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A Randomized Controlled Trial of an iCBT Program to Reduce Infertility-Related Stress: A Novel Digital Approach
Sigurbirna Haflidadottir1, Fjola Dogg Helgadottir2, Magnus Blondahl Sighvatsson3
1Reykjavík University, Reykjavik, Iceland.
Scandinavian Journal of Psychology
|June 23, 2026
Summary
A new online cognitive behavioral therapy (CBT) program significantly reduced infertility-related stress in women. This automated intervention shows promise for accessible mental health support for those facing conception challenges.
Area of Science:
- Reproductive Health
- Psychological Interventions
- Digital Health
Background:
- Infertility significantly impacts mental well-being, with limited access to psychological support.
- Online interventions offer a scalable and cost-effective solution for managing infertility-related distress.
Purpose of the Study:
- To evaluate the efficacy of a fully automated cognitive behavioral therapy (CBT) program in reducing infertility-related stress.
- To assess the impact of the 'Overcome Fertility Stress' online program on women experiencing difficulties conceiving.
Main Methods:
- A randomized controlled trial (RCT) compared an automated CBT intervention group with a waitlist control group.
- 63 Icelandic women with infertility-related stress were enrolled; data analyzed using linear mixed models.
- The Fertility Problem Inventory (FPI) measured infertility-related stress.
Main Results:
- The experimental group showed a significant reduction in infertility-related stress (p < 0.05).
- The control group exhibited no significant changes in stress levels.
- The intervention did not significantly affect secondary outcomes like depression or anxiety, indicating specificity.
Conclusions:
- A fully automated CBT program may effectively reduce infertility-related stress.
- The 'Overcome Fertility Stress' program shows potential as a low-intensity digital mental health intervention.
- Further research with larger samples and improved engagement is needed to confirm efficacy.
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