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Health and quality of life outcomes
Feb 15, 2019;17 (1): 38.

Resilience acts as a moderator in the relationship between infertility-related stress and fertility quality of life among women with infertility: a cross-sectional study.

Yifei Li, Xin Zhang, Meng Shi, Shuaishuai Guo, Lie Wang
Author Information
  1. Yifei Li: Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.
  2. Xin Zhang: Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.
  3. Meng Shi: English Department, School of Fundamental Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China.
  4. Shuaishuai Guo: Reproductive Medicine Center, Shenyang Women's and Children's Hospital, No.87 Danan Road, Shenhe Area, Shenyang, 110000, China. shuaishuai197411@sina.com.
  5. Lie Wang: Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, China. liewang@cmu.edu.cn. ORCID
PMID: 30770738 DOI: 10.1186/s12955-019-1099-8

Abstract

BACKGROUND: Infertility-related stress can seriously impact the fertility quality of life (QoL) of infertile women. Resilience, as a coping resource, can effectively combat psychological stress. This study aimed to evaluate the fertility QoL of infertile women and to examine whether resilience moderates the association of infertility-related stress with fertility QoL.
METHODS: This cross-sectional study was conducted in northeast of China from December 2017 to February 2018. Out of 559 women outpatients with infertility, 498 (89.1%) completed self-reported questionnaires including the FertiQoL Scale, Fertility Problem Inventory (FPI) and Connor-Davidson Resilience Scale (CD-RISC). Hierarchical multiple regression analysis and simple slope analysis were applied to explore the influencing factors related to fertility QoL as well as to examine the moderating effect of resilience on the association of infertility-related stress with fertility QoL.
RESULTS: The mean FertiQoL score was 64.54 ± 16.90 among the participants. Household monthly income and causes of infertility were significantly related to fertility QoL. In addition, infertility-related stress was negatively related to fertility QoL, and resilience was positively associated with fertility QoL, explaining 36.3% of the variance. Resilience moderated the association of infertility-related stress with fertility QoL. Specifically, the effect of infertility-related stress on fertility QoL varied by low(1 SD below the mean, B = - 0.496, β = - 0.714, P < 0.001), mean (B = - 0.293, β = - 0.422, P < 0.001) and high (1 SD above the mean, B = - 0.090, β = - 0.130, P < 0.001) levels of resilience. The higher resilience was, the weaker the effect of infertility-related stress on fertility QoL was.
CONCLUSIONS: Overall, women with infertility in China had relatively low FertiQoL scores. Resilience influenced the association of infertility-related stress with fertility QoL. Infertile patients' psychological status must be addressed and adequate resilience-based interventions such as mindfulness-based skills should be provided to improve fertility QoL of women with infertility.

Keywords

Infertility Infertility-related stress Moderating role Quality of life Resilience

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MeSH Term

Adult
China
Cross-Sectional Studies
Female
Humans
Infertility, Female
Infertility, Male
Quality of Life
Regression Analysis
Resilience, Psychological
Self Report
Stress, Psychological
Journal Article
Article has an altmetric score of 8

Word Cloud

Created with Highcharts 10.0.0fertilityQoLstressinfertility-relatedwomenResilience=-0resilienceassociationinfertilitymeanlifestudyFertiQoLrelatedeffectBβP < 0001Infertility-relatedcanqualityinfertilepsychologicalexaminecross-sectionalChinaScaleanalysisamonglow1SDBACKGROUND:seriouslyimpactcopingresourceeffectivelycombataimedevaluatewhethermoderatesMETHODS:conductednortheastDecember2017February2018559outpatients498891%completedself-reportedquestionnairesincludingFertilityProblemInventoryFPIConnor-DavidsonCD-RISCHierarchicalmultipleregressionsimpleslopeappliedexploreinfluencingfactorswellmoderatingRESULTS:score6454 ± 1690participantsHouseholdmonthlyincomecausessignificantlyadditionnegativelypositivelyassociatedexplaining363%variancemoderatedSpecificallyvaried496714293422high090130levelshigherweakerwasCONCLUSIONS:OverallrelativelyscoresinfluencedInfertilepatients'statusmustaddressedadequateresilience-basedinterventionsmindfulness-basedskillsprovidedimproveactsmoderatorrelationshipinfertility:InfertilityModeratingroleQuality

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