The impact of psychological counselling on dyadic outcomes for infertile couples: a common fate analysis

Author(s):  
Zaira Donarelli
Reproduction ◽  
2017 ◽  
Vol 154 (6) ◽  
pp. F93-F110 ◽  
Author(s):  
G D Palermo ◽  
C L O’Neill ◽  
S Chow ◽  
S Cheung ◽  
A Parrella ◽  
...  

Among infertile couples, 25% involve both male and female factors, while male factor alone accounts for another 25% due to oligo-, astheno-, teratozoospermia, a combination of the three, or even a complete absence of sperm cells in the ejaculate and can lead to a poor prognosis even with the help of assisted reproductive technology (ART). Intracytoplasmic sperm injection (ICSI) has been with us now for a quarter of a century and in spite of the controversy generated since its inception, it remains in the forefront of the techniques utilized in ART. The development of ICSI in 1992 has drastically decreased the impact of male factor, resulting in millions of pregnancies worldwide for couples who, without ICSI, would have had little chance of having their own biological child. This review focuses on the state of the art of ICSI regarding utility of bioassays that evaluate male factor infertility beyond the standard semen analysis and describes the current application and advances in regard to ICSI, particularly the genetic and epigenetic characteristics of spermatozoa and their impact on reproductive outcome.


Argumentum ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 213-228
Author(s):  
Janine Vieira Teixeira ◽  
César Albenes de Mendonça Cruz ◽  
Rita de Cássia Duarte Lima

Percepção dos trabalhadores estatutários sobre a implantação da EBSERH no HUCAMPerceptions of statutarian workers about the EBSERH’s implementation in HUCAMRESUMO A nova abordagem da gestão pública traz consequências ruins para os trabalhadores. A pesquisa teve por objetivo analisar o impacto da implantação da Empresa Brasileira de Serviços Hospitalares – EBSERH - na saúde dos trabalhadores contratados pelo Regime Jurídico Único – RJU - do Hospital Universitário Cassiano Antônio de Morais – HUCAM. O método qualitativo incluiu: entrevistas com trabalhadores e gestores, utilizando um instrumento semiestruturado; dados institucionais de atendimentos psicológicos e absenteísmo. Emergiram as categorias: Consolidação da EBSERH: Implantação, Principais Mudanças e Processo de (Des) integração; Trabalho: Processo de Trabalho, Metas Pactuadas com o SUS e Conflitos; Adoecimento no Trabalho: Insegurança, Desrespeito, Falta de Reconhecimento e Exclusão. Os trabalhadores desenvolveram diferentes estratégias de resistência: do embate, contestar, ao silêncio, só observar. Eles não conseguiram desenvolver uma resistência coletiva às imposições, o que gerou conflitos entre os trabalhadores contratados pela EBSERH e os do RJU, transformando o local de trabalho em um lugar adoecedor.   ABSTRACT The new public management approach brings bad consequences for the workers. The main objective of the research was to analyze the impact of the Empresa Brasileira de Serviços Hospitalares – EBSERH – implementation, on the labour health of workers hired with “Regime Jurídico Único”,  from Hospital Universitário Cassiano Antônio de Morais.   The qualitative method included interviews of workers and managers with a semi-structured instrument, psychological counselling data and absenteeism data. The categories raised was: EBSERH’s Consolidation: Implementation, Main Changes, and the (Des)Integration Process; Work: Work Process, Goals contracted with the SUS, Conflict; Work Ilness: Insecure, Disrespect, Lack of Recognizing and Exclusion. The workers developed different resistances:  conflict, like contesting, silence, like only observing.  They didn’t develop a collective resistance against the requirements, and conflicts between EBSERH workers against RJU workers took place, changing the work space in a place of sickness.  


2020 ◽  
Author(s):  
Kun Du ◽  
Yue-zhi Dong

Abstract Background: The study was conducted to examine the effect of attachment orientation and empathy on the relationship quality of infertile couples and assess the interdependency model of these factors.Method: In this study, 168 infertile couples (336 individuals) were enrolled and asked to finish he following questionnaires: the revised Adult Attachment Scales, the Interpersonal Response Index questionnaire, and the Relationship Quality subscale of the Fertility Quality of Life (FertiQol).Results: The attachment orientation of infertile couples can influence their relationship quality, and empathetic wives and husbands have actor and partner effects on the infertile couples’ relationship quality.Conclusion: Empathetic infertile couples are conducive to the harmony of the relationship. In order to provide better psychological services for patients, the clinical personnel should consider the infertile couple as a team both experiencing the stress of infertility together, and then should evaluate their ability for empathy systematically.


Author(s):  
Michael Reynolds ◽  
Donna Kwan ◽  
Daniel Smilek

Eight experiments are reported that examine the contextual factors that influence the magnitude of color-word interference in the Stroop task. In Part 1 of the paper (Experiments 1–4) we varied letter-letter grouping using Gestalt principles of proximity and similarity. In Part 2 of the paper (Experiments 5–8) we varied word-color grouping using the Gestalt principles of similarity and common fate. The magnitude of the Stroop effect was strongly influenced by changes in both letter-letter grouping in the color-word and word-color grouping. Overall, the results suggest two ways in which perceptual organization influences the magnitude of Stroop color-word interference and more generally, that there are systematic principles that govern the impact of visually presented words across a variety of laboratory contexts and the real world.


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S210-S210
Author(s):  
Octavian Vasiliu

Abstract Background The so-called “novel psychoactive substances” (NPS) or “legal highs” have been highly used by adolescent and young population in the last decade, reaching a level at which they became a challenge for policy makers and public health [1]. Drugs like synthetic cannabinoids, synthetic cathinones, Salvia divinorum, phenylethylamines, synthetic cocaine substitutes and Mitragyna speciosa have been included in the NPS category and patients diagnosed with bipolar disorder, personality disorders or schizophrenia and related disorders were the most frequently associated disorders with NPD use (between 11.6 and 23.1%) [2]. Case reports of the NPS-induced relapses among patients with schizophrenia exist, and a toxicology screening rarely detect these substances [3]. The impact of NPS in the prodromal phase of schizophrenia is associated with several important questions, like “is there a common predisposition for both NPS abuse and schizophrenia spectrum disorders?”, or “how can the early treatment of the NPS abuse may interfere with the risk for the development of schizophrenia?”. Methods A number of three patients who presented NPS use and attenuated psychotic syndrome (according to the DSM-5 criteria for conditions for further study) were monitored for 3 months during their detox treatment and after that period, during which they received a maintenance treatment with moodstabilizers (carbamazepine 600–900 mg daily or sodium valproate 500–1000 mg daily) and naltrexone (50 mg daily). Two patients accepted also low-dose antipsychotic treatment with olanzapine (5 mg/daily). Psychological counselling was offered and accepted by all three patients. These patients were evaluated every 4 weeks using Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning (GAF), Clinical Global Impressions – Severity (CGI-S), and Inventary for Drug Taking Situations (IDTS). No other axis I or III diagnoses were detected in any of these patients. However, two patients presented features of cluster A personality disorders, without reaching the threshold for a clear-cut axis II diagnosis. Results All three patients reached the week 12 visit, and they presented improvements in the PANSS scores, including the patient who refused antipsychotic treatment (mean PANSS reduction was 23.7 points compared to baseline). GAF increased with 29.9 points, and CGI-S decreased with 1.9 points. IDTS had a more fluctuating course, with final values being modestly reduced to baseline (-10.7, p=0.127). One patient remained abstinent from NPS for 2 months, while the other two admitted a continuation of the drugs use during the 3 months of their monitoring period. No discontinuation of the treatment was reported during to the low tolerability. Discussion The initiation of pharmacological treatment and psychological counselling could improve the evolution of patients diagnosed with both NPS abuse and attenuated psychotic syndrome, as reflected at least by the PANSS scores, even if patients did not significantly improve their drug consumption. References


1999 ◽  
Vol 161 (2) ◽  
pp. 724-725
Author(s):  
P.E.M. Lottman ◽  
J.C.M. Hendriks ◽  
P.A. Vruggink ◽  
E.J.H. Meuleman

Societies ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 120
Author(s):  
Ana Isabel Sani ◽  
Daniela Bastos ◽  
Maria Alzira Pimenta Dinis

Worldwide, children and adolescents are exposed to violence every day and in countless contexts, whether in the family, at school, or in the community. Child multiple victimization has been the subject of extensive international research because of the impact on child and youth development. A quantitative and comparative study aiming to understand child multiple victimization and/or polyvictimization from the perspective of children is presented. Two groups were studied, with and without psychological counselling, with 20 children each, aged 12–18 years old. All the participants answered to juvenile victimization questionnaire (JVQ). The study was approved by the University Ethics Committee responsible for the study in Portugal, and it was initiated after the obtained consent of the children’s legal guardians. The results indicated that young people frequently experience violent situations, with particular emphasis on conventional crimes, e.g., theft, robbery, vandalism, and assault with or without a weapon, with sexual victimization being less common. The results also show that there is a cumulative experience of violence, which evidences multiple victimization and polyvictimization of the child/adolescent throughout their life. These phenomena are not necessarily more common between populations with clinical follow-up. When the types of violence were compared, multiple victimization and polyvictimization, this study found no differences between the samples with and without psychological counselling. It can be concluded that the multiple victimization or polyvictimization problem is not unusual among the population in the studied age range. It is important to alert to the phenomenon of child/adolescent multiple victimization, aiming at a more effective assessment and intervention among these populations. Raising awareness of the phenomenon of multiple child and youth victimization or polyvictimization is of particular importance for preventing violence at all stages of development.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Z Donarelli ◽  
G Lo Coco ◽  
S Gullo ◽  
V Oieni ◽  
A Volpes ◽  
...  

Abstract Study question Is there evidence that infertile patients have been more likely to experience distress during the COVID-19 outbreak with the consequent interruption of treatment plans? Summary answer High levels of psychological distress among infertile patients have been found during the COVID-19 pandemic, greater than that reported in the general population. What is known already Preliminary research on the negative consequences of the COVID-19 outbreak on mental health evidenced heightened levels of anxiety, depression and post-traumatic stress in some clinical populations as well as in community samples. However, little is known about the impact of COVID-19 on psychological distress of infertile patients who have been forced to suspend infertility treatment and postpone parenthood goals during the pandemic. The aim of this meta-analytic review is to summarize extant literature on the prevalence of psychological distress symptoms in infertile patients during the COVID-19 pandemic. Study design, size, duration A systematic review and meta-analysis were conducted following the PRISMA guidelines on PsycInfo, PubMed, Embase, Web of Science, MedRxiv from March 2020 to mid-December 2020. Study inclusion criteria were specified according to the PICOS guideline. All naturalistic or RCT studies published in 2020 that examined infertility as the primary diagnosis and had a quantitative measurement of distress, were eligible. The primary outcomes were symptoms of psychological distress and secondary outcomes were indicators of psychological health. Participants/materials, setting, methods The database search identified 144 papers. Two reviewers independently screened potential studies by title and abstracts based on the inclusion criteria. The full texts were then screened for eligibility. The Newcastle-Ottawa Scale was used to judge the methodological quality of the studies. In order to estimate the pooled prevalence of distress, Odds Ratios with 95% Confidence Interval were calculated as the effect size by using a random-effects model. Heterogeneity was tested using I2 statistics. Main results and the role of chance Fourteen studies met the inclusion criteria and were summarized for the systematic review (N = 6473). Only six studies did not include males although, in the surveys, females made up 92% of the total sample. Ten studies adopted a cross-sectional study design. 100% gathered data through an online survey. Nine studies showed a high risk of bias, and five had a moderate risk. Review results showed that 56,4% of patients wished to resume treatment; participants were mostly worried about the delay in treatment because of their age (>35 years) or diminished ovarian reserve, or money constraints and low education level. Only five studies examined the role of protective factors such as social support, coping, optimism trait and intolerance of uncertainty. Nine studies were included for meta-analysis. The prevalence of psychological distress was 0.58 (95% CI 0.32÷0.84). The pooled point estimates of prevalence for anxiety (N = 6) were 0.56 (95% CI 0.24÷0.88), whereas the prevalence for depression (N = 5) was 0.46 (95% CI 0.15÷0.77). There was significant heterogeneity among studies to estimate the prevalence (I² ranging from 99% to 100%). Limitations, reasons for caution Results are preliminary, given the small number of studies and their cross-sectional data. The risk of bias was high or moderate across studies. Wider implications of the findings Infertile couples reported high levels of distress due to cancellation of their diagnostic procedures or treatment; they would benefit from information, appropriate support and advice from healthcare professionals, with an important role in maintaining the wishes of infertile couples to continue their parenthood goals. Trial registration number not applicable


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