Relationship among life satisfaction, anxiety and fertility quality of life in women

authors:

avatar Azadeh Ghaheri , avatar Mohadeseh shojaei shahrokhabadi , * , avatar Farid Zayeri , avatar Saman Maroufizadeh , avatar Morteza Karimi


how to cite: Ghaheri A, shojaei shahrokhabadi M , Zayeri F, Maroufizadeh S, Karimi M. Relationship among life satisfaction, anxiety and fertility quality of life in women. koomesh. 2024;17(4):e151190. 

Abstract

Introduction: Negative consequences of infertility and its treatment involve women more than men. Psychological pressures of infertility negatively affect some in fertility treatment outcomes such as quality of life. In this study the rational relationship among anxiety, life satisfaction, quality of life and also the relationship between psychological factors and quality of life in infertile women was analyzed. Materials and Methods: In this cross-sectional analytical study, 125 infertile women referring to Royan institute (Iran) were selected by convenience sampling. The participants were asked to complete the self-administered questionnaires of anxiety, life satisfaction and quality of life. SEM was used to assess the predictive relevance of the proposed model and partial least square (PLS) was used to estimate the model parameters. Results: The results of this study indicate that life satisfaction has direct and indirect effect on the quality of life of infertile individuals. Life satisfaction improves the quality of life and it also improves the quality of life through decreasing infertile people;#39s anxiety. The Sobel test result shows that anxiety, as a mediator variable, influences the relationship between life satisfaction and quality of life. Conclusion: Finally, the anxiety mediated indirect effect of life satisfaction on quality of life of infertile individuals is stronger than its direct effect.

References

  • 1.

    Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, Sullivan E, Vanderpoel S. International committee for monitoring assisted reproductive technology (ICMART) and the world health organization (WHO) revised glossary of ART terminology, 2009. Fertil Steril 2009; 92: 1520-1524.

  • 2.

    Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med 2012; 9: e1001356.

  • 3.

    Vahidi S, Ardalan A, Mohammad K. Prevalence of primary infertility in the Islamic Republic of Iran in 2004-2005. Asia Pac J Public Health 2009; 21: 287-293.

  • 4.

    Organization WH. The epidemiology of infertility: report of a WHO scientific group. World Health Organ Tech Rep Ser 1975; 582: 1-37.

  • 5.

    Fassino S, Piero A, Boggio S, Piccioni V, Garzaro L. Anxiety, depression and anger suppression in infertile couples: a controlled study. Hum Reprod 2002; 17: 2986-2994.

  • 6.

    Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' version of the world health organization quality of life (WHOQOL) instrument. J Clin Epidemiol 2000; 53: 1-12.

  • 7.

    Organization WH. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996. 1996.

  • 8.

    Schanz S, Reimer T, Eichner M, Hautzinger M, Hfner HM, Fierlbeck G. Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study. Fertil Steril 2011; 96: 416-421.

  • 9.

    Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynecol 2010; 31: 101-110.

  • 10.

    Chachamovich J, Chachamovich E, Fleck M, Cordova FP, Knauth D, Passos E. Congruence of quality of life among infertile men and women: findings from a couple-based study. Hum Reprod 2009; 24: 2151-2157.

  • 11.

    Fisher JR, Baker GH, Hammarberg K. Long-term health, well-being, life satisfaction, and attitudes toward parenthood in men diagnosed as infertile: challenges to gender stereotypes and implications for practice. Fertil Steril 2010; 94: 574-580.

  • 12.

    Aarts J, Van Empel I, Boivin J, Nelen W, Kremer J, Verhaak C. Relationship between quality of life and distress in infertility: a validation study of the Dutch FertiQoL. Hum Reprod 2011; 26: 1112-1118.

  • 13.

    Yaghmaei F, Mohammadi S, Alavi MH. Developing quality of life in infertile couples questionnaire and measuring its psychometric properties. Reprod Infertil 2009.

  • 14.

    Mousavi SA, Masoumi SZ, Keramat A, Pooralajal J, Shobeiri F. Assessment of questionnaires measuring quality of life in infertile couples: a systematic review. J Reprod Infertil 2013; 14: 110-119.

  • 15.

    Kim JH, Shin HS. A structural model for quality of life of infertile women. J Korean Acad Nurs 2013; 43: 312-320.

  • 16.

    Keramat A, Masoomi SZ, Mousavi SA, Poorolajal J, Shobeiri F, Hazavhei SM. Quality of life and its related factors in infertile couples. J Res Health Sci 2013; 14: 57-63.

  • 17.

    Martins MV, Peterson BD, Almeida VM, Costa ME. Direct and indirect effects of perceived social support on women's infertility-related stress. Hum Reprod 2011; 26: 2113-2121.

  • 18.

    Arvanitoyannis I, Bloukas J, Pappa I, Psomiadou E. Multivariate data analysis of Cavourmasa Greek cooked meat product. Meat Science 2000; 54: 71-75.

  • 19.

    Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Hum Reprod 2011; 26: 2084-2091.

  • 20.

    Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatric Scand 1983; 67: 361-370.

  • 21.

    Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. Tehran Univ Med J 2009; 67. (Persian).

  • 22.

    Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Person Assessment 1985; 49: 71-75.

  • 23.

    Bayani AA, Koocheky AM, Goodarzi H. The reliability and validity of the satisfaction with life scale. J Iranian Psychol 2007; 3: 259-260.

  • 24.

    Chin WW. The partial least squares approach to structural equation modeling. Modern Methods Business Res 1998; 295: 295-336.

  • 25.

    Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. Prentice Hall; 2009.

  • 26.

    Chin WW, Marcolin BL, Newsted PR. A partial least squares latent variable modeling approach for measuring interaction effects: Results from a Monte Carlo simulation study and an electronic-mail emotion/adoption study. Inform Syst Res 2003; 14: 189-217.

  • 27.

    Gameiro S, Nazar B, Fonseca A, Moura-Ramos M, Canavarro MC. Changes in marital congruence and quality of life across the transition to parenthood in couples who conceived spontaneously or with assisted reproductive technologies. Fertil Steril 2011; 96: 1457-1462.

  • 28.

    Waite LJ, Lehrer EL. The benefits from marriage and religion in the United States: A comparative analysis. Popul Dev Rev 2003; 29: 255-276.

  • 29.

    Ramezanzadeh F, Aghssa MM, Jafarabadi M, Zayeri F. Alterations of sexual desire and satisfaction in male partners of infertile couples. Fertil Steril 2006; 85: 139-143.

  • 30.

    Gharaie V, Mazaheri MA, Sahebi A, Peyvandi S, Aghahoseini M. Effect of behavioral-cognitive education on reduction of anxiety in women with primary infertility who undergo GIFT and ZIFT. Reroduc Infertil 2004. (Persian).

  • 31.

    Seif D, Alborzi S, Alborzi S. Effect of some affective and demographic variables on life satisfaction of infertile women. Journal of Reproduction & Infertility. 2001;2(4).

  • 32.

    Nelson SK, Kushlev K, Lyubomirsky S. The pains and pleasures of parenting: when, why, and how is parenthood associated with more or less well-being? Psychol Bull 2014; 104: 846-895.

  • 33.

    Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Fertil Steril 2011; 96: 409-415##.