, A., Shojaei Shahrokhabadi, M., Zayeri, F., Maroufizadeh, S., & Karimi, M. (2016). Relationship among life satisfaction, anxiety and fertility quality of life in women. Koomesh, 17(4), 957-965. doi:http://koomeshjournal.semums.ac.ir/article-1-2512-en.html
Group, T. W. (1998). The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Social science & medicine, 46(12), 1569-1585. doi:https://doi.org/10.1016/S0277-9536(98)00009-4
Haghranjbar, F., Kakavand, A., Borjali, A., & Bermas, H. (2011). Resilience and quality of life of mothers with mentally retarded children. Quarterly journal of health and psychology, 1, 179-189. doi:https://www.sid.ir/fa/journal/ViewPaper.aspx?id=213347
Hamre, K. V., Einarsen, S. V., Hoprekstad, Ø. L., Pallesen, S., Bjorvatn, B., Waage, S., . . . Harris, A. (2020). Accumulated long-term exposure to workplace bullying impairs psychological hardiness: a five-year longitudinal study among nurses. International journal of environmental research and public health, 17(7), 2587. doi:https://doi.org/10.3390/ijerph17072587
Hekmatzadeh, S.-F., Bazarganipour, F., Hosseini, N., Allan, H., Jalali, S., Abbasian, Z., . . . Taghavi, S. A. (2018). Psychometrics properties of the Iranian version of fertility quality of life tool: A cross- sectional study. International Journal of Reproductive BioMedicine, 16(3), 191-198. doi:https://doi.org/10.29252/ijrm.16.3.191
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. Journal of assisted reproduction and genetics, 28(11), 1111-1117. doi:https://doi.org/10.1007/s10815-011-9637-2
Irandosut, r., Sohrai, f., Maliholzackerin, s., & Ahi, g. (2018). The casual model of relationship between alexithymia and sexual function by mediating rule of psychological distress and marital intimacy. Journal of Family Research,14(4),515-531. doi:https://jfr.sbu.ac.ir/article_97692.html?lang=en
Jamasian mobarake, A., & Dokanaeifard, F. (2017). The effectiveness of reality therapy on increasing resiliency, life expectancy and improve the quality of life of infertile women infertility center sarim. Counseling Culture and Psycotherapy, 8 (29), 237- 262. Retrieved from https://www.sid.ir/en/journal/ViewPaper.aspx?ID=606348
Jebraeili, H., Hashemi, J., & Nazemi, A. (2016). A comparative study of resilience, meta-emotional beliefs, and psychological well-being in fertile and infertile women. Journal of Fundamentals of Mental Health, 18(5), 259-264. doi:https://dx.doi.org/10.22038/jfmh.2016.7483
Karabulut, A., Özkan, S., & Oğuz, N. (2013). Predictors of fertility quality of life (FertiQoL) in infertile women: analysis of confounding factors. European Journal of Obstetrics & Gynecology and Reproductive Biology, 170(1), 193-197. doi:https://doi.org/10.1016/j.ejogrb.2013.06.029
Karimi, L., & Mirjafari, S. A. (2017). Relationship between hardiness and metacognitions with ways of coping with stress among female high-school students. Journal of Pharmaceutical Sciences, 4, 2479-2484. doi:https://doi.org/10.5281/zenodo.847721
Khosravi Sadrullah Mousavi, H., Neshatdoost, H., kalantari, M., & Aganj, N (2010). The effect of family communication patterns on students' productivity. Paper presented at the Proceedings of the Fifth National Student Mental Health Seminar, Tehran: Shahed University.
Kim, J. H., Shin, H. S., & Yun, E. K. (2018). A dyadic approach to infertility stress, marital adjustment, and depression on quality of life in infertile couples. Journal of Holistic Nursing, 36(1), 6-14. doi:https://doi.org/10.1177%2F0898010116675987
Lakatos, E., Szigeti, J. F., Ujma, P. P., Sexty, R., & Balog, P  .(2017). Anxiety and depression among infertile women: a cross-sectional survey from Hungary. BMC women's health, 17(1), 1-9. doi:https://doi.org/10.1186/s12905-017-0410-2
Li, M.-Y., Yang, Y.-L., Liu, L., & Wang, L. (2016). Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health and quality of life outcomes, 14(1), 1-9. doi:https://doi.org/10.1186/s12955-016-0481-z
Li, Y., Zhang, X., Shi, M., Guo, S., & Wang, L. (2019). Resilience acts as a moderator in the relationship between infertility-related stress and fertility quality of life among women with infertility: a cross-sectional study. Health and quality of life outcomes, 17(1), 1-9. doi:https://doi.org/10.1186/s12955-019-1099-8
Liang, B., & West, J. (2011). Relational health, alexithymia, and psychological distress in college women: Testing a mediator model. American Journal of Orthopsychiatry, 81(2), 246-254. doi:https://psycnet.apa.org/doi/10.1111/j.1939-0025.2011.01093.x
Little, L. M., Simmons, B. L., & Nelson, D. L. (2007). Health among leaders: Positive and negative affect, engagement and burnout, forgiveness and revenge. Journal of Management Studies, 44(2), 243-260. doi:https://doi.org/10.1111/j.1467-6486.2007.00687.x
Liu, L., Xu, X., Xu, N., & Wang, L. (2017). Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: a multi-center, cross-sectional study. Health and quality of life outcomes, 15(1), 1-10. doi:https://doi.org/10.1186/s12955-017-0725-6
Lovibond, S., & Lovibond, P. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy,  33 (3), 335-343. doi:https://doi.org/10.1016/0005-7967(94)00075-U
Martínez-Martí, M. L., & Ruch, W. (2017). Character strengths predict resilience over and above positive affect, self-efficacy, optimism, social support, self-esteem, and life satisfaction. The Journal of Positive Psychology, 12(2), 110-119. doi:https://doi.org/10.1080/17439760.2016.1163403
Masoumi, S. Z., Garousian, M., Khani, S., Oliaei, S. R., & Shayan, A. (2016). Comparison of quality of life, sexual satisfaction and marital satisfaction between fertile and infertile couples. International journal of fertility & sterility, 10(3), 290- 296. doi:https://dx.doi.org/10.22074%2Fijfs.2016.5045
Mehrani, N. (2017). Study of the effectiveness of positive thinking education in improving the quality of life of infertile women. Paper presented at the 9th International Conference on Psychology and Social Sciences, Tehran, Mehr East Conference. https://civilica.com/doc/702523/
Mindes, E. J., Ingram, K. M., Kliewer, W., & James, C. A. (2003). Longitudinal analyses of the relationship between unsupportive social interactions and psychological adjustment among women with fertility problems. Social science & medicine, 56(10), 2165-2180. doi:https://doi.org/10.1016/S0277-9536(02)00221-6
Mohammadi, M. (2006). Effective factors on resiliency in individuals at risk for substance abuse. Tehran, Iran: University of Welfare and Rehabilitation. doi:http://irisweb.ir/files/site1/rds_journals/128/article-128-377169.pdf
Monga, M., Alexandrescu, B., Katz, S. E., Stein, M., & Ganiats, T. (2004). Impact of infertility on quality of life, marital adjustment, and sexual function. Urology, 63(1), 126-130. doi:https://doi.org/10.1016/j.urology.2003.09.015
Moradimanesh, F. A., H Jamhari, F Rahgozar, M. (2012). The relationship between psychological helplessness and quality of life in women with breast cancer. Zabol University of Medical Sciences (Rostamineh) (international journal of basic science in medicine), 4(2), 51- 59. Retrieved from https://www.sid.ir/fa/Journal/ViewPaper.aspx?id=241076
Namdar, A., Naghizadeh, M. M., Zamani, M., Yaghmaei, F., & Sameni, M. H. (2017). Quality of life and general health of infertile women. Health and quality of life outcomes, 15(1), 1-7. doi:https://doi.org/10.1186/s12955-017-0712-y
Navabi Rigi, S. D., Kianian, T., Kerman Sarvai, F., & Yaghmaei, F. (2016). Quality of life of infertile women referred to infertility treatment center in Shiraz and related factors. Monitoring, 15(5), 559- 566. doi:http://dorl.net/dor/20.1001.1.16807626.1395.15.5.8.6
Nazari, B., Salehi, I., Mehrafza, M., & Shahbazi, S. (2017). The Relationship between Psychological Hardiness and Resilience with Mental Health of Infertile People. Paper presented at the 3rd International Conference on New Horizons in Educational Sciences, Psychology and Social Injuries, Tehran, New Horizons Science and Technology Association. https://civilica.com/doc/769994/
Nilforooshan, P., Latifi, Z., Abedi, M., & Ahmadi, A. (2019). Comparison of quality of life and its different dimensions in fertile and infertile women. Journal of Behavioral Sciences Research, 4(1&2), 66-70. doi:http://dorl.net/dor/20.1001.1.17352029.1385.4.1.11.3
Palomba, S., Daolio, J., Romeo, S., Battaglia, F. A., Marci, R., & La Sala, G. B. (2018). Lifestyle and fertility: the influence of stress and quality of life on female fertility. Reproductive Biology and Endocrinology, 16(1), 113-121. doi:https://doi.org/10.1186/s12958-018-0434-y
Philipp, R., Kriston, L., Lanio, J., Kühne, F., Härter, M., Moritz, S., & Meister, R. (2019). Effectiveness of metacognitive interventions for mental disorders in adults—A systematic review and meta‐analysis (METACOG). Clinical psychology & psychotherapy, 26(2), 227-240. doi:https://doi.org/10.1002/cpp.2345
Popa-Velea, O., Diaconescu, L., Jidveian Popescu, M., & Truţescu, C. (2017). Resilience and active coping style: effects on the self-reported quality of life in cancer patients. The international journal of psychiatry in medicine, 52(2), 124-136. doi:https://doi.org/10.1177/0091217417720895
Rafiei, N., Sharifian Sani, M., Rafiey, H., Behnampour, N., & Foroozesh, K. (2014). Reliability and Validity of Persian Version. Journal of Mazandaran University of Medical Sciences, 24(116), 75-83. Retrieved from http://jmums.mazums.ac.ir/article-1-4273-en.html
Rainone, N., Chiodi, A., Lanzillo, R., Magri, V., Napolitano, A., Morra, V. B., . . . Freda, M. F. (2017). Affective disorders and health-related quality of life (HRQoL) in adolescents and young adults with multiple sclerosis (MS): the moderating role of resilience. Quality of Life research, 26(3), 727-736. doi:https://doi.org/10.1007/s11136-016-1466-4
Ramezanzadeh F, Noorbala AA, Malak Afzali H, Abedinia N, Rahimi A, Shariet M, . . . Bagheri M. (2007). Effectiveness of psychiatric and counseling interventions On fertility rate in infertile couples. Tehran University Medical Journal, 65(8), 57-63. Retrieved from http://tumj.tums.ac.ir/article-1-744-en.html
Sahebi, A., Asghari, M. J., & Salari, R. S. (2005). Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Iranian Psychologists, 4(1), 299-313. Retrieved from http://jip.azad.ac.ir/article_512443_en.html
Souri, H., & Hasanirad, T. (2011). Relationship between resilience, optimism and psychological well-being in students of medicine. Procedia-Social and Behavioral Sciences, 30, 1541-1544. doi:https://doi.org/10.1016/j.sbspro.2011.10.299
Vahidi, S. A. D., Ardalan, A., & Mohammad, K. (2006). The epidemiology of primary infertility in the Islamic Republic of Iran in 2004-5, Journal of reproduction and infertility, 7 (3 (28)), 243-251. doi:https://www.sid.ir/en/journal/ViewPaper.aspx?ID=74526
Walsh, F. (2015). Strengthening family resilience: Guilford publications.
WHO, W. H. O. (2018). nternational Classification of Diseases. Retrieved from https://www.who.int/tools/whoqol
Wu, W.-W., Tsai, S.-Y., Liang, S.-Y., Liu, C.-Y., Jou, S.-T., & Berry, D. L. (2015). The mediating role of resilience on quality of life and cancer symptom distress in adolescent patients with cancer. Journal of Pediatric Oncology Nursing, 32(5), 304-313. doi:https://doi.org/10.1177%2F1043454214563758
Yonesi, J., Akbari, S., & Ardekani, Z. B. (2006). Evaluating stigma among infertile men and women in Iran. Journal of reproduction and infertility, 5(6), 531-545. Retrieved from https://www.sid.ir/fa/JOURNAL/ViewPaper.aspx?ID=37847