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Gepubliceerd in:

01-04-2010

Internet-based support for infertile patients: a randomized controlled study

Auteurs: K. Haemmerli, H. Znoj, T. Berger

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2010

Abstract

This study aimed to evaluate the efficacy and patient acceptance of the first German-language Internet-based treatment for infertile patients. Infertile patients (N = 124) were randomly assigned to either an 8-week Internet-based cognitive-behavioral treatment, or to a waiting-list control group. Participants were assessed at treatment start, post-treatment, and at a 5-month follow-up. Outcome measures included mental health and pregnancy rate. From pre- to posttest, treated participants in contrast to controls did not show significant improvement, although between-group effect sizes were in favor of the intervention group on all mental health measures (Cohen’s d ranged from 0.16 to 0.38). The intervention significantly reduced the depression level of clinically distressed and depressed participants. No effects were found regarding pregnancy rate. The treatment was assessed as positive or very positive by 80% of the participants; this finding coupled with the high demand for such support confirm that Internet-based interventions are a promising new approach for infertile patients that needs more development and testing.

vorige artikel Dispositional optimism, goals, and engagement in health treatment programs

volgende artikel Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: the Positive Connections randomized controlled trial study

Bents, H. (1991). Verhaltenstherapeutische Paartherapie bei Kinderwunschpatienten. In E. Brähler & A. Myer (Eds.), Psychologische Probleme in der Reproduktionsmedizin. Jahrbuch der Medizinischen Psychologie (pp. 144–155). Berlin: Springer.

Boivin, J. (2003). A review of psychosocial interventions in infertility. Social Science and Medicine, 57, 2325–2341.CrossRefPubMed

Boivin, J., Scanlan, L. C., & Walker, S. M. (1999). Why are infertile patients not using psychosocial counselling? Human Reproduction, 14, 1384–1391.CrossRefPubMed

Boivin, J., & Takefman, J. E. (1995). Stress level across stages of in vitro fertilization in subsequently pregnant and nonpregnant women. Fertility and Sterility, 64, 802–810.PubMed

Campagne, D. M. (2006). Should fertilization treatment start with reducing stress? Human Reproduction, 21, 1651–1658.CrossRefPubMed

Chan, C. H. Y., Ng, E. H. Y., Chan, C. L. W., Ho, P. C., & Chan, T. H. Y. (2006). Effectiveness of psychosocial group intervention for reducing anxiety in women undergoing in vitro fertilization: a randomized controlled study. Fertility and Sterility, 85, 339–346.CrossRefPubMed

Chen, T. H., Chang, S. P., Tsai, C. F., & Juang, K. D. (2004). Prevalence of depressive and anxiety disorders in assisted reproductive technique clinic. Human Reproduction, 17, 2313–2318.CrossRef

Cousineau, T. M., & Domar, A. D. (2007). Psychological impact of infertility. Best practice & research. Clinical obstetrics & gynaecology, 21, 293–308.

Cousineau, T. M., Green, T. C., Corsini, E. A., Seibring, M. T. S., Showstack, M. T., Applegarth, L., et al. (2008). Online psychoeducational support for infertile women: a randomized controlled trial. Human Reproduction, 23, 554–566.CrossRefPubMed

Covington, S. H., & Burns, L. H. (2006). Infertility counseling. A comprehensive handbook for clinicians (2nd ed.). Cambridge: University Press.CrossRef

De Liz, T. M., & Strauss, B. (2005). Differential efficacy of group and individual/couple psychotherapy with infertile patients. Human Reproduction, 20, 1324–1332.CrossRefPubMed

Domar, A. D., Clapp, D., Slawsby, E. A., Dusek, J., Kessel, B., & Freizinger, M. (2000). Impact of group psychological interventions on pregnancy rates in infertile women. Fertility and Sterility, 73, 805–811.CrossRefPubMed

Dunkel-Schetter, C., & Lobel, M. (1991). Psychological reactions to infertility. In A. L. Stanton & C. Dunkel-Schetter (Eds.), Infertility: Perspectives from stress and coping research (pp. 29–57). New York, London: Plenum Press.

Eugster, A., & Vingerhoets, A. J. (1999). Psychological aspects of in vitro fertilization: a review. Social Science and Medicine, 48, 575–589.CrossRefPubMed

Eunpu, D. L. (1995). The impact of infertility and treatment guidelines for couples therapy. The American Journal of Family Therapy, 23, 115–128.CrossRef

Haemmerli, K., Znoj, H., & Barth, J. (2009). The Efficacy of Psychological Interventions for Infertile Patients: A Meta-analysis Examining Mental Health and Pregnancy Rate. Human Reproduction Update, 15, 279–295.CrossRef

Hautzinger, M. (1988). Die CES-D Skala. Ein Depressionsinstrument für Untersuchungen in der Allgemeinbevölkerung. Diagnostica, 34, 167–173.

Himmel, W., Meyer, J., Kochen, M. M., & Michelmann, H. W. (2005). Information needs and visitors’ experience of an internet expert forum on infertility. Journal of Medical Internet Research, 7, e20.CrossRefPubMed

HONcode. (2009). Health on the Net Foundation. Available from: http://www.hon.ch. [2009 Aug 18].

Huang, J., Discepola, F., Al-Fozan, H., & Tulandi, T. (2005). Quality of fertility clinic websites. Fertility and Sterility, 83, 538–544.CrossRefPubMed

Jacobson, E. (1938). Progressive relaxation: A physiological and clinical investigation of muscular states and their significance in psychology and medical practice. Chicago: The University of Chicago Press.

Kahlor, L., & Mackert, M. (2009). Perceptions of infertility information and support sources among female patients who access the Internet. Fertility and Sterility, 91, 83–90.CrossRefPubMed

Kaluza, G. (2004). Stressbewältigung—Trainingsmanual zur psychologischen Gesundheitsförderng. Berlin: Springer Verlag.

Klonoff-Cohen, H., Chu, E., Natarajan, L., & Sieber, W. (2001). A prospective study of stress among women undergoing in vitro fertilization or gamete intrafallopian transfer. Fertility and Sterility, 76, 675–687.CrossRefPubMed

Levitas, E., Parmet, A., Lunenfeld, E., Bentov, Y., Burstein, E., Friger, M., et al. (2006). Impact of hypnosis during embryo transfer on the outcome of in vitro fertilization-embryo transfer: a case-control study. Fertility and Sterility, 85, 1404–1408.CrossRefPubMed

McQueeney, D. A., Stanton, A. L., & Sigmon, S. (1997). Efficacy of emotion-focused and problem-focused group therapies for women with fertility problems. Journal of Behavioral Medicine, 3, 313–331.CrossRef

Nyboe Andersen, A., Goossens, V., Ferraretti, A. P., Bhattacharya, S., Felberbaum, R., de Mouzon, J., et al. (2008). Assisted reproductive technology in Europe, 2004: results generated from European registers by ESHRE. Human Reproduction, 23, 756–771.CrossRefPubMed

Okamura, K., Bernstein, J., & Fidler, A. (2002). Assessing the quality of infertility resources on the world wide web: tools to guide clients through the maze of fact and fiction. Journal of Midwifery & Women’s Health, 47, 264–268.CrossRef

Pook, M., & Krause, W. (2002). Ein Fragebogen zur infertilitätsbedingen Belastung. Reproduktionsmedizin, 18, 327–332.CrossRef

Radloff, L. S. (1997). The CES-D scale. A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef

Randomization.com. (2008, March 22). Retrieved March 1, 2008, from http://www.randomization.com.

Rosenthal, R., Rosnow, R. L., & Rubin, D. B. (2000). Contrasts and effect sizes in behavioral research: A correlational approach. New York, NY: Cambridge University Press.

Sachse, R. (2003). Klärungsorientierte Psychotherapie. Göttingen: Hogrefe.

Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychological Press.

Stammer, H., Verres, R., & Wischmann, T. (2004). Paarberatung und–therapie bei unerfülltem Kinderwunsch. Göttingen: Hogrefe.

Verberg, M. F. G., Eijkemans, M. J. C., Heijnen, E. M. E. W., Broekmans, F. J., de Klerk, C., Fauser, B. C. J. M., et al. (2008). Why do couples drop-out from IVF treatment? A prospective cohort study. Human Reproduction, 23, 2050–2055.CrossRefPubMed

Verhaak, C. M., Smeenk, J. M. J., Nahuis, M. J., Kremer, J. A. M., & Braat, D. D. M. (2007). Long-term psychological adjustment to IVF/ICSI treatment in women. Human Reproduction, 22, 305–308.CrossRefPubMed

Wischmann, T. (2005). Psychosocial aspects of fertility disorders. Urologe, A44, 185–194.

Wischmann, T. (2008). Implications of psychosocial support in infertility–a critical appraisal. Journal of Psychosomatic Obstetrics and Gynecology, 29, 83–90.CrossRefPubMed

Wischmann, T., & Stammer, H. (2006). Der Traum vom eigenen Kind. Psychologische Hilfen bei unerfülltem Kinderwunsch (3rd ed.). Stuttgart: Kohlhammer.

World Health Organization, WHO.(2002). Current practices and controversies in assisted reproduction. Report of meeting on “Medical, Ethical and Social Aspects of Assisted Reproduction” WHO Headquarters, Geneva, Switzerland, 1721 September 2001.

Wright, J., Duchesne, C., Sabourin, S., Bissonnette, F., Benoit, J., & Girard, Y. (1991). Psychosocial distress and infertility: men and women respond differently. Fertility and Sterility, 55, 100–108.PubMed

Zegers-Hochschild, F., Nygren, K. G., Adamson, G. D., de Mouzon, J., Lancaster, P., Mansour, R., et al. (2006). The ICMART glossary on ART terminology. Human Reproduction, 21, 1968–1970.CrossRefPubMed

Titel: Internet-based support for infertile patients: a randomized controlled study
Auteurs: K. Haemmerli
H. Znoj
T. Berger
Publicatiedatum: 01-04-2010
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2010
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-009-9243-2

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