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Infertility-related stress: A concept analysis.

Brittany M Woods1, Patricia A Patrician1, Pariya L Fazeli1

  • 1School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Nursing Forum
|December 7, 2021
PubMed
Summary

Infertility-related stress is defined by antecedents like the desire for children and attributes such as identity crisis and social isolation. Understanding this stress aids in supporting women experiencing infertility.

Keywords:
Rodgers' evolutionary methodconcept analysisinfertilityinfertility-related stresspsychological stress

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Area of Science:

  • Reproductive Health
  • Psychological Science
  • Sociology

Background:

  • Infertility impacts approximately 13% of women in the United States.
  • Infertility-related stressors are suggested to contribute to psychological distress.
  • The definition of infertility-related stress remains poorly defined in existing literature.

Purpose of the Study:

  • To establish a clear and comprehensive definition of infertility-related stress.
  • To utilize Rodgers' method of concept analysis for definition development.
  • To enhance understanding of the multifaceted nature of infertility-related stress.

Main Methods:

  • A systematic literature review guided by Rodgers' method of concept analysis.
  • Searches conducted across PubMed, CINAHL, and PsycINFO databases.
  • Analysis of 21 selected articles following PRISMA-S guidelines.

Main Results:

  • Key antecedents identified include infertility, desire for children, and fear of the unknown.
  • Core attributes encompass identity crisis, social isolation, stigma, sexual stress, and financial strain.
  • Consequences observed are treatment dropout, marital strain, anxiety, depression, and decreased quality of life.

Conclusions:

  • A proposed definition of infertility-related stress was developed through synthesized results.
  • Improved definition facilitates measurement development and patient support identification.
  • Enhanced understanding can mitigate the negative impact of infertility on women's health and well-being.