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Intrusive and avoidant ideation among females pursuing infertility treatment
Authors:Suzanne M. Miller  Walter Mischel  Christine M. Schroeder  Joanne S. Buzaglo  Karen Hurley  Pamela Schreiber
Affiliation:1. Division of Population Science , Fox Chase Cancer Center , 215 S. Broad Street, 5th Floor, Philadelphia, PA, 19107;2. Columbia University , Schermerhorn Hall, Room 310, New York, NY, 10027;3. Pennsylvania Hospital , 700 Spruce Street, Philadelphia, PA, 19106
Abstract:Abstract

It was shown that infertility and its treatment constitute a stressful experience for women, reflected particularly in disturbing intrusive ideation about the stress source. Infertility patients reported levels of intrusive ideation significantly higher than routine gynecologic patients and not significantly different from levels of psychiatric outpatients being treated for stress reactions to traumatic events. Intrusive ideation also predicted the degree of self-reported infertility-specific distress and dysfunction, further clarifying the key role of such ideation in the experience. Finally, as hypothesized, the frustration level of the treatment experience (as indexed by the number of infertility treatment methods attempted) predicted avoidant ideation. Implications for managing the psychological distress and disruption associated with the infertility treatment experience were discussed.
Keywords:Infertility  chronic stress  intrusive ideation  avoidant ideation  infertility-specific distress and dysfunction  treatment-failure frustration index.
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