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.
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.
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.
Baram, D., Tourtelot, E., Eberhard, M., and Huang, K. E. (1988). Psychosocial adjustment following unsuccessfulin vitro fertilization.J. Psychosom. Obstet. Gynecol. 9: 181–190.
Berg, B. J., and Wilson, J. F. (1990). Psychiatric morbidity in the infertile population: A reconceptuaiization.Fertil Steril. 53: 654–661.
Berkowitz, G. S. (1986). Epidemiology of infertility and early pregnancy wastage. In A. H. DeCherney (ed.),Reproductive Failure, Churchill-Livingstone, New York.
Cohen, J., and Cohen, P. (1975).Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences, Erlbaum, Hillsdale, NJ.
Dennerstein, L., and Morse, C. (1985). Psychological issues in 1VF.Clin. Obstet. Gynecol. 12: 835–846.
Derogatis, L. R. (1975).Brief Symptom Inventory, Clinical Psychometric Research, Baltimore.
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.
Folkman, S., and Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample.J. Health Soc. Behav. 21: 219–239.
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.
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.
Garner, C. H. (19).In vitro fertilization and embryo transfer.JOGN Nurs. 12: 75–78.
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.
Langer, E. J. (1983).The Psychology of Control, Sage, Beverly Hills, CA.
Lazarus, R. S., and Folkman, S. (1984).Stress, Appraisal, and Coping, Springer, New York.
Lefcourt, H. M. (1976).Locus of Control: Current Trends in Theory and Research, Halstead, New York.
Leiblum, S. R., Kemmann, E., and Lane, M. K. (1987). The psychological concomitants ofin vitro fertilization.J. Psychosom. Obstet. Gynecol. 6: 165–178.
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.
Lubin, B. (1965). Adjective check list for the measurement of depression.Arch. Gen. Psychiat. 12: 57–62.
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.
Major, B., Mueller, P., and Hildebrandt, K. (1985). Attributions, expectations, and coping with abortion.J. Personal. Soc. Psychol. 48: 585–599.
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.
Mazure, C. M., and Greenfeld, D. A. (1989). Psychological studies ofin vitro fertilization/embryo transfer participants.J. Vitro Fert. Embryo Trans. 6: 242–256.
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.
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.
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.
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.
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.
Scheier, M. F., and Carver, C. S. (1985). Optimism, coping and health: Assessment and implications of generalized outcome expectancies.Health Psychol. 4: 219–247.
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.
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.
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.
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.
Seligman, M. E. P. (1975).Helplessness, W. H. Freeman, San Francisco.
Spanier, G. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads.J. Man. Family 38 (Feb): 15–28.
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.
Taylor, S. E., and Brown, J. (1988). Illusion and well-being A social-psychological perspective on mental health.Psychol. Bull. 103: 193–210.
Tennen, H., and Affleck, G. (1987). The benefits and cost of optimistic explanations and dispositional optimism.J. Personal. 55: 377–393.
Tennen, H., and Affleck, G. (1990). Blaming others for threatening events.Psychol. Bull. 108: 209–232.
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.
Timko, C., and Janoff-Bulman, R. (1982). Attributions, vulnerability, and psychological adjustment: The case of breast cancer.Health Psychol. 4: 521–544.
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.
Author information
Authors and Affiliations
Additional information
This work was supported in part by the Department of Obstetrics and Gynecology, University of Connecticut Health Center.
Rights 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
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00848324