title: Cognitive coping, goal adjustment, and depressive and anxiety symptoms in people undergoing infertility treatment: a prospective study.
abstract: The relationships between cognitive coping strategies, goal adjustment, and symptoms of depression and anxiety were studied in people with fertility problems. Both cross-sectional and prospective relationships were studied in a sample of 313 patients attending an infertility clinic. Self-report questionnaires were filled out at home. Positive refocusing, rumination and catastrophizing, and goal reengagement were related to symptoms of depression and anxiety. When looking at the long-term effects, rumination and catastrophizing were also related to emotional problems nine months later. These findings suggest that intervention programs should focus on cognitive coping strategies and goal-based processes.
authors.affiliation: Department of Medical Psychology, Leiden University Medical Center, Leiden, The Netherlands. V.Kraaij@lumc.nl
authors.forename: Vivian
authors.initials: V
authors.lastname: Kraaij
authors.forename: Nadia
authors.initials: N
authors.lastname: Garnefski
authors.forename: Maya J
authors.initials: MJ
authors.lastname: Schroevers
authors.forename: Janneke
authors.initials: J
authors.lastname: Weijmer
authors.forename: Frans
authors.initials: F
authors.lastname: Helmerhorst
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000503:physiopathology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000503:physiopathology*; D005260:Female; D006040:Goals; D006801:Humans; D007246:Infertility / Q000523:psychology* / Q000628:therapy*; D008297:Male; D009426:Netherlands; D011446:Prospective Studies; D011795:Surveys and Questionnaires