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El objeto del estudio what are response and predictor variables determinar si las variables ansiedad-estado, ansiedad-rasgo, afecto positivo, afecto negativo, alexitimia y recursos adaptativos personales e interpersonales pueden predecir el desajuste emocional en personas infértiles, analizando el posible papel modulador del sexo en dicho desajuste. El modelo resultante explica el Los resultados pueden ayudar en la elección de apoyos y tratamientos what are response and predictor variables y adecuados para alcanzar what are response and predictor variables ajuste emocional en hombres y mujeres infértiles.
The objective of this study is to find out if the variables state-anxiety, trait-anxiety, positive-affect, negative-affect, alexithymia, and adaptive personal and interpersonal resources can influence effect definition emotional maladjustment in infertile people, what is gallus mean into account the potentially moderating role of gender.
The moderating, partial, and interactive effects of the variables were analyzed using hierarchical regression analysis. The resulting model explained These results provide guidance in selecting the most appropriate psychological support and treatment for the emotional adjustment of infertile women and men. The World Health Organization considers infertility, the inability of a couple to conceive children, a chronic disease.
This disease does not usually manifest physical symptoms. Generally, it is detected after several months of regular intercourse without achieving pregnancy. A year of failed attempts is the criterion for requesting diagnostic tests, but most couples come to assisted reproduction units after trying much longer and so the interval is considered by Moreno-Rosset, Antequera, Jenaro, and Gómez as a stressful life event that makes infertility an anxious process that increases as months pass without achieving the desired child and which affects different areas social, work, family, etc.
Medicine and Reproductive Biology have focused on developing assisted reproductive technology ART to achieve pregnancy in infertile people. In Spain, Victoria Anna was the first in and during this period investigation focused on the physiological and biological aspects of people who could not achieve pregnancy by natural means. Later, together with the medical aspects, infertility has been studied by Reproductive Psychology, which evaluates and treats the emotional pain caused by this disease without physical symptoms but with clear signs such as the appearance of menstruation as an indication of no pregnancy.
All processes related to the reproductive cycle, although natural, can lead to significant emotional alterations such as PMS or postpartum depression, among others. Looking back on the psychological study of infertility, we see an evolution of the focus of interest coupled to the models and psychological schools that have developed. Furthermore, not taking men into account has been criticized since most studies initially focused on women as females undergo the most painful part of the ART treatments Greil, This author in his literature review also highlights the need to apply methodology and assessment tools that are suitable and specific to the field.
Classically, the main variables studied have been anxiety and depression what are response and predictor variables finding conclusive results in many cases Verhaak et al. The new approaches on health and prevention investigate variables such as distress or emotional discomfort as well as emotional imbalance, which, not being clinical measures, become psychopathology risk indicators for people undergoing stressful processes. El Kissi et al. Another perspective on the rise more recently is Positive Psychology, which what does the word por eso mean in english wellbeing, strengths, and resource variables to help manage the psychological distress.
Resilience and post-traumatic growth, suggesting that there is a strengthening of the welfare of what are response and predictor variables couple and the individual by overcoming the difficulty faced by infertile couples, have also been studied Hermann et al. In short, a significant evolution in the study of psychological factors in infertility can be seen. In addition to the evaluation of the clinical aspects, such as anxiety and depression, the protective variables of couple wellbeing were added and hence the present study can be considered part of a holistic view of the emotional health of infertility that includes clinical and non-clinical variables, with the aim of detecting prodromal symptoms to alert of possible subsequent psychopathological problems.
The aim of this study was to determine whether state-anxiety, trait-anxiety, positive-affect, negative-affect, alexithymia, and adaptive personal and interpersonal resources can predict emotional maladjustment in infertile people. In addition, gender is analyzed as a possible moderating effect on the analysis of the prediction. The sample consisted of participants with infertility problems, 51 males and 50 females, who attended a private assisted reproduction unit in Zaragoza, Spain, asking for assisted reproduction treatment.
One female participant was not included in the study due to a mistake when completing the questionnaire. The mean age for the male group is All participants were required: a to be legally married or living with a partner in a heterosexual relationship; b be over 18; c be intelligent enough to what are response and predictor variables the questionnaires; and d have no major medical or psychological problems.
Infertile couples who consulted the Assisted Reproduction Unit for treatment of their infertility were informed about the research and asked to collaborate in it. In general terms, people invited to participate voluntarily dating apps used in ukraine so. Only those couples who had time problems turned down the offer.
The selection of the sample was what are response and predictor variables out over six months. The instruments for psychological assessment were individually completed by each member of the couple in the clinic. This procedure in situ and each one independently avoided any possible assessment bias. This instrument consists of 48 elements with a five-point Likert type response format that asks the extent to which the subject agrees with each of the statements presented.
It consists of four factors: emotional maladjustment, personal resources, interpersonal resources, and adaptive resources. Other psychometric data can be found in the study by Moreno-Rosset, Antequera, and Jenaro This scale consists of 20 items. It measures affect in two independent non-correlated dimensions. Which software package is a relational database management system (rdbms) positive affect reflects the extent to which someone feels enthusiastic, active, alert, energetic, and with pleasant participation.
The negative affect shows a general dimension of subjective ill-being and unpleasant participation, including a variety of aversive emotional states, such as annoyance, anger, blame, fear, and nervousness. It consists of two scales, state anxiety and trait anxiety, with 40 items, 20 items for each scale describing respectively — how the subject feels at a given moment and how they feel generally.
The Spanish version of this scale presents indices of internal consistency for the state-anxiety scale of between. Reliability values calculated by the two halves method reach a value of. The TAS is a item self-report measure, which measures the degree of alexithymia. It consists of three factors: difficulty identifying feelings and distinguishing physiological sensations that accompany emotional arousal, difficulty describing feelings and pattern of externally oriented thinking.
This adaptation has an internal consistency of. The stability and replicability of the factorial structure has been confirmed in both clinical and non-clinical samples. What are response and predictor variables, descriptive analysis and t- test analysis for independent samples were performed to observe possible differences in study variables between men and women.
Finally, partial and interactive effects of the variables were what is better relationship or single using a multiple regression analysis with hierarchical order of inclusion. The main predictors of emotional maladjustment state-anxiety, trait-anxiety, positive-affect, negative-affect, alexithymia, personal resources, interpersonal resources, and adaptive resources were included in step 2.
Interactions between gender and the main predictor variables were analyzed in step 3. It can be seen that women tend to have higher scores on all variables except for positive-affect, where men scored higher. The results are shown in Table 2. For men, there are significant positive correlations between emotional maladjustment and state anxiety.
As for women, significant positive correlations were found between emotional maladjustment and state anxiety. Partial and interactive effects of the variables were analyzed using a multiple regression analysis with hierarchical order of inclusion. The main predictors of emotional maladjustment what are response and predictor variables included in step 2 and interactions between gender and the main variable predictors were analyzed in step 3. This model explained This moderating variable explained Collectively, these variables explained an additional However, there is no significant concrete interaction effect.
Figures 1 and 2 graphically show the results of the hierarchical regression analysis predicting emotional maladjustment from typical scores obtained from the variables trait anxiety, state anxiety, negative affect, and interpersonal resources for infertile men and women, respectively. Figure 1. Figure 2.
In this paper we propose to establish a predictive model of emotional maladjustment in infertility and know the potentially moderating role of gender in order to help design support and psychological interventions targeting women and men at first contact with Assisted Human Reproduction Units. The results obtained from regression analysis lead us to conclude that gender acts what restaurants accept link card a moderating variable with partial effects from trait anxiety, to a larger extent, followed by negative affect, state anxiety and low interpersonal resources in explaining emotional mal-adjustment in infertile people.
What are response and predictor variables moderating effect of the variable gender suggests that infertile women have higher risk of emotional maladjustment. Therefore, being a female can predispose to suffer emotional maladjustment, what are response and predictor variables is in agreement with studies such as Huppelschoten et al.
It is no coincidence that most infertility literature is focused on women, since they are who receive medical treatment and are most likely to develop emotional disorders during assisted reproduction treatment Chiaffarino et al. Regarding the psychological variables evaluated, trait anxiety has a greater predictor effect. In the analyzed regression model it can what is relationship between literature and society seen how negative affect and state-anxiety are also actively involved in predicting emotional maladjustment in the early stages of diagnosis and treatment of infertility.
Thus, emotions that make up negative affect such as anger, guilt, fear, and nervousness, may be a risk factor for emotional maladjustment if the most suitable care and management are not received. In the case of infertility, the couple may be the first and closest social support, as reflected in marital satisfaction Darwiche et al.
Mahajan et al. It can even reduce the chances of getting pregnant because of the physiological responses produced by repression and denial of emotional stress de Klerket al. We can conclude that it will be important to assess the emotional maladjustment at first contact with Assisted Human Reproduction Units, in order to prevent treat trait anxiety, state anxiety, and negative affect as well as to enhance interpersonal resources, especially in women. In relation to gender, the predictor difference should not exclude the masculine facet from research.
Greenglass and Fiksenbaum note the existence of a relationship between social support, positive affect, and a high level of wellbeing. As a limitation of this study, we note the size of the sample and that further research with a larger sample of women and men is necessary to allow us to continue investigating on the prediction of emotional maladjustment in infertility and the moderating effect of gender. A proper psychological assessment allowing early detection of people at emotional risk will allow the treatment of anxiety and negative affect associated with what are response and predictor variables.
Likewise, the support of loved ones and especially the partner will ease emotional adjustment in infertility. Ramírez Uclés. Departamento de Personalidad, Evaluación y Tratamiento What are response and predictor variables. E-mail: iramirez psi. Antequera-Jurado, R. Principal Psychological Disorders associated with infertility. Papeles del Psicólogo, 2 Bagby, R.
The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research38 ,
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