Summary
Clinical papers strongly recommend psychosocial counseling for patients attending infertility clinics. These recommendations are at odds with studies showing that very few patients actually take-up such services. The disparity between recommendation and actual use would seem to be due to the lack of distinction between the needs of the few highly distressed patients who feel overwhelmed by their infertility and those of the average infertile couple who experience distress but cope well with it. In the former case, psychosocial counseling is likely to be beneficial, while in the latter case informal sources of help, for example, that provided through documentation, are likely to be sufficient. Unfortunately, the emphasis on psychosocial counseling for highly distressed patients in the area of infertility has left the needs of less distressed patients neglected and the potential usefulness of alternative methods of intervening with these patients unexplored.
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Baram D, Toutelot E, Muechler E, Huang KE: Psychosocial adjustment following unsuccessful in vitro fertilization. J Psychosom Obstet Gynecol 1988;9:181–190
Daniluk JC: Infertility: Intrapersonal and interpersonal impact. Fertil Steril 1988;49:982–290
McGrade JJ, Tolor A: The reaction to infertility and the infertility investigation: A comparison of the responses of men and women. Infertility 1981;4:7–27
Lalos A, Lalos O, von Schoultz B: The psychosocial impact of infertility two years after completed surgical treatment. Acta Obstet Gynecol Scand 1985;65:599–604
Laffont I, Edelmann RJ: Perceived support and counselling needs in relation to in vitro fertilization. J Psychosom Obstet Gynecol 1994;15:183–188
Paulson JD, Haarmann BS, Salerno RL, Asmar P: An investigation of the relationship between emotional maladjustment and infertility. Fertil Steril 1988;49:258–262
Shaw P, Johnston M, Shaw R: Counselling needs, emotional and relationship problems in couples awaiting IVF. J Psychosom Obstet Gynecol 1988;9:171–180
Pepe MV, Byrne, TJ: Women’s perceptions of immediate and long-term effects of failed infertility treatment on marital and sexual satisfaction. Family Relat 1991;40:303–309
Sundby J, Olsen A, Schei, B.: Quality of care for infertility patients. An evaluation of a plan for a hospital investigation. Scand J Soc Med 1994;22:139–144
Mazure CM, Takefman JE, Milki AA, Lake-Polan M: Assisted reproductive technologies. II. Psychologic implications for women and their partners. J Women’s Health 1992;1:275–281
Wright J, Allard M, Lecours A, Sabourin S: Psychosocial distress and infertility: A review of controlled research. Int J Fertil 1989;34:126–142
Newton CR, Hearn MT, Yuzpe AA: Psychological assessment and follow-up after in vitro fertilization: Assessing the impact of failure. Fertil Steril 1990;54:879–886
Reading AE, Chang LC, Kerin JF: Psychological state and coping style across an IVF treatment cycle. J Reprod Infant Psychol 1989;7:95–103
Litt MD, Tennen H, Affleck G, Klock S: Coping and cognitive factors in adaptation to in vitro fertilization failure. J Behav Med 1992;15:171–187
van Balen F & Trimbos-Kemper TCM: Long-term infertile couples: A study of their well-being. J Psychosom Obstet Gynaecol 1993;14:53–60
Berg BJ, Wilson JF: Psychological functioning across stages of treatment for infertility. J Behav Med 1991;14:11–26
Stewart DE, Boydell KM, McCarthy K, Swedlyk S, Redmond C, Cohrs W: A prospective study of the effectiveness of brief professionally-led support groups for infertility patients. Int J Psychiatr Med 1992;22:173–182
Domar AD, Seibel MM, Benson H: The Mind/Body program for infertility: A new behavioral treatment approach for women with infertility. Fertil Steril 1990;53:246–249
Domar AD, Zuttermeister PC, Seibel MM, Benson H: Psychological improvement in infertile women after behavioral treatment: A replication. Fertil Steril 1992;58:144–147
Goodman K, Rothman B: Group work in infertility treatment. Social Work Groups 1984;7:79–97
Connolly KJ, Edelmann RJ, Bartlett H, Cooke ID, Lenton E, Pike S: An evaluation of counselling for couples undergoing treatment for in vitro fertilization. Hum Reprod 1993;8:1332–1338
Boivin J, Takefman J: Stress level across stages of in vitro fertilization in subsequently pregnant and nonpregnant women. Fertil Steril 1995;64:802–811
Boivin J, Takefman J, Tulandi T, Brender W: Reactions to infertility based on extent of treatment failure. Fertil Steril 1995;63:801–807
Boivin J, Takefman J: The impact of the in vitro fertilization-embryo transfer (IVF-ET) process on emotional, physical and relational variables. Hum Reprod 1996;11:903–907
Callan VJ, Hennessey JF: Emotional aspects and support in in vitro fertilization and embryo transfer programs. J Vitro Fert Embryo Transfer 1988;5:290–295
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Boivin, J. Is there too much emphasis on psychosocial counseling for infertile patients?. J Assist Reprod Genet 14, 184–186 (1997). https://doi.org/10.1007/BF02766106
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DOI: https://doi.org/10.1007/BF02766106