ORIGINAL PAPER
Actor and partner effects of coping on adjustment in couples undergoing assisted reproduction treatment
 
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University of Social Sciences and Humanities, Warsaw, Poland
Submission date: 2016-09-05
Acceptance date: 2016-10-26
Online publication date: 2017-06-13
Publication date: 2017-05-24
 
Health Psychology Report 2017;5(4):296–303
 
KEYWORDS
TOPICS
ABSTRACT
Background
Infertility is a shared experience as it affects both partners. However, mutual dependencies between coping and adjustment at the couple level remain to be fully elucidated. The study attempted to address this issue using the Actor-Partner Interdependence Model (APIM) to examine the actor effect (the extent to which an individual’s score on coping predicted their own level of depressive symptoms and life purpose) and the partner effect (the extent to which an individual’s score on coping predicted the level of adjustment in the partner) in couples undergoing assisted reproduction treatment (ART).

Participants and procedure
Coping strategies, depressive symptoms, and life purpose were assessed among 31 married couples (aged 27-38 years) undergoing ART. The Brief COPE, CES-D, and PIL questionnaires were used. Data were analyzed by multilevel modeling (MLM).

Results
The results of MLM indicated that focus on positive and active coping had an actor effect with depressive symptoms and life purpose, respectively. The actor effect of evasive coping on depression was moderated by gender and significant only in women. The partner effect was demonstrated for evasive coping, social support seeking, and substance use – the first two were gender moderated and significant in men.

Conclusions
Coping efforts in the couple during infertility treatment are not only associated with the individual but also the partner’s adjustment to that situation. Although the focus on positive and active coping was associated with individual benefits, other coping strategies which have the function of a protective buffer may also result in the occurrence of side effects, especially in females.
 
REFERENCES (36)
1.
Angst, J., Gamma, A., Gastpar, M., Lépine, J. P., Mendlewicz, J., & Tylee, A. (2002). Gender differences in depression. Epidemiological findings from the European DEPRES I and II studies. European Archives of Psychiatry and Clinical Neuroscience, 252, 201–209. doi: 10.1007/s00406-002-0381-6.
 
2.
Batson, C. D., & Powell, A. A. (2003). Altruism and prosocial behavior. In T. Millon & M. J. Lerner (eds.), Handbook of psychology. Volume 5. Personality and social psychology (pp. 463–484). Hoboken, New Jersey: John Wiley & Sons, Inc.
 
3.
Berghuis, J. P., & Stanton, A. L. (2002). Adjustment to a dyadic stressor: a longitudinal study of coping and depressive symptoms in infertile couples over an insemination attempt. Journal of Consulting and Clinical Psychology, 70, 433–438.
 
4.
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: consider the brief COPE. International Journal of Behavioral Medicine, 4, 92–100. doi: 10.1207/s15327558ijbm0401_6.
 
5.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: a theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.
 
6.
Coyne, J. C., & Smith, D. A. (1991). Couples coping with a myocardial infarction: a contextual perspective on wives’ distress. Journal of Personality and Social Psychology, 61, 404–412.
 
7.
Crumbaugh, J. C., & Maholick, L. T. (1964). An experimental study in existentialisam: The psychometric approach to Frankl’s concept of noogenic neurosis. Journal of Clinical Psychology, 20, 200–207.
 
8.
Dembińska, A. A. (2016). Psychological determinants of life satisfaction in women undergoing infertility treatment. Health Psychology Report, 4, 146–158. doi: 10.5114/hpr.2016.56617.
 
9.
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology. The American Psychologist, 56, 218–226.
 
10.
Gourounti, K., Anagnostopoulos, F., Potamianos, G., Lykeridou, K., Schmidt, L., & Vaslamatzis, G. (2012). Perception of control, coping and psychological stress of infertile women undergoing IVF. Reproductive Biomedicine Online, 24, 670–679. doi: 10.1016/j.rbmo.2012.03.002.
 
11.
Greil, A. L., Slauson-Blevins, K., & McQuillan, J. (2010). The experience of infertility: a review of recent literature. Sociology of Health & Illness, 32, 140–162. doi: 10.1111/j.1467-9566.2009.01213.x.
 
12.
Guo, M., Gan, Y., & Tong, J. (2013). The role of meaning-focused coping in significant loss. Anxiety, Stress, and Coping, 26, 87–102. doi: 10.1080/10615806.2011.627507.
 
13.
Hagedoorn, M., Dagan, M., Puterman, E., Hoff, C., Meijerink, W. J. H. J., Delongis, A., & Sanderman, R. (2011). Relationship satisfaction in couples confronted with colorectal cancer: the interplay of past and current spousal support. Journal of Behavioral Medicine, 34, 288–297. doi: 10.1007/s10865-010-9311-7.
 
14.
Jim, H. S., Richardson, S. A., Golden-Kreutz, D. M., & Andersen, B. L. (2006). Strategies used in coping with a cancer diagnosis predict meaning in life for survivors. Health Psychology, 25, 753–761. doi: org/10.1037/0278-6133.25.6.753.
 
15.
Jordan, C., & Revenson, T. A. (1999). Gender differences in coping with infertility: a meta-analysis. Journal of Behavioral Medicine, 22, 341–358.
 
16.
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic Data Analysis. New York, NY: Guilford Press.
 
17.
Kraaij, V., Garnefski, N., Schroevers, M. J., Weijmer, J., & Helmerhorst, F. (2010). Cognitive coping, goal adjustment, and depressive and anxiety symptoms in people undergoing infertility treatment: a prospective study. Journal of Health Psychology, 15, 876–886. doi: 10.1177/1359105309357251.
 
18.
Kuczyński, W., Kurzawa, R., Oszukowski, P., Pawelczyk, L., Poreba, R., Radowicki, S., Szamatowicz, M., & Wołczyński, S. (2012). Polish Gynecological Society and Polish Society for Reproductive Medicine recommendations for the diagnosis and treatment of infertility. Ginekologia Polska, 83, 149–154.
 
19.
Lawson, A. K., Klock, S. C., Pavone, M. E., Hirshfeld-Cytron, J., Smith, K. N., & Kazer, R. R. (2014). Prospective study of depression and anxiety in female fertility preservation and infertility patients. Fertility and Sterility, 102, 1377–1384. doi: 10.1016/j.fertnstert.2014.07.765.
 
20.
Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer Publishing Company.
 
21.
Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Medicine, 9, e1001356. doi: 10.1371/journal.pmed.1001356.
 
22.
Matud, M. P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37, 1401–1415. doi: 10.1016/j.paid.2004.01.010.
 
23.
Monzani, D., Steca, P., Greco, A., Addario, M. D., Cappelletti, E., & Pancani, L. (2015). The situational version of the Brief COPE: Dimensionality and relationships with goal-related variables. Europe’s Journal of Psychology, 11, 295–310. doi: 10.5964/ejop.v11i2.935.
 
24.
Musa, R., Ramli, R., Yazmie, A. W. A., Khadijah, M. B. S., Hayati, M. Y., Midin, M., Nik Jaafar, N. R., Das, S., Sidi, H., & Ravindran, A. (2014). A preliminary study of the psychological differences in infertile couples and their relation to the coping styles. Comprehensive Psychiatry, 55 Suppl 1, S65–69. doi: 10.1016/j.comppsych.2013.01.001.
 
25.
Olivius, C., Friden, B., Borg, G., & Bergh, C. (2004). Why do couples discontinue in vitro fertilization treatment? A cohort study. Fertility and Sterility, 81, 258–261. doi: 10.1016/j.fertnstert.2003.06.029.
 
26.
Peterson, B. D., Pirritano, M., Block, J. M., & Schmidt, L. (2011). Marital benefit and coping strategies in men and women undergoing unsuccessful fertility treatments over a 5-year period. Fertility and Sterility, 95, 1759–1763.e1. doi: 10.1016/j.fertnstert.2011.01.125.
 
27.
Peterson, B. D., Pirritano, M., Christensen, U., Boivin, J., Block, J., & Schmidt, L. (2009). The longitudinal impact of partner coping in couples following 5 years of unsuccessful fertility treatments. Human Reproduction, 24, 1656–1664. doi: 10.1093/humrep/dep061.
 
28.
Peterson, B. D., Pirritano, M., Christensen, U., & Schmidt, L. (2008). The impact of partner coping in couples experiencing infertility. Human Reproduction, 23, 1128–1137. doi: 10.1093/humrep/den067.
 
29.
Podolska, M. Z., & Bidzan, M. (2011). Infertility as a psychological problem. Ginekologia Polska, 82, 44–49.
 
30.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi: 10.1177/014662167700100306.
 
31.
Revenson, T. A., & DeLongis, A. (2011). Couples coping with chronic illness. In S. Folkman (ed.), The Oxford Handbook of Stress, Health, and Coping (pp. 101–123). New York, NY: Oxford University Press.
 
32.
Ryff, C. D., & Singer, B. (1998). The role of purpose in life and personal growth in positive human health. In P. T. P. Wong & P. S. Fry (eds.), The human quest for meaning: A handbook of psychological research and clinical applications (pp. 213–235). Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers.
 
33.
Wang, M. C., Lightsey, O. R., Pietruszka, T., Uruk, A. C., & Wells, A. G. (2007). Purpose in life and reasons for living as mediators of the relationship between stress, coping, and suicidal behavior. The Journal of Positive Psychology, 2, 195–204. doi: 10.1080/17439760701228920.
 
34.
Zegers-Hochschild, F., Adamson, G. D., de Mouzon, J., Ishihara, O., Mansour, R., Nygren, K., Sullivan, E., & Vanderpoel, S.; World Health Organization. (2009). International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009. Fertility and Sterility, 92, 1520–1524. doi: 10.1016/j.fertnstert.2009.09.009.
 
35.
Ziarko, M., Kaczmarek, Ł. D., & Haładziński, P. (2013). Polish version of Centre for Epidemiological Studies Depression Scale (CES-D): results of a preliminary study on the psychometric properties of the scale. Current Issues in Personality Psychology, 1, 51–61. doi: 10.5114/cipp.2013.40637.
 
36.
Życińska, J., & Januszek, M. (2011). Test Sensu Życia (Purpose in Life Test, PIL) J. C. Crumbaugha i L. T. Maholicka: analiza psychometryczna [Purpose in Life Test (PIL) J. C. Crumbaugh and L. T. Maholick: psychometric analysis]. Czasopismo Psychologiczne, 17, 133–142.
 
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