J Korean Soc Matern Child Health.  2020 Jan;24(1):52-63. 10.21896/jksmch.2020.24.1.52.

A Survey on the Current Status and Demands of Infertility Counseling Towards the Development of an Infertility Counseling Delivery System

• Lee YS
• Kwon JH

• KMID: 2511153
• DOI: http://doi.org/10.21896/jksmch.2020.24.1.52

Abstract

Purpose
The aim of this study was to investigate the current status and demands of domestic infertility counseling and to investigate the predictors of infertile women’s needs for infertility counseling in order to improve the development of an infertility counseling delivery system.
Methods
A total of 1,131 infertile Korean women from 116 public health centers, 2 infertility clinics, a counseling center of a demonstration project and an online infertility café participated in the study. A selfreport survey was utilized to collect data, including medical information and infertility counseling requirements. The data were analyzed using descriptive statistics, a 1-way analysis of variance, and stepwise multiple regression.
Results
The utilization rate of infertility counseling was 3.8%, with 81.6% of those who received counseling reporting that they were satisfied with the infertility counseling. Of the participants, 88.1% reported a high demand for infertility counseling and were found to have a higher need for counseling if they had higher incomes, were married for longer, were infertile longer, or were undergoing in vitro fertilization. Stepwise regression analyses showed that high level of psychological distress was a significant predictor for the need for infertility counseling.
Conclusion
In order to develop a client-centered infertility counseling delivery system, the levels of psychological distress of infertile women must be assessed and the development of a stepped care approach is proposed.

Keyword

Infertility counseling; Health service needs and demand; Stepped care; Needs assessment; Female infertility

Reference

Abbey A., Abramis DJ., Caplan RD. Effects of different sources of social support and social conflict on emotional well-being. Basic Appl Soc Psychol. 1985. 6:111–29.

Boivin J. A review of psychosocial interventions in infertility. Soc Sci Med. 2003. 57:2325–41.

Boivin J., Domar AD., Shapiro DB., Wischmann TH., Fauser BC., Verhaak C. Tackling burden in ART: an integrated approach for medical staff. Hum Reprod. 2012. 27:941–50.

Cousineau TM., Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007. 21:293–308.

Covington SN. The role of the mental health professional in reproductive medicine. Fertil Steril. 1995. 64:895–7.

Dawadi S., Takefman J., Zelkowitz P. Fertility patients demonstrate an unmet need for the provision of psychological information: a cross sectional study. Patient Educ Couns. 2018. 101:1852–8.

de Liz TM., Strauss B. Differential efficacy of group and individual/couple psychotherapy with infertile patients. Hum Reprod. 2005. 20:1324–32.

ESHRE. Routine, psychosocial care in infertility and medically assisted reproduction - a guide for fertility staff. Grimbergen (Belgium): European Society of Human Reproduction and Embryology;2015.

Ha YY. Hermeneutic phenomenological understanding on lived experiences of infertile women participating in mind- body program. [dissertation]. Seoul (Korea): Seoul Women’s University;2013.

Honea-Fleming P. Psychosocial components in obstetric/gynecologic conditions with a special consideration of infertility. Ala J Med Sci. 1986. 23:27–30.

Hwang N., Jang I. Factors influencing the depression level of couples participating in the national supporting program for infertile couples. J Korean Acad Community Health Nurs. 2015. 26:179–89.

Hwang NM., Chae S., Jang I. Support program for infertility couples: 2014 evaluation. Sejong (Korea): Korea Institute for Health and Social Affairs;2015.

Jun D., Johnston V., Kim JM., O'Leary S. Cross-cultural adaptation and validation of the Depression, Anxiety and Stress Scale-21 (DASS-21) in the Korean working population. Work. 2018. 59:93–102.

Kang EY., Kim JM., Jung HN. The development and effect of cognitive behavioral therapy program for psychosocial adjustment of infertile women. Korea J Couns. 2015. 16:451–71.

Kim MO. The effect of a mind-body therapeutic program for infertile women repeating IVF treatment on uncertainty, anxiety, and implantation rate. [dissertation]. Seoul (Korea): Yonsei University;2009.

Kim RH., Lee WM., Kim YJ., Sung YM., Hoh JK., Han DW, et al. Current status of infertility counseling in Korea. Korean J Obstet Gynecol. 2011. 54:611–17.

Kwon JH. A Study on the current status of infertility counseling and the development of infertility counseling delivery system. Sejong (Korea): Ministry of Health and Welfare;2016.

Kwon JH. Infertility counseling as evidence-based practice. Korean J Woman Psychol. 2019. 24:87–104.

Lee YS., Choi SM., Kwon JH. Psychosocial predictors of infertile women’s distress. J Korean Soc Matern Child Health. 2019. 23:136–46.

Leiblum SR., Kemmann E., Lane MK. The psychological concomitants of in vitro fertilization. J Psychosom Obstet Gynaecol. 1987. 7:165–78.

Lindsey B., Driskill C. The psychology of infertility. Int J Childbirth Educ. 2013. 28:41–7.

Lovibond SH., Lovibond PF. Manual for the depression anxiety stress scales. 2nd ed. Sydney (NSW): Psychology Foundation of Australia;1995.

Luk BH., Loke AY. A review of supportive interventions targeting individuals or couples undergoing infertility treatment: directions for the development of interventions. J Sex Marital Ther. 2016. 42:515–33.

Peterson B., Boivin J., Norré J., Smith C., Thorn P., Wischmann T. An introduction to infertility counseling: a guide for mental health and medical professionals. J Assist Reprod Genet. 2012. 29:243–8.

Statistics Korea. 2018 Total fertility rate [Internet]. Daejeon (Korea): Statistics Korea;2019. [cited 2019 Feb 27]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=373361.

Statistics Korea. Korean standard classification of disease and cause of death. Daejeon (Korea): Statistics Korea;2018.

Statistics Korea. Statistical database; population, households and housing units [Internet]. Daejeon (Korea): Statistics Korea;2016. [cited 2016 Aug 8]. Available from: URL: http://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE&parmTabId=M_01_01&statId=1962001&themaId=.

Verhaak CM., Smeenk JM., Evers AW., van Minnen A., Kremer JA., Kraaimaat FW. Predicting emotional response to unsuccessful fertility treatment: a prospective study. J Behav Med. 2005. 28:181–90.

You SE., Kwon JH. The effects of perfectionism, social support, stress, and coping style on depression in the middle-aged woman. Korean J Clin Psychol. 1997. 16:67–84.