ArticlePsychology research and behavior management2021
Effects of Self-Esteem on the Associations Between Infertility-Related Stress and Psychological Distress Among Infertile Chinese Women: A Cross-Sectional Study.
Article in Psychology research and behavior management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Is stress different in infertile women and men? A systematic review and meta-analysis.BMC public health · 2025Pooled it
- Prevalence and risk factors of negative emotions in infertile women: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Global prevalence of major depressive disorder, generalized anxiety, stress, and depression among infertile women: a systematic review and meta-analysis.Archives of gynecology and obstetrics · 2024Pooled it
- Investigating the effect of online narrative therapy on the genital self-image and sexual satisfaction of infertile women: a randomized controlled trial.BMC psychology · 2025Trial
- The effect of supportive counseling on self-esteem of infertile women after in vitro fertilization (IVF) failure: a randomized controlled trial study.BMC psychology · 2024Trial
- The Effect of Couples Coping Enhancement Counseling on Stress and Dyadic Coping on Infertile Couples: A Parallel Randomized Controlled Trial Study.International journal of fertility & sterility · 2022Trial
- Exploring Couple-Based Coping Strategies With Infertility: A Qualitative Study.Health science reports · 2026Article
- Gender differences in infertility stress, coping and the ability to share feelings about infertility.Reproductive health · 2026Article
- Stigma related to male-factor infertility in China: a scale development and validation study.BMC public health · 2026Article
- Perceived cultural continuity, self-schemas, self-esteem, and psychological distress among members of ethnic groups with endangered scripts in Southwest China.Frontiers in psychology · 2026Article
- Latent profile analysis of emotional inhibition in older adults with gastrointestinal tumors: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2025Article
- Trends in global and national infertility and factors associated with primary infertile couples in recent middle-aged Chinese.PloS one · 2025Article
- Plant-based bioactives and oxidative stress in reproduction: anti-inflammatory and metabolic protection mechanisms.Frontiers in nutrition · 2025Review
- Fertility Stress, Psychological Resilience, and Depressive Symptoms in Women With Polycystic Ovary Syndrome.Cureus · 2024Article
- Effect of meditation, muscle relaxation exercises, dietary and lifestyle modification on depression, anxiety, stress and self-esteem among women undergoing infertility treatment: A randomized controlled trial: Pilot protocol.Journal of education and health promotion · 2024Article
- No Baby to Bring Home: Perinatal Loss, Infertility, and Mental Illness-Overview and Recommendations for Care.Current psychiatry reports · 2023Review
- The Relationship between Body Mass Index, Metal Elements, and Antioxidant Capacity of Semen on The Human Sperm Chromatin.International journal of fertility & sterility · 2023Article
- The prevalence of adjustment disorder and predisposing factors in infertile women.BMC psychology · 2023Article
- Cortisol dysregulation in anxiety infertile women and the influence on IVF treatment outcome.Frontiers in endocrinology · 2023Article
- Factors affecting self-esteem and disease acceptance in patients from infertile couples.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnxiety and depression are the most common psychological causes of distress in infertile women. Our study aimed to evaluate the prevalence of depression and anxiety and investigate the effects of self-esteem on the association of infertility-related stress with depression and anxiety among infertile women.
methodsThis study was conducted between December 2017 and May 2018. Questionnaires containing Fertility Problem Inventory (FPI), Rosenberg self-esteem scale (RSES) and Hospital Anxiety and Depression Scale (HADS) were distributed among 536 female infertility patients in Shenyang, China. Hierarchical linear regression analyses were used to examine the mediating and moderating role of self-esteem. Baron and Kenny's technique, asymptotic, and resampling strategies were used to confirm the mediating role of self-esteem on the associations between infertility-related stress with depression and anxiety.
resultsThe prevalence of depression and anxiety was 27.9% and 42.2% among Chinese female infertility patients, respectively. Infertility-related stress was positively associated with depression and anxiety, whereas self-esteem was negatively associated with depression and anxiety. Additionally, the effects of infertility-related stress on depression and anxiety gradually decreased along with an increase in self-esteem. Meanwhile, self-esteem partially mediated the associations between infertility-related stress with depression and anxiety.
conclusionA high prevalence of psychological distress was found among infertile women. Self-esteem mediated and moderated the effects of infertility-related stress on depression and anxiety. Additionally, infertility-related stress and self-esteem were associated with psychological distress, which explained why infertile women had a higher prevalence of depression and anxiety. Therefore, interventions that focus on self-esteem may be effective and should be used as a resource to combat mental health problems.
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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.