The Effect of Cognitive Behavioral Group Therapy on Infertility Stress, General Health, and Negative Cognitions: A Randomized Controlled Trial

  • Aysel KaracaEmail author
  • Ali Yavuzcan
  • Sedat Batmaz
  • Şengül Cangür
  • Arife Çalişkan


This study determined the effect of a cognitive behavioral group therapy (CBGT) program administered to infertile women on infertility-related stress, depressive and anxious thoughts, and general health state. A randomized controlled design was used for this study. The study was conducted with 107 infertile women: 55 in the experimental group and 52 in the control group. The CBGT was administered to the experimental group for 11 weeks. The pretest, posttest, and trimester follow-up results of this group were compared with those of the control group. The experimental group’s Fertility Problem Inventory pretest mean score was 188.47 ± 30.699, posttest mean score was 135.84 ± 22.571, and follow-up mean score was 140.61 ± 20.16. A statistically significant difference was found between the experimental and control groups’ pretest, posttest, and follow-up mean scores on depressive and anxious cognitions (CCL), FPI and its subscales, and the General Health Questionnaire-28 and its subscales (p < 0.05). The CBGT intervention reduced the infertility-related psychosocial problems experienced by infertile women and promoted improvement in their depressive and anxious cognitions, and their mental health.


Cognitive behavioral group therapy Infertility Mental health Stress Women 



The authors would like to thank to all participants in this study. They also thank the nurses and secretaries in the infertility outpatient clinic for their support.

Author Contributions

Study design: AK, AY, SB; data collection: AÇ, AK, AY; article drafting: AK, SB, AY and data interpretation and revision and final approval of the article: all authors.


This study was not funded.

Compliance with Ethical Standards

Conflicts of interest

The authors declare that they have no conflict of interest.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Mentaland Psychiatric Nursing, School of Health Sciences, Faculty of Health SciencesDüzce UniversityDüzceTurkey
  2. 2.Department of Obstetricsand Gynecology, Faculty Of Medical School DüzceDüzce UniversityDüzceTurkey
  3. 3.Department of Psychiatry, School of MedicineTokat Gaziosmanpasa UniversityTokatTurkey
  4. 4.Department of Biostatistics, Faculty Of Medical SchoolDüzce UniversityDüzceTurkey
  5. 5.Düzce University Training and Research HospitalDüzceTurkey

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