{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T23:08:51Z","timestamp":1791673731027,"version":"4.3.4"},"reference-count":55,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,11,2]],"date-time":"2015-11-02T00:00:00Z","timestamp":1446422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["SFRH\/BPD\/87514\/2012"],"award-info":[{"award-number":["SFRH\/BPD\/87514\/2012"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The emotional adjustment of couples undergoing assisted reproductive technology (\n                      <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>\n                      ) treatments has been widely studied; however, it remains unclear whether infertility history contributes to couples' adjustment. This study examined the impact of infertility history (duration of infertility and number of previous\n                      <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>\n                      treatment cycles) on the emotional adjustment of couples undergoing an\n                      <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>\n                      cycle and the mediating effect of importance of parenthood on that association.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this cross\u2010sectional study, 70 infertile couples (70 women and 70 men) completed self\u2010report questionnaires assessing emotional adjustment and infertility stress during the hormonal stimulation phase of an\n                      <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>\n                      cycle. Path models accounting for the dyadic nature of the data examined the direct and indirect effects (by affecting representations about parenthood and childlessness) of infertility history on emotional adjustment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The number of previous cycles affected men's, but not women's, emotional adjustment by affecting the representations on the importance of parenthood and of childlessness. Duration of infertility had the opposite effect, as couples with longer infertility reported heightened importance of parenthood, which negatively affected their emotional adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Infertility history was associated with emotional adjustment in men and women, although these associations were complex. The results suggest that progression through treatment is harder for those men and women who attribute higher importance to being parents, which is aggravated by longer infertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Statement of contribution<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What is already known about the subject?<\/jats:bold>\n                          <\/jats:italic>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>Infertility is an unexpected and stressful life event<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Assisted reproductive treatments (ART) are emotionally demanding<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What does this study add?<\/jats:bold>\n                          <\/jats:italic>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>The influence of infertility history on adjustment is mediated by the importance of parenthood<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Men and women are affected by their past history of infertility differently<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12169","type":"journal-article","created":{"date-parts":[[2015,11,2]],"date-time":"2015-11-02T08:21:36Z","timestamp":1446452496000},"page":"302-317","source":"Crossref","is-referenced-by-count":50,"title":["Does infertility history affect the emotional adjustment of couples undergoing assisted reproduction? the mediating role of the importance of parenthood"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7542-0497","authenticated-orcid":false,"given":"Mariana","family":"Moura\u2010Ramos","sequence":"first","affiliation":[{"name":"Faculty of Psychology and Educational Sciences University of Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Gameiro","sequence":"additional","affiliation":[{"name":"Cardiff Fertility Studies Research Group School of Psychology Cardiff University UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina","family":"Canavarro","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences University of Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Soares","sequence":"additional","affiliation":[{"name":"School of Psychology University of Minho Braga Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Almeida\u2010Santos","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,2]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"35","volume-title":"Fam\u0131\u00edlia e g\u00e9nero em Portugal e na Europa [Family and gender in Portugal and Europe]","author":"Aboim S.","year":"2007"},{"key":"e_1_2_7_3_1","volume-title":"Multiple regression: Testing and interpreting interactions","author":"Aiken L. 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