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Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review.

ABSTRACT: The purposes of this paper are to provide a comprehensive picture of men and women's emotional reactions to infertility treatment, specifically In Vitro Fertilization (IVF) pursued by heterosexual couples, and to identify any differences between the genders.Nonexperimental studies exploring the psychological effects of IVF treatment on infertile couples were included. Six electronic databases were used to conduct a systematic search from the years 2000 to 2014. The references of the articles selected for review and other related systematic reviews were also screened to retrieve additional relevant articles. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Descriptive analysis was adopted to synthesize the results.A total of 22 quantitative and 4 qualitative studies were identified and included in this review. Although both men and women experienced psychological distress during the treatment, gender differences existed. Women had elevated anxiety and depression levels prior to the treatment, which became even higher on the day of the oocyte retrieval, pre- and post embryo transfer, and during the waiting period before the pregnancy test. Men of the infertile couples reported elevated depression scores before treatment, which usually increased during the time spent waiting for the outcome of the IVF treatment. Both men and women had lower scores on positive affect before the pregnancy test. A failed IVF cycle had long-term negative psychological consequences for both spouses.The results of this review pointed to the need for a couple-based support program, aimed at improving the psychological well-being of couples.

SUBMITTER: Ying L

PROVIDER: S-EPMC4759000 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature

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Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review.

Ying Liying L Wu Lai Har LH Loke Alice Yuen AY

Journal of assisted reproduction and genetics 20151229 2

<h4>Purpose</h4>The purposes of this paper are to provide a comprehensive picture of men and women's emotional reactions to infertility treatment, specifically In Vitro Fertilization (IVF) pursued by heterosexual couples, and to identify any differences between the genders.<h4>Methods</h4>Nonexperimental studies exploring the psychological effects of IVF treatment on infertile couples were included. Six electronic databases were used to conduct a systematic search from the years 2000 to 2014. Th ...[more]

PMID: 26712577

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Project description:BackgroundInfertility affects up to 15% of couples. In vitro fertilization (IVF) treatment has modest success rates and some factors associated with infertility and poor treatment outcomes are not modifiable. Several studies have assessed the association between female dietary patterns, a modifiable factor, and IVF outcomes with conflicting results. We performed a systematic literature review to identify female dietary patterns associated with IVF outcomes, evaluate the body of evidence for potential sources of heterogeneity and methodological challenges, and offer suggestions to minimize heterogeneity and bias in future studies.MethodsWe performed systematic literature searches in EMBASE, PubMed, CINAHL, and Cochrane Central Register of Controlled Trials for studies with a publication date up to March 2020. We excluded studies limited to women who were overweight or diagnosed with PCOS. We included studies that evaluated the outcome of pregnancy or live birth. We conducted an initial bias assessment using the SIGN 50 Methodology Checklist 3.ResultsWe reviewed 3280 titles and/or titles and abstracts. Seven prospective cohort studies investigating nine dietary patterns fit the inclusion criteria. Higher adherence to the Mediterranean diet, a 'profertility' diet, or a Dutch 'preconception' diet was associated with pregnancy or live birth after IVF treatment in at least one study. However, causation cannot be assumed. Studies were potentially hindered by methodological challenges (misclassification of the exposure, left truncation, and lack of comprehensive control for confounding) with an associated risk of bias. Studies of the Mediterranean diet were highly heterogenous in findings, study population, and methods. Remaining dietary patterns have only been examined in single and relatively small studies.ConclusionsFuture studies with rigorous and more uniform methodologies are needed to assess the association between female dietary patterns and IVF outcomes. At the clinical level, findings from this review do not support recommending any single dietary pattern for the purpose of improving pregnancy or live birth rates in women undergoing IVF treatment.

Project description:Extensive research documents the existence of egocentric biases in the perception and application of justice norms. The origin of these biases remains poorly understood. We investigated both inter- and intra-individual differences in egocentric justice biases. Participants played an ultimatum game presumably with different anonymous players (simulated by a computer) in which they contributed differentially to the joint production of the initial endowment. We examined how contributions (low vs. high) affect proposers' offers and responders' acceptance decisions, as well as their fairness judgments and their emotional reactions to different types of offers (equal, equitable, unfair, and hyperfair). An egocentric bias in proposers' offers (indicating more flexible preferences) was found only in individualists and not in prosocials, suggesting differences in the motivations (or cognitions) underlying their choice of justice norms. Responders also showed egocentric biases in their judgments of fairness and in their emotional reactions to equal and equitable offers, but not in their acceptance decisions. Such dissociation might suggest that some form of emotion regulation occurred. Responders may evaluate offers on valence dimensions (e.g., goal conduciveness/outcome favorability and norm compatibility/justice) that are multiply interacting and potentially conflicting. The individual's acceptance/rejection decision reflects the relative weight attributed to competing appraisals. For this overt behavioral decision, the (personal) appraisal of outcome favorability that drives (analytical) acceptance of goal-conducive outcome seems to be stronger than the (social) appraisal of outcome fairness, which may trigger covert (emotional) rejection of offers that are incompatible with justice norms. Our data show that the emotional reaction patterns provide a more fine-grained readout of the overall evaluation of the proposer's action, the underlying emotional dynamics of which may, in real life, strongly determine future interactions with specific partners. Further research on the relationship between emotion and behavior in economic games is needed to explore potential dissociations and long-term effects.

Dataset Information

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review.

Publications

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review.

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