Abstract
Twenty infertile couples participated in the present study to investigate psychological, marital, and sexual adjustment, specifically as related to length of time they had been in treatment. The instruments administered were the SCL-90-R (Symptom Checklist), Dyadic Adjustment Scale (DAS), and Index of Sexual Satisfaction (1SS). Findings indicated marital and sexual adjustment did not adversely relate to length of time infertile couples had been seeking medical attention. However, psychological distress was evident, especially for husbands during the time when treatment regimens begin. Psychological intervention may help normalize feelings, provide practical information related to the experience of infertility treatment, assess coping skills, and evaluate expectations. In addition, clinicians must implement any type of psychological intervention with both members of the infertile couple, regardless of which spouse is receiving the medical treatment.
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REFERENCES
American Psychological Association. (1992). Ethical principles of psychologists and code of conduct. Am. Psychol. 47: 1597–1611.
Andrews, F. M., Abbey, A., and Halman, L. J. (1991). Stress from infertility, marriage factors, and subjective well-being of wives and husbands. J. Health Soc. Behav. 32: 238–253.
Berg, B. J., and Wilson, J. F. (1991). Psychological functioning across stages of treatment for infertility. J. Behav. Med. 14: 11–26.
Bresnick, E. R. (1981). A holistic approach to the treatment of the crisis of infertility. J. Mar. Fam. Ther. 7: 181–188.
Butler, R. R., and Koraleski, S. (1990). Infertility: A crisis with no resolution. J. Ment. Health Counsel. 12: 151–163.
Daniluk, J. C. (1988). Infertility: Intrapersonal and interpersonal impact. Fertil. Steril. 49: 982–990.
Derogatis, L. R. (1992). SCL-90-R Administration, Scoring, & Procedures Manual-II for the R(evised) Version and Other Instruments of the Psychopathology Rating Scale Series (2nd Ed.), Clinical Psychometric Research, Towson, MD.
Downey, J., and McKinney, M. (1992). The psychiatric status of women presenting for infertility evaluation. Am. J. Orthopsychiatry 62: 196–205.
Forrest, L., and Gilbert, M. S. (1992). Infertility: An unanticipated and prolonged life crisis. J. Ment. Health Counsel. 14: 42–58.
Greil, A. L., Porter, K. L., and Leitko, T. A. (1989). Sex and intimacy among infertile couples. J. Psychol. Human Sexual. 2: 117–138.
Hudson, W. W. (1992). Walmyr Assessment Scales Scoring Manual, Walmyr, Tempe, AZ.
Judd, C. M., and McClelland, G. H. (1989). Data Analysis: A Model-Comparison Approach, Harcourt Brace Jovanovich, New York.
Mahlstedt, P. P. (1985). The psychological component of infertility. Fertil. Steril. 43: 335–346.
Matthews, R., and Matthews, A. M. (1986). Infertility and involuntary childlessness: The transition to nonparenthood. J. Marri. Fam. 48: 641–649.
McDaniel, S. H., Hepworth, J., and Doherty, W. (1992). Medical family therapy with couples facing infertility. Am. J. Fam. Ther. 20: 101–122.
McEwan, K. L., Costello, C. G., and Taylor, P.J. (1987). Adjustment to infertility. J. Abnorm. Psychol. 96: 108–116.
Menning, B. E. (1980). The emotional needs of infertile couples. Fertil. Steril. 34: 313–319.
Raval, H., Slade, P., Buck, P., and Lieberman, B. E. (1987). The impact of infertility on emotions and the marital and sexual relationship. J. Reprod. Infant Psychol. 5: 221–234.
Salzer, L. P. (1991). Surviving Infertility (rev. Ed.), Harper Perennial, New York.
Seibel, M. M., and Taymor, M. L. (1982). Emotional aspects of infertility. Fertil. Steril. 37: 137–145.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J. Marri. Fam. 38: 15–28.
Valentine, D. P. (1986). Psychological impact of infertility: Identifying issues and needs. Soc. Work in Health Care 11: 61–69.
Williams, L., Bischoff, R., and Ludes, J. (1992). A biopsychosocial model for treating infertility. Contemp. Fam. Ther. 14: 309–322.
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Markestad, C.L., Montgomery, L.M. & Bartsch, R.A. Infertility and Length of Medical Treatment Effects on Psychological, Marital, and Sexual Functioning. International Journal of Rehabilitation and Health 4, 233–243 (1998). https://doi.org/10.1023/A:1022966829561
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DOI: https://doi.org/10.1023/A:1022966829561