Submitted by Noeme Timbo (noeme.timbo@metodista.br) on 2018-01-04T18:48:22Z No. of bitstreams: 1 VictorZaia.pdf: 2047527 bytes, checksum: 7858d54d0ef6a892713e11b89f935efc (MD5) / Made available in DSpace on 2018-01-04T18:48:23Z (GMT). No. of bitstreams: 1 VictorZaia.pdf: 2047527 bytes, checksum: 7858d54d0ef6a892713e11b89f935efc (MD5) Previous issue date: 2017-11-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This study investigated whether and how Infertility Stress, Importance of Parenthood and resilience impacted on assisted reproductive treatment (ART) in infertile couples. 423 people participated in the research: 189 women, 183 men, mean age of 37 years, 72.1% first treatment of ART, 69.3% primary infertility, 64% sedentary life, 21.9% had aborted anteriorly, 71% had to make use of the in vitro fertilization technique. 49.3% of the participants believed they had over 60% chance of success in their treatment. To measure the variables, the instruments chosen were: Infertility Related-Stress Scale (IRSS); Importance of Parenthood in the Infertility Scale (IPIS) and Connor-Davidson Resilience Scale (CD-RISC 10) and treatment outcome measures in ART were verified. The main statistical analyzes indicated that the participants with the increased stress levels were: women, had more time of treatment in ART, lower monthly income, believed excessively in the success of the treatment; higher levels of importance of parenting were found in people who followed a religion and with a female’s infertility. Resilience has been positively associated with older people. Infertility Stress and Importance of Parenthood are positively correlated, and both are reverse with resilience. Furthermore, the importance of parenthood has been correlated to higher levels of displayed oocytes. The infertility stress, in intrapersonal domain, explains 6.5% of the variance of pregnancy, classifying 65% of cases correctly. The results indicate that women suffer more with infertility than men. When the cause of infertility is in both partners, adequate levels of importance of parenthood and scholastic level are protective factors for infertility stress. To believe excessively in the success of ART treatment and to follow a religion is not in itself negative. The ART outcome measures are altered by stress levels, which in turn is influenced by the resilience, which should be developed in individuals undergoing treatment for infertility. It is therefore necessary, a continuous focus on the emotional aspects of infertile patients, thus promoting the resilience, the reduction of stress levels, and the autonomy in the path chosen to have their children. Establishing protocols that measure levels of infertility stress, the importance of parenthood and resilience in patients receiving ART, would allow specific interventions that would lead to better adaptation to infertility and better outcomes measures in ART. / Este estudo investigou como e se o estresse, a importância da parentalidade e a resiliência impactaram no tratamento de infertilidade de casais. Participaram do estudo 423 pessoas, 189 mulheres e 183 homens, de média de idade de 37 anos, no primeiro tratamento em reprodução humana (72,1%), com infertilidade primária (69,3%), vida sedentária (64%) e histórico de aborto (21,9%) que iriam fazer fertilização in vitro (71%). Quase a metade deles (49,3%) acreditava possuir mais de 60% de chance de sucesso no tratamento que se iniciaria. Para avaliação das variáveis fez-se uso dos seguintes instrumentos: Infertility Related-Stress Scale (IRSS); Importance of Parenthood in Infertility Scale (IPIS) e Connor-Davidson Resilience Scale (CD-RISC 10), além de repostas ao tratamento de Reprodução Humana Assistida. Os principais resultados de análises estatísticas descritivas, correlacionais e de regressões logísticas indicaram que os participantes com maior estresse eram mulheres, tinham mais tempo de tratamento, menor renda e crença no sucesso do tratamento; maior importância da parentalidade em pessoas com alguma religião, causa feminina de infertilidade. A resiliência foi encontrada em maiores níveis em pessoas mais velhas. Estresse da infertilidade e importância da parentalidade se correlacionaram e ambas são inversas à resiliência. A importância da parentalidade também foi correlacionada a maiores níveis de oócitos visualizados. O estresse relatado da infertilidade, no domínio intrapessoal explica 6,5% da variância da gravidez, classificando 65% dos casos corretamente. Os resultados permitiram identificar que a mulher sofre maior impacto pela situação de infertilidade do que o homem. A causa de infertilidade em ambos os parceiros indica que melhor nível da importância da parentalidade e a escolaridade são fatores protetivos ao estresse. A crença no tratamento, apesar de supervalorizada, não é por si negativa, bem como o possuir alguma religião. Os resultados do tratamento podem ser modificados pelos níveis de estresse, que por sua vez são influenciados pela resiliência, a qual deveria ser trabalhada e ampliada nas pessoas em tratamento de infertilidade. É necessário, portanto, um olhar contínuo sobre os aspectos emocionais dos pacientes inférteis, de modo a favorecer a resiliência e a redução de estresse, de modo a possibilitar uma vivência de autonomia dessas pessoas na busca de terem o próprio filho. Para tanto, estabelecer protocolos de averiguação dos níveis de estresse, importância da parentalidade e resiliência, nos pacientes que iniciam o trajeto de reprodução humana, auxiliaria em intervenções mais específicas que favoreceriam melhor adaptação e melhores resultados no tratamento.

Evidence-Based Practice (EBP), the philosophy underpinning professional service in the health care industry in the U.S.A. and U.K., has been accepted as a paradigm for psychological practice by the American Psychological Association (APA). The APA recommends that professionals base their clinical decisions on scientifically supported research and an understanding of their clients' specific ecological disposition. Clients are considered to have a right to efficacious interventions based on objective research findings, effective service and a high standard of care. Sub-divisions of EBP are Evidence-Based Treatments (EBT) and Evidence-Based Assessment (EBA). . South African educational psychologists have a meagre assessment ‘toolkit’ - outdated, culturally insensitive, non-standardised tests for culturally and linguistically diverse clients. Children from diverse backgrounds would have higher standards of care and more efficacious interventions were psycho-educational assessments to be culturally-sensitive. Without such instruments, ethical management of interventions is questionable, although universally, psychologists have found innovative ways of adapting their praxis to the difficulty. However, all practices and/or interventions are not based on research evidence, nor can be necessarily considered good practice. In the U.S.A. with its abundance of assessment instruments, EBA is a means of ensuring the scientific foundation for professional practice, consequently reliable, valid, culturally-sensitive assessment instruments have been produced. Findings in this study, derived from conversations with a sample of educational psychologists, revealed they were already accommodating cultural and linguistic diversity. Awareness of the value of EBA would support educational psychologists, bring them on par with worldwide praxis and enhance their professionalism. / Teacher Education / D. Ed. (Psychology of Education)

Evidence-Based Practice (EBP), the philosophy underpinning professional service in the health care industry in the U.S.A. and U.K., has been accepted as a paradigm for psychological practice by the American Psychological Association (APA). The APA recommends that professionals base their clinical decisions on scientifically supported research and an understanding of their clients' specific ecological disposition. Clients are considered to have a right to efficacious interventions based on objective research findings, effective service and a high standard of care. Sub-divisions of EBP are Evidence-Based Treatments (EBT) and Evidence-Based Assessment (EBA). . South African educational psychologists have a meagre assessment ‘toolkit’ - outdated, culturally insensitive, non-standardised tests for culturally and linguistically diverse clients. Children from diverse backgrounds would have higher standards of care and more efficacious interventions were psycho-educational assessments to be culturally-sensitive. Without such instruments, ethical management of interventions is questionable, although universally, psychologists have found innovative ways of adapting their praxis to the difficulty. However, all practices and/or interventions are not based on research evidence, nor can be necessarily considered good practice. In the U.S.A. with its abundance of assessment instruments, EBA is a means of ensuring the scientific foundation for professional practice, consequently reliable, valid, culturally-sensitive assessment instruments have been produced. Findings in this study, derived from conversations with a sample of educational psychologists, revealed they were already accommodating cultural and linguistic diversity. Awareness of the value of EBA would support educational psychologists, bring them on par with worldwide praxis and enhance their professionalism. / Teacher Education / D. Ed. (Psychology of Education)