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Hum. Reprod. Advance Access originally published online on May 4, 2006
Human Reproduction 2006 21(9):2443-2449; doi:10.1093/humrep/del145
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Gender differences in how men and women who are referred for IVF cope with infertility stress

B.D. Peterson1,5, C.R. Newton2, K.H. Rosen3 and G.E. Skaggs4

1 Department of Psychology, Chapman University, Orange, CA, USA 2 Division of Reproductive Endocrinology and Infertility, London Health Sciences Centre, London, Ontario, Canada 3 Virginia Tech, Marriage and Family Therapy Program, Northern Virginia Graduate Center, Falls Church and 4 Virginia Tech, Education Leadership and Policy Studies, Blacksburg, VA, USA

5 To whom correspondence should be addressed at: Department of Psychology, Chapman University, One University Drive, Orange, CA 92866, USA. E-mail: bpeterson{at}chapman.edu

BACKGROUND: Men and women use a variety of coping strategies to manage stress associated with infertility. Although previous research has helped us understand these coping processes, questions remain about gender differences in coping and the nature of the relationship between coping and specific types of infertility stress. METHODS: This study examined the coping behaviours of 1026 (520 women, 506 men) consecutively referred patients at a University-affiliated teaching hospital. Participants completed the Ways of Coping Questionnaire, Fertility Problem Inventory and the Dyadic Adjustment Scale. RESULTS: Women used proportionately greater amounts of confrontative coping, accepting responsibility, seeking social support and escape/avoidance when compared with men, whereas men used proportionately greater amounts of distancing, self-controlling and planful problem-solving. For men and women, infertility stress was positively related to escape/avoidance and accepting responsibility and negatively related to seeking social support, planful problem-solving and distancing. CONCLUSIONS: By analysing relative coping scores, this study identified key gender differences in how men and women cope with infertility. This was particularly true for men’s coping processes that had previously remained hidden because of less frequent use of coping strategies when compared with women.

Key words: coping/gender/infertility stress/in vitro fertilization/marital adjustment


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