ORIGINAL PAPER
The relationship between infertility family stigma, self-stigma and psychological well-being in female first-visit patients at a reproductive medicine center in Taiwan
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1
Department of Psychology, National Chengchi University, Taipei, Taiwan
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Department of Psychology, Soochow University, Taipei, Taiwan
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Xiamen EMBO Hospital, Xiamen City, Fujian, China
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Department of Educational Psychology and Counseling, National Pingtung University, Pingtung, Taiwan
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Research Center for Mind, Brain and Learning, National Chengchi University, Taipei, Taiwan
Submission date: 2021-02-26
Final revision date: 2021-05-05
Acceptance date: 2021-05-06
Online publication date: 2021-06-28
Publication date: 2021-06-28
 
Health Psychology Report 2022;10(2):122–128
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Steeped in Chinese culture which considers continuing the family lineage highly important, infertility stigma endorsed by others and oneself can both negatively impact psychological well-being in women with infertility in Taiwan. The aim of the present study was to find out whether family stigma attached to infertility has a direct effect on psychological well-being, or whether it is only when family stigma is internalized into self-stigma that psychological well-being is affected.

Material and methods:
The present study had a cross-sectional design, approved by an institutional review board in Taiwan. 245 female participants with infertility completed measures on infertility stigma, self-esteem, and positive and negative affect. The main question of this study was analyzed by conducting structural equation modeling.

Results:
The present study found that none of the direct effects of family stigma on self-esteem, negative affect, or positive affect were significant, while the indirect effects of family stigma on the three psychological well-being indexes through the mediator of self-stigma were significant.

Conclusions:
Self-stigma fully mediates the effect of family stigma on self-esteem, positive affect, and negative affect in women with infertility. Collectively, stigma endorsed by others does not necessarily lead to negative psychological well-being. The negative influence comes from internalizing public/family stigma into self-stigma.

 
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