Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls
BACKGROUND Evidence about the effects of infertility and assisted reproduction technique (ART) on marital relationships is discrepant. Here, we examined the impact of ART on marital relationships. The roles of life stressors, infertility and treatment characteristics in predicting marital relations...
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| Veröffentlicht in: | Human reproduction (Oxford) 2007-05, Vol.22 (5), p.1481-1491 |
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| container_title | Human reproduction (Oxford) |
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| creator | Repokari, L. Punamäki, R.-L. Unkila-Kallio, L. Vilska, S. Poikkeus, P. Sinkkonen, J. Almqvist, F. Tiitinen, A. Tulppala, M. |
| description | BACKGROUND
Evidence about the effects of infertility and assisted reproduction technique (ART) on marital relationships is discrepant. Here, we examined the impact of ART on marital relationships. The roles of life stressors, infertility and treatment characteristics in predicting marital relations were also evaluated.
METHODS
Subjects: 367 couples with singleton IVF/ICSI pregnancies. Controls: 379 couples with spontaneous singleton pregnancies. Women and men were assessed when the child was 2 months (T2) and 12 months old (T3). They further reported stressful life events at T2 and depression in pregnancy.
RESULTS
No between-group differences were found in marital satisfaction and dyadic cohesion. Dyadic consensus deteriorated from T2 to T3 only among control women. Sexual affection was low among control men at T2 and stressful life events decreased it further. Depression during pregnancy predicted deteriorated marital relations only in control couples. Several unsuccessful treatment attempts were associated with good dyadic consensus and cohesion among ART women. Spontaneous abortions and multiple parity predicted poor marital satisfaction in ART women, whereas long duration of infertility and multiple parity predicted poor marital relations in ART men.
CONCLUSIONS
Successful ART does not constitute a risk for marital adjustment. The shared stress of infertility may even stabilize marital relationships. |
| doi_str_mv | 10.1093/humrep/dem013 |
| format | Article |
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Evidence about the effects of infertility and assisted reproduction technique (ART) on marital relationships is discrepant. Here, we examined the impact of ART on marital relationships. The roles of life stressors, infertility and treatment characteristics in predicting marital relations were also evaluated.
METHODS
Subjects: 367 couples with singleton IVF/ICSI pregnancies. Controls: 379 couples with spontaneous singleton pregnancies. Women and men were assessed when the child was 2 months (T2) and 12 months old (T3). They further reported stressful life events at T2 and depression in pregnancy.
RESULTS
No between-group differences were found in marital satisfaction and dyadic cohesion. Dyadic consensus deteriorated from T2 to T3 only among control women. Sexual affection was low among control men at T2 and stressful life events decreased it further. Depression during pregnancy predicted deteriorated marital relations only in control couples. Several unsuccessful treatment attempts were associated with good dyadic consensus and cohesion among ART women. Spontaneous abortions and multiple parity predicted poor marital satisfaction in ART women, whereas long duration of infertility and multiple parity predicted poor marital relations in ART men.
CONCLUSIONS
Successful ART does not constitute a risk for marital adjustment. The shared stress of infertility may even stabilize marital relationships.</description><identifier>ISSN: 0268-1161</identifier><identifier>EISSN: 1460-2350</identifier><identifier>DOI: 10.1093/humrep/dem013</identifier><identifier>PMID: 17307807</identifier><identifier>CODEN: HUREEE</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Biological and medical sciences ; Depression - epidemiology ; Female ; Fertilization in Vitro - psychology ; Finland - epidemiology ; Gynecology. Andrology. Obstetrics ; Humans ; Infant ; Infertility - epidemiology ; Infertility - psychology ; Male ; Marriage - psychology ; Medical sciences ; Parents - psychology ; Pregnancy ; Pregnancy Complications - psychology ; Prospective Studies ; Reproductive Techniques, Assisted - psychology ; Sperm Injections, Intracytoplasmic - psychology ; Stress, Psychological - epidemiology</subject><ispartof>Human reproduction (Oxford), 2007-05, Vol.22 (5), p.1481-1491</ispartof><rights>The Author 2007. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org 2007</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) May 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-d00b0b633ea43eaf2baff2c52ed76d0eade7b73413436ca58cd836717f861b2b3</citedby><cites>FETCH-LOGICAL-c381t-d00b0b633ea43eaf2baff2c52ed76d0eade7b73413436ca58cd836717f861b2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18764976$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17307807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Repokari, L.</creatorcontrib><creatorcontrib>Punamäki, R.-L.</creatorcontrib><creatorcontrib>Unkila-Kallio, L.</creatorcontrib><creatorcontrib>Vilska, S.</creatorcontrib><creatorcontrib>Poikkeus, P.</creatorcontrib><creatorcontrib>Sinkkonen, J.</creatorcontrib><creatorcontrib>Almqvist, F.</creatorcontrib><creatorcontrib>Tiitinen, A.</creatorcontrib><creatorcontrib>Tulppala, M.</creatorcontrib><title>Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls</title><title>Human reproduction (Oxford)</title><addtitle>Hum Reprod</addtitle><description>BACKGROUND
Evidence about the effects of infertility and assisted reproduction technique (ART) on marital relationships is discrepant. Here, we examined the impact of ART on marital relationships. The roles of life stressors, infertility and treatment characteristics in predicting marital relations were also evaluated.
METHODS
Subjects: 367 couples with singleton IVF/ICSI pregnancies. Controls: 379 couples with spontaneous singleton pregnancies. Women and men were assessed when the child was 2 months (T2) and 12 months old (T3). They further reported stressful life events at T2 and depression in pregnancy.
RESULTS
No between-group differences were found in marital satisfaction and dyadic cohesion. Dyadic consensus deteriorated from T2 to T3 only among control women. Sexual affection was low among control men at T2 and stressful life events decreased it further. Depression during pregnancy predicted deteriorated marital relations only in control couples. Several unsuccessful treatment attempts were associated with good dyadic consensus and cohesion among ART women. Spontaneous abortions and multiple parity predicted poor marital satisfaction in ART women, whereas long duration of infertility and multiple parity predicted poor marital relations in ART men.
CONCLUSIONS
Successful ART does not constitute a risk for marital adjustment. The shared stress of infertility may even stabilize marital relationships.</description><subject>Biological and medical sciences</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Fertilization in Vitro - psychology</subject><subject>Finland - epidemiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant</subject><subject>Infertility - epidemiology</subject><subject>Infertility - psychology</subject><subject>Male</subject><subject>Marriage - psychology</subject><subject>Medical sciences</subject><subject>Parents - psychology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - psychology</subject><subject>Prospective Studies</subject><subject>Reproductive Techniques, Assisted - psychology</subject><subject>Sperm Injections, Intracytoplasmic - psychology</subject><subject>Stress, Psychological - epidemiology</subject><issn>0268-1161</issn><issn>1460-2350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U1rFTEUBuAgir2tLt1KEBQ3Y8-ZzE2m7kqxWigIUtdDJjnjTcl8mA_h_gD_t6kzUHDjIiSEhzfhvIy9QviAcCHOD3kMtJxbGgHFE7bDRkJViz08ZTuoZVshSjxhpzHeA5RjK5-zE1QCVAtqx37fTAOF5LxLR54C6TTSlLieLB91cEl7Hsjr5OYpHtwSP3LNsTqSDnwJc1zIJPeLeEzZHrke5-kHj9kYinHI3m-RZPnltztu5rx4in_D04FcKDdTCrOPL9izQftIL7f9jH2__nR39aW6_fr55urytjKixVRZgB56KQTppqyh7vUw1GZfk1XSAmlLqleiQdEIafS-NbYVUqEaWol93Ysz9m7NLX__mSmmbnTRkPd6ojnHTkEDCKAKfPMPvJ9zmMrfuhqxVQLxAVUrMmUSMdDQLcGVqR07hO6hnG4tp1vLKf71Fpr7keyj3too4O0GdDTaD0FPxsVH1yrZXChZ3PvVlYH-580_YLmqag</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Repokari, L.</creator><creator>Punamäki, R.-L.</creator><creator>Unkila-Kallio, L.</creator><creator>Vilska, S.</creator><creator>Poikkeus, P.</creator><creator>Sinkkonen, J.</creator><creator>Almqvist, F.</creator><creator>Tiitinen, A.</creator><creator>Tulppala, M.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TM</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls</title><author>Repokari, L. ; Punamäki, R.-L. ; Unkila-Kallio, L. ; Vilska, S. ; Poikkeus, P. ; Sinkkonen, J. ; Almqvist, F. ; Tiitinen, A. ; Tulppala, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-d00b0b633ea43eaf2baff2c52ed76d0eade7b73413436ca58cd836717f861b2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>Fertilization in Vitro - psychology</topic><topic>Finland - epidemiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant</topic><topic>Infertility - epidemiology</topic><topic>Infertility - psychology</topic><topic>Male</topic><topic>Marriage - psychology</topic><topic>Medical sciences</topic><topic>Parents - psychology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - psychology</topic><topic>Prospective Studies</topic><topic>Reproductive Techniques, Assisted - psychology</topic><topic>Sperm Injections, Intracytoplasmic - psychology</topic><topic>Stress, Psychological - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Repokari, L.</creatorcontrib><creatorcontrib>Punamäki, R.-L.</creatorcontrib><creatorcontrib>Unkila-Kallio, L.</creatorcontrib><creatorcontrib>Vilska, S.</creatorcontrib><creatorcontrib>Poikkeus, P.</creatorcontrib><creatorcontrib>Sinkkonen, J.</creatorcontrib><creatorcontrib>Almqvist, F.</creatorcontrib><creatorcontrib>Tiitinen, A.</creatorcontrib><creatorcontrib>Tulppala, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Nucleic Acids Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Human reproduction (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Repokari, L.</au><au>Punamäki, R.-L.</au><au>Unkila-Kallio, L.</au><au>Vilska, S.</au><au>Poikkeus, P.</au><au>Sinkkonen, J.</au><au>Almqvist, F.</au><au>Tiitinen, A.</au><au>Tulppala, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls</atitle><jtitle>Human reproduction (Oxford)</jtitle><addtitle>Hum Reprod</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>22</volume><issue>5</issue><spage>1481</spage><epage>1491</epage><pages>1481-1491</pages><issn>0268-1161</issn><eissn>1460-2350</eissn><coden>HUREEE</coden><abstract>BACKGROUND
Evidence about the effects of infertility and assisted reproduction technique (ART) on marital relationships is discrepant. Here, we examined the impact of ART on marital relationships. The roles of life stressors, infertility and treatment characteristics in predicting marital relations were also evaluated.
METHODS
Subjects: 367 couples with singleton IVF/ICSI pregnancies. Controls: 379 couples with spontaneous singleton pregnancies. Women and men were assessed when the child was 2 months (T2) and 12 months old (T3). They further reported stressful life events at T2 and depression in pregnancy.
RESULTS
No between-group differences were found in marital satisfaction and dyadic cohesion. Dyadic consensus deteriorated from T2 to T3 only among control women. Sexual affection was low among control men at T2 and stressful life events decreased it further. Depression during pregnancy predicted deteriorated marital relations only in control couples. Several unsuccessful treatment attempts were associated with good dyadic consensus and cohesion among ART women. Spontaneous abortions and multiple parity predicted poor marital satisfaction in ART women, whereas long duration of infertility and multiple parity predicted poor marital relations in ART men.
CONCLUSIONS
Successful ART does not constitute a risk for marital adjustment. The shared stress of infertility may even stabilize marital relationships.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>17307807</pmid><doi>10.1093/humrep/dem013</doi><tpages>11</tpages></addata></record> |
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| ispartof | Human reproduction (Oxford), 2007-05, Vol.22 (5), p.1481-1491 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Biological and medical sciences Depression - epidemiology Female Fertilization in Vitro - psychology Finland - epidemiology Gynecology. Andrology. Obstetrics Humans Infant Infertility - epidemiology Infertility - psychology Male Marriage - psychology Medical sciences Parents - psychology Pregnancy Pregnancy Complications - psychology Prospective Studies Reproductive Techniques, Assisted - psychology Sperm Injections, Intracytoplasmic - psychology Stress, Psychological - epidemiology |
| title | Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls |
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