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Depression, guilt and isolation among infertile women and their partners
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
1986 (Engelska)Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology, ISSN 0167-482X, E-ISSN 1743-8942, Vol. 5, nr 3, s. 197-206Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The crisis of infertility has been studied in 30 women with tubal damage and the manner in which it affected their partners over a period of 2 years. Altogether, 4 interviews were carried out with the women, and two with the men. The partners of each couple were interviewed individually on the same day a few weeks before and 2 years after a reconstructive tubal operation. Furthermore, the women were interviewed on the first postoperative day, and 1 month later at the second-look laparoscopy. Most of the symptoms recorded during the interviews could be classified in terms of depression, guilt and isolation. The women generally manifested more depressive symptoms than the men who often suppressed or even denied emotional reactions. Feelings of guilt were more common among the women than among the men. Relatives and friends did not give genuine support — according to the majority of the couples. Pregnant women and other people's children often evoked negative feelings. Social isolation often developed among the infertile women and their partners. In most cases, the crisis of infertility was found to be prolonged, especially among the women. The study indicates that in order to cope with the crisis of infertility, couples require supportive counseling in parallel to the investigation and medical treatment. This counseling should be designed both for the couple as an entity and for the partners separately.

Read More: http://informahealthcare.com/doi/abs/10.3109/01674828609016758?prevSearch=allfield%253A%2528lalos%2529&searchHistoryKey=

Ort, förlag, år, upplaga, sidor
1986. Vol. 5, nr 3, s. 197-206
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
URN: urn:nbn:se:umu:diva-46965OAI: oai:DiVA.org:umu-46965DiVA, id: diva2:441616
Tillgänglig från: 2011-09-16 Skapad: 2011-09-16 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
Ingår i avhandling
1. Psychological and social aspects of tubal infertility: a longitudinal study of infertile women and their men
Öppna denna publikation i ny flik eller fönster >>Psychological and social aspects of tubal infertility: a longitudinal study of infertile women and their men
1985 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

All thirty women who were to undergo microsurgical treatment for tubal infertility in 1981 and their men were investigated. Over a period of 2 years four interviews were performed with the women and two with their men. A questionnaire, semistructured interviews, symptom checklist and the Eysenck Personality Inventory were used. During this longitudinal study the couples' background, current situation and emotional and social impact of the infertility problem were investigated. The psychological and social effects of the medical investigation and treatment have been described. Expectations and hopes about the future after unsuccessful surgical treatment and the need of professional psychosocial counselling have been noted. Furthermore, the extent of psychological reactions compatible with a crisis pattern has been identified and classified. Finally, overt motives for having a child have been studied.

The infertile couples generally did not differ with respect to psychosocial background, current life situation, psychiatric anamnesis or personality characteristics when compared with apparently normal reference groups. Several deleterious emotional and social effects of the infertility were found both before and 2 years after the surgical treatment. The women admitted to suffering such effects more frequently than the men. The partners' feeling for each other were getting worse 2 years after the operation. There was also a tendency to a deterioration in opinions about marital relationships. Most of the mental symptoms recorded could be classified in terms of depression, guilt and isolation, which all are parts of the reactive phase of the common crisis pattern. The crisis of infertility, however, differs from the common traumatic crisis; it is more prolonged and there are often repeated crisis reactions. Negative effects on the couples' sexual life were reported by all individuals. The medical investigation and surgical treatment of infertility influenced the couples' mutual relationship and sexual life negatively.

Intrapsychic and interpersonal motives of childwish were dominant among both women and men. A central motive was that a child is an ultimate expression of love between a man and a woman. The motives of the infertile couples generally did not differ from those of the reference groups.

Most of the couples had difficulty in working their way through and finding a solution to their infertility problem by their own means. Relatives and friends failed to fulfil a supportive function. The importance of having the possibility of professional psychosocial counselling and support parallel with the investigation and treatment were stressed by all participants.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå universitet, 1985. s. 53
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 152
Nyckelord
tubal infertility, psychosocial characterization, reactions to treatment, sexual life, marital relationship, infertility crisis, childwish, counselling
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
urn:nbn:se:umu:diva-46966 (URN)
Disputation
1985-11-15, Sal B, 9 tr, by 1D, (nya tandläkarhögskolan), Norrlands universitetssjukhus, Umeå universitet, Umeå, 09:00 (Engelska)
Handledare
Projekt
digitalisering@umu
Tillgänglig från: 2011-09-16 Skapad: 2011-09-16 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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