Psychosocial Vulnerability, Resilience Resources, and Coping with Infertility: A Longitudinal Model of Adjustment to Primary Ovarian Insufficiency.

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ID: 85196
2016
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Abstract
The infertility associated with primary ovarian insufficiency (POI) presents significant emotional challenges requiring psychosocial adjustment. Few investigations have explored the longitudinal process of adaptation to POI.This longitudinal investigation tests a model of adjustment to POI that includes separate psychosocial vulnerability and resilience resource factors.Among 102 women with POI, personal attributes reflective of vulnerability and resilience were assessed at baseline. Coping strategies were assessed 4 months later and measures of distress and well-being 12 months later.As hypothesized, confirmatory factor analysis yielded separate, inversely correlated vulnerability and resilience resource factors at baseline, and distress and well-being factors at 12 months. Contrary to predictions, maladaptive and adaptive coping strategies were not bi-factorial. Moreover, a single stand-alone strategy, avoidance (i.e., refusing to acknowledge stress), mediated the association between baseline vulnerability and 12-month distress.For women with POI, interventional studies targeted to reduce avoidance are indicated.
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driscoll2016psychosocialannals Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Driscoll, Mary A;Davis, Mary C;Aiken, Leona S;Yeung, Ellen W;Sterling, Evelina Weidman;Vanderhoof, Vien;Calis, Karim Anton;Popat, Vaishali;Covington, Sharon N;Nelson, Lawrence M;
Journal annals of behavioral medicine : a publication of the society of behavioral medicine
Year 2016
DOI
10.1007/s12160-015-9750-z
URL
Keywords
resilience risk infertility adaptation coping poi premature menopause premature ovarian failure

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