Resilience of infertile families undergoing in vitro fertilization: An application of the double ABC-X model

• Published in: Applied nursing research Vol. 69; p. 151656
• Main Authors: Wang, Jie-yu, Luo, Gui-ying, Lv, Xiao-qing, Liang, Chun-mei, Wang, Dan-ni, Li, Guan-jian, Hong, Jing-fang, Cao, Yun-xia
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2023
• Subjects: Adaptation, Psychological; Coping; Cross-Sectional Studies; Family Health; Female; Fertilization in Vitro; Humans; Infertility; Infertility, Female - psychology; Infertility, Female - therapy; Posttraumatic growth; Resilience; Resilience, Psychological; Stigma; Surveys and Questionnaires; Coping; Posttraumatic growth; Stigma; Infertility; Resilience
• ISSN: 0897-1897; 1532-8201
• DOI: 10.1016/j.apnr.2022.151656

Family resilience plays a crucial role in protecting the mental health and family stability of infertile patients. However, information associated with infertile families resilience is scarce. The double ABC-X model provides a roadmap for this, helps organize knowledge, and lays the foundation for knowledge development. To describe the current situation of family resilience of infertile women, and to test the predictive theoretical model of family resilience based on infertility stigma, individual resilience, coping style, and posttraumatic growth. A cross-sectional study. A convenience sample of 372 infertile women undergoing in vitro fertilization were recruited between April and August 2020. The Chinese-Family Resilience Assessment Scale, Infertility Stigma Scale, Simplified Coping Style Questionnaire, Chinese version of Connor-Davidson Resilience Scale, and Chinese version of Post Traumatic Growth Inventory were used to measure family resilience, infertility stigma, individual resilience, coping style, and posttraumatic growth. Structural equation models were used to analyze the relationship among these variables. The results showed that family resilience was related to infertility stigma, positive coping, and individual resilience. Moreover, the path analysis indicated that positive coping and individual resilience mediated the effects of infertility stigma on family resilience. A high level of stigma among infertile women should be identified. Interventions for targeting positive coping and individual resilience might ultimately increase their family resilience. •Family resilience could protect mental health and family stability.•This study fills the gap of infertile women's family resilience.•The double ABC-X model lays a theoretical foundation for studying family resilience.•Infertility stigma acts as a risk factor for family resilience.•Individual resilience and positive coping were linked to family resilience.