Psychological Adjustment to Infertility

An Overview of Conceptual Approaches
  • Annette L. Stanton
  • Christine Dunkel-Schetter
Part of the The Springer Series on Stress and Coping book series (SSSO)


The great majority of young adults assume that their life course will include bearing and raising children (Regan & Roland, 1985; Zuckerman, 1981). Presuming fertility, couples often use contraceptive methods to prevent pregnancy until conditions in their lives are conducive to the achievement of this central goal. When pregnancy is attempted, however, some couples find that their goal of becoming a parent is beyond their control. Try as they might, an avenue they have expected to provide fulfillment in life remains out of reach.


Psychological Adjustment Negative Life Event Pelvic Inflammatory Disease Male Infertility Infertile Woman 
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  1. Aaronson, H. G., & Glienke, C. F. (1963). A study of the incidence of pregnancy following adoption. Fertility and Sterility, 14, 547–553.Google Scholar
  2. Abse, D. W. (1966). Psychiatric aspects of human male infertility. Fertility and Sterility, 17, 133–139.PubMedGoogle Scholar
  3. Affleck, G., Tennen, H., Pfeiffer, C, & Fifield, J. (1987). Appraisals of control and predictability in adapting to a chronic disease. Journal of Personality and Social Psychology, 53, 273–279.PubMedCrossRefGoogle Scholar
  4. Allison, J. R. (1979). Roles and role conflict of women in infertile couples. Psychology of Women Quarterly, 4, 91–113.CrossRefGoogle Scholar
  5. Andersen, B. L., Anderson, B., & DeProsse, C. (1989). Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes. Journal of Consulting and Clinical Psychology, 57, 692–697.PubMedCrossRefGoogle Scholar
  6. Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco: Jossey-Bass.Google Scholar
  7. Aral, S. O., & Cates, W. (1983). The increasing concern with infertility: Why now? Journal of the American Medical Association, 250, 2327–2331.PubMedCrossRefGoogle Scholar
  8. Averill, J. R. (1973). Personal control over aversive stimuli and its relationship to stress. Psychological Bulletin, 80, 286–303.CrossRefGoogle Scholar
  9. Bents, H. (1985). Psychology of male infertility—A literature survey. International Journal of Andrology, 8, 325–336.PubMedCrossRefGoogle Scholar
  10. Berger, D. M. (1980). Couples’ reactions to male infertility and donor insemination. American Journal of Psychiatry, 137, 1047–1049.PubMedGoogle Scholar
  11. Bresnick, E. R. (1981). A holistic approach to the treatment of the crisis of infertility. Journal of Marital and Family Therapy, 7, 181–188.CrossRefGoogle Scholar
  12. Caplan, G. (1964). Principles of preventive psychiatry. New York: Basic Books.Google Scholar
  13. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–348.PubMedCrossRefGoogle Scholar
  14. Cook, E. P. (1987). Characteristics of the biopsychosocial crisis of infertility. Journal of Counseling and Development, 65, 465–470.CrossRefGoogle Scholar
  15. Cronkite, R. C., & Moos, R. H. (1984). The role of predisposing and moderating factors in the stress-illness relationship. Journal of Health and Social Behavior, 25, 372–393.PubMedCrossRefGoogle Scholar
  16. Daniluk, J. C. (1988). Infertility: Intrapersonal and interpersonal impact. Fertility and Sterility, 49, 982–990.PubMedGoogle Scholar
  17. Denber, H. C. B. (1978). Psychiatric aspects of infertility. Journal of Reproductive Medicine, 20, 23–29.PubMedGoogle Scholar
  18. Domar, A. D., & Seibel, M. (1990). The emotional aspects of infertility. In M. Seibel (Ed.), Infertility: A comprehensive text (pp. 23–35). Norwalk, CT: Appleton-Lange.Google Scholar
  19. Edelmann, R. J., & Connolly, K.J. (1986). Psychological aspects of infertility. British Journal of Medical Psychology, 59, 209–219.PubMedCrossRefGoogle Scholar
  20. Edelmann, R. J., & Golombok, S. (1989). Stress and reproductive failure. Journal of Reproductive and Infant Psychology, 7, 79–86.CrossRefGoogle Scholar
  21. Eisner, B. G. (1963). Some psychological differences between fertile and infertile women. Journal of Clinical Psychology, 19, 391–395.PubMedCrossRefGoogle Scholar
  22. Erikson, E. (1950). Childhood and society. New York: W. W. Norton.Google Scholar
  23. Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology, 54, 466–475.PubMedCrossRefGoogle Scholar
  24. Garcia, C., Freeman, E. W., Rickels, K., Wu, C., Scholl, G., Galle, P. C., & Boxer, A. S. (1985). Behavioral and emotional factors and treatment responses in a study of anovulatory infertile women. Fertility and Sterility, 44, 478–483.PubMedGoogle Scholar
  25. Giblin, P. T., Poland, M. L., Moghissi, K. S., Ager, J. W., & Olson, J. M. (1988). Effects of stress and characteristic adaptability on semen quality in healthy men. Fertility and Sterility, 49, 127–132.PubMedGoogle Scholar
  26. Glass, D. C. (Chair). (1989, August). Stressful life events: What do we know? Where do we go from here? Panel debate and discussion presented at the annual meeting of the American Psychological Association, New Orleans.Google Scholar
  27. Harrison, K. L., Callan, V. J., & Hennessey, J. F. (1987). Stress and semen quality in an in vitro fertilization program. Fertility and Sterility, 48, 633–637.PubMedGoogle Scholar
  28. Hirsch, M. B., & Mosher, W. D. (1987). Characteristics of infertile women in the United States and their use of infertility services. Fertility and Sterility, 47, 618–625.PubMedGoogle Scholar
  29. Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524.PubMedCrossRefGoogle Scholar
  30. Hull, M. G. R., Glazener, C. M. A., Kelly, N. J., Conway, D. I., Foster, P. A., Hinton, R. A., Coulson, C., Lambert, P. A., Watt, E. M., & Desai, K. M. (1985). Population study of causes, treatment, and outcome of infertility. British Medical Journal, 291, 1693–1697.PubMedCrossRefGoogle Scholar
  31. Kiesler, D. J. (1966). Some myths of psychotherapy research and the search for a paradigm. Psychological Bulletin, 65, 110–136.CrossRefGoogle Scholar
  32. Kipper, D. A., Zigler-Shani, Z., Serr, D. M., & Insler, V. (1977). Psychogenic infertility, neuroticism and the feminine role: A methodological inquiry. Journal of Psychosomatic Research, 21, 363–369.CrossRefGoogle Scholar
  33. Kobasa, S. C., & Puccetti, M. C. (1983). Personality and social resources in stress resistance. Journal of Personality and Social Psychology, 42, 168–177.CrossRefGoogle Scholar
  34. Kraft, A. D., Palombo, J., Mitchell, D., Dean, C., Meyers, S., & Schmidt, A. W. (1980). The psychological dimensions of infertility. American Journal of Orthopsychiatry, 50, 618–628.PubMedCrossRefGoogle Scholar
  35. Lazarus, R. S., & Cohen, J. B. (1977). Environmental stress. In I. Altman & J. F. Wohlwill (Eds.), Human behavior and the environment: Current theory and research. New York: Plenum.Google Scholar
  36. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
  37. Lindemann, E. (1979). Beyond grief: Studies in crisis intervention. New York: Jason Aronson.Google Scholar
  38. Maddi, S. R., Bartone, P. T., & Puccetti, M. C. (1987). Stressful events are indeed a factor in physical illness: Reply to Schroeder and Costa (1984). Journal of Personality and Social Psychology, 52, 833–843.CrossRefGoogle Scholar
  39. Mahlstedt, P. P. (1985). The psychological component of infertility. Fertility and Sterility, 43, 335–346.PubMedGoogle Scholar
  40. Mai, F. M., Munday, R. N., & Rump, E. E. (1972). Psychiatric interview comparisons between infertile and fertile couples. Psychosomatic Medicine, 34, 431–440.PubMedGoogle Scholar
  41. Manley, A., Lin-Fu, J. S., Miranda, M., Noonan, A., & Parker, T. (1985). Special health concerns of ethnic minority women. Commissioned paper in Women’s Health: Report of the Public Health Service Task Force on Women’s Health Issues, Volume II (pp. II-35-II-37). Washington, D.C.: U.S. Department of Health and Human Services (DHHS Publication No. (PHS) 85-50206).Google Scholar
  42. Martin, R. A., Kuiper, N. A., Olinger, L. J., & Dobbin, J. (1987). Is stress always bad? Telic versus paratelic dominance as a stress-moderating variable. Journal of Personality and Social Psychology, 53, 970–982.CrossRefGoogle Scholar
  43. Matthews, R., & Matthews, A. M. (1986). Infertility and involuntary childlessness: The transition to nonparenthood. Journal of Marriage and the Family, 48, 641–649.CrossRefGoogle Scholar
  44. Mazor, M. D. (1984). Emotional reactions to infertility. In M. D. Mazor & H. F. Simons (Eds.), Infertility: Medical, emotional, and social considerations (pp. 23–35). New York: Human Sciences Press.Google Scholar
  45. McEwan, K. L., Costello, C. G., & Taylor, P. J. (1987). Adjustment to infertility. Journal of Abnormal Psychology, 96, 108–116.PubMedCrossRefGoogle Scholar
  46. McGuire, L. S. (1975). Psychologic management of infertile women. Postgraduate Medicine, 57, 173–176.PubMedGoogle Scholar
  47. Menning, B. E. (1977). Infertility: A guide for the childless couple. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  48. Menning, B. E. (1980). The emotional needs of infertile couples. Fertility and Sterility, 34, 313–319.PubMedGoogle Scholar
  49. Miall, C. E. (1986). The stigma of involuntary childlessness. Social Problems, 33, 268–282.CrossRefGoogle Scholar
  50. Moos, R. H., & Billings, A. G. (1982). Conceptualizing and measuring coping resources and processes. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects (pp. 212–230). New York: Free Press.Google Scholar
  51. Moos, R. H., & Schaefer, J. A. (1986). Life transitions and crises: A conceptual overview. In R. H. Moos (Ed.), Coping with life crises: An integrated approach (pp. 3–28). New York: Plenum.Google Scholar
  52. Mosher, W. D. (1985). Reproductive impairments in the United States, 1965–1982. Demography, 22, 415–429.PubMedCrossRefGoogle Scholar
  53. Mosher, W. D. (1988). Fecundity and infertility in the United States. American Journal of Public Health, 78, 181–182.PubMedCrossRefGoogle Scholar
  54. Mosher, W. D., & Pratt, W. F. (1982). Reproductive impairments among married couples: United States. Hyattsville, Maryland: U.S. Department of Health & Human Services, Office of Health Research, Statistics, and Technology, National Center for Health Statistics.Google Scholar
  55. Mosher, W. D., & Pratt, W. F. (1990). Fecundity and infertility in the United States, 1965–1988. Advance Data From Vital and Health Statistics, no. 192. Hyattsville, MD: National Center for Health Statistics.Google Scholar
  56. Noyes, R. W., & Chapnick, E. M. (1964). Literature on psychology and infertility: A critical analysis. Fertility and Sterility, 15, 543–558.PubMedGoogle Scholar
  57. Page, H. (1989). Estimation of the prevalence and incidence of infertility in a population: A pilot study. Fertility and Sterility, 51, 571–577.PubMedGoogle Scholar
  58. Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356.PubMedCrossRefGoogle Scholar
  59. Piotrowski, Z. A. (1962). Psychogenic factors in anovulatory women. II. Psychological evaluation. Fertility and Sterility, 13, 11–19.PubMedGoogle Scholar
  60. Pratt, W. F., Mosher, W. D., Bachrach, C. A., & Horn, M. C. (1984). Understanding U.S. fertility: Findings from the National Survey of Family Growth, Cycle III. Population Bulletin, 39, 3–40.PubMedGoogle Scholar
  61. Regan, M. C., & Roland, H. E. (1985). Rearranging family and career priorities: Professional women and men of the eighties. Journal of Marriage and the Family, 47, 985–992.CrossRefGoogle Scholar
  62. Revenson, T. A., & Felton, B. J. (1989). Disability and coping as predictors of psychological adjustment to rheumatoid arthritis. Journal of Consulting and Clinical Psychology, 57, 344–348.PubMedCrossRefGoogle Scholar
  63. Rock, J., Tietze, C., & McLaughlin, H. B. (1965). Effectof adoption on infertility. Fertility and Sterility, 16, 305–312.PubMedGoogle Scholar
  64. Sandler, B. (1968). Emotional stress and infertility. Journal of Psychosomatic Research, 12, 51–59.PubMedCrossRefGoogle Scholar
  65. Schroeder, D. H., & Costa, P. T. (1984). Influence of life event stress on physical illness: Substantive effects or methodological flaws? Journal of Personality and Social Psychology, 46, 853–863.PubMedCrossRefGoogle Scholar
  66. Seibel, M. M., & Taymor, M. L. (1982). Emotional aspects of infertility. Fertility and Sterility, 37, 137–145.PubMedGoogle Scholar
  67. Selye, H. (1956). The stress of life. New York: McGraw-Hill.Google Scholar
  68. Snarey, J., Son, L., Kuehne, V. S., Hauser, S., & Vaillant, G. (1987). The role of parenting in men’s psychosocial development: A longitudinal study of early adulthood infertility and midlife generativity. Developmental Psychology, 23, 593–603.CrossRefGoogle Scholar
  69. Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaption. American Psychologist, 38, 1161–1173.CrossRefGoogle Scholar
  70. Taylor, S. E. (1990). Health psychology: The science and the field. American Psychologist, 45, 40–50.PubMedCrossRefGoogle Scholar
  71. Taylor, S. E., Lichtman, R. R., & Wood, J. V. (1984). Attributions, beliefs about control, and adjustment to breast cancer. Journal of Personality and Social Psychology, 46, 489–502.PubMedCrossRefGoogle Scholar
  72. Tyler, E. T., Bonapart, J., & Grant, J. (1960). Occurrence of pregnancy following adoption. Fertility and Sterility, 11, 581–589.PubMedGoogle Scholar
  73. U.S. Congress, Office of Technology Assessment. (1988). Infertility: Medical and social choices, OTA-BA-358. Washington, DC: U.S. Government Printing Office.Google Scholar
  74. Wills, T. A. (1987). Downward comparison as a coping mechanism. In C. R. Snyder & C. E. Ford (Eds.), Coping with negative life events: Clinical and social psychological perspectives (pp. 243–268). New York: Plenum.CrossRefGoogle Scholar
  75. Zuckerman, D. M. (1981). Family background, sex-role attitudes, and life goals of technical college and university students. Sex Roles, 7, 1109–1126.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Annette L. Stanton
    • 1
  • Christine Dunkel-Schetter
    • 2
  1. 1.Department of PsychologyUniversity of KansasLawrenceUSA
  2. 2.Department of PsychologyUniversity of CaliforniaLos AngelesUSA

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