Hum. Reprod. Advance Access published online on March 5, 2008
Human Reproduction, doi:10.1093/humrep/den067
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The impact of partner coping in couples experiencing infertility
1 Department of Psychology, Chapman University, One University Drive, Orange, CA 92866, USA 2 Department of Social Medicine, Institute of Public Health, University of Copenhagen, Øster Farimagsgade 5, PO Box 2099, DK-1014 Copenhagen K, Denmark
3 Correspondence address. Tel: +1-714-744-7915; Fax: +1-714-997-6780; E-mail: bpeterson{at}chapman.edu
BACKGROUND: Most studies examining coping with infertility use the individual as the unit of analysis. Although valuable, these studies fail to show the impact that partner coping has on individual distress. Since infertility is a shared stressor, examining the impact of partner coping is particularly relevant.
METHODS: Data were based on a questionnaire in a consecutive sample of 1169 women and 1081 Danish men prior to beginning assisted reproduction treatment. Multilevel modeling using the Actor Partner Interdependence Model and follow-up analysis of variance were used to examine the couple as the unit of analysis.
RESULTS: A partner’s use of active-avoidance coping was related to the increased personal, marital and social distress for men and women. A woman’s use of active-confronting coping was related to increased male marital distress. And a partner’s use of meaning-based coping was associated with decreased marital distress in men and increased social distress in women.
CONCLUSIONS: Although understudied, partner coping patterns play a key role in a partner’s ability to cope with the infertility experience. Physicians and mental health providers can help couples to understand the coping strategies that lead to increased and decreased partner distress.
Key words: infertility/coping/couples/stress/APIM
Submitted on December 19, 2007; resubmitted on February 6, 2008; accepted on February 12, 2008.