{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:18:15Z","timestamp":1792783095186,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100021099","name":"Fundaci\u00f3n Universitaria Antonio Gargallo","doi-asserted-by":"publisher","award":["FUAG-2023\/B006"],"award-info":[{"award-number":["FUAG-2023\/B006"]}],"id":[{"id":"10.13039\/501100021099","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Gobierno de Arag\u00f3n","award":["Research Group: S31_23R"],"award-info":[{"award-number":["Research Group: S31_23R"]}],"id":[{"id":"https:\/\/ror.org\/0425pg203","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Universidad de Zaragoza","id":[{"id":"https:\/\/ror.org\/012a91z28","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Clin Psychol Med Settings"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The Fertility Problem Inventory (FPI) is widely used to assess infertility-related stress. Despite its international application, a validated Spanish version is not yet available. Our aim is to assess the psychometric properties, reliability and construct validity evidence of the scores of the FPI Spanish version in women undergoing fertility treatments. 199 Women (mean age\u2009=\u200935.14,\n                    <jats:italic>SD<\/jats:italic>\n                    \u2009=\u20093.86, range 23\u201345) provided sociodemographic, obstetrics and psychological data. Confirmatory Factor Analyses tested six models (unidimensional and multidimensional) based on the original FPI and previous FPI validations, identifying the optimal structure. Factor loadings, reliability and correlations with anxiety, depression and life satisfaction were also conducted. The original five-factor structure proposed by the original authors showed the best fit. However, items 24, 25 and 28 showed very low factor loadings. The final model with 43 items, removing those with poor factor loading, demonstrated an acceptable model fit (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    \/\n                    <jats:italic>df<\/jats:italic>\n                    \u2009=\u20092.040; CFI\u2009=\u20090.915; TLI\u2009=\u20090.910; RMSEA\u2009=\u20090.073; SRMR\u2009=\u20090.099) and strong internal consistency (\u03b1\u2009=\u20090.82\u20130.87; \u03c9\u2009=\u20090.83\u20130.87). Higher fertility-related stress was associated with increased anxiety and depressive scores as well as lower life satisfaction. These findings provide initial support of the FPI as a useful tool for assessing infertility-related stress in Spanish women.\n                  <\/jats:p>","DOI":"10.1007\/s10880-026-10131-6","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T11:41:44Z","timestamp":1770896504000},"page":"545-555","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fertility Problem Inventory: Psychometric Properties and Validation in Spanish Women Undergoing Assisted Reproduction Treatment"],"prefix":"10.1007","volume":"33","author":[{"given":"Ver\u00f3nica","family":"Mart\u00ednez-Borba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Osma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge L.","family":"Ord\u00f3\u00f1ez-Carrasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Crespo-Delgado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Andreu-Pej\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"10131_CR1","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1111\/j.1471-6402.1991.tb00798.x","volume":"15","author":"A Abbey","year":"1991","unstructured":"Abbey, A., Andrews, F. M., & Halman, L. J. (1991). Gender\u2019s role in responses to infertility. Psychology of Women Quarterly, 15, 295\u2013316. https:\/\/doi.org\/10.1111\/j.1471-6402.1991.tb00798.x","journal-title":"Psychology of Women Quarterly"},{"key":"10131_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2023.100879","volume":"37","author":"S Assaysh-\u00d6berg","year":"2023","unstructured":"Assaysh-\u00d6berg, S., Borneskog, C., & Ternstr\u00f6m, E. (2023). Women\u2019s experience of infertility and treatment\u2014A silent grief and failed care and support. Sexual and Reproductive Healthcare, 37, Article 100879. https:\/\/doi.org\/10.1016\/j.srhc.2023.100879","journal-title":"Sexual and Reproductive Healthcare"},{"key":"10131_CR3","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1037\/a0036216","volume":"26","author":"K Bentley","year":"2014","unstructured":"Bentley, K., Gallagher, M., & Barlow, D. (2014). Development and validation of the overall depression severity and impairment scale. Psychological Assessment, 26, 815\u2013830. https:\/\/doi.org\/10.1037\/a0036216","journal-title":"Psychological Assessment"},{"key":"10131_CR4","doi-asserted-by":"publisher","first-page":"S63","DOI":"10.1111\/j.1552-6909.1985.tb02803.x","volume":"14","author":"J Bernstein","year":"1985","unstructured":"Bernstein, J., Potts, N., & Mattox, J. H. (1985). Assessment of psychological dysfunction associated with infertility. Journal of Obstetric, Gynecologic & Neonatal Nursing, 14, S63\u2013S66. https:\/\/doi.org\/10.1111\/j.1552-6909.1985.tb02803.x","journal-title":"Journal of Obstetric, Gynecologic & Neonatal Nursing"},{"key":"10131_CR5","unstructured":"Brown, T. (2015). Confirmatory factor analysis for applied research (2nd ed.). Guilford Press."},{"key":"10131_CR6","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/S0015-0282(16)54844-4","volume":"57","author":"A Collins","year":"1992","unstructured":"Collins, A., Freeman, E. W., Boxer, A. S., & Tureck, R. (1992). Perceptions of infertility and treatment stress in females as compared with males entering in vitro fertilization treatment. Fertility and Sterility, 57, 350\u2013356. https:\/\/doi.org\/10.1016\/S0015-0282(16)54844-4","journal-title":"Fertility and Sterility"},{"key":"10131_CR7","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac051","volume":"2022","author":"CM Cox","year":"2022","unstructured":"Cox, C. M., Thoma, M. E., Tchangalova, N., Mburu, G., Bornstein, M. J., Johnson, C. L., & Kiarie, J. (2022). Infertility prevalence and the methods of estimation from 1990 to 2021: A systematic review and meta-analysis. Human Reproduction Open, 2022, Article hoac051. https:\/\/doi.org\/10.1093\/hropen\/hoac051","journal-title":"Human Reproduction Open"},{"key":"10131_CR8","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1207\/s15327752jpa4901_13","volume":"49","author":"E Diener","year":"1985","unstructured":"Diener, E., Emmons, R., Larsen, R., & Grifin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71\u201375.","journal-title":"Journal of Personality Assessment"},{"key":"10131_CR9","doi-asserted-by":"publisher","first-page":"58","DOI":"10.3109\/0167482X.2015.1034268","volume":"36","author":"Z Donarelli","year":"2015","unstructured":"Donarelli, Z., Gullo, S., Lo Coco, G., Marino, A., Scaglione, P., Volpes, A., & Allegra, A. (2015). Assessing infertility-related stress: The factor structure of the Fertility Problem Inventory in Italian couples undergoing infertility treatment. Journal of Psychosomatic Obstetrics & Gynecology, 36, 58\u201365. https:\/\/doi.org\/10.3109\/0167482X.2015.1034268","journal-title":"Journal of Psychosomatic Obstetrics & Gynecology"},{"key":"10131_CR10","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1007\/s10880-013-9370-3","volume":"20","author":"A Galhardo","year":"2013","unstructured":"Galhardo, A., Cunha, M., Pinto-Gouveia, J., & Matos, M. (2013). The mediator role of emotion regulation processes on infertility-related stress. Journal of Clinical Psychology in Medical Settings, 20, 497\u2013507. https:\/\/doi.org\/10.1007\/s10880-013-9370-3","journal-title":"Journal of Clinical Psychology in Medical Settings"},{"key":"10131_CR11","doi-asserted-by":"publisher","first-page":"2476","DOI":"10.1093\/humrep\/dev177","volume":"30","author":"S Gameiro","year":"2015","unstructured":"Gameiro, S., Boivin, J., Dancet, E., De Klerk, C., Emery, M., Lewis-Jones, C., Thorn, P., Van Den Broeck, U., Venetis, C., Verhaak, C. M., Wischmann, T., & Vermeulen, N. (2015). ESHRE guideline: Routine psychosocial care in infertility and medically assisted reproduction\u2014A guide for fertility staff. Human Reproduction, 30, 2476\u20132485. https:\/\/doi.org\/10.1093\/humrep\/dev177","journal-title":"Human Reproduction"},{"key":"10131_CR12","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1016\/S0015-0282(99)00304-0","volume":"72","author":"L Glover","year":"1999","unstructured":"Glover, L., Hunter, M., Richards, J.-M., Katz, M., & Abel, P. D. (1999). Development of the fertility adjustment scale. Fertility and Sterility, 72, 623\u2013628. https:\/\/doi.org\/10.1016\/S0015-0282(99)00304-0","journal-title":"Fertility and Sterility"},{"key":"10131_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03262-1","volume":"24","author":"A Gupta","year":"2024","unstructured":"Gupta, A., Lu, E., & Thayer, Z. (2024). The influence of assisted reproductive technologies-related stressors and social support on perceived stress and depression. BMC Women\u2019s Health, 24, Article 431. https:\/\/doi.org\/10.1186\/s12905-024-03262-1","journal-title":"BMC Women's Health"},{"key":"10131_CR14","unstructured":"International Test Commission, ITC. (2017). The ITC guidelines for translating and adapting tests (2nd ed.). International Test Commission (ITC)."},{"key":"10131_CR15","unstructured":"JASP Team. (2025). JASP version 0.19.3. JASP."},{"key":"10131_CR16","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-87057-6","volume":"11","author":"T Kato","year":"2021","unstructured":"Kato, T., Sampei, M., Saito, K., Morisaki, N., & Urayama, K. Y. (2021). Depressive symptoms, anxiety, and quality of life of Japanese women at initiation of ART treatment. Scientific Reports, 11, Article 7538. https:\/\/doi.org\/10.1038\/s41598-021-87057-6","journal-title":"Scientific Reports"},{"key":"10131_CR17","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1016\/j.anr.2014.03.004","volume":"8","author":"JH Kim","year":"2014","unstructured":"Kim, J. H., & Shin, H. S. (2014). Validation of a Korean version of fertility problem inventory. Asian Nursing Research, 8, 207\u2013212. https:\/\/doi.org\/10.1016\/j.anr.2014.03.004","journal-title":"Asian Nursing Research"},{"key":"10131_CR18","unstructured":"Kline, R. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press."},{"key":"10131_CR19","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-017-0410-2","volume":"17","author":"E Lakatos","year":"2017","unstructured":"Lakatos, E., Szigeti, J., Ujma, P., Sexty, R., & Balog, P. (2017). Anxiety and depression among infertile women: A cross-sectional survey from Hungary. BMC Women\u2019s Health, 17, Article 48. https:\/\/doi.org\/10.1186\/s12905-017-0410-2","journal-title":"BMC Women's Health"},{"key":"10131_CR20","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1093\/humrep\/der388","volume":"27","author":"M Moura-Ramos","year":"2012","unstructured":"Moura-Ramos, M., Gameiro, S., Canavarro, M. C., & Soares, I. (2012). Assessing infertility stress: Re-examining the factor structure of the Fertility Problem Inventory. Human Reproduction, 27, 496\u2013502. https:\/\/doi.org\/10.1093\/humrep\/der388","journal-title":"Human Reproduction"},{"key":"10131_CR21","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1007\/s10880-017-9496-9","volume":"24","author":"M Moura-Ramos","year":"2017","unstructured":"Moura-Ramos, M., Santos, T. A., & Canavarro, M. C. (2017). The role of attachment anxiety and attachment avoidance on the psychosocial well-being of infertile couples. Journal of Clinical Psychology in Medical Settings, 24, 132\u2013143. https:\/\/doi.org\/10.1007\/s10880-017-9496-9","journal-title":"Journal of Clinical Psychology in Medical Settings"},{"key":"10131_CR22","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/s0015-0282(99)00164-8","volume":"72","author":"CR Newton","year":"1999","unstructured":"Newton, C. R., Sherrard, W., & Glavac, I. (1999). The Fertility Problem Inventory: Measuring perceived infertility-related stress. Fertility and Sterility, 72, 54\u201362. https:\/\/doi.org\/10.1016\/s0015-0282(99)00164-8","journal-title":"Fertility and Sterility"},{"key":"10131_CR23","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1002\/da.20182","volume":"23","author":"SB Norman","year":"2006","unstructured":"Norman, S. B., Hami Cissell, S., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS). Depression and Anxiety, 23, 245\u2013249. https:\/\/doi.org\/10.1002\/da.20182","journal-title":"Depression and Anxiety"},{"key":"10131_CR24","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.jad.2019.03.063","volume":"252","author":"J Osma","year":"2019","unstructured":"Osma, J., Quilez-Orden, A., Suso-Ribera, C., Peris-Baquero, O., Norman, S., Bentley, K., & Sauer-Zavala, S. (2019). Psychometric properties and validation of the Spanish versions of the overall anxiety and depression severity and impairment scales. Journal of Affective Disorders, 252, 9\u201318. https:\/\/doi.org\/10.1016\/j.jad.2019.03.063","journal-title":"Journal of Affective Disorders"},{"key":"10131_CR25","doi-asserted-by":"publisher","first-page":"177","DOI":"10.4103\/jhrs.jhrs_154_21","volume":"15","author":"A Patel","year":"2022","unstructured":"Patel, A., Nair, B. S., Das, S., Kumar, P., & Sharma, P. V. N. (2022). Re-examining psychometric properties of fertility problem inventory: A clinic-based study from India. Journal of Human Reproductive Sciences, 15, 177. https:\/\/doi.org\/10.4103\/jhrs.jhrs_154_21","journal-title":"Journal of Human Reproductive Sciences"},{"key":"10131_CR26","doi-asserted-by":"publisher","first-page":"173","DOI":"10.3109\/0167482X.2011.609950","volume":"32","author":"T Peng","year":"2011","unstructured":"Peng, T., Coates, R., Merriman, G., Zhao, Y., & Maycock, B. (2011). Testing the psychometric properties of Mandarin version of the fertility problem inventory (M-FPI) in an infertile Chinese sample. Journal of Psychosomatic Obstetrics and Gynecology, 32, 173\u2013181. https:\/\/doi.org\/10.3109\/0167482X.2011.609950","journal-title":"Journal of Psychosomatic Obstetrics and Gynecology"},{"key":"10131_CR27","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.mefs.2016.07.002","volume":"22","author":"RO Samani","year":"2017","unstructured":"Samani, R. O., Almasi-Hashiani, A., Shokri, F., Maroufizadeh, S., Vesali, S., & Sepidarkish, M. (2017). Validation study of the Fertility Problem Inventory in Iranian infertile patients. Middle East Fertility Society Journal, 22, 48\u201353. https:\/\/doi.org\/10.1016\/j.mefs.2016.07.002","journal-title":"Middle East Fertility Society Journal"},{"key":"10131_CR28","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dead197","author":"J Smeenk","year":"2023","unstructured":"Smeenk, J., Wyns, C., De Geyter, C., Kupka, M., Bergh, C., Cuevas Saiz, I., De Neuborg, D., Rezabek, K., Tandler-Schenider, A., Rugescu, I., & Gossens, V. (2023). ART in Europe, 2019: Results generated from European registries by ESHRE. Human Reproduction. https:\/\/doi.org\/10.1093\/humrep\/dead197","journal-title":"Human Reproduction"},{"key":"10131_CR29","doi-asserted-by":"publisher","DOI":"10.1017\/sjp.2013.82","author":"C V\u00e1zquez","year":"2013","unstructured":"V\u00e1zquez, C., Duque, A., & Herv\u00e1s, G. (2013). Satisfaction with life scale in a representative sample of Spanish adults: Validation and normative data. Spanish Journal of Psychology. https:\/\/doi.org\/10.1017\/sjp.2013.82","journal-title":"Spanish Journal of Psychology"},{"key":"10131_CR30","unstructured":"World Health Organization, WHO. (2023). Infertility prevalence estimates. World Health Organization."},{"key":"10131_CR31","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1007\/s10880-019-09653-z","volume":"27","author":"MC Zurlo","year":"2020","unstructured":"Zurlo, M. C., Cattaneo Della Volta, M. F., & Vallone, F. (2020). Infertility-related stress and psychological health outcomes in infertile couples undergoing medical treatments: Testing a multi-dimensional model. Journal of Clinical Psychology in Medical Settings, 27, 662\u2013676. https:\/\/doi.org\/10.1007\/s10880-019-09653-z","journal-title":"Journal of Clinical Psychology in Medical Settings"}],"container-title":["Journal of Clinical Psychology in Medical Settings"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10880-026-10131-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10880-026-10131-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10880-026-10131-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:16:20Z","timestamp":1789535780000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10880-026-10131-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,12]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10131"],"URL":"https:\/\/doi.org\/10.1007\/s10880-026-10131-6","relation":{},"ISSN":["1068-9583","1573-3572"],"issn-type":[{"value":"1068-9583","type":"print"},{"value":"1573-3572","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,12]]},"assertion":[{"value":"25 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ver\u00f3nica Mart\u00ednez-Borba, Jorge Osma, Jorge L. Ord\u00f3\u00f1ez-Carrasco, Elena Crespo-Delgado, and Laura Andreu-Pej\u00f3 declare that they have no conflict of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the Ethical Standards of the Institutional and\/or National Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the General University Hospital from Castell\u00f3n and the University Hospital La Plana.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}