Skip to main content
Log in

Psychodrama and the Emotional State of Women Dealing with Infertility

  • Commentary
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

This study aims to investigate the effects of psychodrama on feelings of depression, anxiety, and hopelessness, as well as the level of self-esteem in female patients with infertility. The study sample consisted of 30 female patients with infertility, who applied to the In Vitro Fertilisation Unit of a university hospital in Ankara. Initially, Beck’s Depression Inventory, Beck’s Anxiety Inventory, Beck’s Hopelessness Scale, and the Rosenberg Self-Esteem Scale were administered to recruited patients twice, before and after the start of the psychodrama practice. 8 weeks of psychodrama were practised with the sample group for 3 h per week. In each group session, the aim was for women to acknowledge their emotions and share their challenges during the infertility treatment process through psychodrama games. The IBM SPSS Statistics 21.0 program (Istanbul, Turkey), Shapiro–Wilk test, Mann–Whitney U test, and Wilcoxon test were used for statistical analysis and calculation. The results showed significant differences between participants’ pre and post-test scores on Beck’s Depression, Beck’s Anxiety, Beck’s Hopelessness, and the Rosenberg Self-Esteem Scale. However, there was no significant difference between participants’ pre and post-test scores on Beck’s Anxiety Inventory; post-test scores were lower than pre-test scores. It was shown that group therapy for female patients with infertility. This result shows that psychodrama may enhance self-esteem, despair, anxiety and depression.

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

  1. Lee, S.H.: Effects of using a nursing crisis intervention program on psychosocial responses and coping strategies of infertile women during invitro fertilization. J. Nurs. Res. 11(3), 197–208 (2003)

    Article  Google Scholar 

  2. Özçelik, B., Karamustafalıoğlu, O., Özçelik, A.: Psychological and psychiatric aspects of infertility. Anatol. J. Psychiatry 8, 140–148 (2007)

    Google Scholar 

  3. Vizheh, M., Pakgohar, M., Rouhi, M., Veisy, A.: Impact of gender infertility diagnosis on marital relationship in infertile couples: a couple based study. Sex. Disabil. 33, 457–468 (2015). https://doi.org/10.1007/s11195-015-9417-5

    Article  Google Scholar 

  4. Andrews, F.M., Abbey, A., Halman, L.J.: Stress from infertility, marriage factors and subjective well-being of wives and husbands. J. Health Soc. Behav. 32, 238–253 (1991)

    Article  PubMed  Google Scholar 

  5. Gourounti, K., Anagnostopoulos, F., Potamianos, G., et al.: Perception of control, coping and psychological stress of infertile women undergoing women undergoing IVF. Reprod. Biomed. Online. 24(6), 670–679 (2012)

    Article  PubMed  Google Scholar 

  6. Valentin, D.P.: Psychological impact of infertility: identifying issues and needs. Social Work Health Care 11(4), 61–69 (1986)

    Article  Google Scholar 

  7. Moller, A., Fallstrom, K.: Psychological factors in the etiology of infertility: a longitudinal study. J. Psychosom. Obstet. Gynecol. 12(1), 13–21 (1991)

    Article  Google Scholar 

  8. Stewart, D.E., Robinson, G.E.: Infertility by choice or by nature. Can. J. Psychiatry/La Revue canadienne de psychiatrie. 34, 866–871 (1989)

    Article  Google Scholar 

  9. Collins, A., Freeman, E.W., Boxer, A.S., et al.: Perceptions of infertility and treatment stress in females as compared with males entering invitro fertilization treatment. Fertil. Steril. 57, 350–356 (1992)

    Article  PubMed  Google Scholar 

  10. Golombok, S.: Psychological functioning in infertility patients. Hum. Reprod. 7, 208–212 (1992)

    Article  PubMed  Google Scholar 

  11. Boivin, J., Takefman, J.E.: Stress level across stages of invitro fertilization in subsequently pregnant and nonpregnant woman. Fertil. Steril. 64(4), 802–810 (1995)

    Article  PubMed  Google Scholar 

  12. Beutel, M., Kupfer, J., Kirchmeyer, P., et al.: Treatment-related stresses and depression in couples undergoing assisted reproductive treatment by IVF or ICSI. Andrologia. 31(1), 27–35 (1999)

    Article  PubMed  Google Scholar 

  13. Mogobe, D.K.: Denying and preserving self: batswana women’s experiences of infertility. Afr. J. Reprod. Health. 9, 26–37 (2005)

    Article  PubMed  Google Scholar 

  14. Cedars, M.I.: Infertility: Practical Pathways in Obstetrics and Gynecology. McGraw-Hill, New York (2005)

    Google Scholar 

  15. Orji, E.O., Ogunniyi, S.O.: Sexual behavior of infertile Nigerian women. J. Obstet. Gynaecol. 21(3), 303–305 (2001)

    Article  PubMed  Google Scholar 

  16. Audu, B.M.: Sexual dysfunction among infertile Nigerian women. J. Obstet. Gynaecol. 22(6), 655–657 (2002)

    Article  PubMed  Google Scholar 

  17. Braverman, A.M.: Psychosocial aspects of infertility: sexual dysfunction. Int. Congr. Ser. 1266, 270–276 (2004)

    Article  Google Scholar 

  18. Lee, T., Sun, G.H., Chao, S.C.: The effect of an infertility diagnosis on treatment-related stresses. Arch. Androl. 46, 67–71 (2001)

    Article  PubMed  Google Scholar 

  19. Wischmann, T.H.: Psychogenic infertility—myths and facts. J. Assist. Reprod. Genet. 20, 485–494 (2003)

    Article  PubMed  PubMed Central  Google Scholar 

  20. Pio-Abreu, L. J., Oliveira-Villares, C.: Psikodramaya bir kaos kuramı bakışı. In: Baim, C., Burmeister, J., Maciel, M. (eds.) Psikodrama kuram ve uygulamadaki gelişmeler. London (2007)

  21. Holmes, P., Karp, M., Watson, M.: Psychodrama Theory and Practice Innovation Since Moreno, Part 2 Spontaneity and Creativity. Routledge, London (2005)

    Google Scholar 

  22. Su, T.J., Chen, H.F., Chen, Y.C., et al.: Factors related to meaning of life in Taiwanese women treated with in vitro fertilization. J. Formos. Med. Assoc. 105(5), 404–413 (2006)

    Article  PubMed  Google Scholar 

  23. Domar, A.D., Broome, A., Zuttermeister, P.C., Seibel, M., Friedman, R.: The prevalence and predictability of depression in infertile woman. Fertil. Steril. 58(6), 1158–1163 (1992)

    Article  PubMed  Google Scholar 

  24. Emery, M., Beran, M.D., Darwiche, J., et al.: Results from a prospective, randomized, controlled study evaluating the acceptability and effects of routinepre-IVF counselling. Hum. Reprod. 18, 2647–2653 (2003)

    Article  PubMed  Google Scholar 

  25. Pasch, L.A., Dunkel-Schetter, C., Christensen, A.: Differences between husbands’ and wives’ approach to infertility affect marital communication and adjustment. Fertil. Steril. 77(6), 1241–1247 (2002)

    Article  PubMed  Google Scholar 

  26. de Klerk, C., Hunfeld, J.A.M., Duivenvoorden, H.J., den Outer, M.A., Fauser, B.C.J.M., Passchier, J., et al.: Effectiveness of a psychosocial counseling intervention for first-time IVF couples: a randomized controlled trial. Hum. Reprod. 20(5), 1333–1338 (2005)

    Article  PubMed  Google Scholar 

  27. Lee, T., Sun, G.H.: Psychosocial response of Chinese infertile husbands and wives. Arch. Androl. 45, 143–148 (2000)

    Article  PubMed  Google Scholar 

  28. Tuschen-Caffier, B., Florin, I., Krause, W., et al.: Cognitive-behavioral therapy for idiopathic infertile couples. Psychother. Psychosom. 68, 15–21 (1999)

    Article  PubMed  Google Scholar 

  29. Çuhardaroğlu, F.: Self-esteem in adolescents. Thesis, Hacettepe University Medical School Department of Psychiatry. Ankara (1986

  30. Hisli, N.: A study of the validity of the Beck’s Depression Inventory. Turk. J. Psychol. 6(22), 118–122 (1988)

    Google Scholar 

  31. Hisli, N.: The validity and reliability of the Beck’s Depression Inventory for college students. Turk. J. Psychol. 7(23), 3–13 (1989)

    Google Scholar 

  32. Beck, A.T., Epstein, N., Brown, G., et al.: Differentiating anxiety from depression: a test of the cognitive content-specificity hypothesis. J. Abnorm. Psychol. 96, 179–183 (1988)

    Article  Google Scholar 

  33. Seber, G., Dilbaz, N., Kaptanoğlu, C., et al.: Hopelessness Scale: validity and reliability. J. Crisis. 1, 139–142 (1993)

    Google Scholar 

  34. Durak, A., Palabıyıkoğlu, R.: Validity of the Beck’s Hopelessness Scale. J. Crisis. 2, 311–319 (1994)

    Google Scholar 

  35. Hämmerli, K., Znoj, H., Barth, J.: The efficacy of psychological interventions for infertile patients. Hum. Reprod. Update. 15, 279–295 (2009)

    Article  PubMed  Google Scholar 

  36. Mosalanejad, L., Khodabakshi-Koolaee, A., Jamali, S.: Effect of cognitive behavioral therapy in mental health and hardiness of infertile women receiving assisted reproductive therapy (ART). Iran. J. Reprod. Med. 10(5), 483–488 (2012)

    PubMed  PubMed Central  Google Scholar 

  37. Domar, A.D., Clapp, D., Slawsby, E.A., et al.: Impact of group psychological interventions on pregnancy rates in infertile woman. Fertil. Steril. 73(4), 805–811 (2000)

    Article  PubMed  Google Scholar 

  38. De Liz, T.M., Strauss, B.: Differential efficacy of group and individual/couple psychotherapy with infertile patients. Hum. Reprod. 20(5), 1324–1332 (2005)

    Article  PubMed  Google Scholar 

  39. Kupka, M.S., Dorn, C., et al.: Stress relief after infertility treatment—spontaneous conception, adoption and psychological counselling. Eur. J. Obstet. Gynecol. Reprod. Biol. 110, 190–195 (2003)

    Article  PubMed  Google Scholar 

  40. Mosalanejad, L., Koolee, A.K.: Looking at infertility treatment through the lens of the meaning of life: the effect of group logotherapy on psychological distress in infertile women. Int. J. Fertil. Steril. 6(4), 224–231 (2013)

    PubMed  PubMed Central  Google Scholar 

  41. Hughes, E.G., da Silva, A.M.: A pilot study assessing art therapy as a mental health intervention for subfertile women. Hum. Reprod. 26(3), 611–615 (2011)

    Article  PubMed  Google Scholar 

  42. Vizheh, M., Pakgohar, M., Babaei, G., Ramezanzadeh, F.: Effect of counseling on quality of marital relationship of infertile couples: a randomized, co ntrolled trial (RCT) study. Arch. Gynecol. Obstet. 287, 583–589 (2013). https://doi.org/10.1007/s00404-012-2595-9

    Article  PubMed  Google Scholar 

Download references

Funding

This work was partially funded by the researchers.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Candan Terzioğlu.

Ethics declarations

Conflict of interest

Both authors declares that they have no conflict of interest.

Ethical Approval

All of the 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

Online informed consent was stated and therefore obtained from all individual participants included in the study. No sensitive or identifiable data were collected for the purpose of this study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Terzioğlu, C., Özkan, B. Psychodrama and the Emotional State of Women Dealing with Infertility. Sex Disabil 36, 87–99 (2018). https://doi.org/10.1007/s11195-017-9514-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11195-017-9514-8

Keywords

Navigation