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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:tahbit.umesp.edu.dti:tede/1694 |
| Date | 07 November 2017 |
| Creators | ZAIA, VICTOR MANTOANI |
| Contributors | Martins, Maria do Carmo Fernandes, Serafim, Antonio de Pádua, Vizzotto, Marilia Martins, Montagna, Erik, Barbosa, Caio Parente |
| Publisher | Universidade Metodista de Sao Paulo, Psicologia da Saude, IMS, Brasil, Psicologia da Saude:Programa de Pos Graduacao em Psicologia da Saude |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | Portuguese |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da METODISTA, instname:Universidade Metodista de São Paulo, instacron:METODISTA |
| Rights | info:eu-repo/semantics/openAccess |
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