Religious Women’s Coping with Infertility: Do Culturally Adapted Religious Coping Strategies Contribute to Well-Being and Health?
Infertility is a source of stress, particularly in pronatalist societies in which a lifestyle without children is viewed as an unacceptable option. The present study examined the relationship between the use of culturally adapted religious coping strategies and emotional adjustment among women coping with fertility problems.
This is a cross-sectional correlational study. One hundred and eighty-six religious Israeli women undergoing fertility treatment filled out questionnaires assessing their use of culturally adapted religious coping strategies and emotional adjustment (distress/well-being).
A path analysis showed that the culturally adapted religious coping strategies of seeking the support of Rabbis and seeking the support of God had a strong correlation with reduced psychological distress, but not with enhanced psychological well-being. Seeking approval and recognition from the community was correlated with reduced distress and enhanced well-being. However, seeking ties and belonging to the community was correlated with increased psychological distress and reduced psychological well-being. Finally, women without children experienced greater psychological distress than women with children and sought more support of Rabbis and fewer ties with the community.
In a pronatalist culture that sanctifies childbirth, infertility is a source of significant distress. Professionals’ awareness of the culturally adapted religious coping strategies utilized by their clients may help them conduct culturally sensitive intervention, which may greatly help to enhance emotional adjustment. Future research is recommended to develop instruments that measure culturally adapted strategies and their influence on emotional adjustment over time, in different states of health while comparing different cultures.
KeywordsInfertility Sociocultural Coping Religion Distress Well-being
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 14.Israel Ministry of Health. 2017. https://www.health.gov.il/Subjects/fertility/ovum_donation. Accessed Apr 09, 2018.
- 16.Haelyon H. “Longing for a child”: perceptions of motherhood among Israeli-Jewish women undergoing in vitro fertilization treatments. A J Of Jewish. 2006;12:177–202.Google Scholar
- 19.Israel Ministry of Health. 2010. https://www.health.gov.il/UnitsOffice/HD/MTI/info/Pages. Accessed Apr 09, 2018.
- 20.Chandra A, Martinez GM, Mosher WD, Abma JC, Jones J. Fertility, family planning, and reproductive health of US women; data from the 2002 National Survey of Family Growth. Vital Health Stat. 2005;23(25):1–174.Google Scholar
- 21.Knesset Research and Information Center. 2012. http://main.knesset.gov.il/Activity/Info/MMM/Pages/search.aspx?mode=advancedPlusText&searchValue. Accessed Apr 05, 2018.
- 25.Sheleg Y. The new religious: a contemporary look at religious society in Israel. Jerusalem: Keter Press; 2000.Google Scholar
- 27.Kulik L. The sense of empowerment, life values, and the centrality of working life among ultra-Orthodox Jewish women in the labor market. Ramat Gan: University Press; 2012.Google Scholar
- 28.Weizmann G. “Give me children or else I dead”: orthodox Jewish perspectives on fertility. In: Blyth E, Landau R, editors. Faith and fertility: attitudes towards reproductive practices in different religions from ancient to modern times. London: Jessica Kingsley Publishers; 2009. p. 205–24.Google Scholar
- 32.Koenig HG, King DE, Carson VB. Handbook of religion and health. 2nd ed. New York: Oxford University Press; 2012.Google Scholar
- 33.Pargament KI. The psychology of religion and coping: theory, research, practice. New York: Guilford Press; 1997.Google Scholar
- 34.Pargament KI. Spiritually integrated psychotherapy. New York: Guilford Press; 2007.Google Scholar
- 40.Firer M. Seeking professional psychological help in the ultra-Orthodox population. Ramat Gan: University Press; 2001.Google Scholar
- 42.Beit-Hallahmi B, Argyle M. The psychology of religious behavior belief and experience. London: Routledge Press; 1997.Google Scholar
- 44.Ben-Meir Y, Kedem PA. Measure of religiosity for the Jewish population of Israel. Megamot. 1979;24(3):353–62.Google Scholar
- 48.Kline RB. Principles and practice of structural equation modeling. New York: The Guilford Press; 2005.Google Scholar
- 49.Leventhal H, Meyer D, Nerenz DR. The common sense representation of illness danger. In: Rachman S, editor. Contributions to medical psychology. New York: Pargamon Press; 1980. p. 17–30.Google Scholar
- 56.Hill PC, Pargament KI. Advances in the conceptualization and measurement of religion and spirituality: implications for physical and mental health research. Am Psychol. 2008;S(1):3–17.Google Scholar