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J Korean Soc Matern Child Health > Volume 23(2); 2019 > Article
Journal of The Korean Society of Maternal and Child Health 2019;23(2):136-146.
DOI: https://doi.org/10.21896/jksmch.2019.23.2.136    Published online April 30, 2019.
Psychosocial Predictors of Infertile Women’s Distress
Young Sun Lee1, Seung Mi Choi2, Jung-hye Kwon3
1Department of Liberal Arts, Joongbu University
2Graduate School of Education, Kwangwoon University
3Department of Psychology, Korea University
난임 여성의 심리적 디스트레스를 예측하는 심리사회적 요인
이영선1, 최승미2, 권정혜3
1중부대학교 교양학부
2광운대학교 교육대학원
3고려대학교 심리학과
Correspondence:  Jung-hye Kwon, Tel: 02-3290-2067, Fax: 02-3290-2662, 
Email: junghye@korea.ac.kr
Received: 6 March 2019   • Revised: 15 April 2019   • Accepted: 16 April 2019
The aim of this study was to examine whether psychological distress of infertile women would differ according to demographic and infertility characteristics, and psychosocial variables such as neuroticism, selfesteem, coping style, and dyadic communication patterns.
A total of 466 infertile Korean women attending four infertility clinics and being recruited through an online survey center participated in the study. Psychological distress was assessed using the Korean version of the Depression Anxiety Stress Scale. The data were analyzed using Pearson’s correlation coefficients, a oneway analysis of variance, and hierarchical multiple regression.
Overall psychological distress among infertile women did not differ significantly from that of healthy adult groups. However, infertile women who were of younger age or in the treatment preparation or rest period were shown to have a higher level of psychological distress. Hierarchical regression analyzes showed that after controlling demographic and infertility characteristics, psychosocial variables such as neuroticism, self-esteem, active/passive avoidance coping, and dyadic demanding/withdrawn communication patterns explained 52.5 % of psychological distress.
The findings of this study suggest that a high-risk group is characterized with high neuroticism, low self-esteem, avoidance coping, and dyadic demanding/withdrawn communication pattern. There is a crucial need for developing an intervention which addresses infertile women’s coping styles and marital communication.
Key Words: female infertility, psychological adjustment, neuroticism, coping skills, communication
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