Evidence map›Paper›PMID 33548005›Full record

ArticleJournal of assisted reproduction and genetics2021

Emotional stress and reproduction: what do fertility patients believe?

Olivia Negris, Angela Lawson, Dannielle Brown, Christopher Warren, Isabel Galic, Alexandria Bozen, Amelia Swanson, Tarun Jain

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  11. Article
  12. Inequities in Medically Assisted Reproduction: a Scoping Review.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Article
  13. Article
  14. Patient perspectives of telehealth for fertility care: a national survey.Journal of assisted reproduction and genetics · 2023
    Article
  15. Article
  16. Reprotoxic Impact of Environment, Diet, and Behavior.International journal of environmental research and public health · 2022
    Review
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Olivia NegrisInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Angela LawsonDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Dannielle BrownInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Christopher WarrenInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Isabel GalicInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Alexandria BozenInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Amelia SwansonDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Tarun JainInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. tjain@northwestern.edu.ORCID http://orcid.org/0000-0002-8889-084X
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo better understand the beliefs about a causal role of emotional stress maintained by women seeking fertility care.

methodsA cross-sectional, self-administered survey was distributed to fertility care patients at an academic fertility center in Illinois. Of 5000 consecutive patients, 1460 completed the survey and were included in the study sample.

resultsMembers of our sample (N = 1460) were between 20 and 58 years (mean = 36.2, SD = 4.4). Most respondents were White (72.2%), were in a heterosexual relationship (86.8%), and felt that their physician understood their cultural background (79.4%). Of the sample, 28.9% believed emotional stress could cause infertility, 69.0% believed emotional stress could reduce success with fertility treatment, and 31.3% believed that emotional stress could cause a miscarriage, with evidence of significant racial differences. Less than a quarter (23.8%) of the sample believed emotional stress had no impact on fertility. Lower household income and educational attainment were associated with a greater belief in emotional stress as a causative factor in reproduction with regard to infertility, fertility treatment, and miscarriage.

conclusionThe majority of women seeking fertility care believe emotional stress could reduce the success of fertility treatment. Furthermore, beliefs about emotional stress and reproduction significantly differ based on race/ethnicity, income, and education. Particular attention should be paid to specific groups of women who may more likely not be aware of the lack of a proven biological relationship between emotional stress and reproduction.

Indexed as

Psychological DistressAdultFemaleFertilityHumansInfertilityMiddle AgedPregnancyReproductionSurveys and QuestionnairesYoung AdultFertilityInternet resourcesMARMedically assisted reproductionRacial disparitiesStress

Identifiers

PMID33548005
PMCPMC8079591
OpenAlexW3128670773

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.