Evidence map›Paper›PMID 41024183›Full record

SynthesisBMC psychology2025

A systematic review of counselling approaches and their impact on marital intimacy among women and couples experiencing infertility.

Mahla Salarfard, Malihe Mahmoudinia, Masoumeh Rahimi, Robab Latifnejad Roudsari

Abstract readSystematic Review
In one paragraph

Synthesis in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mahla SalarfardStudent Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Malihe MahmoudiniaMaternal and Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Masoumeh RahimiStudent Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Robab Latifnejad RoudsariNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. rlatifnejad@yahoo.com.ORCID http://orcid.org/0000-0002-1438-8822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfertility-related stress adversely affects marital intimacy, decreases self-esteem, and decreases the rate of sexual contact. In consideration of the psychological distress and marital issues confronted by individuals with infertility, developing strategies that foster an intimate marital life is essential. This study reviewed counselling approaches and their impact on marital intimacy among women and couples experiencing infertility.

methodsThis systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020. The search of studies was performed through databases such as Web of Science, the Cochrane Library, Scopus, PubMed, PsycINFO and the Google Scholar search engine without time limitations until 16th July, 2025, using MeSH keywords of ((infertility OR infertile OR subfertile OR sterility OR subfertility OR childlessness)AND (“counselling” OR “psychosocial intervention” OR “psychological intervention” OR psychological OR “couples therapy” OR therapy OR psychotherapy) AND (“Marital intimacy” OR intimacy)). All randomized controlled trials and quasiexperimental studies regarding the effects of infertility counselling interventions on the marital intimacy of women and couples experiencing infertility were assessed by two independent researchers for quality via the Joanna Briggs Institute (JBI) checklist.

resultsOut of 1649 studies retrieved from physical and electronic resources, 14 studies including a total of 550 patients were systematically reviewed in this study. The results revealed that various types of infertility counselling interventions, including self-regulatory couple therapy, group therapy on the basis of quality of life, relationship enrichment training, group counselling on acceptance and commitment therapy, psychological intervention, positive couple therapy program, reality therapy, Gottman couple-centered counselling, emotion-focused couple therapy and integrated behavioral approach improve marital intimacy.

conclusionDespite the positive effect of counselling interventions on marital intimacy in infertile couples, owing to the inability to conduct a meta-analysis, there is a need for more robust clinical trials to provide sufficient clinical evidence in this field.

Indexed as

CounselingInfertilityInterpersonal RelationsMarriageFemaleHumansMaleCounsellingInfertilityMarital intimacySystematic review

Identifiers

PMID41024183
PMCPMC12482029

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.