Abstract
Purpose: The objectives were to identify the stage/s of IVF treatment where a woman is most vulnerable to psychological stress, and to assess the Mean Affect Adjective Check List (MAACL) as a measure of psychological functioning during IVF treatment, which has hitherto not been reported.
Methods: Thirty-seven women undergoing IVF treatment according to the long protocol of controlled ovarian stimulation completed the MAACL questionnaire at the following stages: (a) before treatment (visit 1), (b) before embryo transfer (visit 2), and (c) before pregnancy test (visit 3).
Results: Apart from anxiety scores for visit 2, the hostility, depression, and state anxiety scores for visit 3 were higher than the corresponding scores for visits 1 and 2 (P < 0.001). Anxiety scores for visits 2 and 3 were similar.
Conclusions: Psychological counseling should be targeted at women after embryo transfer and leading up to the pregnancy test. The MAACL is a useful method for measuring psychological stress in women during IVF treatment.
Similar content being viewed by others
REFERENCES
Baram D, Tourtelot E, Muechler E, Huang K: Psychosocial adjustment following unsuccessful in vitro fertilization. J Psychosom Obstet Gynaecol 1988;9:181-190
Leiblum SR, Kemmann E, Lane MK: The psychological concomitants of in vitro fertilization. J Psychosom Obstet Gynaecol 1987;6:165-178
Zuckerman M, Lubin B: Manual for the Multiple Affect Adjective Check List Measure of Anxiety. San Diego, CA: Educational and Industrial Testing Service, 1965
Lubin B, Zuckerman M: Bibliography for the Multiple Affect Adjective Check List. Unpublished, 1982
Badner NH, Nielson WR, Munk S, Kwiatkowska C, Gelb AW: Preoperative anxiety: Detection and contributing factors. Can J Anaesth 1990;37:444-447
Kreitler S, Chaitchik S, Rapoport Y, Algor R: Psychosocial effects of level of information and severity of disease on head and neck cancer patients. J Cancer Educ 1995;10:144-154
Connolly KJ, Edelmann RJ, Bartlett H, Cooke ID, Lenton E, Pike S: An evaluation of counselling for couples undergoing treatment for in vitro fertilization. Hum Reprod 1993; 8:1332-1338
Boivin J, Takefman JE: Stress level across stages of in vitro fertilization in subsequently pregnant and non-pregnant women. Fertil Steril 1995;64:802-810
Merari D, Feldberg D, Elizur A, Goldman J, Modan B: Psychological and hormonal changes in the course of in vitro fertilization. J Assist Reprod Genet 1992;9:161-169
Johnston M, Shaw R, Bird D: ''Test tube baby'' procedures: Stress and judgements under uncertainty. Psychol Health 1987;1:25-38
Demyttenaere K, Nijs P, Evers-Kiebooms G, Koninckx PR: Coping and the ineffectiveness of coping influence the outcome of in vitro fertilization through stress responses. Psychoneuroendocrinology 1992;17:655-665
Daniluk JC: Infertility: Intrapersonal and interpersonal impact. Fertil Steril 1988;49:982-290
Mazure CM, Greenfeld DA: Psychological studies of in vitro fertilization/embryo transfer participants. J Vitro Fert Embryo Transfer 1989;6:242
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yong, P., Martin, C. & Thong, J. A Comparison of Psychological Functioning in Women at Different Stages of In Vitro Fertilization Treatment Using the Mean Affect Adjective Check List. J Assist Reprod Genet 17, 553–556 (2000). https://doi.org/10.1023/A:1026429712794
Issue Date:
DOI: https://doi.org/10.1023/A:1026429712794