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Individuals confronting chronic medical conditions often face profound challenges to cherished life goals. The primary aim of this study was to examine the associations of goal adjustment with psychological adjustment in the context of infertility. At study entry (T1; n = 97) and 6 months later (T2; n = 47), women in fertility treatment completed measures of goal blockage, goal adjustment ability, and psychological adjustment. At T1, greater perceived and actual goal blockage were related to negative psychological adjustment. Ability to disengage from the goal of biological parenthood was associated with less infertility-specific thought intrusion, whereas engagement with other goals was related to fewer depressive symptoms and greater positive states of mind. Greater general goal engagement was protective against the negative relationships between low goal disengagement and the dependent variables. Promoting letting go of the unattainable and investing in the possible may be a useful intervention to foster well-being among individuals experiencing profound goal blockage.
Abma, J. C., Chandra, A., Mosher, W. D., Peterson, L. S., & Piccinino, L. J. (1997). Fertility, family planning, and women’s health: New data from the 1995 national survey of family growth. National Center for Health Statistics. Vital and Health Statistics, 23, 1–114.
Clark, L. F., Henry, S. M., & Taylor, D. M. (1991). Cognitive examination of motivation for childbearing as a factor in adjustment to infertility. In A. L. Stanton & C. Dunkel-Schetter (Eds.), Infertility: Perspectives from stress and coping research (pp. 157–180). New York: Plenum Press.
Dougher, M. J. (1994). The act of acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp. 37–45). Reno: Context Press.
Frederickson, B. L. (2001). The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions. American Psychologist, 56, 218–226. CrossRef
Hill, J. A. (1995). T-helper 1-type immunity to trophoblast: Evidence for a new immunological mechanism for recurrent abortion in women. Human Reproduction, 10, 114–120. PubMed
Horowitz, M., Adler, N., & Kegeles, S. (1988). A scale for measuring the occurrence of positive states of mind: A preliminary report. Psychosomatic Medicine, 50, 477–483. PubMed
Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective distress. Psychosomatic Medicine, 41, 209–218. PubMed
Mosher, W. D., & Pratt, W. F. (1982). Reproductive impairments among married couples: United States. Maryland: U.S. Department of Health and Human Services, Office of Health Research, Statistics, and Technology, National Center for Health Statistics.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. CrossRef
Radloff, L. S. (1991). The use of the center for epidemiologic studies depression scale in adolescents and young adults. Journal of Youth and Adolescence, 20, 149–166. CrossRef
Ruderman, M. N., Ohlott, P. J., Panzer, K., & King, S. (2002). Benefits of multiple roles for managerial women. Academy of Management Journal, 45, 369–386. CrossRef
Salmela-Aro, K., & Suikkari, A.-M. (2008). Letting go of your dreams—adjustment of child-related goal appraisals and depressive symptoms during infertility treatment. Journal of Research in Personality, 42, 988–1003. CrossRef
Sieber, S. D. (1974). Toward a theory of role accumulation. American Sociological Review, 39, 567–578. CrossRef
Thompson, E. H., & Stanton, A. L. (2009, April). Giving up life goals in the context of metastatic breast cancer. Poster presented at the annual meeting of the Society of Behavioral Medicine, Montreal, ON.
Wilson, T. D., & Gilbert, D. T. (2008). Explaining away: A model of affective adaptation. Perspectives on Psychological Science, 3, 370–381. CrossRef
Woodward, J. T. (2004). Acceptance and regoaling in the context of infertility: How do we move forward during blockage of a major life goal? (Doctoral dissertation, U of Kansas, August 2004). Dissertation Abstracts International, 65, 3153193.
Wrosch, C. (2011). Self-regulation of unattainable goals and pathways to quality of life. In S. Folkman (Ed.), The Oxford handbook of stress, health, and coping (pp. 319–333). New York: Oxford University Press.
Wrosch, C., Scheier, M. F., Carver, C. S., & Schulz, R. (2003a). The importance of goal disengagement in adaptive self-regulation: When giving up is beneficial. Self and Identity, 2, 1–20. CrossRef
Wrosch, C., Scheier, M. F., Miller, G. E., & Carver, C. S. (in press). When meaning is threatened: The importance of goal adjustment for psychological and physical health. In P. T. Wong (Ed.), The human quest for meaning. Routledge.
Zautra, A. J. (2003). Emotions, stress, and health. New York: Oxford University Press.
Zautra, A. J., Berkhof, J., & Nicolson, N. A. (2002). Changes in affect interrelations as a function of stressful events. Cognition and Emotion, 16, 309–318. CrossRef
- Moving forward during major goal blockage: situational goal adjustment in women facing infertility
Elizabeth H. Thompson
Julia T. Woodward
Annette L. Stanton
- Springer US