Issued Quarterly

March 2004

         

FR 2-6

03/04

Abstract

Infertility and Psychological Distress Among Women

 

Prepared by:  

Rachel Neal

Personal and Family Relationships Assistant Specialist

Oklahoma Cooperative Extension Service

333 HES, Oklahoma State University

Stillwater, OK 74078

(405) 744-6231          

nrachel@okstate.edu

McQuillan, J., Greil, A. L., White, L., & Jacob, M. C. (2003). Frustrated fertility: Infertility and psychological distress among women. Journal of Marriage and Family, 65, 1007-1018.

implications for Cooperative Extension

Many families are faced with problems of infertility when attempting to have a child. The distress of infertility can be difficult for individual members of the family, as well as harmful to the health of the relationships between members of the family. Therefore, it is important for family life educators to know the psychological effects of infertility

 

OVERVIEW

Ten to fifteen percent of American women ages 15 to 44 experience current fertility impairment. Infertile individuals describe feelings of distress, loss of control, social isolation, and stigma when couples try unsuccessfully to achieve pregnancy; and infertility treatments may also be of equal or greater distress, as they are invasive, expensive, time-consuming, and emotionally draining. The present study investigates whether women with lifetime infertility report greater psychological distress.

METHODOLOGY AND RESULTS

A random sample of women ages 25-50 were interviewed to assess whether women with lifetime infertility report greater psychological distress and whether the relationship between infertility and distress depends on resources or social roles. Respondents answered questions regarding distress (depressive symptoms), infertility, resources (education, income, race/ethnic status), and social roles (mother, spouse/partner, employee, maternal satisfaction, relationship satisfaction, job satisfaction). The results are as follows:

  • Infertility is associated with substantial and significant long-term psychological distress only for women with no children at all. However, those who are infertile are less distressed when income is higher.
  • It is important to note that those without fertility problems are not distressed by the absence of children. Therefore, it is not childlessness or infertility alone that predicts distress for those who are infertile, but the combination of both (i.e., involuntary childlessness).

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Stillwater, OK  74078-6111