Psychological Aspects of Assisted Reproductive Technologies: a Review of Foreign and Russian Studies

614

Abstract

The article provides an overview of modern foreign studies on the psychological aspects of assisted reproductive technologies (ART). Research areas have been identified: ethical issues of ART methods; psychological aspects of infertility; psychological factors of treatment; psychological intervention during treatment; methodological research apparatus; methods of psychological assistance to ART patients. The article introduces paradigm shifts from the psychological causes of infertility to the psychological consequences of infertility and treatment problems. The results of the studies indicate the ambiguity of the relationship of negative mental states of patients with the success of treatment. The lack of elaborated methodological foundations and theoretical approaches to this problem in foreign studies is noted, in contrast to national works based on the theory of functional systems, the doctrine of the dominant and modern perinatal and reproductive psychology.

General Information

Keywords: assisted reproductive technologies, experience of infertility, psychological factors of treatment success, psychological assistance

Journal rubric: Medical Psychology

Article type: review article

DOI: https://doi.org/10.17759/jmfp.2022110103

For citation: Filippova G.G. Psychological Aspects of Assisted Reproductive Technologies: a Review of Foreign and Russian Studies [Elektronnyi resurs]. Sovremennaia zarubezhnaia psikhologiia = Journal of Modern Foreign Psychology, 2022. Vol. 11, no. 1, pp. 26–38. DOI: 10.17759/jmfp.2022110103. (In Russ., аbstr. in Engl.)

References

  1. Anikina V.O., Blokh M.E., Savenysheva S.S. Emotsional'noe sostoyanie zhenshchin, ispol'zuyushchikh vspomogatel'nye reproduktivnye tekhnologii: obzor sovremennykh zarubezhnykh issledovanii [Emotional states of women using assisted reproductive technologies: review of contemporary international research data] [Elektronnyi resurs]. Mir nauki. Pedagogika i psikhologiya = World of Science. Pedagogy and psychology, 2020. Vol. 8, no. 6, 13 p. URL: https://mir-nauki.com/ PDF/76PSMN620.pdf (Accessed 24.12.2021). (In Russ.).

  2. Solov'eva E.V. Vyyavlenie faktorov riska psikhoemotsional'nykh narushenii u patsientov v programmakh VRT. Aprobatsiya russkoyazychnogo varianta oprosnika SCREENIVF [Identification of risk factors for psychoemotional disorders in patients in ART programs. Approbation of the Russian version of the questionnaire] [Elektronnyi resurs]. In Smirnova A.A., Anshina M.B. (eds.), Reproduktivnye tekhnologii segodnya i zavtra: Materialy XXX Ezhegodnoi mezhdunarodnoi konferentsii Rossiiskoi Assotsiatsii Reproduktsii Cheloveka [Reproductive technologies today and tomorrow. Proceedings of the XX Annual International Conference of the Russian Association of Human Reproduction]: 8—12 sentyabrya 2020 g., onlain. Moscow, 2020, pp. 145—145. URL: https://rahr.ru/d_pech_mat_konf/Tezis_2020_A5+cover.pdf (Accessed 22.03.2022). (In Russ.).

  3. Solov'eva E.V. Psikhicheskoe razvitie detei rannego vozrasta, zachatykh posredstvom ekstrakorporal'nogo oplodotvoreniya, i ikh vzaimodeistvie s materyami. [Mental development of young children conceived through in vitro fertilization, and their interaction with mothers] [Elektronnyi resurs]: Dis. kand. psikhol. nauk. Moscow, 2016, 225 p. URL: https://mgppu.ru/files/galleries/documents/82877bfd2f730071f7ae87e2996b6fb8.pdf (Accessed 22.03.2022). (In Russ.).

  4. Tyuvina N.A., Nikolaevskaya A.O. Psikhonevrologicheskie, moral'no-eticheskie i sotsiokul'turnye aspekty vspomogatel'nykh reproduktivnykh tekhnologii [Assisted reproductive technologies: psychoneurological, moral-ethical, and socio-cultural aspects]. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, neuropsychiatry, psychosomatic, 2020. Vol. 12, no. 5, pp. 104—110. DOI:10.14412/2074-2711-2020-5-104-110 (In Russ.).

  5. Filippova G.G. Reproduktivnaya psikhologiya: psikhologicheskaya pomoshch' besplodnym param pri ispol'zovanii vspomogatel'nykh reproduktivnykh tekhnologii [Reproductive psychology: psychological assistance to infertile couples using assisted reproductive technologies] [Elektronnyi resurs]. Klinicheskaya i meditsinskaya psikhologiya: issledovaniya, obuchenie, praktika: elektron. nauch. Zhurn = Clinical and medical psychology: research, training, practice: electronic scientific journal, 2014, no. 3 (5), article ID 4. URL: http://www.medpsy.ru/climp/2014_3_5/article04.php (Accessed 22.03.2022). (In Russ.).

  6. Filippova G.G. Stress i narushenie reproduktivnoi funktsii [Stress and reproductive dysfunction] [Elektronnyi resurs]. In Makarov V.V., Kamalova S.Ts., Bulycheva A.E. (eds.), Antologiya Rossiiskoi psikhoterapii i psikhologii. Setevoe nauchno-prakticheskoe izdanie: Materialy itogovogo mezhdunarodnogo kongressa “Psikhologiya i psikhoterapiya kazhdogo dnya i vsei zhizni”: Moskva, 15—18 noyabrya 2018 g. = Anthology of Russian Psychotherapy and psychology. Online scientific and practical publication: Materials of the final international congress “Psychology and psychotherapy of every day and all life”: Moscow, November 15—18, 2018). Moscow: Obshcherossiiskaya professional'naya psikhoterapevticheskaya liga, 2018. pp. 69—72. URL: https://oppl.ru/up/files/vypuski-antologii/antologiya2018-v6.pdf#page=69 (Accessed 22.03.2022). (In Russ.).

  7. Eshre committees. European Society of Human Reproduction and Embryology. Abstracts of the 34th Annual Meeting of the European Society of Human Reproduction and Embryology [Elektronnyi resurs]: Barcelona Spain 1 to 4 July 2018. Volume 33. Oxford: Oxford University Press, 2018. 541 p. URL: https://www.eshre.eu/Annual-Meeting/Barcelona-2018 (Accessed 25.03.2022).

  8. Lambalk Cornelis (Nils) (ed.) Abstracts of the 35th Annual Meeting of the European Society of Human Reproduction and Embryology [Elektronnyi resurs]: Vienna, Austria : 24 to 26 June 2019. Volume 34. Oxford: Oxford University Press, 2019. 543 p. URL: https://www.eshre.eu/Annual-Meeting/Vienna-2019 (Accessed 25.03.2022).

  9. Lambalk C.B. (ed.). Abstracts 36th Virtual Annual Meeting of the European Society of Human Reproduction and Embryology [Elektronnyi resurs]: 26 June to 1 July 2020. Volume 35. Oxford: Oxford University Press, 2020. 535 p. URL: https://www.eshre.eu/Annual-Meeting/ESHRE-2020 (Accessed 25.03.2022).

  10. Eshre committees. Abstracts 37th Virtual Annual Meeting of the European Society of Human Reproduction and Embryology [Elektronnyi resurs] : 5 to 8 July 2021. Oxford: Oxford University Press, 2021. 513 p. URL: https://www.eshre.eu/Annual-Meeting/ESHRE-2021 (Accessed 25.03.2022).

  11. Warmelink C., Boekhout M., Tros E., Kool L. Antenatal care in transition from fertility treatment to parenthood [Elektronnyi resurs]. In Eshre committees. European Society of Human Reproduction and Embryology (eds.), Abstracts of the 34th Annual Meeting of the European Society of Human Reproduction and Embryology: Barcelona Spain: 1 to 4 July 2018. Volume 33. Oxford: Oxford University Press, 2018, pp. i99—i100. URL: https://www.eshre.eu/Annual-Meeting/Barcelona-2018 (Accessed 23.03.2022).

  12. Awtani M., Kapoor G.K., Kaur P., Saha J., Crasta D., Banker M. Anxiety and stress at different stages of treatment in women undergoing in vitro fertilization — intracytoplasmic sperm injection. Journal of Human Reproductive Sciences, 2019. Vol. 12, no. 1, pp. 47—52. DOI:10.4103/jhrs.JHRS_23_18

  13. Berg C. ART children-long term reassurance? [Elektronnyi resurs]. In Lambalk Cornelis (Nils) (ed.), Abstracts of the 35th Annual Meeting of the European Society of Human Reproduction and Embryology: Vienna, Austria: 24 to 26 June 2019. Volume 34. Oxford: Oxford University Press, 2019, pp. 42. URL: https://www.eshre.eu/Annual-Meeting/Vienna-2019 (Accessed 25.03.2022).

  14. Boivin J., Sofia G. Evolution of psychology and counseling in infertility. Fertility and Sterility, 2015. Vol. 104, no. 2, pp. 251—259. DOI:10.1016/j.fertnstert.2015.05.035

  15. Renzi A., Spoletini R., Di Trani M., Scaravelli G. Characteristics of psychological services for couples undergoing ART treatment in Italy [Elektronnyi resurs]. In Eshre committees. European Society of Human Reproduction and Embryology (eds.), Abstracts 37th Virtual Annual Meeting of the European Society of Human Reproduction and Embryology: 5 to 8 July 2021. Oxford: Oxford University Press, 2021, pp. 511—511. URL: https://www.eshre.eu/Annual-Meeting/ESHRE-2021/Searchable#!abstractdetails/0000661720 (Accessed 23.03.2022).

  16. Dural O., Yasa C., Kcyif B., Celiksoy H., Demiral I., Ozgor B.Y., Ugurlucan F.G., Bastu E. Effect of infertility on quality of life of women: a validation study of the Turkish FertiQoL. Human Fertility, 2016. Vol. 19, no. 3, pp. 186—191. DOI:10.1080/14647273.2016.1214754

  17. Karaca N., Karabulut A., Ozkan S., Aktun H., Orengul F., Yilmaz R., Ates S., Batmaz G. Effect of IVF failure on quality of life and emotional status in infertile couples. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2016. Vol. 206, pp. 158—163. DOI:10.1016/j.ejogrb.2016.09.017

  18. Gameiro S., Boivin J., Dancet E., de Klerk C., Emery M., Lewis-Jones C., Thorn P., Van den Broeck U., Venetis C., Vershaak C.M. et al. ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction—a guide for fertility staff. Human Reproduction, 2015. Vol. 3, no. 11, pp. 2476—2485. DOI:10.1093/humrep/dev177

  19. Hanevik H. Yes, IVF can influence human evolution [Elektronnyi resurs]. In Cornelis (Nils) Lambalk (ed.), Abstracts of the 35th Annual Meeting of the European Society of Human Reproduction and Embryology: Vienna, Austria: 24 to 26 June 2019. Volume 34. Oxford: Oxford University Press, 2019, pp. i124— i124. URL: https://www.eshre.eu/Annual-Meeting/Vienna-2019 (Accessed 23.03.2022).

  20. Massarotti C., Gentile G., Ferreccio C., Scaruffi P., Remorgida V., Anserini P. Impact of infertility and infertility treatments on quality of life and levels of anxiety and depression in women undergoing in vitro fertilization. Gynecol Endocrinol, 2019. Vol. 35, no. 6, pp. 485—489. DOI:10.1080/09513590.2018.1540575

  21. Nicoloro-SantaBarbara J., Busso C., Moyer A., Lobel M. Just relax and You'll get pregnant? Meta-analysis examining Women's emotional distress and the outcome of assisted reproductive technology. Social Science & Medicine, 2018. Vol. 213, pp. 54—62. DOI:10.1016/j.socscimed.2018.06.033

  22. Klock S. Psychological issues related to infertility [Elektronnyi resurs]. In von Dadelszen P. (ed.), The global library of women's medicine. 2011. URL: https://www.glowm.com/section-view/heading/Psychological%20Issues%20Related%20to%20Infertility/item/412#.Yj15oTVn2Ul (Accessed 23.03.2022). DOI:10.3843/GLOWM.10413

  23. Miok K., J.-E. Hong, Minkyung B. Mediating Effects of Emotional Self-Disclosure on the Relationship between Depression and Quality of Life for Women Undergoing In-Vitro Fertilization. International Journal of Environmental Research and Public Health, 2021. Vol. 18, no. 12, article ID 6247, 9 p. DOI:10.3390/ijerph18126247

  24. So Y.K.G., Chan C.H.Y., Guo D.Y., Fung Y.L., Lau B.H.P., Yin X.C. Out of sync: A qualitative examination of male and . female partners' role in decision-making in in vitro fertilization [Elektronnyi resurs]. In Cornelis (Nils) Lambalk (eds.), Abstracts of the 35th Annual Meeting of the European Society of Human Reproduction and Embryology: Vienna, Austria: 24 to 26 June 2019. Volume 34. Oxford: Oxford University Press, 2019, pp. i369—i370. URL: https://www.eshre.eu/Annual-Meeting/Vienna-2019 (Accessed 23.03.2022).

  25. Lablanche O., Salle B., Perie M.-A., Labrune E., Langlois-Jacques C., Fraison E. Psychological effect of COVID-19 pandemic among women undergoing infertility care, a French cohort — PsyCovART Psychological effect of COVID-19: PsyCovART. Journal of Gynecology Obstetrics and Human Reproduction, 2022. Vol. 51, no. 1, article ID 102251, 8 p. DOI:10.1016/j.jogoh.2021.102251

  26. Freeman E.W., Boxer A.S., Rickels K., Tureck R., Mastroianni L. Psychological evaluation and support in a program of in vitro fertilization and embryo transfer. Fertility and Sterility, 1985. Vol. 43, no. 1, pp. 48—53. DOI:10.1016/s0015-0282(16)48316-0

  27. Madero S., Gameiro S., Garda D., Cirera D., Vassena R., Rodriguez A. Quality of life, anxiety and depression of German, Italian and French couples undergoing cross-border oocyte donation in Spain. Human reproduction, 2017. Vol. 32, no. 9, pp. 1862—1870. DOI:10.1093/humrep/dex247

  28. Ono E., Braga D.P.A.F., Zanetti B.F., Melamed R.M.M., Iaconelli A., Borges E. Religion, spirituality and faith: What is the real impact on assisted reproduction? [Elektronnyi resurs]. In Eshre committees (eds.), Abstracts of the 34th Annual Meeting of the European Society of Human Reproduction and Embryology: Barcelona Spain: 1 to 4 July 2018. Volume 33. Oxford: Oxford University Press, 2018, pp. i389-i390. URL: https://www.eshre.eu/Annual-Meeting/Barcelona-2018 (Accessed 23.03.2022).

  29. Rooney K., Domar A. The relationship between stress and infertility. Dialogues in Clinical Neuroscience, 2018. Vol 20, no. 1, pp. 41—46. DOI:10.31887/DCNS.2018.20.1/klrooney

  30. Sutcliffe A.G. Reproductive Technology and Its Impact on Psychosocial Child Development [Elektronnyi resurs]. In Tremblay R., Boivin M., Peters R.D. (eds.), Encyclopedia on Early Childhood Development. Montreal, Quebec: CEECD, 2007. 6 p. URL: https://www.child-encyclopedia.com/assisted-reproductive-technology/according-experts/reproductive-technology-and-its-impact (Accessed 22.10.2021).

  31. Szkodziak F., Krzyzanowski J., Szkodziak P. Psychological aspects of infertility: A systematic review. Journal of International Medical Research, 2020. Vol. 48, no. 6, pp. 1—13. DOI:10.1177/0300060520932403

  32. Boivin J., Domar A.D., Shapiro D.B., Wischmann T.H., Fauser B.C.J.M., Verhaak C. Tackling burden in ART: an integrated approach for medical staff. Human Reproduction, 2012. Vol. 27, no. 4, pp. 941—950. DOI:10.1093/humrep/der467

  33. Liu Y.-F., Fu Z., Chen S.-W., He X.-P., Fan L.Y. The Analysis of Anxiety and Depression in Different Stages of in vitro Fertilization-Embryo Transfer in Couples in China. Neuropsychiatric Disease and Treatment, 2021. Vol. 17, pp. 649—657. DOI:10.2147/NDT.S287198

  34. Simionescu G., Doroftei B., Maftei R., Obreja B.-E., Anton E., Grab D., Ilea C., Anton C. The complex relationship between infertility and psychological distress (Review). Experimental and Therapeutic Medicine, 2021. Vol. 21, no. 4, article Number 306, pp. 1—6. DOI:10.3892/etm.2021.9737

  35. Aimagambetova G., Issanov A., Terzic S., Bapayeva G., Ukybassova T., Baikoskarova S., Aldiyarova A., Shauyen F., Terzic M. The effect of psychological distress on IVF outcomes: Reality or speculations? PLoS ONE, 2020. Vol. 15, no. 12, article ID e0242024, 14 p. DOI:10.1371/journal.pone.0242024

  36. Haemmerli Keller K., Alder G., Loewer L., Faeh M., Rohner S., von Wolff M. Treatment-related psychological stress in different in vitro fertilization therapies with and without gonadotropin stimulation. Acta Obstetricia et Gynecologica Scandinavica, 2018. Vol. 97, no. 3, pp. 269—276. DOI:10.1111/aogs.13281

  37. Wennerholm U. Health of ICSI children [Elektronnyi resurs]. In Eshre committees (eds.), Abstracts of the 34th Annual Meeting of the European Society of Human Reproduction and Embryology: Barcelona Spain: 1 to 4 July 2018. Volume 33. European Society of Human Reproduction and Embryology, 2018, pp. i21—i22. URL: https://www.eshre.eu/Annual-Meeting/Barcelona-2018 (Accessed 23.03.2022).

  38. Donarelli Z., Lo Coco G., Gullo S., Oieni V., Marino A., Allegra A. What happens in the counsellor's room? A qualitative study on the aims of psychological intervention in Italy [Elektronnyi resurs]. In Lambalk C.B. (ed.), Abstracts 36th Virtual Annual Meeting of the European Society of Human Reproduction and Embryology: 26 June to 1 July 2020. Volume 35. Oxford: Oxford University Press, 2020, pp. i347—i347. URL: https://www.eshre.eu/Annual-Meeting/ESHRE-2020 (Accessed 23.03.2022).

  39. Gonzalez-Rodriguez A., Cobo J., Soria V., Usall J., Garcia-Rizo C., Bioque M., Monreal J.A., Labad J. Women Undergoing Hormonal Treatments for Infertility: A Systematic Review on Psychopathology and Newly Diagnosed Mood and Psychotic Disorders. Frontiers in Psychiatry, 2020. Vol. 11, article ID 479, 12 p. DOI:10.3389/fpsyt.2020.00479

  40. Verhaak C.M., Smeenk J.M.J., Evers A.W.M., Kremer J.A.M., Kraaimaat F.W., Braat D.D.M. Women's emotional adjustment to IVF: a systematic review of 25 years of research. Human Reproduction, 2007. Vol. 13, no. 1, pp. 27—36. DOI:10.1093/humupd/dml040

  41. Ying L., Wu L., Loke, A. The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review. Journal of Assisted Reproduction and Genetics, 2016. Vol. 33, no. 6, pp. 689—701. DOI:10.1007/s10815-016-0690-8

Information About the Authors

Galina G. Filippova, Doctor of Psychology, Professor, Rektor, Private Institution of Additional Professional Education "Institute of Perinatal and Reproductive Psychology", Moscow, Russia, ORCID: https://orcid.org/0000-0002-4177-3566, e-mail: filippova_galina@mail.ru

Metrics

Views

Total: 1246
Previous month: 47
Current month: 12

Downloads

Total: 614
Previous month: 34
Current month: 10