title: Looking out for the secret wound: the effect of e-cognitive group therapy with emotional disclosure on the status of mental health in infertile women.
abstract: BACKGROUND
  Considering the high prevalence of psychiatric disorders among infertile women, it seems that gynecologists, psychiatrists, and psychologists should be more attentive to identify and treat these disorders. The aim of this study is to determine the effect of E-cognitive group therapy with emotional disclosure on mentwal health status of infertile women who are receiving assisted reproduction.
  
  
  METHODS
  In this randomized clinical trial study, 80 infertile women who were receiving hormonal therapy or other assisted reproductive technologies (ART) were randomly allocated to the cognitive-behavioral treatment (CBT) group or the control group. The CBT group had a weekly 12-hour meeting for a period of three months. They also participated in some painting sessions (art therapy) and written and verbal emotional disclosure (both individually and in group presentation). The Depression, Anxiety, Stress Scales (DASS) test and Penn State Worry Questionnaire (PSWQ) were used for data gathering.
  
  
  RESULTS
  Results showed the level of psychological distress decreased in the control group, but not significantly. Psychological intervention in the treatment group significantly lowered the level of psychological distress; the mean score of DASS in all aspects was significant. The difference between the mean score of the two groups after intervention was significant (p=0.001) and also according to ANCOVA (p=0.002). Differences were significant between the mean scores of both groups in the PSWQ (p=0.001), Inventory Test (p=0.001), which was confirmed by ANCOVA (p=0.009).
  
  
  CONCLUSIONS
  These finding suggest that CBT with emotional self-disclosure promotes coping strategies among infertile women. Results also show that these approaches develop mental health and decrease stress in infertile women. Using a psychiatric approach in medical settings could help infertile women to promote their adjustment with mental health problems due to of in infertility. (
  
  
  BACKGROUND
  IRCT201108247407N2).
authors.affiliation: 1. Jahrom University of Medical Sciences, Jahrom, Iran.
authors.forename: Leili
authors.initials: L
authors.lastname: Mosalanejad
authors.affiliation: 2. Department of Psychology, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
authors.forename: Anahita
authors.initials: A
authors.lastname: Khodabakhshi Koolaee
authors.affiliation: 3. Department of Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Bahar
authors.initials: B
authors.lastname: Morshed Behbahani
keywords: Assisted Reproductive Therapy; Cognitive Behavior Therapy; Infertility; Mental Health