Skip to main content
Log in

Efficacy of Emotion-Focused and Problem-Focused Group Therapies for Women with Fertility Problems

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Competing positions exist in the literature regarding whether problem-focused or emotion-focused coping is more useful when one confronts a chronic health-related problem. In this study, 29 infertile women, who on average had been attempting conception for almost 4 years, were assigned to six sessions of training in problem- or emotion-focused coping or to a no-treatment control condition. Problem-focused training produced improvements in general distress and infertility-specific well-being at treatment termination. However, emotion-focused training resulted in greater improvement at a 1-month follow-up. Emotion-focused participants reported less depression and more infertility-specific well-being at 1 month than did controls. At 18 months, problem-focused group members were more likely to have a child than were other participants. Results argue for the efficacy of both emotion-directed and problem-focused interventions in women's adjustment to infertility.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  • Abbey, A., Andrews, F. M., and Halman, L. J. (1991). Gender's role in responses to infertility Psychol. Women Q. 15: 295-316.

    Google Scholar 

  • Bach, G. R., and Goldberg, H. (1974). Creative Aggression: The Art of Assertive Living, Avon Books, New York.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., and Emery, G. (1979). Cognitive Therapy of Depression, Guilford, New York.

    Google Scholar 

  • Beck, A. T., Steer, R. A., and Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Cin. Psychol. Rev. 8: 77-100.

    Google Scholar 

  • Borkovec, T. D., and Nau, S. D. (1972). Credibility of analogue therapy rationales. J. Behav. Ther. Exp. Psychiatry 3: 257-260.

    Google Scholar 

  • Campbell, S. M., Dunkel-Schetter, C., and Peplau, L. A. (1991). Perceived control and adjustment to infertility among women undergoing in vitro fertilization. In Stanton, A. L., and Dunkel-Schetter, C. (eds.), Infertility: Perspectives from Stress and Coping Research, Plenum Press, New York, pp. 133-156.

    Google Scholar 

  • Carver, C. S., Scheier, M. F., and Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. J. Personal. Soc. Psychol. 56: 267-283.

    Google Scholar 

  • Davajan, V., and Israel, R. (1991). Diagnosis and medical treatment of infertility. In Stanton, A. L., and Dunkel-Schetter, C. (eds.), Infertility: Perspectives from Stress and Coping Research, Plenum Press, New York, pp. 29-57.

    Google Scholar 

  • Davies, A. R., Sherbourne, C. D., Peterson, J. R., and Ware, J. E. (1988). Scoring Manual: Adult Health Status and Patient Satisfaction Measures Used in RAND's Health Insurance Experiment, N-2190-HHS, Rand Corporation, Santa Monica, CA.

    Google Scholar 

  • Domar, A. D., Zuttermeister, P. C., Seibel, M., and Benson, H. (1992). Psychological improvement in infertile women after behavioral treatment: A replication. Fertil. Steril. 58: 144-147.

    Google Scholar 

  • Dunkel-Schetter, C., and Lobel, M. (1991). Psychological reactions to infertility. In Stanton, A. L., and Dunkel-Schetter, C. (eds.), Infertility: Perspectives from Stress and Coping Research, Plenum Press, New York, pp. 29-57.

    Google Scholar 

  • D'Zurilla, T. J., and Goldfried, M. R. (1971). Problem solving and behavior modification. J. Abnorm. Psychol. 78: 107-126.

    Google Scholar 

  • Freeman, E. W., Boxer, A. S., Rickels, K., Tureck, R., and Mastroianni, L., Jr. (1985). Psychological evaluation and support in a program of in vitro fertilization and embryo transfer. Fertil. Steril. 43: 48-53.

    Google Scholar 

  • Freud, S. (1893–1895). Studies on Hysteria, stand. ed. (Vol. 2), Hogarth, London, 1955.

    Google Scholar 

  • Goldfried, M. R. (1980). Psychotherapy as coping skills training. In Mahoney, M. J. (ed.), Psychotherapy Process: Current Issues and Future Directions, Plenum, New York, pp. 89-119.

    Google Scholar 

  • Goldfried, M. R., and Davison, G. C. (1976). Clinical Behavior Therapy, Holt, Rinehart and Winston, New York.

    Google Scholar 

  • Kubler-Ross, E. (1969). On Death and Dying, Macmillan, New York.

    Google Scholar 

  • Lazarus, R. S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer, New York.

    Google Scholar 

  • Menning, B. E. (1977). Infertility: A Guide for the Childless Couple, Prentice Hall, Englewood Cliffs, NJ.

    Google Scholar 

  • Menning, B. E. (1988). Infertility: A Guide for the Childless Couple, 2nd ed., Prentice Hall, New York.

    Google Scholar 

  • Moos, R. H., and Schaefer, J. A. (1986). Life transitions and crises: A conceptual overview. In Moos, R. H. (ed.), Coping with Life Crises: An Integrated Approach, Plenum, New York, pp. 3-28.

    Google Scholar 

  • Mosher, W. D., and Pratt, W. F. (1990). Fecundity and infertility in the United States, 1965–1988. Advance Data from Vital and Health Statistics, No. 192, National Center for Health Statistics, Hyattsville, MD.

    Google Scholar 

  • Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychol. Bull. 101: 259-282.

    Google Scholar 

  • Pennebaker, J. W., Hughes, C. F., and O'Heeron, R. C. (1987). The psychophysiotogy of confession: Linking inhibitory and psychosomatic processes. J. Personal. Soc. Psychol. 52: 781-793.

    Google Scholar 

  • Pennebaker, J. W., Kiecolt-Giaser, J. K., and Glaser, R. (1988). Disclosure of traumas and immune function: Health implications for psychotherapy. J. Consult. Clin. Psychol. 56: 239-245.

    Google Scholar 

  • Rose, S. D. (1990). Working with Adults in Groups: Integrating Cognitive-Behavioral and Small Group Strategies, Jossey-Bass, San Francisco.

    Google Scholar 

  • Salzer, L. P. (1986). Infertility: How Couples Can Cope, G. K. Hall, Boston.

    Google Scholar 

  • Sanders, C. M. (1989). Grief: The Mourning After, Wiley, New York.

    Google Scholar 

  • Shapiro, C. H. (1988). Infertility and Pregnancy Loss: A Guide for Helping Professionals, Jossey-Bass, San Francisco.

    Google Scholar 

  • Stanton, A. L. (1991). Cognitive appraisals, coping processes, and adjustment to infertility. In Stanton, A. L., and Dunkel-Schetter, C. (eds.). Infertility: Perspectives from Stress and Coping Research, Plenum Press, New York, pp. 87-108.

    Google Scholar 

  • Stanton, A. L., and Danoff-Burg, S. (1995). Selected issues in women's reproductive health: Psychological perspectives. In Stanton, A. L., and Gallant, S. (eds.), Psychology of Women's Health: Progress and Challenges in Research and Application, American Psychological Association, Washington, DC, pp. 261-305.

    Google Scholar 

  • Stanton, A. L., and Dunkel-Schetter, C. (1991). Psychological adjustment to infertility: An overview of conceptual approaches. In Stanton, A. L., and Dunkel-Schetter, C. (eds.), Infertility: Perspectives from Stress and Coping Research, Plenum Press, New York, pp. 3-16.

    Google Scholar 

  • Stanton, A. L., Danoff-Burg, S., Cameron, C. L., and Ellis, A. P. (1994). Coping through emotional approach: Problems of conceptualization and confounding. J. Personal. Soc. Psychol. 66: 350-362.

    Google Scholar 

  • Strentz, T., and Aueruach, S. M. (1988). Adjustment to the stress of simulated captivity: Effects of emotion-focused versus problem-focused preparation on hostages differing in locus of control. J. Personal. Soc. Psychol. 55: 652-660.

    Google Scholar 

  • Stuart, R. B. (1980). Helping Couples Change: A Social Learning Approach to Marital Therapy, Guilford Press, New York.

    Google Scholar 

  • Taylor, S. E. (1990). Health psychology: The science and the field. Am. Psychol. 45: 40-50.

    Google Scholar 

  • Taylor, S. E., Falke, R. L., Shoptaw, S. J., and Lichtman, R. R. (1986). Social support, support groups, and the cancer patient. J. Consult Clin. Psychol. 54: 608-615.

    Google Scholar 

  • U.S. Congress, Office of Technology Assessment (1988). Infertility: Medical and social choices, OTA-BA-358, U.S. Government Printing Office, Washington, DC, May.

    Google Scholar 

  • Ware, J. E., Johnston, S. A., Davies-Avery, A., and Brook, R. H. (1979). Conceptualization and measurement of health for adults in the Health Insurance Study, Vol. III. Mental Health, R-1987/3-HEW, Rand Corporation, Santa Monica, CA.

    Google Scholar 

  • Ware, J. E., Manning, W. G., Duan, N., Wells, K. B., and Newhouse, J. P. (1984). Health status and the use of outpatient mental health services. Am. Psychol. 39: 1090-1100.

    Google Scholar 

  • Wortman, C. B., and Silver, R. C. (1989). The myths of coping with loss. J. Consult. Clin. Psychol. 57: 349-357.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

McQueeney, D.A., Stanton, A.L. & Sigmon, S. Efficacy of Emotion-Focused and Problem-Focused Group Therapies for Women with Fertility Problems. J Behav Med 20, 313–331 (1997). https://doi.org/10.1023/A:1025560912766

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025560912766

Navigation