Evidence map›Paper›PMID 41121216›Full record

SynthesisBMC women's health2025

The efficacy of psychological interventions for infertile women: a systematic review and meta-analysis.

Patricia L Jackson, Peter Saunders, Simone Mizzi, Karen Tracey Hallam

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
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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.

Patricia L JacksonDepartment of Psychology, RMIT University, Melbourne, Australia. patricialisajackson@gmail.com.ORCID 0009-0008-1704-5439
Peter SaundersDepartment of Psychology, RMIT University, Melbourne, Australia.
Simone MizziDepartment of Psychology, RMIT University, Melbourne, Australia.ORCID 0000-0002-3346-566X
Karen Tracey HallamDepartment of Psychology, RMIT University, Melbourne, Australia.ORCID 0000-0003-0495-5341

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInfertility is a globally prevalent condition often accompanied by substantial psychological distress. This systematic review and meta-analysis evaluated the effectiveness of psychological interventions in reducing infertility-related distress and improving well-being in women and examined psychological and methodological moderators of treatment outcomes.

methodSixty-nine studies involving 5,935 women were included in the systematic review, with 60 contributing data to a three-level random-effects meta-analysis. Eligible studies used randomized or controlled trial designs to evaluate psychological interventions. Primary outcomes included anxiety, depression, general distress, infertility-specific distress, and well-being. Moderator analyses examined differences by intervention type, delivery mode, dosage, format, region, and Assisted Reproductive Therapy (ART) treatment stage.

resultsThe overall pooled effect across outcomes was not statistically significant. However, domain-specific analyses indicated significant effects for anxiety (g = -0.83, p < .001), depression (g = -0.88, p < .001), and well-being (g = 1.39, p = .004). Cognitive-behavioural therapy (CBT)and counselling were among the most effective approaches. In dosage x domain analyses, well-being improved with a greater number of sessions, while longer interventions and longer session duration were associated with smaller improvements. Online delivery and regional differences also moderated treatment effects.

conclusionsPsychological interventions can significantly improve specific domains of mental health among women experiencing infertility. These findings support the integration of targeted psychological care into fertility treatment and highlight the importance of selecting theory-driven approaches matched to the distinct emotional and contextual challenges of infertility. Delivery format, cultural context, and long-term follow-up should also be considered to enhance intervention impact.

Indexed as

Infertility, FemalePsychosocial InterventionStress, PsychologicalAdultAnxietyCognitive Behavioral TherapyDepressionFemaleHumansReproductive Techniques, AssistedTreatment OutcomeInfertilityMeta-analysisPsychological interventionsSystematic reviewWomen

Identifiers

PMID41121216
PMCPMC12542105

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.