Psychological distress by type of fertility barrier

Mary Casey Jacob, Julia McQuillan, A. L. Greil

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

BACKGROUND: We examined fertility-specific distress (FSD) and general distress by type of fertility barrier (FB). METHODS: In a random sample telephone survey, 580 US women reported their fertility intentions and histories. Six groups of women were identified: (i) no FBs, (ii) infertile with intent, (iii) infertile without intent, (iv) other fertility problems, (v) miscarriages and (vi) situational barriers. Multiple regression analyses were used to compare groups with FBs. RESULTS: Sixty-one percent reported FBs and 28% reported an inability to conceive for at least 12 months. The infertile with intent group had the highest FSD, which was largely explained by (a) self-identification as infertile and (b) seeking medical help for fertility. The no FB group had a mean Center for Epidemiological Studies Depression scale score above the commonly used cut-off of 16, although 23% of the women with FBs did score above 16. CONCLUSIONS: FBs are common. Self-identification as infertile is the largest source of FSD. More women with FBs had elevated general distress than women without FBs; mean general distress was below 16 for all FB groups. It may be that, for some women (even those with children), FBs can have lasting emotional consequences, but many women do heal from the emotional distress that may accompany fertility difficulties.

Original languageEnglish (US)
Pages (from-to)885-894
Number of pages10
JournalHuman Reproduction
Volume22
Issue number3
DOIs
StatePublished - Jan 1 2007

Fingerprint

Fertility
Psychology
Spontaneous Abortion
Telephone
Epidemiologic Studies
Regression Analysis
Depression

Keywords

  • Distress
  • Infertility
  • Survey

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Psychological distress by type of fertility barrier. / Jacob, Mary Casey; McQuillan, Julia; Greil, A. L.

In: Human Reproduction, Vol. 22, No. 3, 01.01.2007, p. 885-894.

Research output: Contribution to journalArticle

Jacob, Mary Casey ; McQuillan, Julia ; Greil, A. L. / Psychological distress by type of fertility barrier. In: Human Reproduction. 2007 ; Vol. 22, No. 3. pp. 885-894.
@article{a626bf8fbba241978e4e83665fbe1bba,
title = "Psychological distress by type of fertility barrier",
abstract = "BACKGROUND: We examined fertility-specific distress (FSD) and general distress by type of fertility barrier (FB). METHODS: In a random sample telephone survey, 580 US women reported their fertility intentions and histories. Six groups of women were identified: (i) no FBs, (ii) infertile with intent, (iii) infertile without intent, (iv) other fertility problems, (v) miscarriages and (vi) situational barriers. Multiple regression analyses were used to compare groups with FBs. RESULTS: Sixty-one percent reported FBs and 28{\%} reported an inability to conceive for at least 12 months. The infertile with intent group had the highest FSD, which was largely explained by (a) self-identification as infertile and (b) seeking medical help for fertility. The no FB group had a mean Center for Epidemiological Studies Depression scale score above the commonly used cut-off of 16, although 23{\%} of the women with FBs did score above 16. CONCLUSIONS: FBs are common. Self-identification as infertile is the largest source of FSD. More women with FBs had elevated general distress than women without FBs; mean general distress was below 16 for all FB groups. It may be that, for some women (even those with children), FBs can have lasting emotional consequences, but many women do heal from the emotional distress that may accompany fertility difficulties.",
keywords = "Distress, Infertility, Survey",
author = "Jacob, {Mary Casey} and Julia McQuillan and Greil, {A. L.}",
year = "2007",
month = "1",
day = "1",
doi = "10.1093/humrep/del452",
language = "English (US)",
volume = "22",
pages = "885--894",
journal = "Human Reproduction",
issn = "0268-1161",
publisher = "Oxford University Press",
number = "3",

}

TY - JOUR

T1 - Psychological distress by type of fertility barrier

AU - Jacob, Mary Casey

AU - McQuillan, Julia

AU - Greil, A. L.

PY - 2007/1/1

Y1 - 2007/1/1

N2 - BACKGROUND: We examined fertility-specific distress (FSD) and general distress by type of fertility barrier (FB). METHODS: In a random sample telephone survey, 580 US women reported their fertility intentions and histories. Six groups of women were identified: (i) no FBs, (ii) infertile with intent, (iii) infertile without intent, (iv) other fertility problems, (v) miscarriages and (vi) situational barriers. Multiple regression analyses were used to compare groups with FBs. RESULTS: Sixty-one percent reported FBs and 28% reported an inability to conceive for at least 12 months. The infertile with intent group had the highest FSD, which was largely explained by (a) self-identification as infertile and (b) seeking medical help for fertility. The no FB group had a mean Center for Epidemiological Studies Depression scale score above the commonly used cut-off of 16, although 23% of the women with FBs did score above 16. CONCLUSIONS: FBs are common. Self-identification as infertile is the largest source of FSD. More women with FBs had elevated general distress than women without FBs; mean general distress was below 16 for all FB groups. It may be that, for some women (even those with children), FBs can have lasting emotional consequences, but many women do heal from the emotional distress that may accompany fertility difficulties.

AB - BACKGROUND: We examined fertility-specific distress (FSD) and general distress by type of fertility barrier (FB). METHODS: In a random sample telephone survey, 580 US women reported their fertility intentions and histories. Six groups of women were identified: (i) no FBs, (ii) infertile with intent, (iii) infertile without intent, (iv) other fertility problems, (v) miscarriages and (vi) situational barriers. Multiple regression analyses were used to compare groups with FBs. RESULTS: Sixty-one percent reported FBs and 28% reported an inability to conceive for at least 12 months. The infertile with intent group had the highest FSD, which was largely explained by (a) self-identification as infertile and (b) seeking medical help for fertility. The no FB group had a mean Center for Epidemiological Studies Depression scale score above the commonly used cut-off of 16, although 23% of the women with FBs did score above 16. CONCLUSIONS: FBs are common. Self-identification as infertile is the largest source of FSD. More women with FBs had elevated general distress than women without FBs; mean general distress was below 16 for all FB groups. It may be that, for some women (even those with children), FBs can have lasting emotional consequences, but many women do heal from the emotional distress that may accompany fertility difficulties.

KW - Distress

KW - Infertility

KW - Survey

UR - http://www.scopus.com/inward/record.url?scp=34247873058&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34247873058&partnerID=8YFLogxK

U2 - 10.1093/humrep/del452

DO - 10.1093/humrep/del452

M3 - Article

VL - 22

SP - 885

EP - 894

JO - Human Reproduction

JF - Human Reproduction

SN - 0268-1161

IS - 3

ER -