Predictors of distress in women being treated for infertility

Abstract

Many studies cite infertility as highly stressful, yet women's responses to infertility are quite variable. Lazarus and Folkman's cognitive phenomenological theory of stress, coping, and appraisal may explain this variability. Gender role identity, career role salience, and societal pressure for motherhood are variables hypothesised to affect a woman's cognitive appraisal of infertility, thus influencing distress level. Female participants (N = 119) were recruited through the NYU Fertility Clinic and Resolve, a support organisation for individuals faced with infertility. Participants completed questionnaires assessing gender characteristics, career role salience, social pressure for motherhood, cognitive appraisal, and distress. Many respondents (42%) reported clinically significant levels of distress. A path analysis assessed the effects of gender‐role identity, career role salience, social pressure for motherhood, and cognitive appraisal on distress. The model accounted for 32% of the variance in distress. Women experiencing social pressure for motherhood viewed infertility as more stressful, women identifying with more positively valued instrumental gender role traits reported less distress, and women who endorsed more negatively valued instrumental gender role traits and cognitively appraised infertility as stressful reported greater distress.

Keywords:

• infertility
• reproduction
• assisted reproduction

Notes

1. Abbey et al., 1991, 1992; Adams, 2002; Adler & Boxley, 1985; Anderson et al., 2003; Andrews, Abbey, & Halman, 1991; Beaurepaire et al., 1994; Benazon, Wright, & Sabourin, 1992; Berg & Wilson, 1991; Berg, Wilson, & Weingartner, 1992; Brothers & Maddux, 2003; Callan & Hennessey, 1989; Connolly, Edelmann, & Cooke, 1987; Connolly, Edelmann, Cooke, & Robinson, 1992; R. Cook, 1993; R. Cook, Parsons, Mason, & Golombok, 1989; Daniluk, 1988; Daniluk, Leader, & Taylor, 1987; Demyttenaere, Nijs, Evers‐Kiebooms, & Koninckx, 1991; Domar et al., 1992, 1993; Edelmann & Connolly, 1998, 2000; Edelmann et al., 1994; Greil, Leitko, & Porter, 1986; Harrison, O'Moore, & O'Moore, 1984; Hynes, Callan, Terry, & Gallois, 1992; Jordan, 2003; La Joie, 2003; Lalos, Lalos, Jacobson, & Von Schoultz, 1986; Leiblum, Kemmann, & Lane, 1987; McEwan, Costello, & Taylor, 1987; Morrow, Thoreson, & Penny, 1995; Murphy, 2001; Perkel, 1985; Raval, Slade, Buck, & Lieberman, 1987; Schroder, 1996; Stanton, Tennon, Affleck, & Mendola, 1991, 1992; Wright, Bissonnette, Duchesne, Benoit, Sabourin, & Girard, 1991.

2. Abbey et al., 1991; Adams, 2002; Anderson et al., 2003; Andrews et al., 1991; Beaurepaire et al., 1994; Benazon et al., 1992; Berg & Wilson, 1991; Berg et al., 1992; R. Cook et al., 1989; Daniluk, 1988; Daniluk et al., 1987; Demyttenaere et al., 1991; Domar et al., 1992, 1993; Greil et al., 1986; Harrison et al. 1984; Hynes et al., 1992; Jordan, 2003; La Joie, 2003; Lalos et al., 1986; Leiblum et al., 1987; McEwan et al., 1987; Morrow et al., 1995; Murphy, 2001; Raval et al., 1987; Schroder, 1996; Stanton et al., 1991, 1992; Wright et al., 1991.