Marital adjustment and emotional symptoms in infertile couples: Gender differences

TUNCEL, Aluğ; GÖKA, Sema; Atan, Ali; YÜKSEL, Fatih Volkan; BULUT, Doğan Süheyla; Göka, Erol; TÜZER, Verda

Marital adjustment and emotional symptoms in infertile couples: Gender differences

Verda TÜZER, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, Ankara, Türkiye)

Aluğ TUNCEL, (Ankara Numune Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Sema GÖKA, (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, Ankara, Türkiye)

Doğan Süheyla BULUT, (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, Ankara, Türkiye)

Fatih Volkan YÜKSEL, (Manavgat Devlet Hastanesi, Antalya, Türkiye)

Ali ATAN, (Ankara Numune Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Erol GÖKA (Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Psikiyatri Kliniği, Ankara, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2010 Cilt: 40 Sayı: 2 Sayfa Aralığı: 229 - 237 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Marital adjustment and emotional symptoms in infertile couples: Gender differences

Öz:

Amaç: Bu çalışmanın amacı infertil çiftlerde evlilik uyumu ve duygusal belirtilerle bağlantılı psikososyal ve demografik faktörler bakımından kadın ve erkekler arasındaki farklılıkları belirlemektir. Yöntem ve gereç: Birincil infertilitesi olan 60 çiftten oluşan çalışma örneklemimiz Beck Depresyon Envanteri, Durumluk ve Sürekli Kaygı Envanteri ve Çift Uyum Ölçeği ile değerlendirildi. Erkekler ve kadınlardan ayrı ayrı elde edilen puanlar infertilite faktörüne göre karşılaştırıldı. Duygusal belirtilerle evlilik uyumu arasındaki bağıntıları belirlemek için çoklu regresyon analizi modelleri kullanıldı.Bulgular: Çift Uyum Ölçeğinin duyguların ifadesi ve cinsel doyum alanlarında cinsiyetler arasında istatistiksel açıdan anlamlı farklar gözlendi (P < 0,05). Sonuçlar, özellikle infertilite erkek faktörüne bağlı olduğunda evlilik uyumunun çeşitli alanlarının, infertil erkeklerdeki anksiyete ve depresif belirtiler üzerinde yordayıcı etkisi olduğunu ortaya koymaktadır.Sonuç: Bu çalışmanın sonuçları infertilite tedavisi sırasında psikolojik ve cinsel danışmanlığın önemini vurgulamaktadır.

Anahtar Kelime:

Konular: Cerrahi

İnfertil çiftlerde evlilik uyumu ve duygusal belirtiler: Cinsler arası farklılıklar

Öz:

Aim: To determine the psychosocial and demographic factors related to marital adjustment and emotional symptoms in infertile couples according to gender differences.Materials and methods: The study sample, consisting of 60 primary infertile couples, was assessed using the Beck Depression Inventory, State and Trait Anxiety Inventory, and Dyadic Adjustment Scale. The scores derived from men and women were compared according to infertility factor. Multiple regression analysis models were used to explore the linkages between emotional symptoms and marital adjustment.Results: Statistically significant gender differences were noted in affectional expression and sexual satisfaction domains of the Dyadic Adjustment Scale (P < 0.05). Our analyses showed that various aspects of marital adjustment have predictive power on anxiety and depressive symptoms of infertile men, especially when the infertility is due to male factor.Conclusion: Results of this study emphasize the importance of psychological and sexual counseling in the course of infertility treatment.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Repokari L, Punamaki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J et al. Infertility treatment and marital relationships: A one-year prospective study among successfully treated ART couples and their controls. Hum Reprod 2007; 22: 1481-1491.
2. Gul R, Yakut Y, Ors S, Tuzer T. National Family Planning Service Guidelines, Fith Edition. Ankara: Ministry of Health, Turkey; 2005. Infertilite: Hizmetlerin duzenlenmesi, p.207. Turki sh.
3. Newton CR, Sherrard W, Glavac I. he Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil Steril 1999; 72: 54-62.
4. Van Rooij FB, Van Balen F, Hermanns JM. Emotional distress and infertility: Turkish migrant couples compared to Dutch couples and couples in Western Turkey. J Psychosom Obstet Gynaecol 2007; 28:87-95.
5. Fido A, Zahid MA. Coping with infertility among Kuwaiti women: cultural perspectives. Int J Soc Psychiatry 2004, 50(4): 294-300.
6. Peterson BD, Newton CR, Rosen KH. Examining congruence between partners’ perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples. Fam Process 2003; 42:59-70.
7. Wright J, Allard M, Lecours A, Sabourin S. Psychosocial distress and infertility: a review of controlled research. Int J Fertil 1989; 34: 126-42.
8. Greil AL. Infertility and psychological distress: a critical review of the literature. Soci Sci Med 1997; 45: 1679-704.
9. King RB. Subfecundity and anxiety in a nationally representative sample. Soc Sci Med 2003; 56: 739-751.
10. Fassino S, Piero A, Boggio S, Piccioni V, Garzaro L. Anxiety, depression, and anger suppression in infertile couples: a controlled study. Human Reprod 2002; 17: 2986-94.
11. Volgsten H, Skoog Svanberg A, Ekselius L, Lundkvist O, Sundström Poromaa I. Prevalence of psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment. Human Reprod 2008; 23: 2056-63.
12. Wright J, Duchesne C, Sabourin S, Bissonnette F, Benoit J, Girard Y. Psychological distress and infertility: men and women respond diferently. Fertility and Sterility 1991; 55: 100-8.
13. Nachtigall RD, Becker G, Wozny M. he efects of genderspeciic diagnosis on men’s and women’s response to infertility. Fertility and Sterility 1992; 57: 113-121.
14. Peterson BD, Newton CR, Feingold T. Anxiety and sexual stress in men and women undergoing infertility treatment. Fertility and Sterility 2007; 88: 911-4.
15. Dhillon R, Cumming CE, Cumming DC. Psychological wellbeing and coping patterns in infertile men. Fertility and Sterility 2000; 74: 702-706.
16. Demyttenaere K, Bonte L, Gheldof M, Vervaeke M, Meuleman C, Vanderschuerem D et al. Coping style and depression level inluence outcome in in vitro fertilization. Fertil Steril 1998; 69: 1026-1033.
17. Ozkan M, Baysal B. Emotional distress of infertile women in Turkey. Clin Exp Obstet Gynecol 2006; 33: 44-46.
18. Karlidere T, Bozkurt A, Yetkin S, Doruk A, Sutcigil L, Ozmenler KN et al. Is there gender diference in infertile couples with no axis one psychiatric disorder in context of emotional symptoms, social support and sexual function? Turk Psikiyatri Dergisi 2007; 18: 311-322.
19. Gulseren L, Cetinay P, Tokatlioglu B, Sarikaya OO, Gulseren S, Kurt S. Depression and anxiety levels in infertile Turkish women. J Reprod Med 2006; 51: 421-426.
20. Abbey A, Halman LJ, Andrews FM. Psychosocial, treatment, and demographic predictors of the stress associated with infertility. Fertil Steril 1992; 57: 122-128.
21. Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J Marriage Fam 1976; 38:15-28.
22. Fisiloglu H, Demir A. Applicability of the dyadic adjustment scale for measurement of marital quality with Turkish couples. European Journal of Psychological Assessment 2000; 16: 214-218.
23. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York: Guilford; 1979.
24. Hisli N. [A study on validity of Beck Depression Inventory]. Psikoloji Dergisi 1988; 6: 118-122. Turkish.
25. Spielberger CD. Manual for the state-trait anxiety scale. Palo Alto: Consulting Psychologist Press; 1983.
26. Oner N, LeCompte A. State-trait anxiety inventory hand book. Istanbul: Bogazici University Press; 1985.
27. Wischmann T, Stammer H, Scherg H, Gerhard I, Verres R. Psychosocial characteristics of infertile couples: a study by the “Heidelberg Fertility Consultation Service”. Hum Reprod 2001; 16: 1753-61.
28. Berg BJ, Wilson JF. Psychological functioning across stages of treatment for infertility. J Behav Med 1991; 14: 11-26.
29. Göka E. Türk Grup Davranışı. Ankara: Aşina Kitaplar; 2006. Türklerde kadın-erkek ilişkileri. p.151-170. Turkish.
30. Collins A, Freeman EW, Boxer AS, Tureck R. Perceptions of infertility and treatment stress in females as compared with males entering in vitro fertilization treatment. Fertil Steril 1992; 57: 350-6.

APA	TÜZER V, TUNCEL A, GÖKA S, BULUT D, YÜKSEL F, Atan A, Göka E (2010). Marital adjustment and emotional symptoms in infertile couples: Gender differences. , 229 - 237.
Chicago	TÜZER Verda,TUNCEL Aluğ,GÖKA Sema,BULUT Doğan Süheyla,YÜKSEL Fatih Volkan,Atan Ali,Göka Erol Marital adjustment and emotional symptoms in infertile couples: Gender differences. (2010): 229 - 237.
MLA	TÜZER Verda,TUNCEL Aluğ,GÖKA Sema,BULUT Doğan Süheyla,YÜKSEL Fatih Volkan,Atan Ali,Göka Erol Marital adjustment and emotional symptoms in infertile couples: Gender differences. , 2010, ss.229 - 237.
AMA	TÜZER V,TUNCEL A,GÖKA S,BULUT D,YÜKSEL F,Atan A,Göka E Marital adjustment and emotional symptoms in infertile couples: Gender differences. . 2010; 229 - 237.
Vancouver	TÜZER V,TUNCEL A,GÖKA S,BULUT D,YÜKSEL F,Atan A,Göka E Marital adjustment and emotional symptoms in infertile couples: Gender differences. . 2010; 229 - 237.
IEEE	TÜZER V,TUNCEL A,GÖKA S,BULUT D,YÜKSEL F,Atan A,Göka E "Marital adjustment and emotional symptoms in infertile couples: Gender differences." , ss.229 - 237, 2010.
ISNAD	TÜZER, Verda vd. "Marital adjustment and emotional symptoms in infertile couples: Gender differences". (2010), 229-237.

APA	TÜZER V, TUNCEL A, GÖKA S, BULUT D, YÜKSEL F, Atan A, Göka E (2010). Marital adjustment and emotional symptoms in infertile couples: Gender differences. Turkish Journal of Medical Sciences, 40(2), 229 - 237.
Chicago	TÜZER Verda,TUNCEL Aluğ,GÖKA Sema,BULUT Doğan Süheyla,YÜKSEL Fatih Volkan,Atan Ali,Göka Erol Marital adjustment and emotional symptoms in infertile couples: Gender differences. Turkish Journal of Medical Sciences 40, no.2 (2010): 229 - 237.
MLA	TÜZER Verda,TUNCEL Aluğ,GÖKA Sema,BULUT Doğan Süheyla,YÜKSEL Fatih Volkan,Atan Ali,Göka Erol Marital adjustment and emotional symptoms in infertile couples: Gender differences. Turkish Journal of Medical Sciences, vol.40, no.2, 2010, ss.229 - 237.
AMA	TÜZER V,TUNCEL A,GÖKA S,BULUT D,YÜKSEL F,Atan A,Göka E Marital adjustment and emotional symptoms in infertile couples: Gender differences. Turkish Journal of Medical Sciences. 2010; 40(2): 229 - 237.
Vancouver	TÜZER V,TUNCEL A,GÖKA S,BULUT D,YÜKSEL F,Atan A,Göka E Marital adjustment and emotional symptoms in infertile couples: Gender differences. Turkish Journal of Medical Sciences. 2010; 40(2): 229 - 237.
IEEE	TÜZER V,TUNCEL A,GÖKA S,BULUT D,YÜKSEL F,Atan A,Göka E "Marital adjustment and emotional symptoms in infertile couples: Gender differences." Turkish Journal of Medical Sciences, 40, ss.229 - 237, 2010.
ISNAD	TÜZER, Verda vd. "Marital adjustment and emotional symptoms in infertile couples: Gender differences". Turkish Journal of Medical Sciences 40/2 (2010), 229-237.