title: Coping, quality of life and psychological symptoms in three groups of sub-fertile women.
abstract: The process of assisted reproductive technology (ART), surrogacy and adoption pose different physical and psychological burdens on sub-fertile populations. Sub-fertile women (n = 176) were assessed retrospectively by questionnaire to determine if process (undergoing ART, surrogacy or adoption) or outcome (having a successful versus unsuccessful outcome) affected quality of life, coping style and psychological symptoms. The ART group was significantly younger, had a shorter period of sub-fertility, and was least likely to have a child than the adoptive and surrogate groups. Quality of life and psychological symptoms were not significantly different between groups, although significantly higher Mental Disengagement and Denial coping strategy scores were obtained for the ART group. Social, psychological, health and functioning quality of life, and Denial coping strategies were good predictors of outcome group. Treatment specific counselling of individuals use of coping strategies early on in their in/subfertility career to cope with the reality of prolonged childlessness is indicated.
authors.affiliation: Psychology Department, School of Life and Health Sciences, Aston University, Aston Triangle, Birmingham B4 7ET, UK. o.vandenakker@aston.ac.uk
authors.forename: Olga B A
authors.initials: OB
authors.lastname: van den Akker
mesh_terms: D000223:Adaptation, Psychological; D000300:Adoption / Q000523:psychology; D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D002755:Choice Behavior; D003717:Denial, Psychological; D004739:England; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000150:complications / Q000523:psychology* / Q000628:therapy; D016015:Logistic Models; D008960:Models, Psychological; D015999:Multivariate Analysis; D015404:Nursing Methodology Research; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D011788:Quality of Life / Q000523:psychology*; D027724:Reproductive Techniques, Assisted / Q000523:psychology; D012189:Retrospective Studies; D012649:Self Concept; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology; D013533:Gestational Carriers; D011795:Surveys and Questionnaires; D013997:Time Factors