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  • Title: Well-being and relationship satisfaction of couples dealing with an in vitro fertilization/ intracytoplasmic sperm injection procedure: a multilevel approach on the role of self-criticism, dependency, and romantic attachment.
    Author: Lowyck B, Luyten P, Corveleyn J, D'Hooghe T, Buyse E, Demyttenaere K.
    Journal: Fertil Steril; 2009 Feb; 91(2):387-94. PubMed ID: 18281041.
    Abstract:
    OBJECTIVE: To extend existing research on the psychological impact of IVF by studying the association between the psychosocial factors of self-criticism and dependency, and romantic attachment, with the well-being and relationship satisfaction of couples across the different phases of IVF/intracytoplasmic sperm injection (ICSI) treatment. DESIGN: Prospective, three-wave study (i.e., from start of IVF/ICSI treatment, to 3- and 6-month follow-up). SETTING: University hospital. PATIENT(S): Seventy couples in IVF/ICSI treatment. INTERVENTION(S): Psychometric tests were administered at first visit of IVF/ICSI treatment, and at 3- and 6-month follow-up. MAIN OUTCOME MEASURE(S): Psychological well-being, relationship satisfaction. RESULT(S): Results demonstrated that preexisting psychosocial factors such as self-criticism, dependency, and romantic attachment are more important factors for psychological well-being and relationship satisfaction during IVF/ICSI than gender and treatment-related factors such as duration of fertility problems. In addition, multilevel analysis, a statistical method that is required for the analysis of longitudinal couple data and decomposes variation in three levels (i.e., time, individuals, and couples), showed more variation in psychological well-being and relationship satisfaction between couples, than between individuals and different time measurements. CONCLUSION(S): Preexisting personality factors and being embedded within a certain couple relationship are important factors for the psychological well-being and relationship satisfaction during IVF/ICSI.
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