Effectiveness of mindful self-compassion therapy on psychopathology symptoms, psychological distress and life expectancy in infertile women treated with in vitro fertilization: a two-arm double-blind parallel randomized controlled trial.

Autor: Sahraian K; Department of Psychology, Higher Education Center of Eghlid, Eghlid, Iran.; Infertility Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran., Abdollahpour Ranjbar H; Department of Psychology, Koç University College of Social Sciences and Humanities, Istanbul, Turkey. Hranjbar20@ku.edu.tr., Namavar Jahromi B; Infertility Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Obstetrics and Gynecology, School of Medical Science, Shiraz University of Medical Science, Shiraz, Iran., Cheung HN; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China., Ciarrochi J; Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, NSW, Australia., Habibi Asgarabad M; Department of Psychology, Norwegian University of Science and Technology, 7491 Dragvoll, Trondheim, Norway. Mojtaba.h.asgarabad@ntnu.no.; Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran. Mojtaba.h.asgarabad@ntnu.no.; Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Mojtaba.h.asgarabad@ntnu.no.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2024 Mar 01; Vol. 24 (1), pp. 174. Date of Electronic Publication: 2024 Mar 01.
DOI: 10.1186/s12888-023-05411-6
Abstrakt: Objectives: Infertility is a prominent problem affecting millions of couples worldwide. Recently, there has been a hightened emphasis on elucidating the subtle linkages between infertility treatment leveraging assisted reproductive technology and the complex realm of psychological challenges, as well as efforts in implementation of psychological interventions.The Mindful Self-Compassion (MSC) program seeks to improve self-compassion, compassion for others, mindfulness, and life satisfaction while reducing depression, anxiety, and stress. In the current study, an MSC intervention was performed on infertile women (IW) undergoing in vitro fertilization (IVF) to assess the effectiveness of this intervention in reducing psychological distress and psychopathological symptoms and enhancing life expectancy.
Methods: Fifty-seven IW undergoing IVF were randomly allocated to two groups: MSC (n = 29) or treatment as usual (TAU; n = 28). Participants in MSC met once a week for two hours for eight weeks and attended a half-day meditation retreat. The Synder's Hope questionnaire and the Revised 90-Symptom Checklist (SCL-90-R) were used as the primary outcome measures. Data were obtained before the intervention, immediately after the intervention, and two months post-intervention. Repeated measures of ANCOVA and paired t-tests in all assessment points were used to compare the MSC and the TAU groups in outcomes.
Results: In the MSC group, hopelessness, anger-hostility, anxiety, interpersonal sensitivity difficulties, and depression were significantly reduced compared with the TAU group, and those improvements persisted at the two-month follow-up. Reliable change index revealed that the MSC group's gains were both clinically significant and durable.
Conclusions: MSC can facilitate higher life satisfaction and mental well-being for IW undergoing IVF by reducing psychological distress, psychopathological symptoms, and hopelessness. These encouraging findings call for more research into the effectiveness of mindfulness-based therapies in addressing psychological problems among IW undergoing IVF.
(© 2024. The Author(s).)
Databáze: MEDLINE
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