{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T15:06:00Z","timestamp":1779375960746,"version":"3.53.1"},"reference-count":39,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background: Infertility affects millions of people causing grave societal and health consequences (poor physical and mental wellbeing). Aims: To translate and validate the COMPI scale in Serbian and examine associations of infertility-related stress, coping strategies and evaluation of care with medically assisted reproduction (MAR) outcomes in female Serbian infertility patients. Methods: The study included patients undergoing MAR for four months. Participants completed a socio-demographic and gynecologic questionnaire, the Serbian-translated COMPI scale, Beck Anxiety Inventory (BAI) and Zung Self-Rating Depression scale (ZDS). Serbian COMPI was validated in the classic manner. Associations between COMPI scores and pregnancy outcomes were analyzed by Spearman\u2019s correlation and multivariable regression. Results: A total of 107 women participated and 24.3% achieved pregnancy. The Serbian COMPI demonstrated high internal consistency (Cronbach alpha = 0.838). Compared with reference COMPI data, personal, social and marital stress scores were higher, while meaning-based coping and marital benefit scores were lower. Regression analysis showed that higher marital stress, partner communication difficulties and meaning-based coping were associated with higher pregnancy likelihood. Conclusions: Serbian patients undergoing MAR reported high infertility-related stress and predominantly used active coping strategies. Patients who applied meaning-based coping were more likely to achieve pregnancy.<\/jats:p>","DOI":"10.3390\/healthcare14101429","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:53:24Z","timestamp":1779371604000},"page":"1429","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Aspects of Infertility and Medically Assisted Reproduction in Serbia: A COMPI-Based Single Centre Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5706-0707","authenticated-orcid":false,"given":"Lidija","family":"Tulic","sequence":"first","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9683-9561","authenticated-orcid":false,"given":"Jelena","family":"Dotlic","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Madic","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dejan","family":"Uljarevic","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandar","family":"Dmitrovic","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lone","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Section of Social Medicine, Department of Public Health, University of Copenhagen, 1165 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6489-0290","authenticated-orcid":false,"given":"Mariana","family":"Veloso Martins","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0359-9568","authenticated-orcid":false,"given":"Jelena","family":"Stojnic","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5686-0307","authenticated-orcid":false,"given":"Jelena","family":"Micic","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jovan","family":"Bila","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragisa","family":"Sljivancanin","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, University Clinical Center of Serbia, Dr Koste Todorovica 26, 11000 Belgrade, Serbia"},{"name":"Medical Faculty, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3409","DOI":"10.1007\/s10815-025-03592-5","article-title":"Global, regional, and national burden and trend of infertility and its subtypes from 1990 to 2021, with projections to 2035","volume":"42","author":"Cheng","year":"2025","journal-title":"J. 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