{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:40:44Z","timestamp":1791225644545,"version":"4.1.0"},"reference-count":76,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to investigate the relationship between stress, self\u2010compassion, and fertility adjustment in women undergoing infertility treatment in Turkey and to determine whether stress influences fertility adjustment through the mediating effect of self\u2010compassion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional and descriptive design was used in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The study was conducted with 290 women who applied to the in\u00a0vitro fertilisation unit in a university hospital in Ankara, Turkey. Descriptive statistics, Pearson correlation, and structural equation analysis were used for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>According to the results of structural equation modelling, self\u2010compassion was found not to affect fertility adjustment, while infertility\u2010related stress directly influenced both self\u2010compassion and fertility adjustment. Additionally, self\u2010compassion was not found to mediate the relationship between stress and fertility adjustment in women undergoing infertility treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that different dynamics may contribute to women's infertility\u2010related stress and fertility adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession<\/jats:title>\n                    <jats:p>This study highlights the importance of developing strategies to enhance fertility adjustment in women receiving infertility treatment and underscores the need for nurses working in this field to evaluate women's attitudes toward themselves to provide individualised care aimed at alleviating infertility\u2010related stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The findings indicate that self\u2010compassion does not have the expected effect in coping with infertility. Specifically, the lack of a direct effect of self\u2010compassion on fertility adjustment, along with the strong influence of stress on both self\u2010compassion and fertility adjustment, suggests that stress management\u2010focused interventions may take precedence. These results indicate that approaches aimed at stress management during infertility treatment can play a critical role in supporting women's adjustment processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>STROBE guidelines were followed for this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>There is no patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16869","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T02:36:13Z","timestamp":1741746973000},"page":"403-413","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does Self\u2010Compassion Play a Mediating Role Between Stress and Fertility Adjustment in Women Undergoing Infertility Treatment? A Structural Equation Analysis"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1065-4633","authenticated-orcid":false,"given":"G\u00fcl\u015fah","family":"Vural Aktan","sequence":"first","affiliation":[{"name":"Hacettepe University Institute of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9287-356X","authenticated-orcid":false,"given":"\u00c7i\u011fdem","family":"Y\u00fccel \u00d6z\u00e7irpan","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Nursing, Department of Obstetrics and Gynecology Nursing Hacettepe University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6451-296X","authenticated-orcid":false,"given":"Fatma","family":"Uslu \u015eahan","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Nursing, Department of Obstetrics and Gynecology Nursing Hacettepe University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1094-5003","authenticated-orcid":false,"given":"G\u00fclten","family":"Ko\u00e7","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Nursing, Department of Obstetrics and Gynecology Nursing Hacettepe University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"1","article-title":"Self\u2010Sensitivity Scale: Validity and Reliability Study","volume":"33","author":"Ak\u0131n U.","year":"2007","journal-title":"Hacettepe University Journal of Faculty of Education"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjem.2018.08.001"},{"key":"e_1_2_11_4_1","first-page":"757","article-title":"Self\u2010Compassion Training and Psychological Well\u2010Being of Women Suffering From Infertility","volume":"17","author":"Alireza Afshani S.","year":"2019","journal-title":"International Journal of Reproductive Biomedicine"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.5336\/nurses.2015-46763"},{"issue":"3","key":"e_1_2_11_6_1","first-page":"436","article-title":"The Effect of Integrative of Positive Cognitive Behavioral Therapy on Infertility Stress and Hope in Infertile Women","volume":"8","author":"Asfahan F.","year":"2019","journal-title":"Journal of Clinical Nursing and Midwife"},{"key":"e_1_2_11_7_1","first-page":"29","article-title":"Infertility in Society and Among Spouses","volume":"2","author":"Avc\u0131 M. 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