Background: Infertility is a significant psychosocial stressor associated with adverse mental health outcomes. Given the intricate link between mental health and self-concept, enhancing self-concept may be crucial for improving overall well-being among infertile women. Objectives: The present study aimed to enhance self-concept in infertile women through Mindfulness-Based Cognitive Therapy (MBCT). Methods: This study employed a quasi-experimental design with a three-wave (pre-test, post-test, 45-day follow-up) assessment and two groups: experimental and control. To conduct the research, 40 infertile women referring to the Isfahan Infertility and Infertility Center in 2023 were selected conveniently based on inclusion and exclusion criteria and were randomly assigned to the experimental (n = 20) and control (n = 20) groups. The participants completed the Beck Self-Concept Test in three stages of pre-test, post-test, and follow-up. The experimental group participated in an eight-week MBCT intervention, consisting of one 90-minute session per week. The control group received no intervention during this period. Data were subjected to repeated-measures analysis of variance (ANOVA) using SPSS-24. Results: The findings indicated that MBCT significantly improved self-concept in infertile women in the social skills dimension (P <0.01). The significant improvement in self-concept, particularly in the social skills dimension, suggests that MBCT can be a helpful intervention for this population. Conclusion: Infertility-related social isolation and diminished self-concept may be ameliorated through MBCT. This study demonstrates that MBCT can enhance social interaction skills in infertile women, thereby positively influencing their overall self-concept. These results support MBCT as a beneficial approach for enhancing the mental health of women facing infertility.
Tavaloli T, Kimiaee SA, Agha Mohammadian H. The Effectiveness of Marriage Enrichment Training of TIME Plan on Improving Marital Intimacy and Women’s Psychological Security. Pract Clin Psychol. 2022; 10(3):259-74. doi:10.32598/jpcp.10.3.857.1
Saberi N, Akbari SA, Mahmoodi Z, Nasiri M. The relationship between psychological status (Depression and Anxiety) and social support and sexual function. Adv Nurs Midwifery. 2018;27(2):1-8. doi:10.29252/ ANM-027021
Legese N, Tura AK, Roba KT, Demeke H. The prevalence of infertility and factors associated with infertility in Ethiopia: Analysis of Ethiopian Demographic and Health Survey (EDHS). Plos One. 2023;18(10):e0291912. doi:10.1371/journal.pone.0291912
Hazlina NH, Norhayati MN, Bahari IS, Arif NA. Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ Open. 2022;12(3): e057132. doi:10.1136/bmjopen-2021-057132
Vahidi S, Ardalan A, Mohammad K. Prevalence of primary infertility in the Islamic Republic of Iran in 2004-2005. Asia Pac J Public Health. 2009;21(3):287-93. doi:10.1177/1010539509336009
Mohammad K, Ardalan A. An overview of the epidemiology of primary infertility in Iran. J Reprod Infertil. 2009;10(3):213.
Jahanbakhshi A, Niknami M, Pakseresht S, Atrkar Roushan Z, Shirzad Chenari S. Childbearing Tendency and Related Factors Among Married Women in Rasht City, north of Iran. J Holist Nurs Midwifery. 2023; 33(3):230-7. doi:10.32598/jhnm.33.3.2496
Mosalanejad L, Parandavar N, Abdollahifard S. Barriers to infertility treatment: an integrated study. Glob J Health Sci. 2014;6(1):181. doi:5539/gjhs.v6n1p181
Renzi A, Mariani R, Fedele F, Maniaci VG, Petrovska E, D’Amelio R, et al. Women’s narratives on infertility as a traumatic event: An Exploration of emotional processing through the referential activity linguistic program. Healthcare 2023;11(22):2919. doi:10.3390/healthcare11222919
Graham ME, Jelin A, Hoon Jr AH, Wilms Floet AM, Levey E, Graham EM. Assisted reproductive technology: Short‐and long‐term outcomes. Dev Med Child Neurol. 2023;65(1):38-49. doi:10.1111/dmcn. 15332
Simionescu G, Doroftei B, Maftei R, Obreja BE, Anton E, Grab D, et al. The complex relationship between infertility and psychological distress. Exp Ther Med. 2021;21(4):306. doi:10.3892/etm.2021.9737
Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018; 20(1):41-7. doi:10.31887/DCNS.2018.20.1/klrooney
Xie Y, Ren Y, Niu C, Zheng Y, Yu P, Li L. The impact of stigma on mental health and quality of life of infertile women: A systematic review. Front Psychol. 2023;13:1093459. doi:10.3389/fpsyg.2022.1093459
Alamin S, Allahyari T, Ghorbani B, Sadeghitabar A, Karami MT. Failure in identity building as the main challenge of infertility: a qualitative study. J Reprod Infertil. 2020;21(1):49.
Chu C, Lowery BS. Perceiving a stable self-concept enables the experience of meaning in life. Pers Soc Psychol Bull. 2024;50(5):780-92. doi:10.1177/0146 1672221150234
Jafari H, Shirvan FS, Roudsari RL. The Relationship between Self-Efficacy and Psychological Distress among Infertile Women. J Midwifery Reprod Health. 2023;11(2):p3744. doi:10.22038/JMRH.2023.6373 9.1848
Kremer F, Ditzen B, Wischmann T. Effectiveness of psychosocial interventions for infertile women: A systematic review and meta-analysis with a focus on a method-critical evaluation. Plos One. 2023;18(2): e0282065. doi:10.1371/journal.pone.0282065
Hasanpoor-Azghdy SB, Simbar M, Vedadhir A. The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study. Iran J Reprod Med. 2014;12(2):131.
Ebrahimi S, Fakhri M, Hasanzadeh R. Effect of mindfulness-based cognitive therapy on hope, dysfunctional attitudes and meta-worry in infertile women. IJPN. 2019;7(4):32-40.
Fard TR, Kalantarkousheh M, Faramarzi M. Effect of mindfulness-based cognitive infertility stress therapy on psychological well-being of women with infertility. Middle East Fertil Soc J. 2018;23(4):476-81. doi:10.1016/j.mefs.2018.06.001
Kundarti FI, Titisari I, Rahayu DE, Kiswati, Jamhariyah. Mindfulness improves the mental health of infertile women: A systematic review. J Public Health Res. 2023;12(3):1-8. doi:10.1177/22799036231196693
Heidari F, Ahadi H, Tajeri B. Comparing the Effectiveness of Compassion Focused Therapy and Mindfulness-Based Cognitive Therapy on the Anxiety of Infertile Women. Appl Fam Ther J. 2023;4(2):227-40. doi:10.61838/kman.aftj.4.2.14
Dhawan A, Patil V, Gupta S, Chugh G. Mindfulness and Mental Health. In: Okpaku SO, editor. Innovations in Global Mental Health. Cham: Springer International Publishing; 2021. p. 1517-33.
Zandi H, Amirinejhad A, Azizifar A, Aibod S, Veisani Y, Mohamadian F. The effectiveness of mindfulness training on coping with stress, exam anxiety, and happiness to promote health. J Educ Health Promot. 2021;10(1):177.doi:10.4103/jehp.jehp_616_20
Ramasubramanian S. Mindfulness, stress coping and everyday resilience among emerging youth in a university setting: a mixed methods approach. Int J Adolesc Youth. 2017;22(3):308-21. doi:10.1080/02 673843.2016.1175361
Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press. 2002.
Beck AT, Steer RA, Epstein N, Brown G. Beck self-concept test. J Consult Clin Psychol. 1990;2(2):191-7. doi:10.1037/1040-3590.2.2.191
Abbasi G, Mirzaian B. The effectiveness of Compassion- Focused Therapy on Psychological Distress, Self-Concept, and Social Support for People with Binge Eating Disorder. IJPN. 2021;9(3):50-62.
Ebrahimifar M, Hosseinian S, Saffariyan Tosi MR, Abedi MR. To compare of the effectiveness of training based on “Acceptance and Commitment Therapy” and “Compassion Focused Therapy” on self-efficacy, quality of relations and meaning in life in infertile women. JHPM. 2019;8(3):10-8.
Tavousi SA, Zanjani Z, Mohammadi N, Omidi A. The effects of mindfulness-based stress reduction on psychological symptoms, quality of life, and marital satisfaction in infertile women undergoing IVF: A randomized clinical trial. Nurs Midwifery Stud. 2024; 13(1):33-9. doi:10.48307/nms.2024.435062.1332
Zarean,F. , Sheykholeslami,A. , Sadri Damirchi,E. and Rezaei Sharif,A. (2024). The Impact of Mindfulness-Based Cognitive Therapy on Self-Concept in Infertile Women. Hospital Practices and Research, 9(1), 430-436. doi: 10.30491/hpr.2024.463467.1434
MLA
Zarean,F. , , Sheykholeslami,A. , , Sadri Damirchi,E. , and Rezaei Sharif,A. . "The Impact of Mindfulness-Based Cognitive Therapy on Self-Concept in Infertile Women", Hospital Practices and Research, 9, 1, 2024, 430-436. doi: 10.30491/hpr.2024.463467.1434
HARVARD
Zarean F., Sheykholeslami A., Sadri Damirchi E., Rezaei Sharif A. (2024). 'The Impact of Mindfulness-Based Cognitive Therapy on Self-Concept in Infertile Women', Hospital Practices and Research, 9(1), pp. 430-436. doi: 10.30491/hpr.2024.463467.1434
CHICAGO
F. Zarean, A. Sheykholeslami, E. Sadri Damirchi and A. Rezaei Sharif, "The Impact of Mindfulness-Based Cognitive Therapy on Self-Concept in Infertile Women," Hospital Practices and Research, 9 1 (2024): 430-436, doi: 10.30491/hpr.2024.463467.1434
VANCOUVER
Zarean F., Sheykholeslami A., Sadri Damirchi E., Rezaei Sharif A. The Impact of Mindfulness-Based Cognitive Therapy on Self-Concept in Infertile Women. Hosp Pract Res, 2024; 9(1): 430-436. doi: 10.30491/hpr.2024.463467.1434