Masoumi Seyedeh Zahra, Abdoli Sara, Kazemi Farideh, Pilehvari Shamim, Ahmadpanah Mohammad, Khodakarami Batul, Fazli Faezeh
Mother and Child Care Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Master student of counseling in midwifery, Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Psychiatry. 2025 Feb 12;25(1):119. doi: 10.1186/s12888-025-06533-9.
Individuals undergoing fertility treatments often experience heightened stress levels compared to the general population. With the increasing number of women facing recurrent failed in vitro fertilization (IVF) cycles, this research aimed to assess the effectiveness of positive thinking counseling and cognitive reconstruction in reducing perceived stress among infertile women.
A randomized controlled clinical trial was conducted with 57 women who had undergone unsuccessful IVF cycles at the Fatemiyeh Infertility Center in Hamadan, Western Iran. Using block randomization, participants were randomly assigned to the control group (29 participants)and the intervention group (28 participants). The intervention group received individual face-to-face positive thinking counseling and cognitive reconstruction in eight sessions, each lasting 45 to 60 min. Stress levels were measured using the Cohen Perceived Stress Scale at the beginning of the study and on the embryo transfer day for both groups. Data were analyzed using Stata-13, with a significance levelof p < 0.05.
Both groups' mean perceived stress scores showed no statistically significant differences before the intervention (p = 0.168). However, after the intervention, the mean perceived stress scores in the intervention group were significantly lower than those in the control group (p < 0.001).
It appears that the use of these counseling approaches leads to a reduction in perceived stress among infertile women.
Registration Number: IRCT20120215009014N474, registered on May15, 2023.
与普通人群相比，接受生育治疗的个体往往经历更高的压力水平。随着面临体外受精（IVF）周期反复失败的女性数量不断增加，本研究旨在评估积极思维咨询和认知重建在降低不孕女性感知压力方面的有效性。
在伊朗西部哈马丹的法特米耶不孕中心，对57名经历过IVF周期失败的女性进行了一项随机对照临床试验。采用整群随机化方法，将参与者随机分为对照组（29名参与者）和干预组（28名参与者）。干预组接受为期八节的个人面对面积极思维咨询和认知重建，每节持续45至60分钟。在研究开始时和两组胚胎移植当天，使用科恩感知压力量表测量压力水平。使用Stata-13对数据进行分析，显著性水平为p < 0.05。
两组的平均感知压力得分在干预前无统计学显著差异（p = 0.168）。然而，干预后，干预组的平均感知压力得分显著低于对照组（p < 0.001）。
看来使用这些咨询方法可降低不孕女性的感知压力。
注册号：IRCT20120215009014N474，于2023年5月15日注册。
