Effect of Peer Group Counselling on Infertility-Related Stress and Marital Satisfaction among Women Undergoing Intra-Cytoplasmic Sperm Injection.

Document Type : Original Article

Author

Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University

Abstract

Background: Infertility poses a significant challenge, especially for women whose psychological wellbeing is impacted by the issue. Women struggling with infertility often experience elevated stress levels and decreased marital satisfaction. Counseling and other therapeutic interventions are highly recommended to provide support for these women. Aim: To assess the effect of peer group counselling on infertility-related stress and marital satisfaction among women undergoing intra cytoplasmic sperm injection. Subjects and method: Design: A randomized controlled trial (repeated measures design) .Setting: The researchers conducted the study at Elbasma infertility center, Elbasma hospital, Menofia governorate, Egypt. Subjects: A simple random sampling included 88 infertile women divided equally into two groups, with each group consisting of 44 infertile women. Tools: the researchers used three tools, a structured interviewing questionnaire, Newton Infertility Stress Questionnaire (NIS), and Index of marital satisfaction (IMS) scale. Results: The inferential tests showed a significant difference in mean scores of infertility-related stress between both groups after the counseling intervention (P<0.001). Additionally, there were highly significant differences in the mean satisfaction scores of the counseling group across the four study periods (P≤0.001) in contrast to insignificant changes in the control group's mean satisfaction score at the four measurements (P=0.064). Conclusion: Peer group counseling was found to be effective in reducing stress related to infertility and improving marital satisfaction in infertile women, as evidenced by post-intervention tests compared to baseline assessment. Recommendations: Peer group counseling should be integrated into the entire process of diagnosing and treating infertility in women.

Keywords

{"sdg_fld":["3"]}

Main Subjects

References

  1. Abd El Hameed, N.A., & Thabet, R. A. (2021). Depression, anxiety and marital satisfaction among infertile males at Assiut universal hospital. Egyptian journal of health care, 12(3), 1587-1602.

    Abdelhamied, M., Elbeltagy, E.F., Osman, N., Ahmed, R., & Saber, E. (2023). Effect of social media-based intervention on adjustment, anxiety and pregnancy rate among infertile women undergoing assisted reproductive technology. Assiut scientific nursing journal, 11(34), 120-134.

    Akalewold, M., Yohannes, G. W., Abdo, Z. A., Hailu, Y., & Negesse, A. (2022). Magnitude of infertility and associated factors among women attending selected public hospitals in Addis Ababa, Ethiopia: A cross-sectional study. BMC women's health, 22(1), 11.

    Alirezaei, S., Taghipour, A., & Latifnejad Roudsari, R. (2022). The effect of infertility counseling interventions on marital and sexual satisfaction of infertile couples: A systematic review and meta-analysis. International journal of reproductive biomedicine, 20(10), 795-806.

    Alkhutaba, M., & Alkhateeb, L. (2023). Quality of life and infertility stigma of infertility couples undergoing in vitro fertilization: A mixed method-based study. Resmilitaris, 13(1), 2060-2068.

    Altal, O. F., Aleshawi, A. J., Khrais, M. Z., Alkilany, B. M., Abudalo, T. M., Al Sharie, A. H., & Zayed, F. (2020). The practice of intracytoplasmic sperm injection in Jordan: A clinical outcome study. Annals of medicine and surgery, 57, 196-200.

    1. (2022). Infertility reproductive health. Retrieved from https://www.cdc.gov/reproductivehealth/infertility/index.htm.

    Central Agency for Public Mobilisation and Statistics (CAPMAS) (2022). Fertility rate per woman in Egypt in press. Retrieved 3 December from: https://www.mena.org.eg/en/news/dbcall/table/textnews/id/10075371#

    Dastaran, F., Maasoumi, R., Foroozanfard, F. & Haghani, S. (2022). The effect of better-based sex counseling on sexual quality of life in infertile women: A Randomized controlled clinical trial. Sexuality and disability, 40(4), 1-22.

    De Lacey, S., Sanderman, E., & Smith, C. (2021). IVF, acupuncture and mental health: A qualitative study of perceptions and experiences of women participating in a randomized controlled trial of acupuncture during IVF treatment. Reproductive biomedicine and society online, 12, 22-31.

    Ehsan, Z., Yazdkhasti, M., Rahimzadeh, M., Ataee, M., & Esmaelzadeh-Saeieh, S. (2019). Effects of group counseling on stress and gender-role attitudes in infertile women: A clinical trial. Journal of reproduction & infertility, 20(3), 169-177.

    Eldridge, S., Chan, C., Campbell, M., Bond, C., Hopewell, S., Thabane, L., & Lancaster, G. (2016). CONSORT 2010 statement: Extension to randomized pilot and feasibility trials. BMJ, 355.

    El-Feshawy, N., A. Zromba, M., El- Ansary, E. (2023). Effect of collaborative infertility counseling on coping strategies and marital satisfaction among women undergoing in vitro fertilization a randomized control trial. Assiut scientific nursing journal, 11(37), 1-13.

    Hamzehgardeshi, Z., Yazdani, F., Elyasi, F., Moosazadeh, M., Peyvandi, S., Samadaee …..Shahidi, M. (2019). The efficacy of group counselling on perceived stress among infertile women undergoing in vitro fertilization treatment: An RCT. International journal of reproductive biomedicine, 17(1), 57-66.

    Hariton, E., & Locascio, J. J. (2018). Randomised controlled trials - the gold standard for effectiveness research: Study design: Randomised controlled trials. BJOG: An international journal of obstetrics and gynaecology, 125(13), 1716.

    Hassan, M. M., Abd Elmordy, Z. R, & Emam, A.M. (2023). Effect of nursing counseling based on better model on sexuality and marital satisfaction among infertile women. Egyptian journal of health care, 14(3), 342-360.

    Hudson, W. W. (1997). The WALMYR assessment scales scoring manual. Tallahassee, FL: WALMYR Publishing Company.

    Kang, H. (2021). Sample size determination and power analysis using the G*Power software. Journal of educational evaluation for health professions, 18, 17.

    Karaca, A., Yavuzcan, A., Batmaz, S., Cangür, Ş., & Çalişkan, A. (2019). The effect of cognitive behavioral group therapy on infertility stress, general health, and negative cognitions: A randomized controlled trial. J Ration Emot Cogn Behav Ther, 37(4), 375-394.

    Kim, M., Moon, S.H., & Kim, J.E. (2020). Effects of psychological program for Korean infertile women in IVF stage on infertility stress, depression, intimacy, sexual satisfaction and fatigue. Arch Psychiatr Nurs,  34 (4), 211-217.

    Koochaksaraei, F.Y., Simbar, M., & khoshnoodifar, M. (2023). Interventions promoting mental health dimensions in infertile women: a systematic review. BMC Psychol, 11, 254.

    Li, X., Ye, L., Tian, L., Huo, Y., & Zhou, M. (2020). Infertility-related stress and life satisfaction among Chinese infertile women: A moderated mediation model of marital satisfaction and resilience. Sex Roles, 82, 44-52.

    Maroufizadeh, S., Hosseini, M., Rahimi Foroushani, A., Omani-Samani, R., & Amini, P. (2019). The relationship between perceived stress and marital satisfaction in couples with infertility: Actor-partner interdependence model. International journal of fertility & sterility, 13(1), 66-71.

    Newton, C. R., Sherrard, W. & Glavac, I. (1999). The fertility problem inventory: Measuring perceived infertility-related stress. Steril,72(1), 54-62.

    Poorheidari, M., Ganji, J., Hasani-Moghadam, S., Azizi, M., & Alijani, F. (2021). The effects of relationship enrichment counseling on marital satisfaction among infertile couples with a history of domestic violence. J Nurs Midwifery Sci, 8,1-8

    Rahimi, R., Hasanpour, S., & Mirghafourvand, M.  (2021). Effect of hope-oriented group counseling on mental health of infertile women with failed IVF cycles: A randomized controlled trial. BMC Psychiatry, 21, 286.

    Sayehmiri, K., Kareem, K.I., & Abdi, K.  (2020).The relationship between personality traits and marital satisfaction: A systematic review and meta-analysis. BMC Psychol, 8, 15.

    Sharma, A., & Shrivastava, D. (2022). Psychological problems related to infertility. Cureus, 14(10), 30320.

    Smith, M. B., Ho, J. R., Cortessis, V., Chen, I. J., Bendikson, K. A., Paulson, R. J., ….. Ahmady, A. (2021). What is the optimal timing of intracytoplasmic sperm injection (ICSI) after EGG retrieval? A randomized controlled trial. Journal of assisted reproduction and genetics, 38(8), 2151-2156.

    Soleimani, R., Ansari, F., Hamzehgardeshi, Z., Elyasi, F., Moosazadeh, M., Yazdani, F., Shahidi, M., …. Pejmanmanesh, M. (2023). Perceived stress reduction through an infertility coaching program: a randomized controlled clinical trial. Scientific reports, 13(1), 14511.

    Statistics Kingdom (2017). Sample Size Calculator. Retrieved October 30, 2023from https://www.statskingdom.com/sample_size_regression.html

    Sterne, J.A.C., Hernán, M.A., McAleenan, A., Reeves, B.C., & Higgins, J.P.T. (2021). Assessing risk of bias in a non-randomized study. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions, 6, 2.

    Tabassum, A., Sadia, R., Huda, S., & Khan, S. (2023). Infertility-related stress and marital satisfaction among Pakistani infertile individuals. IUB Journal of Social Sciences, 5(1), 71-81

    Taghani, R., Ashrafizaveh, A., Ghanbari Soodkhori, M., Azmoude, E., & Tatari, M. (2019). Marital satisfaction and its associated factors at reproductive age women referred to health centers. Journal of education and health promotion, 8, 133.

    Topping, K. J. (2022). Peer education and peer counselling for health and well-being: A Review of reviews. International journal of environmental research and public health, 19(10), 6064.

    Torkan, H., & Moulavi, H. (2009). Psychometrical properties of the Index of Marital Satisfaction (IMS), J. Psychol. 13, 3-19.

    Wang, Y., Fu, Y., Ghazi, P., Gao, Q., Tian, T., Kong, F., … Qiao, J. (2022). Prevalence of intimate partner violence against infertile women in low-income and middle-income countries: A systematic review and meta-analysis. The Lancet Global Health, 10(6).

    World Health Organization (WHO) (2023). Infertility prevalence estimates, 1990–2021. Retrieved 17 December from: https://www.who.int/publications/i/item/978920068315.

    Zahra, O. A., Soheila, R., Tahereh, B., Marzieh, A., & Atefeh, Y. (2019). The effectiveness of counseling with a cognitive-behavioral approach on infertile women's stress. Maedica, 14(4), 363-370.

    Abd El Hameed, N.A., & Thabet, R. A. (2021). Depression, anxiety and marital satisfaction among infertile males at Assiut universal hospital. Egyptian journal of health care, 12(3), 1587-1602.

    Abdelhamied, M., Elbeltagy, E.F., Osman, N., Ahmed, R., & Saber, E. (2023). Effect of social media-based intervention on adjustment, anxiety and pregnancy rate among infertile women undergoing assisted reproductive technology. Assiut scientific nursing journal, 11(34), 120-134.

    Akalewold, M., Yohannes, G. W., Abdo, Z. A., Hailu, Y., & Negesse, A. (2022). Magnitude of infertility and associated factors among women attending selected public hospitals in Addis Ababa, Ethiopia: A cross-sectional study. BMC women's health, 22(1), 11.

    Alirezaei, S., Taghipour, A., & Latifnejad Roudsari, R. (2022). The effect of infertility counseling interventions on marital and sexual satisfaction of infertile couples: A systematic review and meta-analysis. International journal of reproductive biomedicine, 20(10), 795-806.

    Alkhutaba, M., & Alkhateeb, L. (2023). Quality of life and infertility stigma of infertility couples undergoing in vitro fertilization: A mixed method-based study. Resmilitaris, 13(1), 2060-2068.

    Altal, O. F., Aleshawi, A. J., Khrais, M. Z., Alkilany, B. M., Abudalo, T. M., Al Sharie, A. H., & Zayed, F. (2020). The practice of intracytoplasmic sperm injection in Jordan: A clinical outcome study. Annals of medicine and surgery, 57, 196-200.

    1. (2022). Infertility reproductive health. Retrieved from https://www.cdc.gov/reproductivehealth/infertility/index.htm.

    Central Agency for Public Mobilisation and Statistics (CAPMAS) (2022). Fertility rate per woman in Egypt in press. Retrieved 3 December from: https://www.mena.org.eg/en/news/dbcall/table/textnews/id/10075371#

    Dastaran, F., Maasoumi, R., Foroozanfard, F. & Haghani, S. (2022). The effect of better-based sex counseling on sexual quality of life in infertile women: A Randomized controlled clinical trial. Sexuality and disability, 40(4), 1-22.

    De Lacey, S., Sanderman, E., & Smith, C. (2021). IVF, acupuncture and mental health: A qualitative study of perceptions and experiences of women participating in a randomized controlled trial of acupuncture during IVF treatment. Reproductive biomedicine and society online, 12, 22-31.

    Ehsan, Z., Yazdkhasti, M., Rahimzadeh, M., Ataee, M., & Esmaelzadeh-Saeieh, S. (2019). Effects of group counseling on stress and gender-role attitudes in infertile women: A clinical trial. Journal of reproduction & infertility, 20(3), 169-177.

    Eldridge, S., Chan, C., Campbell, M., Bond, C., Hopewell, S., Thabane, L., & Lancaster, G. (2016). CONSORT 2010 statement: Extension to randomized pilot and feasibility trials. BMJ, 355.

    El-Feshawy, N., A. Zromba, M., El- Ansary, E. (2023). Effect of collaborative infertility counseling on coping strategies and marital satisfaction among women undergoing in vitro fertilization a randomized control trial. Assiut scientific nursing journal, 11(37), 1-13.

    Hamzehgardeshi, Z., Yazdani, F., Elyasi, F., Moosazadeh, M., Peyvandi, S., Samadaee …..Shahidi, M. (2019). The efficacy of group counselling on perceived stress among infertile women undergoing in vitro fertilization treatment: An RCT. International journal of reproductive biomedicine, 17(1), 57-66.

    Hariton, E., & Locascio, J. J. (2018). Randomised controlled trials - the gold standard for effectiveness research: Study design: Randomised controlled trials. BJOG: An international journal of obstetrics and gynaecology, 125(13), 1716.

    Hassan, M. M., Abd Elmordy, Z. R, & Emam, A.M. (2023). Effect of nursing counseling based on better model on sexuality and marital satisfaction among infertile women. Egyptian journal of health care, 14(3), 342-360.

    Hudson, W. W. (1997). The WALMYR assessment scales scoring manual. Tallahassee, FL: WALMYR Publishing Company.

    Kang, H. (2021). Sample size determination and power analysis using the G*Power software. Journal of educational evaluation for health professions, 18, 17.

    Karaca, A., Yavuzcan, A., Batmaz, S., Cangür, Ş., & Çalişkan, A. (2019). The effect of cognitive behavioral group therapy on infertility stress, general health, and negative cognitions: A randomized controlled trial. J Ration Emot Cogn Behav Ther, 37(4), 375-394.

    Kim, M., Moon, S.H., & Kim, J.E. (2020). Effects of psychological program for Korean infertile women in IVF stage on infertility stress, depression, intimacy, sexual satisfaction and fatigue. Arch Psychiatr Nurs,  34 (4), 211-217.

    Koochaksaraei, F.Y., Simbar, M., & khoshnoodifar, M. (2023). Interventions promoting mental health dimensions in infertile women: a systematic review. BMC Psychol, 11, 254.

    Li, X., Ye, L., Tian, L., Huo, Y., & Zhou, M. (2020). Infertility-related stress and life satisfaction among Chinese infertile women: A moderated mediation model of marital satisfaction and resilience. Sex Roles, 82, 44-52.

    Maroufizadeh, S., Hosseini, M., Rahimi Foroushani, A., Omani-Samani, R., & Amini, P. (2019). The relationship between perceived stress and marital satisfaction in couples with infertility: Actor-partner interdependence model. International journal of fertility & sterility, 13(1), 66-71.

    Newton, C. R., Sherrard, W. & Glavac, I. (1999). The fertility problem inventory: Measuring perceived infertility-related stress. Steril,72(1), 54-62.

    Poorheidari, M., Ganji, J., Hasani-Moghadam, S., Azizi, M., & Alijani, F. (2021). The effects of relationship enrichment counseling on marital satisfaction among infertile couples with a history of domestic violence. J Nurs Midwifery Sci, 8,1-8

    Rahimi, R., Hasanpour, S., & Mirghafourvand, M.  (2021). Effect of hope-oriented group counseling on mental health of infertile women with failed IVF cycles: A randomized controlled trial. BMC Psychiatry, 21, 286.

    Sayehmiri, K., Kareem, K.I., & Abdi, K.  (2020).The relationship between personality traits and marital satisfaction: A systematic review and meta-analysis. BMC Psychol, 8, 15.

    Sharma, A., & Shrivastava, D. (2022). Psychological problems related to infertility. Cureus, 14(10), 30320.

    Smith, M. B., Ho, J. R., Cortessis, V., Chen, I. J., Bendikson, K. A., Paulson, R. J., ….. Ahmady, A. (2021). What is the optimal timing of intracytoplasmic sperm injection (ICSI) after EGG retrieval? A randomized controlled trial. Journal of assisted reproduction and genetics, 38(8), 2151-2156.

    Soleimani, R., Ansari, F., Hamzehgardeshi, Z., Elyasi, F., Moosazadeh, M., Yazdani, F., Shahidi, M., …. Pejmanmanesh, M. (2023). Perceived stress reduction through an infertility coaching program: a randomized controlled clinical trial. Scientific reports, 13(1), 14511.

    Statistics Kingdom (2017). Sample Size Calculator. Retrieved October 30, 2023from https://www.statskingdom.com/sample_size_regression.html

    Sterne, J.A.C., Hernán, M.A., McAleenan, A., Reeves, B.C., & Higgins, J.P.T. (2021). Assessing risk of bias in a non-randomized study. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions, 6, 2.

    Tabassum, A., Sadia, R., Huda, S., & Khan, S. (2023). Infertility-related stress and marital satisfaction among Pakistani infertile individuals. IUB Journal of Social Sciences, 5(1), 71-81

    Taghani, R., Ashrafizaveh, A., Ghanbari Soodkhori, M., Azmoude, E., & Tatari, M. (2019). Marital satisfaction and its associated factors at reproductive age women referred to health centers. Journal of education and health promotion, 8, 133.

    Topping, K. J. (2022). Peer education and peer counselling for health and well-being: A Review of reviews. International journal of environmental research and public health, 19(10), 6064.

    Torkan, H., & Moulavi, H. (2009). Psychometrical properties of the Index of Marital Satisfaction (IMS), J. Psychol. 13, 3-19.

    Wang, Y., Fu, Y., Ghazi, P., Gao, Q., Tian, T., Kong, F., … Qiao, J. (2022). Prevalence of intimate partner violence against infertile women in low-income and middle-income countries: A systematic review and meta-analysis. The Lancet Global Health, 10(6).

    World Health Organization (WHO) (2023). Infertility prevalence estimates, 1990–2021. Retrieved 17 December from: https://www.who.int/publications/i/item/978920068315.

    Zahra, O. A., Soheila, R., Tahereh, B., Marzieh, A., & Atefeh, Y. (2019). The effectiveness of counseling with a cognitive-behavioral approach on infertile women's stress. Maedica, 14(4), 363-370.

Port Said Scientific Journal of Nursing
Volume 11, Issue 1
March 2024
Pages 336-368

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