Skip to main content
Log in

Coping and Cognitive factors in adaptation toin vitro fertilization failure

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Characteristics were identified that predict adaptation following an unsuccessful attempt at in vitrofertilization (IVF). Forty-one women and their husbands were interviewed and administered questionnaires prior to IVF and 2 weeks after notice of a positive or negative pregnancy test. Of the 36 couples who failed to conceive as a result of IVF, 6 of the women studied developed clinical depressive symptoms. Those women who reported poorest adaptation to IVF failure were more likely to have reported depressive symptoms prior to IVF, were more likely to have reported feeling a general loss of control over their lives as a result of infertility, tended to use escape as a coping strategy, and reported having felt some responsibility for their IVF failure. Dispositional optimism, as well as a sense of being partially responsible for the infertility, was protective of distress following IVF failure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Affleck, G., Tennen, H., Croog, S., and Levine, S. (1987). Causal attribution, perceived benefits, and morbidity after a heart attack: An eight year study.J. Consult. Clin. Psychol. 55: 29–35.

    PubMed  Google Scholar 

  • Aidwin, C. A., and Revenson, T. A. (1987). Does coping help? A reexamination of the relation between coping and mental health.J. Personal. Soc. Psychol. 53: 337–348.

    Google Scholar 

  • Baram, D., Tourtelot, E., Eberhard, M., and Huang, K. E. (1988). Psychosocial adjustment following unsuccessfulin vitro fertilization.J. Psychosom. Obstet. Gynecol. 9: 181–190.

    Google Scholar 

  • Berg, B. J., and Wilson, J. F. (1990). Psychiatric morbidity in the infertile population: A reconceptuaiization.Fertil Steril. 53: 654–661.

    PubMed  Google Scholar 

  • Berkowitz, G. S. (1986). Epidemiology of infertility and early pregnancy wastage. In A. H. DeCherney (ed.),Reproductive Failure, Churchill-Livingstone, New York.

    Google Scholar 

  • Cohen, J., and Cohen, P. (1975).Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences, Erlbaum, Hillsdale, NJ.

    Google Scholar 

  • Dennerstein, L., and Morse, C. (1985). Psychological issues in 1VF.Clin. Obstet. Gynecol. 12: 835–846.

    Google Scholar 

  • Derogatis, L. R. (1975).Brief Symptom Inventory, Clinical Psychometric Research, Baltimore.

    Google Scholar 

  • Felton, B., and Revenson, T. (1984). Coping with chronic illness: A study of illness controllability and the influence of coping strategies on psychological adjustment.J. Consult. Clin. Psychol. 52: 343–353.

    PubMed  Google Scholar 

  • Folkman, S., and Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample.J. Health Soc. Behav. 21: 219–239.

    PubMed  Google Scholar 

  • Forsythe, C., and Compas, B. (1987). Interaction of cognitive appraisals of stressful events and coping. Testing the goodness of fit hypothesis.Cog. Ther. Res. 11: 473–485.

    Google Scholar 

  • Freeman, E. W., Boxer, A. S., Rickels, K., Tureck, R., and Mastroianni, L. (1985). Psychological evaluation and support in a program ofin vitro fertilization and embryo transfer.Fertil. Steril. 43: 48–53.

    PubMed  Google Scholar 

  • Garner, C. H. (19).In vitro fertilization and embryo transfer.JOGN Nurs. 12: 75–78.

    Google Scholar 

  • Greenfeld, D., Mazure, C., Haseltine, F. P., and DeCherney, A. H. (1983). The role of the social worker in thein-vitro fertilization program.Soc. Work Health Care 10: 71–79.

    Google Scholar 

  • Langer, E. J. (1983).The Psychology of Control, Sage, Beverly Hills, CA.

    Google Scholar 

  • Lazarus, R. S., and Folkman, S. (1984).Stress, Appraisal, and Coping, Springer, New York.

    Google Scholar 

  • Lefcourt, H. M. (1976).Locus of Control: Current Trends in Theory and Research, Halstead, New York.

    Google Scholar 

  • Leiblum, S. R., Kemmann, E., and Lane, M. K. (1987). The psychological concomitants ofin vitro fertilization.J. Psychosom. Obstet. Gynecol. 6: 165–178.

    Google Scholar 

  • Levenson, H. (1972). Distinctions within the construct of internal-external control: Development of a new scale. Proceedings of the 80th Annual Convention of the American Psychological Association, p. 261.

  • Litt, M. D. (1988). Cognitive mediators of stressful experience: Self-efficacy and perceived control.Cog. Ther. Res. 12: 241–260.

    Google Scholar 

  • Lubin, B. (1965). Adjective check list for the measurement of depression.Arch. Gen. Psychiat. 12: 57–62.

    PubMed  Google Scholar 

  • Mahlstedt, P. P., Macduff, S., and Bernstein, J. (1987). Emotional factors and thein vitro fertilization and embryo transfer process.J. Vitro Pert. Embryo Trans. 4: 232–236.

    Google Scholar 

  • Major, B., Mueller, P., and Hildebrandt, K. (1985). Attributions, expectations, and coping with abortion.J. Personal. Soc. Psychol. 48: 585–599.

    Google Scholar 

  • Manne, S., and Zautra, A. (1989). Spouse criticism and support: Their association with coping and psychological adjustment among women with rheumatoid arthritis.J. Personal. Soc. Psychol. 56: 608–617.

    Google Scholar 

  • Mazure, C. M., and Greenfeld, D. A. (1989). Psychological studies ofin vitro fertilization/embryo transfer participants.J. Vitro Fert. Embryo Trans. 6: 242–256.

    Google Scholar 

  • Mendola, R. A., Tennen, H., Affleck, G., McCann, L., and Fitzgerald, T. (1990). Appraisal and adaptation among women with impaired fertility.Cog. Ther. Res. 14: 79–92.

    Google Scholar 

  • Metalsky, G. I., Halberstadt, L. J., and Abramson, L. Y. (1987). Vulnerability to depressive mood reactions: Toward a more powerful test of the diathesis-stress and causal mediation components of the reformulated theory of depression.J. Personal. Soc. Psychol. 52: 386–393.

    Google Scholar 

  • Newton, C. R., Hearn, M. T., and Yuzpe, A. A. (1990). Psychological assessment and follow-up afterin-vitro fertilization: Assessing the impact of failure.Fertil. Steril. 54: 879–886.

    PubMed  Google Scholar 

  • Parker, J., McCrae, C., Snarr, K., Beck, N., Frank, R., Anderson, S., and Walker, S. (1988). Coping strategies in rheumatoid arthritis.J. Rheum. 15: 1376–1383.

    PubMed  Google Scholar 

  • Rothbaum, F., Weisz, J. R., and Snyder, S. S. (1982). Changing the world and changing the self: A two-process model of perceived control.J. Personal. Soc. Psychol. 42: 5–37.

    Google Scholar 

  • Scheier, M. F., and Carver, C. S. (1985). Optimism, coping and health: Assessment and implications of generalized outcome expectancies.Health Psychol. 4: 219–247.

    PubMed  Google Scholar 

  • Scheier, M. F., and Carver, C. S. (1987). Dispositional optimism and physical well-being: The influence of generalized outcome expectancies on health.J. Personal. 55: 169–210.

    Google Scholar 

  • Scheier, M. F., Weintraub, J. K., and Carver, C. S. (1986). Coping with stress: Divergent strategies of optimists and pessimists.J. Personal. Soc. Psychol. 51: 1257–1264.

    Google Scholar 

  • Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, S. R., Lefebvre, R. C., Abbott, R. A., and Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being.J. Personal. Soc. Psychol. 57: 1024–1040.

    Google Scholar 

  • Seibel, M. M., and Levin, S. (1987). A new era in reproduction technologies: The emotional stages ofin-vitro fertilization.J. Vitro Pert. Embryo Trans. 4: 135–140.

    Google Scholar 

  • Seligman, M. E. P. (1975).Helplessness, W. H. Freeman, San Francisco.

    Google Scholar 

  • Spanier, G. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads.J. Man. Family 38 (Feb): 15–28.

    Google Scholar 

  • Stanton, A., Tennen, H., Affleck, G., and Mendola, R. A. (1992). Cognitive appraisal, coping processes, and adjustment to infertility.J. Soc. Clin. Psychol. (in press).

  • Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation.Am. Psychologist 38: 1161–1173.

    Google Scholar 

  • Taylor, S. E., and Brown, J. (1988). Illusion and well-being A social-psychological perspective on mental health.Psychol. Bull. 103: 193–210.

    PubMed  Google Scholar 

  • Tennen, H., and Affleck, G. (1987). The benefits and cost of optimistic explanations and dispositional optimism.J. Personal. 55: 377–393.

    Google Scholar 

  • Tennen, H., and Affleck, G. (1990). Blaming others for threatening events.Psychol. Bull. 108: 209–232.

    Google Scholar 

  • Tennen, H., Affleck, G., and Gershman, K. (1986). Self-blame among parents of infants with perinatal complications: The role of self-protective motives.J. Personal Soc. Psychol. 50: 690–696.

    Google Scholar 

  • Timko, C., and Janoff-Bulman, R. (1982). Attributions, vulnerability, and psychological adjustment: The case of breast cancer.Health Psychol. 4: 521–544.

    Google Scholar 

  • Vieyra, M. A., Tennen, H., Affleck, G., Allen, G., and McCann, L. (1990). The effects of gender and measurement strategy on causal attributions for infertility.Basic Appl. Soc. Psychol. 11: 219–232.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported in part by the Department of Obstetrics and Gynecology, University of Connecticut Health Center.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Litt, M.D., Tennen, H., Affleck, G. et al. Coping and Cognitive factors in adaptation toin vitro fertilization failure. J Behav Med 15, 171–187 (1992). https://doi.org/10.1007/BF00848324

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00848324

Key words

Navigation