Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)

A couple is considered to be infertile if unable to conceive after 12 months of unprotected sexual intercourse. An extended body of literature supports that infertility and infertility treatments contribute to emotional, social, sexual, and relational issues that can have a negative impact on each p...

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Main Authors: Sara Molgora, Valentina Fenaroli, Chiara Acquati, Arianna De Donno, Maria Pia Baldini, Emanuela Saita
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2019.00415/full
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author Sara Molgora
Valentina Fenaroli
Chiara Acquati
Arianna De Donno
Maria Pia Baldini
Emanuela Saita
author_facet Sara Molgora
Valentina Fenaroli
Chiara Acquati
Arianna De Donno
Maria Pia Baldini
Emanuela Saita
author_sort Sara Molgora
collection DOAJ
description A couple is considered to be infertile if unable to conceive after 12 months of unprotected sexual intercourse. An extended body of literature supports that infertility and infertility treatments contribute to emotional, social, sexual, and relational issues that can have a negative impact on each partner's well-being and on the couple relationship. Recent findings suggest that a dyadic approach should be used when working with couples coping with these stressors. However, most research to date has focused on the association between infertility and individual's psychological outcomes, rather than on the experience of infertility-related stress and coping from a relational perspective. Consequently, assuming that infertility is a dyadic stressor and that the ability of the partners to cope with this experience is the result of both individual and relational coping strategies, this study aimed to investigate dyadic coping and marital adjustment among couples at the beginning of an Assisted Reproductive Technology (ART) treatment. A sample of 167 heterosexual couples (N = 334) undergoing ART treatment at the fertility clinic of a large hospital in Milan from January to December 2017 was recruited. Each participant completed self-reported questionnaires examining marital adjustment (Dyadic Adjustment Scale) and dyadic coping (Dyadic Coping Questionnaire). Demographics and clinical variables were also collected. Data were analyzed using the Actor Partner Interdependence Model (APIM), testing the effect of each partner's dyadic coping style on their own and their partner's marital adjustment. Results revealed that both women and partners' scores on positive dyadic coping styles (common, emotion-focused, problem-focused, and delegated dyadic coping) contributed to higher marital adjustment. This result suggests that couples unable to engage in this type of reciprocal supportive behaviors and those unsatisfied with their coping efforts may be more vulnerable while undergoing ART treatments. Furthermore, findings highlighted some gender differences for stress communication and negative dyadic coping suggesting the presence of specific dynamics within couples facing an ART treatment. Implications for clinical practice and future research are discussed.
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spelling doaj.art-b96b00e1fa4241088e75cc14f3fb524a2022-12-21T19:12:28ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-03-011010.3389/fpsyg.2019.00415408975Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)Sara Molgora0Valentina Fenaroli1Chiara Acquati2Arianna De Donno3Maria Pia Baldini4Emanuela Saita5Department of Psychology, Catholic University of Sacred Hearth, Milan, ItalyDepartment of Psychology, Catholic University of Sacred Hearth, Milan, ItalyGraduate College of Social Work, University of Houston, Houston, TX, United StatesDepartment of Psychology, Catholic University of Sacred Hearth, Milan, ItalyIRCCS Ca 'Granda Foundation Maggiore Policlinico Hospital, Milan, ItalyDepartment of Psychology, Catholic University of Sacred Hearth, Milan, ItalyA couple is considered to be infertile if unable to conceive after 12 months of unprotected sexual intercourse. An extended body of literature supports that infertility and infertility treatments contribute to emotional, social, sexual, and relational issues that can have a negative impact on each partner's well-being and on the couple relationship. Recent findings suggest that a dyadic approach should be used when working with couples coping with these stressors. However, most research to date has focused on the association between infertility and individual's psychological outcomes, rather than on the experience of infertility-related stress and coping from a relational perspective. Consequently, assuming that infertility is a dyadic stressor and that the ability of the partners to cope with this experience is the result of both individual and relational coping strategies, this study aimed to investigate dyadic coping and marital adjustment among couples at the beginning of an Assisted Reproductive Technology (ART) treatment. A sample of 167 heterosexual couples (N = 334) undergoing ART treatment at the fertility clinic of a large hospital in Milan from January to December 2017 was recruited. Each participant completed self-reported questionnaires examining marital adjustment (Dyadic Adjustment Scale) and dyadic coping (Dyadic Coping Questionnaire). Demographics and clinical variables were also collected. Data were analyzed using the Actor Partner Interdependence Model (APIM), testing the effect of each partner's dyadic coping style on their own and their partner's marital adjustment. Results revealed that both women and partners' scores on positive dyadic coping styles (common, emotion-focused, problem-focused, and delegated dyadic coping) contributed to higher marital adjustment. This result suggests that couples unable to engage in this type of reciprocal supportive behaviors and those unsatisfied with their coping efforts may be more vulnerable while undergoing ART treatments. Furthermore, findings highlighted some gender differences for stress communication and negative dyadic coping suggesting the presence of specific dynamics within couples facing an ART treatment. Implications for clinical practice and future research are discussed.https://www.frontiersin.org/article/10.3389/fpsyg.2019.00415/fulldyadic copingmarital adjustmentassisted reproduction (ART)infertile coupleAPIM (Actor-Partner Interdependence Model)
spellingShingle Sara Molgora
Valentina Fenaroli
Chiara Acquati
Arianna De Donno
Maria Pia Baldini
Emanuela Saita
Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)
Frontiers in Psychology
dyadic coping
marital adjustment
assisted reproduction (ART)
infertile couple
APIM (Actor-Partner Interdependence Model)
title Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)
title_full Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)
title_fullStr Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)
title_full_unstemmed Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)
title_short Examining the Role of Dyadic Coping on the Marital Adjustment of Couples Undergoing Assisted Reproductive Technology (ART)
title_sort examining the role of dyadic coping on the marital adjustment of couples undergoing assisted reproductive technology art
topic dyadic coping
marital adjustment
assisted reproduction (ART)
infertile couple
APIM (Actor-Partner Interdependence Model)
url https://www.frontiersin.org/article/10.3389/fpsyg.2019.00415/full
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