Female infertility as a factor of emotional disorder: the importance of psychotherapy in the treatment of infertility
https://doi.org/10.14412/2074-2711-2021-2-97-103
Abstract
Nowadays, infertility is one of the major problems in the reproductive health field: it is estimated that it affects 8 to 12% of couples of reproductive age worldwide, and in 50–80% of cases, the reason is female infertility. Miscarriage occurs in 10–25% of cases, and every fifth pregnancy is terminated, which aggravates the unfavorable demographic situation in general. For a woman, the inability to have children and long-term treatment turns into a psychological problem. An Emotional toll leads to guilt and inferiority, emotional upheaval, lower quality of life. Previous studies have shown that despite a good prognosis and funds availability, the most common treatment discontinuation cause is psychological distress. The current review aims to analyze an infertile woman's emotional status and search for possible options to decrease psychological stress during infertility treatment.
About the Authors
M. S. Golyshkina
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991, Russia
M. N. Gevorgyan
Engels Perinatal Centre
Russian Federation
Russian Federation
8, Vesennyaya St., Engels 413116, Russia
V. N. Nikolenko
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia;
M.V. Lomonosov Moscow State University
Russian Federation
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991, Russia
31, Lomonosov Prospect, Build. 5, Moscow 119192, Russia
M. V. Oganesyan
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia;
M.V. Lomonosov Moscow State University
Russian Federation
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991, Russia
31, Lomonosov Prospect, Build. 5, Moscow 119192, Russia
P. A. Pavlyuk
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991, Russia
N. A. Rizaeva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia;
M.V. Lomonosov Moscow State University
Russian Federation
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991, Russia
31, Lomonosov Prospect, Build. 5, Moscow 119192, Russia
A. L. Unanyan
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991, Russia
References
1. Basalayev NV, Gadel'shina TG, Ivanova SP, et al. The research trends review of psychological components of pregnancy miscarriage risks. Nauchno-pedagogicheskoye obozreniye.
2. 2017;2(16):21-30 (In Russ.).
3. Agarkova LA, Bukharina IYu, Belova NG, et al. Risk factors and mathematical model of complicated pregnancy using integrative analysis. Byulleten' sibirskoy meditsiny = Bulletin of Siberian Medicine. 2019;18(2):6-15. doi: 10.20538/1682-0363-2019-2-6-15 (In Russ.).
4. Ivanova AR. Medical and psychological characteristics of women and psycho-correction in the complex treatment of infertility. Mat' i ditya v Kuzbasse. 2010;3(42):13-7 (In Russ.).
5. Fomenko GYu. Psychological problems of female infertility in the context of personal contradictions (existential aspects). Yuzhnorossiyskiy zhurnal sotsial'nykh nauk. 2008;(4):17-29 (In Russ.).
6. Bhat A, Byatt N. Infertility and Perinatal Loss: When the Bough Breaks. Curr Psychiatry Rep. 2016 Mar;18(3):31. doi: 10.1007/s11920-016-0663-8
7. Aliev G, Beeraka NM, Nikolenko VN, et al. Neurophysiology and psychopatology underlying PTSD and recent insights into the PTSD therapies – a comprehensive review. J Clin Med. 2020 Sep 12;9(9):2951. doi: 10.3390/jcm9092951
8. Zarif Golbar Yazdi H, Aghamohammadian Sharbaf H, Kareshki H, et al. Infertility and Psychological and Social Health of Iranian Infertile Women: A Systematic Review. Iran J Psychiatry. 2020 Jan;15(1):67-79.
9. Palomba S, Daolio J, Romeo S, et al. Lifestyle and fertility: the influence of stress and quality of life on female fertility. Reprod Biol Endocrinol. 2018 Dec 2;16(1):113. doi: 10.1186/s12958-018-0434-y
10. Greil AL, McQuillan J, Burch AR, et al. Change in Motherhood Status and Fertility Problem Identification: Implications for Changes in Life Satisfaction. J Marriage Fam. 2019 Oct;81(5):1162-73. doi: 10.1111/jomf.12595. Epub 2019 Aug 2.
11. Gavrilova VE. Psychological prerequisites of infertility in married healthy women. Psikhologiya. Psikhofiziologiya. 2018;11(3):103-9 (In Russ.).
12. Zakharova EI, Yakupova VA. Internal maternal position of women who became pregnant using IVF. Natsional'nyy psikhologicheskiy zhurnal. 2015;1(17) (In Russ.).
13. Ul'yanich AL, Naku EA, Leshchinskaya SB, et al. Psychological factors and markers of development of threat of termination of pregnancy among the women who became pregnant after IVF. Uchenyye zapiski universiteta Lesgafta. 2020;3(181):541-6 (In Russ.).
14. Filippova GG. Reproductive disorders and their relationship with disorders in the formation of the maternal sphere. Zhurnal prakticheskogo psikhologa. Tematicheskiy vypusk: Perinatal'naya psikhologiya i psikhologiya roditel'stva. 2003;(4-5):83-108 (In Russ.).
15. Stentz NC, Griffith KA, Perkins E, et al. Fertility and Childbearing Among American Female Physicians. J Womens Health (Larchmt). 2016 Oct;25(10):1059-65. doi: 10.1089/jwh.2015.5638. Epub 2016 Jun 27.
16. Karabanova OA, Zakharova EI, Burmenskaya GV, et al. Features of valuable sphere of girls with different attitudes the parental attitude of the mother at the stage of entering into adulthood. Vestnik MGOU. Seriya: Psikhologicheskiye nauki. 2018;(4):24-37 (In Russ.).
17. Ryabova MG. Individual psychological characteristics of women with different types of reproductive disorders. Vestnik TGU. 2013;9(125):190-8 (In Russ.).
18. Nikolenko VN, Rizayeva NA, Oganesyan MV, et al. Tubal infertility: sociomedical and psychological aspects of the problem. Akusherstvo i ginekologiya. 2020;(11):213-24 (In Russ.).
19. Purewal S, Chapman SCE, van den Akker OBA. A systematic review and meta-analysis of psychological predictors of successful assisted reproductive technologies. BMC Res Notes. 2017 Dec 7;10(1):711. doi: 10.1186/s13104-017-3049-z
20. Shahraki Z, Tanha FD, Ghajarzadeh M. Depression, sexual dysfunction and sexual quality of life in women with infertility. BMC Womens Health. 2018 Jun 14;18(1):92. doi: 10.1186/s12905-018-0584-2
21. Karymova OS, Suknina OA. Infertility as a difficult life situation: problem statement. Nauka i sovremennost'. 2011;(14):122-7 (In Russ.).
22. Malina A, Blaszkiewicz A, Owczarz U. Psychosocial aspects of infertility and its treatment. Ginekol Pol. 2016;87(7):527-31. doi: 10.5603/GP.2016.0038
23. Adamyan LV, Filippova GG, Kalinskaya MV. Experiencing infertility and coping strategies for women of fertile age. Meditsinskiy vestnik Severnogo Kavkaza. 2012;(3):101-5 (In Russ.).
24. Nikolenko VN, Gevorgyan MM, Moshkin AS, et al. Comparative characteristics of ovarian volume and the number of follicles according to MRI studies in the aspect of assessing ovarian reserve in different age periods of women. In: Sbornik materialov Mezhdunarodnoy nauchno-prakticheskoy konferentsii, posvyashchennoy 30-letnemu yubileyu Meditsinskogo instituta FGBOU VO «Chechenskiy gosudarstvennyy universitet» [Collection of materials of the International Scientific and Practical Conference dedicated to the 30th anniversary of the Medical Institute of the Federal State Budgetary Educational Institution of Higher Education «Chechen State University»]. Groznyy; 2020. P. 584-93 (In Russ.).
25. Lakatos E, Szigeti JF, Ujma PP, et al. Anxiety and depression among infertile women: a cross-sectional survey from Hungary. BMC Womens Health. 2017 Jul 24;17(1):48. doi: 10.1186/s12905-017-0410-2
26. Apresyan SV, Abashidze AA, Arakelyan VF. Medical and psychological aspects of infertility. Akusherstvo, ginekologiya i reproduktsiya. 2013;7(1):8-10 (In Russ.).
27. Starc A, Trampus M, Pavan Jukic D, et al. Infertility and sexual dysfunctions: a systematic literature review. Acta Clin Croat. 2019 Sep;58(3):508-15. doi: 10.20471/acc.2019.58.03.15
28. Frederiksen Y, Farver-Vestergaard I, Skovgard NG, et al. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. BMJ Open. 2015 Jan 28;5(1):e006592. doi: 10.1136/bmjopen-2014-006592
29. Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018 Mar;20(1):41-7. doi: 10.31887/DCNS.2018.20.1/klrooney
30. Gdanska P, Drozdowicz-Jastrzebska E, Grzechocinska B, et al. Anxiety and depression in women undergoing infertility treatment. Ginekol Pol. 2017;88(2):109-12. doi: 10.5603/GP.a2017.0019
31. Торопова А, Осипова О. Преодоление противоречивых репродуктивных установок будущей матери в процессе психотерапии. Развитие личности. 2011;(1):84-91.
32. [Toropova A, Osipova O. Overcoming the conflicting reproductive attitudes of the expectant mother in the process of psychotherapy. Razvitiye lichnosti. 2011;(1):84-91 (In Russ.)].
33. Khogan S. Experience of pregnancy and childbirth in the mirror of the art therapy group. In: Kopytin AN, editor. Art-terapiya zhenskikh problem [Art therapy of women's problems.]. Moscow; 2010. P. 42-62 (In Russ.).
34. Gorbenko O. Art therapy in working with women and couples expecting a baby. In: Kopytin AN, editor. Art-terapiya zhenskikh problem [Art therapy of women's problems.]. Moscow; 2010. P. 17-41 (In Russ.).
35. Mironova ES, Chuykova TS. The use of drawing methods in the diagnosis of miscarriage. Vestnik Bashkirskogo universiteta. 2010;15(3):862-4 (In Russ.)].
36. Crane T, Buultjens M, Fenner P. Art-based interventions during pregnancy to support women's wellbeing: An integrative review. Women Birth. 2020 Sep 7:S1871-5192(20)30314-0. doi: 10.1016/j.wombi.2020.08.009. Epub ahead of print.
37. Wahlbeck H, Kvist LJ, Landgren K. Gaining hope and self-confidence-An interview study of women's experience of treatment by art therapy for severe fear of childbirth. Women Birth. 2018 Aug;31(4):299-306. doi: 10.1016/j.wombi.2017.10.008
38. Mata JALD, Shimo AKK. Art of Maternal Womb Painting: term, concept, and technique. Rev Bras Enferm. 2019 Dec;72(suppl 3):32-40. doi: 10.1590/0034-7167-2017-0726
39. Laia da Mata JA, Goncalves da Silva M, Kakuda Shimo AK. Emotional expressions manifested by pregnant women in the experience of the art of maternal womb painting. Health Care Women Int. 2018 Nov;39(11):1275-94. doi: 10.1080/07399332.2018.1488853. Epub 2018 Nov 28.
40. Nikolenko VN, Rizayeva NA, Oganesyan MV, et al. Opportunity of a picture in teaching anatomy: stimulating students' interest in the subject. Mir nauki, kul'tury, obrazovaniya. 2019;5(78):45-6 (In Russ.).
41. Ovchyonkov VS, Nikolenko VN, Chairkin IN, et al. Anatomy in the service of art. In: Yedinstvo nauki, obrazovaniya i praktiki – meditsine budushchego: Sbornik nauchnykh trudov, posvyashchennyy 110-letiyu so dnya rozhdeniya akademika AMN SSSR, professora D.A. Zhdanova i 260-letiyu PMGMU im. I.M. Sechenova [The unity of science, education and practice – medicine of the future: Collection of scientific papers dedicated to the 110th anniversary of the birth of Academician of the USSR Academy of Medical Sciences, Professor D.A. Zhdanov and the 260th anniversary of the Sechenov University]. Moscow; 2018. P. 362-7 (In Russ.).
Review
For citations:
Golyshkina MS, Gevorgyan MN, Nikolenko VN, Oganesyan MV, Pavlyuk PA, Rizaeva NA, Unanyan AL. Female infertility as a factor of emotional disorder: the importance of psychotherapy in the treatment of infertility. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2021;13(2):97-103. (In Russ.) https://doi.org/10.14412/2074-2711-2021-2-97-103
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