The Support Systems and Coping Strategies of Infertile Women Attending the Out-Patient Consultation Unit of CHRACERH Yaoundé, Cameroon: A Cross-Sectional Study
Background: Infertility is a complex disorder with significant psycho-social and economic consequences. It globally affects 10% - 15% of couples. In Cameroon, little is known about what women do to overcome the psychosocial aspects of the disease. Objectives: This study aimed to identify the support systems and coping strategies of infertile women attending the outpatient consultation unit of the Gynaecological Endoscopic Surgery and Reproductive Teaching Hospital (CHRACERH), Yaoundé, Cameroon. Methods: A hospital-based cross-sectional study was conducted from the 14th of March to the 6th of April 2023 at CHRACERH Yaoundé. A total of 190 participants were recruited using a convenience sampling method. Data regarding socio-demographic characteristics, support systems and coping strategies were collected using a pretested questionnaire. Descriptive and analytic statistics were conducted using SPSS version 25. Results: The mean age of participants was 39.52 ± 7.64 years. The majority 78.9% of participants were workers (public, private sector, or traders) and were Christians 95.8%. The most common source of psychological support was from family 76.8 and husbands 72.63%. Most of the participants 89.5% resorted to prayer and getting busy 48.4% as a coping strategy. There was no statistically significant relationship between coping strategies and psychological disorders p > 0.05. Conclusion: The main support system of participants was family, husband, and friends. Prayer, getting busy and adoption were the most common coping strategies. There is a need for the Ministry of Public Health and other stakeholders to put in place other support systems and coping strategies (FELICIA) used elsewhere and provide adequate health education and infection control to prevent infertility in Cameroon.
References
[1]
Rouchou, B. (2013) Consequences of Infertility in Developing Countries. Perspectives in Public Health, 133, 174-179. https://doi.org/10.1177/1757913912472415
[2]
American Medical Association (2017) AMA Backs Global Health Experts in Calling Infertility a Disease. https://www.ama-assn.org/delivering-care/public-health/ama-backs-global-health-experts-calling-infertility-disease
[3]
WHO (2024) Infertility. https://www.who.int/news-room/fact-sheets/detail/infertility
[4]
Practice Committee of the American Society for Reproductive Medicine (2020) Definitions of Infertility and Recurrent Pregnancy Loss: A Committee Opinion. Fertility and Sterility, 113, 533-535. https://doi.org/10.1016/j.fertnstert.2019.11.025
[5]
Zegers-Hochschild, F., Adamson, G.D., Dyer, S., Racowsky, C., de Mouzon, J., Sokol, R., et al. (2017) The International Glossary on Infertility and Fertility Care, 2017. Human Reproduction, 32, 1786-1801. https://doi.org/10.1093/humrep/dex234
[6]
Benksim, A., Elkhoudri, N., Addi, R.A., Baali,A. and Cherkaoui, M. (2018) Difference between Primary and Secondary Infertility in Morocco: Frequencies and Associated Factors. International Journal of Fertility and Sterility, 12, 142-146.
[7]
Obinchemti Egbe, T., Ngo Mbaki, C., Tendongfor, N., Temfack, E. and Belley-Priso, E. (2020) Infertility and Associated Factors in Three Hospitals in Douala, Cameroon: A Cross-Sectional Study. African Health Sciences, 20, 1985-1995. https://doi.org/10.4314/ahs.v20i4.57
[8]
Simionescu, G., Doroftei, B., Maftei, R., Obreja, B., Anton, E., Grab, D., et al. (2021) The Complex Relationship between Infertility and Psychological Distress (Review). Experimental and Therapeutic Medicine, 21, Article No. 306. https://doi.org/10.3892/etm.2021.9737
[9]
Brochu, F., Robins, S., Miner, S.A., Grunberg, P.H., Chan, P., Lo, K., et al. (2019) Searching the Internet for Infertility Information: A Survey of Patient Needs and Preferences. Journal of Medical Internet Research, 21, e15132. https://doi.org/10.2196/15132
[10]
Dancet, E.A.F., Van Empel, I.W.H., Rober, P., Nelen, W.L.D.M., Kremer, J.A.M. and D’Hooghe, T.M. (2011) Patient-Centred Infertility Care: A Qualitative Study to Listen to the Patient’s Voice. Human Reproduction, 26, 827-833. https://doi.org/10.1093/humrep/der022
[11]
Shaiju, B. (2020) A Study to Assess the Psychological Status, Social and Health System Support to the Women Who Are Undergoing Infertility Treatment. International Journal of Nursing & Midwifery Research, 7, 11-15. https://doi.org/10.24321/2455.9318.202012
[12]
Sax, M.R. and Lawson, A.K. (2022) Emotional Support for Infertility Patients: Integrating Mental Health Professionals in the Fertility Care Team. Women, 2, 68-75. https://doi.org/10.3390/women2010008
[13]
Hess, R.F., Ross, R. and Gililland Jr., J.L. (2018) Infertility, Psychological Distress, and Coping Strategies among Women in Mali, West Africa: A Mixed-Methods Study. African Journal of Reproductive Health, 22, 60-72.
[14]
Olowokere, A.E., Olowokere, J.O., Komolafe, A.O., Oyelade, O.O., Olajubu, A.O. and Aladegboye, M.K. (2022) Psychological and Social Effects of Infertility on Women: A Mixed Method Research. Gynecology Reproductive Health, 6, 1-12. https://www.academia.edu/104356440/Psychological_and_Social_Effects_of_Infertility_on_Women_A_Mixed_Method_Research
[15]
Poorolajal, J., Goudarzi, M., Gohari-Ensaf, F. and Darvishi, N. (2021) Relationship of Religion with Suicidal Ideation, Suicide Plan, Suicide Attempt, and Suicide Death: A Meta-Analysis. Journal of Research in Health Sciences, 22, e00537. https://doi.org/10.34172/jrhs.2022.72
[16]
WHO (2021) Live life: An Implementation Guide for Suicide Prevention in Countries. https://apps.who.int/iris/bitstream/handle/10665/341726/9789240026629-kor.pdf
[17]
Reifels, L., Krishnamoorthy, S., Kõlves, K. and Francis, J. (2022) Implementation Science in Suicide Prevention. Crisis, 43, 1-7. https://doi.org/10.1027/0227-5910/a000846
[18]
Aiyenigba, A.O., Weeks, A.D. and Rahman, A. (2019) Managing Psychological Trauma of Infertility. African Journal of Reproductive Health, 23, 76-91.
[19]
Aiyenigba, A.O. (2018) Fertility Life Counselling Aid (FELICIA)—A CBT Based Counselling Manual. https://livrepository.liverpool.ac.uk/3023266/
[20]
Woodward, J.T., Cirino, N.H., Copland, S. and Davoudian, T. (2023) Integrated Behavioral Health Care in Reproductive Medicine: How and Why to Include Mental Health Professionals in Infertility Care Teams. Clinical Obstetrics & Gynecology, 67, 222-232. https://doi.org/10.1097/grf.0000000000000829
[21]
Guerrera, M.P., Glick, R.M., Benn, R., Kemper, K., Kligler, B. and Maizes, V. (2008) Integrative Patient-Centered Care. The Journal of Alternative and Complementary Medicine, 14, 454. https://doi.org/10.1089/acm.2008.0092
[22]
Kurihara, C., Kerpel-Fronius, S., Becker, S., Chan, A., Nagaty, Y., Naseem, S., et al. (2024) Declaration of Helsinki: Ethical Norm in Pursuit of Common Global Goals. Frontiers in Medicine, 11, Article 1360653. https://doi.org/10.3389/fmed.2024.1360653
[23]
Algorani, E.B. and Gupta, V. (2024) Coping Mechanisms. StatPearls. http://www.ncbi.nlm.nih.gov/books/NBK559031/
[24]
(2024) Definition of Support System. https://www.merriam-webster.com/dictionary/support+system
[25]
(2024) APA Dictionary of Psychology. https://dictionary.apa.org/
[26]
Agostini, F., Monti, F., De Pascalis, L., Paterlini, M., La Sala, G.B. and Blickstein, I. (2011) Psychosocial Support for Infertile Couples during Assisted Reproductive Technology Treatment. Fertility and Sterility, 95, 707-710. https://doi.org/10.1016/j.fertnstert.2010.06.011
[27]
Uecker, J.E. (2012) Marriage and Mental Health among Young Adults. Journal of Health and Social Behavior, 53, 67-83. https://doi.org/10.1177/0022146511419206
[28]
Anokye, R., Acheampong, E., Mprah, W.K., Ope, J.O. and Barivure, T.N. (2017) Psychosocial Effects of Infertility among Couples Attending St. Michael’s Hospital, Jachie-Pramso in the Ashanti Region of Ghana. BMC Research Notes, 10, Article No. 690. https://doi.org/10.1186/s13104-017-3008-8
[29]
Karaca, A. and Unsal, G. (2015) Psychosocial Problems and Coping Strategies among Turkish Women with Infertility. Asian Nursing Research, 9, 243-250. https://doi.org/10.1016/j.anr.2015.04.007
[30]
Ried, K. and Alfred, A. (2013) Quality of Life, Coping Strategies and Support Needs of Women Seeking Traditional Chinese Medicine for Infertility and Viable Pregnancy in Australia: A Mixed Methods Approach. BMC Women’s Health, 13, Article No. 17. https://doi.org/10.1186/1472-6874-13-17
[31]
Truong, L.Q., Luong, T.B., Tran, T., Dang, N.H., Nguyen, L.H., Nguyen, T.T., et al. (2022) Infertility-related Stress, Social Support, and Coping of Women Experiencing Infertility in Vietnam. Health Psychology Report, 10, 129-138. https://doi.org/10.5114/hpr.2022.113437
[32]
Boivin, J., Vassena, R., Costa, M., Vegni, E., Dixon, M., Collura, B., et al. (2022) Tailored Support May Reduce Mental and Relational Impact of Infertility on Infertile Patients and Partners. Reproductive BioMedicine Online, 44, 1045-1054. https://doi.org/10.1016/j.rbmo.2022.01.015
[33]
Boivin, J., Domar, A.D., Shapiro, D.B., Wischmann, T.H., Fauser, B.C.J.M. and Verhaak, C. (2012) Tackling Burden in ART: An Integrated Approach for Medical Staff. Human Reproduction, 27, 941-950. https://doi.org/10.1093/humrep/der467
[34]
Riddle, M.P. (2022) Assuring Provision of Mental Health Care to the Most Vulnerable Patients: A Renewed Call for Integrative Care. Fertility and Sterility, 117, 1309-1310. https://doi.org/10.1016/j.fertnstert.2022.04.007
[35]
Sousa‐Leite, M., Fernandes, M., Reis, S., Costa, R., Figueiredo, B. and Gameiro, S. (2022) Feasibility and Acceptability of Psychosocial Care for Unsuccessful Fertility Treatment. Health Expectations, 25, 2902-2913. https://doi.org/10.1111/hex.13598
[36]
Koenig, H.G. (2012) Religion, Spirituality, and Health: The Research and Clinical Implications. ISRN Psychiatry, 2012, Article ID: 278730. https://doi.org/10.5402/2012/278730
[37]
Paine, D.R. and Sandage, S.J. (2016) Religious Involvement and Depression: The Mediating Effect of Relational Spirituality. Journal of Religion and Health, 56, 269-283. https://doi.org/10.1007/s10943-016-0282-z
[38]
VanderWeele, T.J., Li, S., Tsai, A.C. and Kawachi, I. (2016) Association between Religious Service Attendance and Lower Suicide Rates among US Women. JAMA Psychiatry, 73, 845-851. https://doi.org/10.1001/jamapsychiatry.2016.1243
[39]
Yonker, J.E., Schnabelrauch, C.A. and DeHaan, L.G. (2011) The Relationship between Spirituality and Religiosity on Psychological Outcomes in Adolescents and Emerging Adults: A Meta‐Analytic Review. Journal of Adolescence, 35, 299-314. https://doi.org/10.1016/j.adolescence.2011.08.010
[40]
Ransome, Y. (2020) Religion, Spirituality, and Health: New Considerations for Epidemiology. American Journal of Epidemiology, 189, 755-758. https://doi.org/10.1093/aje/kwaa022
[41]
Osei, N.Y. (2016) Need for Accessible Infertility Care in Ghana: The Patients’ Voice. Facts Views and Vision in ObGyn, 8, 125-127.
[42]
Osei, N.Y. (2014) Association of Childless Couples of Ghana (ACCOG). Facts Views and Vision in ObGyn, 6, 99-102.
[43]
McCullough, M.E. and Larson, D.B. (1999) Religion and Depression: A Review of the Literature. Twin Research, 2, 126-136. https://doi.org/10.1375/twin.2.2.126
[44]
Van de Velde, S., Van der Bracht, K. and Buffel, V. (2017) The Relation between Religion and Depression in Europe: The Moderating Role of the Religious Context. International Journal of Comparative Sociology, 58, 515-532. https://doi.org/10.1177/0020715217736361
[45]
Egbe, T.O., Wafo, C.Y., Bollo, B.B., Pany, C., Onomo, M.J. and Sandjon, G. (2016) Successful Pregnancy with Donor Eggs In-Vitro Fertilization after Premature Ovarian Insufficiency in a Tertiary Hospital in a Low-Income Setting: A Case Report. Fertility Research and Practice, 2, Article No. 12. https://doi.org/10.1186/s40738-016-0028-3
[46]
Lawrence, R.E., Oquendo, M.A. and Stanley, B. (2015) Religion and Suicide Risk: A Systematic Review. Archives of Suicide Research, 20, 1-21. https://doi.org/10.1080/13811118.2015.1004494
[47]
Berger, R., Paul, M.S. and Henshaw, L.A. (2013) Women’s Experience of Infertility: A Multi-Systemic Perspective. Journal of International Women’s Studies, 14, 54-68.
[48]
Davis, D.C. and Dearman, C.N. (1991) Coping Strategies of Infertile Women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 20, 221-228. https://doi.org/10.1111/j.1552-6909.1991.tb02534.x
