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Hum. Reprod. Advance Access published online on February 3, 2005
Human Reproduction, doi:10.1093/humrep/deh743
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Human Reproduction © European Society of Human Reproduction and Embryology 2005; all rights reserved
Received April 5, 2004
Revised December 7, 2004
Accepted December 14, 2004

Article

Differential efficacy of group and individual/couple psychotherapy with infertile patients

T.M. de Liz 1* and B. Strauss 2

1 Kronprinzenstr. 14, 65185 Wiesbaden, Jena, Germany
2 Institute for Medical Psychology, Friedrich-Schiller-University, Stoystr. 3, 07740 Jena, Germany

* To whom correspondence should be addressed.
T.M. de Liz, E-mail: theresedeliz{at}aol.com


  Abstract

BACKGROUND: The diagnosis of infertility and concurrent medical treatment may inflict an array of negative emotional symptoms in infertile persons. Evidence for the positive effects of psychotherapy on negative affect and also possible influence on conception rates has been discussed in several studies. METHOD: Meta-analyses were conducted in order to evaluate the efficacy of group and individual/couple therapies on (i) the reduction of negative emotional symptoms, and (ii) the possible promotion of pregnancy. RESULTS: Group and individual/couple psychotherapy led to a decrease in feelings of anxiety. Upon termination of psychotherapy, a reduction of depressive symptoms in patients was greater after 6 months. Psychotherapy accompanying IVF treatment yielded similar conception success rates to psychological interventions administered to patients not in specific medical care. CONCLUSION: Results are suggestive of positive effects of psychotherapy for infertile patients. However, these results must be viewed with caution due to methodological and informational bias within the studies analysed.

Keywords: infertility; IVF; meta-analysis; psychotherapy.
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