Psychosocial Intervention in Assisted Reproduction Treatments

Study Overview
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Brief Summary
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The aim of the study was to evaluate and compare different strategies of psychosocial intervention for patients undergoing IVF treatment in a private fertility clinic. Recruited patients were assigned to one of three groups: group intervention, couple intervention or no intervention (control group). Three main variables were assessed: depression, anxiety and life quality.

Detailed Description
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A total of 87 couples have participated in this study. All couples were about to start an assisted reproduction treatment (artificial insemination or in vitro fertilization). Couples were assigned to one of three study groups: group intervention, couple intervention or no intervention (control group). Patients in the first group (group intervention) attended six group psychotherapy sessions. Patients in the second group attended six psychotherapy sessions (particular sessions in this case). The patients in the third group received no psycho-social intervention. Assignation to each group was not randomized, it depended on scheduling availability of the patients. Patients attended one session every week or 15 days. Each session lasted 90 minutes. Sessions were designed to minimize the possible negative psycho -social impact of infertility and its treatment. Different aspects were approached in these sessions including emotion expression, social coping, communication skills, emotion management in different social situations, identification of dysfunctional thoughts, cognitive restructuring, and cognitive distortions. The outcomes measured were: anxiety, depression, life quality, coping and perceived social support. These variables were assessed before ART, after ART and in a follow-up performed six months after ART. Psychological variables were assessed using different well-recognized inventories.

Official Title
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Comparing Different Strategies of Psychosocial Intervention in Assisted Reproduction Treatments

Conditions
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Infertility Primary, Psychosocial Stressor, Anxiety Depression

Intervention / Treatment
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* Other: Group psychosocial intervention
* Other: Couple psychosocial intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Childless couples About to undergo an ART treatment Exclusion Criteria: Undergoing ART treatment when signing the informed consent of the study Pregnant when signing the informed consent of the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group intervention<br> | Other: Group psychosocial intervention<br>* Several couples attended a total of six group psychotherapy sessions conducted by a psychologist. Between 4 and 7 couples were treated in each group session.<br>|
| Experimental: Couple intervention<br> | Other: Couple psychosocial intervention<br>* The couple attended a total of six psychotherapy sessions conducted by a psychologist. Each couple was attended particularly.<br>|
| No Intervention: No intervention<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Depression | Beck's Depression Inventory (BDI-II) (spanish version). Scale from 1 to 40, where a higher score means a more severe depression | 6 months | 
| Anxiety | State-Trait Anxiety Inventory (STAI) (spanish version). Has 20 items rated on a 4-point scale. Higher scores indicate greater anxiety | 6 months | 
| Life quality | Fertility Quality of Life (FertiQoL) scoring (spanish version). FertiQoL consists of 36 items scored according to 5 response categories. The response scale has a range of 0 to 4. Higher scores mean higher quality of life. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Coping | Coping Orientation to Problems Experienced (COPE) inventory. 28 item self-report questionnaire. The scale can determine someone's primary coping styles with scores on the following three subscale: Problem-Focussed Coping, Emotion-Focussed Coping, and Avoidant Coping. | 6 months | 
| Perceived social support (1) | Multidimensional Scale of Perceived Social Support (MSPSS). 12-item measure of perceived adequacy of social support from three sources: family, friends, & significant other; using a 5-point Likert scale. | 6 months | 
| Perceived social support (2) | Interpersonal Evaluation List (ISEL). Multi- dimensional inventory measuring perceived social support in 40-items | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Assisted Reproduction Treatment (ART), Psychology, Psychosocial intervention, Depression, Anxiety, Life quality