The Self-regulation Model (SRM) proposed by Leventhal and colleagues (H. Leventhal, Meyer, & Nerenz, 1980) argues that cognitive representations of a health threat guide coping with the threat, which in turn affects physical and emotional outcomes. The current study tested these hypothesized relationships between cognitive perceptions of infertility, ways of coping with infertility and its treatment, and emotional outcomes, in a sample of 310 women undergoing treatment for infertility. The data provided evidence for direct and indirect relationships between cognitions and emotions and underscored the importance of examining illness cognitions and attending to both positive and negative emotions in research and therapy.
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Abbey, A., & Halman, L. J. (1995). The role of perceived control, attributions, and meaning in members' of infertile couples well-being. Journal of Social and Clinical Psychology, 14(3), 271-296.
Aspinwall, L. G. (1998). Rethinking the role of positive affect in self-regulation. Motivation and Emotion, 22(1), 1-32.
Bandalos, D. L. (2002). The effects of item parceling on goodness-of-fit and parameter estimate bias in structural equation modeling. Structural Equation Modeling, 9, 78-102.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
Becker, G., & Nachtigall, R. D. (1994). 'Born to be a mother': The cultural construction of risk in infertility treatment in the U.S. Social Science and Medicine, 39(4), 507-518.
Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software, Inc.
Benyamini, Y. (2003). Hope and fantasy among women coping with infertility and its treatments. In R. Jacoby & G. Keinan (Eds.), Between stress and hope: from a disease-centered to a health-centered perspective(pp. 141-166). Westport, CI: Praeger.
Benyamini, Y., & Garfinkel, D. (1999, February 22-23). The relationship between the perception of heart disease, spouse support, and coping with the disease among elderly people. Paper presented at the the 13th Biannual Meeting of the Israeli Gerontological Society, Jerusalem, Israel.
Benyamini, Y., Geffen-Bardarian, Y., Gozlan, M., Tabiv, G., Shiloh, S., & Kokia, E. (2004). Coping specificity: The case of women coping with infertility treatments.Manuscript submitted for publication.
Benyamini, Y., Gozlan, M., & Kokia, E. (in press). Variability in the difficulties experienced by women undergoing infertility treatments. Fertility and Sterility.
Benyamini, Y., & Idler, E. L. (1999). Community studies reporting association between self-rated health and mortality: Additional studies, 1995-1998. Research on Aging, 21(3), 392-401.
Benyamini, Y., Idler, E. L., Leventhal, H., & Leventhal, E. A. (2000). Positive affect and function as Influences on self-assessments of health: Expanding our view beyond illness and disability. Journal of Gerontology: Psychological Sciences, 55B, P107-P116.
Boivin, J., & Takefman, J. E. (1995). Stress levels across stages of in vitro fertilization in subsequently pregnant and nonpregnant women. Fertility and Sterility, 64(4), 802-810.
Campbell, S. M., Dunkel-Schetter, C., & Peplau, L. A. (1991). Perceived control and adjustment to infertility among women undergoing in vitro fertilization. In A. L. Stanton & C. Dunkel-Schetter (Eds.), Infertility: Perspectives from stress and coping research(pp. 133-156). New York: Plenum.
Cook, E. P. (1987). Characteristics of the biopsychosocial crisis of infertility. Journal of Counseling and Development, 65, 465-470.
Demyttenaere, K., Bonte, L., Gheldof, M., Vervaeke, M., Meuleman, C., Vanderschuerem, D., et al. (1998). Coping style and depression level influence outcome in in vitro fertilization. Fertility and Sterility, 69(6), 1026-1033.
Domar, A. D. (2004). Impact of psychological factors on dropout rates in insured infertility patients. Fertility & Sterility, 81(2), 271-273.
Domar, A. D., Zuttermeister, P. C., & Friedman, R. (1993). The psychological impact of infertility: a comparison with patients with other medical conditions. Journal of Psychosomatic Obstetrics and Gynaecology, 14(Special Issue), 45-52.
Edelmann, R. J., Connolly, K. J., & Bartlett, H. (1994). Coping strategies and psychological adjustment of couples presenting for IVF. Journal of Psychosomatic Research, 38(4), 355-364.
Folkman, S., & Moskowitz, J. T. (2000). Positive affect and the other side of coping. American Psychologist, 55(6), 647-654.
Forsythe, C. J., & Compas, B. E. (1987). Interaction of cognitive appraisals of stressful events and coping: Testing the goodness of fit hypothesis. Cognitive Therapy and Research, 11(4), 473-485.
Fortune, D. G., Richards, H. L., Griffiths, C. E. M., & Main, C. J. (2002). Psychological stress, distress and disability in patients with psoriasis: Consensus and variation in the contribution of illness perceptions, coping and alexithymia. British Journal of Clinical Psychology, 41, 157-174.
Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300-319.
Greil, A. L. (1997). Infertility and psychological distress: A critical review of the literature. Social Science and Medicine, 45(11), 1679-1704.
Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness repre-sentations. Psychology and Health, 18(2), 141-184.
Hansell, P., Thorn, B. E., Prentice-Dunn, S., & Floyd, D. (1998). The relationship of primary appraisals of infertility and other gynecological stressors to coping. Journal of Clinical Psychology in Medical Settings, 5(2), 133-145.
Heijmans, M. (1998). Coping and adaptive outcome in chronic fatigue syndrome: Importance of illness cognitions. Journal of Psychosomatic Research, 45(1), 39-51.
Heijmans, M. (1999). The role of patients' illness representations in coping and functioning with Addison's disease. British Journal of Health Psychology, 4, 137-149.
Helder, D. I., Kaptein, A. A., Van Kempen, G. M., Weinman, J., Van Houwelingen, J. C., & Roos, R. A. (2002). Living with Huntington's disease: Illness perceptions, coping mechanisms, and spouses' quality of life. International Journal of Behavioral Medicine, 9(1), 37-52.
Hu, L.-t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equations Modeling, 6(1), 1-55.
Hynes, G. J., Callan, V. J., Terry, D. J., & Gallois, C. (1992). The psychological well-being of infertile women after a failed IVF attempt: The effects of coping. British Journal of Medical Psychology, 65, 269-278.
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of 27 community studies. Journal of Health and Social Behavior, 38(1), 21-37.
Kemp, S., Morley, S., & Anderson, E. (1999). Coping with epilepsy: Do illness representations play a role? British Journal of Clinical Psychology, 38, 43-58.
Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work together? Mediators, moderators, and independent, overlapping and proxy risk factors. American Journal of Psychiatry, 158(6), 848-856.
Lau, R. R., & Hartman, K. A. (1983). Common sense representations of common illnesses. Health Psychology, 2, 167-185.
Leventhal, H., Meyer, D., & Nerenz, D. R. (1980). The common sense representation of illness danger. In S. Rachman (Ed.), Contributions to medical psychology(Vol. 2, pp. 17-30). New York: Pargamon.
Leventhal, H., Nerenz, D. R., & Steele, D. J. (1984). Illness representations and coping with health threats. In A. Baum, S. E. Taylor, & J. E. Singer (Eds.), Handbook of psychology and health(Vol. 4, pp. 219-252). Hillsdale, NJ: Erlbaum.
Litt, M. D., Tennen, H., Affleck, G., & Klock, S. (1992). Coping and cognitive factors in adaptation to in vitro fertilization failure. Journal of Behavioral Medicine, 15(2), 171-187.
Lucas, R. E., Diener, E., & Suh, E. (1996). Discriminant validity of well-being measures. Journal of Personality and Social Psychology, 71(3), 616-628.
Mendola, R., Tennen, H., Affleck, G., McCann, L., & Fitzgerald, T. (1990). Appraisal and adaptation among women with impaired fertility. Cognitive Therapy and Research, 14(1), 79-93.
Menning, B. E. (1980). The emotional needs of infertile couples. Fertility and Sterility, 34(4), 313-319.
Merari, D., Feldberg, D., Elizur, A., Goldman, J., & Modan, B. (1992). Psychological and hormonal changes in the course of in vitro fertilization. Journal of Assisted Reproduction and Genetics, 9(2), 161-169.
Moss-Morris, R., Petrie, K. J., & Weinman, J. (1996). Functioning in chronic fatigue syndrome: Do illness perceptions play a regulatory role? British Journal of Health Psychology, 1, 15-25.
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L. D., & Buick, D. (2002). The revised Illness Perception Questionnaire (IPQ-R). Psychology and Health, 17, 1-16.
Newton, C. R., Sherrard, W., & Glavac, I. (1999). The fertility problem inventory: Measuring perceived infertility-related stress. Fertility and Sterility, 72(1), 54-62.
Olivius, C., Friden, B., Borg, G., & Bergh, C. (2004). Why do couples discontinue in vitro fertilization treatment? A cohort study. Fertility and Sterility, 81(2), 258-261.
Petrie, K. J., Cameron, L., Ellis, C. J., Buick, D., & Weinman, J. (2002). Changing illness perceptions after myocardial infarction: An early intervention randomized controlled trial. Psychosomatic Medicine, 64(4), 580-586.
Petrie, K. J., & Weinman, J. A. (Eds.). (1997). Perceptions of health and illness. Amsterdam: Harwood Academic.
Petrie, K. J., Weinman, J., Sharpe, N., & Buckley, J. (1996). Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: Longitudinal study. BMJ, 312, 1191-1194.
Rutter, C. L., & Rutter, D. R. (2002). Illness representation, coping and outcome in irritable bowel syndrome (IBS). British Journal of Health Psychology, 7, 377-391.
Scharloo, M., Kaptein, A. A., Weinman, J., Hazes, J. M., Willems, L. N. A., Bergman, W., et al. (1998). Illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. Journal of Psychosomatic Research, 44(5), 573-585.
Schenker, J. G., Meirow, D., & Schenker, E. (1992). Stress and human reproduction. European Journal of Obstetrics and Gynecology and Reproductive Biology, 45, 1-8.
Schiaffino, K. M., Shawaryn, M. A., & Blum, D. (1998). Examining the impact of illness representations on psychological adjustment to chronic illnesses. Health Psychology, 17, 262-268.
Sharpe, L., Sensky, T., & Allard, S. (2001). The course of depression in recent onset rheumatoid arthritis: The predictive role of disability, illness perceptions, pain and coping. Journal of Psychosomatic Research, 51, 713-719.
Shiloh, S., Berkenstadt, M., Meiran, N., Bat-Miriam-Katznelson, M., & Goldman, B. (1997). Mediating effects of perceived personal control in coping with a health threat: The case of genetic counseling. Journal of Applied Social Psychology, 27(13), 1146-1174.
Shiloh, S., Larom, S., & Ben-Rafael, Z. (1991). The meaning of treatment for infertility: Cognitive determinants and structure. Journal of Applied Social Psychology, 21(10), 855-874.
Shiloh, S., Rashuk-Rosenthal, D., & Benyamini, Y. (2002). Illness attributions: Their structure and associations with other illness cognitions and perceptions of control. Journal of Behavioral Medicine, 25, 373-394.
Sorgen, K. L., & Manne, S. L. (2002). Coping in children with cancer: Examining the Goodness-of-Fit hypothesis. Children's Health Care, 31(3), 191-207.
Stanton, A. L. (1991). Cognitive appraisals, coping processes, and adjustment to infertility. In A. L. Stanton & C. Dunkel-Schetter (Eds.), Infertility: Perspectives from stress and coping research(pp. 87-108). New York: Plenum Press.
Stanton, A. L., Tennen, H., Affleck, G., & Mendola, R. (1991). Cognitive appraisal and adjustment to infertility. Women and Health, 17(3), 1-15.
Stanton, A. L., Tennen, H., Affleck, G., & Mendola, R. (1992). Coping and adjustment to infertility. Journal of Social and Clinical Psychology, 11(1), 1-13.
Steed, L., Newman, S. P., & Hardman, S. M. C. (1999). An examination of the self-regulation model in atrial fibrillation. British Journal of Health Psychology, 4, 337-347.
Terry, D. J., & Hynes, G. J. (1998). Adjustment to a low-control situation: Reexamining the role of coping responses. Journal of Personality and Social Psychology, 74(4), 1078-1092.
van Balen, F., & Trimbos-Kemper, T. C. M. (1993). Long-term infertile couples: Astudy of their well-being. Journal of Psychosomatic Obstetrics and Gynaecology, 14(Special Issue), 53-60.
Vieyra, M. A., Tennen, H., Affleck, G., Allen, G., & McCann, L. (1990). The effects of gender and measurement strategy on causal attributions for infertility. Basic and Applied Social Psychology, 11(2), 219-232.
Vitaliano, P. P., DeWolfe, D. J., Maiuro, R. D., Russo, J., & Katon, W. (1990). Appraised changeability of a stressor as a modifier of the relationship between coping and depression: A test of the hypothesis of fit. Journal of Personality and Social Psychology, 59(3), 582-592.
Weinman, J., Petrie, J. K., Moss-Morris, R., & Horne, R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representation of illness. Psychology and Health, 11, 431-445.
Whiteford, L. M., & Gonzalez, L. (1995). Stigma: The hidden burden of infertilty. Social Science and Medicine, 40(1), 27-36.
Zautra, A. J., Burleson, M. H., Smith, C. A., Blalock, S. J., Wallston, K. A., DeVellis, R. F., et al. (1995). Arthritis and perceptions of quality of life: An examination of positive and negative affect in rheumatoid arthritis patients. Health Psychology, 14(5), 399-408.
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Benyamini, Y., Gozlan, M. & Kokia, E. On the Self-Regulation of a Health Threat:Cognitions, Coping, and Emotions Among Women Undergoing Treatment for Infertility. Cognitive Therapy and Research 28, 577–592 (2004). https://doi.org/10.1023/B:COTR.0000045566.97966.22
- illness cognitions
- illness representation