Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer

Abstract Background The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL)...

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Autores principales: Xiaoyu Jing, Wei Gu, Lu Zhang, Runna Miao, Xiuli Xu, Min Wang, Hadassah Joann Ramachandran, Wenru Wang
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Publicado: BMC 2021
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spelling oai:doaj.org-article:441c00235ce5441bbe36892ce4593aee2021-11-07T12:20:59ZCoping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer10.1186/s12905-021-01525-91472-6874https://doaj.org/article/441c00235ce5441bbe36892ce4593aee2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12905-021-01525-9https://doaj.org/toc/1472-6874Abstract Background The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL) in infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). The aim of this study was to examine the mediating effect of coping strategies on the relationship between stigma and fertility quality of life (FertiQoL) in Chinese infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). Methods In this cross-sectional study, a total of 768 infertile women undergoing IVF-ET were recruited from Assisted Reproductive Center of Shaanxi Province, China. The personal information, infertility stigma scale, coping strategy scale and FertiQoL scale were measured using a set of questionnaires. The multiple mediator model was performed using AMOS 21.0. Results The model showed a significant negative direct effect between stigma on FertiQoL. There were significantly negative indirect effects of stigma on FertiQoL through active-avoidance, active-confronting and passive-avoidance, respectively. The meaning-based coping played a positive intermediary role. The model explained 69.4% of the variance in FertiQoL. Conclusion Active-avoidance coping strategy is the most important mediator factor between stigma and FertiQoL in infertile women undergoing IVF-ET treatment. Meaning-based coping strategy plays a positive mediating role between stigma and FertiQoL.Xiaoyu JingWei GuLu ZhangRunna MiaoXiuli XuMin WangHadassah Joann RamachandranWenru WangBMCarticleInfertilityStigmaCoping strategyFertility quality of lifeModerating roleGynecology and obstetricsRG1-991Public aspects of medicineRA1-1270ENBMC Women's Health, Vol 21, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Infertility
Stigma
Coping strategy
Fertility quality of life
Moderating role
Gynecology and obstetrics
RG1-991
Public aspects of medicine
RA1-1270
spellingShingle Infertility
Stigma
Coping strategy
Fertility quality of life
Moderating role
Gynecology and obstetrics
RG1-991
Public aspects of medicine
RA1-1270
Xiaoyu Jing
Wei Gu
Lu Zhang
Runna Miao
Xiuli Xu
Min Wang
Hadassah Joann Ramachandran
Wenru Wang
Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
description Abstract Background The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL) in infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). The aim of this study was to examine the mediating effect of coping strategies on the relationship between stigma and fertility quality of life (FertiQoL) in Chinese infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). Methods In this cross-sectional study, a total of 768 infertile women undergoing IVF-ET were recruited from Assisted Reproductive Center of Shaanxi Province, China. The personal information, infertility stigma scale, coping strategy scale and FertiQoL scale were measured using a set of questionnaires. The multiple mediator model was performed using AMOS 21.0. Results The model showed a significant negative direct effect between stigma on FertiQoL. There were significantly negative indirect effects of stigma on FertiQoL through active-avoidance, active-confronting and passive-avoidance, respectively. The meaning-based coping played a positive intermediary role. The model explained 69.4% of the variance in FertiQoL. Conclusion Active-avoidance coping strategy is the most important mediator factor between stigma and FertiQoL in infertile women undergoing IVF-ET treatment. Meaning-based coping strategy plays a positive mediating role between stigma and FertiQoL.
format article
author Xiaoyu Jing
Wei Gu
Lu Zhang
Runna Miao
Xiuli Xu
Min Wang
Hadassah Joann Ramachandran
Wenru Wang
author_facet Xiaoyu Jing
Wei Gu
Lu Zhang
Runna Miao
Xiuli Xu
Min Wang
Hadassah Joann Ramachandran
Wenru Wang
author_sort Xiaoyu Jing
title Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
title_short Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
title_full Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
title_fullStr Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
title_full_unstemmed Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
title_sort coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer
publisher BMC
publishDate 2021
url https://doaj.org/article/441c00235ce5441bbe36892ce4593aee
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