Esterilidade e infertilidade no gado leiteiro: a epoca de cruzar as vacas . Castro, R.P. de. Access the full text: NOT AVAILABLE. Lookup the document at. CEIE- Centro De Estudos De Infertilidade E Esterilidade. CLI Country / City : Porto, Portugal; Address: Rua D. Manuel II 51 C Sala Cristal Park Zip. Infertilidade masculina refere-se a incapacidade do homem de provocar gravidez em uma fêmea fértil. O diagnóstico é considerado após um ano de sexo .
Psychosocial adjustment in infertility: The aim of the present esterliidade was to investigate psychosocial adjustment and infertility related stress of infertile couples and couples undergoing Assisted Reproductive Technologies ART.
In a cross sectional study, couples were recruited: Measures assessed emotional adjustment, quality of life, marital relationship and infertility stress. Couples were the focus of the analysis.
Results indicated that couples undergoing ART presented more adjustment difficulties, especially women. No significant differences were found in marital adjustment, although ART couples idealized their marital relationship to a higher degree.
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Results are discussed in terms of clinical implications and future research directions. Assisted Reproductive Technologies; emotional adjustment; infertility; In Vitro fertilization; marital relationship, quality of life. Ajustamento psicossocial na infertilidade: Infertility is clinically defined as the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse Zegers-Hochschild et al. It is clear, then, that infertility is associated with some emotional distress, but with no clinical relevance Greil, ; Verhaak et al.
In another study Chachamovich et al. Nevertheless, Ragni et al. The authors suggest that gender differences in QoL were not due the infertility problem, but because women tend to report lower scores of health related QoL Ragni et al. However, to better capture the experience of infertility, some studies have also focused on infertility related stress and concerns.
Newton, Sherrard and Glavac found that men and women who reported greater infertility global stress also reported higher levels of depression. Specifically, more symptoms of distress were highly correlated with social, sexual and relationship concerns. Infertility global stress was also associated with anxiety in both men and women. Similarly, in Fekkes et al. In a study assessing infertility concerns Anderson et al. It is then expected that assessments carried out during treatment will indicate higher distress than assessment prior or in the beginning of the treatment.
Although the use of ART has been widely undertaken in Portugal sinceits legal framework has just recently been approved in Law no. Until recently, there were few studies on infertility and ART in Portugal and very few were dedicated to the psychological experience.
In the present study, we examined the psychosocial adjustment of infertilidae groups of Portuguese couples: There will be differences in emotional adjustment among the three groups: Infertile couples will present higher negative emotionality than presumed fertile couples. Infertile couples and couples undergoing ART will present higher marital quality and intimacy than presumed fertile couples.
Infertile couples will present higher infertility stress than presumed fertile. For our second aim, we defined our hypothesis as follows:. Worse adjustment of women will contribute to discriminate between couples undergoing ART from infertile and presumed fertile couples. A total women and men responded to the assessment protocol. Because both partners participation was required to perform dyadic analysis, couples were included esterilidadd final sample.
All couples were married estfrilidade cohabiting for at least one year. Three different groups were composed: Cronbach alpha coefficients ranged from. In the present sample, subscales Cronbach alpha coefficients ranged from. The Portuguese version has three factors: In the present sample, Cronbach alpha infedtilidade for these subscales ranged from. This scale was not administered to the PF Group. Inclusion criteria were age 18 years or olderhistory of infertility and literacy skills to complete the assessment protocol.
If participants agreed to collaborate, they filled out an informed consent form. Data analyses were performed using the couple as a unit. Years of education and SES were infertilidad as covariates in all the analysis.
Effects sizes were considered: Significance level used was. Finally, to identify the best dimensions that help to classify group membership, three discriminant function analyses DFA were performed. There were no significant differences in any adjustment measures between women whose spouses did or did not participate in the study data not presented.
The multivariate group effect for emotional reactivity was significant, indicating that ART couples have higher anxiety and fear onfertilidade PF couples. In infergilidade, these percentages were Although indicating higher prevalence of depression in infertile couples and anxiety in ART women, differences were not statistically significant.
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Similar results were found in men. No multivariate group effect was found. The same results were found in anxiety [ART Group: No gender differences were found in Infertile Group.
No innfertilidade were found between groups. However, a gender main effect and a Gender X Group onfertilidade effect were found. Gender differences show that women had lower QoL in Psychological domain than men [ A main effect for Group was found in idealistic distortion. A group main effect marginally indertilidade trend was found. Variables were considered to discriminate among groups if they loaded on the structure matrix above.
The best discriminating variables between ART group and PF group are related to emotional reactivity in women, namely anxiety and fear, partially confirming our first and sixth hypothesis.
This discriminant function allowed for the correct identification of Our hypothesis 5 was partially confirmed. The present study aimed at describing the adjustment esterilidaade Portuguese infertile couples and couples undergoing ART. The main finding of our study was that couples undergoing ART presented more emotional adjustment difficulties.
When comparing infertile couples with presumed fertile couples, there are more similarities than differences. Nevertheless, when studying adjustment to ART treatment, some differences were salient, confirming our hypotheses. Additionally, women undergoing ART and those presumed fertile women are more depressed and anxious than their partners. The tendency, esterilidaade described elsewhere Greil,although not found in Wischmann et al. As described in the literature, infertility may cause marital benefit, leading to higher marital satisfaction among infertile couples.
However, some limitations should also be addressed. Additionally, the small sample sizes in each group can highly limit the generalization of the present results. The small sample size also reduced power in the analysis, only allowing the detection of medium to large effects and therefore not identifying small effects, which can inflate the risk of Type II error accepting a false null hypothesis.
The sickness impact profile: Similar response pattern in husbands and wives. Potential need and demand for infertility medical care. When and why do subfertile couples discontinue their fertility care? A longitudinal cohort study in a secondary care subfertility population. The assessment of emotional reactivity: A scale development and validation study.
Congruence of quality of life among infertile men and women: Psychological impact of infertility. Administration, scoring and estegilidade manual. Quality of life and sexual functioning of Polish infertile couples.
Psychological aspects of in vitro fertilization: Anxiety, depression and anger suppression in infertile couples: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Psychosocial adjustment during the transition to parenthood of Portuguese couples who conceived spontaneously or through ART.
Infertility and psychological distress: A critical review of the literature. Sex and intimacy among infertile esterilidad. Conjugalidade e ciclo evolutivo. Impact of infertility on quality of life, marital adjustment, and sexual function. The benefits of positive illusions: Journal of Sexual Medicine, 5, — The fertility problem inventory: Psychological state and coping styles across an IVF treatment cycle.
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