The effect of a positive reappraisal coping intervention and problem-solving skills training on coping strategies during waiting period of IUI treatment: An RCT|
Ghasemi, Marzieh; Kordi, Masoumeh; Asgharipour, Negar; Esmaeili, Habibollah & Amirian, Maliheh
Background: Waiting period of fertility treatment is stressful, therefore it is
necessary to use effective coping strategies to cope with waiting period of
intrauterine insemination (IUI) treatment.
Objective: The aim of this study was comparing the effect of the positive
reappraisal coping intervention (PRCI) with the problem-solving skills training
(PSS) on the coping strategies of IUI waiting period, in infertile women referred to
Milad Infertility Center in Mashhad.
Materials and Methods: In this randomized clinical trial, 108 women were
evaluated into three groups. The control group received the routine care, but in PRCI
group, two training sessions were held and they were asked to review the coping
thoughts cards and fill out the daily monitoring forms during the waiting period, and
in PSS group problem-solving skill were taught during 3 sessions. The coping
strategies were compared between three groups on the 10th day of IUI waiting
Results: Results showed that the mean score for problem-focused were significantly
different between the control (28.54±9.70), PSS (33.71±9.31), and PRCI
(30.74±10.96) (p=0.025) groups. There were significant differences between the
PSS group and others groups, and mean emotion-focused were significantly
different between the control (32.09±11.65), PSS (29.20±9.88), and PRCI
(28.74±7.96) (p=0.036) groups. There were significant differences between the
PRCI and the control group (p=0.047).
Conclusion: PSS was more effective to increase problem-focused coping strategies
than PRCI, therefore it is recommended that this intervention should be used in
infertility treatment centers.
Problem-solving; Adaptation; Psychological; Insemination; Artificial.