DEVELOPMENT AND VALIDATION OF THE QUESTIONNAIRE MEASURING FEAR FROM INFERTILITY
Abstract
Background: Infertility is the inability of a sexually active couple, which is not using contraception, to achieve pregnancy in one year.
Aim: The aim of this study was to develop and test the reliability of the scale for measuring the intensity of the fear from infertility among students.
Material: Creation of the questionnaire went through several phases: literature review, formation of item pool, construction of the final version of the questionnaire, testing it on a sample and statistical analysis. The questionnaire contains 21 questions, with answers in the form of seven-point Likert scale. It was tested on a sample of 310 respondents, students of the Faculty of Medical Sciences, University of Kragujevac, Serbia. The results were used for testing the questionnaire reliability and for exploratory factor analysis.
Results: The scale has good internal reliability, with Cronbach’s alpha coefficient of 0.911. The values of Cronbach's alpha, after splitting the questionnaire into two parts, were 0.885 and 0.815. There was moderate correlation between these two parts (0704). Exploratory factor analysis revealed the existence of three factors which explained 56.19% of variance. The values of Cronbach's alpha coefficients of these three factors were: 0.834, 0.867 and 0.807.
Conclusion: Results of our study showed that the scale "Fear from infertility" has good reliability with high Cronbach’s alpha coefficient and appropriate factorial structure.
References
World Health Оrganisation. „Infertility definitions and terminology”, доступно на www.who.int/ reproductivehealth/topics/infertility/definitions/en/, последњи пут посећено 9. априла 2015.
Mascarenhas et al. National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys. PLOS medicine 2012; 9: 72-84.
Rustein Shea O: Infecundity, Infertility and Childless in Developed Countries. DSH Comparative Reports No.9, Maryland, USA: ORC Marco and the World Health Organisation; 2004.
Boivin J, Bunting L,Collins JA, Nygren KG. International estimates of infertility prevalence and tretment-seeking: potentional need and demand for infertility medical care. Human Repoduction 2008; 22: 1506-12.
Swan SH: Alternative measures od infertility compromise. Fertility and Sterility 2008; 89: 27-9.
Van der Akker OB. Coping, quality of life and psychosocial symptoms in tree groups of sub-fertile women. Patient Educ Couns 2005; 57: 183-9.
Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: a comparison with patients with other medical conditions. J Psychosom Obstet Gynaecol 1993; 14: 45–52.
Onat GB, Kizllkaya NB. Marital relation and quality of life among infertile couples. Sex Disabil 2012; 30: 39-52.
Mindes EJ, Ingram KM, Kliewer W, James CA. Longitudinal analyses of the relationship between unsupportive social interaction and psychological adjustment amog women with infertility problems. Soc Sci Med 2003; 56: 2165-80.
Pasch LA, Dunkel-Schetter C, Christiansen A. Differences between husbands’ and wives' approach to infertilty affect marital comunication and adjustment. Fertil Steril2002; 77: 1241-7.
Ozecki B, Ozelik A.The psychological and psychiatric aspects of infertility. Anat J Psychiatry 2007; 8: 140-8.
Gerrits T. Social and cultural aspects of infertility in Moyambique. Patient Education and Couseling 1997; 31: 39-48.
Abbey A, Andrewa F, Halman J. Gender’s role in responses to infertility. Psychology Womaen Quatrerly 1991; 15: 295-316.
Cwikel J, Gidron Y, Sheiner E. Psychоlogical interaction with infertility among women. Eur J Obstet Ginecol Reprod Bio 2004; 117: 126-231.
Jenario C, Moreno-Rosset C, Jurado R, Rabaina NF. Psychological assesment in infertility: the Dera, a measure developed in Spain. Papeles del Psicólogo 2008; 29: 176-85.
Papreen N, Sharma A, Sabin K, Begum L, Ahsan SK, Baqui AH. Living with infertility: experiences among Urban slum populations in Bangladesh. Reprod Health Matters 2000; 15: 33-44.
Crawshaw MA. Psychosocial oncofertility issues faced by adolescents and young adults over their lifetime: a review of the research. Hum Fertil (Camb) 2013;16: 59–63.
Gorman JR, Bailey S, Pierce JP, Su HI. How do you feel about fertility and parenthood? The voices of young female cancer survivors. J Cancer Surviv2012;6:200–9.
Wenzel L, Dogan-Ates A, Habbal R, Berkowitz R, Goldstein DP, Bernstein M et al. Defning and measuring reproductive concerns of female cancer survivors. Journalof the National Cancer Institute Monographs 2005; 34: 94-8.
Menning B. Psychosocial impact of infertility. Nurs Clin North Am 1982; 17: 155-63.
Whitten AN, Remes O, Sabarre KA, Khan Z, Phillips KP. Canadian university students’ percetpion of future personal inferility. Open Journal of Obsterics and Gynecology 2013; 3: 561-8.
Daniluk JC, Koert E. Childless Canadian men’s and women’s childbearing intentions, attitudes to- wards and willingness to use assisted human reproduction. Human Reproduction 2012; 27: 2405-12.
Hjelmstedt A, Andersson L, Skoog-Svanberg A, Bergh T, Boivin J, Collins A. Gender differences in psychological reactions to infertility among couples seeking IVF and ICSItreatment. Acta Obstetricia et Gynecologica Scandinavica1999; 78: 4248.
Hämmerli K, Znoj H, Berger T. What are the issues confronting infertile women? A qualitative and quantitative approach.Qualitative Report 2010;15: 766-82.
Nasseri M. Cultural similarities in psychological reactions to infertility. Psychological Reports 2000; 86: 375- 8.
Diamond R, Kezur D, Meyers M, et al. Couple Therapy for Infertility. New York: Gilford Press; 1999: 34-9.
Sheoran P, Sarin J. An Exploratory Study to Assess the Quality of Life of Infertile Couples at Selected Infertility Clinics in Haryana. Journal of Nursing and health science, 2013; 3: 45-51.
Douki, S., Ben, Z.S., Nacef, F. and Halbreich, U. Women’s mental health in the Muslim world: Cultural, religious, and social issues. Journal of Affective Disor- ders, 2000;102: 177-189.
Foster WG, Neal MS, Han MS, Dominguez MM: Environmentalcontaminants and human infertility: hypothesis or cause for concer? J Toxicol Environ Health B Crit Rev 2008; 11: 162–76.
Phillips KP, Tanphaichitr N: Mechanisms of obesity-induced male infertility. Expert Rev Endocrin Metabol 2010; 5:229–51.
Sadeu JC, Hughes CL, Agarwal S, Foster WG: Alcohol, drugs, caffeine,tobacco, and environmental contaminant exposure: reproductive health consequences and clinical implications. Crit Rev Toxicol 2010; 40:633–52.
What you newer know about fertility. World Fertility Awareness Month 2006.
Whitten AN, Remes O, Sabarre KA, Khan Z, Phillips KP. А qualitative study of Ottawa university students’ awareness, knowledge and perceptions of infertility, risk factors and assisted reproductive technologies (ART). Reproductive health, 2013; 10: 41-51.
Ali S, Sophie R, Imam AM, Faisal IK, Ali, SF, Shaikh A et al. Knowledge, perceptions and myths regarding infertility among selected adult population in Pakistan: a cross-sectional study. BMC Public Health, 2011;11: 760-7.
Nouri K, Huber D, Walch K, Promberger R, Buerkle B, Ott J et al. Fertility awareness among medical and non-medical students: a case-control study. Reproductive Biology and Endocrinology, 2014; 12: 94-103.
Bunting L, Boivin J. Development and preliminary validation of the fertility status awareness tool: FertiSTAT. Hum Reprod. 2010; 25: 1722-33.
Garvelink MM, Ter Kuile MM, Louwe LA, Hilders C, Stiggelbout AM. Psychometric properties of Reproductive Concerns Scale in tree populations of women. Health care women Int, 2014: 102-17.
Alizadeh T, Farahani MT, Sharh Aray T, Alizadegan S, The relationship between self esteem and locus od control with stren in infertile women and men.J Reprod Fertil. 2005; 5: 194-204.