martes, 26 de marzo de 2013

Levels and associations among self-esteem, fer... [Fertil Steril. 2013] - PubMed - NCBI

2013 Mar 14. pii: S0015-0282(13)00325-7. doi: 10.1016/j.fertnstert.2013.02.033. [Epub ahead of print]

Levels and associations among self-esteem, fertility distress, coping, and reaction to potentially being a genetic carrier in women with diminished ovarian reserve.

Cizmeli C, Lobel M, Franasiak J, Pastore LM.

Source

Department of Psychology, Stony Brook University, Stony Brook, New York.

Abstract

OBJECTIVE:

To measure the level of distress and its relationship with other psychologic factors in women with diminished ovarian reserve (DOR) who participated in a fragile X genetics study.

DESIGN:

Longitudinal data analyzed with structural equation modeling.

SETTING:

Four U.S. private and academic fertility centers.

PATIENT(S):

Sixty-two infertile patients with DOR.

INTERVENTION(S):

None.

MAIN OUTCOME MEASURE(S):

Fertility Problem Inventory, Coping Scale for Infertile Couples, Rosenberg Self-Esteem, Health Orientation Scale.

RESULT(S):

Nineteen percent had low fertility distress, 56% had average fertility distress, and 24% had high fertility distress. Thirty-six percent self-reported a "favorable" or "very favorable" emotional response to potentially being a fragile X carrier (termed "emotions"), 53% were "ambivalent," and 11% had an unfavorable reaction. Three months after learning that they were not a carrier, these percentages were 91%, 9%, and 0%, respectively. Emotions at this second time point were significantly more positive than at pretesting. At baseline, higher self-esteem was a significant predictor of reduced fertility distress both directly and indirectly through emotions. Fertility distress was not associated with coping. Self-esteem, fertility distress, pretesting emotions, and coping were unrelated to posttesting emotions.

CONCLUSION(S):

The potential of having an explanation for one's DOR condition may have a beneficial impact on women's psychologic states during the process of genetic testing, and this appeared to be especially true for women with higher self-esteem. Psychologic interventions targeted to women with low self-esteem may reduce distress and improve reactions to genetic testing.
Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.