Protective emotional regulation processes towards adjustment in infertile patients.
Little is known about emotional regulation processes of psychological flexibility/acceptance, self-compassion, and coping styles in infertility and the way they may exert a protective function towards depression. The aim of the current study was to explore how these emotion regulation processes are related to depression and to the sense of self-efficacy to deal with infertility in infertile patients. Gender differences were also considered. One hundred couples without known fertility problems and 100 couples with an infertility diagnosis completed the instruments: Beck Depression Inventory, Coping Styles Questionnaire, Acceptance and Action Questionnaire, Self-Compassion Scale and Infertility Self-efficacy Scale. Infertile couples presented statistically significantly higher scores on depression and lower scores in psychological flexibility/acceptance and self-compassion than the control group. This pattern was particularly identified in women who also tended to use less an emotional/detached coping style and to perceive themselves as less confident to deal with infertility than men. Multiple regression analysis showed that psychological flexibility/acceptance was a significant predictor of depressive symptoms in men and women with infertility. Emotional regulation processes, such as psychological flexibility/acceptance and self-compassion, seem to be relevant to the understanding of depressive symptoms and psychological adjustment to infertility, suggesting that these issues should be addressed in a therapeutic context with these couples.
CINEICC- Faculty of Psychology and Educational Sciences of the University of Coimbra, Coimbra, Portugal.
José
J
Pinto-Gouveia
Ana
A
Galhardo
Marina
M
Cunha
Marcela
M
Matos
D000223:Adaptation, Psychological; D000328:Adult; D003430:Cross-Sectional Studies; D003863:Depression / Q000208:ethnology / Q000517:prevention & control; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D007246:Infertility / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D008297:Male; D008393:Marriage; D011174:Portugal; D011569:Psychiatric Status Rating Scales; D020377:Self Efficacy; D012727:Sex Characteristics; D013315:Stress, Psychological / Q000208:ethnology / Q000209:etiology* / Q000628:therapy